DAILY NEWS BULLETIN LEADING HEALTH, POPULATION AND FAMILY WELFARE STORIES OF THE Day Wednesday

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1 DAILY NEWS BULLETIN LEADING HEALTH, POPULATION AND FAMILY WELFARE STORIES OF THE Day Wednesday TB free by 2022 State to be TB free by 2022: Health Minister (The Tribune: ) The state government is all set to achieve the target to control Tuberculosis (TB) by well before the nation s target of 2025, Health and Family Welfare Minister Kaul Singh Thakur said this while presiding over a Training of trainers batch for the Integration of TB and Tobacco Control Programme, organised by the International Union Against TB and Lung Disease, here today. He said the state government was committed to improving the health of its people and national health programmes and schemes were being implemented as per the national mandate. He said health indicators of Himachal Pradesh were better than the national average and the state was striving hard to achieve the global standards. The total fertility rate of Himachal Pradesh was 1.7 against the national rate of 2.3, infant mortality rate was 28 as compared to 37 in the country under the child mortality rate below five years was 33 against national average of 43, he added. Thakur said despite so many advances in diagnosis and treatment worldwide, TB was still the number one infectious killer disease in the world killing 14 lakh people, out of which 4.8 lakh were in India alone. Every year nearly 15,000 new cases of TB were being diagonosed in HP and at the same time near 8,000-9,000 TB patients sought treatment from private sector, which was a big number. The Minister said that the Revised National Tuberculosis Control Programme (RNTCP) performance in terms of case detection rate and treatment success rate of Himachal Pradesh

2 was 77 per cent and 90 per cent, respectively, which were above the desired national target of 70 and 85 per cent, respectively. He further said Himachal Pradesh was the first state in the country where the state government had approved Rs 2 crore under the Mukhjya Mantri Kshaya Rog Nivarna Yojna. Himachal has also topped in launching FDC and daily regimen for TB patients on January 26, 2017 putting more than 7,000 patients on daily regimen besides leading in providing nutritional support to the MDR-TB patients, he added. The Health Minister said almost 38 per cent of the TB deaths were associated with the use of tobacco and prevalence of TB was three times as high among ever smokers as compared to those among never smokers. The state government had taken several innovative steps for effective tobacco control and the state has the strongest enforcement mechanisms. Malaria, Fighting mosquitoes with 40-yr-old dept at 20% strength (The Times of India: ) Following the mosquito crisis of malaria, the anti-malaria departments of the municipal corporation had been boosted massively. But with a large number of those recruits having retired in the last couple of years -almost 80% of the posts of anti-malaria officers and inspectors lie vacant today -the city is ill-prepared to meet the onslaught of mosquitos and the diseases they spread.

3 The snail-paced recruitment process through the Delhi Subordinate Service Selection Board, which has been unable to fill the requisition for staff filed five years ago, has recreated a big crisis, indicated perhaps by hospitals logging 300 dengue case last week alone. As things stand, 108 of the sanctioned 129 posts of malaria inspectors in the North Delhi Municipal Corporation are unoccupied, as are 55 of 65 in EDMC and 72 of 104 in SDMC. All six posts of antimalaria officers and 15 senior malaria inspectors in the north body and all such posts in the east too are lying vacant. Similarly, 247 posts of the stipulated 378 assistant malaria inspectors in the north corporation are vacant. Vacancy figures in EDMC are 91 of 153 and 122 of 324 in SDMC. As for posts at supervisory levels, the vacancies range from 80% to 100% in the three corporations. Across the three corporations, 858 posts of domestic breeding checkers and field workers are yet to be filled. Inspectors, who rank just above them, are short by 460 people. All these posts are denoted by the term malaria control because dengue and chikung unya were not as rampant at the time of the posts' creation as now. Anti-malaria officers ensure that the mosquito policy is implemented on the ground, explained an EDMC official. They supervise the field staff and coordinate with RWAs and citizen groups, check the operations of the domestic breeding checkers, en sure fogging and fumigation take place, and book and prosecute violators. With the staff for such crucial duties in the fight against the mosquito missing, there is justifiable consternation. Civic officials, however, plead that matter is beyond them. DSSSB is the agency that recruits. We have no role to play in staffing. We sent our employee requisition to the board in 2012, much before the mass retirements, but are still awaiting the final stage of the selection process, the EDMC official added. A senior municipal heath officer in SDMC also cited judicial reasons for the delay in replenishing the depleting manpower. Several candidates and contractual employees filed cases in the courts challenging the recruitment process, delaying the process further, he explained. But he was more optimistic and said, The recruitment process is in the final stages and should be completed soon. Meanwhile we are roping in contractual staff for supervisory roles. Whatever the reasons for the inordinate delay in filling the vacant posts, the capital knows only that if things are not expedited, it might be badly bruised in the annual ritual of fighting off the tri-scourge of malaria, dengue and chikungunya.

