- The document provides information about health screenings recommended after age 50 for both men and women. It recommends annual physical exams, pap smears every 3 years for women, mammograms every 2 years for women over 50, and colonoscopies every 10 years for both men and women over 50. The screenings are for preventative purposes to check for any major illnesses before symptoms appear. - It also discusses checking blood pressure, cholesterol, and blood sugar levels during annual physical exams. Further tests like colonoscopies and mammograms may require insurance coverage or government assistance if no insurance. Local hospitals or health departments can provide more details on assistance options.

1. @)!* cS6f]a/
jif{ ( c+s !!@
o; c+sdf s] s] <
(What is inside ?)
à n" / ?3faLr cGt/===============!
(Differences between flu cold )
à cd]l/sfdf @ xhf/ @ ;o @*==@
(22 hundreds Bhutanese on 017/18)
à %) jif{sf :jf:Yo–k/LIf0f========#
(Health screening after 50s)
à d x'FM Go' h;L{ /fHo==================$
(I am the state of New Jersey)
à rNtLsf c+u|]hL zAb &%==========$
(Most common Eng. words 75)
p:t} nfUg] oL ladf/
s] 5 n" / ?3faLr cGt/ <
cS6f]a/kl5 ˆn" (flu) n]
;tfOPsf la/fdL e]l6G5g .
ˆn"nfO{ k"0f{ ?kdf OGˆn'oGhf
(Influenza) elgG5 .
ˆn"sf] vf]k jif]{lg nufpg]
ul/G5 . vf]k nufPsf] sl/a
b'O{ xKtfdf dfq vf]kn] z/L/df
sfd ug{ yfNg] ePsfn]
cS6f]a/ dlxgfsf] clGtd
;ftf;Dd of] vf]k nufpg
l;kmfl/z ul/Psf] 5 .
n"af/] yk hfGg
cIfl/sfsf k'/fgf c+sx¿
hgj/L @)!#, cS6f]a/ @)!^, /
cu:t @)!& x]g'{xf]nf .
cflv/ ˆn";Fu o:tf] 8/
lsg < k|Zg p75 . ljutsf
sof}+ jif{ ˆn"n] 8/nfUbf
b]lvP . o;}n] ˆn"sf]
vf]kdf hf]8 lbg] ul/G5 . ?3f
/ ˆn"sf] cGt/ yfxf gkfP/
cndndf k/]sf] kfOG5 .
n" / ¿3faLr cGt/
?3f (cold) / ˆn"df km/s
5'6ofpg ufx|f] kgf{n] klg w]/}
dflg; l;ls:t ePsf
5g . ?3f / ˆn"aLr
nfIfl0fs cGt/ 5g . s] tkfO{+
?3f / ˆn"sf cGt/ eGg
;Sg'x'G5 < ;Sg'x'Gg eg]
cGt/ km]nf kfg{ oxfF s]xL
;"qx¿ n]lvPsf 5gM
lgs} ;fx|f] 6fpsf] b'Vg' <
à ¿3f nfUbf sd} b'Vnf
à ˆn" x'Fbf w]/}h;f] b'V5
gfs 6flng' <
à ¿3f nfUbf ;w}+h;f] x'G5
à ˆn" x'Fbf slxn]sfxL+ x'G5
pRr Hj/f]
à ¿3f nfUbf sd} cfpF5
à ˆn" x'Fbf w]/}h;f]
;'vf, unf a;]sf] vf]sL
à ¿3f nfUbf ;w}+ nfUb}g
à ˆn" x'Fbf ;w}+h;f] nfU5
b'vfO -hLp b'Vg]_
à ¿3f Tolt ;fx|f] x'Gg
à ˆn" eof] eg] lgs} ;fx|f]
b'V5
w]/} ysfO
à ¿3f nfUbf ;w}+ nfUb}g
à ˆn" x'Fbf ;w}+h;f] nfU5
s] Vofn /fVg'k5{ <
á oL cGt/sf] vf;
hfgsf/L tkfO{+sf
lrlsT;s -8fS6/_ nfO{
dfq x'G5 .
To;}n] cfkm" cndndf
k/], lrlsT;snfO{
;f]Wg'xf]; .
á :j:y /xg] k|of; ug'{xf];
/ ˆn"af6 3/ k|efljt
x'g glbg /f]syfdsf
pkfox? ckgfpg'xf]; .

