Christian Medical College, Vellore

Christian Medical College, Vellore

Christian Medical College, Vellore

The General Public are CAUTIONED not to be lured by any person offering admission to any of the courses conducted by CMC.  The college will not be responsible for any candidates or parents dealing with such person / persons. 

Civil and a criminal court proceeding will be taken up against any person who holds out promises and also uses the institution’s intellectual properties. 

PLEASE NOTE: WE DO NOT ADMIT STUDENTS THROUGH AGENTS OR AGENCIES.  

CMC Vellore Administration 

CMC aims to bring high quality health care to those who need it the most – wherever they live. The central strategy in this vision is to develop, through education and training, compassionate, professionally excellent, ethically sound, servant-leaders in health care. 

The Christian Medical College Vellore (CMC) is ranked amongst the topmost medical colleges in India and offers an extensive range of undergraduate, postgraduate and higher speciality courses in medicine, nursing, allied health sciences and related disciplines. 

In 2018, we proudly celebrated our centenary of medical education.

"We look forward to an even greater future…We need those who can, to take up the torch of life and carry on and make Vellore Christian Medical College one of the outstanding medical institutions in the world.” - Ida Scudder, in her final commencement speech

Management
Estd.
1942
Address
Vellore, Bagayam, Vellore
District
State
Pin
632002
Contact
09677770171 0416-2284201/2284399/2284508
Fax
0416-2262788
Contact Directory

Christian Medical College
Ida Scudder Road,
Vellore - 632004
Tamil Nadu, India
 

Course

D.M.-Reproductive Medicine/M.Ch.-Reproductive Medicine and Surgery

Sri Ramachandra Medical College & Research Institute, Chennai

Diploma in Clinical Pathology

Diploma in Clinical Pathology

DM - Cardiology

It seems like you're using "DM" in the context of Cardiology. If you mean "DM" as a specific topic or abbreviation, it would be helpful to have more information or context to provide a more accurate response. "DM" could stand for various things depending on the context, such as Direct Message or Diabetes Mellitus.

If you're referring to "DM" in the context of Cardiology, and it's related to a specific topic or question, please provide more details or clarify your request so I can assist you appropriately. Whether you're interested in a particular aspect of cardiology, a specific condition, diagnostic procedures, or treatment options, additional information will help me provide more targeted information.

DM - Clinical Haematology

Clinical Hematology, or Clinical Haematology, is a branch of medicine that focuses on the diagnosis and treatment of disorders related to the blood and bone marrow. This field is critical for understanding and managing conditions such as anemia, leukemia, lymphoma, and other blood-related disorders.

In the context of a DM (Doctorate in Medicine) program specializing in Clinical Hematology, it typically involves advanced training and research in the following areas:

  1. Hematological Disorders: In-depth study and management of various blood disorders, including both benign and malignant conditions.

  2. Bone Marrow Transplantation: Understanding the intricacies of bone marrow transplantation, which is a crucial treatment for certain hematological malignancies.

  3. Laboratory Techniques: Mastery of laboratory techniques for analyzing blood samples, including advanced technologies for genetic and molecular diagnostics.

  4. Clinical Research: Conducting original research in the field of hematology, contributing to advancements in understanding and treating blood disorders.

  5. Patient Care: Developing expertise in the comprehensive care of patients with hematological disorders, including diagnosis, treatment, and long-term management.

  6. Thrombosis and Hemostasis: Specialized knowledge in the study and treatment of clotting disorders and abnormal bleeding conditions.

  7. Transfusion Medicine: Understanding the principles of blood transfusion, including compatibility testing and management of transfusion reactions.

  8. Hematopathology: Integration of pathology with clinical hematology, particularly focusing on the microscopic examination of blood and bone marrow samples.

Individual DM programs can vary, and students may have the opportunity to tailor their studies and research based on their specific interests within Clinical Hematology.

It's important to note that medical fields, including Clinical Hematology, are dynamic, and there may have been new developments or changes in the field since my last knowledge update in January 2022. If you have specific questions or need the most recent information, I recommend consulting current medical literature or contacting relevant academic institutions

DM - Critical Care Medicine

Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow

Critical Care Medicine is a medical specialty that involves the comprehensive care of patients with life-threatening or potentially life-threatening conditions. Critical care physicians, also known as intensivists, work in the intensive care unit (ICU) and are trained to manage complex medical situations, provide advanced life support, and make critical decisions to stabilize and treat critically ill patients.

