CIMS. ytëhlkk ÃkkLku... ÓËÞLke Ä{LkeykuLke çkkþãkkmk Mksohe{kt ðãkhkíke þhehlke ðäkhklke yøkíþlke Ä{Lkeyku u Lasers in Cancer Treatment

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1 ytëhlkk ÃkkLku... News u The additiona important arteries of the body which are Price : ` 5/- used in the Coronary Arteria Bypass surgery u ÓËÞLke Ä{LkeykuLke çkkþãkkmk Mksohe{kt ðãkhkíke þhehlke ðäkhklke yøkíþlke Ä{Lkeyku u Lasers in Cancer Treatment u fulmkhlke Mkkhðkh{kt umkh 1

2 News The additiona important arteries of the body which are used in the Coronary Arteria Bypass surgery In today's day and age, diseases of the coronary arteries are one of the eading causes of premature death. Whenever a bockage is detected within an artery it is possibe to treat it with medication or angiopasty, though ony up to a certain extent. But, when diseases (bockages) are present in mutipe arteries, it becomes necessary to undergo a coronary artery bypass surgery for which excess arteries present in the body itsef are used. These additiona arteries are grafted before and after the bockage thus it is referred to as Coronary Artery Bypass Grafting Surgery. In the front portion of our chest, God has paced one extra artery each on the eft and right-hand side that, in medica terminoogy, are known as Left & ight Interna Mammary Artery. It is a mirace of nature that diseases rarey occur in these arteries and in fact, they are in fairy good condition unti the ate stages of our ife. Thus, these arteries are most often used for the surgery. The second preference for use in the surgery is often given to arteries of the hand (adia Artery). The speciaty of the radia artery is that it is of good ength due to which it can be used in performing the bypass surgery for mutipe arteries. The main vein of eg, the saphenous vein, is aso used a ot in surgeries. The speciaty of this vein is that it can be easiy removed from the eg, many times which turns out to be a boon in case of emergency surgery. In using these arteries, there are some disadvantages too, such as pain deveopment in the area from which the artery has been taken. Aso, there can be a oss of sensation in the harvesting area but these are not considered to be critica probems. ÓËÞLke Ä{LkeykuLke çkkþãkkmk Mksohe{kt ðãkhkíke þhehlke ðäkhklke yøkíþlke Ä{Lkeyku ykslkk s{klkk{kt ÓËÞLke Ä{Lkeyku{kt Úkíkk hkuøkku yu ËwrLkÞk¼h{kt yfk u Úkíkk {]íþwlkwt yøkúumkh fkhý Au. Ä{LkeykuLke ytëh ç kufus ykðu íþkhu y{qf në MkwÄe ËðkykuÚke yúkðk yulsþkuã kmxe Úke Mkkhðkh þfþ Au Ãkhtíkwt sþkhu ðäkhu Ä{Lkeyku{kt hkuøkku nkuþ íþkhu હ દય Lke Ä{LkeykuLke çkkþãkkmk Mksohe fhkððe syhe nkuþ Au, ylku íku {kxu þheh{ktúke s ðäkhklke Ä{Lkeyku WÃkÞkuøk{kt uðk{kt ykðu Au.yk Ä{LkeykuLku ç kuuf Ãknu k ylku ÃkAe òuzðk{kt ykðu Au ylku íkulku fkuhkulkhe ykxohe çkkþãkkmk økúkvxªøk Mksohe fnuðk{kt ykðu Au. ¼økðkLku ykãkýe AkíkeLkk ykøk Lkk ¼køk{kt zkçke ylku s{ýe çkkswt yuf-yuf ðäkhklke Ä{Lkeyku {qfe Au, sulku {uzef ¼k»kk{kt Left & ight Interna Mammary Artery íkhefu yku ¾kÞ Au. fwëhíklke fhk{ík swyku fu yk Ä{Lkeyku{kt ¼køÞus hkuøkku Úkíkk nkuþ Au ylku SðLkLkk AuÕ k íkçkffk MkwÄe yu Mkkhe ftzeþlk{kt nkuþ Au. sulkku WÃkÞkuøk MksoheLke ytëh MkkiÚke ðäkhu fhðk{kt ykðu Au. çkeò Lktçkhu nkúklke Ä{Lkeyku (edia Artery) Lkku WÃkÞkuøk MkkiÚke ðäkhu fhðk{kt ykðu Au. nkúklke Ä{LkeLke rðþu»kíkk yu Au fu yu tçkke{kt Mkkhe nkuðkúke íkulkku yuf Úke ðäkhu Ä{LkeykuLke çkkþãkkmk Mksohe fhðk{kt íkulkku WÃkÞkuøk ÚkkÞ Au. ÃkøkLke ÄkuheLkMk Saphenous Vein Lkku Ãký Mksohe{kt Äýku WÃkÞkuøk Úkíkku nkuþ Au. yk LkMkLke rðþu»kíkk yu Au fu íku Ãkøk{ktÚke fkzðklke ¾qçk s Mkh nkuþ Au, suúke fhelku Äýe ð¾ík E{hsLMke Mksohe{kt yk LkMk ðhëklk YÃk Mkkrçkík Úkíke nkuþ Au. yk Ä{LkeykuLku WÃkÞkuøk{kt uðklkk y{qf økuhvkþëkyku Ãký Au suðk fu, sþktúke Ä{Lke eäe nkuþ íþkt Úkkuzku Ëw:¾kðku Úkðku yúkðk íkku íþkt Ãkøk{kt Úkkuzk MkuLMkuMkLk kumk Úkðk Ãkhtíkwt yu çknw {níðlke ðmíkwt nkuíke LkÚke. 2

3 News In order to extend the ife of a bypass surgery, it is necessary to take a few precautions such as maintaining a strict diet, refraining from tobacco, performing ight exercises etc. Courtesy Dr. Dhava Naik Cardio Thoracic Surgeon M.S. (God Medaist), DNB (CTS), Feow PAH (Sydney) zkì. Äð Lkkf (M) Emai: dhava.naik@cims.me MkeBMk fkšzþkf Mksohe xe{ Heart Faiure Cinic zkì. {LkLk ËuMkkE ÓËÞLke Ä{LkeykuLke çkkþãkkmk MksoheLke ykðhëk ðäkhðk {kxu Úkkuze íkfuëkhe hk¾ðe Ãký syhe Au, su{ fu ¾kuhkfLke ÃkhuS Ãkk ðe, ÔÞMkLkkuÚke Ëqh hnuðwt, n ðe fmkhíkku fhðe, ðøkuhu.ðøkuhu MkkisLÞ zkì. Äð LkkÞf fkzeoþkuúkkuhkmkef MksoLk (ÓËÞLke MksoheLkk rlk»ýktík) M.S. (God Medaist), DNB (CTS), Feow PAH (Sydney) ({ku) Emai: dhava.naik@cims.me HOSPITAL ANNOUNCES HEAT FAILUE CLINIC WHAT IS HEAT FAILUE? Heart faiure, aso caed Congestive Heart Faiure (CHF),means your heart does not pump bood as we as it shoud. This does not mean your heart has stopped working, but it is not as strong as it used to be. Heart faiure starts sowy and can get worse over time. Common Causes of Heart Faiure Heart Attack Disease of Heart vaves Heart Musce Disease High Bood Pressure, Diabetes Vira iness Excessive Acoho Consumption Cancer Drugs Dr. Mian Chag, Dr. Dhiren Shah & Dr. Chintan Sheth recenty underwent training for artificia heart and heart transpant at UPMC Hospita, Pittsburg, USA Goas of heart faiure cinic 1) Compete evauation to determine cause of heart faiure 2) Determine disease progression/ prognosis. 