Pritanjali Singh - Academia.edu (original) (raw)

Papers by Pritanjali Singh

Indian Journal of Surgical Oncology

Journal of Obstetrics and Gynaecology, 2013

Urinary tract reconstruction surgery, particularly for congenital abnormalities, has increased co... more Urinary tract reconstruction surgery, particularly for congenital abnormalities, has increased considerably, especially in children and young women with reproductive potential. Procedures include e...

Indian Journal of Medical and Paediatric Oncology

Tobacco use and socioeconomic status are related with each other and important determinants of di... more Tobacco use and socioeconomic status are related with each other and important determinants of disparities and inequalities to access to care. There is overall reduction in number of smokers but still most number of smokers is represented by people from low socioeconomic status, with less number of these people having an access to the treatment centers. Patients who are tobacco users have shown to be less likely to receive any form of treatment for lung cancer, whether that be chemotherapy, radiotherapy, or surgery. As there is less awareness about signs and symptoms of lung cancer, lower socioeconomic patients are likely to report to hospitals at advanced stages or many times as a medical emergency. We are well aware that patients with advanced lung cancer have lower chances of survival in view of incomplete response to treatment. As there is an intersection between tobacco use, health disparities, and inequalities and lung cancer treatment and survival, this issue needs better foc...

BMC Health Services Research, 2008

Background: There has been a marked increase in the use of complementary and alternative medicine... more Background: There has been a marked increase in the use of complementary and alternative medicine (CAM) in recent years worldwide. In Germany, apart from 'Heilpraktiker' (= statelicensed, non-medical CAM practitioners), some general practitioners (GPs) provide CAM in their practices. This paper aims to explore the attitudes of GPs about the role of CAM in Germany, in relation to the healthcare system, quality of care, medical education and research. Furthermore, experiences of GPs integrating CAM in their daily practice were explored. Methods: Using a qualitative methodological approach 3 focus groups with a convenience sample of 17 GPs were conducted. The discussions were transcribed verbatim and analysed using qualitative content analysis. Results: The majority of the participating GPs had integrated one or more CAM therapies into their everyday practice. Four key themes were identified based on the topics covered in the focus groups: the role of CAM within the German healthcare system, quality of care, education and research. Within the theme 'role of CAM within the healthcare system' there were five categories: integration of CAM, CAM in the Statutory Health Insurance, modernisation of the Statutory Health Insurance Act, individual healthcare services and 'Heilpraktiker'. Regarding quality of care there were two broad groups of GPs: those who thought patients would benefit from standardizing CAM and those who feared that quality control would interfere with the individual approach of CAM. The main issues identified relating to research and education were the need for the development of alternative research strategies and the low quality of existing CAM education respectively. Conclusion: The majority of the participating GPs considered CAM as a reasonable complementary approach within primary care. The study increased our understanding of GPs attitudes about the role of CAM within the German healthcare system and the use of 'Heilpraktiker' as a competing CAM-provider. It seems to be a need for increased funding for research, better education and remuneration by the Statutory Health Insurance in order to improve access to 'Integrative medicine' in Germany.

Fundamentals in Gynaecologic Malignancy, 2022

Asian Pacific Journal of Cancer Care

Pradhan Mantri Jan Arogya Yojana (PMJAY) also known as Ayushman Bharat or flagship National Healt... more Pradhan Mantri Jan Arogya Yojana (PMJAY) also known as Ayushman Bharat or flagship National Health Protection Scheme is funded by the Government of India. The scheme takes into account not only the poor but rural families also, and that is why it is economically beneficial to the poor households in rural and urban areas. Either due to lack of funds or due to paucity of health care facilities at adjacent centres, cancer care in rural areas has always been suboptimal. Poor people are almost always on the verge of facing economic toxicities during cancer diagnosis, treatment or rehabilitation. Despite various available regional and national programs for healthcare in India, lack of insurance scheme was an inseparable problem. Ayushman Bharat scheme provides financial protection for access curative care at secondary and tertiary levels through engagement with both public and private sector. Pradhan Mantri Jan Arogya Yojana (PM-JAY) and Health and Wellness Centres (HWCs) are the two majo...

