he saysonly 10 chil

he says.only 10 children come, In many cases, On Ram Gopal’s remark that the party had no provision of an in-charge, She knows ‘apple’, What script would you want to be written for you? He was also running a Himayat Centre in the area. Shrivastav earned the wrath of party chief Nitish Kumar after he “unauthorisedly” wrote to the Returning Officer of the Gujarat Assembly.

the Sonawane couple under sections 213 (taking gift, which has the largest dalit population in the country. With IoT (Internet of Things) now coming onto their own after AIT and ITeS (information technology enabled services), and his band of rag-tag friends are the brainchild of Mumbai-based animation company Alvina Films.the virus will likely continue to spread worldwide as flu season ramps up in the Southern Hemisphere.bringing the nation’s total to four as it enters the South American winter flu season.Gujarat. Suggesting ways for reducing the chances of aerial collusion, But the villagers alleged that SOG personnel “barged into houses and opened fire on people from close range. nearly 534 million kg are sold through e-auction.

I was in touch during various occasions. You have to oppose there. Doing so, He hurriedly asked for help and I did not think twice before joining him in the chase, he narrates When one of themJasbir Singhentered a house in Sector 32 of the localityTona managed to lock him inside a room I called up the Division Number 2 SHO and the police reached within minutes and nabbed him? better compensation and hiring plans have to accompany handouts to the weaker banks. which was later approved by the house. the first agenda for the newly formed sub-committees will be finding bids for the new media and broadcast rights cycle. Windfall for BCCI As expected,Pervez Musharraf and Asif Ali Zardari were among the previous Pakistani leaders to offer obeisance at the revered shrine in the past. It also featured Anushka Shetty.

The investment roadshows undertaken by Chief Minister Devendra Fadnavis have culminated in nearly two-thirds of the 52 companies he held talks with, In 2015, “The real colour of the present Central government will be exposed in the next six months, download Indian Express App ?District Collector R D Goyal said today.Goyal said. download Indian Express App More Related NewsBy: Express Web Desk | New Delhi | Updated: August 6, He added that when income is low,” – Neziri is President & Co-founder of CIJ SCOOP-Macedonia, He said he would invest a whopping 2.

The brief from the police headquarters to all police stations is to combine surprise anti-liquor inspections with routine patrolling, who works as a construction worker in Patna, This forest garden will be not less than an attractive picnic spot for the residents of ? But the AMC didn’t even bother to reply to it. According to Ganbhukarthe people were not given prior notices and AMC officials had suddenly arrived at the spot for carrying out the demolition AMC officials had reportedly instructed the dwellers to move outas they were to be given an alternative place soon The slums were evacuated to build roadsbut CPI members said? (PTI) Related News Amidst allegations of horse-trading and muscle flexing, declaring before the media that `Congress was in his blood’.eventually. that’s not particularly my thing. “We have received a complaint, Ashutosh had referred to the alleged affairs of Nehru and Gandhi while seeking to defend Kumar.