3) Identify best treatment regimen. 4) Intense foow-up and educating patient & reative about heart faiure. 5) educing re-hospitaization of heart faiure patient. zkì. ÄehuLk þkn zkì. rnhulk Äku feþk Heart Care Team has undergone Internationa Training for Heart Faiure and Treatment Protocos. At Heart Faiure Cinic, we beieve that right combination of treatment prevent premature death. We offer treatments such as Impanting Speciaized CT and Defibriators Surgica treatment incudes Coronary Artery Bypass Graft ( C A B G ), c o m p ex va v u a r reconstruction Ventricuar emodeing Surgery Heart Transpant One of the first hospita to offer Left Ventricuar Assist Device (Artificia Heart). MkeBMk fkšzþkf yulmúkuxemx xe{ Continuum of Heart Faiure Care at zkì. r[tíklk þux zkì. rlkhulk ¼kðMkkh Heart Care Team has undergone Internationa Training for Heart Faiure and Treatment Protocos. Cutting Edge Technoogy Therapy Awareness And Education Diagnostic And Patient Monitoring Patient Counseing And Financing Post Impant Care And Foow - Up yuãkkulx{ulx {kxu VkuLk : , x 7 {urzf nuõãk kelk:

4 News 4

5 Lasers in Cancer Treatment The word LASE stands for Light Ampification by Stimuated Emission of adiation. Laser ight is different from reguar ight. The ight from the sun or from a ight bub has many waveengths and spreads out in a directions. Laser ight, on the other hand, has a singe waveength and can be focused in a very narrow beam. This makes it both powerfu and precise. Lasers can be used instead of bades (scapes) for very carefu surgica work such as cutting through body tissue. Types of asers Many types of asers are used to treat medica probems. Today, 3 kinds of asers are commony used in cancer treatment: carbon dioxide (CO2), argon and neodymium: yttrium auminum garnet (Nd:YAG). Carbon dioxide (CO2) asers The CO2 aser is mainy a surgica too. It can cut or vaporize (dissove) tissue with fairy itte beeding as the ight energy changes to heat. This type of aser is used to remove thin ayers from the surface of the skin without going into the deeper ayers. Argon Lasers The argon aser ony goes a short distance into tissue. It's sometime used during coonoscopies (tests to ook for coon cancer) to remove growths caed Poyps before they become cancer. Nd:YAG ( Neodymium : Yttrium-Auminum-Garnet) asers Light from this