SN Comprehensive Clinical Medicine

Journal of Palliative Care

Objectives: This systematic review aims to assess and explore various determinants of cancer- rel... more Objectives: This systematic review aims to assess and explore various determinants of cancer- related fatigue. Methods: A systematic search of various determinants of Cancer-related fatigue (CRF) was performed in different databases like PubMed, Google Scholar, Science Direct and Clinical Key dating from 1990 to September 2020. Results: A total of 6115 studies were screened and 95 articles related to determinants of fatigue were retained. Various modifiable and non-modifiable determinants including socio-demographic, clinical, treatment related, plasma biomarker related, genetic, behavioural, concurrent symptoms related and psychological determinants were identified. Depression was one of the significant factors reported in 28% of studies, followed by pain, (17%), performance status (16%), chemotherapy and anxiety (15%). Conclusion: It is recommended that nurses and clinicians should anticipate, identify and take appropriate interventions to manage those modifiable factors. Ultimate...

Frontiers in Oncology

BackgroundTreatment for coronavirus disease 2019 (COVID-19) pneumonia remains largely supportive ... more BackgroundTreatment for coronavirus disease 2019 (COVID-19) pneumonia remains largely supportive till date and multiple clinical trials took place within the short span of time to evaluate the role of investigational therapies. The anti-inflammatory effect of low dose whole lung radiation in treating pneumonia has been documented earlier. This clinical trial analyzed the effect of low dose radiation therapy (LDRT) in a moderately affected COVID-19 pneumonia patient cohort and has evaluated its effect in stopping the conversion of moderate disease into severe disease.MethodsPatients with moderate COVID-19 pneumonia as characterized by the Ministry of Health and Family Welfare (MOHFW), Government of India, were randomized (1:1) to low dose whole lung radiation versus no radiation. All treatment of patients was concurrently being given as per institutional protocol. Patients were followed up with clinical and laboratory parameters monitored on Days 1, 3, 7, and 14. Computed tomography ...

Cancer Treatment and Research Communications

Asian Pacific Journal of Cancer Care

Globally, head and neck cancer is estimated to occur in more than 700,000 patients a year and cau... more Globally, head and neck cancer is estimated to occur in more than 700,000 patients a year and cause 400,000 deaths and second most common cancer in India among both sexes and all ages. Even after optimal treatment for primary cancer, there are cases where second primary cancers develop around the previously treated areas. This occurrence is explained by the concept of field cancerization, which refers to a term where a carcinogen such as tobacco when chewed, exposes the mucosa to the carcinogen starting from the oral cavity to the upper aerodigestive tract. Combinations of two primary malignancies are seen in around 3% to 5% of patients, combinations of three cancers in about 0.5%, and combinations of four malignant tumors in about 0.3% of patients with a previous history of cancer. Early diagnosis and detection of these cancers are necessary for optimal treatment as with each occurrence the tolerability and the response rates gets poorer.

Advances in Precision Medicine Oncology, 2021

Adoptive T cell therapy (ACT) is getting acknowledged as the Advanced Therapy Medicinal Products ... more Adoptive T cell therapy (ACT) is getting acknowledged as the Advanced Therapy Medicinal Products (ATMPs) in many countries and it has evolved as one of the newest regimens to treat cancer. Developed gradually by the basic understanding of cells, involved in innate and adaptive immunity, ACT has emerged as one of the successful immunotherapies in recent times. It broadly includes various cell types such as stem cells, T cells, dendritic cells and Natural Killer cells. By the applications of genetic engineering and advanced cell culture techniques, these cells from patients’ blood, can be manipulated to train them for better efficacy against specific tumor cells. However, only some cells’ subsets have shown promising regression for certain cancer cells types. To understand the reason behind this, technical knowledge about the tumor antigens presentation, tumor microenvironment (TME), hosts’ immune responses and possible issues in the manufacturing of adoptive cellular material for inf...

Indian Journal of Palliative Care

South Asian Journal of Cancer, 2022

Background Wilms' tumor (WT) is the most common kidney tumor of the pediatric age group. The ... more Background Wilms' tumor (WT) is the most common kidney tumor of the pediatric age group. The outcome of WT has improved due to the evolution of the treatment approach. A prospective observational study was conducted at All India Institute of Medical Sciences (AIIMS), Patna, to analyze the clinical profile along with the response and outcome to neoadjuvant chemotherapy according to the International Society of Pediatric Oncology (SIOP) protocol. Materials and Methods In total, 28 patients of WT visited the radiotherapy department from January 2015 to December 2019. Results Gender distribution showed male preponderance with a median age at diagnosis was 31 months. The abdominal lump was the dominant clinical presentation. The median volume of tumor at diagnosis was 359.48 mL (52.67–1805.76). Radiological staging workup shows that stage I, II, III, IV, and V were 7.1%, 39.3%, 39.3%, 10.7%, and 3.6% respectively. Neoadjuvant chemotherapy (NACT) was received by all patients. Also, 71...

