Page 32 - ACCF Essentia | Vol. III | Issue 3 | June 2024
P. 32

ta
                   ly
                                      pi
                 at
                                                                                                                k
                                                                                                   cl
                                    os
                        h
                                  h
                     e
                                                   st
                      nh
            ll
                                                                                                            Ba
              g
                                              ag
                                                                                                          o
            ll
               re
                                           s
                                          l’
                                            di
                                                                                                              ra
                                                 no
                                                                   by bringing quality cancer care closerr to Barak
          wi i ll  g re at ly  e nh an ce  t t he  h os pi ta l’ s  di ag no st ic    by  b ri ng in g  qu al it y  ca nc er  c ar e  c  os er  t t o  Ba ra k
                                                                   by bringing quality cancer care closer to Barak
                            ce
          will greatly enhance the hospital’s diagnostic
          wi
                                                     ic
                               he
                         an
                                va
                                va
                                            g
                                                                                                     d
                                                                                     ce
                                                                          Th
                           e
                                                                                                   te
                           e
                                                                                        o
               bi
               bi
                                                                          T
                                                                                                          nc
            pa
            pa
                                             ng
                                             ng
                                             n
                             ad
                             ad
                                            gi
                                            gi
                                                                         .
                                                                                                       ca
              a
                 li
                      .
                      .
                                     ed
                                                                              pr
                                                                                               di
                                                                              p
                                  nc
                                     ed
                      Th
                         es
                         es
                      Th
                                                                                es
                                                                                            de
                                                                                          a
                   es
                                        ma
                                        ma
                                                                                  en
                                                                            e
                 li
                                 a
                                                                            e
                                                                                         f
                                        i
                                  nc
                   es
                                        i
                  ti
                  ti
                                                                                                 ca
                                               g
                                                                      ey
          ca
                                                                                                            er
                                                                                                               c
                                                                                                                  tr
                                                                      ey
                                                                                                                 n
                                                                      ey
                                                                                                                    e
          ca
          capabilities. These advanced imaging                     Valley. The presence of a dedicated cancer centre
                                                                                                                  t
                                                                                                                en
                                                                                                                  t
                                                                     ll
                                                                   Va
                                                                   Valley. The presence of a dedicated cancer centre
                                                                     ll
                                                                   Va
                                                                                                  a
                                                                             on
                                  re
                                                                                 ot
                                                                                                                  bu
                                                                     t
                                                                                                                e
                 lo
                 lo
                                                                           gi
                                          r
                                                                                                    cc
                                                                                         im
                                        ur
                                                                             o
                                                                             o
                                        ur
                                                                                 ot
                                                                                 ot
                                                                     t
                                                                     t
                                                   ti
                                                                   n
                                                                                             ov
                                     a
                                      cc
                     es
                                      cc
                                      cc
                                                   t
                                                                                n
                                                    m
                                                    me
                                                    me
                                     a
                                                   t
                                                    me
                                                   ti
                                                                                           p
                   gi
                                  re
                                                                   in in in this rregion not only improves access to care but
                   gi
                                                                                           pr
                   g
                   g
                         na
                       e
                                   e
                     es
                       e
                                  re
                         na
                                                                                                es
                                       c
              no
                                                                                                                    t
            ch
                                                                                                             c
                                                                        s
              no
                                            t
          technologies enable more accurate and timely             in this region not only improves access to care but
                                                                                     nl
                                                                                                      es
                                                                                                              ar
            ch
                                                                      hi
                             e
                                                       ly
                                                                                                         s
                               m
                                                                                       y
                             e
                               mo
                                             e
                                             e
                                             e
                               mo
                                                       ly
                                                                        s
                                                 d
          te te
                           bl
                                                 d
                                           at
                                              an
                                              an
                                                        y
                                                                      hi
                                              an
                                           at
                           bl
                                                                                                          to
                                                                         re
                                                                                    o
                                                                         re
                                                                           gi
                                                 d
                                                 d
                                                                                     ee
                                   ng
                                   ng
                                   ng
                               l
                                                                                           r
                                                                                           r
                       c
                               l
                       c
                                                                                     ee
                                                                                t
                       c
                               l
                               l
                                                     me
                                                                                t
                                                                   al al also reduces the need for patients to travel long
                                                                                     e
                                                     me
                                  di
                                  di
                                                                                          fo
                                                                                          fo
                                                        nt
                                                        nt
                                  d
                            e
                                                                                          fo
                          ce
                                                                                  e
                                                        n
          diagnosis of cancer, leading to better treatment         also reduces the need for patients to travel long
                          ce
                          ce
          di di di
                        an
                             r,
                                                     me
                                                                                 he
                                                                                 he
                             r,
                        an
                        an
                                                                                    n
                                                                                    n
                                                                                        d
                                                                                        d
                               ea
                             r,
                               ea
                               ea
                                                                                                      o
                                            tt
                                                                                                              l
                                                                                                               on
                                                                                                     t
                                            tt
                                                 re
                                            tt
              no
              no
                                                                           uc
                                                                                                   ts