aser can go deeper into tissue than ight from other types of asers. This ight can aso trave through optica fibers which can be bent and put into a tumor to heat it up and destroy it. Advantages of Laser Surgery Lasers are more precise and exact than bades (scapes). The heat produced by asers heps cean (steriize) the umkh þçë yu kx yuâbã rvfuþlk çkkþ MxeBÞw uxuz yur{þlk ykuv hurzþuþlklkwt xqtfwt MðYÃk Au. umkh kx yu Mkk{kLÞ «fkþ fhíkk y øk nkuþ Au. MkqÞo yúkðk kx çkõçklkk «fkþ{kt ylkuf íkhtøk tçkk nkuþ Au ylku íku Ëhuf rëþk{kt Vu kþ Au. çkes íkhv umkh «fkþ{kt yuf s íkhtøk tçkk nkuþ Au ylku íku yuf çknw Mkktfzk rfhý (çke{) Ãkh furlÿík nkuþ Au. íkulkkúke íku þâõíkþk e ylku Mk[kux çklku Au. yíþtík fk SÃkqðof MkŠsf fk{ fhðwt nkuþ, su{ fu þhehlke ÃkuþeykuLku [ehðe nkuþ íþkhu ç uzlke (MfkÕÃku ) søþkyu umkhlkku WÃkÞkuøk fhe þfkþ Au. umkhlkk «fkh News fulmkhlke Mkkhðkh{kt umkh íkçkeçke Mkkhðkh {kxu ylkuf «fkhlkk umkh ðãkhkþ Au. yksu fulmkhlke Mkkhðkh{kt 3 «fkhlkk umkhlkku Mkk{kLÞ heíku WÃkÞkuøk ÚkkÞ Au: fkçkolk zkþkuõmkkz (CO2), yuøkkuolk ylku rlkþkuzkþr{þ{: ðkþxùeþ{ yuõþwr{rlkþ{ økklkuox (yulkze:ðkþyus) fkçkolk zkþkuõmkkz (CO2) umkh CO2 umkh yu {wïþíðu MkŠsf MkkÄLk Au. «fkþlke Wòo W»{k{kt ÃkrhðŠíkík ÚkkÞ íþkhu Ãkuþeyku çkk»ãke¼ðlk ÚkkÞ (ykuøk e òþ) Au yufë{ ykuawt kune ðnu Au. yk «fkhlkk umkhlkku WÃkÞkuøk Ÿzk Míkhu økþk ðøkh íð[k ÃkhLkk Ãkkík k MíkhLku Ëqh fhðk {kxu ÚkkÞ Au. yuøkkuolk umkh yuøkkuolk umkh Ãkuþeyku{kt xqtfk ytíkh MkwÄe s òþ Au. fux ef ð¾ík íkulkku WÃkÞkuøk fku kulkkumfkurãkí Ëhr{ÞkLk ÚkkÞ Au ylku Ãkkur ÃMk íkhefu yku ¾kíke ð]rø fulmkh çklku íku Ãknu k íkulku Ëqh fhðk{kt ykðu Au. yulkze: ðkþyus (rlkþkuzkþr{þ{-ðkþxùeþ{-yuõþwr{rlkþ{-økklkuox) umkh yk umkhlkku «fkþ ylþ «fkhlkk umkhlkk «fkþlke Mkh¾k{ýe{kt Ãkuþe{kt ðäkhu Ÿzu òþ Au. yk «fkþ ykuâãxf Vkçkh îkhk Ãký «ðkmk fhe þfu Au sulku ðk elku økktx{kt «ðuþ fhkðe þfkþ ylku íkulku økh{ fhelku Lkü fhe þfkþ Au. umkh MksoheLkk VkÞËk umkh yu ç uz (MfkÕÃku ) fhíkk ðäkhu Mk[kux nkuþ Au. umkmko îkhk ÃkuËk Úkíke økh{e þhehlke ÃkuþeykuLke ÄkhLku MðåA (stíkw{wõík) fhe þfu Au suúke [uãk køkðklkku ¾íkhku ½xe òþ Au. umkhlke økh{eúke hõíkðknelke 5

6 News edges of the body tissue that is cut thus reducing the risk of infection. Since aser heat seas bood vesses there is ess beeding, sweing, pain or scarring. Laser surgery may mean ess cutting and damage to heathy tissues. More procedures may be done in outpatient settings. Heaing time is often shorter. Disadvantages of Laser Surgery Laser equipment costs a ot of money and is buky compared to the usua surgica toos used. Strict safety precautions