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Here's why congenital heart disease remains a health concern in India

Congenital heart disease remains a significant concern in India, said health experts on Saturday, with a whopping 2,00,000 cases every year. Congenital heart defects (CHDs) can be defined as cardiac anomalies present since birth and cover a wide spectrum from small defects. “The prevalence of congenital heart disease is about 9/1000, which is approximately 200,000 per year. However, it is difficult to know the exact incidence rate due to a lot of disparity in the availability of facilities in rural areas in India,” Dr Mayur Jain, consultant - cardiothoracic surgeon & heart and lung transplant surgeon, P. D. Hinduja Hospital & MRC, Mahim, said. Dr Swati Garekar, senior consultant-paediatric cardiology, Fortis Hospital, Mulund noted that the number of babies with congenital heart defects (CHD) appears to be rising. “A big reason for this is that we are able to pick up more cases that were earlier undetected: Doctors are now more aware of how babies with CHD present to them in the OPD. They masquerade commonly as failure to gain weight or as repeated cough/cold/pneumonia episodes,” she told IANS. Atrial septal defect (ASD), ventricular septal defect (VSD), and patent ductus arteriosus (PDA) are the common types of CHDs. Newborns typically show symptoms such as rapid breathing, poor feeding, poor weight gain, bluish discolouration of skin, and recurrent chest infections. On the other hand, chest pain, shortness of breath, fatigue, headache, inadequate growth as per age, bluish discoloration of nails and lips, and recurrent chest infections may be common representations of CHD in older children. Dr Swati noted that the reasons for CHD are multifactorial. It includes “the state of mother's nutrition, vaccine status (like German measles), exposure to pollutants in her food, water, air, skin, medicines in the first two months of pregnancy”. Dr Mayur recommended maternal vaccination against rubella and flu, and abstinence from alcohol during pregnancy. He also advised daily folic acid supplements during the first trimester (first 12 weeks) of pregnancy to lower the “risk of giving birth to a child with congenital heart disease and other birth defects”. The doctor also advised women to keep diabetes under control and to avoid exposure to organic solvents, such as those used in dry cleaning, paint thinners, and nail polish remover during pregnancy.

19 May,2024 10:17 AM IST | New Delhi | IANS
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Humans not at risk of deadly chronic wasting disease: Health study

A substantial species barrier is preventing the spread of deadly chronic wasting disease (CWD) seen in deer, elk, and moose to humans, found a study. CWD, also known as zombie deer disease, is highly transmissible and a type of prion disease -- degenerative diseases found in some mammals and primarily involve brain damage but can also affect the eyes and other organs. The deadly disease occurs when abnormal proteins fold, clump together, and eventually destroy the central nervous system in the brain. While CWD has never been found in humans, so far, Creutzfeldt-Jakob Disease (CJD) is the most common form of prion disease among humans. In the study, scientists from the National Institutes of Health in the US used a human cerebral organoid model to decode the risk of spread in humans. To validate the model, the team infected the organoids with human CJD prions (positive control). They then directly exposed the healthy human organoids for seven days with high concentrations of CWD prions from white-tailed deer, mule deer, elk, and normal brain matter (negative control). The results published in the journal Emerging Infectious Diseases showed none of the organoids became infected with CWD in the six months of observation. “This indicates that even following direct exposure of human central nervous system tissues to CWD prions, there is a substantial resistance or barrier to the propagation of infection,” according to researchers. However, they acknowledged that the “emergence of new strains with a lesser barrier to infection remains possible”. Yet they remain “optimistic that the inference of these current data is that humans are extremely unlikely to contract a prion disease because of inadvertently eating CWD-infected cervid meat” Also Read: Your nail colour can signal cancer risk: Study

18 May,2024 02:14 PM IST | Mumbai | IANS
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Your nail colour can signal cancer risk: Study

A coloured band (usually white or red) along the length of the nail may indicate the risk of developing cancerous tumours of the skin, eyes, and kidneys, finds a study. Scientists at the US National Institutes of Health (NIH) discovered the presence of a benign nail abnormality known as an onychopapilloma. Besides the coloured band, it also comes with thickening of the nail underlying the colour change, and thickening at the end of the nail. This may lead to the diagnosis of a rare inherited disorder, known as BAP1 tumour predisposition syndrome, that increases the risk of developing cancerous tumours, they noted. Mutations in the BAP1 gene drive the syndrome, “which normally acts as a tumour suppressor, among other functions,” revealed the findings published in JAMA Dermatology journal. The condition typically only affects one nail. However, in the study of 47 individuals with BAP1 syndrome from 35 families, about 88 per cent presented onychopapilloma tumours in multiple nails. “This finding is rarely seen in the general population, and we believe the presence of nail changes that suggest onychopapillomas on multiple nails should prompt consideration of a diagnosis of BAP1 tumour predisposition syndrome,” said Edward Cowen, head of Dermatology Consultation Services at NIH’s National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS). The team suggested that nail screening may be particularly valuable in a patient with a personal or family history of melanoma or other potential BAP1-associated malignancy. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

