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- Denis Giles
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- Dr Sameer Kaul, Sr Consultant Surgical Oncology & Robotics,President, bcpbf-The Cancer Foundation
Head and Neck cancer, especially Oral and Oropharyngeal cancer cases in India are rising, and India is already leading in numbers amongst other countries. India alone has a greater number of head and neck cancer cases than the Whole World put together. Timely detection of such cancers makes it curable, but unfortunately, the survival rates are very poor in India in comparison to the western world. Such is the case with cancers of the head & neck, which are the most preventable types of cancers, are not only easy to detect but also treatable.
As per the recent data provided by Globacan 2018, head & neck cancer cases attributed to over 24% of all the cases with a total of 2.75 lakh new cases registered last year. Further the ICMR’s National Cancer Registry Program data suggest that one in three cancer cases in India belong to one of the BIMARU states (Bihar, Jharkhand Madhya Pradesh, Chhattisgarh, Rajasthan and Uttar Pradesh). In 2017, 15.17 lakh cancer cases were recorded by various cancer registries in India against 14.5 lakh cancer cases in 2016. Of these, 5.75 lakh cases belonged to Bihar, Madhya Pradesh, Rajasthan and Uttar Pradesh. Among the four BIMARU states, UP saw a maximum of 2.5 lakh cancer cases, which is the maximum in the country attributing to the consumption of pan masala and tobacco.
Earlier conventional methods of treatment only emphasized on treating the cancer growth and radical removal of the disease, unconcerned about the associated morbidities including, disfigurement, bent face, scars, non-aligned teeth, drooping shoulders etc (even after a reconstructive surgery). With the advent of novel therapies and advanced treatment modules, the treatment outcomes even for stage IV head & Neck cancer have better outcomes in a minimally invasive way. Proving to be a breakthrough in treating such cancers, Trans-Oral Robotic surgery (TORS) is a minimally invasive robotic surgery for the treatment of the cancers in the oral cavity with high precision and no disfigurement. TORS have clinically demonstrated the excellent survival rates and favorable functional outcomes.
Trans-Oral Robotic Surgery: A Minimally invasive way of treatment
Trans-Oral Robotic surgery is a relatively new approach for the removal of cancer cells even in cases that are hard to access. Making use of a robotic arm, endoscopic retriever, removes all the cancer cells in the throat and oral cavity, without the need for incision thereby preserving the adjacent healthy cells and tissues. Difficult to reach areas in the oral cavity include base of the tongue, until in the bottom of the tonsil, which has not only proven to be a boon for the patients but also a game changer for the surgeons.
Using the robotic systems to guide the surgical tools, allows for more-precise movements in narrow spaces and the capability to work in around the corners. This helps in preservation of vital neurovascular tissue and healthy muscular which helps the patient to swallow easily and get discharge home sooner.
Post treatment the patient is kept under close monitoring for any vital signs of bleeding, infection or any other complication and the patient can be discharged immediately.
TORS – Advantageous over Conventional treatment methods
Being robot assisted surgery, the precision of the targeted area is very high, and its minimally invasive nature prevents one from undergoing an open surgery. Initially the treatment modules for such cancer involved chemotherapy and radiation therapy, but if the cancer is not being detected at a very early stage, not much difference I nthe outcomes were observed, when an open surgery remained the last resort for the patient. Unfortunately before the advent of TORS, the conventional surgical method which was completely invasive caused the splitting of jaw bones (Mandible) exposing the base of the tongue for treatment, leaving many with disfigurement even after a reconstructive surgery. However, this minimally invasive technique is 100% safer and can be performed to remove recurrent tumours in the mouth and throat.
What is the future of TORS in India?
Trans-oral robotic surgery can be used to treat cancers in the tongue, throat, mouth, larynx, pharynx, and other locations in the head and neck cavity. Advancements in the surgical equipments have made it possible to reach these tumours using the robotic technology. TORS has drastically improved the way doctors treat head and neck cancer patients, completely removing the tumours while preserving speech, swallowing ability and resulting in quick and better recovery without any major scars. It is widely accepted by aware doctors and patients in the country.