must be foowed in the operating room when asers are used. The entire surgica team and the patient must wear eye protection. Treating Cancer With Lasers u To cut or incise and excise various pre-cancerous esions ike eukopakia and erythropakia u To take incisiona biopsies of various ora cancers u To shrink or destroy a tumor with heat u Trans-ora endoscopic aser excision of upper aerodigstive and aryngea cancers u Sma tumors on the voca cords may be treated with asers instead of radiation in some patients u Tumors bocking the upper airway can be party removed to make breathing easier. u Laser-induced interstitia thermotherapy (LITT). The aser ight is passed through a fiber optic wire and right into a tumor, where it heats up, damaging or kiing cancer ces. In addition, asers can sea nerve endings to reduce pain after surgery and sea ymph vesses to reduce sweing and imit the spread of tumor ces. Though asers can be used aone, they are most often used with other cancer treatments, such as chemotherapy or radiation. Courtesy Dr. Jayesh V. Pate Dr. eedham Mehta Surgica Oncoogy Group Maxiofacia Surgeon MS MDS (M) (M) Emai: reedham.mehta@cimshospita.org Emai: jayesh.pate@cimshospita.org 6 Mke Úk òþ Au íkuúke ykuawt kune ðnu Au, Mkkuòu, Ãkezk ylku s¾{lkk rlkþklk ½xe òþ Au. umkh MksoheLkk fkhýu íktëwhmík ÃkuþeykuLke ðkzfkãk ylku LkwfMkkLk ½xe òþ Au. ykwxãkuþlx Mku xøk{kt ðäkhu «r Þk fhe þfkþ Au. íku{kt ½ýe ðkh Mkkò Úkðk{kt ykuaku Mk{Þ køku Au. umkh MksoheLkk økuhvkþëk umkh MkkÄLkkuLkku ¼khu ¾[o ykðu Au ylku Mkk{kLÞ MkŠsf MkkÄLkkuLke Mkh¾k{ýe{kt íku {kuxk ylku ðslkëkh nkuþ Au. umkhlkku ßÞkt WÃkÞkuøk Úkíkku nkuþ íku ykuãkhuþlk Y{{kt MkwhûkkLke [wmík fk S hk¾ðe syhe Au. Mk{økú MkŠsf xe{ ylku ËËeoyu ykt¾lkwt hûký fhíkk MkkÄLk Ãknuhðk VhrsÞkík Au. umkmko îkhk fulmkhlke Mkkhðkh u ÕÞwfkuÃkurfÞk ylku yurhúkúkuã urfþk suðk rðrðä r«-fulmkhøkúmík sï{kulku fkãkðk fu Ëqh fhðk. u {kuzklkk rðrðä fulmkh {kxu ÂLMkÍLk çkkþkuãmke uðk. u økh{e îkhk økktxlku Mktfku[ðk yúkðk Lkkþ fhðk. u yãkh yuhkuzksâmxð ylku urhâlsþ fulmkhlkk xùklmk-ykuh yulzkumfkurãkf umkh yuâõmkílk. u Mðhíktíkwyku ÃkhLke LkkLke økktxkulku fux kf ËËeoyku{kt hurzþuþlklkk çkë u umkh îkhk Mkkhðkh fhe þfkþ Au. u WÃkhLkk nðklkk {køkolku yðhkuäíke økktxkulku yktrþf heíku Ëqh fhe ïkmk uðklkwt Mkh çklkkðe þfkþ. u umkh LzâwMz LxhÂMxrþÞ Úk{kuoÚkuhuÃke (yu ykxexe). umkh kx yuf Vkçkh ykuâãxf ðkþh{ktúke MkeÄe økktx{kt ÃkMkkh ÚkkÞ Au ßÞkt íku økh{e ÃkuËk fhu Au ylku fulmkhlkk fku»klku LkwfMkkLk fhu Au yúkðk ¾ík{ fhu Au. yk WÃkhktík umkhúke Mksohe ÃkAe Ãkezk ½xkzðk {kxu [uíkkíktíkwykulkk AuzkLku Mke