Here are key aspects of Critical Care Medicine:

  1. Patient Population:

    • Critical care medicine focuses on patients with severe, acute, and potentially reversible illnesses. These patients often require close monitoring and intensive interventions.
  2. Multisystem Approach:

    • Critical care physicians manage patients with disorders affecting multiple organ systems, such as sepsis, respiratory failure, cardiac emergencies, and trauma.
  3. Intensive Monitoring:

    • Patients in the ICU receive continuous monitoring of vital signs, organ function, and other parameters. This allows for prompt detection of changes and timely intervention.
  4. Life Support:

    • Intensivists are skilled in advanced life support techniques, including mechanical ventilation, hemodynamic support, and renal replacement therapy.
  5. Collaboration with Specialists:

    • Critical care teams often collaborate with specialists from various medical disciplines to provide comprehensive care.
  6. Emergency Situations:

    • Critical care physicians are trained to manage medical emergencies, respond to codes, and stabilize patients in life-threatening situations.
  7. Postoperative Care:

    • Intensive care is often required after major surgeries or in complex medical cases. Critical care physicians play a crucial role in postoperative management.
  8. Ethical Decision-Making:

    • Given the severity of conditions treated in the ICU, critical care physicians often navigate complex ethical dilemmas, including end-of-life decisions and discussions with patients and families.
  9. Continuous Education:

    • The field of critical care medicine is dynamic, and practitioners engage in continuous education to stay updated on the latest advancements in medical care.
  10. Research and Quality Improvement:

    • Critical care physicians contribute to research to improve outcomes for critically ill patients. Quality improvement initiatives are also common to enhance the delivery of care.

Critical Care Medicine requires a multidisciplinary approach, involving not only intensivists but also nurses, respiratory therapists, pharmacists, and other healthcare professionals. The goal is to provide optimal care to patients facing life-threatening medical conditions and support them through the recovery process.

DM - Hepatology

Institute of Liver and Biliary Sciences, New Delhi

DM - Infectious Disease

Infectious diseases are disorders caused by pathogenic microorganisms, such as bacteria, viruses, fungi, or parasites. These diseases can spread, directly or indirectly, from person to person, from animal to person, or through the environment. Here are some key points about infectious diseases:

  1. Causes:

    • Microorganisms: Bacteria, viruses, fungi, and parasites are the primary culprits behind infectious diseases.
    • Transmission: Diseases can spread through various means, including direct contact with infected individuals, airborne droplets, contaminated food or water, and vectors like mosquitoes or ticks.
  2. Types of Infectious Diseases:

    • Bacterial Infections: Examples include tuberculosis, strep throat, and urinary tract infections.
    • Viral Infections: Examples include influenza, HIV/AIDS, and the common cold.
    • Fungal Infections: Examples include athlete's foot and candidiasis.
    • Parasitic Infections: Examples include malaria, giardiasis, and toxoplasmosis.
  3. Prevention:

    • Vaccination: Immunization is a crucial method to prevent the spread of many infectious diseases.
    • Hygiene Practices: Regular handwashing, proper food handling, and maintaining a clean environment can help prevent infections.
    • Vector Control: Controlling insects and other vectors can reduce the spread of diseases like malaria or Lyme disease.
    • Safe Practices: Practicing safe sex and using precautions like condoms can help prevent the transmission of sexually transmitted infections (STIs).
  4. Treatment:

    • Antibiotics: Bacterial infections can often be treated with antibiotics, but they are ineffective against viral infections.
    • Antiviral Medications: Some viral infections have specific antiviral drugs.
    • Antifungal Medications: Fungal infections are treated with antifungal drugs.
    • Antiparasitic Medications: Parasitic infections are treated with medications specific to the particular parasite.
  5. Epidemics and Pandemics:

    • Epidemic: The occurrence of cases of an infectious disease in a population, community, or region that exceeds what is normally expected.
    • Pandemic: An epidemic that has spread over multiple countries or continents, affecting a large number of people.
  6. Global Health Concerns:

    • Emerging Diseases: New infectious diseases can emerge due to various factors, including changes in ecosystems, increased human-animal interaction, and global travel.
    • Antimicrobial Resistance: The overuse and misuse of antibiotics contribute to the development of resistant strains of bacteria, making infections harder to treat.