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- Denis Giles
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“Who told you to put all my earnings into that bank?” shoutsa distraught businessman as he looks at his weeping wife, “Now it is your fault we are ruined!”
In many homes, it’s either a wife or a husband crying out, “You are to blame!”
But who is to blame?
Some point at the director. Some against the trustees, and many the defaulters!
Depositors march up and down, shouting they want their money back and the culprits booked.
But who is to blame?
And here’s a story: A bearded puppeteer walked into a village.
Not only was he a good puppeteer but he was also good with the flute and was known all over as the Puppeteer Pied Piper. He played his tunes cleverly in the village, and the poor villagers listening to his tunes went into a trance. Even with no food in their bellies they dreamt of money landing in their bank accounts, and days becoming better. They also fell in love with war tunes the puppeteer played, that got surrounding villages scared, because the beat was reverberating, the sounds loud and the villagers of the puppeteer felt proud because they had never been able to scare others before.
Then the puppeteer who now had the whole village under his magic spell, looked round and decided his puppets would manage the village.
The bank chief whose job was to look after the small savings of the villagers was given the sack, and a puppet put in charge. The judge was told goodbye and as he left, a puppet occupied his chair, and so also the village crier, who announced the village news suddenly found a puppet doing it instead of him.
And as the puppeteer played with the puppet strings, the puppets went about doing the jobs deftly, managed by the puppeteer’s deft fingers.
The villagers went about their daily lives, wondering, though, why the new puppets could not solve their problems. Forgetting they were only puppets.
Then one day, the people lost all their savings.
They started blaming each other, and even blamed the stony-faced puppet in the manager’s chair, who stared back at them with marble puppet eyes.
Immediately, the puppeteer took up his flute again, and played another war tune, and the people, even those who had lost all their savings, clapped and cheered at the war tunes that were played, and even though broke, broken and beggared they cheered the Puppet Pied Piper, while continuing to blame their wives, and husbands and puppet chiefs, who stared back at them with marble puppet eyes!
Who is to blame?
Why, the villagers of course, for trusting in mere puppets, who did not have the ability of doing specialized jobs and the puppeteer too for thinking he could do every job, just because he was an excellent puppeteer and pied piper..!
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- Denis Giles
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By Maneesha Nath
All nine days of Navratri are assigned to different avtars of Goddess Durga and a different colour is assigned to each day.
Day 1: Royal blue
Shailputri is worshiped on the first day also known as Sati,Bhawani or Hemavati.
Day 2 : Yellow
Bramhacharini is the second avatar of maa Durga and the colour of the day is yellow, which symbolises Happiness and strength.
Day 3 : Green
Chandraghanta also represents beauty and grace also known as chandrrakanda, Chandika. Green colour symbolises nature and energy.
Day 4: Grey
Kushmanda, according to mythological texts, she created the universe just by smiling and made verdant with vegetation. She is also considered the goddess of wealth and prosperity.
Day 5: Orange
Skandmata. The meaning of her name is Mother of Skand. The colour of the day is orange which symbolises agility and happiness.
Day 6: White
Katyayani. She was born to sage Kata and is the sister of lord Krishna.
Day 7: Red
Kalratri. She is called the destructive avatar of maa Durga. Red symbolises Fire and blood.
Day 8: Pink
Mahagauri. Pink is for ambition and desire. Eighth day is also known as Mahashtami.
Day 9: Purple
Siddhidatri. Ninth day is for power and ambition. People also worship Kanyas which is considered to be the human forms of Maa Durga.
Note : ( the colours for all the days are in reference from HT page )
Adara wishes all its readers a very happy and blessed Navratri. Happy Durga Puja!
Stay tuned for another exciting topic in our next edition until then love yourself, spread happiness and take good care of yourself.
You can contact me through my fb page “Adaraa- Your Make-up expert” or Ring me or Whatsapp me @ 9769311086
Bookings open for this wedding season freeze your dates and get your free makeup trial done today.