Asian Pacific Journal of Cancer Care

Cachexia is characterized by loss of appetite, weight loss and tissue wasting, accompanied by a d... more Cachexia is characterized by loss of appetite, weight loss and tissue wasting, accompanied by a decrease in muscle mass and adipose tissue, affecting approximately 50% of cancer patients and contributes to decreased quality of life of patients, reduced tolerance to chemotherapy, and decreased survival. Current therapies focus on maintenance of physical function, quality of life, and reduction of distress in patients and their families rather than definitive treatment for the underlying pathophysiology. Consistent with evolving guidelines for the treatment of cachexia, current models take a multidisciplinary approach, with patients generally seeing a physician, nutritionist or dietician, and physiotherapist sequentially. This is routinely supplemented by psychosocial support, whether within the program or via referral. Early intervention and attention to nutritional status are essential in patients with anorexia-cachexia syndrome. Pharmacological interventions for neoplastic cachexia...

Indian Journal of Palliative Care, 2022

Background: Cancer-related fatigue (CRF) is one of the most frequent and prevalent symptoms expre... more Background: Cancer-related fatigue (CRF) is one of the most frequent and prevalent symptoms expressed by cancer patients and cancer survivors. It is a multifactorial phenomenon that causes a direct detrimental impact on quality of life. Objectives: This systematic review aims to identify different clinical evaluation scales and interventions available for fatigue associated with cancer. Materials and Methods: A methodology of the systematic literature review was carried out. Two separate databases PubMed and Google Scholar searches were performed using different MeSH terms. Results: A total of 2611 research articles were screened and identified 10 unidimensional scales (four with one item scales and six with numerous item scales) and 13 multidimensional scales which are available for the screening and clinical evaluation of fatigue. Reviews have also revealed non-pharmacological interventions such as exercise, complementary therapies, nutritional and psychoeducational interventions,...

Asia-Pacific Journal of Oncology Nursing, 2021

Image memorability is a very hard problem in Image Processing due to its subjective nature. But d... more Image memorability is a very hard problem in Image Processing due to its subjective nature. But due to the introduction of Deep Learning and the large availability of data and GPUs, great strides have been made in predicting the memorability of an image. In this paper, we propose a novel deep learning architecture called ResMem-Net that is a hybrid of LSTM and CNN that uses information from the hidden layers of the CNN to compute the memorability score of an image. The intermediate layers are important for predicting the output because they contain information about the intrinsic properties of the image. The proposed architecture automatically learns visual emotions and saliency, shown by the heatmaps generated using the GradRAM technique. We have also used the heatmaps and results to analyze and answer one of the most important questions in image memorability: "What makes an image memorable?". The model is trained and evaluated using the publicly available Large-scale Image Memorability dataset (LaMem) from MIT. The results show that the model achieves a rank correlation of 0.679 and a mean squared error of 0.011, which is better than the current state-of-the-art models and is close to human consistency (p=0.68). The proposed architecture also has a significantly low number of parameters compared to the state-of-the-art architecture, making it memory efficient and suitable for production.

Abhishek Shankar1*, Deepak Saini2, Shubham Roy3, Pritanjali Singh4, Durre Aden5, Dhiraj Bhandari6... more Abhishek Shankar1*, Deepak Saini2, Shubham Roy3, Pritanjali Singh4, Durre Aden5, Dhiraj Bhandari6 and Sachidanand Jee Bharati7 1Department of Radiation Oncology, Lady Hardinge Medical College and Associated Hospitals, Delhi, India 2Cancer Control and Prevention Division, Indian Society of Clinical Oncology, Delhi, India 3Ummeed Child Development Center, Mumbai, India 4Department of Radiation Oncology, All India Institute of Medical Sciences, Patna, India 5Department of Pathology, ABVIMS and Dr RML Hospital, Delhi, India 6Department of Anaesthesia, Mahatma Gandhi Institute of Medical Sciences, Sewagram, Wardha, India 7Department of Onco-anaesthesia and Palliative Medicine, Dr BR Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, Delhi, India

Indian Journal of Palliative Care, 2021

is is an open-access article distributed under the terms of the Creative Commons Attribution-Non... more is is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

Indian Journal of Surgical Oncology

Journal of Obstetrics and Gynaecology, 2013

Urinary tract reconstruction surgery, particularly for congenital abnormalities, has increased co... more Urinary tract reconstruction surgery, particularly for congenital abnormalities, has increased considerably, especially in children and young women with reproductive potential. Procedures include e...

