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HEALTH
 

Under-40 age group more prone to brain stroke
Tribune News Service

Chandigarh, November 2
A brain attack or a stroke, the third largest killer after cardiac disorders and cancer, is now catching up with the under 40-age group. Almost 25 per cent of those who approached the PGI stroke helpline, during the last six months were in this age group.

“A brain attack or a stroke occurs when the normal flow of blood carrying oxygen to the brain is cut off because the blood vessel either ruptures or becomes clogged, "explained Dr S. Prabhakar, head of the Neurology Department at the PGI. He added if the patient is brought to hospital within the first three hours of the stroke, the extent of damage can be minimised.

Speaking at the 6th Annual Conference of Interventional Neuroradiology at the PGI, Dr Prabhakar, said about seven to 10 calls are received daily by the 24-hour stroke helpline, launched by the PGI, six months back. “What is alarming is the fact that one fourth of all stroke victims who come to us are below-40, as compared to a few years back when the victims were in the higher age group.

“Minimally invasive method is the latest advancement in treating aneurysms, where a bulging or ballooning out of the part of the wall of a vein or an artery bursts,” informed Dr Prabhakar. “Since the surgery involves only a small incision in the groin as compared to cutting open the skull in the conventional brain surgery, it causes far less disruption of the patients vital processes,” he said explaining the latest procedure. Moreover, the recovery is much faster, making it an attractive proposition.

He further explained that brain aneurysms can occur at any age, where the patient has sudden onset of severe “thunder clap” headache, associated with nausea, vomiting, giddiness, convulsions and a transient coma. The treatment involves placing small detachable coils into the aneurysm through an intra-arterial catheter, to block flow to the affected area, preventing rupturing. Being a few hour procedure, the patient is discharged within two days.

Dr Prabhakar said so far 24-hour stroke helplines have been launched only in Chandigarh and Mumbai. He said the prevalence of stroke in India is 98 to 268 per 10,000 population. “Out of this one third die before reaching hospital, and the same percentage are unfit for treatment and an equal number is amiable for treatment,” he said.

Doctors point out that brain attack can cause permanent disability or even death if left untreated and it affects quality of life much more than heart attack.
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Bishop Cotton School plans AIDS care centre at Shimla
Tribune News Service

Chandigarh, November 2
Boarding schools across the country have begun rising to their social obligations, besides academic ones.
Bishop Cotton School (BCS), Shimla, is one among such institutions that make their children go closer to suffering so that they may respect pain as well as the pained.

In Chandigarh to conduct a special session on “Dealing with children” with a select gathering of teachers and parents, Mr Kabir Mustafi, Headmaster of BCS, spoke about the school not just an academic institution in lofty isolation, but also as a leader with a definite role and responsibility. Having divided the school programme into five distinct programmes, Mr Mustafi has linked education to socialist concerns.

He apprised The Tribune of major outreach programmes at BCS, which recently entered its 144th year as one of the oldest boarding schools in Asia. Successfully running the cancer care programme, which requires BCS boys to share time for the cancer patients lodged in government hospitals of Shimla, Mr Mustafi laid stress on human elements of education. “This is a sensitisation exercise.

We want our boys to reach out and offer. They work closely with cancer patients, addressing their needs and adding an element of joy to their lives.”

Besides, the school is working hard to realise its dream of building a fullfledged AIDS care centre, informed Mr Mustafi, who has been in touch with the state government on the issue. “We realised that we have to depend on ourselves for this project. We are planning to accommodate at least 25 patients at a time.”

As heartening details emerged from the conversation, one learnt about the girl child adoption programme which BCS runs with great success. Currently class IX of BCS sponsors 17 girl students in Sirmaur. “We take a pledge that while we educate these girls, their families would not interfere till they have attained entire education. My boys visit Sirmaur four times a year to hand over the required technical material to the girls, who study in government schools but are monitored by us.”

