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You can add a new person with the name "Karpagarajesh, Akshara Jayanthan | Dr. G.", or you can connect "Karpagarajesh, Akshara Jayanthan | Dr. G." with a person entry that is so far only been referred to by another name (such as a former name or an alias name).
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Disambiguation
The disambiguation is part of the BibSonomy genealogy project and is used to link unassigned publications to an existing person. You see the referenced publication of the author "Karpagarajesh, Akshara Jayanthan | Dr. G.", a list of already existing persons with the same author-name, and if available, other publications associated to them. Now you have the option to assign this publication to a person or create a new one.