 So Dr. Sijja, we have gone through the tab, if anything you want to tell, which is not in the tab, then you can, other than that if you want to tell anything about yourself. Sir as you have already said, I am Srijas sir, I am not just doctor but also a singer and recently I have started working in an NGO for providing telemedicine support during the time of COVID-19 and I have also started embracing physical activities, started running, going for cardio exercises as well as weight training. Okay, okay Dr. Sijja, you are singer in which language? Sir, I sing sir, I can make my call in English. Okay, so our body temperature, how much? Sir, it is 98.4 degree Fahrenheit. So if we don't know that how much it should be in the rainy Celsius, then it is the formula we will use to convert this into the rainy Celsius. Sir, it will be using 5 by 18s. What is that? Sir, as far as I remember it is converting degree centigrade to Fahrenheit, I think it's okay. I can give you, give a little bit hint if you are not, C by 5 equal to? 18 by. No, C by 5 equal to F minus 32 by 9. So then you can convert. Yes. In the rainy temperature which is equal both in degree Celsius and Fahrenheit, in that all it could be that what is that? The question is here, can there be any temperature or is there in temperature which is equal both in degree Celsius and in degree Fahrenheit? If at all it is, then what is this? We can calculate with this only, if at all it is there, we can calculate with this formula only. So, what is that? Which is equal both in degree Celsius as well as in degree Fahrenheit? It is 8, sir. Anyway it is minus 42, equal in both in degree Celsius as well. Ainsa, silk, Ainsa, do you understand the word Ainsa? Ainsa. Mahatma Gandhi and Ainsa, man. So, Ainsa, silk, have you ever heard about this? Generating silk, the cocoons are made to boil life, but the same silk when they start extracting by not killing the cocoons or when the moth generally converts into, when the larva converts into moth in the process waiting for the cocoon to be released. Very good. So, first we allow the larva to get out from the cocoon and then we call that, that is why Ainsa silk, very good. What do you mean by virtual autopsy? Virtual autopsy. Yes, sir. Sir, that is using the radiological techniques, sir, which are available for us. Instead of directly going for autopsy of a patient, we use different technologies, medical technologies like radiology, CT scan, MRI and all to identify the changes which have happened within the internal organs of the person to identify the cause of death. So, what are the advantages of this virtual autopsy? Whatever you have said, that is right. What are the advantages of this? So, first thing expertise, we can limit the expert personnel to reach to the point of location in times of pandemic and if at all a patient is someone who has been infected with some deadly disease like COVID-19 itself, using virtual autopsy would be better, sir. Also, virtual autopsy gives us a chance that even the patient is in rural area or area where it is, where just there are techniques, but no experts. The same thing can be, by using the technology, the expert opinion can be accessed. Can you name any country or some country where this has been done? Sir, I am exactly unaware of which country it is doing. But I think any country which has such kind of medical technology. Do we have this? Sir, we are capable of doing that, sir, provided the medical facilities in any institution or reverse. We have started this in age and I think this was started in the month of March and September. Yes, sir. Thank you, sir. Yes, sir. So, what is the difference between down syndrome and clinical syndrome? Yes, sir. Sir, down syndrome is trisomy. Trisomy of chromosome number. 21, sir. Okay. And clinical filter, clinical filter male is one who has an extra X chromosome, XXY, 46 comma XXY would be the genetic formula of chromosome. So, this makes him more feminized in spite of having the Y chromosome. Well, down syndrome is one where the child tends to have debonics, tends to have certain autoimmune disorders and generally they tend to be mentally retarded but quite efficient in creative activities. Okay. Human genome sequencing. What is the, when was it started? When? Work on human genome sequencing was started. Approximate idea, not exactly. Sir, I think it is 1990. Yeah, 20 years. Yeah, before 20 years. So, now, is it complete now? Yes, sir. They have completed it and they have taken the other step also, probably converting it into a barcode instead of just having the sequences. They have wanted to convert it as a barcode. The same institution have taken up the second step for the same. Okay. India is going for genome sequencing of COVID-19 coronavirus. It's mutants, different variants. Genome sequencing of that and it is going to collaborate with some, see, other countries, can you name, which are those countries with which we are going to collaborate in this direction. Anyway, yeah, you are done. So, there are some people who say about COVID diplomacy, that COVID diplomacy turned out to be vaccine diplomacy. Vaccine diplomacy