Indian Journal of Medical and Paediatric Oncology

Tobacco use and socioeconomic status are related with each other and important determinants of di... more Tobacco use and socioeconomic status are related with each other and important determinants of disparities and inequalities to access to care. There is overall reduction in number of smokers but still most number of smokers is represented by people from low socioeconomic status, with less number of these people having an access to the treatment centers. Patients who are tobacco users have shown to be less likely to receive any form of treatment for lung cancer, whether that be chemotherapy, radiotherapy, or surgery. As there is less awareness about signs and symptoms of lung cancer, lower socioeconomic patients are likely to report to hospitals at advanced stages or many times as a medical emergency. We are well aware that patients with advanced lung cancer have lower chances of survival in view of incomplete response to treatment. As there is an intersection between tobacco use, health disparities, and inequalities and lung cancer treatment and survival, this issue needs better foc...

BMC Health Services Research, 2008

Background: There has been a marked increase in the use of complementary and alternative medicine... more Background: There has been a marked increase in the use of complementary and alternative medicine (CAM) in recent years worldwide. In Germany, apart from 'Heilpraktiker' (= statelicensed, non-medical CAM practitioners), some general practitioners (GPs) provide CAM in their practices. This paper aims to explore the attitudes of GPs about the role of CAM in Germany, in relation to the healthcare system, quality of care, medical education and research. Furthermore, experiences of GPs integrating CAM in their daily practice were explored. Methods: Using a qualitative methodological approach 3 focus groups with a convenience sample of 17 GPs were conducted. The discussions were transcribed verbatim and analysed using qualitative content analysis. Results: The majority of the participating GPs had integrated one or more CAM therapies into their everyday practice. Four key themes were identified based on the topics covered in the focus groups: the role of CAM within the German healthcare system, quality of care, education and research. Within the theme 'role of CAM within the healthcare system' there were five categories: integration of CAM, CAM in the Statutory Health Insurance, modernisation of the Statutory Health Insurance Act, individual healthcare services and 'Heilpraktiker'. Regarding quality of care there were two broad groups of GPs: those who thought patients would benefit from standardizing CAM and those who feared that quality control would interfere with the individual approach of CAM. The main issues identified relating to research and education were the need for the development of alternative research strategies and the low quality of existing CAM education respectively. Conclusion: The majority of the participating GPs considered CAM as a reasonable complementary approach within primary care. The study increased our understanding of GPs attitudes about the role of CAM within the German healthcare system and the use of 'Heilpraktiker' as a competing CAM-provider. It seems to be a need for increased funding for research, better education and remuneration by the Statutory Health Insurance in order to improve access to 'Integrative medicine' in Germany.

Fundamentals in Gynaecologic Malignancy, 2022

Asian Pacific Journal of Cancer Care

Pradhan Mantri Jan Arogya Yojana (PMJAY) also known as Ayushman Bharat or flagship National Healt... more Pradhan Mantri Jan Arogya Yojana (PMJAY) also known as Ayushman Bharat or flagship National Health Protection Scheme is funded by the Government of India. The scheme takes into account not only the poor but rural families also, and that is why it is economically beneficial to the poor households in rural and urban areas. Either due to lack of funds or due to paucity of health care facilities at adjacent centres, cancer care in rural areas has always been suboptimal. Poor people are almost always on the verge of facing economic toxicities during cancer diagnosis, treatment or rehabilitation. Despite various available regional and national programs for healthcare in India, lack of insurance scheme was an inseparable problem. Ayushman Bharat scheme provides financial protection for access curative care at secondary and tertiary levels through engagement with both public and private sector. Pradhan Mantri Jan Arogya Yojana (PM-JAY) and Health and Wellness Centres (HWCs) are the two majo...