The school recently obtained recognition from the Rehabilitation Council of India for its Centre for the Mentally Handicapped Children, which is run by Mr Mustafi’s wife, Kamini Mustafi, who heads the junior BCS wings, besides looking after “The Learning Centre”. A clinical psychologist, Kamini deals with special children in a special way.

Stressing the need for taking the element of glamour away from education, he said it was imperative to integrate students from all classes of society so that they got a level playing field and emerged as healthy competitors. Significantly, BCS is also running a centre for children of migrant labour from Himachal Pradesh.

For the future, Mr Mustafi is looking at better infrastructural facilities for his boys, who enjoy the reputation of great shooters. BCS students are national rifle shooting champions at the junior level.
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Doctors, too, undergo trauma, says expert
Pratibha Chauhan
Tribune News Service

Chandigarh, November 2
People generally believe doctors are insensitive to the pain and suffering of family members who lose a loved one during surgery, but it may not necessarily be true as they too undergo a lot of “psychic trauma” when they fail to save a life.

“The doctors, too, are human and there have been incidents, especially in case of some neuroradiologists, who unable to cope up with the death of a patient relive those moments, feeling guilty,” said Dr V.R.K. Rao, Consultant and Head of Radiology at the Al Jazeira Hospital in Abu Dhabi.

Considered to be the father of the super-speciality of Interventional Neuroradiology in India, Dr Rao, is here in the city to attend the sixth conference of the Indian Society of Neuroradiology and Indian Society of Vascular and Interventional Radiology and Imaging Department, being organised at the PGI.

“A study conducted in Japan, revealed that almost 25 per cent of the neuroradiologists who failed to save their patient during the procedure, relived those moments so often that they finally gave up practice of intervention,” said Dr Rao, talking about the emotional and ethical aspects of neuroradiology, which had revolutionised treatment and diagnosis of certain disease.

He said out of 300 Japanese doctors who were interviewed, 284 had symptoms of psychic trauma. “At times the young intervention list is unable to detach from the impact of tragedy but it is essential for him to cope and avoid feeling of guilt, grief and shame due to the outcome,” he said.

Citing examples, he said in their hour of grief and pain the family of a patient who could not survive a complicated surgery often blames the doctor for the death, which they are convinced could have been averted, had they not gone ahead with the intervention. “As such it is very important for the doctor to be in control of his emotions and not unnecessarily blame himself for the death of a patient,” is the advice Dr Rao, has for doctors.

Talking about neuroradiological procedures, he said no doubt there was an element of risk but it was the same with even normal surgeries. He said the reasons for this psychic trauma was due to a sense of incompetence and severe criticism by the patient’s family.

Talking about the ethical issues concerning neuroradiology, he said it was the duty of every doctor to discuss the procedure at length with the patient and his family, while telling him about all other alternate options. “In this kind of a intervention the patient-physician relationship matures only after repeated discussions and counselling regarding the benefits and anticipated risks,” he said.

He said there had been cases where the patient-doctor relation breaks down because the informed consent was taken without unanimity of family members. Even courts had started adopting a tough stand that the patient must be made aware of the risks and benefits before the intervention, he added.
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Panchkarma — antidote to lifestyle diseases
Tribune News Service

Chandigarh, November 2
If years of allopathic treatment has not brought relief from diseases like joint pains, skin problems, anxiety and gastro-intestinal ailments, try panchkarma, an ayurvedic therapy which purifies and rejuvenates the body. Hundreds of such patients suffering from lifestyle diseases like stress or metabolic disorders like arthritis, have got relief through panchkarma being offered at the Shri Dhanwantry Ayurvedic College and Hospital in Sector 46.

“Majority of the patients coming to us are in the age group of 40 to 50 and have sought refuge in panchkarma after years of unsuccessful allopathic treatment,” informed Dr Arun Gupta, in charge of panchkarma clinic at the college. He said at least 50 patients were coming to the clinic daily, for which the charges are Rs 100, inclusive of medicines and day care stay in the hospital.

