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Given the growing importance of age old cultural and mythological tourism with many other related distinctive niches, the purpose of this paper is to contextualize the impacts of Shakti Peetham on such tourism practices in South Asia. This mythological context of Shakti Peetham has several importance in age old cultural tourism to contemporaneous sustainable pilgrimages with issues associated with many niches such as dark tourism, animal sacrifice and typical Tantric rituals in Hinduism etc. This paper discusses about the concentration of those places in and to the Eastern India of South Asia and focusing on upcoming mythological tourism, dark and tantra tourism potentialities with a circuit development approach through Vehicle Routing System (VRS) for sustainable pilgrimage. [ABSTRACT FROM AUTHOR]

Background: In the present study, we have shared our experience in managing head neck cancers, especially the oral malignancies, during the crisis of COVID 19. Materials and methods: Patients with oral cancers underwent pedicle/local flaps and free flaps reconstruction based on the availability of intensive care unit and comorbidities of the patients. The clinical outcomes were compared at the end of one week, one month, and three months after the primary surgery. Results: Pedicle/local flaps were used in 25 cases and radial/fibular free flaps were used in 8 cases for the reconstruction of soft tissue defects. Patients with pedicle flap reconstruction had better clinical outcomes, including lesser ICU stay as compared to free flaps. Conclusion: Pedicle flap can be a valid alternative to the free flap for the soft tissue reconstruction in advanced oral malignancies during the COVID pandemic period in the Indian subcontinent, especially with limited infrastructure of the hospitals. [ABSTRACT FROM AUTHOR]