4 Patients in vegetative state Doc finds way to `talk' to patients in vegetative state (The Times of India: ) A British neuroscientist is making awe-inspi ring medical breakthroughs by communicating with people who are in a vegetative state. Dr Adrian Owen has been studying the minds of such patients for more than 20 years, and says the flashes of awareness some patients show is astounding. He uses hospital scanners alongside an array of new techniques to spot activity in the brain that could suggest signs of consciousness. One of the secrets? Asking the patient to imagine playing a game of tennis. It's an exercise that typically causes a dense network of synapses to fire along the top of healthy brains.

5 And, for one in five of the patients he deals with, this causes their brains to light up with activity on an MRI scanner. He chooses tennis because it produces an unmistakable pattern in the brain's pre-motor cortex, which processes movement. It's complex for the brain because everything from the grip of the racquet to the movement of the ball must be imagined. Patients are taken to London, Ontario in Canada -where Owen is now based -for the testing sessions, which last for five days. Owen challenges them to imagine tennis for 30 seconds at a time, 10 times in a row, to make 100% sure the person is responding. The first time it worked, It really was like magic. I was ecstatic, he told the `Daily Mail'. Suddenly, a new opportunity was opened. Patients who couldn't signal yes or no to questions using physical movements could be asked to simply imagine playing tennis to answer questions in the affirmative. The first patient to communicate in this way was known as Scott. On that day, and on many occasions in the months that followed, we conversed with Scott through this magical connection we had made between his mind and our machine, Owen told the paper, He was able to tell us he knew who he was, he knew where he was. He said it may be long before his technique was approved as standard practice.

6 Alzheimer's EARLY DETECTOR - Why a VR game is new frontier in Alzheimer's study (The Times of India: ) DETECTOR-Why-a-VR-game-is-new Sea Quest Hero is more than just a usual comput er game where players have to find their way have to find their way through mazes, shoot and chase creatures -it also doubles as scientists' latest tool for studying Alzheimer's disease. The game -downloadable from Tuesday in its virtual reality (VR) version -seeks to stimulate players' brains through a series of tasks based on memory and orientation skills, while gathering data to research dementia.one of the first symptoms of Alzheimer's is loss of navigational skills. But data comparing cognitive response across a broad spectrum of ages is rare, and this is what the game seeks to provide. The game -billed as the largest dementia study in history -has been developed by Deutsche Telekom, Alzheimer's Research UK and scientists from University College London and the University of East Anglia, UK. The mobile version, which came out in 2016, has already been downloaded three million times in 193 countries.playing the game for just two minutes, the website said, generates the same amount of data scientists would take five scientists would take five hours to collect in similar labbased research. With the equivalent of 63 years already played, scientists now have some 9,500 years worth of dementia research to go through. Resolving the tasks requires the use of different parts of your brain and different parts of your brain are used in different ways by different types of dementia -so it allows us to link what someone can do to what is going on in their brain, David scientific officer at Alzheimer's Research UK, said. The addition of virtual reality will provide yet another layer of data. The headset technology is helping to track where the person is looking as well as where they're going, Lauren Presser, one of the game's producers, said, So we know whether people are lost and how they behave in those situations. There is no cure for Alzheimer's, but the game's creators hope it could eventually enable diagnosis and treatments of patients far earlier than is currently possible.

7 Dengue Fear grips dengue ground zero (Hindustan Times: ) Shaheen Bagh and Abul Fazal Enclave remain as vulnerable to the mosquito borne disease as they were last year NEW DELHI: Even after 19 dengue deaths in Shaheen Bagh and Abul Fazal Enclave areas last year, little seems have to have changed. The civic bodies counted 10 deaths and over 4,000 cases of dengue in Delhi in However, a Hindustan Times investigation showed 19 deaths in the two South Delhi localities alone. According to municipal corporation officials, these areas, located next to the banks of Yamuna, are among the worst-hit localities in the city every year. Although the officials claim that no case of dengue and chikungunya has been reported by the South Delhi Municipal Corporation s health department in these pockets, residents claim otherwise and continue to live in fear of a dengue outbreak. They said that few cases of dengue have already been detected in the area. Locals said that the municipal corporation has not learnt any lesson from past and has made no special arrangements for regular fogging. They said that the civic agency is still not working diligently and raises an alarm only after deaths are reported from here. So far, fogging has happened only twice in my lane and no one has come to check mosquito breeding inside houses. The sanitation condition is equally bad here, said Farzana khatoon, resident of Shaheen Bagh. Narrow lanes, no provision for proper storm water drains and high rise buildings in the area leave no scope for sunlight to reach the houses. These factors make such localites more conducive for breeding of mosquitoes. ALLEGATIONS In one such lane lives Abdul Qadir, who had admitted his daughter to Holy Family Hospital after she was reported diagnosed with dengue on Monday. We conducted all tests suggested by doctors. Though she was discharged on Tuesday, her case has not been reported by the MCD so far, said Qadir, resident of Zakir Nagar.