turned out to be vaccine diplomacy, B-E-X-I-N-G. You know vaccine? Yes, sir. Vaccine means? Something which is not useful. Yeah, when not useful, annoying, like that. So, some people say that our vaccine diplomacy turned out to be vaccine diplomacy. What is your take on it? So, I think the time when vaccine diplomacy has started, we were not having this wave. And secondly, sir, it is important for us to identify that it is a pandemic. India cannot isolate itself from the world nations in a globalized world. And thirdly, the vaccine technology itself requires raw materials, technology, and patents, which is dispersed among the different nations also. So, being a partner among the world by India has taken an initiative, sir, in order to make its moral values be depicted in the kind of initiatives it takes in the time of pandemic. So, I do think it's a good step instead of a vaccine. Okay, it's still COVID second wave. It's not over. And there's possibility that we can have hardware also to my first question. Being a doctor, what do you think? Is there any possibility of hardware? And if at all it's there, then whether it would be of same intensity, a second wave of more than there or less than there, and whether we are prepared to face that, if at all it happens. Sir, all these things based on my scientific, limited scientific knowledge I can just say is a relative thing, sir. For sure, when as far as a virus is present, there are chances of variants to emerge. And the vaccine technology present now and the health sector infrastructure be whichever is present now is a relative thing to face the variant which is going to emerge. So, I could say the third wave is a possibility and all the other things which we have made is just a buffer. We need to wait and watch how it is going to turn. So, better we get vaccinated in order to increase our buffered capacity and face the ongoing sequence. Thank you, sir. What is the literacy rate of the data? Sir, as per NSS4, it was 73% sir. Yes, sir. Why? Because I see an anomaly in terms of higher education in terms of primary jobs. Yes, sir. Andhra's foundation or Telangana's foundation is very high. Yes, sir. But average literacy rate is very low. What do you think is there? Yes, as you said, there are quite skilled personnel in Telangana but the thing is sir, they are located in Hyderabad only which has been the hub of education. Then secondly, historically, the Nizams have ruled Telangana region and Andhra region and so Urdu as a medium has emerged, sir, where the normal people with the colloquial Telugu language couldn't get access to education and the results are abated to be seen after a state getting bifurcated. And there are also other issues, sir, at the local level that governments and poor infrastructure are also some concerns because the Ministry of Education has also noticed in Telangana. What about Ayush's medicine treatment of COVID? Sir, Ayush has been an adjunct to provide treatment to the COVID-19. It has not replaced the treatment itself. For example, yoga and Ayurvedic medicines like Chavanpras which we eat also is to increase our immunity level, to make ourselves embraced because of the risk of being exposed to COVID-19. And yes, sir, it has been something which is helpful but not has replaced the treatment itself. What is the pick on the wrong Ayush doctors to conduct surgery? Sir, I think it's a welcome step. Firstly, because surgery as a skill requires a number of years to become a well-trained surgeon and the Ayush doctors are already performing certain kind of surgeries. So, bringing in guidelines will in turn regularize the same thing which is happening. But saying the same... Independent Ayush are disciplined a lot. Yes, sir. They have to do the combination of Ayurvedic and Ayush. Yes, sir. Because of the same issue, I think this guidelines will bring in a core system where the Ayush doctors can work with the Ayurvedic doctors also provided that there is a dynamic change in the guidelines. Like they even allowed cholecystectomy which is a complex procedure which a trained surgeon also cannot perform. So, such kind of things have to change with time and they be limited to certain simple procedures so that it's important for any person to get quality health care, sir. Be it any kind of medicine system. So, if we are able to provide it, I think it's justified. We have certain war-action manufacturers who are willing to come to India if we allow them for an intermediate job. Yes, sir. What do you think? Sir, we have already provided a number of levers in the form of custom tax, decreasing custom tax, opening single windows, avoiding the bridge trials and all. Further giving vaccine indemnity though increases our vaccination rate but at the same time the liability shifts towards the common people, sir. Instead, we can create a buffer fund where the government donates as well as the private manufacturer donates and then we can allow vaccine indemnities, sir. Usmania Medical College. Can you tell me about your college? Yes, sir. Sir, it is one of the oldest medical college. It was started in 1875 by Mir Usman Ali Khan, the