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ਭਾਰਤ ਵਿੱਚ ਮੌਖਿਕ ਟੀਬੀ ਦੀ ਛੋਟੀ ਖੁਰਾਕ ਲਾਗਤ-ਪ੍ਰਭਾਵੀ: ICMR ਅਧਿਐਨ

ਭਾਰਤ ਵਿੱਚ ਮੌਖਿਕ ਟੀਬੀ ਦੀ ਛੋਟੀ ਖੁਰਾਕ ਲਾਗਤ-ਪ੍ਰਭਾਵੀ: ICMR ਅਧਿਐਨ

<h2 class&equals;"sub-title" style&equals;"font-family&colon; 'Merriweather'&comma; serif&semi; font-weight&colon; bold&semi;">ਇੰਡੀਅਨ ਕੌਂਸਲ ਆਫ਼ ਮੈਡੀਕਲ ਰਿਸਰਚ ਅਧਿਐਨ ਦਰਸਾਉਂਦਾ ਹੈ ਕਿ ਛੋਟੀ ਜ਼ੁਬਾਨੀ MDR&sol;RR-TB ਨਿਯਮ ਭਾਰਤ ਵਿੱਚ ਨਤੀਜਿਆਂ ਵਿੱਚ ਸੁਧਾਰ ਕਰਦਾ ਹੈ ਅਤੇ ਲਾਗਤਾਂ ਨੂੰ ਘਟਾਉਂਦਾ ਹੈ।<&sol;h2>&NewLine;<p><&sol;p>&NewLine;<div id&equals;"content-body-70623914" class&equals;"articlebodycontent col-xl-9 col-lg-12 col-md-12 col-sm-12 col-12">&NewLine;<div class&equals;"schemaDiv" id&equals;"schemaDiv" itemprop&equals;"articleBody">&NewLine;<p>ਇੰਡੀਅਨ ਕਾਉਂਸਿਲ ਆਫ਼ ਮੈਡੀਕਲ ਰਿਸਰਚ ਦੁਆਰਾ ਹਾਲ ਹੀ ਵਿੱਚ ਜਾਰੀ ਕੀਤੇ ਗਏ ਇੱਕ ਅਧਿਐਨ ਵਿੱਚ ਕਿਹਾ ਗਿਆ ਹੈ ਕਿ ਡਰੱਗ-ਰੋਧਕ ਟੀਬੀ ਲਈ ਛੋਟੀਆਂ ਜ਼ੁਬਾਨੀ ਵਿਧੀਆਂ ਭਾਰਤ ਵਿੱਚ ਲਾਗਤ-ਪ੍ਰਭਾਵਸ਼ਾਲੀ ਹਨ। ਇੰਡੀਅਨ ਜਰਨਲ ਆਫ਼ ਮੈਡੀਕਲ ਰਿਸਰਚ ਵਿੱਚ ਪ੍ਰਕਾਸ਼ਿਤ ਇੱਕ ਆਰਥਿਕ ਮੁਲਾਂਕਣ ਨੇ ਦਿਖਾਇਆ ਹੈ ਕਿ ਮਲਟੀਡਰੱਗ-ਰੋਧਕ ਅਤੇ ਰਿਫੈਮਪਿਸਿਨ-ਰੋਧਕ ਤਪਦਿਕ &lpar;MDR&sol;RR-TB&rpar; ਲਈ ਛੋਟੇ&comma; ਛੇ ਮਹੀਨਿਆਂ ਦੇ ਸਾਰੇ-ਮੌਖਿਕ ਇਲਾਜ ਪ੍ਰਣਾਲੀਆਂ ਲਾਗਤ-ਪ੍ਰਭਾਵਸ਼ਾਲੀ ਹਨ ਅਤੇ ਭਾਰਤ ਵਿੱਚ ਵਰਤਮਾਨ ਵਿੱਚ ਵਰਤੇ ਜਾਂਦੇ ਲੰਬੇ ਇਲਾਜਾਂ ਨਾਲੋਂ ਬਿਹਤਰ ਸਿਹਤ ਨਤੀਜੇ ਪ੍ਰਦਾਨ ਕਰਦੀਆਂ ਹਨ।<&sol;p>&NewLine;<p>ਇਹ ਅਧਿਐਨ ICMR-ਨੈਸ਼ਨਲ ਇੰਸਟੀਚਿਊਟ ਫਾਰ ਰਿਸਰਚ ਇਨ ਟੀ&period;ਬੀ&period; &lpar;ICMR-NIRT&rpar; ਦੁਆਰਾ ਕਰਵਾਇਆ ਗਿਆ ਸੀ ਅਤੇ ਮੌਜੂਦਾ ਬੇਡਾਕੁਲਿਨ-ਅਧਾਰਿਤ ਸ਼ਾਰਟ &lpar;9-11 ਮਹੀਨੇ&rpar; ਅਤੇ ਲੰਬੇ &lpar;18-20 ਮਹੀਨੇ&rpar; ਇਲਾਜ ਪ੍ਰਣਾਲੀਆਂ&comma; ਬੀਪੀਏਐਲ &lpar;ਬੇਡਾਕੁਲਿਨ&comma; ਪ੍ਰੀਟੋਮੈਨਿਡ ਅਤੇ ਲਾਈਨਜ਼ੋਲਿਡ&rpar; ਅਤੇ ਬੀਪੀਏਐਲਐਮ &lpar;ਮੋਕਸੀਫਲੋਕਸਸੀਨ ਦੇ ਨਾਲ ਵਰਤੇ ਗਏ ਨੈਸ਼ਨਲ ਟੀਬੀ&rpar; ਦੀ ਤੁਲਨਾ ਕੀਤੀ ਗਈ ਸੀ। ਲਾਗਤ-ਪ੍ਰਭਾਵੀਤਾ ਦਾ ਮੁਲਾਂਕਣ ਕੀਤਾ ਗਿਆ ਸੀ। ਪ੍ਰੋਗਰਾਮ &lpar;NTEP&rpar;।<&sol;p>&NewLine;<p>ਵਿਸ਼ਲੇਸ਼ਣ ਨੇ ਦਿਖਾਇਆ ਕਿ BPaL ਵਿਧੀ ਵਧੇਰੇ ਪ੍ਰਭਾਵਸ਼ਾਲੀ ਅਤੇ ਲਾਗਤ-ਬਚਤ ਦੋਵੇਂ ਹੈ। ਹਰੇਕ ਵਾਧੂ ਕੁਆਲਿਟੀ ਐਡਜਸਟਡ ਲਾਈਫ ਈਅਰ &lpar;QALY&rpar; ਲਈ&comma; ਸਿਹਤ ਪ੍ਰਣਾਲੀ ਨੇ ਮਿਆਰੀ ਨਿਯਮ ਦੇ ਮੁਕਾਬਲੇ ਪ੍ਰਤੀ ਮਰੀਜ਼ ₹379 ਘੱਟ ਖਰਚ ਕੀਤੇ&comma; ਜੋ ਘੱਟ ਲਾਗਤਾਂ &&num;8216&semi;ਤੇ ਬਿਹਤਰ ਸਿਹਤ ਨਤੀਜਿਆਂ ਨੂੰ ਦਰਸਾਉਂਦਾ ਹੈ।<&sol;p>&NewLine;<p>BPaLM ਰੈਜੀਮੈਨ ਵੀ ਬਹੁਤ ਜ਼ਿਆਦਾ ਲਾਗਤ-ਪ੍ਰਭਾਵਸ਼ਾਲੀ ਪਾਈ ਗਈ ਸੀ&comma; ਜਿਸ ਵਿੱਚ ਮਿਆਰੀ ਰੈਜੀਮੈਨ ਦੀ ਤੁਲਨਾ ਵਿੱਚ ਪ੍ਰਤੀ ਮਰੀਜ਼ ਪ੍ਰਤੀ ਵਾਧੂ QALY ਪ੍ਰਾਪਤ ਕੀਤੀ ਗਈ ਸਿਰਫ਼ ₹37 ਦੀ ਵਾਧੂ ਲਾਗਤ ਸੀ। ਦੋਵੇਂ ਖੁਰਾਕਾਂ ਘੱਟ ਜਾਂ ਤੁਲਨਾਤਮਕ ਸਮੁੱਚੀ ਸਿਹਤ ਦੇਖ-ਰੇਖ ਦੇ ਖਰਚਿਆਂ ਨਾਲ ਸੰਬੰਧਿਤ ਸਨ&comma; ਜਿਸ ਵਿੱਚ ਦਵਾਈਆਂ&comma; ਹਸਪਤਾਲ ਦੇ ਦੌਰੇ ਅਤੇ ਫਾਲੋ-ਅੱਪ ਦੇਖਭਾਲ ਸ਼ਾਮਲ ਹਨ। &&num;8220&semi;MDR&sol;RR-TB ਇਲਾਜ ਦੀ ਲੰਮੀ ਮਿਆਦ&comma; ਮਾੜੇ ਪ੍ਰਭਾਵਾਂ ਅਤੇ ਉੱਚ ਲਾਗਤਾਂ ਦੇ ਕਾਰਨ ਮਹੱਤਵਪੂਰਨ ਇਲਾਜ ਚੁਣੌਤੀਆਂ ਪੇਸ਼ ਕਰਦਾ ਹੈ। ਇੱਕ ਘਟੀ ਹੋਈ ਮੌਖਿਕ ਵਿਧੀ ਇਲਾਜ ਦੀ ਪਾਲਣਾ ਨੂੰ ਬਿਹਤਰ ਬਣਾ ਸਕਦੀ ਹੈ&comma; ਮਰੀਜ਼ ਦੀ ਬਿਮਾਰੀ ਨੂੰ ਘਟਾ ਸਕਦੀ ਹੈ ਅਤੇ ਸਿਹਤ ਪ੍ਰਣਾਲੀ &&num;8216&semi;ਤੇ ਬੋਝ ਨੂੰ ਘਟਾ ਕੇ&comma; ਆਮ ਜੀਵਨ ਵਿੱਚ ਤੇਜ਼ੀ ਨਾਲ ਵਾਪਸੀ ਵੱਲ ਲੈ ਜਾ ਸਕਦੀ ਹੈ&comma;&&num;8221&semi; ਅਧਿਐਨ ਨੇ ਕਿਹਾ।<&sol;p>&NewLine;<p>ਇਹ ਸਿੱਟਾ ਕੱਢਿਆ ਗਿਆ ਹੈ ਕਿ ਅਧਿਐਨ ਦੇ ਨਤੀਜੇ ਭਾਰਤ ਵਿੱਚ MDR&sol;RR-TB ਪ੍ਰਬੰਧਨ ਲਈ ਛੋਟੇ&comma; ਸਾਰੇ-ਮੌਖਿਕ ਨਿਯਮਾਂ ਦੀ ਵਰਤੋਂ ਦਾ ਸਮਰਥਨ ਕਰਨ ਲਈ ਮਹੱਤਵਪੂਰਨ ਆਰਥਿਕ ਸਬੂਤ ਪ੍ਰਦਾਨ ਕਰਦੇ ਹਨ। ਇਲਾਜ ਦੀ ਮਿਆਦ ਨੂੰ 9-18 ਮਹੀਨਿਆਂ ਜਾਂ ਵੱਧ ਤੋਂ ਛੇ ਮਹੀਨਿਆਂ ਤੱਕ ਘਟਾ ਕੇ&comma; ਇਹ ਨਿਯਮ ਸਰੋਤਾਂ ਦੀ ਵਰਤੋਂ ਨੂੰ ਅਨੁਕੂਲ ਬਣਾਉਣ ਅਤੇ ਟੀਬੀ ਦੇ ਖਾਤਮੇ ਵੱਲ ਤਰੱਕੀ ਨੂੰ ਤੇਜ਼ ਕਰਨ ਲਈ ਰਾਸ਼ਟਰੀ ਤਰਜੀਹਾਂ ਨਾਲ ਮੇਲ ਖਾਂਦੇ ਹਨ।<&sol;p>&NewLine;<p>ਅਧਿਐਨ ਵਿੱਚ ਇਹ ਵੀ ਕਿਹਾ ਗਿਆ ਹੈ ਕਿ ਬੀਪੀਏਐਲ-ਅਧਾਰਿਤ ਰੈਜੀਮੈਂਟਾਂ ਲਾਗਤ-ਬਚਤ ਜਾਂ ਬਹੁਤ ਜ਼ਿਆਦਾ ਲਾਗਤ-ਪ੍ਰਭਾਵਸ਼ਾਲੀ ਹੋਣ ਦੀ ਸੰਭਾਵਨਾ ਹੈ ਅਤੇ ਡਰੱਗ-ਰੋਧਕ ਟੀਬੀ ਪ੍ਰਤੀ ਭਾਰਤ ਦੇ ਜਵਾਬ ਨੂੰ ਮਜ਼ਬੂਤ &ZeroWidthSpace;&ZeroWidthSpace;ਕਰਨ ਲਈ NTEP ਦੇ ਤਹਿਤ ਪ੍ਰੋਗਰਾਮੇਟਿਕ ਅਪਣਾਉਣ ਲਈ ਵਿਚਾਰ ਕੀਤਾ ਜਾ ਸਕਦਾ ਹੈ।