Understanding and effectively managing infectious diseases are critical for public health. Ongoing research, surveillance, and public health measures are essential to control and prevent the spread of these diseases.

DM - Interventional Radiology

Christian Medical College, Vellore

Interventional radiology (IR) is a medical specialty that uses minimally invasive procedures, guided by medical imaging, to diagnose and treat various medical conditions. Interventional radiologists are specially trained physicians who perform these procedures. The primary advantage of interventional radiology is that it often eliminates the need for traditional open surgery, leading to shorter recovery times, less pain, and fewer complications. Here are key aspects of interventional radiology:

  1. Imaging Guidance:

    • Fluoroscopy, CT Scans, and Ultrasound: Interventional radiologists use real-time imaging techniques, such as fluoroscopy, computed tomography (CT), and ultrasound, to visualize and guide the procedures.
  2. Minimally Invasive Procedures:

    • Biopsy: Tissue samples are obtained for examination, typically to diagnose cancer or other diseases.
    • Angiography: Imaging of blood vessels to diagnose or treat conditions such as aneurysms or blockages.
    • Embolization: Blocking blood vessels to treat conditions like abnormal bleeding or tumors.
    • Radiofrequency Ablation (RFA) and Cryoablation: Destroying abnormal tissue, often used in cancer treatment.
    • Stent Placement and Angioplasty: Opening narrowed or blocked blood vessels.
  3. Vascular and Non-Vascular Interventions:

    • Vascular Procedures: Addressing issues related to blood vessels, such as the placement of stents, angioplasty, and embolization.
    • Non-Vascular Procedures: Treating various conditions outside the vascular system, such as biopsies, drainage of fluid collections, and ablations.
  4. Pain Management:

    • Nerve Blocks: Interventional radiologists can perform nerve blocks or injections to manage pain, particularly in the context of chronic pain conditions.
  5. Cancer Treatment:

    • Chemoembolization: Delivering chemotherapy drugs directly to a tumor while limiting exposure to the rest of the body.
    • Radioembolization: Delivering radiation directly to liver tumors.
  6. Women's Health:

    • Uterine Fibroid Embolization (UFE): A minimally invasive treatment for uterine fibroids.
    • Breast Interventions: Procedures such as breast biopsy or ductography.
  7. Recovery and Follow-Up:

    • Less Invasive: Because interventional radiology procedures are minimally invasive, patients often experience shorter recovery times and reduced post-procedure pain.
    • Outpatient or Short Stay: Many interventional radiology procedures are performed on an outpatient basis or require only a short hospital stay.
  8. Advancements in Technology:

    • Navigation Systems: Advanced imaging and navigation systems enhance the precision of procedures.
    • Robotics: Some interventional procedures are now performed with robotic assistance.

Interventional radiology has become an integral part of modern medicine, offering effective alternatives to traditional surgery for a wide range of medical conditions. The field continues to evolve with ongoing technological advancements and expanded applications.

DM - Neonatology

In the context of healthcare, "DM" can stand for "Direct Message" in online communication. However, if you're asking about "DM" in the context of Neonatology, it may be referring to "Diabetes Mellitus," a metabolic disorder characterized by elevated blood sugar levels.

If you intended to ask about "Neonatology," which is the medical specialty focused on the care of newborn infants, especially those who are ill or born prematurely, here's some information:

  1. Neonatologist:

    • A neonatologist is a pediatrician with specialized training in the care of newborns, especially those with medical issues or preterm infants.
  2. Neonatal Intensive Care Unit (NICU):

    • The NICU is a specialized unit within a hospital where newborns with medical complications receive intensive medical care.
  3. Prematurity:

    • Neonatologists often care for premature infants, addressing their unique medical needs and ensuring proper growth and development.
  4. Birth Defects and Congenital Disorders:

    • Neonatologists diagnose and manage various birth defects and congenital disorders that may affect newborns.
  5. Respiratory Distress Syndrome (RDS):

    • Premature infants may suffer from RDS due to underdeveloped lungs. Neonatologists provide respiratory support to these infants, often using ventilators or other technologies.
  6. Jaundice Management:

    • Neonatologists monitor and treat jaundice, a common condition in newborns caused by elevated bilirubin levels.
  7. Infections:

    • Newborns are vulnerable to infections. Neonatologists diagnose and treat infections, sometimes using antibiotics.
  8. Feeding Challenges:

    • Neonatologists address feeding difficulties in newborns, especially in premature infants who may have difficulty with sucking and swallowing.
  9. Developmental Follow-up:

    • Neonatologists may provide ongoing care and developmental follow-up for infants who have spent time in the NICU, ensuring they reach developmental milestones.
  10. Collaboration with Other Specialists:

    • Neonatologists often collaborate with pediatric surgeons, geneticists, and other specialists to provide comprehensive care.
  11. Family-Centered Care:

    • Neonatologists work closely with families, providing support, education, and involving parents in the care of their newborn.

Neonatology is a critical field in pediatric medicine, addressing the unique challenges and needs of newborns, especially those born with health complications. Advances in medical technology and neonatal care have significantly improved outcomes for premature and ill infants over the years. If you have specific questions about neonatology or would like more detailed information on a particular aspect, feel free to ask.

DM - Nephrology

In a medical context, "DM" can refer to "Direct Message" in online communication. If you're asking about "Nephrology" in the context of healthcare, I can provide information on that.

Nephrology is a medical specialty that focuses on the study and treatment of kidney-related conditions. Here are key points related to nephrology:

  1. Nephrologists:

    • Nephrologists are physicians specialized in nephrology. They diagnose and treat a wide range of kidney disorders and work closely with other healthcare professionals to manage these conditions.
  2. Kidney Function:

    • The kidneys play a crucial role in maintaining the body's overall health. They filter blood to remove waste products, regulate electrolytes, and control fluid balance.
  3. Kidney Diseases and Disorders:

    • Nephrologists diagnose and treat various kidney-related conditions, including:
      • Chronic Kidney Disease (CKD)
      • Acute Kidney Injury (AKI)
      • Glomerulonephritis
      • Kidney Stones
      • Polycystic Kidney Disease (PKD)
      • Hypertension (High Blood Pressure) affecting the kidneys
  4. Dialysis:

    • Nephrologists are involved in the management of patients requiring dialysis. Dialysis is a medical procedure that artificially removes waste products and excess fluids from the blood when the kidneys are no longer able to perform these functions adequately.
  5. Kidney Transplantation:

    • Nephrologists often work with transplant surgeons in the evaluation and care of patients undergoing kidney transplantation.
  6. Hypertension Management:

    • Nephrologists play a key role in managing high blood pressure, particularly when it is related to kidney disease.
  7. Electrolyte Disorders:

    • Nephrologists address imbalances in electrolytes (such as sodium, potassium, and calcium) that can affect kidney function.
  8. Collaboration with Other Specialists:

    • Nephrologists collaborate with other healthcare professionals, including primary care physicians, urologists, endocrinologists, and nutritionists, to provide comprehensive care for patients.
  9. Preventive Care:

    • Nephrologists emphasize preventive measures to maintain kidney health, especially in individuals with risk factors such as diabetes, hypertension, and a family history of kidney disease.
  10. Research and Advancements:

    • Nephrologists contribute to ongoing research in the field, leading to advancements in the understanding and treatment of kidney disorders.

If you have specific questions about nephrology or if there's a particular aspect you'd like more information on, feel free to let me know.

DM - Neuro Anaesthesia

Certainly, let's discuss Neuroanesthesia. Neuroanesthesia is a specialized branch of anesthesia that focuses on providing anesthesia care for patients undergoing neurological surgeries and procedures. The central nervous system (brain and spinal cord) is highly sensitive, and procedures involving it often require precise and specialized anesthesia management. Here are some key points related to neuroanesthesia:

  1. Neurosurgical Procedures:

    • Neuroanesthesiologists administer anesthesia for a variety of neurosurgical procedures, including brain surgeries (e.g., tumor resections, aneurysm repairs), spinal surgeries, and procedures to treat neurological conditions.
  2. Patient Assessment:

    • Thorough preoperative assessment is crucial. An understanding of the patient's neurological status, comorbidities, and the specifics of the surgical procedure is essential for planning the anesthesia management.
  3. Intracranial Pressure (ICP) Management:

    • Monitoring and controlling intracranial pressure are critical components of neuroanesthesia. Elevated ICP can be detrimental to the brain, and anesthetic agents and techniques are carefully chosen to minimize increases in pressure.
  4. Cerebral Perfusion Pressure (CPP):

    • Maintaining an adequate cerebral perfusion pressure is vital for ensuring sufficient blood flow to the brain. Anesthesia management aims to balance factors affecting CPP, such as blood pressure and intracranial pressure.
  5. Neuromuscular Monitoring:

    • Monitoring neuromuscular function is crucial during neurosurgical procedures. This helps ensure proper muscle relaxation and facilitates surgical access while minimizing the risk of neurological injury.
  6. Temperature Management:

    • Maintaining normothermia is essential. Temperature management helps prevent complications such as coagulopathy and reduces the metabolic demands on the brain.
  7. Anesthetic Agents:

    • Anesthetic agents used in neuroanesthesia are carefully selected to provide smooth induction and emergence, maintain stable hemodynamics, and minimize the risk of increased intracranial pressure.
  8. Positioning:

    • Patients undergoing neurosurgery may need to be positioned in ways that are challenging from an anesthesia standpoint. Careful positioning is essential to prevent complications and maintain optimal surgical access.
  9. Emergence and Postoperative Care:

    • Neuroanesthesia involves a careful and gradual emergence from anesthesia to ensure a smooth transition for the patient. Postoperative care includes ongoing monitoring of neurological status and pain management.
  10. Collaboration with Neurosurgeons:

    • Close collaboration between neuroanesthesiologists and neurosurgeons is crucial. Communication is key to addressing any intraoperative challenges promptly.
  11. Specialized Monitoring:

    • Advanced monitoring techniques, such as brain monitoring (e.g., electroencephalography), may be used to assess and optimize brain function during surgery.

Neuroanesthesia requires a high level of expertise and collaboration among healthcare professionals to ensure the safety and well-being of patients undergoing neurosurgical procedures. The field continues to evolve with advancements in technology and research. If you have specific questions or would like more information on a particular aspect of neuroanesthesia, feel free to ask.

DM - Neurology

Sure, let's talk about Neurology. Neurology is a medical specialty that focuses on the diagnosis and treatment of disorders affecting the nervous system. This includes the brain, spinal cord, peripheral nerves, and muscles. Neurologists are medical doctors who specialize in neurology. Here are some key aspects of neurology:

  1. Neurological Disorders:

    • Neurologists diagnose and treat a wide range of neurological disorders, including but not limited to:
      • Stroke
      • Epilepsy
      • Multiple Sclerosis (MS)
      • Parkinson's disease
      • Alzheimer's disease
      • Migraines and other headache disorders
      • Neuropathies
      • Movement disorders
      • Neurogenetic disorders
  2. Neurological Examination:

    • Neurologists conduct thorough neurological examinations to assess a patient's sensory function, motor skills, coordination, reflexes, and cognitive abilities.
  3. Diagnostic Tools:

    • Neuroimaging techniques such as MRI and CT scans help in visualizing the structure of the brain and spinal cord.
    • Electrophysiological studies, like EEG (Electroencephalogram) and EMG (Electromyogram), assess electrical activity in the nervous system.
  4. Stroke Management:

    • Neurologists play a critical role in the management of stroke, both in acute care and long-term prevention.
  5. Epilepsy Treatment:

    • Managing epilepsy involves medication management, lifestyle adjustments, and, in some cases, surgical interventions.
  6. Movement Disorders:

    • Neurologists specialize in the diagnosis and treatment of movement disorders such as Parkinson's disease, essential tremor, and dystonia.
  7. Headache and Pain Management:

    • Addressing various types of headaches, including migraines, tension-type headaches, and cluster headaches, is a common part of neurology practice.
  8. Memory and Cognitive Disorders:

    • Neurologists evaluate and manage conditions affecting memory and cognitive function, including Alzheimer's disease and other forms of dementia.
  9. Neuromuscular Disorders:

    • Disorders affecting the muscles and peripheral nerves fall under the expertise of neurologists.
  10. Multiple Sclerosis (MS) Management:

    • Neurologists are involved in the diagnosis and long-term management of MS, an autoimmune disorder affecting the central nervous system.
  11. Collaboration with Other Specialties:

    • Neurologists often collaborate with other medical specialties, including neurosurgery, psychiatry, rheumatology, and rehabilitation medicine.
  12. Research and Advancements:

    • Neurologists contribute to ongoing research to better understand neurological conditions and develop new treatments.
  13. Telemedicine:

    • With advancements in technology, neurologists may use telemedicine for remote consultations, especially for follow-up appointments or managing chronic conditions.