18 May,2024 12:10 PM IST | New Delhi | IANS
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Expert reveals the science behind hydration, detox water trends and skincare

Hydration is crucial to maintaining healthy skin, and detox water trends have gained popularity in recent years for their potential benefits. Dr Charu Sharma, head of dermatology, Cureskin, emphasises the science behind hydration, detox water, and skincare, offering valuable suggestions and tips. 1. The fundamental role of hydrationWater is the cornerstone of human physiology, and its significance extends to the skin. Adequate hydration ensures optimal cellular function within the skin, resulting in a healthy and youthful appearance. Conversely, dehydration compromises the skin barrier, leading to dryness, flakiness, and increased susceptibility to wrinkles. Sharma emphasises, “Maintaining optimal hydration is paramount for overall health and skincare. While eight glasses of water daily is a general guideline, individual requirements may vary based on activity level and climate.” 2. Detox water trends: Separating fact from fictionDetox water infused with fruits, vegetables, and herbs has emerged as a popular beverage. While these concoctions can enhance the palatability of water, there is no robust scientific evidence to suggest that detox water offers any significant detoxifying properties beyond plain water. However, the inclusion of certain fruits and vegetables can provide additional benefits. Fruits like lemon and berries are rich in antioxidants, which may help combat free radical damage and protect the skin from sun damage. Similarly, cucumber can add a refreshing element and provide essential electrolytes. 3. Hydration and skincare: A synergistic approachWhile water consumption is undeniably important, a comprehensive skincare routine is essential for achieving and maintaining radiant skin. Sharma recommends including a gentle cleanser, moisturiser, and sunscreen with broad-spectrum SPF protection, and maintaining a balanced diet rich in fruits, vegetables, and healthy fats as part of your skincare regimen. Also Read: Ultimate bridal skincare guide: Say ‘I do’ to radiant skin on your big day Sharma offers these evidence-based skincare tips: Twice-daily cleansing: Regularly eliminate dirt, oil, and makeup with a gentle cleanser formulated for your specific skin type. Meticulous moisturisation: A high-quality moisturiser helps retain hydration and strengthens the skin barrier. Choose a moisturiser suited to your skin type (oily, dry, or combination). Sun protection is non-negotiable: Daily applying sunscreen with SPF 30 or higher is essential to prevent pigmentation, and premature ageing decreases the likelihood of developing skin cancer. Dietary optimisation: Nourish your skin from within by consuming a balanced diet rich in fruits, vegetables, and whole grains. Also Read: Greasy and itchy skin in summer? Here is an easy guide for healthy skin during the hot season Adequate water intake is a cornerstone of healthy, glowing skin. While detox water may not be a definitive solution for detoxification, it can be a delightful way to increase fluid consumption.  Remember, consistency is key. For optimal results, combine proper hydration with a well-rounded skincare routine and a balanced diet. Disclaimer: This information does not replace professional medical advice. Consult a qualified specialist or your physician for personalised guidance.

17 May,2024 05:18 PM IST | Mumbai | mid-day online correspondent
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13-year-old girl fights Wilson's disease, liver failure and hepatitis A to live

The girl, Radha, was first presented to Sir Ganga Ram Hospital (SGRH) seven years ago, in 2017, with a liver problem, swelling in her stomach, and swelling in her legs, which was diagnosed as Wilson's disease In a case of medical marvel, a 13-year-old girl has fought all odds against Wilson's disease (a rare inherited condition), hepatitis A, and liver failure to live. The girl, Radha, was first presented to Sir Ganga Ram Hospital (SGRH) seven years ago, in 2017, with a liver problem, swelling in her stomach, and swelling in her legs, which was diagnosed as Wilson's disease. It is a rare genetic disease that leads to the accumulation of copper levels in several organs, especially the liver, brain, and eyes. She was under treatment and her condition was controlled via diet and medication. But her condition deteriorated when hepatitis A dealt a deadly blow to her already damaged liver, leading to acute chronic liver failure in March this year. "Radha's body turned like a battlefield as her illness worsened at an alarming rate. Her jaundice, accompanied by skyrocketing bilirubin levels (44), was a clear sign of failing liver function," said Dr. Naresh Bansal, senior gastroenterologist at SGRH. Further, the subtle development of hepatic encephalopathy (loss of brain function) sent her into a state of altered consciousness. Making the situation much worse, she also suffered catastrophic upper gastrointestinal blood vomiting where she was put on life support. The family was advised to consider a liver transplant as a life-saving option, and her mother decided to give up a portion of her liver. The transplant was successfully done in a 12-hour-long surgery led by Dr. Ushast Dhir, Director of liver transplant and hepatobiliary Surgery. Radha opened her eyes on the second day after the liver transplant, said Dr. Ushast. "It was the toughest case to make it possible for a young patient with Wilson disease to get the success of this transplant. It was difficult to counsel the family, briefing the importance of a liver transplant which was the only way to save her life. "The child was critical and a living donor liver transplant had to be performed in the perfect time frame," he added. "The girl has recovered very well and now is back home with siblings and getting ready to go back to school after summer vacation," the doctor said. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

