Wednesday, August 14, 2019

Blind women detect breast cancer early
Women MTEs Use Tactile Strips To Examine Patients

Ambika.Pandit@timesgroup.com

New Delhi:14.08.2019

Using their power of touch, five blind women over the last four months have been able to detect precancerous or cancerous lesions in 17 women (or 3.5% of over 500 women examined) in C K Birla Hospital for Women in Gurgaon. Their findings were affirmed medically by radiological tests — mammograms and ultrasounds.

These outcomes draw attention towards the need for early detection of cancer through regular examinations. This first of its kind study claims high levels of accuracy through physical examinations carried out by visually impaired women especially trained using tactile strips to map every centimetre of the breast. The Medical Tactile Examiners (MTEs) are able to detect small lumps between 0.5 millimetres to 1 centimetres.

Voluntary organisation National Association for the Blind’s Centre for Blind Women in Delhi started training women to be MTEs last year to empower them professionally and financially. The nine-month course is being conducted in collaboration with German gynaecologist Dr Frank Hoffmann’s project “Discovering Hands”.

The training has been certified by Rehabilitation Council of Germany. Of the first group of seven MTEs, two were taken up by Fortis Hospital in Vasant Kunj and five by C K Birla Hospital for women in Gurgaon. Another batch of seven will soon be ready as MTEs.



MTEs are not a substitute for radiological testing, says doc

As per data from C K Birla Hospital, nearly 900 women from Delhi and NCR underwent ‘Tactile Breast Examination (TBE)’ along with ultrasound breast for those below 40 years and mammogram for those above 40 years of age.

In the last four months over 500 women were studied to evaluate the enhanced touch (Tactile Sensation) of a visually impaired MTEs.

The clinical findings of the study shared by Dr Mandeep S Malhotra, director, The Breast Centre at C K Birla Hospital for Women show that the MTEs have a very high level of sensitivity for detecting breast lesions.

“Of the 500 cases examined, the MTEs reported 70% as normal and detected changes in breasts of 30% women. Radiological examinations affirmed the findings with 70% women found to be normal.

Of the 30% with changes in breasts it turned out that in 15% there were changes but they were non cancerous, 11.5% had cysts or fibroids and as many as 17 women (3.5 %) had lesions that were either cancers or precancers,” Dr Malhotra said.

“Less than 2%, women, were into any kind of active breast screening and during follow-up said they had started doing self breast examination and would continue with regular check-ups,” Dr Malhotra added.

He, however, cautioned that MTEs were not a substitute for radiological testing but a supplementary check that mapped the entire breast area through a physical examination.

Dr Malhotra cited national statistics to point out that early detection was the need of the hour. “Breast cancer is the most common cancer among women in India. Every year around 1.5 to 2 lakh new women are being diagnosed with breast cancer. As per ICMR data in urban areas 1 in 22 women are likely to be affected by breast cancer. 50% of them don’t survive beyond five years of the diagnosis,” he shared.

According to American Cancer Society Guidelines, the standard screening process of mammography, should start at the age of 45.

Full report on www.toi.in
Bedi hails HC order on med colleges
TIMES NEWS NETWORK

Puducherry:14.08.2019

Lieutenant governor Kiran Bedi on Tuesday welcomed the division bench of Madras high court’s order upholding the single judge’s verdict that directed private medical colleges in Puducherry not to send any student out of the campus for not paying fees.

The divisional bench comprising Justice R Subbiah and Justice C Saravanan upheld the single judge’s verdict, which directed the private medical colleges ‘not to prevent the students from attending the classes’.

“There shall also be a direction to the institution not to send the students out of the campus on the ground that they have not paid the fees. The students should be allowed to attend the classes and the respondent shall also give the necessary attendance,” the bench quoted the single judge’s interim order.

Bedi said the division bench has reiterated the single judge order and added that medical colleges cannot send students out for not paying the fees. She lauded advocate V B R Menon for defending the medical students of Puducherry.

Menon has been working tirelessly with the Union human resources development ministry and Union health and family welfare ministry for the last three years to safeguard the rights of the students, she said “Puducherry cannot thank him enough. Those with vested interests, who were either conniving or negligent, are under investigation by CBI. A legacy of organised crime of medical seats selling finally stands nailed for now. We have to stay alert. Puducherry parents and students thank him and owe their medical careers to Menon’s singlehanded legal fight. Am happy the system now is getting technology-driven to prevent scope for future manipulations,” she said in a group post.

Nursing college principal earns min’s wrath

Pratiksha.Ramkumar@timesgroup.com

Coimbatore:14.08.2019

Health minister C Vijayabaskar on Tuesday ordered action against the principal (in-charge) of the nursing college in the Coimbatore Medical College Hospital (CMCH) after she failed to answer the questions he posed on various government schemes for women.

Vijayabaskar had visited CMCH to inaugurate the pneumococcal vaccination programme and honour the doctors, who had performed 2,750 angiograms.

While he was waiting for municipal administration minister S P Velumani to arrive at the venue, the minister, who was a practicing doctor before entering politics, used the opportunity to interact with the nursing students.

He quizzed them about the government schemes like the Pradhan Mantri Matru Vandana Yojana, a cash transfer scheme for pregnant and lactating women, Janani Suraksha Yojana, a programme for reducing maternal and infant mortality by promoting institutional delivery, and the cradle scheme.

“He became unhappy when the students failed to answer the questions,” a hospital source told TOI.

The minister then summoned the nursing college principal (in-charge) Dhanalakshmi, and asked her why any of the students, who should educate patients about the schemes, were not aware of them.