If you have specific questions about neurology or if there's a particular aspect you'd like more information on, feel free to ask.

DM - Pulmonary Medicine

ESI-PGIMSR, ESI-Hospital, Basaidarapur, New Delhi

DM - Rheumatology/Clinical Immunology & Rheumatology

Nizams Institute of Medical Sciences, Hyderabad

DM - Virology

Christian Medical College, Vellore

M.B.B.S.

Bachelor of Medicine and Bachelor of Surgery (MBBS)

Bachelor of Medicine, Bachelor of Surgery (Latin: Medicinae Baccalaureus, Baccalaureus Chirurgiae; abbreviated in many ways, most commonly MBBS, but also MB ChB, BMBS, MB BCh, MB BChir), is the primary medical degree awarded by medical schools in countries that follow the tradition of the United Kingdom. The historical degree nomenclature states that they are two separate undergraduate degrees. In practice, however, they are usually combined as one and conferred together, and may also be awarded at graduate-level medical schools.

Bachelor of Medicine and Bachelor of Surgery (MBBS), is a professional degree in medical science. A person holding the MBBS degree becomes a certified medical practitioner. The duration of MBBS course is five years and six months including one year of rotational internship at hospitals, health centres, and health camps organised by non-profit organisations (NGOs). MBBS course syllabus includes studies on anatomy, pharmacology, pathology as well as community health & medicine, paediatrics, and surgery. The syllabus, prescribed in such a way that MBBS degree holders can choose a specialisation for further majoring and practising medicine. The career specialisations for MBBS students are Nephrology, Cardiology, Gynecology, Anesthesiology, Organ Transplant, Endocrine, and General Surgery, etc.

M.Ch - Endocrine Surgery

Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow

M.Ch - Gynaecological Oncology

Christian Medical College, Vellore

M.Ch - Hepato Pancreato Biliary Surgery

Institute of Liver and Biliary Sciences, New Delhi

M.Ch - Paediatric Orthopaedics

Christian Medical College, Vellore

M.Ch - Vascular Surgery

Sri Ramachandra Medical College & Research Institute, Chennai

M.Ch. - Hand Surgery

Christian Medical College, Vellore

MD - Anaesthesiology

The purpose of PG education is to create specialists who would provide high quality health care and advance the cause of science through research & training. A post graduate specialist having undergone the required training in anesthesiology should be able to recognize the health needs of the community. He or she should be competent to handle effectively medical problems and should be aware of the recent advances pertaining to his/her specialty. She/he should be highly competent anesthesiologist with broad range of skills that will enable him/her to practice anesthesiology independently. The PG student should also acquire the basic skills in teaching of medical/para-medical students. She/he is also expected to know the principles of research methodology and modes of consulting library. She/he should attend conferences, workshops and CMEs regularly to upgrade his/her knowledge. The purpose of this document is to provide teachers and learners illustrative guidelines to achieve defined outcomes through learning and assessment. This document was prepared by various subject-content specialists. The Reconciliation Board of the Academic Committee has attempted to render uniformity without compromise to purpose and content of the document. Compromise in purity of syntax has been made in order to preserve the purpose and content. This has necessitated retention of “domains of learning” under the heading “competencies”

MD - Family Medicine

MD in Family Medicine

MD - Psychiatry

M. D. in Psychiatry is a Clinical Speciality course.

Doctor of Medicine in Psychiatry explores the major psychiatric syndromes like psychotic, mood and anxiety disorders, psychological effects of physical diseases, the doctor-patient relationship, human development, patient interviewing, and ethical issues in medicine. It is a three-year postgraduation course and can be pursued by any MBBS holders from a University recognized by Medical council of India. Most psychiatrists practice general psychiatry. Sub-specialization in Child and Adolescent Psychiatry, Addiction Medicine, and Geriatric psychiatry can be conducted after M. D. in Psychiatry.