Quadruplet babies born to Kasargod couple, one dies after month long battle

April 3, 2012

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Mangalore, April 3: A very rare case of four babies of same sex in a single birth (quadruplets) succeeded nearly a month of life by the team effort of highly qualified doctors and medical personals led by Dr Ali kumble in tertiary centre, lndiana Hospital, Mangalore.

However, one among the four babies died on Monday, April 2.

Dr Yusuf kumble Managing Director of the Hospital told media persons that with this Indiana Hospital and Heart Institute's medical team achieved a new milestone in Indian pediatric healthcare.

Aysha Tahira and Latheef hailing from kasargod were not blessed with offspring's for many years. After a prolonged period of waiting they were quite happy to come to know that Aysha has conceived. But the happiness did not last for long time as she delivered prematurely four babies in a single birth. Gynecologist Dr Veena Manjunath was surprised to see new babies one after the other.

The parents were informed that the chance of survival of these babies were extremely rare. Quadruplet incidences occur once in 70 lakh births. These babies survival for more than one week is extremely rare especially if they are very premature. Also it is very expensive and life saving support is required in a high tech care center to make them survive.

Dr Yousuf Kumble said that the four babies got admitted at Indiana hospital's NICU on March 11, this year. Team of doctors led by Dr Ali Kumble took it as a challenge and with their effort babies survived since their admission. Financial support was offered by the hospital management as the father was not in a position to support all the four babies.

“What makes our case still more fascinating is that babies being treated here are identical quadruplet which occurs once in every 13 million births. There are only 60 such cases on record worldwide and it is extremely challenging to ensure they survive into infancy especially if they are born premature at 26 weeks of pregnancy and weigh between 500 to 900 grams”, he said.

He said multiple pregnancies are high risk pregnancies and are associated with increased neonatal morbidity and mortality. The frequency of multiple pregnancies has increased in the past 2 decades, mostly as a result of assisted reproductive techniques for infertile couples.

The average period of gestation in quadruplet pregnancy is 31.2 weeks and the average weight is 1.362 kg as per the literature available. In this case the period of gestation was only 26 weeks and the weights being 900 grams for the first two and 580 grams for the other two offspring, the average weight being only 740 grams, perhaps the first such case of preterm identical quadruplets that goes on record in India, he said.

Dr Kumble said the babies pose serious challenges to both the pediatricians and the family, right from ensuring their survival to the many complications they may develop during their course of hospital stay. “We need to ensure they maintain a normal breathing pattern and tolerate the feed given ok them. Strict hygiene and sanitation to avoid sepsis is a benchmark for ensuring survival of such extremely low birth weight babies. That is why handling and care is undertaken by skilled and experienced nurses assigned specifically for this role”, he said.

“We have taken utmost caution in providing only the mother's milk to the newborns. They have now entered the fourth week of life when chances of intolerance to feeds are high. Survival of such babies beyond the first four weeks of life greatly improves the clinical outcome”, he said.

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Kusuma Kumari G
 - 
Monday, 14 Mar 2016

A VERY GOOD NEWS FOR PARENTS BECAUSE GOD HAS BLESSED THEM WITH FOUR WONDEFUL KIDS.

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June 10,2020

Udupi, June 10: Philanthropist and businessman Haji P K Abuswalih Kannangar passed away today at a private hospital in Mangaluru. He was 85. 

He was a resident of Pombathota house at Kannangar in Kaup taluk of Udupi district.

He was the proprietor of Green Store in Mudigere for past five decades and also was a coffee planter. 

He had served as the president of Muhayaddin Juma Masjid at Mudigere Hand-post in the past. He was also former president of Mudigere Taluk unit of Indian National Congress.

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News Network
June 20,2020

Bengaluru, Jun 20: The Karnataka Health Department has issued guidelines on the admission of COVID-19 patients in private hospitals after clinical assessment, mandating that the district surveillance officer (DSO) should be first informed to initiate further procedures, an official said on Friday.

"A health team sent by the DSO should visit the home or hospital where the patient is staying. The team should conduct a rapid assessment of his or her health condition," said Karnataka's Additional Chief Secretary Jawaid Akhtar.

In the rapid health condition assessment, the team should first check the patient's body temperature, followed by SpO2 (oxygen saturation) level and confirm if there are any comorbidities such as hypertension, diabetes, tuberculosis, HIV, cancer, stroke etc.

Depending on the health condition of patients, Akhtar said, two categories have been made.

"Those who have body temperature greater than 37.5 degrees Celsius, SpO2 level below 94 percent, elderly (above 60 years) and suffering from known comorbid conditions should be taken to a dedicated Covid hospital (DCH)," he said.