8 Contrary to the residents claim, MCD health staff said that the residents don t allow them to come inside the house. Half of the time we return empty handed as the people don t let us go inside the house. Not just that, they misbehave with field workers and despite repeated warnings, they don t take precautionary measures, said a field worker. Last year, the SDMC had issued legal notices to over 450 people for waterlogging in their basements. The buildings are not just illegal but also have 10-feet deep basements, he said. According to area councillor Wajid Khan, though the dengue breeding checkers (DBC) are making best of efforts, paucity of number of adequate number of DBC workers is proving a handicap in covering the entire area. Also, we have one fogging machine and with this, it is not possible to cover all lanes, he said. However, Khan accepted that being an unauthorised colony the sanitation job is not done properly by the MCD staff. Taking lessons from the past, some families have been extra careful this year. I have installed mesh gates in my house in addition to regular gates. Also with the MCD s help, I arranged for fogging thrice in my home. I ensure that my kids don t go out to play in evenings as well, said Saqib Khan, a Shaheen Bagh resident, who lost his 14-year-old son to dengue last year. Medical negligence Justice eludes medical negligence victims (Hindustan Times: ) LONG WAIT Complaints of neglect rise by 30 40% over the past five years but less than 10% doctors are held accountable You are required to leave everything and pursue the case. You also need to have strong financial backing as it costs a bomb..., which is not possible for a common man. SP MANCHANDA, a 65-year-old complainant in a medical negligence case More than the backlog, it is also the prevalent belief that the probe won t be impartial because doctors are part of the investigating team and that is driving people away. DR KK TALWAR, former president, Medical Council of India

9 NEW DELHI: Sixty-five-year-old SP Manchanda has been fighting a long battle for justice since his daughter, Nikita, allegedly died due to medical negligence during child birth in May REPRESENTATIONAL PICTURE Despite a rise in medical negligence cases, the complainants have to wait for years to get compensation. A resident of north-west Delhi, Manchanda filed a first information report (FIR) at the Saraswati Vihar Police Station claiming negligence by hospital staff. Since then, it has been an uphill task. He has approached every possible department concerned to get the case moving. It is stuck in the Delhi High Court where the accused doctors went after Medical Council of India pronounced them guilty of negligence. The court stayed the matter saying a similar matter was pending in the Supreme Court on technical grounds and we should wait for the verdict in that case, Manchanda, who lost his wife last year, told HT. The initial enthusiasm to seek justice for his daughter has died down and hope has somewhat diminished. Even after all these years of singlemindedly pursuing the case nothing seems to have worked out. It s not easy; you are required to leave everything else and pursue only the case. Also, you need to have strong financial backing as it costs a bomb to fight the case, which is not possible for a common man, especially a working one, he says. RISING CASES Cases of medical negligence are on the rise because people are becoming more aware about their rights and are raising a voice against suspected malpractice. Sometimes, mistakes can be fatal. Gross medical negligence is a serious offence and punishable under the law. Complaints of medical negligence have increased by 30%-40% over the past five years and each case takes at least a few years to be investigated, says Dr Girish Tyagi, member, Delhi Medical Council (DMC), which has the mandate to probe medical negligence cases. It gets 20 to 25 complaints every month. Of these, five or six are accepted for review, based on evidence, says Dr Tyagi. Complaints are on the rise all across India. Bihar Medical Council (BMC) has received 91 complaints since 2010, of which 47 cases are still pending at the hearing stage. Of the 268 cases filed with Andhra Pradesh Medical Council, action has been taken in 38 complaints. In Kerala, situation is better with 225 out of the 267 cases having been acted upon. LONG ROAD AHEAD