<&sol;p>&NewLine;<&sol;div>&NewLine;<div class&equals;"articleblock-container" id&equals;"arthardpv"><&sol;div>&NewLine;<div class&equals;"update-publish-time article-published-time-end"><&sol;div>&NewLine;<div class&equals;"comments-shares share-page flex print-hide" data-artid&equals;"70623914" data-title&equals;"Shorter all-oral TB regimens cost-effective in India&colon; ICMR study" data-url&equals;"https&colon;&sol;&sol;www&period;thehindu&period;com&sol;news&sol;national&sol;shorter-all-oral-tb-regimens-cost-effective-in-india-icmr-study&sol;article70623914&period;ece">&NewLine;<div class&equals;"left">&NewLine;<div class&equals;"share">&NewLine;<ul class&equals;"share-list bottom" style&equals;"display&colon; none&semi;">&NewLine;<li class&equals;"copy-link" onclick&equals;"if &lpar;&excl;window&period;&lowbar;&lowbar;cfRLUnblockHandlers&rpar; return false&semi; copytext&lpar;'https&colon;&sol;&sol;www&period;thehindu&period;com&sol;news&sol;national&sol;shorter-all-oral-tb-regimens-cost-effective-in-india-icmr-study&sol;article70623914&period;ece'&rpar;&semi;" data-cf-modified-7eba3688f5b42b019369f9e5-&equals;"">&NewLine;<p> ਲਿੰਕ ਕਾਪੀ ਕਰੋ <&sol;p>&NewLine;<&sol;li>&NewLine;<li class&equals;"email">&NewLine;<p> ਈਮੇਲ <&sol;p>&NewLine;<&sol;li>&NewLine;<li class&equals;"facebook" onclick&equals;"if &lpar;&excl;window&period;&lowbar;&lowbar;cfRLUnblockHandlers&rpar; return false&semi; openShareLink&lpar;'https&colon;&sol;&sol;www&period;facebook&period;com&sol;sharer&sol;sharer&period;php&quest;u&equals;https&percnt;3A&percnt;2F&percnt;2Fwww&period;thehindu&period;com&percnt;2Fnews&percnt;2Fnational&percnt;2Fshorter-all-oral-tb-regimens-cost-effective-in-india-icmr-study&percnt;2Farticle70623914&period;ece&amp&semi;t&equals;Shorter&percnt;20all-oral&percnt;20TB&percnt;20regimens&percnt;20cost-effective&percnt;20in&percnt;20India&percnt;3A&percnt;20ICMR&percnt;20study'&rpar;" data-cf-modified-7eba3688f5b42b019369f9e5-&equals;"">&NewLine;<p> ਫੇਸਬੁੱਕ <&sol;p>&NewLine;<&sol;li>&NewLine;<li class&equals;"twitter" onclick&equals;"if &lpar;&excl;window&period;&lowbar;&lowbar;cfRLUnblockHandlers&rpar; return false&semi; openShareLink&lpar;'https&colon;&sol;&sol;twitter&period;com&sol;intent&sol;tweet&quest;url&equals;https&percnt;3A&percnt;2F&percnt;2Fwww&period;thehindu&period;com&percnt;2Fnews&percnt;2Fnational&percnt;2Fshorter-all-oral-tb-regimens-cost-effective-in-india-icmr-study&percnt;2Farticle70623914&period;ece&amp&semi;text&equals;Shorter&percnt;20all-oral&percnt;20TB&percnt;20regimens&percnt;20cost-effective&percnt;20in&percnt;20India&percnt;3A&percnt;20ICMR&percnt;20study'&rpar;" data-cf-modified-7eba3688f5b42b019369f9e5-&equals;"">&NewLine;<p> ਟਵਿੱਟਰ <&sol;p>&NewLine;<&sol;li>&NewLine;<li class&equals;"telegram" onclick&equals;"if &lpar;&excl;window&period;&lowbar;&lowbar;cfRLUnblockHandlers&rpar; return false&semi; openShareLink&lpar;'https&colon;&sol;&sol;t&period;me&sol;share&sol;url&quest;url&equals;https&percnt;3A&percnt;2F&percnt;2Fwww&period;thehindu&period;com&percnt;2Fnews&percnt;2Fnational&percnt;2Fshorter-all-oral-tb-regimens-cost-effective-in-india-icmr-study&percnt;2Farticle70623914&period;ece&amp&semi;text&equals;Shorter&percnt;20all-oral&percnt;20TB&percnt;20regimens&percnt;20cost-effective&percnt;20in&percnt;20India&percnt;3A&percnt;20ICMR&percnt;20study'&rpar;" data-cf-modified-7eba3688f5b42b019369f9e5-&equals;"">&NewLine;<p> ਟੈਲੀਗ੍ਰਾਮ <&sol;p>&NewLine;<&sol;li>&NewLine;<li class&equals;"in" onclick&equals;"if &lpar;&excl;window&period;&lowbar;&lowbar;cfRLUnblockHandlers&rpar; return false&semi; openShareLink&lpar;'https&colon;&sol;&sol;www&period;linkedin&period;com&sol;shareArticle&quest;url&equals;https&percnt;3A&percnt;2F&percnt;2Fwww&period;thehindu&period;com&percnt;2Fnews&percnt;2Fnational&percnt;2Fshorter-all-oral-tb-regimens-cost-effective-in-india-icmr-study&percnt;2Farticle70623914&period;ece&amp&semi;title&equals;Shorter&percnt;20all-oral&percnt;20TB&percnt;20regimens&percnt;20cost-effective&percnt;20in&percnt;20India&percnt;3A&percnt;20ICMR&percnt;20study'&rpar;" data-cf-modified-7eba3688f5b42b019369f9e5-&equals;"">&NewLine;<p> ਲਿੰਕਡਇਨ <&sol;p>&NewLine;<&sol;li>&NewLine;<li class&equals;"whatsapp" onclick&equals;"if &lpar;&excl;window&period;&lowbar;&lowbar;cfRLUnblockHandlers&rpar; return false&semi; openShareLink&lpar;'https&colon;&sol;&sol;api&period;whatsapp&period;com&sol;&sol;send&quest;text&equals;Shorter&percnt;20all-oral&percnt;20TB&percnt;20regimens&percnt;20cost-effective&percnt;20in&percnt;20India&percnt;3A&percnt;20ICMR&percnt;20study&percnt;20-&percnt;20https&percnt;3A&percnt;2F&percnt;2Fwww&period;thehindu&period;com&percnt;2Fnews&percnt;2Fnational&percnt;2Fshorter-all-oral-tb-regimens-cost-effective-in-india-icmr-study&percnt;2Farticle70623914&period;ece'&rpar;" data-cf-modified-7eba3688f5b42b019369f9e5-&equals;"">&NewLine;<p> ਵਟਸਐਪ<&sol;p>&NewLine;<&sol;li>&NewLine;<li class&equals;"reddit" onclick&equals;"if &lpar;&excl;window&period;&lowbar;&lowbar;cfRLUnblockHandlers&rpar; return false&semi; openShareLink&lpar;'https&colon;&sol;&sol;reddit&period;com&sol;submit&quest;url&equals;https&percnt;3A&percnt;2F&percnt;2Fwww&period;thehindu&period;com&percnt;2Fnews&percnt;2Fnational&percnt;2Fshorter-all-oral-tb-regimens-cost-effective-in-india-icmr-study&percnt;2Farticle70623914&period;ece&amp&semi;title&equals;Shorter&percnt;20all-oral&percnt;20TB&percnt;20regimens&percnt;20cost-effective&percnt;20in&percnt;20India&percnt;3A&percnt;20ICMR&percnt;20study'&rpar;" data-cf-modified-7eba3688f5b42b019369f9e5-&equals;"">&NewLine;<p> reddit <&sol;p>&NewLine;<&sol;li>&NewLine;<&sol;ul>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<div class&equals;"right">&NewLine;<div class&equals;"read-later"><button class&equals;"btn read-later-btn" data-articleid&equals;"70623914" style&equals;"display&colon;none" data-ga-labelclick&equals;"ReadLater"><span>ਬਾਅਦ ਵਿੱਚ ਪੜ੍ਹੋ<&sol;span><&sol;button><&sol;p>&NewLine;<div class&equals;"delete-tool-tip" style&equals;"display&colon; none&semi;">&NewLine;<p> ਸਾਰੇ ਦੇਖੋ<br &sol;>&NewLine; <span class&equals;"delete bookmarkdelete"><br &sol;>&NewLine; ਹਟਾਉਣਾ<br &sol;>&NewLine; <&sol;span><&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<&sol;div>&NewLine;<div class&equals;"spliter pt-0 mb-0 print-hide"><&sol;div>&NewLine;<div class&equals;"article-ad two-side text-ad print-hide">&NewLine;<div class&equals;"ad-text" id&equals;"artproduct2" style&equals;"display&colon; none&semi;"><&sol;div>&NewLine;<&sol;div>&NewLine;<p><script data-cfasync&equals;"false">var totalPcount &equals; document&period;querySelectorAll&lpar;"&period;articlebodycontent>&period;schemaDiv>p"&rpar;&NewLine;if&lpar;totalPcount&period;length > 1&rpar;&NewLine; insertElementEnd&lpar;totalPcount&lbrack;1&rsqb;&comma;createElementScript&lpar;"div"&comma;""&comma;"artmeterpv"&rpar;&rpar;&NewLine;else&NewLine; insertElementbegin&lpar;document&period;querySelector&lpar;"&period;articlebodycontent &period;schemaDiv"&rpar;&comma;createElementScript&lpar;"div"&comma;""&comma;"artmeterpv"&rpar;&rpar;&NewLine;<&sol;script><&sol;p>&NewLine;<div class&equals;"d-none d-lg-block d-xl-block"><script data-cfasync&equals;"false">&NewLine; totalPcount &equals; totalPcount &vert;&vert; &lbrack;&rsqb;&semi;if &lpar;isDeviceEnabled&lpar;"large"&rpar;&rpar; var container &equals; document&period;createElement&lpar;"div"&rpar;&semi;&NewLine; container&period;className &equals; "article-ad"&semi;container&period;appendChild&lpar;createElementScript&lpar;"div"&comma; "dfp-ad articleinlinead"&comma; "Desktop&lowbar;AT&lowbar;Mid01"&comma; minHeight&colon; '90px'&rpar;&rpar;&semi;&NewLine; insertElementEnd&lpar;totalPcount&lbrack;1 - 1&rsqb;&comma; container&rpar;&NewLine; <&sol;script><&excl;-- Begin