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- Denis Giles
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Category: Means based
Scholarship: AICTE-Saksham Scholarship Scheme 2019-20
Description: AICTE will be providing scholarships to differently abled students for pursuing technical degree/diploma courses from recognized institutions in India. This scholarship program is aimed to encourage students towards technical education by lending financial support for professional studies.
Eligibility: All specially-abled students with disability levels not less than 40%, may apply for this scholarship if they’re currently enroled in 1 year of any degree/diploma programme at AICTE recognised institutions. Only applicants with family income less than Rs. 8 Lakhs per year are eligible for this scholarship.
Prizes & Rewards: Selected students will receive a tuition fee reimbursement of up to INR 30,000 or actual (whichever is less) and incidental charges benefit of INR 2,000/month for up to 10 months/year.
Last Date to Apply: October 08, 2019
Application: Apply online
Short URL: http://www.b4s.in/AC/AAS4
Category: Means based
Scholarship: AICTE Pragati Scholarship for Girls 2019-20
Description: AICTE has announced this year’s Pragati Scholarship Scheme for girls who need financial assistance to pursue higher education. The scholarship aims to encourage young girls to pursue higher education in the field of technical and professional studies.
Eligibility: Indian girls enroled in 1st year of degree/diploma programme at any institution approved by AICTE may apply for this scholarship. All applicants must have a family income of less than INR 8 Lakhs per year.
Prizes & Rewards: Selected girl students will receive a tuition fee reimbursement of up to INR 30,000 or actual (whichever is less) and incidental charges benefit of INR. 2,000/month for up to 10 months/year.
Last Date to Apply: October 08, 2019
Application: Apply online
Short URL: http://www.b4s.in/AC/PSG2
Category: Talent Based
Scholarship: University of Sussex Sports Scholarships Scheme 2019
Description: - Indian athletes who wish to pursue higher education abroad are invited by the University of Sussex to pursue undergraduate studies with scholarship benefits and other academic support. The scholarship programme aims to support the sporting excellence of Indian students at an international level.
Eligibility :- Students who have a proven record of athletics at state & national level in India and are applying for undergraduate admissions at the University of Sussex are eligible to apply for this scholarship.
Prizes & Rewards :- Selected athletes will receive a scholarship amount of GBP 500 to GBP 1250 per annum for the duration of their graduation programme.
Application :- Apply online
Deadline : October 11, 2019
Short URL: http://www.b4s.in/AC/SSS2
Courtesy: www.buddy4study.com
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- Denis Giles
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By Maneesha Nath
Style is a way to say who you are without having to speak. There are different dresses meant for different occasions. If you are going for shopping, casual outing, meeting a friend for coffee etc. go with the basics. Casual knee length dress, a denim and a top, simple salwar are perfect for the occasion.
For Day Functions, always go for light colours, floral print, cotton instead of heavily worked dresses or dark coloured, so that you can enjoy the function comfortably. Same goes with the makeup look as well. There are curtain looks that appropriate for curtain occasions.
If you wear heavy makeup, shimmering eye shadow or a smoky eye... it’s a complete NO NO.
Dress accordingly. Over the top makeup will not help you get compliments, instead you become a mockery. You can also choose any metallic colours for night functions like a wedding reception, which is the latest trend now.
Always remember, if you decide to wear a dark coloured dress, compliment it with subtle makeup to enhance the look. Your makeup should always compliment your outfit.
Similarly footwear plays a great role to complete your look. One should be careful enough while selecting foot wears. Wearing a floral knee length one piece, with a white/matching snickers, a basic flat is perfect for a casual look.
Denims and formals dresses are the looks that will never go out of fashion. You can anytime go with a Denim and T shirt for casual look or a formal cotton Indian wear for any official meets. These are few tips that will help you dress well according to the occasion and get your perfect look.
Stay tune for another exciting topic in our next edition until then love yourself,spread happiness and take good care of yourself.
You can contact me through my fb page “Adaraa- Your Make-up expert” or Ring me or Whatsapp me @ 9769311086
Bookings open for this wedding season freeze your dates and get your free makeup trial done today.