10 Those who do file a complaint, have years of struggle ahead of them. Less than 10% of doctors charged with the offence are proven guilty. The complaint is put before an executive committee, and if there is merit, another panel, including experts from the field to which the case relates, looks into the allegation. The second panel collects proof like patient records and scans. In DMC, once the complaint is submitted, the case is likely to come up for hearing only after two to three years. If the committee feels that there is a case of negligence it is referred to the disciplinary committee. The disciplinary committee then has a hearing with the complainant, the hospitals and the doctors involved, after which it passes a judgment. This judgment then has to be approved by the general council of all 23 DMC members, Dr Tyagi adds. Doctors who are proven guilty usually get off lightly, with the punishment ranging from a strict warning to permanent cancellation of license to practice, which has not happened thus far. In the history of medical negligence cases, the highest compensation of Rs 5.96 crore has been awarded to Dr Kunal Saha in 2013 by the Supreme Court of India, for which he had to fight for close to 15 years. The US-based Indian-origin doctor had lost his wife to medical negligence by doctors at a Kolkata hospital during their visit to India in Institute of Medicine & Law s annual medico legal review held last year reported that Punjab, with 24% of all medical legal cases, was the top litigating state in the field of medical negligence. West Bengal, Maharashtra and Tamil Nadu follow with 17, 16 and 11% respectively. Dr. K Senthil, former President, Tamil Nadu Medical Council, said, We get some 20 to 30 cases per year, predominantly relating to alleged negligence by doctors. But in most of the cases, the complaints often disappear when asked for proof. In cases, where there is some element of proof, we do act. BETTER REGULATION There is an urgent need to regulate India s pluralistic medical landscape, especially when about 80 percent of the country s healthcare delivery system is managed by the private sector. Experts are of the opinion that regulatory bodies should be held accountable. It is mostly the state councils that hear cases and the Medical Council of India (MCI) comes into the picture only when the accused challenges the verdict or the state medical council is sitting over a verdict for long, which rarely happens, said an MCI official.

11 Former MCI chairman, Dr KK Talwar, says, Regulatory bodies have got diluted over the years and it is high time that these are revamped. As the public is becoming more aware, these bodies should be stricter and create a mechanism to build confidence among people. With the loss of faith in regulatory bodies, people are moving to courts for justice. More than the backlog, it is also the prevalent belief that the investigation won t be impartial because doctors are part of the investigating team and that is driving people away. To avoid that, one should try to have these bodies chaired by some ex-judge, or someone from the social sector or some ex public servant with a social standing, says Dr Talwar. Councils often tend to get frivolous complaints. Most complaints we receive against doctors are frivolous in nature and have been dismissed by the Bihar Council of Medical Registration (BCMR), says BCMR registrar Dr Sahajanand Prasad Singh. To strengthen a case, there are certain steps a complainant must follow. The first thing is to collect the in-patient file which will have details of what procedures were done, says Dr Tyagi. HOW TO AVOID NEGLIGENCE Communication or lack of it plays a crucial role in cases of negligence. There needs to be better communication between the doctor and the relatives of a patient. If we don t tell them about expected complications they d not understand and confuse complications with negligence, says former MCI chairman Dr SK Sarin. Dr Sarin also stresses on the need to conduct an exit exam for MBBS doctors. We need to have basic skills test for doctors, to check their clinical acumen. Mentor-mentee relationship can also be promoted so that there is someone supervising the treatment, he says. Lastly, a doctor should know when to seek help. A doctor must know the limitations of their knowledge and when to call for assistance, says Dr Sarin. Diet Guideline (The Asian Age: )