DFP &colon; &sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid01&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false"> userIdentify&period;then&lpar;function&lpar;&rpar; if&lpar;isDeviceEnabled&lpar;"large"&rpar; && isNonSubcribedUser&lpar;&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; googletag&period;display&lpar;'Desktop&lowbar;AT&lowbar;Mid01'&rpar;&semi;&rpar;&semi;&NewLine; &rpar;&semi;<&sol;script><&excl;-- End DFP &colon; &sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid01&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">&NewLine; totalPcount &equals; totalPcount &vert;&vert; &lbrack;&rsqb;&semi;if &lpar;isDeviceEnabled&lpar;"large"&rpar;&rpar; var container &equals; document&period;createElement&lpar;"div"&rpar;&semi;&NewLine; container&period;className &equals; "article-ad"&semi;container&period;appendChild&lpar;createElementScript&lpar;"div"&comma; "dfp-ad articleinlinead"&comma; "Desktop&lowbar;Inarticle&lowbar;1x1"&comma; minHeight&colon; '250px'&rpar;&rpar;&semi;&NewLine; insertElementEnd&lpar;totalPcount&lbrack;3 - 1&rsqb;&comma; container&rpar;&NewLine; <&sol;script><&excl;-- Begin DFP &colon; &sol;22390678&sol;Hindu&lowbar;Desktop&lowbar;Inarticle&lowbar;1x1&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false"> userIdentify&period;then&lpar;function&lpar;&rpar; if&lpar;isDeviceEnabled&lpar;"large"&rpar; && isNonSubcribedUser&lpar;&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; googletag&period;display&lpar;'Desktop&lowbar;Inarticle&lowbar;1x1'&rpar;&semi;&rpar;&semi;&NewLine; &rpar;&semi;<&sol;script><&excl;-- End DFP &colon; &sol;22390678&sol;Hindu&lowbar;Desktop&lowbar;Inarticle&lowbar;1x1&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">&NewLine; totalPcount &equals; totalPcount &vert;&vert; &lbrack;&rsqb;&semi;if &lpar;totalPcount&period;length > 0 && isDeviceEnabled&lpar;"large"&rpar; && Number&period;isInteger&lpar;6&rpar; && totalPcount&period;length >&equals; &lpar;5 &plus; 3&rpar;&rpar; var container &equals; document&period;createElement&lpar;"div"&rpar;&semi;&NewLine; container&period;className &equals; "article-ad"&semi;container&period;appendChild&lpar;createElementScript&lpar;"div"&comma; "dfp-ad articleinlinead"&comma; "Desktop&lowbar;AT&lowbar;Mid02"&comma; minHeight&colon; '90px'&rpar;&rpar;&semi;&NewLine; insertElementEnd&lpar;totalPcount&lbrack;6 - 1&rsqb;&comma; container&rpar;&NewLine; <&sol;script><&excl;-- Begin DFP &colon; &sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid02&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">if &lpar;totalPcount&period;length > 0 && Number&period;isInteger&lpar;6&rpar; && totalPcount&period;length >&equals; &lpar;5 &plus; 3&rpar;&rpar; if &lpar;isDeviceEnabled&lpar;"large"&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;defineSlot&lpar;'&sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid02'&comma; &lbrack;728&comma; 90&rsqb;&comma; 'Desktop&lowbar;AT&lowbar;Mid02'&rpar;&period;addService&lpar;googletag&period;pubads&lpar;&rpar;&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; userIdentify&period;then&lpar;function&lpar;&rpar; if &lpar;isDeviceEnabled&lpar;"large"&rpar; && isNonSubcribedUser&lpar;&rpar; && totalPcount&period;length > 0 && Number&period;isInteger&lpar;6&rpar; && totalPcount&period;length >&equals; &lpar;5 &plus; 3&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; googletag&period;display&lpar;'Desktop&lowbar;AT&lowbar;Mid02'&rpar;&semi;&rpar;&semi;&NewLine; &rpar;&semi;<&sol;script><&excl;-- End DFP &colon; &sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid02&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">&NewLine; totalPcount &equals; totalPcount &vert;&vert; &lbrack;&rsqb;&semi;if &lpar;totalPcount&period;length > 0 && isDeviceEnabled&lpar;"large"&rpar; && Number&period;isInteger&lpar;9&rpar; && totalPcount&period;length >&equals; &lpar;8 &plus; 3&rpar;&rpar; var container &equals; document&period;createElement&lpar;"div"&rpar;&semi;&NewLine; container&period;className &equals; "article-ad"&semi;container&period;appendChild&lpar;createElementScript&lpar;"div"&comma; "dfp-ad articleinlinead"&comma; "Desktop&lowbar;AT&lowbar;Mid03"&comma; minHeight&colon; '90px'&rpar;&rpar;&semi;&NewLine; insertElementEnd&lpar;totalPcount&lbrack;9 - 1&rsqb;&comma; container&rpar;&NewLine; <&sol;script><&excl;-- Begin DFP &colon; &sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid03&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">if &lpar;totalPcount&period;length > 0 && Number&period;isInteger&lpar;9&rpar; && totalPcount&period;length >&equals; &lpar;8 &plus; 3&rpar;&rpar; if &lpar;isDeviceEnabled&lpar;"large"&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;defineSlot&lpar;'&sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid03'&comma; &lbrack;728&comma; 90&rsqb;&comma; 'Desktop&lowbar;AT&lowbar;Mid03'&rpar;&period;addService&lpar;googletag&period;pubads&lpar;&rpar;&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; userIdentify&period;then&lpar;function&lpar;&rpar; if &lpar;isDeviceEnabled&lpar;"large"&rpar; && isNonSubcribedUser&lpar;&rpar; && totalPcount&period;length > 0 && Number&period;isInteger&lpar;9&rpar; && totalPcount&period;length >&equals; &lpar;8 &plus; 3&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; googletag&period;display&lpar;'Desktop&lowbar;AT&lowbar;Mid03'&rpar;&semi;&rpar;&semi;&NewLine; &rpar;&semi;<&sol;script><&excl;-- End DFP &colon; &sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid03&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">&NewLine; totalPcount &equals; totalPcount &vert;&vert; &lbrack;&rsqb;&semi;if &lpar;totalPcount&period;length > 0 && isDeviceEnabled&lpar;"large"&rpar; && Number&period;isInteger&lpar;12&rpar; && totalPcount&period;length >&equals; &lpar;11 &plus; 3&rpar;&rpar; var container &equals; document&period;createElement&lpar;"div"&rpar;&semi;&NewLine; container&period;className &equals; "article-ad"&semi;container&period;appendChild&lpar;createElementScript&lpar;"div"&comma; "dfp-ad articleinlinead"&comma; "Desktop&lowbar;AT&lowbar;Mid04"&comma; minHeight&colon; '90px'&rpar;&rpar;&semi;&NewLine; insertElementEnd&lpar;totalPcount&lbrack;12 - 1&rsqb;&comma; container&rpar;&NewLine; <&sol;script><&excl;-- Begin DFP &colon; &sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid04&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">if &lpar;totalPcount&period;length > 0 && Number&period;isInteger&lpar;12&rpar; && totalPcount&period;length >&equals; &lpar;11 &plus; 3&rpar;&rpar; if &lpar;isDeviceEnabled&lpar;"large"&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;defineSlot&lpar;'&sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid04'&comma; &lbrack;728&comma; 90&rsqb;&comma; 'Desktop&lowbar;AT&lowbar;Mid04'&rpar;&period;addService&lpar;googletag&period;pubads&lpar;&rpar;&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; userIdentify&period;then&lpar;function&lpar;&rpar; if &lpar;isDeviceEnabled&lpar;"large"&rpar; && isNonSubcribedUser&lpar;&rpar; && totalPcount&period;length > 0 && Number&period;isInteger&lpar;12&rpar; && totalPcount&period;length >&equals; &lpar;11 &plus; 3&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; googletag&period;display&lpar;'Desktop&lowbar;AT&lowbar;Mid04'&rpar;&semi;&rpar;&semi;&NewLine; &rpar;&semi;<&sol;script><&excl;-- End