                                                                                                   ts
                 si
                 s
                 si
                                                                           u
                o
                                                                           uc
                                         be
                                                                                                    s
                                                t
                                                t
                                                t
                                                                        ed
                                                 re
                                                                       r
                                                                       r
            ag
                                                                        ed
            ag
                                                                        ed
             g
                                                                                                        tr
             g
                                                 re
                                                                                                            el
                                             er
                                                                                                         av
                                             er
                                             er
                                             er
                 s
                                       t
                                                                             es
                                                                                               t
                                       t
                                       t
                                                                             es
                                                  a
                                       o
                                                  at
                                       o
                                                  at
                                                                     so
                                                                     so
                                                                                             pa
                                                                                             pa
                                                                                             pa
                                                  at
                    of
                    o
                    of
                                                                                               ti
                    of
                                                                                                 en
                                         be
                                                                     s
                                                                                                                 g
                                                                                                  n
                                                                                                 en
                                         be
                   s
                   s
                                       o
                                       o
                   s
                                                                                  ea
                                                                                  ea
                                                                      an
                                                                     st
                                                                      a
                                                                                    tm
                                                                               r
                                                                   di di di d stances for treatment, thereby alleviating the
                                                                      an
                                                                             fo
                                                                             fo
                                                                         ce
                                                                                   a
                                                                         ce
                                                                                tr
                                                                                    tm
                                                                     st
                                                                                 r
                                                                           s
                                                                           s
                                                                                                           ng
                                                                                                           i
                                                                                          t,
                                                                                                           ng
                                                                                           t
                                                                                           t
                                                                                                by
                                                                                           t
                                                                                                b
                                                                                                               he
                                                                                                              t
                                                                                                               he
                                                                                                               he
                                                                                                           ng
                                                                                          t,
                                                                                                              t
                                                                                                by
                                                                                                          ti
                                                                                                        ia
              om
            tc
                                                                                                        ia
                                                                                               re
              o
                                                                                               re
              om
                                                                                            he
                                                                                                     ll
                                                                                                      ev
                                                                                                          ti
                                                                                                     ll
                                                                                            he
            tc
                                                                                                      ev
                                                                                            h
          outcomes.
          ou
                  es
          o
                                                                                                    a
          ou
                                                                                       e
                                                                                       en
                                                                                                    a
                  es
                                                                                       en
          ou tc om es . .                                          distances for treatment, thereby alleviating the
                                                                                     t
                                                                            an
                                                                                           ur
                                                                                           ur
                                                                                                n
                                                                                                ns
                                                                                                      oc
                                                                            an
                                                                                                         ia
                                                                                             de
                                                                               d
                                                                               d
                                                                                                      oc
                                                                                      ic
                                                                                      ic
                                                                               d
                                                                         ia
                                                                                                         ia
                                                                                                         ia
                                                                                                      oc
                                                                         ia
                                                                                             d
                                                                                lo
                                                                           l
                                                                                                           e
                                                                                                            d
                                                                    na
                                                                                                   a
                                                                                    st
                                                                            naancial and logig
                                                                           l
                                                                                                                th
                                                                                                              wi
                                                                                                                th
                                                                                                                t
                                                                                                            d
                                                                                         l
                                                                                                              wi
                                                                                  gistical burdens associated with
                                                                                       al
                                                                                                    s
                                                                       nc
                                                                                       al
                                                                                                n
                                                                                                          te
                                                                                lo
                                                                                          b
                                                                                          b
                                                                       nc
                                                                                                    ss
                                           ti
                  us
                                      pe
                                      pe
                                            i
                    io
                    io
                cl
                cl
                                         ra
                c
                  us
                                         ra
                                ul
                                ul
                            M
                            M
                                                he
                          a
                                  ar
                                                he
                          a
                              o
          The inclusion of a Modular Operating Theatre
          The inclusion of a Modular Operating Theatre              nancial and logistical burdens associated with
                              od
          Th
                                                   at
                                                   at
                                                     re
                                                     r
                                     O
                                     O
            e
                      n
                      n
                                            ng
              in
              in
                                            ng
           h
                       of
                       of
                                               T
            e
                                  ar
                                             g
                                                                         g
                                                                   s
                                                                           m
                                                                   se
                                                                        n
                                                                   seeking medical care.