2. @
@)!*cS6f]a/,jif{(c+s!!@
cfly{s jif{ ;g @)!&÷)!*
df cd]l/sfdf @ xhf/ @
;o @* e"6fgL z/0ffyL{nfO{
k'g:yf{kgf ul/Psf] 5 .
cd]l/sfsf] cfly{s jif{
cS6f]a/ ! df ;'¿ eP/
;]K6]Da/ #) df ;lsG5 . of]
tYofÍ ;g @)!& cS6f]a/ !
df ;'¿ eP/ @)!* ;]K6]Da/
#) ;Ddsf] xf] .
o;/L ;g @)!* sf]
;]K6]Da/ cGt -cfly{s jif{
;g @)!&÷)!* sf] cGt_
;Dd cd]l/sfdf z'?b]lv
k'g:yf{lkt e"6fgLsf] ;+Vof (^
xhf/ ! ;o $@ k'u]sf] 5 .
e"6fgL;lxt s"n slt<
:6]6 l8kf6{d]G6sf] tYofÍ–
cg';f/ cf=j= @)!&÷!* df
e"6fgnufot ljZjsf ljleGg
d'n'ssf s"n @@ xhf/ $ ;o
(! z/0ffyL{nfO{ cd]l/sfdf
k'g:yf{kgf ul/Psf] 5 .
;g !(&% cd]l/sfn]
cf}krfl/s ¿kdf z/0ffyL{
k'g:yf{kgf yfn]sf] xf] .
clxn];Dd s'g jif{ slt<
;g @))& df e"6fgLnfO{
g]kfnaf6 t];|f] d'n's
k'g:yf{kgf ug]{ lg0f{o
ul/Psf] lyof] . ;g @))*
dfr{ $ df k'gjf{;sf nflu
e"6fgL z/0ffyL{sf] klxnf] v]k
g]kfnaf6 cd]l/sf p8]sf]
lyof] . clxn];Dd s'g cfly{s
jif{df slt <
cfly{s jif{ ;g @)!&÷!*
cd]l/sfdf @ xhf/ @ ;o @* k'g:yf{lkt
;g @))* b]lv ;]]K6]Da/ @)!* ;Dd s"n (^ xhf/ ! ;o $@
ax';f+:s[lts dxf]T;j tyf cGt/f{li6«o em08f k|bz{g gfds sfo{qmddf ;g @)!* ;]K6]Da/ @# sf lbg Go' ≈ofD;/sf]
/fhwfgL s+s8{df cf–cfgf] b]zsf] em08f af]s]sf ljleGg b]zsf z/0ffyL{ . tl:a/M ;'/h a'9fyf]sL
dlxgf–dlxgf
slt <
cd]l/sL ljb]z dGqfno
-:6]6 l8kf6{d]G6_ sf cg';f/
;g @)!& cS6f]a/kl5
;g @)!* ;]K6]Da/;Dd
dlxgflkR5] lgDg ;+Vofdf
k'g:yf{lkt x'g'ePsf] 5M
;g @)!&
cS6f]a/M @&#
gf]e]Da/M %#@
l8;]Da/M &#)
;g @)!*
hgj/LM @%&
km]a|'c/LM (@
dfr{M $!
clk|nM $!
d]M !$#
h"gM *#
h'nfO{M !@
cu:tM !^
;]K6]Da/M *
–––––––––––––––––––––
s"nM @,@@*
-@ xhf/ @ ;o @* hgf_
• ;g @))&÷* M % xhf/ # ;o @)
• ;g @))*÷( M !# xhf/ $ ;o #@
• ;g @))(÷!) M !@ xhf/ # ;o ^#
• ;g @)!)÷!! M !$ xhf/ ( ;o ((
• ;g @)!!÷!@ M !% xhf/ &)
• ;g @)!@÷!# M ( xhf/ ! ;o #$
• ;g @)!#÷!$ M * xhf/ $ ;o #$
• ;g @)!$÷!% M % xhf/ & ;o &%
• ;g @)!%÷!^ M % xhf/ * ;o !&
• ;g @)!^÷!& M # xhf/ % ;o %)
• ;g @)!&÷!* M @ xhf/ @ ;o @*
;g @)!*÷@)!( df<
cd]l/sL ;/sf/n] cfly{s
jif{ @)!*÷@)!( df #)
xhf/ dfq z/0ffyL{ leœofpg]
lg0f{o u/]sf] 5 .

3. #@)!*cS6f]a/,jif{(c+s!!@
krf; jif{ pd]/ k'u]kl5 k'?if
jf dlxnf b'j}nfO{ :jf:Yosf]
lgoldt k/LIf0fsf nflu
s]xL l;kmfl/z ul/G5 . To;}–
cg';f/ lgDg :jf:Yo
k/LIf0fx¿ lgDg ;dodf
lgoldt ¿kdf ug{'kg]{ b]lvG5M
à ;Dk"0f{ zf/Ll/s k/LIf0f
(Annual physical
exam) M of] k/LIf0f Ps
jif{df Psk6s ug'{–
k5{ . of] k/LIf0f k'?if
tyf dlxnf b'j}sf nflu
xf] . o; hfFrdf tf}n,
/Strfk (blood pressure),
sf]n]:6«f]n (Cholesterol),
cfFvf, 5fnf, /utdf
lrgLsf] dfqf (Blood
sugar), / vf]k (immu-
nizations) sf ljifodf
5nkmn ug{ ;lsG5 .