last Nizam 7. And its specialty, sir, it has a separate hospital for each and every specialty which none of the college in India has and with almost 6000 beds. And it is one of the super speciality hospital which caters to the needs of not just Telangana but also Andhra Pradesh and Karnataka also. Telugu classical music. Yes, sir. Since when have you been training? Sir, it was not a continuous training, sir. I couldn't get the access to the teacher. But since my fourth class, I started singing. How is it different from Karnataka in Nizam? Sir, classical singing is Karnataka in Hindustani and Karnataka in Hindustani differ in the kind of techniques where there is a mean technique in Hindustani where the tones tend to glide over one another while in Karnataka they tend to oscillate between notes. And in Karnataka it is mostly practiced in South India and it is more rigid, sir, for improvisation. So, Telugu is now branched out from Karnataka music or it is independent? Sir, in Karnataka music the Telugu singers have adopted different languages, so Sanskrit Telugu like Tyagaraja Swami and Anamacharya they were famous in taking Karnataka music with Telugu songs. So, it is just a sub-part of Karnataka music. All TPC are? Yes, sir. Can you explain to lame and like us? Sir, the technology involved in it? Architech is here, you are just saying, we only have here the use of re-take, but we do not know what Architech is here. Can you explain? Yes, sir. Sir, the reverse transcript is polymerase chain reaction. Can be simply said as we have to find out the odd one out, sir. Here the odd one out is the actual target protein among the sample which we are going to extract. So, that odd one can be identified by other thing which can only identify this odd one. So, basically increasing the number of the sample and then finding, so that more and more photocopies of the same gene are produced. So, that probability of identifying the gene increases and then the target component which is directed against this odd one is made to identify, sir. Is it empty? Who discovered reverse transcriptase? Sir, I am... I have been working for four, five, eight years back. Thank you, sir. I have already identified. You said the target protein will be there in Friday. Architech is here. Why it is called reverse transcriptase? Yes, sir, because COVID-19 is RNA virus, sir. We first convert the RNA into DNA and then we tend to increase its numbers. We tend to make their photocopies. So, for doing this, we need an enzyme called reverse transcriptase which converts RNA to... Why it is called reverse transcriptase? Sir, because transcription is producing... It is a component of producing protein, sir, from RNA, DNA and then protein. You can tell it now. What is transcription? Sir, from DNA, making RNA, then protein. Now, reverse transcriptase. Yes, sir. I got little confused here. Okay. The site is gone. What is its significance? Sir, it is inversely proportional to the severity of disease. How do you mean? The more number of times the cycle has to take this, that means the less... What happens in the cycle? Sir, increasing the number of... As far as my limited knowledge goes, sir, it is to increase the sample number of photocopies. So, the probability of finding among it... So, if you can detect in the cycle, that means viral load is high, right? Yes, sir. Some monument has got the reverse transcriptase in Kalinga, right? Yes, sir. What is it? Sir, it is Ramappa. What is the significance of that? Sir, first significance is Ramappa is named after the sculptor. And it is... It is only one architecture where it is named after the sculptor also, sir. And the floating brick technology. Because of being made up of basalt. And also the sand box technology in the times of 12th century AD, sir. What is sand box? So, it is a technique which they use, which the Kapatiyas have used, in order to prevent... In order to buffer the seismicity, so that the architecture can be protected. There the sand, lime and... products are called karakaya and jaggery is used as a mixture and is applied. And then the foundation stones are laid, sir. It is believed that they tend to give a buffer to the architecture during the time of earthquake. And also, sir, what I have recently understood is they even made small tunnels within the walls as well as to the roof and the foundation. And they poured the molten iron. So that the structure together stands again to face the issue of seismicity. 