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13 Health Ǔ Ȣ ȯğ क ɋ Ʌस हत ȧड र (Dainik Jagran: ) Ǔ ȢèȡèØ ढ च Ʌक ई ब र ई ȣȳह बस उसक Ǒ ɅǓȲğ करन ȧ Ǿ ह ȡ Ȫɉक पर श न न ह ग रखप र ğ ȣ न ȡȣ\ èȡɉʌåȡü ħçȡȡ और Ǖ[èȡ ȧ प ल ख ल ȣ ह ȡȣ\ èȡɉ ȧयह ǔèǔ [åȡȣह ^ȲÊɇ क ȡȣ\ èȡɉक द सर ȯɉ ȧत लन ɅĮȯç समझ ज त ह, पर त वह भ Ǖ[èȡह ^ȲÊɇ क ȡ Ȳȯ\ È द सर ȯɉʌ उपच र क f ज त ɇ, Èɉ `Û Ʌअपन \ èȡɉʌ ȲĐ क भय सत त ह Þȯक दशक Ʌ ^ȲÊɇ क f ã ह \ èȡ क ब ल र ग ȡ ɅȪèȡ[ क समय म त Í ɉ क \ Ȳɉ क ग रक न न ढ ग स Ǔ ȡ ȡज त थ èȱ [\ èȡ Ʌ ȡ ȧत द द Ʌȣ ɉ ȧम त ह ȣ थ ज च Ʌप य गय \ èȡ Ʌȣ ɉ ȧ`ȯ ȡ ȧज त थ और उनक स थ Ǖ[यवह र ह त थ ȡȣ\ èȡɉ ȧ यह Ǖ[Ǔ सभ ȡȣ\ ɉ और क मक ज Ʌद ख ज त ह मसलन ȡȣɇ, ȡ[ Ǔ इक इय, ǒ ȣ ȡ ^ ȡǑ ^ ȧ ȡ ɇ@ग रखप र ज स ȡȣ\ èȡɉऔर Ĥȡ èȡèø Ʌġɉ ȧ èȡह लत इस åȡ ȡȣǕ[èȡ क Ǒ è ȡह ȡ [यह ह सरक र क ȡÚ स \ Í ȤèȡèØ स व ए `Þ कर न ल ह क चन चब न ज स ह 1क छ समय पहल म ङ ȨȲȣ ȯã f Ȫ f न म क एनज ओ क f भ रत ȧ èȡèø स व ओ क ] [ ǗãȡȲ क अवसर ȡ थ ɇȯद ख ȡȣ \ èȡɉʌĥ Ǖã कम \ æ f ज त ह, पर त ȣ ɮȡȡवहन ȡज न व ल [ Ȣ ȡ स कम ȣȳह त ह ȡȣ\ èȡɉʌȣ क उपच र Ʌसमय \ लगत ह ज स ट इफ यड क ȣ क उपच र Ǔ Ȣ\ èȡ Ʌऔसतन प च Ǒ Ʌह ज त ह त ȡȣ \ èȡ Ʌइसक f औसतन आठ Ǒ लगत ɇ@इन त न \ ǓǐÈ ǑɉɅǐ ɉऔर Ȣȡȡɉ] Ǒ क [क ज ड़ ȡज ए त क ल ȡ Ǔ Ȣऔर ȡȣ\ èȡɉʌȣ ɮȡȡवहन ȡगय [बर बर ह ज त ह य न सरक र ɮȡȡ ȡȣ\ èȡɉक ȣज ȣ ȡȣभरकम रकम ȨÈɉक व तन और \ ȡक प स ȣह ȣ क कम ȣफ यद रह ह अत: सभ ȡȣ\ èȡɉक Ǔ Ȣ कर द न ȡǑ पर [ȡ Ʌ f ज रह [ क स ध जनत क èȡȳǐ कर द न ȡǑ सरक र ɮȡȡĤ ȡ भ रत य ल क