SN Comprehensive Clinical Medicine

Journal of Palliative Care

Objectives: This systematic review aims to assess and explore various determinants of cancer- rel... more Objectives: This systematic review aims to assess and explore various determinants of cancer- related fatigue. Methods: A systematic search of various determinants of Cancer-related fatigue (CRF) was performed in different databases like PubMed, Google Scholar, Science Direct and Clinical Key dating from 1990 to September 2020. Results: A total of 6115 studies were screened and 95 articles related to determinants of fatigue were retained. Various modifiable and non-modifiable determinants including socio-demographic, clinical, treatment related, plasma biomarker related, genetic, behavioural, concurrent symptoms related and psychological determinants were identified. Depression was one of the significant factors reported in 28% of studies, followed by pain, (17%), performance status (16%), chemotherapy and anxiety (15%). Conclusion: It is recommended that nurses and clinicians should anticipate, identify and take appropriate interventions to manage those modifiable factors. Ultimate...

Frontiers in Oncology

BackgroundTreatment for coronavirus disease 2019 (COVID-19) pneumonia remains largely supportive ... more BackgroundTreatment for coronavirus disease 2019 (COVID-19) pneumonia remains largely supportive till date and multiple clinical trials took place within the short span of time to evaluate the role of investigational therapies. The anti-inflammatory effect of low dose whole lung radiation in treating pneumonia has been documented earlier. This clinical trial analyzed the effect of low dose radiation therapy (LDRT) in a moderately affected COVID-19 pneumonia patient cohort and has evaluated its effect in stopping the conversion of moderate disease into severe disease.MethodsPatients with moderate COVID-19 pneumonia as characterized by the Ministry of Health and Family Welfare (MOHFW), Government of India, were randomized (1:1) to low dose whole lung radiation versus no radiation. All treatment of patients was concurrently being given as per institutional protocol. Patients were followed up with clinical and laboratory parameters monitored on Days 1, 3, 7, and 14. Computed tomography ...

Cancer Treatment and Research Communications

Asian Pacific Journal of Cancer Care

Globally, head and neck cancer is estimated to occur in more than 700,000 patients a year and cau... more Globally, head and neck cancer is estimated to occur in more than 700,000 patients a year and cause 400,000 deaths and second most common cancer in India among both sexes and all ages. Even after optimal treatment for primary cancer, there are cases where second primary cancers develop around the previously treated areas. This occurrence is explained by the concept of field cancerization, which refers to a term where a carcinogen such as tobacco when chewed, exposes the mucosa to the carcinogen starting from the oral cavity to the upper aerodigestive tract. Combinations of two primary malignancies are seen in around 3% to 5% of patients, combinations of three cancers in about 0.5%, and combinations of four malignant tumors in about 0.3% of patients with a previous history of cancer. Early diagnosis and detection of these cancers are necessary for optimal treatment as with each occurrence the tolerability and the response rates gets poorer.

Advances in Precision Medicine Oncology, 2021

Adoptive T cell therapy (ACT) is getting acknowledged as the Advanced Therapy Medicinal Products ... more Adoptive T cell therapy (ACT) is getting acknowledged as the Advanced Therapy Medicinal Products (ATMPs) in many countries and it has evolved as one of the newest regimens to treat cancer. Developed gradually by the basic understanding of cells, involved in innate and adaptive immunity, ACT has emerged as one of the successful immunotherapies in recent times. It broadly includes various cell types such as stem cells, T cells, dendritic cells and Natural Killer cells. By the applications of genetic engineering and advanced cell culture techniques, these cells from patients’ blood, can be manipulated to train them for better efficacy against specific tumor cells. However, only some cells’ subsets have shown promising regression for certain cancer cells types. To understand the reason behind this, technical knowledge about the tumor antigens presentation, tumor microenvironment (TME), hosts’ immune responses and possible issues in the manufacturing of adoptive cellular material for inf...

Indian Journal of Palliative Care

South Asian Journal of Cancer, 2022

Background Wilms' tumor (WT) is the most common kidney tumor of the pediatric age group. The ... more Background Wilms' tumor (WT) is the most common kidney tumor of the pediatric age group. The outcome of WT has improved due to the evolution of the treatment approach. A prospective observational study was conducted at All India Institute of Medical Sciences (AIIMS), Patna, to analyze the clinical profile along with the response and outcome to neoadjuvant chemotherapy according to the International Society of Pediatric Oncology (SIOP) protocol. Materials and Methods In total, 28 patients of WT visited the radiotherapy department from January 2015 to December 2019. Results Gender distribution showed male preponderance with a median age at diagnosis was 31 months. The abdominal lump was the dominant clinical presentation. The median volume of tumor at diagnosis was 359.48 mL (52.67–1805.76). Radiological staging workup shows that stage I, II, III, IV, and V were 7.1%, 39.3%, 39.3%, 10.7%, and 3.6% respectively. Neoadjuvant chemotherapy (NACT) was received by all patients. Also, 71...