DFP &colon; &sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid04&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">&NewLine; totalPcount &equals; totalPcount &vert;&vert; &lbrack;&rsqb;&semi;if &lpar;totalPcount&period;length > 0 && isDeviceEnabled&lpar;"large"&rpar; && Number&period;isInteger&lpar;15&rpar; && totalPcount&period;length >&equals; &lpar;14 &plus; 3&rpar;&rpar; var container &equals; document&period;createElement&lpar;"div"&rpar;&semi;&NewLine; container&period;className &equals; "article-ad"&semi;container&period;appendChild&lpar;createElementScript&lpar;"div"&comma; "dfp-ad articleinlinead"&comma; "Desktop&lowbar;AT&lowbar;Mid05"&comma; minHeight&colon; '90px'&rpar;&rpar;&semi;&NewLine; insertElementEnd&lpar;totalPcount&lbrack;15 - 1&rsqb;&comma; container&rpar;&NewLine; <&sol;script><&excl;-- Begin DFP &colon; &sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid05&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">if &lpar;totalPcount&period;length > 0 && Number&period;isInteger&lpar;15&rpar; && totalPcount&period;length >&equals; &lpar;14 &plus; 3&rpar;&rpar; if &lpar;isDeviceEnabled&lpar;"large"&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;defineSlot&lpar;'&sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid05'&comma; &lbrack;728&comma; 90&rsqb;&comma; 'Desktop&lowbar;AT&lowbar;Mid05'&rpar;&period;addService&lpar;googletag&period;pubads&lpar;&rpar;&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; userIdentify&period;then&lpar;function&lpar;&rpar; if &lpar;isDeviceEnabled&lpar;"large"&rpar; && isNonSubcribedUser&lpar;&rpar; && totalPcount&period;length > 0 && Number&period;isInteger&lpar;15&rpar; && totalPcount&period;length >&equals; &lpar;14 &plus; 3&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; googletag&period;display&lpar;'Desktop&lowbar;AT&lowbar;Mid05'&rpar;&semi;&rpar;&semi;&NewLine; &rpar;&semi;<&sol;script><&excl;-- End DFP &colon; &sol;22390678&sol;TH&lowbar;Desktop&lowbar;AT&lowbar;Mid05&comma; publisher&colon; The Hindu --><&sol;div>&NewLine;<div class&equals;"d-block d-sm-none "><script data-cfasync&equals;"false">&NewLine; totalPcount &equals; totalPcount &vert;&vert; &lbrack;&rsqb;&semi;if &lpar;isDeviceEnabled&lpar;"small"&rpar;&rpar; var container &equals; document&period;createElement&lpar;"div"&rpar;&semi;&NewLine; container&period;className &equals; "article-ad"&semi;container&period;appendChild&lpar;createElementScript&lpar;"div"&comma; "dfp-ad articleinlinead"&comma; "MWeb&lowbar;AT&lowbar;Middle01"&comma; minHeight&colon; '330px'&rpar;&rpar;&semi;&NewLine; insertElementEnd&lpar;totalPcount&lbrack;1 - 1&rsqb;&comma; container&rpar;&NewLine; <&sol;script><&excl;-- Begin DFP &colon; &sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle01&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false"> userIdentify&period;then&lpar;function&lpar;&rpar; if&lpar;isDeviceEnabled&lpar;"small"&rpar; && isNonSubcribedUser&lpar;&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; googletag&period;display&lpar;'MWeb&lowbar;AT&lowbar;Middle01'&rpar;&semi;&rpar;&semi;&NewLine; &rpar;&semi;<&sol;script><&excl;-- End DFP &colon; &sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle01&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">&NewLine; totalPcount &equals; totalPcount &vert;&vert; &lbrack;&rsqb;&semi;if &lpar;isDeviceEnabled&lpar;"small"&rpar;&rpar; var container &equals; document&period;createElement&lpar;"div"&rpar;&semi;&NewLine; container&period;className &equals; "article-ad"&semi;container&period;appendChild&lpar;createElementScript&lpar;"div"&comma; "dfp-ad "&comma; "Mweb&lowbar;AT&lowbar;Bottom01"&comma; minHeight&colon; '330px'&rpar;&rpar;&semi;&NewLine; insertElementEnd&lpar;totalPcount&lbrack;3 - 1&rsqb;&comma; container&rpar;&NewLine; <&sol;script><&excl;-- Begin DFP &colon; &sol;22390678&sol;TH&lowbar;Mweb&lowbar;AT&lowbar;Bottom01&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false"> userIdentify&period;then&lpar;function&lpar;&rpar; if&lpar;isDeviceEnabled&lpar;"small"&rpar; && isNonSubcribedUser&lpar;&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; googletag&period;display&lpar;'Mweb&lowbar;AT&lowbar;Bottom01'&rpar;&semi;&rpar;&semi;&NewLine; &rpar;&semi;<&sol;script><&excl;-- End DFP &colon; &sol;22390678&sol;TH&lowbar;Mweb&lowbar;AT&lowbar;Bottom01&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">&NewLine; totalPcount &equals; totalPcount &vert;&vert; &lbrack;&rsqb;&semi;if &lpar;totalPcount&period;length > 0 && isDeviceEnabled&lpar;"small"&rpar; && Number&period;isInteger&lpar;6&rpar; && totalPcount&period;length >&equals; &lpar;5 &plus; 3&rpar;&rpar; var container &equals; document&period;createElement&lpar;"div"&rpar;&semi;&NewLine; container&period;className &equals; "article-ad"&semi;container&period;appendChild&lpar;createElementScript&lpar;"div"&comma; "dfp-ad articleinlinead"&comma; "MWeb&lowbar;AT&lowbar;Middle02"&comma; minHeight&colon; '330px'&rpar;&rpar;&semi;&NewLine; insertElementEnd&lpar;totalPcount&lbrack;6 - 1&rsqb;&comma; container&rpar;&NewLine; <&sol;script><&excl;-- Begin DFP &colon; &sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle02&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">if &lpar;totalPcount&period;length > 0 && Number&period;isInteger&lpar;6&rpar; && totalPcount&period;length >&equals; &lpar;5 &plus; 3&rpar;&rpar; if &lpar;isDeviceEnabled&lpar;"small"&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;defineSlot&lpar;'&sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle02'&comma; &lbrack;&lbrack;300&comma;250&rsqb;&comma;&lbrack;336&comma;280&rsqb;&comma;&lbrack;200&comma;200&rsqb;&comma;&lbrack;250&comma;250&rsqb;&comma;&lbrack;300&comma;300&rsqb;&rsqb;&comma; 'MWeb&lowbar;AT&lowbar;Middle02'&rpar;&period;addService&lpar;googletag&period;pubads&lpar;&rpar;&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; userIdentify&period;then&lpar;function&lpar;&rpar; if &lpar;isDeviceEnabled&lpar;"small"&rpar; && isNonSubcribedUser&lpar;&rpar; && totalPcount&period;length > 0 && Number&period;isInteger&lpar;6&rpar; && totalPcount&period;length >&equals; &lpar;5 &plus; 3&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; googletag&period;display&lpar;'MWeb&lowbar;AT&lowbar;Middle02'&rpar;&semi;&rpar;&semi;&NewLine; &rpar;&semi;<&sol;script><&excl;-- End DFP &colon; &sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle02&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">&NewLine; totalPcount &equals; totalPcount &vert;&vert; &lbrack;&rsqb;&semi;if &lpar;totalPcount&period;length > 0 && isDeviceEnabled&lpar;"small"&rpar; && Number&period;isInteger&lpar;9&rpar; && totalPcount&period;length >&equals; &lpar;8 &plus; 3&rpar;&rpar; var container &equals; document&period;createElement&lpar;"div"&rpar;&semi;&NewLine; container&period;className &equals; "article-ad"&semi;container&period;appendChild&lpar;createElementScript&lpar;"div"&comma; "dfp-ad articleinlinead"&comma; "MWeb&lowbar;AT&lowbar;Middle03"&comma; minHeight&colon; '330px'&rpar;&rpar;&semi;&NewLine; insertElementEnd&lpar;totalPcount&lbrack;9 - 1&rsqb;&comma; container&rpar;&NewLine; <&sol;script><&excl;-- Begin DFP &colon; &sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle03&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">if &lpar;totalPcount&period;length > 0 && Number&period;isInteger&lpar;9&rpar; && totalPcount&period;length >&equals; &lpar;8 &plus; 3&rpar;&rpar; if &lpar;isDeviceEnabled&lpar;"small"&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;defineSlot&lpar;'&sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle03'&comma; &lbrack;&lbrack;300&comma;250&rsqb;&comma;&lbrack;336&comma;280&rsqb;&comma;&lbrack;200&comma;200&rsqb;&comma;&lbrack;250&comma;250&rsqb;&comma;&lbrack;300&comma;300&rsqb;&rsqb;&comma; 'MWeb&lowbar;AT&lowbar;Middle03'&rpar;&period;addService&lpar;googletag&period;pubads&lpar;&rpar;&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; userIdentify&period;then&lpar;function&lpar;&rpar; if &lpar;isDeviceEnabled&lpar;"small"&rpar; && isNonSubcribedUser&lpar;&rpar; && totalPcount&period;length > 0 && Number&period;isInteger&lpar;9&rpar; && totalPcount&period;length >&equals; &lpar;8 &plus; 3&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; googletag&period;display&lpar;'MWeb&lowbar;AT&lowbar;Middle03'&rpar;&semi;&rpar;&semi;&NewLine; &rpar;&semi;<&sol;script><&excl;-- End DFP &colon; &sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle03&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">&NewLine; totalPcount &equals; totalPcount &vert;&vert; &lbrack;&rsqb;&semi;if &lpar;totalPcount&period;length > 0 && isDeviceEnabled&lpar;"small"&rpar; && Number&period;isInteger&lpar;12&rpar; && totalPcount&period;length >&equals; &lpar;11 &plus; 3&rpar;&rpar; var container &equals; document&period;createElement&lpar;"div"&rpar;&semi;&NewLine; container&period;className &equals; "article-ad"&semi;container&period;appendChild&lpar;createElementScript&lpar;"div"&comma; "dfp-ad articleinlinead"&comma; "MWeb&lowbar;AT&lowbar;Middle04"&comma; minHeight&colon; '330px'&rpar;&rpar;&semi;&NewLine; insertElementEnd&lpar;totalPcount&lbrack;12 - 1&rsqb;&comma; container&rpar;&NewLine; <&sol;script><&excl;-- Begin DFP &colon; &sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle04&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">if &lpar;totalPcount&period;length > 0 && Number&period;isInteger&lpar;12&rpar; && totalPcount&period;length >&equals; &lpar;11 &plus; 3&rpar;&rpar; if &lpar;isDeviceEnabled&lpar;"small"&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; &NewLine; googletag&period;defineSlot&lpar;'&sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle04'&comma; &lbrack;&lbrack;300&comma;250&rsqb;&comma;&lbrack;336&comma;280&rsqb;&comma;&lbrack;200&comma;200&rsqb;&comma;&lbrack;250&comma;250&rsqb;&comma;&lbrack;300&comma;300&rsqb;&rsqb;&comma; 'MWeb&lowbar;AT&lowbar;Middle04'&rpar;&period;addService&lpar;googletag&period;pubads&lpar;&rpar;&rpar;&semi;&NewLine; &rpar;&semi;&NewLine; userIdentify&period;then&lpar;function&lpar;&rpar; if &lpar;isDeviceEnabled&lpar;"small"&rpar; && isNonSubcribedUser&lpar;&rpar; && totalPcount&period;length > 0 && Number&period;isInteger&lpar;12&rpar; && totalPcount&period;length >&equals; &lpar;11 &plus; 3&rpar;&rpar; googletag&period;cmd&period;push&lpar;function&lpar;&rpar; googletag&period;display&lpar;'MWeb&lowbar;AT&lowbar;Middle04'&rpar;&semi;&rpar;&semi;&NewLine; &rpar;&semi;<&sol;script><&excl;-- End DFP &colon; &sol;22390678&sol;TH&lowbar;MWeb&lowbar;AT&lowbar;Middle04&comma; publisher&colon; The Hindu --><script data-cfasync&equals;"false">&NewLine; totalPcount &equals; totalPcount &vert;&vert; &lbrack;&rsqb;&semi;if &lpar;totalPcount&period;length > 0 && isDeviceEnabled&lpar;"small"&rpar; && Number&period;isInteger&lpar;15&rpar; && totalPcount&period;length >&equals; &lpar;14 &plus; 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