17 May,2024 12:29 PM IST | New Delhi | IANS
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Kozhikode Medical Hospital orders probe into 4-year-old's surgery goof-up

In what is believed to be another major goof-up at Kozhikode Medical College Hospital, a four-year-old girl, on Thursday, fell victim to serious medical negligence, and a probe has been ordered. According to relatives of the child, she came to the hospital because she had six fingers on one hand. “We were told that it could be removed through a minor surgery so we agreed. A while later, when the child was wheeled back, we were surprised to see the girl’s mouth was in plaster. We did not know what happened and then when we checked her hand, the sixth finger was still there,” said a relative. “We informed the nurse and when she heard it, she was smiling. We were told that there was a problem with her tongue too, and that was rectified. Soon the doctor came and apologised for the mistake and said the sixth finger will be removed, and took the child away,” added the relative. With this becoming news, the concerned authorities have ordered a probe into the matter. This incident comes at a time when this hospital is in the news after Harshina, a lady in her 30’s, was on a long protest for her complaint that after her c-section, the doctors left a pair of scissors in her abdomen, This complaint turned out to be true and the erring staff members have been identified. Also Read: How this miracle surgery saved the tongue of a 32-year-old woman in Mumbai This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever

16 May,2024 04:06 PM IST | Mumbai | mid-day online correspondent
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High BP patients may suffer from kidney damage: Doctors

About 50 per cent of people with high blood pressure (BP) or hypertension are likely to experience kidney damage in the long term and may require dialysis or transplantation, said experts on Thursday ahead of World Hypertension Day. World Hypertension Day is observed every year on May 17 to raise awareness about the "silent killer" that affects a whopping 188.3 million people in India. "Uncontrolled hypertension may narrow, harden or weaken the arteries around the kidneys disturbing the kidney's process of filtering blood, regulating fluid and electrolytes in the body. Hypertension damages the blood vessels and filters in the kidney, and it is challenging to remove waste from the body," L H Suratkal, Nephrologist, at Lilavati Hospital told IANS. "Unmanaged hypertension causes scarring of kidney tissue kidney failure or end-stage renal disease (ESRD) leading to negative outcomes and deaths. About 30 per cent of people with hypertension tend to suffer from kidney damage in the long run and may require dialysis or transplantation," he added High BP is also known to affect the heart, brain, and eyes. According to health experts, a sedentary lifestyle, obesity, physical inactivity, and stress have increased the burden of hypertension in young Indians aged 15-60. Also Read: Uncontrolled hypertension in the young can raise risk of heart failure, vision loss and cognitive decline: Doctors "The number of patients suffering from kidney disorders is increasing. About 80 to 100 patients come for treatment every month. Of those patients who come for treatment with kidney problems, 50 to 75 per cent are found to have hypertension," Ruju Gala, Consultant Nephrologist & Renal Transplant Physician, Zynova Shalby Hospital Mumbai, told IANS. The doctor explained that hypertension wreaks havoc on the kidney structure by straining the blood vessels in the kidneys and causing nephrosclerosis, where the kidneys become hard and their ability to filter waste products declines "Hypertension also leads to an imbalance in the hormones and enzymes involved in managing blood pressure and maintaining fluid balance in the kidneys," Ruju. As per the World Health Organisation (WHO), if half of the people with hypertension in India keep blood pressure under control, at least 4.6 million deaths can be averted by 2040. To manage hypertension, the experts advised eating a nutritious diet, reducing sodium intake, maintaining an optimum weight, quitting smoking and alcohol, and avoiding intake of processed foods. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