Asian Pacific Journal of Cancer Care

Cachexia is characterized by loss of appetite, weight loss and tissue wasting, accompanied by a d... more Cachexia is characterized by loss of appetite, weight loss and tissue wasting, accompanied by a decrease in muscle mass and adipose tissue, affecting approximately 50% of cancer patients and contributes to decreased quality of life of patients, reduced tolerance to chemotherapy, and decreased survival. Current therapies focus on maintenance of physical function, quality of life, and reduction of distress in patients and their families rather than definitive treatment for the underlying pathophysiology. Consistent with evolving guidelines for the treatment of cachexia, current models take a multidisciplinary approach, with patients generally seeing a physician, nutritionist or dietician, and physiotherapist sequentially. This is routinely supplemented by psychosocial support, whether within the program or via referral. Early intervention and attention to nutritional status are essential in patients with anorexia-cachexia syndrome. Pharmacological interventions for neoplastic cachexia...

Indian Journal of Palliative Care, 2022

Background: Cancer-related fatigue (CRF) is one of the most frequent and prevalent symptoms expre... more Background: Cancer-related fatigue (CRF) is one of the most frequent and prevalent symptoms expressed by cancer patients and cancer survivors. It is a multifactorial phenomenon that causes a direct detrimental impact on quality of life. Objectives: This systematic review aims to identify different clinical evaluation scales and interventions available for fatigue associated with cancer. Materials and Methods: A methodology of the systematic literature review was carried out. Two separate databases PubMed and Google Scholar searches were performed using different MeSH terms. Results: A total of 2611 research articles were screened and identified 10 unidimensional scales (four with one item scales and six with numerous item scales) and 13 multidimensional scales which are available for the screening and clinical evaluation of fatigue. Reviews have also revealed non-pharmacological interventions such as exercise, complementary therapies, nutritional and psychoeducational interventions,...

Asia-Pacific Journal of Oncology Nursing, 2021

Image memorability is a very hard problem in Image Processing due to its subjective nature. But d... more Image memorability is a very hard problem in Image Processing due to its subjective nature. But due to the introduction of Deep Learning and the large availability of data and GPUs, great strides have been made in predicting the memorability of an image. In this paper, we propose a novel deep learning architecture called ResMem-Net that is a hybrid of LSTM and CNN that uses information from the hidden layers of the CNN to compute the memorability score of an image. The intermediate layers are important for predicting the output because they contain information about the intrinsic properties of the image. The proposed architecture automatically learns visual emotions and saliency, shown by the heatmaps generated using the GradRAM technique. We have also used the heatmaps and results to analyze and answer one of the most important questions in image memorability: "What makes an image memorable?". The model is trained and evaluated using the publicly available Large-scale Image Memorability dataset (LaMem) from MIT. The results show that the model achieves a rank correlation of 0.679 and a mean squared error of 0.011, which is better than the current state-of-the-art models and is close to human consistency (p=0.68). The proposed architecture also has a significantly low number of parameters compared to the state-of-the-art architecture, making it memory efficient and suitable for production.

Abhishek Shankar1*, Deepak Saini2, Shubham Roy3, Pritanjali Singh4, Durre Aden5, Dhiraj Bhandari6... more Abhishek Shankar1*, Deepak Saini2, Shubham Roy3, Pritanjali Singh4, Durre Aden5, Dhiraj Bhandari6 and Sachidanand Jee Bharati7 1Department of Radiation Oncology, Lady Hardinge Medical College and Associated Hospitals, Delhi, India 2Cancer Control and Prevention Division, Indian Society of Clinical Oncology, Delhi, India 3Ummeed Child Development Center, Mumbai, India 4Department of Radiation Oncology, All India Institute of Medical Sciences, Patna, India 5Department of Pathology, ABVIMS and Dr RML Hospital, Delhi, India 6Department of Anaesthesia, Mahatma Gandhi Institute of Medical Sciences, Sewagram, Wardha, India 7Department of Onco-anaesthesia and Palliative Medicine, Dr BR Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, Delhi, India

Indian Journal of Palliative Care, 2021

is is an open-access article distributed under the terms of the Creative Commons Attribution-Non... more is is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.