“Panchkarma has been found to be very effective in insomnia, joint pains, gout, diabetes, anxiety, psoriasis, eczema, migraine, sinusitis and gastro-intestinal ailments,” he informed. He said majority of the people in the 40 age group were coming with problems like slip disc, arthritis, joint pains and anxiety a result of stressful living.

Interestingly, it is allopathic doctors themselves who are recommending panchkarma to majority of these patients. “The primary cause of all these problems is anxiety and it is through meditation, yoga and panchkarma that enables you to work without getting stressed,” he explained.

Panchkarma involves five components, which are preceded by oiling of the body (snehan) and fomentation (svedhan). This is followed by the five steps, which cleanse the upper intestinal and lower intestinal portion of the body. To treat problems of head and neck region nasyakarma is given where the medicine is administered through the nose. “A joint venture with Dabur is almost in the final stages, for the setting up of a Rs 4 crore research-based ayurvedic centre, where a therapy room will be attached to every private room,” informed, Dr Gupta. The college today started a special capsule training programme in panchkarma for ayurvedic medical graduates so that its benefits can be availed by the public.

With the inauguration of a CT scan machine at Shri Dhanwantry Ayurvedic College, people can avail the services at subsidised rates. In the public sector, only the PGI has a CT-scan as General Hospital and Government Medical College and Hospital have yet to acquire it.

The machine has been installed by Panchvati Charitable Trust and will be operated on a no-profit no-loss basis. Dr S.K. Aggarwal, a member of the management of the Dhanwantry Education Society, said a CT scan which cost Rs 1,400 in the market would be done for Rs 800. He added that ultrasound was already being done for Rs 150 and the cost of an X-ray too had been reduced from Rs 60 to 50.
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Carbon dioxide angiography performed
Tribune News Service

Chandigarh, November 2
The first case of angiography done with carbon dioxide instead of the conventional method of using dyes was performed at the PGI today by Dr Mathew Cherian, consultant in vascular and interventional radiology at Kovai Medical Centre in Coimbatore.

Dr Cherian, is here to attend the sixth annual conference of the Indian Society of Neuroradiology (ISNR) and the Indian Society of Vascular and Interventional Radiology (ISVIR), organised by the Radiodiagnosis Department, PGI. He conducted a workshop on carbon dioxide angiography for participants for studying the blood vessels of the limbs.

Till now angiography was being done at the PGI by the conventional method where iodinated contrast media was injected into the blood vessels and studied with the help of X-rays. Dr Cherian explained that carbon dioxide angiography was a far safer and cheaper alternative to the conventional method.

Highlighting the other benefits of carbon dioxide angiography, he said it could prove beneficial in the case of patients whose renal functions had been compromised and conventional angiography could not be done.

Dr Cherian performed the first carbon dioxide angiography on a patient at the PGI’s Radiodiagnosis Department.

On the third day of the conference today, topics like spine interventions , latest advances in CT angiography, fluoroscopy and perfusion and MRI were discussed at length.
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Mehak strikes gold in skating meet
Tribune News Service

Chandigarh, November 2
Mehak of the local KBDAV School, Sector 7, won the gold medal in the road race event for under-12 years girls category in the fourth CBSE National Skating Championship here today. Manjeet Singh, also of KBDAV, won a bronze medal in the road race event in the under-14 boys category.

Skating teams from 150 schools comprising about 400 skaters and 18 team officials from all over the country have assembled here to participate in the championship.

K.R. Rohit of DPS, Bangalore, won the gold medal in the boys under-8 road race, while K. Lupana Chaudhary of Bharatiya Vidya Bhavan, Tirupati, won top honours in the road race for girls under-8.

Kriti Puri of Chandigarh’s Bhavan Vidyalaya won the gold medal in the girls under-19 section.

The meet is scheduled to conclude tomorrow.

