'Save Sabarimala' Rath Yatra flagged off by Yeddyurappa

Mangaluru, Apr 25: The Kasturba medical college hospital at Manipal in Udupi district has decided to resume normal outpatient department services for all specialities from Monday.

In a release, hospital medical superintendent Avinash Shetty said the services will be made available from 8.30 am to 1 pm.

The services had been suspended in view of the nationwide lockdown.

Those visiting the hospital should visit the temporary screening kiosk set up outside the hospital, from where they will be shifted to the respective departments.

Mask is essential for all patients and their attenders.

Only one attender is allowed along with a patient.

Doctor's consultation through telemedicine service is also available from 9 am to 4 pm.

Trauma and emergency services will function as usual, the release said.

Mandya, Feb 9: A youth from Arechakanahalli village of Maddur taluk on Saturday allegedly committed suicide in Bengaluru after his lover got engaged to another man.

The body of the deceased, Darshan, was found hanging from the celising of his room in Bengaluru. According to Darshan's relatives, he was in love with a girl for the past few years.

Darshan had wanted to marry her, much to the chagrin of her parents, it is said.

The girl's parents had allegedly warned him of dire consequences if he did not stay clear from their daughter. In the meanwhile, she got engaged to another man.

Feeling left out, Darshan allegedly ended his life. In the suicide note, Darshan has held his lover and some of her relatives responsible for his death. He has also claimed that his family was facing death threat from her family.

There are rumours that Darshan might have been killed after he refused to stop seeing the girl. Though both the families are from the same community, their financial status, sources said, is different.

According to the relative of Darshan, the girl is a close relative to a former minister from Mandya district.

"There are reasons to suspect that Darshan might have been murdered, and a suicide note may have been planted at the crime spot.

A proper investigation should be conducted to unearth the truth," he said.

May 12: Children suffering from non-respiratory disease symptoms like diarrhea and fever, or those with a history of exposure to the novel coronavirus, should be suspected of having COVID-19, a new study says.

According to the research, published in the journal Frontiers in Pediatrics, gastrointestinal symptoms first suffered by some children hints at potential infection with SARS-CoV-2 through the digestive tract.

"This case series is the first report to describe the clinical features of COVID-19 with non-respiratory symptoms as the first manifestation in children," the scientists from Tongji Hospital in China wrote in the study.

They explained that the gastrointestinal symptoms could be arising since the type of receptors in lung cells targeted by the virus can also be found in the intestines.

Most children are only mildly affected by COVID-19, and the few severe cases often have underlying health issues, the researchers said.

"It is easy to miss its diagnosis in the early stage, when a child has non-respiratory symptoms, or suffers from another illness," said study co-author Wenbin Li, who works at the Department of Pediatrics, Tongji Hospital.

"Based on our experience of dealing with COVID-19, in regions where this virus is epidemic, children suffering from digestive tract symptoms, especially with fever and/or a history of exposure to this disease, should be suspected of being infected with this virus," Li said.

In the study, the scientists described the clinical features of children admitted to hospital with non-respiratory symptoms, who were subsequently diagnosed with pneumonia and COVID-19.

"These children were seeking medical advice in the emergency department for unrelated problems, for example, one had a kidney stone, another a head trauma," Li said.

The study noted that all the children had pneumonia, which was confirmed by chest X-ray scan before or soon after admission.

These children were then confirmed to have COVID-19.

While their COVID-19 symptoms were initially mild or relatively hidden before their hospital admission, four out of the five cases had digestive tract symptoms as the first manifestation of this disease, the researchers said.

Li hopes that doctors will use the findings to quickly diagnose and isolate patients with similar symptoms, which may aid early treatment and reduce transmission.

According to the researchers, the children's gastrointestinal symptoms, which have also been recorded in adult patients, could be an additional route of infection.

"The gastrointestinal symptoms experienced by these children may be related to the distribution of receptors and the transmission pathway associated with COVID-19 infection in humans," Li explained.

Since the virus infects people via the ACE2 receptor, which can be found in certain cells in the lungs as well as the intestines, COVID-19 might infect patients not only through the respiratory tract in the form of air droplets, but also through the digestive tract by contact or fecal-oral transmission, the study noted.

While COVID-19 tests can occasionally produce false positive readings, Li said all the five children assessed in the study were infected with the disease.

However, he cautioned that more research is needed to confirm their findings.

"We report five cases of COVID-19 in children showing non-respiratory symptoms as the first manifestation after admission to hospital. The incidence and clinical features of similar cases needs further study in more patients," he said.