Ashish Chandra

Balancing financial sustainability with quality care is a complex challenge faced by healthcare organizations worldwide. As costs continue to rise and payment models evolve, healthcare managers must adopt innovative financial strategies to control expenses while maintaining or improving the quality of care. By embracing value-based care, lean management principles, data analytics, collaboration, and technological advancements, healthcare organizations can achieve the delicate balance between cost efficiency and high-quality care. Effective financial management not only ensures the survival of healthcare institutions but also leads to better patient outcomes and a healthier population.

La dottoressa Niharika Sharma ha conseguito il BDS e il MDS presso il Dipartimento di Pedodonzia e Odontoiatria Preventiva del Kothiwal Dental College and Research Centre, Moradabad. Attualmente sto prestando i miei servizi nello stato di Jammu per il potenziamento e il miglioramento dell'odontoiatria pediatrica, che la necessit del momento. Poich i bambini sono il futuro del Paese, stiamo lavorando per promuovere l'educazione odontoiatrica e le procedure preventive in odontoiatria.

Dr. Niharika Sharma hat einen BDS-Abschluss und einen weiteren MDS-Abschluss in der Abteilung f r Kinderzahnheilkunde und pr ventive Zahnheilkunde des Kothiwal Dental College and Research Centre, Moradabad. Zurzeit setze ich mich im Bundesstaat Jammu f r die F rderung und Verbesserung der Kinderzahnheilkunde ein, denn das ist das Gebot der Stunde. Da Kinder die Zukunft des Landes sind, arbeiten wir daran, die zahnmedizinische Ausbildung und pr ventive Verfahren in der Zahnmedizin zu f rdern.

Le Dr Niharika Sharma a obtenu une licence et une ma trise dans le d partement de p dodontie et de dentisterie pr ventive du Kothiwal Dental College and Research Centre, Moradabad. J'offre actuellement mes services dans l' tat de Jammu pour am liorer la dentisterie p diatrique, car c'est une n cessit de l'heure. Parce que les enfants sont l'avenir du pays, nous travaillons promouvoir l' ducation dentaire et les proc dures pr ventives en dentisterie.

A Dra. Niharika Sharma concluiu o BDS e o MDS no Departamento de Pedodontia e Odontologia Preventiva do Kothiwal Dental College and Research Centre, Moradabad. Atualmente, presto os meus servi os no estado de Jammu para a eleva o e melhoria da Odontopediatria, pois a necessidade do momento. Porque as crian as s o o futuro do pa s, estamos a trabalhar para promover a educa o dent ria e os procedimentos preventivos em medicina dent ria.

Dr. Niharika Sharma has done BDS and further MDS in the Department of Pedodontics and Preventive Dentistry from Kothiwal Dental College and Research Centre, Moradabad. I'm currently giving my services in the state of Jammu for the upliftment and betterment of Pediatric Dentistry as it is the need of the hour. Because children's are the future of the country so we are working on it to promote the Dental Education and Preventive procedures in Dentistry.

Most frequent Round Cell Tumors are Non-Hodgkins Lymphoma, Neuroblastoma, Ewing/PNET and Rhabdomyosarcoma. Neuroblastoma, Retinoblastoma, Wilms Tumor, Hepatoblastoma show presentation in early childhood while Rhabdomyosarcoma is seen throughout childhood. The majority of round cells tumors have male predominance. Identification and accurate diagnosis of a tumor is an art and necessiates complete knowledge of cellular, biochemical, molecular events and pathogenesis of the tumor. Round cell tumors are characterised by round and relatively undifferentiated cell. Differential diagnosis of round cell tumors is difficult due to their undifferentiated or primitive character, those tumors that shows good differentiation are generally easy to diagnose . The ubiquitous distribution and diverse histology of different round cell tumors pose a challenge in their diagnosis. The diagnostic aids like the use of special stain, immunocytochemistry, flowcytometric, immunophenotyping, and reverse-transcriptase polymerase chain reaction are extremely useful in cases when tumors are undifferentiated and distinction is not possible on morphological basis alone.