16 May,2024 02:56 PM IST | New Delhi | IANS
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Infertility treatment can double risk of postpartum heart disease: Study

Infertility treatment patients were twice as likely to be hospitalised with heart disease in the year following delivery as spontaneously conceived patients, according to a study conducted by Rutgers Health experts using more than 31 million hospital records. Infertility patients were 2.16 times more likely to be hospitalised for hypertension, or dangerously elevated blood pressure than normally conceived patients. "Postpartum checkups are necessary for all patients, but this study indicates they are particularly important for patients who undergo infertility treatment to achieve a conception," said Rei Yamada, an obstetrics and gynecology resident at Rutgers Robert Wood Johnson Medical School and lead author of the study. The study authors say their results support standards of care that now call for an initial postpartum checkup three weeks after delivery, standards that some health systems have yet to adopt. Much of the elevated risk came in the first month after delivery, particularly for patients who developed dangerously high blood pressure. Also Read: India’s fertility rate plummets, doctors seek solutions "And these results aren't the only ones to indicate that follow-up should occur early," said Cande Ananth, chief of the Division of Epidemiology and Biostatistics in the Department of Obstetrics, Gynecology, and Reproductive Sciences at Rutgers Robert Wood Johnson Medical School and senior author of the study. "We have been involved in a series of studies over the past few years that have found serious risks of heart disease and stroke to various high-risk patient populations within those initial 30 days after delivery - risks that could be mitigated with earlier follow-up care." The study analyzed the Nationwide Readmissions Database, which contains nationally representative data on about 31 million hospital discharges and readmissions per year. The database contains diagnosis codes, which let researchers find specific populations and identify reasons for readmission. The researchers used data from more than 31 million patients who were discharged following delivery from 2010 to 2018, including 287,813 patients who had undergone any infertility treatment. Although infertility treatment predicted a sharply elevated risk of heart disease, the study authors said the relative youth of infertility treatment patients kept their overall risk fairly low. Just 550 of every 100,000 women who received infertility treatment and 355 of every 100,000 who conceived naturally were hospitalised with cardiovascular disease in the year after delivery. Also Read: Dating but not ready for sex? Here’re expert intimacy tips for successful romantic relationship The cause of the elevated risk of heart disease associated with infertility treatment remains unclear. The increase in heart disease could stem from the infertility treatments themselves, the underlying medical issues that made patients infertile or some other cause. "Looking forward, I'd like to see if different types of infertility treatment and, importantly, medications are associated with different risk levels," said Yamada. "Our data gave no information about which patients had undergone which treatment. More detailed information might also provide insight into how infertility treatment impacts cardiovascular outcomes." This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

16 May,2024 02:19 PM IST | New Jersey | ANI
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Nat'l Dengue Day: Factors contributing to the rising burden of dengue in India

Rising temperatures, unprecedented floods, and challenges in public health infrastructure are all contributing to the rising burden of dengue in India, said experts on Wednesday, ahead of National Dengue Day. Every year, National Dengue Day is observed on May 16 in India. The theme for this year is ‘Dengue Prevention: Our Responsibility for a Safer Tomorrow'. Dengue is a vector-borne disease transmitted through the bite of an infected mosquito and is endemic to more than 100 countries. “Dengue fever's widespread presence in India can be attributed primarily to the region's climate, which creates an ideal environment for Aedes mosquitoes, the primary vector for dengue virus transmission. These mosquitoes thrive in warm, humid conditions prevalent across many parts of India, particularly during the monsoon season,” said Dr Rohit Kumar Garg, Consultant, Department of Infectious Diseases, Amrita Hospital, Faridabad. Urbanisation and the density of the human population also facilitate the rapid spread of the virus. “The rising burden of dengue in India reflects these conditions, alongside challenges in public health infrastructure to control the spread and manage outbreaks effectively,” Dr Rohit said. According to the experts, the transmission of dengue is closely associated with three key factors: Rainfall, humidity, and temperature which dictate the geographies in which it spreads and the transmission rate. “Unpredictable rains, coupled with rampant construction and inadequate drainage systems, create stagnant water pockets that are ideal breeding grounds for mosquitoes,” Dr. Divya Gopal, Internal Medicine, Sir HN Reliance Hospital and Research Centre, told IANS. “Rising temperatures and unprecedented flooding have also encouraged the spread of mosquitoes well beyond their traditional breeding grounds, bringing dengue fever to areas never before threatened by these debilitating illnesses,” she added. Despite the challenges, progress has been made, particularly in the development and implementation of strategies for vector control in India, which can be seen in the declining cases and death rates. As per the data from the Health Ministry’s National Vector Borne Disease Control Programme (NVBDCP), dengue claimed 91 lives and affected 94,198 people in the country in India in 2023 -- a marked decline from 1,93,245 cases and 346 deaths in 2021. However, in 2022, the cases declined (23,3251) but deaths rose (303). Meanwhile, the World Health Organisation (WHO) has prequalified two dengue vaccines -- Japanese drug maker Takeda’s live-attenuated TAK-003 and Sanofi Pasteur’s CYD-TDV. “These vaccines offer hope for reducing the incidence of dengue, although their effectiveness depends on broader strategies including vector control, public awareness, and robust surveillance systems to monitor and respond to outbreaks efficiently,” Dr Rohit said. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