The following are the results (all road races):

Boys under-8: K.R. Rohit (DPS, Bangalore) 1, Sarvpreet Singh (Bal Bharti, Delhi) 2, and Arshdeep Singh (Dyal Singh, Karnal) 3.

Girls under-8: K. Lupana Chaudhary (Bhartiya Vidya Bhawan, Tirupati) 1, Shikha Muley (St Raphels High School, Indore) 2, and Manushi Pandit (DPS, Bhopal) 3.

Boys under-12: Tejas Chimurkar (Centre Point School, Nagpur) 1, Varun Chohan (Modern Vidya Niketan, Faridabad) 2, and Amit Sethi (DAV, Kurukshetra) 3.

Girls under-12: Mehak (KBDAV, Chandigarh) 1, Aishwarya Sharma (KVM, Ludhiana) 2, and Alisha Puri (Sacred Heart, Ludhiana) 3.

Boys under-14: Utkarsh (Hansraj, Delhi) 1, S. Brahma Teja (Timpany School, VSP) 2, and Manjeet Singh (KB DAV, Chandigarh) 3.

Girls under-14: Neha Narwal (St Theresa Convent, Karnal) 1, Khushi Dholakia (Senior Study, Amritsar) 2, Soranshi Thukaral (Sacred Heart, Ludhiana) 3.

Boys under-16: Gurdeep Singh (DAV Thermal, Panipat) 1, neeraj Kumar (Centre Point, Nagpur) 2, and Ramakant (Uday Bharti, Faridabad) 3.

Girls under-16: Manushi Shenoliakar (Centre Point, Nagpur) 1, Harjapjee Kaur (Amity Int., Delhi) 2, and Poonak Chahal (SD Adarsh, Karnal) 3.

Boys under-19: Surinder Sodhi (DAV Thermal, Panipat) 1, Sumit Parashar (DAV 14, Faridabad) 2, and Manavpreet Singh (Ajanta, Amritsar) 3.

Girls under-19: Kriti Puri (Bhavan Vidyalaya, Chandigarh) 1, Gurjpreet Kaur (GHPS, Amritsar) 2, and Sandeep (Shah Satnam, Sirsa) 3.
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Manav Das wins Samarveer Sahi golf
Tribune News Service

Chandigarh, November 2
Manav Das of Kharga Golf Club, who had slipped to spot three after the third day's play, lifted the 2003 Samarveer Sahi Amateur Golf Trophy.

Last year's winner and defending champion, who stood seventh at the end of the third day's play, shot a magnificent round of 69 on the last day. Manav Das too played a round of 71 (one under) with birdies on the 5th, 8th and 14th holes. Thus both Manav Das and Harinder Gupta were tied up at 286 after calculating the scores of all four days. There being a tie both players went for a play off on the 18th.

Harinder Gupta won the toss and therefore had the right to tee off first. Unfortunately, his tee off hit the eucalputous trees on the right.

His second shot also landed him next to the Gazebo adjacent to the first tee off.

On the other hand, Manav Das kept his cool, hit a straight ball and his tee off shot landed plumb centre fairway. Manav Das's second shot landed him on to the green by 12 feet for a birdie finish.

Defending champion Harinder Gupta did not give up and from a position which had an unplayable line, he chipped in well on to the green to hole in with his fourth shot for a par.

Now it was up to Manav Das to maintain his rhythm and sink the putt for a birdie and the championship. He made no mistake and sank that putt to the roar and delight of the crowd.

Vikrant Chopra who played two over (par 72) finished third followed by Sandy Lehal who was just a stroke behind.

The following are the final standings: Manav Das (286) 1; Harinder Gupta (286) 2; Vikrant Chopra (288) 3; Sandy Lehal (289) 4; Jaskirat Singh Dullet (291) 5; Ranjit Singh (293) 6; Girish Virk (293) 7; Jaideep Patwardhan (294) 8; Simranjeet Singh (294) 9; and Chirag Kumar (294) 10.