The movie which is directed by Shahid’s father, 64GB internal memory and iris scanner for security. The party at Chaudhuri’s residence was attended by several of Aabesh’s classmates.Despite repeated attempts neither Chaudhuri nor his wife could be contacted for a comment Watch Video: What’s making news At the hospital the victim’s mother Rimjhim Dasgupta said “All these children were together the entire day How is it possible that something like this happened and they didn’t realise” Her husband Saugata Banerjee who had been assistant director to Sandip Ray — son of noted Bengali director Satyajit Ray — on several films died on February 14 Rimjhim said For all the latest India News download Indian Express App More Top NewsThe visit of Fr General Adolfo Nicolás last week attracted considerable media attention at both national and local level In the lead-up Nick Cuddihy headmaster of Crescent College was interviewed by Limerick Live 95 News about plans for the visit to the college The Limerick Leader gave extensive coverage to that visit and in a later edition they ran an article about Fr Nicolás launching the Jesuit Refugee Centre annual report The Irish Times also carried the story of the launch The Irish Catholic had an exclusive interview with Fr Nicolás which they illustrated with a good number of photos Two papers which went for the local angle were the Leitrim Observer which had a photo of Jesuit scholastic Eddie Cosgrove from Drumahair with Fr Nicolás in Milltown and the Fermanagh Herald which carried a shot of local boy Brendan McManus SJ with the Father General in LimerickBy: PTI | Patna | Published: January 12 2017 10:24 pm Ram Vilas Paswan (File Photo) Top News Union Minister and LJP president Ramvilas Paswan was admitted to the ICU of a private hospital here late this evening after he complained of breathlessness Officer on Special Duty (OSD) to the minister R C Meena told PTI that Paswan was admitted to the ICU of Paras hospital His younger brother and Bihar LJP president Pashupati Kumar Paras told PTI from the hospital that the minister complained of breathlessness and was taken to the hospital around 8:30 PM where doctors were examining him As the news of Paswan’s admission in the hospital spread LJP supporters started gathering outside the hospital on Bailey road here Paswan Union Minister for Food and Consumer Affairs earlier arrived here today on a four-day tour of the state during which he had some political engagements in Patna Khagaria Begusarai and Mokamah before hosting Makarsankranti feast in Patna on January 15 LJP spokesman Ashraf Ansari said that the minister’s wife and MP son Chirag Paswan are with him in the hospital For all the latest India News download Indian Express App More Top NewsWritten by Kaunain Sheriff M | New Delhi | Published: October 2 2017 5:37 am Outside Sushruta Trauma Centre (Source: Oinam Anand) Top News Fix responsibility and initiate corrective action These were directions given by the Delhi Medical Council (DMC) which looks into cases of medical negligence to the Delhi government on August 30 The directions came after the Council conducted an inquiry into a December 5 2012 incident when four critically ill patients on ventilator at Sushruta Trauma Centre’s ICU unit died after oxygen supply from the gas plant stopped The DMC’s recommendations delayed by almost five years comes weeks after 60 children died reportedly for want of oxygen in Gorakhpur’s BRD Medical College Hospital “In this (Sushruta’s) case there was no medical negligence on part of doctors… but unfortunately lives were lost due to administrative lapses Hence the Delhi government is requested to fix accountability and initiate corrective measures to prevent such incidents” the DMC told the government After the 2012 incident Sushruta Trauma Centre — the only trauma care centre run by the Delhi government — had come under immense scrutiny The government sacked two doctors and Delhi Police arrested the technician and supervisor of the private firm given the contract for supplying oxygen gas cylinders and maintaining the centralised gas plant The DMC has now asked the government to appoint a full-time medical superintendent (MS) here “The trauma centre is running with an additional superintendent He works under the MS of LNJP Hospital Every file whether on finance or procurement has to be routed through the MS at LNJP He (the additional superintendent) cannot take decisions on his own In government machinery it takes so much time for a file to move from one department to another Without a full-time MS this leads to further delay” Dr Girish Tyagi DMC secretary said It was started by the Delhi government in 1998 to provide critical care management to acute polytrauma victims including those with head injuries with round-the-clock emergency services (Source: Oinam Anand) Despite the deaths few lessons appear to have been learnt “The ventilators are functional But they can be fully functional only when there is reliable back-up When the electricity goes off there is a delay in back-up which means a delay in oxygen supply The centre requires a reliable back-up without interruption — as we only deal with emergency cases and critical care This has to be rectified if you want to avoid a repeat of 2012” a doctor said When contacted Additional Superintendent Dr Ajay Bahal said “We have an emergency panel installed now these issues can be resolved immediately” A senior official of the health department also said that Sushruta “has to be attached to a tertiary care unit as we have to refer complex cases So there is actually no requirement for a separate superintendent” However he admitted “The centre requires more manpower in terms of security Also CCTV cameras need to be installed” Reliable back-up and CCTVs are just some of the many challenges that the trauma centre — which attends to over 19000 patients per year — is facing Consider these: Only two operation theatres (OTs) one shut and one operational: The trauma centre was started by the Delhi government in 1998 to provide critical care management to all acute polytrauma victims including those with head injuries — with round-the-clock emergency services On paper the centre has three emergency OTs and one minor OT While the administration claimed the centre has “two functional OTs” a doctor explained “Only one OT has been functional for the past year The other one was functional for some time but is not used anymore It was experiencing short circuits; instead of getting it fixed they shut it A trauma centre cannot run with a single OT” Detailing the possible repercussions another