14 ȡȲǔÉ ȧक अन स र [ ɅɅġ और ȡÏ ȡɉɮȡȡèȡèØ स व ओ पर 1,73,924 कर ड़ ǽȯ [ f गए च ल [Ʌयह रकम लगभग 2,00,000 कर ड़ ǽȯब ठ ग इस द श क 130 कर ड़ ȡǐ ɉʌ ǐ कर Ǒȡज ए त Ĥ ȯ åǔè क लगभग 1,500 ǽȯĥǔ[ अथव Ĥ ȯ ǐ ȡ क लगभग 6,000 ǽ ȯĥ Ǔ [Ǒf ज सकत ह इसस ल ग Ǔ ȢȨÈɉ ȧ èȡèø स व ए य ब म Ȩ Ȣल सकत ɇ@1ǔ ȢèȡèØ स व ए अपन न क Ȫ Ʌ\ ȯǐ ȡ क उद हरण स मन आत ह \ ȯǐ ȡ Ʌ ȡȣ\ è ȡ Ö ɇ@सरक र ɮȡȡकमज र ɉ क ब उचर Ǒf ज त ɇ जनस व Ǔ ȢèȡèØ स व ओ क ल भ उठ त ɇ, पर वह भ Ǔ ȢȨÈɉ ȧȡȳȣ क ज र ह \ ÚɉɅप य गय द सर ȯɉ ȧ त लन Ʌ\ ȯǐ ȡɅ èȡèø स व ए ख स मह ग ɇ@\ Û ȯɉʌèȡèø स व ओ पर ĤǓ åǔè 3,200 ड लर [ f ज त ɇत \ ȯǐ ȡɅ8,200 ड लर Ǔ पर \ ȯǐ ȡ ȧèȡèø ǐǔèǔȡȳ कमज र ɇ, पर त \ ȯǐ ȡɅȪɉक ` उपच र `Þ ह, ȯ तभ जब आप ` ȧ ȧ च क न ȧ क वत रखत ɇ@ɇ ज स ǕǾ Ȫɉ क \ ȯǐ ȡɅसबस ब हतर उपच र `Þ ह Ǔ Ȣè ȡèØ स व ओ क भ द पहल ɇ@एक ओर Ǔ ȢȨÈɉɮ ȡȡऊ च ȧ वस ल ȧज त ह त इसक एवज Ʌȯ ȣ è ȧस व ए भ म ह य कर ई ज त ɇ@इसक स द श स फ ह ब हद मह ग ह न क क रण Ǔ ȢèȡèØ स व ए आम \ ȯǐ ȧ ȧपह च स ब हर ɇ@\ ȯǐ ȡन èȡèø ब म क \ Ǔȡ[बन कर इस èȡ क सम ध न ȡ करन ȧǒȡʌकदम बढ़ ए Ǘ[ \ ȯǐ ȧ ȡçĚǓ बर क ओब म न क न न बन य थ Ĥ ȯ ȡ ǐ क ब म ȣ ȡ \ Ǔȡ[ह ^ Ʌȣɉक ब म ȣȯक f क छ सह यत भ ȣज त ह ȯȣसमझ स यह èȡक हल ȣह,èɉ Ȣȡȡ ɉɮȡȡ`û ȣȳǔ ȢȨÈɉस ȣमह ग èȡèø स व ए ȣ ज ए ग èȡèø स व ओ Ʌ Ǿ स Ï ȡȡ मह ग ई बन रह ग \ ȯǐ ȡɅ Ĥ Đ Ü य न ȨÈȣȶक ǒȡf ȲȣȡȪǑ दव ए ȣȳ ȢȲ@पहल ȨÈ क 200 ड लर य 13,000 ǽȯ ȧ ȧ द कर ȡ[ ȡȡ पड़त ह दव ȣȣ ह त ह ज दव भ रत Ʌ50 ǽȯʌ `Þ ह ȣ\ ȯǐ ȡɅ2,000 ǽȯʌǒ Ȣह èȡèø Ⱦस \ ȯǐ ȧȡǐ इतन दब रहत ɇ ȣȡ ȡह न व ल 60 ĤǓ ȡɉक म ल ɅèȡèØ [ ȣह त ɇ@ȡ [यह \ ȯǐ ȡɅǓ ȢȨÈɉक इस आत क क क रण क न न ȲǓ अथव ǓȲğ क अभ व ह \ ȯǐ ȡɅǑ भ रत ȧतरह f ȲȣȡȪǑ दव क स ध द क न स ȣȯ ȧक न न \ ǕǓ द ȣज ए त वह èȡèø स व ओ क [घट ज एग ǗȲ वह ȨÈ भ कम ɇ, ȡ ȡ` ȧ ȧ भ ȡ ȧ ऊ च ɇ@1 ÞȪǕ] ȣह \ ȯǐ ȡɅǓ ȢèȡèØ स व ए Ǔ ȢȨÈɉ और दव ȲǓɉ क क रण मह ग ɇ@ǔ ȢèȡèØ åèȡʌक ई ब र ई ȣȳह बस इसक Ǒ ɅǓȲğ करन ȧ Ǿ ह क ल ȡ अपन åèȡȥ ह हमन ब ज र Ʌ