                                                                              di
                                                                                c
                                                                             e
                                                                                       e
                                                                                      re
                                                                                    ca
                                                                                   l
                                                                                    ca
                                                                                ca
                                                                              d
                    e
                            s
                   re
                      g
             he
                                             e
                     ng
                           n
                                      l
                                I
                                       ty
                          en
                                I
                                          o
                              S
                                    b
          fu fu f rtheer strengthens SCIs ability to perform       seeking medical care.
                              SC
                                    bi
                 st
            rt
                 st
            rt
                                         t
                r
                r
                        th
                        th
          further strengthens SCIs ability to perform
                                                                                                          c
                                     e
                                                                                             a
                                                                                           C
                                                                                                            on
                                                                                                        r
                                                                                                            on
            p
                                                                                                              tr
                                                                                      c
          sophisticated surgical procedures. Designed to
               s
                                                                                      ch
          sophisticated surgical procedures. Designed to           Furthermore, the Silchar Cancer Centre contributes
                                                                                                     e
                                                                                                  r
                  c
                                                                                                                   t
                                                                                                                 ut
                                                                                        a
                                                                                                                b
                                                                                                                b
                                                                                                      n
                                                                   Furthermore, the Silchar Cancer Centree contributes
                                                                                                   Ce
                                                                                                                   es
          me
                                                                                                           e
                                                                   to the overall mission of ACCF to reshape the
                                                                       e
          meet the requirements of complex surgeries, this         to the overall mission of ACCF to reshape the
          meet the requirements of complex surgeries, this
                                                                           e
                                                                                                  o
          specialized operating theatre provides a sterile         healthcare landscape in Asssam and Northeast
                  e
                          a
                                                                                        e
                                                   s
          specialized operating theatre provides a sterile
                                                                   healthcare landscape in Assam and Northeast
                              g
          and controlled environment, ensuring optimal
                                                 p
                                                o
          and controlled environment, ensuring optimal
                                m
                    o
                                            r
                                             s.
              d
           o
                                         ti
                             ca
          conditions for surgical interventions.
          conditions for surgical interventions.
                           g
                                      en
                                 in
                                    rv
                      o
                                          on
                                  te
          The new hos     p ital has 23 intensive
          The new hospital has 23 intensive
          care units
          care units (ICUs). These specialized units (ICUs). These specialized units
                                            i
                                        m
                  i
                     ed w
          a
          are equipped with advanced monitoring systems
                                                       em
                                                          s
            e equ
                                    ed
                                  nc
                  pp
                                                 g sy
                                                     st
                           h adva
                                         on
                                               in
                                             tor
                                                n
                          i
           r
                          t
          a  d  me d i ca l  su pp or t to  c at er t o pat i en ts  requ i r i ng
          and medical support to cater to patients requiring
          an
                                                     y
                                         tm
                                                   n
                i
                                                   ne
                              g
                                           en
                                                     y.
                ve care dur
                            n
          n
                                     r
              ns
                                                 ur
                                                 ur
                                 e
                                 ei
                                             n
                                    tr
                                               jo
                                               jo
                                   r
            te
          i intensive care during their treatment journey.
