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Nearly 50 percent of patients in need of an early liver transplant, but who did not undergo the procedure due to fear of contracting Covid-19 or due to testing positive just before the transplant surgery, died in 2020, doctors said.
According to the transplant team at the Gleneagles Global Hospitals in Lakdikapul here, during the Covid-19 lockdown and in the subsequent months, a total of 48 patients were in need to undergo a liver transplant. Twenty-three patients were under regular medical supervision, they didn’t contract the Covid-19 infection and underwent successful liver transplantation, while seven patients with Covid-19 infection also successfully underwent a liver transplant and survived.
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The doctors said that 13 patients died after delaying the procedure due to the fear of contracting the deadly virus or for associated reasons. The remaining five patients though prepared for liver transplant surgery but got infected with Covid-19 and died in the pre-transplant stage. The main reason for these deaths being delay in transplant surgery rather than Covid-19 infection itself.
“When the condition of liver worsens, transplant is the only option before a patient, and any delay in undergoing transplant could be fatal. These patients and their family members delayed the procedure due to the fear of contracting coronavirus or other related reasons, and this delay proved costly for the victims who did not survive. It is important that people do not delay transplant when the liver condition worsens,” said Raghavendra Babu, clinical head and senior consultant liver transplant surgeon, Gleneagles Global Hospitals.
“Between June and December last year, we performed 30 liver transplant procedures at the Gleneagles Global Hospitals with 100 percent success rate. Among these, seven recipients and three live donors were Covid-19 positive; and in two instances, both donors and recipients were found positive for coronavirus. Hence, it is important for people to note that liver transplants can be performed on patients who are cured of the Covid-19 virus,” added Babu.
Clinical features of Covid-19 patients are highly diverse from pulmonary symptoms to neurological manifestations. Coronavirus positive patients admitted to hospitals have increased liver enzymes as a common problem, yet it can be rectified. Post surgery patients with mild to moderate Covid-19 symptoms are recommended to continue with immunosuppression medication. Considering these aspects, the patients must not delay undergoing surgery in case doctors recommend it to be performed immediately. (IANS)
Among the Tamil epics written during the Sangam age, only a few survived to this day. Manimegalai is one such. It is written as a sequel to the Sillapadikaram, taking the story forward of Kovalan and Madhavi's daughter, Manimegalai. The Sillapadikaram is about the injustice of the Madurai kingdom in the execution of Kovalan, which turned Kannagi, his wife into a goddess seeking vengeance for her husband's death. Kovalan, before his death, has an affair with a court dancer, Madhavi, and his daughter, Manimegalai, is said to begin a different tradition among the Tamils.
The epic, written by Sattanar, introduces Buddhism to Dravidian culture, something that has been alien to them for years. Manimegalai is the protagonist, who flees constantly from the pursuit of Chola prince Udhayakumara, and tries to lead an ascetic life. Throughout the plot, Buddhist tenets are used to avoid the culmination of a love-story. Manimegalai is believed to be the anti-love story sequel to the Sillapadikaram.
A complete work of Tamil epic written by hand on leaves Image source: wikimedia commons
The Sillapadikaram was written by a Jain monk, Illango Adigal, and Sattanar, uses the sequel to question Jainism. It is almost a political battle between two new religions competing for a place in a predominantly Hindu society. Parts of Manimegalai even go to the extent of opening ridiculing Jain practices and beliefs.
Critics of Tamil literature have stated that while the Tamil epics have great poetic significance, they are inferior to other world epics when it comes to clearly portraying religious affiliations. In fact, they refer to the newer religions with an infant's perspective. Some scholars have found that Sillapadikaram has more ethical substance than its sequel, but in and of itself, despite being written by a Jain monk, reads like Hindu poetry (Subhramanya Aiyar, 1906).
Keywords: Manimegalai, Sillapadikaram, Tamil Epic, Sattanar, Ilango Adigal, Chola kingdom, Sangam Age, Buddhism
The Covid-19 pandemic could act as an inflection point to shift India's growth model from being consumption driven to investments-led. In its Ecoscope report, Motilal Oswal Financial Services, said: "With Covid-19 hurting India's 'Household' (HH) and 'Government' sectors adversely, the continuity of strong consumption growth is in question."
"On the contrary, with listed companies' financial positions improving and an uptick in household investments in the Real Estate sector (called physical savings), the narrative of investment-led recovery is gaining momentum." The report prescribed that various economic participants - households, governments, listed companies, and unlisted corporates -- to increase their fixed asset investments in the immediate future based on their financial position.
The Covid-19 pandemic could act as an inflection point to shift India's growth model from being consumption driven to investments-led. | Photo by Fusion Medical Animation on Unsplash
At present, the listed and unlisted corporate sector accounts for only about half of total investments in India. The 'HH' sector including unincorporated enterprises accounts for 35-40 per cent in India's investments, while the remaining 12-13 per cent is contributed by centre and states governments. Besides, the report cited that demand environment is expected to remain subdued due to weak financial position of 'HH' and government sector.
"Despite household investments picking up strongly in 2HFY21, given that Indian households bore the maximum brunt of Covid-led losses in CY20 (and CY21), we believe household spending would remain subdued over the next few years." It further pointed out that unless 'HH', 'Unlisted Corporate', and government sectors can improve their financial positions -- leading to a demand uptick -- a strong revival in investments seems challenging. (IANS/ MBI)
Keywords: India, covid, pandemic, growth, household, government, investment
SpaceX and Tesla CEO Elon Musk has said that next time the Dragon spacecraft will have food warmer and free WiFi. Taking to Twitter, the crew of Inspiration4 shared a checklist of things they have been enjoying while orbiting safely around the Earth.
"Can't believe we're eating cold pizza in space. It's extraordinary!" Inspiration4 tweeted. In response, Musk apologised for the cold food, saying: "Sorry, it was cold! Dragon will have food warmer and free WiFi next time."
Inspiration4 Crew | Wikimedia Commons
After lifting off for space, SpaceX's Inspiration4, the first all-civilian crew, is healthy, happy and doing well in the orbit, the company said recently. The mission lifted off at 8.02 p.m. (EDT) on Wednesday (5.30 am IST on Thursday) aboard SpaceX's Falcon 9 rocket and Dragon spacecraft from the historic Launch Complex 39 in NASA's Kennedy Space Center in Florida.
It is commanded by tech entrepreneur Jared Isaacman who has been joined by medical officer Haley Arceneaux, a pediatric cancer survivor; Mission Specialist Chris Sembroski, an Air Force veteran and aerospace data engineer; and Mission Pilot Sian Proctor, a geoscientist, entrepreneur and trained pilot. (IANS/ MBI)
Keywords: Elon Musk, SpaceX, Inspiration4, Dragon, Wifi, food