15 ȨÈɉ ȧȡ[ü ] ǗǓ कर ȣह जसस ȨÈɉ ȧ ȧ ÛǗ ह ȨÈɉऔर \ èȡɉ क ब च ĤǓèȡ[स èȡèø स व ओ और दव ȲǓɉक ब च ĤǓèȡ[स दव ओ क द म कम ɇ@ भ रत ǕǓȡक èȣदव ए `Þ कर न क ȲȣȡɅġ बन गय ह Ǔ Ȣ ȾɅ ȡȯ ȣ एव क शलत ह त ह जनत स ȰÈ वस ल कर ȡȣ स व ए ǑȡȯɅ ȣ स व मह ग और अक शल ह ज त ह ज स ^ȲÊɇ Ʌह रह ह सभ ȡȣ\ èȡɉक Ǔ Ȣ करक रकम क स ध जनत क द न ȡǑ èȡèø Ǖ बन न ȡǑ f ज ȨÈɉऔर \ èȡɉɮȡȡ \ ȡæ दव ओ तथ ȯè क र क दव ओ क ȯȯǐ ȶ\ Ǔȡ[बन Ǒf ज ए जसस Ēȡ ĤǓèȸक पन ȧदव ȣ सक और ȨÈɉक कम शन ख न क अवसर न ȯ@तभ जनत ख शह ल ह ग 1(ल खक ǐç \ [ȡèğȢएव आइआइएमɅǕǽ क Ǘ[ĤȪȯ ɇ) Bone Pain ɬ ɉ क [ स ã र हत Ǒȡf Ȣ र शम ȧ चट ई (Dainik Jagran: ) ȡ ȡɉ पर ĤȪ कर Ȱ ȡǓ ज न रह Ȣ Ǖ ह यह तकन क, इसक ब द Ǖçɉ ȧमदद क f ल य ज सकत ह ^èȯȡ Ʌ1 नई Ǒãȣ, ] ^f ÞãǗ: ɬ ɉʌच ट लगन स उनक Ȥ ह न ȧक दरत Ĥ Đ ȡध म ह ^ ȧǔ बढ़ न क f भ रत य Ȱ ȡǓ ɉ न एक \ ǗȤ ख ज ȧ ह भ रत य ĤȫɮȪ ȧ Ȳèȡ (] ^] ^ȣ) Ǖȡ ȡȣक Ȱ ȡǓ ɉन एक चट ई त य र ȧह, जसस ɬ ɉक [स ã र हत सक ग यह चट ई ȡȪÊȡ पर र शम ȧपरत स बन ई गई ह, जसक ĤȪ ǕǑ èȡ पर ȡज त ह 1ब न Ï ȡ^Ȳ एक ऐस èȡ ह जह a ɉक ǐf कठ र ɬ ȡȲएक- द सर स ज ड़ ह त ɇ@ ȡ[ (Ȣȣ ɬȢ) ȯ Ȫ ȡj Ȳक f ह त ɇ, ǔ Û Ʌ ɉġȫèȯ कह ज त ह य ĤȪȣ, क ल जन बन त ɇ, ज Ȫ ɉ ȧȫɉक क दरत Ǿ स Ȥ करन Ʌमदद करत ɇ@] ^] ^ȣǖȡ ȡȣक ब य स इ स और ȡȪ^Ȳ ȢǓǐȲ ȡ क ĤȪȯ ǒȡ म डल क Ǖȡǒ, हमन र शम क ȧ ȯस क दरत र शम क अलग ȡऔर उसस ȰȪ ȡ^Ħ चट ई त य र ȧ@यह चट ई Ȫ ɉक ȯ Ǖ ɉक ĤȪ कर उनक उपच र करन Ʌमदद करत ह उनक प स

16 एक झरझर èȳ ज स सर चन ह त ह ज ɉġȫèȯ Ȫ ȡj Ȳक बढ़न और ज ड़न Ʌमदद करत ह इसक ǐf Ȫ ȡf ȲÏ ȡȡक ल जन बन त ɇ, जसस Ȫ ɉक Ȥ ह न ȧǔ Ȣĭ ह ज त ह यह एक मह ग तकन क ह, ȯ इसक सफल ह न ȧस भ वन ए \ ɇ@ ȡȡȲ [ȣक ǐf Ȫ ɉक Ĥ ȡȪ करन क ã पहल स म ज द ह, ȯ ब हद मह ग ह न क क रण वह सभ ȧपह च Ʌ ȣȳह ȡ Ȫ ȡ[इसक ĤȪ ȡɉपर कर रह ɇ@ ǐɉऔर ȯ ɉ पर इसक ^èȯȡ कर व यह ज नन क Ĥȡ कर रह ɇ यह तकन क Ȣ Ǖ और क रगर ह नई Ǒãȣ, ] ^f ÞãǗ: ɬ ɉʌच ट लगन स उनक Ȥ ह न ȧक दरत Ĥ Đ ȡ ध म ह ^ ȧ Ǔ बढ़ न क f भ रत य Ȱ ȡǓ ɉ न एक \ ǗȤ ख ज ȧ ह भ रत य ĤȫɮȪ ȧ Ȳèȡ (] ^] ^ȣ) Ǖȡ ȡȣक Ȱ ȡǓ ɉन एक चट ई त य र ȧह, जसस ɬ ɉक [ स ã र हत सक ग यह चट ई ȡȪÊȡ पर र शम ȧ परत स बन ई गई ह, जसक ĤȪ ǕǑ èȡ पर ȡज त ह 1ब न Ï ȡ^Ȳ एक ऐस èȡ ह जह a ɉक ǐf कठ र ɬ ȡȲएक-द सर स ज ड़ ह त ɇ@ ȡ[ (Ȣȣ ɬȢ) ȯ Ȫ ȡj Ȳक f ह त ɇ, ǔ Û Ʌ ɉġȫèȯ कह ज त ह य ĤȪȣ, क ल जन बन त ɇ, ज Ȫ ɉ ȧȫɉक क दरत Ǿ स Ȥ करन Ʌमदद करत ɇ@] ^] ^ȣǖȡ ȡȣ क ब य स इ स और ȡȪ^Ȳ ȢǓǐȲ ȡ क ĤȪȯ ǒȡ म डल क Ǖȡǒ, हमन र शम क ȧ ȯस क दरत र शम क अलग ȡ और उसस ȰȪ ȡ^Ħ चट ई त य र ȧ@यह चट ई Ȫ ɉक ȯ Ǖ ɉक ĤȪ कर उनक उपच र करन Ʌ मदद करत ह उनक प स एक झरझर èȳ ज स सर चन ह त ह ज ɉġȫèȯ Ȫ ȡj Ȳक बढ़न और ज ड़न Ʌमदद करत ह इसक ǐf Ȫ ȡf ȲÏ ȡȡक ल जन बन त ɇ, जसस Ȫ ɉक Ȥ ह न ȧǔ Ȣĭ ह ज त ह यह एक मह ग तकन क ह, ȯ इसक सफल ह न ȧस भ वन ए \ ɇ@ ȡȡȲ [ȣक ǐf Ȫ ɉक Ĥ ȡȪ करन क ã पहल स म ज द ह, ȯ ब हद मह ग ह न क क रण वह सभ ȧपह च Ʌ ȣȳह ȡ Ȫ ȡ[इसक ĤȪ ȡɉपर कर रह ɇ@ ǐɉ और ȯ ɉ पर इसक ^èȯȡ कर व यह ज नन क Ĥȡ कर रह ɇ यह तकन क Ȣ Ǖ और क रगर ह