                                              t
                                              t
                                      ea
                            i
                                      e
                               th
                                     ol
                                   tr
                                                      t
                       ro
                                              ro
                         vi
                                            vi
                                 on
          These  IC U  p ro v  de  a  c on tr ol le d  en vi ro nm en t
                     p
                                      le
          These ICUs provide a controlled environment
                               c
                                                nm
                                          en
                             a
                                        d
                                                   en
                  Us
                          de
                                                        on
                                                        on
                              r
                              ec
                   ti
                              r
                              ec
                                 ei
                                 ei
             er
             er
                     en
               e
                         c
                     en
                           an
                                               d
                   ti
                           an
                                             z
                                       pe
                                       pe
                                      s
                 pa
                                         ci
                                                   tt
               e
                                         c
                                                   tt
                                   ve
                                                    en
                                             iz
                                   ve
                                                    en
                                      s
                 pa
                                                 a
                                                 a
                                                       ti
                                              ed
                                                       ti
                                           al
          wh
                       ts
          where patients can receive specialized attention
                       ts
          wh
                         c
                  ni
          an d  mo ni to ri ng , ,  en su ri ng  t t im el y  in te rv en ti on  a nd
                                                        nd
              mo
          and monitoring, ensuring timely intervention and
                                            te
                              u
                                           n
                                              rv
                                    i
                                                  ti
                       ng
                                                    on
                                ng
             d
          an
                      ri
                    to
                                                       a
                          en
                                                                      Truebeam Linear
                                                                                                 Mammography
          management of complications.
                      nt
          ma
                ge
                        o
          ma na ge me nt  o f  co mplicati ons.                       Tr ue be am  L in ea r     Mammograp    hy
             na
                   me
                                                                     Accelerator (LINAC)
                                                                     Accelerator  (L INAC )
          Ad
                                               nt
                                                     T)
          Additionally, a Bone Marrow Trannsplant (BMT)
                on
                                           sp
              ti
                                             la
             di
                  a
          Additionally, a Bone Marrow Transplant (BMT)
                                                   M
          unit, is also being added to the hosppital’s
                                         h
               is
                                          os
            it
          unit, is also being added to the hospital’s
          un
                     b
                                         z
                                         ed
                                                  du
                                   e
                                      i
                                                 e
          infrastructure. BMT is a specialized procedure used
                                             p
                                                          e
                                                           d
          in infrastructure. BMT is a specialized procedure used
            f
                                                ce
                   a
                 e
          in the treatment of certain types oof cancerss and
                                             c
                                              an
                                                      a
                                                        d
                                                 c
          in the treatment of certain types of cancers and
                                                 ca
                                        n
                                                    te
                                         g
                                               di
                                                           T
                                                        BM
          hematological disorders. Having a dedicated BMT
          hematological disorders. Having a dedicated BMT
                                           a
                                             de
                                                      d
                                                                                             of
                                                                                                      ul
                                                                                         io
                                                                                               a
                                                                               The inclusion of a Modular
                                                                                                   od
                                                                               Th
                                                                                 e
                                                                                                        ar
                                                                                   i
                                                                                     cl
                                                                                       us
                                                                                           n
                                                                                                  M
                                                                                    n
                                                pr
                                              r
                                           l
                                             fo
                               al
                             it
                                 i
                                                    id
                                 s
                            p
                       e
                                                      in
                                                        g
          unit within the hhospital is essential for providing
          unit within the hospital is essential for providing
                                   es
                                        nt
                                     s
                                                  ov
                                          ia
                                                                               Operating Theatre further
                                                                               Op eratin g  Thea tr e  furt he r
                          ca
                                  pa
                                      en
                                              ui
                  he
                                        ts
                        e
                                    ti
                re
                                o
                               t
                    ns
                           a
                             re
                                           eq
                                                r
                                                     hi
                                                    t
              p
                                                 ng
                                                      s
          comprehensive care to patients requiring this
          comprehensiive care to patients requiring this
                                                                                             SC
                                                                                                   b
                                                                                                     l
                                                                                                      i
                                                                                                      t
                                                                                strengthens SCIs ability
                                                                                  re
                                                                                    ngth
                                                                                                Is a
                                                                                st
                                                                                         ens
                                                                                                       y
                                                                                                     i
                                                                                to perform sophisticated
                                                                                o
                                                                                to  p er fo r rm  sophi st t ic at ed
                                                                                  p
                                                                                  surgical procedures.