à Kofk l:d/ k/LIf0f (Pap
smear): :j:Yo cj:yfdf
kf7]3/ / dlxnf k|hgg
c+usf] tLg jif{df Ps
k6s ul/g] k/LIf0f xf] .
à Dofdf]u|fd (Mammo–
gram)M of] b'O{ jif{sf]
%) jif{kl5 ug]{ :jf:Yo–k/LIf0f
dlxnf / k'?ifsf nflu s]xL p:t}
Psk6s ul/g] :tg
k/LIf0f xf] . of] dlxnfsf
nflu ul/g] k/LIf0f xf] .
à sf]nf]gf]:sf]kL (Colonos-
copy)M of] :j:Yo cj:yf
/x]df bz jif{df Psk6s
ul/g] 7"nf] cfGb|fsf]
:jf:Yo k/LIf0f xf] . of]
k/LIf0f k'?if tyf dlxnf
b'j}sf nflu xf] .
à à
%) jif{sf] ePkl5 clgjfo{
?kdf oL k/LIf0f ul/G5g . oL
k/LIf0f s'g} 7"nf] ladf/ gxf];
eg]/ /f]syfdsf nflu
ul/G5g . oL k/LIf0f
/f]usf nIf0f b]lvPkl5 jf
kl/jf/df b]lvPsf sf/0f ul/g]
xf]Ogg . nIf0f b]lvg'eGbf
klxn] /f]syfd ug{ ;lhnf] x'g]
ePsfn] k/LIf0f ul/g] ul/G5 .
;Dk"0f{ zf/Ll/s k/LIf0f /
Kofk l:d/ k/LIf0f tkfO{+sf
;w}+sf lrlsT;s (Primary
care provider; PCP) n] ug{
;Sg'x'G5 . jflif{s k/LIf0f ubf{
tf}n lng] / /Strfk
hfFlrG5 g} . slxn]sfxLF
;Dk"0f{ zf/Ll/s k/LIf0f /
sf]nf]gf]:sf]kL k'?if tyf
dlxnf b'j}sf nflu x'g eg]
Kofk l:d/ k/LIf0f /
Dofdf]u|fd dlxnfsf nflu dfq
ul/g] k/LIf0f x'g .
/utdf lrgLsf] dfqf hfFRg]
klg ul/G5 . t/ /utdf
sf]n]:6«f]n cflb hfFRg
lrlsT;sn] k|of]uzfnfdf
k7fpg'x'G5 .
c? dxÎjk"0f{ hfFr x'g,
cfFvf, / bfFtsf . o:tf
hfFrsf nflu ;w}sf cfˆgf
lrlsT;s;Fu 5nkmn u/]kl5
pxfFs} ;Nnfxdf cGoq hfg
;lsG5 . cfˆgf] hGdlbgsf]
5]p5fpsf] s'g} lbg kf/]/
o:tf hfFrdf hfFbf ;Demg
;lhnf] x'G5 .
Dofdf]u|fd / sf]nf]gf]:sf]kL
cln dxFuf k/LIf0f x'g] ePsfn]
OG:of]/]G; -ladf_ jf 5'6sf]
;'ljwf rflxG5 . %)–^$
jif{sf JolQmsf nflu ladf
gx'Fbf ;/sf/L ;xof]udf oL
hfFr ug{ ;lsG5 . o;af/]
:yfgLo c:ktfn, /fHo
;/sf/sf] :jf:Yo ljefu (De-
partment of Health and Human
Services; DHHS) df a'‰g
;lsG5 .
Photos:Aksharica’sarchive

4. $
la6 dfbf{dfb}{
:jf:Yosf ljifodf
o;k6s klg xfdLn] ˆn"sf]
rrf{ u/]sf 5f}+ . ;DemfPsf 5f}+,
ˆn"sf] vf]k nufpg] a]nf eof]
eg]/ .
aLrdf csf]{ k|;+u,
cf}krfl/s btf{ /f]lsP klg
k'g:yf{kgfsf] qmd hf/L 5 .
cd]l/sfn] (^ xhf/eGbf a9L
g]kfnL–d"nsf e"6fgLnfO{
csf]{ hLjg lbPsf] 5 .
cd]l/sfnfO{ wGojfb .
cGtdf, :jf:Yosf]
csf]{ ljifo %) s6]kl5
/dfpFnf eGgsf nflu xf] .
