Nipah virus infection: Death toll mounts to 11 in Kerala

Bengaluru, Jan 21: A private hospital in Bengaluru, the capital of Karnataka, on Tuesday claimed that it has successfully performed a live liver transplant on a Jehovah's Witness from Nigeria, by not using blood or blood products, in order to protect the patient's religious beliefs.

It is said that Jehovah's Witnesses are followers of a Christian faith that prohibits the use of blood or blood products during their treatment. Gehojadak (37), a Jehovah's Witness follower, had developed decompensated liver disease and visited more than three countries seeking treatment over the last four years but was turned away by most doctors due to the highly risky nature of surgery, Aster CMI Hospital said.

The surgery was challenging compared to a normal liver transplant because in order to protect the patient's religious beliefs, the medical team could not use blood or blood products (Fresh frozen plasma, Cryoprecipitate, Platelets etc), it said in a release, adding that very few such surgeries have been successfully conducted worldwide.

The patient's brother was the donor, the hospital said, adding, without a liver transplant, Gehojadak's chances of survival were less than 10 per cent over the next two years. A team of liver specialists from the Hospital thoroughly reviewed the patient's medical history before recommending a bloodless liver transplant and charted out a feasible pathway to make the surgery a success.

"This transplant was especially challenging as we did not have the safety net (of using blood) even if the patient's life was at risk due to their advance directive. We have performed other non-transplant liver surgeries in Jehovah's Witnesses and this gave us the confidence to take on Gehojadak's transplant," Dr Rajiv Lochan, Consultant Liver Transplant Surgeon, said.

The critical surgery took a 12-hour period to complete where two teams of specialists with close to 25 doctors including anaesthetists, intensivists worked in absolute sync with each other and Gehojadak finally received a life-saving liver transplant, the Hospital said. In a period of two weeks, the patient and his brother were fit enough to go home and were discharged from the hospital.

"Even if their haemoglobin levels dropped to life-threatening levels, the patients were clear that they would not accept a blood transfusion. Keeping the limitations in mind, the most effective treatment path was planned, and we spent close to two months preparing the patients for surgery," Arun V, Consultant Anesthesiologist said. The hospital arranged customised artificial products like synthetic drug molecules, to conduct a bloodless liver transplant, he added.

Bengaluru, Jul 16: Former union minister and Senior Congress leader Veerappa Moily on Wednesday said that if at all there is a political future for Sachin Pilot it is in the Congress party.

While speaking to news agency, Moily said Sachin Pilot achieved everything by being in Congress party.

"Sachin Pilot became MP, union minister in UPA-II, PCC president in Rajasthan and Deputy Chief Minister of Rajasthan. Whatever grievances you have, it needs to be resolved within the forum of the party. There is no hurry for Sachin Pilot. If at all there is a future for him it is in the Congress party. He has to realise that. He says he won't join BJP, it is good," Moily said.

The former Union Minister Moily further said that Pilot could not become Chief Minister as in Congress, the high command sends an observer and opinion of MLAs is ascertained, be it in Madhya Pradesh or Rajasthan.

"The leader who enjoys the support of elected MLAs is made Chief Minister," Moily said.
On July 14, Congress party had sacked Sachin Pilot from the post of Deputy Chief Minister of Rajasthan and also from PCC president.

The Rajasthan Congress is in turmoil over the past few days. State Chief Minister Ashok Gehlot has blamed the BJP for attempting to destabilise the state government by poaching MLAs. The Congress government in the state is facing a political crisis after simmering differences between Pilot and Ashok Gehlot came out in the open.

A controversy broke out in Rajasthan after Special Operation Group (SOG) sent a notice to Pilot to record his statement in the case registered by SOG in the alleged poaching of Congress MLAs in the state.

New Delhi, May 12: Air India is planning to operate 149 repatriation flights to 31 countries between May 16 and May 22 during the second phase of the Vande Bharat mission to bring back home Indians stranded abroad amid the coronavirus-triggered lockdown, officials said. During the first phase of the Vande Bharat mission, Air India and its subsidiary Air India Express are scheduled to operate total 64 flights between May 7 and May 14 to bring approximately 15,000 Indians from 12 countries on a payment basis.

"In the second phase, Air India and Air India Express will operate 149 flights to countries such as the USA, the UAE, Canada, Saudi Arabia, the UK, Malaysia, Oman, Kazakhstan, Australia, Ukraine, Qatar and Indonesia," the airline officials stated.

Other countries to where the national carrier would operate flights between May 16 and May 22 are Russia, Philippines, France, Singapore, Ireland, Kyrgyzstan, Kuwait,

Japan, Georgia, Germany and Tajikistan, officials noted.
The flights during the second phase will also be operated to Bahrain, Armenia, Thailand, Italy, Nepal, Belarus, Nigeria and Bangladesh, they mentioned.

India has been under lockdown since March 25 to curb the spread of the novel coronavirus, which has infected more than 70,000 people and killed around 2,290 people in the country till now. All scheduled commercial passenger flights have been suspended for the lockdown period.