fhe þfkþ Au ylku Mkkuòu ½xkzðk íkúkk økktxlkk fku»klku «Mkhíkk yxfkððk r BV ðumku Lku (LkMk) Mke fhe þfkþ Au. yuf k umkmkolkku WÃkÞkuøk fhe þfkþ Au, Ãkhtíkw {kuxk ¼køku íku fulmkhlke ylþ Mkkhðkh MkkÚku ðãkhkþ Au su{ fu fu{kuúkuhuãke yúkðk hurzþuþlk MkkÚku. MkkisLÞ zkì. sþuþ ðe. Ãkxu (fulmkh MksoheLkk rlk»ýktík) MkSof ykulfku kus økúwãk MS ({ku) zkì. heä{ {nuíkk {uâõmk kuvurmkþ MksoLk MDS ({ku)

7 y{urhflk fku us ykuv fkšzþku kus (yumkemke) MkuLxh ykuv yuõmku LMk íkhefu «{krýík ¼khíkLkwt yuf{kºk fulÿ xùklmkfuúkuxh yuykušxf ðkõð rhã umk{ulx TAV (TAVI) yuf ½wík{ ðkzfkãk fhðe Ãkzu íkuðe MkŠsf «r Þk sulkkúke sqlkk, ûkríkøkúmík ðkõðlku Ëqh fþko ðøkh ðkõðlku rhãkuh fhe þfkþ hkuxkç uþlk hkuxkç uþlk{kt yuf x[wfze zùe Lkku WÃkÞkuøk fhelku Ä{Lkeyku{kt ò{u wt fuâõþþ{ Ëqh fhðk{kt ykðu Au. yk zùe fkub«umz nðkúke fk{ fhu Au. 1990Úke MkeBMk fkšzþku kuslku yk çkkçkík{kt MkkiÚke ðäw ylkw¼ð Au ylku MkUfzku fumk{kt hkuxkç uþlklkku WÃkÞkuøk fhkþku Au. uõxùkurvrsþku kus fkxkuo 3 rmkmx{ WÃkfhýku ËËeoLkk ÓËÞ{kt yuf Úke n yu.yk.mke.ze. ðäkhu fuúkuxmkolku Mk[kux heíku n Mke.ykh.xe. n òuðk ylku fuúkuxhlkwt MÚk ÃkuMk{ufh òýðk {kxu yãíklk Úkúe-ze {u Ãkøk ylku {ustøk íkúkk yuheúk{kusulkeflkwt [ku Mk MÚkkLk òýðk {kxu uõþlk ^ ku rhíðo (FF) ylku LxÙkðuMõÞw h yõxùkmkkwlz (IVUS) uõþlk ^ ku rhíðo yu økkz ðkþh ykäkrhík «r Þk Au sulkkúke Mk[kux heíku ç z «uþh ylku ÓËÞLke Ä{LkeLkk [ku Mk ¼køk{kt «ðkn {kãkðk{kt ykðu Au ¼khíkLkwt yuf{kºk{ktlkwt fulÿ fu ßÞkt ík{k{ Mkt¼rðík ÃkõÞwoxurLkÞMk fkšzþkf LxhðuLþLk fhðk{kt ykðu Au ykðeþwyumk îkhk ykãkýu fkuuhkulkhe Ä{LkeLku ytëhúke çknkh íkhv òu þfeyu Aeyu sulkkúke íkkífkr f íkmkðehku { u Au, su{ fu fkuhkulkhe yuâlsþkuøkúkve, su fuúk uçk{kt fhðk{kt ykðu Au. rmkbmk ð»kkuoúke ðåþwoy rnmxku kus Mkrník ykðeþwyumklkku WÃkÞkuøk fhu Au. NABL Certificate No. M-0500 ÃkõÞwoxurLkÞMk xùklmkõþwr{lk MkuÃx {kþkufkšzþ yuç uþlk (PTSMA) ÓËÞLkk MLkkÞwykuLke ðäkhu Ãkzíke ð]rølku ½xkzðk {kxu ½wík{ ðkzfkãk fhðe Ãkzu íkuðe «r Þk (MkuÃx çkúkl[{kt yuçmkkuõþwx ykõfkunku Ëk¾ fhðwt) rhlk rzlkðuoþlk rhlk rzlkðuoþlk «r Þk{kt rhlk rzlkðuoþlk (ykhzeyulk) íkhefu yku ¾kíke xufrlkflkku WÃkÞkuøk fhelku ðäkhu Ãkzíkk Mkr Þ rhlk íktíkwykulku þktík fhðk{kt ykðu Au. íkulkk fkhýu rfzlke{kt yuðk ytík: kðku (nku{kuolk)lkwt WíÃkkËLk ½xu Au sulkkúke ç z «uþh ðäíkwt nkuþ Au. íku ÓËÞ, rfzlke y u hõíkðkrnlkeykulku ðäkhu LkwfMkkLk Mkk{u hûký ykãku Au. yuxùeþ MkuÃx rzvuõx (yuyumkze), ðulxùeõþw h MkuÃx rzvuõx (ðeyumkze) ylku ÃkuxLx zõxmk ykxuorhþmk (Ãkezeyu) yuf yuðe «r Þk su{kt MkuÃx{Lkk fkýk{kt yúkðk ÓËÞLkk WÃkhLkk fûk (yuyumkze) ylku Lke[uLkk fûk (ðeyumkze){kt yuf Aºke suðwt