Karate championship

The following are the results on the concluding day of the second RL Kapoor Memorial Open Karate Championship held at the Sector 10 Skating Rink.

Sub-junior (boys): below 20 kg — Akhil 1, Amit Sharma 2, and Subham 3; below 25 kg — Vishal 1, Sushant 2, and Harbinder 3; below 35 kg — Shahil Sood 1, Vishal 2, and Akhil 3; below 40 kg — Gaurav 1, Ajay 2, and Durga Prasad 3; below 45 kg — Karanveer 1, Akhil 2, and Uttam 3. Above 45 kg — Aman 1, Arvinder 2, and Karanveer 3.

Sub-junior girls: below 20 kg — Neha 1, Palak 2, and Muskan 3; open weight — Anu 1, Kanchan 2, and Renu 3; below 60 kg: Anuradha 1, Pardeep Kaur 2, and Nidhi 3.

Soccer meet

In the football tournament, which was formally inaugurated by S. Sampath, Zonal Manager, Bank of India, Chandigarh Zone, at Chandigarh, United Bank of India beat Oriental Bank of Commerce 4-0. The scores were Tushal Rakshit (2) and Sandeep Munish and Ravi Bakuni (one each).

In another match, State bank of Travancore beat Dena Bank 4-0. The scores were Naushad (1) Hakam Abdul (1) and Asif Sahir (2).

Allahabad Bank beat Central Bank of India by a solitary goal. The goal scored by Dulal Biswas.

Reserve Bank of India beat Bank of Baroda 3-1 in the last match of the day.

Cricket tourney

PANCHKULA: Hosts Haryana will take on Jammu and Kashmir in the North Zone Inter-state Cooch Behar Cricket Tournament at Panchkula from tomorrow. The match would be played at the J.R. Sharma Institute of Cricket Technology grounds, Barwala, said Sandeep Moudgil, honorary secretary of the Panchkula District Cricket Association.
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Double crown for Mayank
Tribune News Service

Chandigarh, November 2
Mayank Behal of Railways claimed a double crown in the ninth Tarachand Memorial Prize Money All-India Junior Major Ranking Badminton Tournament at the Devi Lal Sports Complex at Sector 3, Panchkula, today.

Competing in the final of the under-19 boys singles, Mayank Behal beat Anand Pawar 15-11, 10-4 before Anand conceded the match.

With Ramnik Sharma, also of the Railways, they beat Sahil Arora (Punjab) and Rohit Bhakar (Haryana) 15-9, 15-4, to claim the boys under-19 double title.

In the girls under-19 section, Aparna Balan of kerala also claimed a double crown, winning the singles and doubles titles.

While distributing the prizes to the winners, Mr Devender Singh, president of the Haryana Badminton Association, lauded the efforts of the Panchkula Badminton Association for organising the tournament which gave an opportunity to the players from all over the country in general and from northern states in particular to compete and get exposure.

Boys singles (under-10) — Pratul Joshi (UTR) b Samir Verma 15-10, 15-11; girls singles (under-10) — Vijeta Bhargav (MP) b N. Sikki Reddy (AP) 11-5, 11-6; boys single (under - 13) — Raj Kumar (PB) b Nitin Dahiya (Har) 15-5, 15-13; girls singles (under-13) — Vaishali baria (Guj) b IRD Sharvani 11-3, 11-8; sub-junior boys (under- 16) — Saurav Kapoor (har), b Mandip (CDG) 15-10, 15-5.

Doubles: IS Navin Kumar and L. Lokesh (AP) b Raj Kumar and Gurbakhsh (Pb) 15-6, 15-8.

Sub junior girls (singles) u-16: Neha Rane (Nah) b Vaidehi Dave (Guj) 11-7, 11-4; (doubles) — Anita and Kannu (Har) b V. Jyoti Swaroopa and P. Jyothsna (AP) 15-10, 16-17, 15-13.

