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AIIMS doctors remove world’s largest goiter weighing 2.91 kg

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New Delhi, (IANS) Doctors at the All India Institute of Medical Sciences (AIIMS) said on Thursday that they have removed a 2.91 kg goiter, said to be the world’s largest, from a 60-year-old woman.

A resident of Moradabad in Uttar Pradesh, Noorjahan had come to the AIIMS with a very large lump in the neck region in May.

The doctors carried out a series of tests including X-ray, CT scan and thyroid functioning tests after which they decided on a surgery which took place on June 8 — but with a different technique.

“Noorjahan was suffering from the problem for the past 20 years. She did not have any major problem in eating, breathing, and was without any pain but it was putting pressure on nearby organs, causing heaviness and breathing problems,” said Pratyusha Priyadarshini, senior resident doctor at the AIIMS’ surgery department.

“In such cases, the patient is usually put on anesthesia and then a tube is inserted in the trachea for airway management. But here we wanted to insert the tube into her trachea while she was awake because of the narrowing of the trachea and then later put on anesthesia,” he told the media.

Calling the surgery a challenging one, S. Chumber, professor, department of surgery, said: “The major problem was that the size of the goiter was very large that compelled us to modify the surgical techniques. The trachea, esophagus, recurrent laryngeal nerve of both sides and the main vessels of the neck were close to the thyroid.”

He further said that to avoid any damage to the trachea, a temporary tracheotomy was done, in which a tube was inserted in the windpipe to assist her in breathing.

Finally, the six-hour surgery was successful and doctors removed the goiter. She remained in observation until she recovered completely.

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India Post Partners TCS to Modernize its Services

It supports the HR needs of over 500,000 employees, services over 40,000 concurrent users and processes over three million postal transactions a day

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The cyber security lab was inaugurated at the Shanmugha Arts, Science, Technology and Research Academy. IANS

India Post has partnered with IT services firm Tata Consultancy Services (TCS) to become a multi-service digital hub, modernize the delivery of mail and packages, enhance customer experience and launch innovative services.

TCS on Monday said it has implemented its Point of Sale (PoS) solution across 24,000 post offices with over 80,000 PoS terminals, making this among the largest such implementations in the world.

Additionally, it has built a web portal with consignment tracking capabilities and set up a multi-lingual call centre for customer support, the company added.

To enable India Post to benefit from the burgeoning e-commerce opportunity, while fulfilling a vital social obligation, the web portal has an e-marketplace to help rural artisans, self-help groups and women entrepreneurs reach out to buyers throughout the country.

“In a digital era, postal services across the world are reinventing themselves to stay relevant to a new generation,” Debashis Ghosh, Business Group Head – Public Services, TCS, said in a statement.

Tata Consultancy Services, Vadapalani
Tata Consultancy Services, Vadapalani. (Wikimedia Commons)

“We are proud to have partnered with the Department of Posts in this pioneering, mission mode initiative to build a world class, future-ready digital platform that the nation can be proud of,” Ghosh added.

At the heart of this transformation is the Core System Integration (CSI) programme designed and implemented by TCS, the company said.

Also Read- Facebook Urges US Police to Stop Using Fake Accounts

This involved deploying an integrated Enterprise resource planning (ERP) solution that caters to mail operations, finance and accounting, and HR functions, and connects its vast network of more than 150,000 post offices.

It supports the HR needs of over 500,000 employees, services over 40,000 concurrent users and processes over three million postal transactions a day, TCS said. (IANS)