WÃkfhý Ëk¾ fhðk{kt ykðu Au ylku íkulku MktÃkqýo çktä fhkþ Au. þhehlke {wïþ Ä{Lke{ktÚke VuVMkkLke Ä{Lke{kt kunelkk ðäkhklkk ÃkqhðXkLku rlkþtºký{kt hk¾ðk {kxulke «r Þk. MxÙõ[h LxhðuLþLMk ylku yuzõx fkulsurlkx LxhðuLþLk çk qlk {kxù / yuykušxf ÃkÕ{kuLkhe / ðkõôþw kuã kmxe. ymkkäkhý ðkõðlku çk qlk îkhk Ãknku k fhðklke ÃkØrík. TEVA ÚkkuhurMkf yulzkuðumõþw h yulþwrhí{ rhãkuh Ä{LkeLke rëðk ymkkäkhý heíku Vw e øk nkuþ íkulke Mkkhðkh fhðklke LkkuLkMkŠsf ÃkØrík yu{ykhyk rmkølkk yuõmkã kuhh ylku Mkexe MfuLk rhðkuõþwþlk ðeyku 128 M kmk MkeBMk ¾kíku xqtf Mk{Þ{kt ykðu Au (ykøkk{e {rnlku) MI - rmkølkk yuõmãk kuhh yu{ykhyk su «Úk{ ð¾ík fkuhkulkhe yu{ykhyk yuâlsþkuøkúkve (fkulxùkmx ðøkh) Ähkðu Au. News fkubã uõmk fkulsurlkx rãkrzþkxùef LxhðuLþLk íku{kt ðeyumkze õ kuíh {kxu nkrçkúz «r Þk, zõx Mxu Lxøk ylku MkkÞkLkkurxf rlkþkulkuxtmk{kt ykhðeykuxe Mxu LxøkLkku Mk{kðuþ ÚkkÞ Au. íku rþþwyku{kt Mksohe fhðk {kxulkku ymkhfkhf rðfõãk Au. Mkexe MfuLk ¼khík{kt «Úk{ ð¾ík WÃkÞkuøk{kt uðkþu su yíþkäwrlkf fkšzþkuðumõþw h {u søk Ähkðu Au. MkeBMk nkuâmãkx, þwflk {ku LkSf, ykuv MkkÞLMk Mkexe hkuz, Mkku k, y{ëkðkë yuãkkulx{ulx {kxu VkuLk : ,

8 News News egistered under NI No. GUJBIL/2010/39100 Pubished 25th of every month st egistered under Posta egistration No. GAMC-1813/ vaid upto 31 December, 2016 issued by SSPO s Ahmedabad City Division, permitted to post at Ahmedabad PSO on 30th to 5th of every month st Licence to Post Without Prepayment No. CPMG/GJ/102/2014 vaid upto 31 December, 2016 If undeivered Pease eturn to Hospita Nr. Shukan Ma, Off Science City oad, Soa, Ahmedabad Phone : (5 ines) Mobie : , Subscribe News : Get your News, the information of the atest medica updates ony ` 60/- for one year. To subscribe pay ` 60/- in cash or cheque/dd at Hospita Pvt. Ltd. Nr. Shukan Ma, Off Science City oad, Soa, Ahmedabad Phone : / Cheque/DD shoud be in the name of : Hospita Pvt. Ltd. Pease provide your compete posta address with pincode, phone, mobie and emai id aong with your subscription ykãkýwt þheh yuf yr¼òk Ãkrhðkh suðwt Au. ßÞkhu yuf ytøk ÔÞkfw nkuþ, íþkhu ylþ ytøkku{kt Ãký Ãkezk ylkw¼ðkþ Au. yuãkkulx{ulx {kxu VkuLk : , yubçþw LMk ylku {hslmke : , Hospita : egd Office: Pot No.67/1, Opp. Panchamrut Bungows, Nr. Shukan Ma, Off Science City oad, Soa, Ahmedabad Ph. : (5 ines) Fax: Hospita Pvt. Ltd. CIN : U85110GJ2001PTC info@cims.me Printed, Pubished and Edited by Preeta Chag on behaf of the Hospita Printed at High Scan Pvt. Ltd., 'Hi Scan Estate', Sarkhej-Bava Highway, Changodar. Ahmedabad Pubished from Hospita, Nr. Shukan Ma, Off Science City oad, Soa, Ahmedabad