Junior boys singles (under-19): Mayank Behal (Rlys) b Anand Pawar 15-11, 10-4, (conceded.); doubles: Mayank Behal and Ramnik sharma (Rlys) b Sahil Arora (Pb) and Rohit Bhakar (Har) 15-9, 15-4.

Junior girls singles (under-19): Aparna Balan (Kar) b Sharda Gowardhani (AP) 4-11, 11-6, 11-3; doubles: Aparna Balan and Vaidehi Dave b Sharda Gowardhani and N. Nivedita (AP) 12-15, 15-11, 15-0.
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Lacklustre tribute to celebrated city
Tribune News Service

Chandigarh, November 2
The bureaucracy in the UT Administration has come under considerable criticism for the rather unimaginative way it has celebrated the golden jubilee of Chandigarh.

It was on October 7, 1953 that the President of India, Dr Rajendra Prasad, formally inaugurated Chandigarh at a public meeting held in the open ground adjacent to the Civil Secretariat. The spot is now called Rajendra Park.

That the City Beautiful will be completing 50 years on October 7 this year was known to all concerned and there were indications that the UT Administration was preparing to celebrate the event in a befitting manner, but what was finally done turned out to be an apology of a celebration and disappointed, if not all, residents of the city.

Two musical performances by Sukhwinder and Jaspinder Narula, an exhibition, another function at the spot in Sector 9 from where Pandit Nehru first surveyed the city from the height of a tower and that was about all.

There was no illumination of public buildings and no recalling the good work of Le Corbusier and his associates in an organised manner. Even the governments of Punjab and Haryana, whose capital Chandigarh is, were not associated with the celebrations in any way.

The explanation being offered on behalf of the UT Administration is that the administration wanted the celebrations to be low key so that the money so saved could be better spent on building roads and other development projects.

This has not impressed anyone. “In that case why does the administration organise Rose Festival every year and spend lakhs of rupees?” countered an irate resident.

The golden jubilee celebration of Chandigarh should have been organised on a much larger scale. There should have been illumination of public buildings, Capitol Complex, Open Hand and a display of fire works.

People should have been allowed in the Capitol Complex, which normally remains closed to public due to security reasons, he said.

It should have been a day of rejoicing and a tribute to the people of Punjab who, after losing Lahore, accepted the idea of having one of the most contemporary city of the world as their capital.
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Gandhi is President of IT Appellate Tribunal
Tribune News Service

Chandigarh, November 2
Mr Vimal Gandhi has been appointed the President of the Income Tax Appellate Tribunal (ITAT), according to an official announcement here yesterday.

Mr Gandhi, who is at present Vice-President of the ITAT, has taken over the charge of his new assignment in New Delhi. Mr Gandhi was posted here as Vice-President, ITAT, in April, 2001. During his stay here, there was a record disposal of appeals pending before the ITAT.

The number of pending appeals which exceeded 10, 121 in April 2,001, fell to just 4,446 in September , 2003.

According to official figures available here, the total number of cases pending before the tribunal exceeded 11,000 in 1999, 2000 and 2001. Their number stood at 10121 as on April 1, 2001.

But after Mr Gandhi joined as the vice-president, the number of pending cases came down to 7562 with in a year and to 5077 as on April 1, 2003.

The pending cases continued to show a downward trend with 4,877 in April, 4,794 in May, 4,670 in June, 4557 in July, 4,288 in August and 4,226 in September, 2003.

Mr S.S. Raikhy, president, and Mr Chaman Lal Sharma, a leading member of the ITAT, Chandigarh, said during his stay in Chandigarh, that the standards of productivity had improved substantially.

Mr Gandhi had been instrumental in bringing about a drastic fall in the number of pending cases before the tribunal.

In a brief interaction with TNS, Mr Gandhi said although he had the choice of operating either from Delhi or Mumbai as the president of the ITAT, he had opted for New Delhi.

As president, he would enjoy the rank of a Secretary in the government of India.
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