:j:Yo /fd|f] eP kf] /dfpg] xf],
s] xf]Og / < To;}n] of] ljifodf
klg emSemsfpg] k|of; ul/Psf]
5 . afFsL kf7ssf] thlah .
wGojfb
Editor : Rajesh Koirala, Advisors : Doug Hall, Sattan Acharya, Tara Acharya, Tika Acharya, and Bhagirath Khatiwada
Building Community of New Hampshire, 510 Chestnut St., Manchester, NH 03101, Email: aksharica.communication@gmail.com
@)!*cS6f]a/,jif{(c+s!!@
c+u|]hL zAb ;"rL 75
c+u|]hLdf ;fwf/0f af]nrfn ug{ rflxg] sl/a # xhf/ zAbdWo]af6 krxQ/f}+ ;"rL -efu &%_
• directly:
lqmof–ljz]if0f– ;f]emf], cg'qmdt,
;Lw}, k|ToIf, lans'n, ;/f;/,
cljnDa, t'?Gt, lalQs},
tTsfn .
• director:
gfd– ;~rfns, lgb]{zs .
• dirt:
gfd– w'nf], kmf]xf]/, don, df6f],
b"lift, kmf]xf]/sf] bfu .
• dirty:
gfd– kmf]xf]/L, d}nf], kmf]xf]/
ePsf], cZnLn, 3[l0ft, xfjfx'/L
cfPsf], t'kmfgL, nHhfhgs,
gLr, sk6k"0f{ .
lqmof– d}nfpg', d}lng', kmf]xf]/
nufpg' .
• disabled:
ljz]if0f– ckfªu, ljsnfªu,
c;dy{, Ifltu|:t, cof]Uo
7x/fPsf], cof]Uo .
• disadvantage:
gfd– xflg, cju'0f, cksf/,
a]kmfObf, clxt, Iflt, sl7gfO,
c;'ljwf, k|lts"n cj:yf,
3f6f .
lqmof– cksf/ ug'{, k|lts"n
l:yltdf kfg'{ .
• disagree:
lqmof– gdfGg', a]d~h'/ ug'{,
;xdt gx'g', c;xdt x'g', d]n
gvfg', a]d]n x'g', k|lts"n x'g',
ljrf/ jf /fo gldNg', cg's"n
gx'g', cgledt x'g' .
• disagreement:
gfd– a]d]n, a]d~h'/L, gfd~h'/L,
dte]b, km"6, c;xdlt, ljjfb,
emu8f, kmf6f] .
• disappear:
lqmof– a]kQf x'g', gb]lvg',
clNkg', x/fpg', lanfpg', cb[Zo
x'g', ufoa x'g', nf]k x'g', n'Kt
x'g', d]l6g' .
• disappoint:
lqmof– lg/fz x'g', cfzf eªu
kfg'{, lgikmn t'Nofpg', xtfz
kfg'{ .
• disappointed:
ljz]if0f– lg/fz, xtfz, cfzf
eªu ePsf], dgf]/y
ljkmn ePsf] . qmdzM
Go' h;L{
(New Jersey)
d Go' h;L{ /fHo x'F .
Go' h;L{, pQ/–k"jL{ /fHo
xf] . Go' h;L{sf] /fhwfgL
6«]G6g (Trenton) / 7"nf] zx/
g]jfs{ (Newark) xf] .
n n n
o;nfO{ 5f]6s/Ldf NJ
8]nf]j]o/ (Delaware) 5 .
n n n
cd]l/sfsf] rf}yf] ;fgf]
/fHo xf], h;sf] If]qkmn *
xhf/ & ;o @@ ju{ dfOn
-@@ xhf/ % ;o (! ju{
lsnf]ld6/_ 5 .
n n n
hg;+Vof sl/a ( s/f]8 ##
xhf/ &^ 5 . w]/} hg;+Vof
ePsf] of] !! cf}+ xf] .
n n n
n]lvG5 .
n n n
Go' h;L{ /fHosf] j]a;fO6
www.nj.gov xf] .
n n n
Go' h;L{df # j6f dfq
sfpG6L (county) 5g .
n n n
Go' h;L{ pklåk /fHo xf] .
o;sf] pQ/ tyf k"j{tkm{ Go'
of]s{ (New York), blIf0f,
k"j{ tyf k"j{–blIf0fdf
cfGw| dxf;fu/ (Atlantic
Ocean), klZrddf 8]nf]j]o/
gbL (Delaware river) tyf
k]G;ne]lgof (Pennsylvania),
blIf0f–klZrddf 8]nf]j]o/
vf8L (Delaware Bay) tyf