“Pulling her up for the students’ lack of knowledge, the minister asked her if she was aware of the schemes. Dhanalakshmi, who looked stunned, did not reply. An irate minister ordered CMCH dean Dr B Ashokan to take action against her,” said the official.

Vijayabaskar and Velumani later attended ‘Gift an Organ’, an event to promote organ transplantation, organized by the Confederation of Indian Industry and Young Indians.

Russian Medical University

Rajiv convicts can’t claim release as matter of right, TN tells HC

TIMES NEWS NETWORK

Chennai:14.08.201`9

About a year after adopting a unanimous resolution in the state assembly for the release of all the seven life convicts in the Rajiv Gandhi assassination case, the Tamil Nadu government did a partial somersault on Tuesday and said the convicts cannot claim release as a matter of right or privilege.

It was in September 2018 that the assembly resolved to take the Article 161 route and recommend to the state governor to order the premature release of the seven convicts in the case. It was followed up with letters and reminders to the governor and the Centre.

Meanwhile, Nalini Sriharan filed the present petition seeking a direction to the governor to release all seven convicts including herself.

The state government, in its counter-affidavit to the petition, referred to the Supreme Court judgment in this regard, and said it was for the appropriate government to pass appropriate orders in the case of premature release of prisoners. Such premature release of life convicts is prerogative of the government and no life convict can claim the same as a right and it is not matter of privilege.

The counter, filed before a division bench of Justice R Subbiah and Justice C Saravanan, also reiterated that life term meant imprisonment for life. It is a settled law that unless the life sentence is commuted or remitted by appropriate authority under the relevant provisions of the Constitution or the Code of Criminal Procedure, prisoner sentenced to life imprisonment is bound in law to serve the life term in prison and, therefore, the life imprisonment prisoners cannot claim premature release as a matter of right, argued the deputy secretary to government, home department, in his counter on Tuesday.

The bench then adjourned the hearing to August 20.

The deputy secretary referred to the order of the Supreme Court in a case filed by another life convict – A G Perarivalan – in the case, and said: “Based on the direction issued by the Supreme Court to the governor to decide on the application of AG Perarivalan as deemed fit, the proposal for premature release of the petitioner Nalini and six other life convicts under Article 161 of the Constitution of India, has been sent to governor of Tamil Nadu and the same is under consideration.”

That the state governor has not acted upon the recommendation of the state assembly to release all the seven convicts, is a subject matter of intense political debate for several months now.


CONTESTED: Rajiv Gandhi assassination case convict Nalini Sriharan had filed a petition seeking a direction to the governor to release all seven convicts. The state in its counter-affidavit said life imprisonment prisoners cannot claim premature release as a matter of right or privilege
Pvt medical college moves high court to admit students

TIMES NEWS NETWORK

Chennai:14.08.2019

The beleaguered Sri Muthukumaran Medical College Hospital and Research Institute, which is yet to be allowed to admit students for MBBS course this year, has knocked at the doors of the Madras high court to be included in the seat matrix.

The institution is in trouble after the Chennai Metropolitan Development Authority (CMDA) issued notice for locking, sealing and demolition of at least seven buildings saying they were either without planning approval or were guilty of deviations. Citing this grave violation, the Tamil Nadu Dr MGR Medical University disallowed the college from being included on the list of college eligible to admit students for MBBS courses this year.

Noting that it was only a notice by the CMDA and that the buildings concerned could continue to be utilised, the petitioner said out of abundant caution the management had shown a list of alternative buildings to an inspection committee deputed by the university. It also gave an undertaking that adequate building facilities with necessary approvals would be constructed within three months.

“Suitable alternative buildings approved by the CMDA have been located for all the buildings which are under lock, seal and facing demolition notice of the CMDA, and they were also inspected by the inspection team,” she said.

Noting that the last counselling for allotment of MBBS seats by the selection committee was held on August 8, and that as per the Medical Council of India regulations, the admission process should be completed by August 31, it wanted the court order inclusion of the college in the seat matrix so that it could admit students for the academic year 2019-20.

Justice G Jayachandran, before whom the petition filed by chairperson of Sri Muthukumaran Educational Trust Gomathi Ammal, came up for admission on Tuesday, adjourned the hearing to August  19.
APPOINTMENT OF NURSES

HC notice to state health secretary in contempt case

TIMES NEWS NETWORK

Chennai:14.08.2019

The Madras high court has issued notice to the Tamil Nadu health secretary in a contempt of court case for having disobeyed the court’s order dated July 2, 2018 relating to appointment of nurses.

A division bench of Justice K K Sasidharan and Justice P T Asha, before which an application filed by Tamil Nadu Medical Recruitment Board (MRB) Nurses Empowerment Association, represented by its president K Gopinathan, came up for hearing on Tuesday, ordered notice to the health secretary and others, returnable by four weeks.

According to advocate

Puhazh Gandhi, the MRB issued a notification on April 19, 2015 inviting applications for appointment of nurses for 7,243 vacancies. The selected candidates will be given a consolidated pay of ₹7,700 a month with ₹500 annual increase as per GOs issued in 2013 and 2014.

The matter relates to disparity in salary as a result of the petitioner-association members being denied regular pay scale. It also led to protests by nurses. In response to a PIL in the matter, the health secretary told a division bench that a sevenmember core committee, under his chairmanship, had been formed to look into the grievance of nurses. And by a final order dated July 2, 2018, the bench held that the nurses were entitled to equal pay as per equalwork-equal pay concept. It also directed the committee to address the issue and grand equal pay within six months.

Despite the direction, for reasons best known to the committee members, no action was taken. Describing it as a gross, wilful disobedience of the court order, the present contempt petition has been filed.

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