Tuesday, August 1, 2017

Now, there is no need to lose sleep over snoring


Govt. Stanley Hospital’s lab is helping patients deal with sleep apnea

Seven months after the newest sleep lab in the city’s government sector was set up, it has already saved a marriage.

When a patient, a schoolteacher, came in earlier this year, he was deeply depressed. He told doctors his wife was threatening to leave him because of his loud snoring.

“We did a complete work-up on him and he spent a night in the sleep lab. We found that he had obstructive sleep apnea due to a large soft palate. He was operated on, and the snoring reduced significantly. He came a few weeks later to thank us with sweets, telling us that his marriage had been saved,” said M.N. Shankar, head of the ENT department at Government Stanley Hospital.
The 39-year-old patient said he had been given a new lease of life.

‘“We were nearly at the divorce stage before my surgery. But now, my marriage is back on track ,” he said.

The lab sees three to five patients every day, mostly for cases of obstructive sleep apnea — which can cause loud snoring. Snoring may seem like a minor problem and myths about it — such as that it means a person’s sleep is good — persist.

Dr. Shankar said that while men are more prone to sleep apnea, it also affects women and children. The condition occurs when the throat muscles relax and block the airway during sleep.
Not all snoring is due to sleep apnea, however. “What is dangerous is the cessation of breath. In some cases, it can even lead to death,” he said.

At the sleep lab, investigations include a polysomnography (sleep study) and a drug-induced sleep endoscopy. It’s not just marriages — jobs and livelihoods too can be affected.
On Monday, a 33-year-old man came in for treatment after years of loud snoring.

“I worked as a waiter at a restaurant. While we staff slept, some would complain that my snoring was disturbing them and that they couldn’t sleep at all. They would not speak very nicely to me. At one point, I was asked to get my health checked. I stopped working at the restaurant and went back to my native village to get into farming,” he said. The patient had stopped spending the night outside his home, fearing his snoring would disturb others. From time to time, while talking to someone even during the day, he would fall asleep, and also wake up frequently at night, he said.

Sleep apnea can have huge implications,” said Dr. Shankar. There are a number of causes of sleep apnea — obesity is a major cause, he added. Hormonal imbalances or infections and problems in the nose, oral cavity or inside the throat are also causes. Neurological issues or lung problems are other factors that can cause the condition.

While surgery is performed in some cases, in others, doctors recommend lifestyle modifications.
No only men are prone to sleep apnea, women too are affected
M.N. Shankar
ENT doctor

High Court dismisses appeals against NEET


According to the bench, once the students had taken the NEET, the objective of providing equal opportunities and a level playing field for everyone had been established.
The bench said that the State government was aware that admissions shall be made only on the basis of NEET scores, as long as the assent of the President is not received to the NEET exemption Bills passed in the State Assembly.

Referring to the policy decision of the State government behind its rationale for providing the classification, the court said: “That objective stands accomplished already when all the students, drawn from State Board as well as other Boards, such as CBSE, etc., have appeared at the NEET examination held on May 7. In other words, equal opportunity to all the students across the board has been secured by their appearing at the NEET examination and testing their merit by a common standard/yardstick”.

Fall in standards
The bench dwelt on the lack of infrastructural facilities for students across the State. “Schools are not established particularly up to +2 stage in adequate numbers. Even where they are available, the standards have not been either monitored or updated,” the judges said.
The bench took critical note of the fall in the standards of students and asked the State government to address the issue.

Making a mention of the lack of infrastructural facilities, the judges observed that even where the facilities were available, “there was lack of supervision on the instructors, who were entrusted with the task of teaching 10 + 2 students in the Government schools. Most of the students, it looks like, are made to fend for themselves.”

Strike by medicos cripples OGH services


Junior doctors and post-graduate medical students protesting in Osmania General Hospital on Monday.K.V.S. GIRI  

Assault on junior doctors led to strike

Junior doctors at Osmania General Hospital boycotted their duties on Monday, crippling patient services. The protest was triggered by an alleged assault on medicos by relatives of a patient who died at the hospital late on Sunday.