15 May,2024 06:17 PM IST | New Delhi | IANS
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Mumbai neurosurgeon's bold approach saves patient from tumour in nasal cavity

In a remarkable medical feat, a team of specialists led by Dr Mazda Turel, neurosurgeon at Wockhardt Hospital and ENT Specialist Dr Neepa Vellimuttam, consultant ENT & Endoscopic Skullbase surgeon, achieved a ground-breaking success in treating a highly unusual case of sinonasal malignancy. This extraordinary case, which involved a 30-year-old male patient, Sachin Kesharwani, showcased the power of collaboration and innovation in modern medicine. The patient initially presented with persistent headaches, nosebleeds, and bulging eyes—a distressing combination of symptoms that signalled a severe underlying condition. An MRI revealed a tumour nestled within the nasal cavity, eroding the base of the skull and infiltrating the brain, leading to the displacement of orbital structures and causing the patient's eyes to protrude. Dr. Turel and his multidisciplinary team, including ENT specialist Dr. Neepa, embarked on a comprehensive treatment strategy. The procedure was complex and extensive, requiring meticulous planning and execution. Dr. Neepa skillfully excised the tumor from the nasal cavity, while Dr. Turel performed a delicate cranial surgery to remove the tumor extension into the brain. Further mentioning the details of the surgery, Dr Turel said, “One of the most critical aspects of the surgery was the meticulous repair of the skull base. We utilised a combination of autologous tissue from the patient's thigh, along with synthetic materials, to seal the defect and prevent cerebrospinal fluid leakage—a potential complication that could lead to severe infections.” However, on the success of this critical surgery, an elated Turel mentioned, “Following the successful surgery, the patient experienced a remarkable recovery. His debilitating headaches subsided, his vision improved, and the position of his eyes returned to normal, marking a significant milestone in his journey to recovery.” However, the joy of this success was tempered by the biopsy results, which revealed the tumor to be a highly malignant sinonasal carcinoma. Despite this setback, the patient's resilience and the unwavering commitment of the medical team remained steadfast. The subsequent course of treatment involved a rigorous regimen of chemotherapy and radiation therapy, aimed at targeting any remaining cancer cells and preventing recurrence. The patient endured numerous sessions of therapy, demonstrating immense courage and determination throughout his ordeal. Dr. Turel emphasized the rarity and complexity of this case, underscoring the unique challenges posed by the intricate connection between the nasal cavity and the brain. Despite the inherent risks, the successful outcome serves as a testament to the expertise and innovation within the medical community. This extraordinary case exemplifies the transformative potential of modern healthcare, where collaboration, cutting-edge technology, and unwavering determination converge to defy the odds and restore hope to those facing life-threatening illnesses.

15 May,2024 11:57 AM IST | Mumbai | mid-day online correspondent
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Jaipur child suffering from rare disease administered injection of Rs 17.50 cr

Hridayansh, a 23-month-old child, was administered an injection worth Rs 17.50 crore at JK Lon Hospital in Jaipur on Tuesday. Medical practitioner Priyanshu Mathur, in charge of the Rare Disease Unit in the hospital, and his team administered the injection of Zol Genesma, which was imported from America. Hridayansh suffers from a rare disease called Spinal Muscular Atrophy (SMA). His family worked round the clock to raise the mammoth funds via crowdfunding. His parents Naresh Sharma and Shama came to know about this rare disorder when Hridayansh turned six months old. The hapless parents took him to the doctor and came to know about this rare disorder. Dr. Priyanshu Mathur after administering the injection said that the child will be kept under observation for 24 hours. The child's maternal grandfather Naresh Kumbaj thanked everyone for extending support to the child. Hridayansh’s family had launched a crowd-funding campaign on social media to buy the injection. Indian cricketers Deepak Chahar and Sarfaraz Khan had also appealed to save the child’s life. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

15 May,2024 11:54 AM IST | Jaipur | IANS
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