"All other patients, even if older but not suffering from co-morbidities, those below 60 and suffering from co-morbidities and asymptomatic cases should be taken to a dedicated Covid health centre (DCHC) or a private hospital as opted by the patient," he added.

Private hospitals have been asked to pitch in due to the rising number of cases in Karnataka. Currently, there are 2943 active cases in the state after 337 cases were reported on Friday.

"The patients are assessed clinically and evaluated at DCHCs or private hospitals with appropriate diagnostic tests. After evaluation, if the patients are asymptomatic, they are shifted to a COVID Care Centre (CCC) for further management," said Akhtar.

CCCs are expected to be equipped with ventilated rooms, pulse oximeters, handheld thermal scanners and blood pressure apparatus.

A nurse has to be present round the clock for every 50 patients and should visit each patient twice a day for assessment whereas the medical officer has to visit the CCC once a day. He should also be available on call in case of an emergency.

Staff serving food and others should wear personal protective equipment and an N-95 mask. Explaining the procedures at DCHCs, Akhtar said general examinations for medical conditions like body temperature, BP, pulse, oxygen saturation and urine output should be in place.

Investigations such as complete blood count, fasting blood sugar, random blood sugar, liver function tests, renal function tests, ECG and chest X-ray facilities should be available.

"DCHCs should ensure that above examinations are over in an orderly timeline of 24 hours and depending on the examination, the patient is continued to be lodged at the DCHC or sent to DCH or CCC," said the senior officer.

Likewise, the discharge policy should be done as per the protocols issued by the Health Department from time to time.

The Karnataka government is yet to fix an upper limit on the cost of treating COVID-19 patients in private hospitals. While reports indicated that this could be capped at Rs 5200 per day, health officials are yet to specify this is the case. Private hospitals in the state have asked the government to take a collaborative approach in deciding the fixed cap on treatment cost.

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News Network
March 4,2020

Bengaluru, Mar 4: The Karnataka High Court has issued a notice to the state government in connection with the denial of retirement benefits to a retired deputy commissioner of commercial taxes who had fought against the illegal iron ore lobby.

Justice G Narendra also directed the state to respond to the notice before March 9, stating the reasons for withholding the officer’s retirement benefits.

Advocate Ramananda, appearing for the retired officer Josephat Andrews, explained that the single-judge bench also warned the government of stringent action.

Petitioner Josephat Andrews said his retirement benefits amounting to Rs 25.88 lakh were being withheld since 2014.

In 2009, Andrews detected a huge scam involving Vijaya Leasing, a company associated with former minister Gali Janardhan Reddy. Immediately he wrote to his higher officials explaining to them how the department was owed Rs 1,400 crore in taxes by the company. Immediately after that, Andrews was transferred to Bengaluru.

The media exposed the scam in 2012. Thereafter, to harass the officer, Andrews was served notice for allegedly not conducting an inspection of M/s Vijaya Leasing, which was controlled by the family of then tourism minister Gali Janardhana Reddy, on July 11, 2012.  He was discharged by a full departmental enquiry.

The petitioner was issued a second show cause notice on Jan 29, 2014 on the same charges. Before his retirement, he was docked two increments, denied promotional benefits and his pension was reduced without following due process.

He was served yet another notice with charges that he did not inspect goods vehicles, and an order was passed on April 30, 2019 reducing his pension by 5 per cent, an unprecedented punitive action.

This order was quashed by the Karnataka Administrative Tribunal (KAT), which also ordered payment of retirement benefits to Andrews within five months. However, the benefits were not released to him.  

“Rule 214 of the Karnataka Civil Services Rules (KCSR) make it clear that no enquiry can be held four years after an officer’s retirement.  Belying all statutory rules and precedents of the Supreme Court, Josephat Andrews’ retirement benefits were withheld for five years. Andrews therefore approached the High Court,” advocate Ramananda explained.

Josephat Andrews recalled to Deccan Chronicle that although mining activity was in full swing in 2008, the commercial tax department maintained that it had nothing to do with mining. “I travelled to Gujarat, Maharashtra and Bellary to investigate. I found tax evasion of thousands of crores. When I visited M/s the Vijaya Leasing facility – it was operating from an old oil mill premises–within 20 minutes I got calls from Ali, a person claiming to be the personal assistant of Gali Janardhan Reddy. He told me to get out of the premises as it belonged to his boss. Then calls came from minister Sreeramulu and MLA Nagendra. 

Within minutes 200-300 rowdies gathered around the building and my superior asked me to come back. Instead of filing a police complaint and forming a special team to deal with the situation, the department transferred me to Bengaluru,” he explained.

Talking about the High Court directive, Josephat Andrews said, “I have suffered a lot. Instead of getting a reward for increasing revenues by Rs 2,000 crore, I was punished.”

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