17 Heart Attack ȡ[अट क क पत लग न ह ग और आस न(Dainik Jagran: ) ȢȰȣक स थ ख नप न Ʌभ åȡ प म न पर बदल व आय ह ȪȯèĚȨ ȧ\ ȡव ल ȡɮ ȡȾक स वन स Ǒ स ज ड़ Ȣȡǐɉक खतर लग त र बढ़त ज रह ह ^Ʌ ȡ[अट क ȧ èȡभ एक ह समय पर पत ȣȳचलन क क रण Ȣ åǔè ȧम त भ ह ज त ह ǔèɪ ɇ क Ȫ ȡ[j Ȳन इसक समय पर पत लग न क f नई f ȪǐØ ईज द करन क द व ȡह ȡ[ अट क य f ÈǗ ȡȪ ȡ [ ^ȯȯè (एएमआइ) ब हद ग भ र èȡह 1 ȯ ɉक कहन ह नई Ĥ ȡȣस ȡ[अट क क समय पर पत लग कर उसक इल ज स भव ह सक ग श ध Ʌस न Ʌत ज [ ȧ ȡ पर आप त ȡ Ʌआन व ल 4,350 Ȣ ɉ क आ कड़ ज ट ए गए नई स ^ ȧ ज च पड़त ल ȧ गई 1-ĤȯĚ1 ȢȰȣ क स थ ख नप न Ʌभ åȡ प म न पर बदल व आय ह ȪȯèĚȨ ȧ\ ȡव ल ȡɮ ȡȾक स वन स Ǒ स ज ड़ Ȣȡǐɉक खतर लग त र बढ़त ज रह ह ^Ʌ ȡ[अट क ȧ èȡभ एक ह समय पर पत ȣȳचलन क क रण Ȣ åǔè ȧम त भ ह ज त ह ǔèɪ ɇ क Ȫ ȡ[j Ȳन इसक समय पर पत लग न क f नई f ȪǐØ ईज द करन क द व ȡ ह ȡ[अट क य f ÈǗ ȡȪ ȡ [ ^ȯȯè (एएमआइ) ब हद ग भ र èȡह 1 ȯ ɉक कहन ह नई Ĥ ȡȣस ȡ[अट क क समय पर पत लग कर उसक इल ज स भव ह सक ग श ध Ʌस न Ʌत ज [ ȧ ȡ पर आप त ȡ Ʌआन व ल 4,350 Ȣ ɉक आ कड़ ज ट ए गए नई स ^ ȧज च पड़त ल ȧगई 1-Ĥ ȯě1

18 Internet (Hindustan: ) Irritation (Hindustan: )

19 Medicine ((Hindustan: )

20 Cancer ((Hindustan: )