Over 200 junior doctors and post-graduate medical students who began their boycott immediately after the incident on Sunday, protested at the hospital on Monday with slogans demanding arrest of the people who attacked their colleagues. Voicing concerns over doctors’ safety in government hospitals, they alleged the hospital administration and the State government is doing little to provide a secure work environment in government hospitals.

“This is the second such instance at OGH this month. We have repeatedly demanded greater security but the response has been inadequate. In Sunday night’s incident, one of the doctors suffered a fracture on his arm,” said G. Srinivas, Adviser to Telangana Junior Doctors’ Association. Two women junior doctors were also allegedly assaulted, the protesting medicos claimed.
The police maintained that no details of the injuries were provided to them by the protesting doctors. However, following the incident, a case was registered at Afzlagunj Police Station. One person, Nadeem, was arrested on Monday.

“Our enquiry revealed Nadeem was unhappy with treatment accorded to his mother, who died on Sunday after a week of hospitalisation. He has been booked for assault and obstructing a government servant from performing duty,” said Afzalgunj ACP G. Chakrawarthy. The offence is non-bailable. Cops said the man will be sent to judicial remand on Tuesday.

Monday’s protest hit patient services in all areas of the hospital, including the intensive care wards and emergency, though casualty services functioned with limited staff.
Aid volunteers said many patients who arrived for elective and non-emergency services, were turned away.
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MCI agrees to allow colour blind students in medical colleges
New Delhi


Following recommendation from the Supreme Court-appointed committee of doctors to lift the bar on people with colour vision deficiency (CVD) from joining the medical stream, the Medical Council of India agreed on Monday to end its decades-old practice.
 
Accepting the recommendation of the committee, comprising experts from genetics, ophthalmology , psychiatry and medical education, the MCI told a bench of Justice Dipak Misra and Justice A M Khanwilar that it would implement the recommendation and a formal decision would be taken in its academic general body meeting to be held in October.

Senior advocate Vikas Singh and lawyer Gaurav Sharma, appearing for the MCI, informed the bench that the mandatory screening for colour blindness had been done away with for NEET, the entrance examination for admission to medical courses.

MCI, the apex regulating body in the field of medical study and profession, had earlier contended that people with CVD would not be able to perform their duty as a doctor. They had said that a doctor would not be able to do fair diagnosis and prognosis of a disease as it depended upon colour detection. The committee, whose report was placed before the court, said CVD should not be an absolute bar in the medical profession as it was a common problem. It said there should not be any restriction either at the stage of admission, or at the stage of completion of study and registration as a medical practitioner.

In its 35-page report, the committee said India is perhaps the only country where the colour blind are denied admission in medical colleges as CVD is not considered as a criterion for rejection to study medicine in USA, UK and other western countries.
Government extends last date for filing tax returns to Aug 5
New Delhi:
TNN 
 


The government on Monday extended the last date for filing income tax returns by five days to August 5 and also said taxpayers can link their Aadhaar number with their Permanent Account Number (PAN) by August 31. The finance ministry announced the extensions after taxpayers were unable to access the online tax filing site for a significant period on Monday . The last date for filing tax returns was July 31 and last minute filers rushed to upload their returns. The tax department had been urging taxpayers to file their returns by July 31and had launched a publicity campaign to ensure that the deadline was met.

The ministry said that for efiling of returns, it would be sufficient for now to quote the Aadhaar or acknowledgment number if one has applied for an Aadhaar number.