74. What are your reflections on media? Sir, I think we have balanced well. Saying the same, we have still many to go. So, firstly, the Olympic... I would like to talk about the sports. We've been in the gold medal and also winning bronze in hockey, which we were awaiting since years. So, and secondly, sir, we're progressing towards trying to decrease the poverty. We have almost made almost 25 crore population. We could lift out of poverty, sir, in the past 20 years. And the trend of LPG reforms, which we brought, is quite successful also. Now, we are a globalized nation in many sectors. And in terms of medical infrastructures, sir, and we have emerged as a form of providing vaccines not just for our nation, but also to the world and also regarding IT services. But saying the same, there are certain issues also. Like women's safety is still an issue in India and the paradox of having food in surplus but having the issue of hunger and malnourishment in children is still a problem. We are having skillful personnel but still facing the issue of poor literacy is also something which we are facing. Do you think governments are failing in addressing these challenges, you say? Sir, instead of saying failing... Yes, sir. And we are not able to change the situation. Should we not be attempt of... Sir, I don't think so, sir, because a person tends to understand the issues itself. For example, me, sir, it is almost 25 years, I couldn't identify the complexities in societies. I am just deciphering it. The same thing goes with the nation also. It took time to understand it and decipher it. So... There is also an MRNA vaccine. Yes, sir. Which is coming up. And seeing the vaccine... I am not sure. Sir, it is biologically limited. No. It is self-amplifying MRNA vaccines. Yes, Chenova is also an MRNA. Having the few symptoms of COVID-19 even after getting completely treated or RTPCR report getting negative. Exactly. And what are the symptoms of the COVID-19 in that phase of education? Sir, what I have from the calls which I have received, they were saying that cough was even prevalent after two months of getting RTPCR negative. There was still an issue of improper smell being detected. And yes, sir, there were few things which I could identify in the patient. Sir, I don't think we could have done anything to prevent the second wave because firstly it was because of a variant, which has emerged. And that could have been because the first wave was present. This goes on from the time of emergence. Secondly, we could have increased the intensity for sure, sir, by identifying that there is a risk of variant to emerge. Thirdly, the vaccination rate. We could have been in the same way we got us in between first and second wave. So it was said that the issue of oxygen has emerged because of the variant making more and more patients into moderate and severe category. And this was something which was due to the variants. And Maharashtra was the place which was mostly affected. So probably the emergency would have made the people to identify that there could be risk of oxygen also and also moderate to severe patients which made them to buffer their capacity. Yes, sir, it was in use, but the under variant was ruled out by the WHO. The name? So WHO has not said anything regarding it. Yes, sir. So one is Zidus Cadilla, the plasmid DNA vaccine. And the biologically limited one, sir. And the Genova MRNA vaccine. And we started even giving emergency use authorization for Moderna and Pfizer is also in pipeline, sir. Sir, I won't completely say that we would not do but saying the same wish we have to do a lot, sir. Because firstly, the trend of N-Series have been on a higher side. Secondly, in regards to what the government has done, sir, or doing health and wellness centers, they imbibe mental health, mental counseling and psychological counseling and yoga aspect that are those subjects which are required to decrease the incidence of non-communicable disease. And also we started imbibing more and more into ourselves, the fitness culture, sir. We'd fit India, eat right movement and all. So indirectly we are actually trying to curb the cause of N-Series itself. Why is Cadilla witnessing so many cases? I think there was a visit by the central team also. Yes, sir. And they highlighted certain reasons. Sir, a few reasons could be, firstly, it having four international airports, sir. So the visitor arrival is also on a higher end. And secondly, sir, the NRS. Cadilla... Second, what is it? NRS. Yes. Second one, what is it? NRS. NRS, sir. So they tend to bring the variants across the world into Kerala also. And thirdly, identifying that the case rate is also dependent on they being notified, sir. Having a healthcare system which is robust has also a disadvantage or advantage that the case rate to be notified... In the financial year... In the financial year... In the financial year... In the financial year... In the financial year... In the financial year... In the financial year 1932... In the financial year 1932. In the financial year 1932. In the financial year, in the financial year 1932- Sir, previous year this was 1.80% GDP alright. Sir, previous year, this was 1.80% GDP alright. And this year, it is almost Rs. 2,23,000 crore, I think so, sir. Okay. Last question. Why are the witnesses slow down when the country for the last few ears? Okay. So it is because of the reasons which were prevalent earlier. of poor liquidity because of NPA crisis and double-balance its syndrome and all and secondly failure of major banks and NBFCs also and thirdly could have been because of few steps which we have started actually in a good intention but they didn't turn out to be in good for example GST and also the demonetization which we had to take so this could be few reasons that they come slow down