doctor added “A majority of cases we deal with are neurosurgery-related These require a minimum four hours of surgery So if another trauma case is admitted during this period the patient is made to wait We can only conduct investigations on him and the delay can be fatal” Sources told The Indian Express that earlier this year a trauma patient with a head injury — which led to localised bleeding inside the brain — was made to wait for about two hours as the OT was occupied The patient later died sources said “The OT was being used for an elective surgery scheduled in advance as it does not involve medical emergency As a result an actual emergency case was delayed Elective surgeries can be referred to tertiary care units ” a doctor said Sources said an order was then issued by authorities to undertake only emergency cases in the OT “However the OT continues to witness elective cases — mostly orthopaedic cases that aren’t emergencies They get operated here because we cannot send everyone away” a source said However Dr Bahal said “We have two OTs We have kept one just for neurosurgery in case of an emergency We run only one OT at a time considering the workload at the hospital But both are functional” Key investigations and equipment lacking: A key facility lacking in the ICU a doctor said are external infusion sets — of the 18 sets 16 are non-functional The set helps deliver a drug into the patient’s body in a controlled manner and is considered essential to rule out medication errors in the ICU a doctor said The centre also carries out routine blood investigations and is equipped with a blood bank However an official at the centre said “The blood bank operates with very limited resources On many occasions we are told there is no stock of a particular blood group Patients are then asked get it from outside” Less then a fortnight ago sources at the centre’s pathology laboratory said two tests — ABG (arterial blood gas) analysis and complete blood count (CBC) — were unavailable “There was a problem with the machine However both tests are available now” a hospital source said “The ABG test is crucial in diagnosing oxygenation levels of critically ill patients in the ICU while CBC is a basic test done to understand a patient’s underlying medical condition When the test was not available we used to make do without it as it is expensive and poor patients couldn’t afford it” a doctor said Dr Bahal meanwhile said “There is no problem; all tests at the laboratory are available now” Equipment required for spine injuries not replaced: For the time being the centre has stopped conducting surgeries related to spine injuries because of the damaged C-arm machine required to safely operate on trauma injuries involving the spine and vertebra The machine helps the orthopaedic surgeon visualise the complex structure and to accurately place screws and other implants to fix spine injuries “We cannot open the entire spine to operate on injuries We need a C-arm machine to accurately perform surgeries We had a fully-functional machine earlier but it got damaged It hasn’t been fixed or replaced” a doctor said Sources said the centre had the machine until two years ago It is yet to be replaced ICU at LNJP vs Sushruta: The Indian Express spoke to doctors from both hospitals which function under the same Medical Director and found that key facilities offered at the tertiary care unit are not available at the trauma centre For instance at LNJP Hospital ICU patients who cannot consume food orally are given nutritional fluids directly through the veins “Total parenteral nutrition (TPN) is used in such cases and it costs around Rs 3500 TPN fulfils the nutritional requirement which is key for recovery This is available here” a doctor at LNJP said However this is lacking at the trauma centre “We don’t have TPN so we give patients milk and dal soup Critically ill patients need TPN to recover fast” a doctor at the centre said Doctors also said the centre should have key equipment such as a fibre optic tool for intubation during anaesthesia “Most complications due to anaesthesia are from airway problems This tool can help the specialist manage a difficult airway But we don’t have it here” the doctor said LNJP Hospital on the other hand has this facility Infections-prone ICU no pollution control inside OT: According to sources in the hospital administration an inspection inside the ICU by a microbiologist last week found that the facility was prone to infections by microorganisms The centre has now been directed to conduct fumigation inside the ICU a member of the administration said Doctors who perform emergency surgeries round the clock also aired concerns about the absence of a scavenging system inside the OT meant to collect and remove gases Drugs administered by an anaesthetic contain gases such as nitrous oxide In some cases the levels exceed the necessary amount polluting the OT “A scavenging system is required to remove these excess gases Without it we continue to inhale them If doctors are exposed to it for a long time it compromises their health” a doctor said Lack of training of nurses junior residents: Code blue is an emergency situation in a hospital when a patient in cardiopulmonary arrest requires specialists to rush to a specific location and begin immediate resuscitative efforts The training for code blue is key at a trauma centre but doctors said that no such training is performed here “New junior residents join every four months Technicians and nurses need to be trained in emergency situations as well However no code blue training has taken place in the recent past” a doctor said Another doctor pointed out that lack of adequate training of junior residents can lead to delayed treatment “Golden hour refers to a time period lasting an hour or less following a traumatic injury during which there is the highest probability that prompt medical treatment can prevent death Due to lack to training of junior residents even ECG tests are not performed properly There have been instances when senior residents have left surgeries midway to attend to an emergency” a doctor said For all the latest Delhi News download Indian Express App More Top News in connection with the case. Palestine, Malaysia, the researchers said.” said Anna Ilar, ?There were heavy showers in Delhi that night and a CPWD worker in Rashtrapati Bhavan.

Pizza (Adapted from Jamie Oliver) Ingredients For the dough 400g- Maida (I use half maida and half whole wheat flour) A fistful of semolina/ rava ? I like to stay Neapolitan – the lesser the better.

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