“The actual linking of PAN with Aadhaar can be done subsequently , but any time before 31st August, 2017. However, the returns will not be processed until the linkage of Aadhaar with PAN is done,“ the finance ministry said in a statement. The ministry said there re complaints that taxpayers were complaints that taxpayers were not being able to log on to the e-filing website of the income tax department. It also received complaints that taxpayers were not being able to link their Aadhaar number with PAN because of different names in the two databases.
The ministry said technical snags had been removed and the main reason for failure of people to log on was due to last minute rush and panic. Those who had already logged in wanted to continue for the entire period for fear of losing their data.


LPG price to go up by Rs 4 every month, subsidy to end soon
New Delhi:
TIMES NEWS NETWORK 
 


The government has doubled the quantum of monthly increase in domestic LPG cylinder price to `4 with the aim of hastening the end of subsidy regime for the widelyused kitchen fuel as the gap with market price shrank to `86.54 for each refill in June amid an extended period of low global oil prices. Since June, state-run fuel re tailers have started raising the price of refills by `4 every month with a view to speeding up the process of bridging the gap between subsidised and market rates of domestic LPG.Until then, retailers had been raising the price by `2 every month since a July 2016 order from the oil ministry .

In May , the ministry ordered retailers to double the quantum of monthly increase to `4 to speed up elimination of the subsidy . With oil prices expected to remain low, the higher quantum of monthly hike could wipe out the subsidy sooner if oil prices fall further.

Each household is at present entitled to buy 12 cylinders of 14.2kg at subsidised rates in a year and has to pay market rate for refills bought beyond this cap. A subsidised LPG cylinder now costs `477.46 each in Delhi, while it was `419.18 in June 2016.A non-subsidised domestic cylinder, which consumers buy after exhausting their quota of subsidised refills, costs `564.The government pays the difference directly into the account of consumers who pay the full cost at the time of taking delivery.
“Public sector oil marketing companies (OMCs) were authorised to increase price of subsidised domestic LPG cylinder by `2 per cylinder (14.2kg) per month (excluding VAT) with effect from July 1, 2016,“ oil minister Dharmendra Pradhan said in a written reply in Lok Sabha on Monday .
More students from TN have joined paramedical, arts & science


One-fourth of the colleges have not attracted a single candidate by Monday , nine days after Tamil Nadu Engineering Admissions began.And, around 350 government and self-financing colleges have got less than 10 students each under the general category .
 
Data accessed by TOI shows that of the 527 Anna University-affiliated colleges in the single-window counselling process, only 39 have filled more than 75% of seats.

With the number of absentees gradually increasing, more than one lakh seats are expected to remain vacant this year. Close to 1.18 lakh seats went without takers in 2016-17. Unlike in previous years, when seats in top colleges got filled in a day or two, this year, it reportedly took more than a week. Counselling began on July 23 and on Monday, more than 1.35 lakh seats, including more than 30% of the 8,300 seats in the four university departments and constituent colleges, remain vacant.
Anna University has attributed this dip to delay in commencement of medical admission process as most Class XII toppers still waiting for details of the National Eligibilitycum-Entrance Test (NEET) results. “With more number of students with moderate and low cut-off scores expected to attend engineering counsel ling this week, we are optimistic the numbers will rise,“ said a senior state higher education department official, requesting anonymity .

Former Anna University vice-chancellor E Balagurusamy said students not choosing seats in more than 40% of tierIII colleges reflects on the poor quality of teaching. “Indeed, the state government instead of staying idle, should proactively come forward to close these 200 colleges in the interest of the public,“ he added.

The figures also indicate that the recent layoffs in the IT sector have had a major impact on engineering admissions this year, said education al consultant Moorthy Selvakumaran. “Consequently , more students from Tamil Nadu have joined paramedical, arts and science, agriculture, business and management related courses,“ he added.

Some some self-financing colleges, particularly in the western belt, which all these years collected hefty capitation fees have begun approaching organisers of educational fairs to fill seats, he said. A private engineering college principal said that awareness about infrastructure had increased among parents and students, but many were still carried away by misinformation campaigns.

NEWS TODAY 24.01.2026