                                                                                            ro
                                                                                  su
                                                                                  su rg ic al  p ro ce du re s.
                                                                                              ce
                                                                                           p
                                                                                                   re
                                                                                        al
                                                                                                     s.
                                                                                    rg
                                                                                                du
                                                                                      ic
                                                                                          ne
                                                                   India. By expanding itss network to remote areass
                                                                   India. By expanding its network to remote areas
                                                                                                k
                                                                                                           e
                                                                                     g
                                                                                              or
                                                                                   i
                                                                                                         ot
                                                                                                              r
                                                                                  d
                                                                         B
                                                                      i
                                                                                                              ea
                                                                      a.
                                                                                                  to
                                                                                       it
                                                                                                       m
                                                                                            tw
                                                                            ex
                                                                                                  r
                                                                                             an
                                                                                                ce
                                                                   and proviiding advanced cancer caree seervicces,
                                                                   and providing advanced cancer care services,
                                                                     d
                                                                         ov
                                                                                                            vi
                                                                                    va
                                                                    n
                                                                                                         s
                                                                       pr
                                                                                                    c
                                                                                                                 ,
                                                                                                  me
                                                                                      s
                                                                                             mm
                                                                                       it
                                                                                                                 in
                                                                                st
                                                                                                        t
                                                                                    te
                                                                                                              r
                                                                                                         o
                                                                   ACCF demonstrates its commitment to improving
                                                                                  ra
                                                                                          co
                                                                      CF
                                                                                                                v
                                                                                                 i
                                                                                                     nt
                                                                   AC
                                                                   ACCF demonstrates its commitment to improving
                                                                   AC
                                                                               n
                                                                                         s
                                                                                                           al
                                                                           ut
                                                                                         en
                                                                                                              y
                                                                                              nc
                                                                   health outcomes and enhancingg thee quality of
                                                                               m
                                                                                                i
                                                                   he
                                                                          o
                                                                                    an
                                                                   health outcomes and enhancing the quality of
                                                                                                               of
                                                                                           ha
                                                                                       d
                                                                                                            it
                                                                             co
                                                                                                        ac
                                                                         i
                                                                             v
                                                                          nd
                                                                                ua
                                                                                                           ro
                                                                   life for individuals affected by cancer across the
                                                                            i
                                                                      f
                                                                                                       r
                                                                    fe
                                                                       or
                                                                                                      e
                                                                              id
                              CT Scan
                              CT Scan                              li life for individuals affected by cancer across the
                                                                        n
                                                                     g
                                                                   region.
                                                                   region.
                                                                                               no
                                                                                                         n
                                                                              h
                                                                                    ef
                                                                                                    t
                                                                                                     on
                                                                                      ro
                                                                   ACCF is at the forefront of innovation and
                                                                         i
                                                                                        n
                                                                      CF
                                                                             t
                                                                           at
                                                                                  or
                                                                   ACCF is at the forefront of innovation and
                                                                         s
                                                                                          o
                                                                                             in
                                                                                                 v
                                                                   AC
                                                                                            f
          ad va nc ed  t t re at me nt  m od a  it y.  T he  a va il ab il it y
          advanced treatment modality. The availability
                                             a
                         me
                       at
                                               va
                                                       y
                             nt
          ad
                     re
                                                     il
                  ed
                                    al
             va
                                 od
                                                      it
                                          he
                                                  ab
                                                 il
                                       y.
               nc
                                         T
                               m
                                                                               n
                                                                         or
                                                                   co
                                                                   collaboration - paving the way for a brighter future
                                                                                          t
                                                                      ab
                                                                                                  f
                                                                                       ng
                                                                                                                fu
                                                                                                   or
                                                                                                                  tu
                                                                                              w
                                                                                                                    re
                                                                     ll
                                                                           at
                                                                                          he
                                                                             io
                                                                                                          gh
                                                                                     vi
                                                                   collaboration - paving the way for a brighter future
                                                                                                       b
                                                                                               ay
                                                                                  pa
                                                                                                            te
                                                                                                         ri
                                                                                 -
                                                         e
                ci
                                                  u
                            it
                        f
                                                      s
            s
                                                      s
                      d
                     ed
                                                       th
                                                 su
            s
          of specialized facilities and expertise ensures the
                                                       th
                              ie
                ci
                  al
                           il
                                                    re
                                 an
                               s
             pe
                                   d expertise en
                         ac
          of of
             pe
                         ac
                  a
                    iz
                                                                                                         a
                                                                                                    b
                                                                                                               r
                                                                                                            o
                                                                                                          ls
                                                                                              ss
                                                                                                             fo
                                                                                                     ut
                                                                                                       ,
                                                                                                am
                                                                   in cancer care not only in Assam but,  also for
                                                                                          in
                                                                   in cancer care not only in Assam but,  also for
                                                                                   ot
                                                                                      o
                                                                                             A
                                   ,
                              ca
              es
              es
            g
                                    in
                              ca
          hi
                  st
                                           g
                                 re
                                 re
                                           g
                  st
                                               e-tran
                                     cludin
                                             pr
                             f
                                                          nt
                      da
                          d
                                                        la
            gh
                 t
                 t
                         rd
                                                      s
                            o
                            o
                      da
                    an
                                                      sp
                             f
          highest standard of care, including pre-transplant
                                                                          re
                                                                                                    ou
                                                                             S
                                                                              ou
                                                                                                                  c
                                                                                                      gh
                                                                                                               is
                                                                                                          ts
                                                                                                                 ti
                                                                       en
                                                                         ti
                                                                   thee entire South Asian region. Through its holistic
                                                                   the entire South Asian region. Through its holistic
                                                                   th
                                                                                                             ol
                                                                                             o
                                                                                                T
                                                                                                            h
                                                                                                  h
                                p
                  on
                       an
          ev
                          sp
                                           s
                                         re
                                    ce
                                      du
          evaluation, transplant procedures, and post-
            al
                                  ro
          ev a  uat i on ,  tr an sp la nt t  p ro ce du re s,  a nd  pos t -
                     tr
                                                                   approach, strategic partnerships, and visionary
                                                                   approach, strategic partnerships, and visionary
                                                                    p
                                                                                 te
                                                                               ra
                                                                                   gi
                                                                               t
                             in
                la
          tr tr an sp la nt  m on it t or in g  a  d  su ppor t.
              sp
                  nt
          transplant monitoring and support.
                                an
                     m
                           or
                              g
           an
                                                                                                        nc
                                                                                                       o
                                                                         sh
                                                                                   di
                                                                    ad
                                                                           ip
                                                                              n
                                                                              i
                                                                                me
                                                                   le leadership in medical sciences and oncology -
                                                                   leadership in medical sciences and oncology -
                                                                                     c
          The Silchar Cancer Centre helps bridge the gap in
          Th
          The Silchar Cancer Centre helps bridge the gap in        ACCF is making a signi cant impact in the   ght
                                                                                      ig
                                                                           ma
                                                                                     s

                                                                   ACCF is making a signi  cant impact in the   ght
                                                                                        ni
          healthcare disparities and ensures that patients
          healthcare disparities and ensures that patients         against cancer, improving outcomes and quality
                                                                                                              u
                                                                                                             q
                                                                   againsstt ccancer, improving outcomes and quality
                                                                                          n
                                                                                            g
          receive timely diagnosis, treatment, and support
          receive timely diagnosis, treatment, and support
         Cancer can touch you, but not your soul;
         Cancer can touch you, but not your soul;
                           y
                                        y
                                                               32
                          g
         neither your thoughts, nor your heart.
                y
                                   y
         neither your thoughts, nor your heart.
                                                                32
                                                                3
                                                                32
                                                                32
                                                                32
                                                                32
                                                                32
                                                                32
                                                                3
                                                                 2
                                                                3
                                                                32
                                                                32
                                                                322
                                                                3
                                                                3
                                                               3
                                                                3
                                                               32 2
                                                                3
                                                               3232
                                                               32
                                                                3
                                                                32
                                                                32
                                                                3
                                                               3
                                                                32
                                                                3
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
                                                                 2
   27   28   29   30   31   32   33   34   35   36   37