Pogba dedicates France win to Thai cave survivors

New Delhi, Jan 10: Injured Assam archer Shivangini Gohain underwent a critical surgery at the AIIMS. Dr. Deepak Gupta, professor of Pediatric neurosurgery at AIIMS, revealed about the delicate nature of the procedure and said there was no room for error.

"It was touching vertebral artery which supplies blood to the brain stem. The arrow was 0.5 cm in front of the spinal cord and the child could have become quadriplegic if someone tried to pull it out," Gupta said.

According to doctors, the arrow accidentally went inside the body damaging the shoulder bone, part of the neck, spinal cord and left lung.

Dr Gupta said, "Now the patient is fine. We had planned the surgery in a very unique way. Last whole night, our team was doing the planning and plotting to conduct this complex surgery. About 15 cm part of the arrow was inside the body which has entered through shoulder bone and affected neck, spinal cord and left lung".

"We started the surgery in the morning at 6 am which lasted for three and a half hours. We have successfully removed the arrow. The patient is stable now and shifted to ICU for observation," he added

Shivangini Gohain, the 12-year-old Assam archer who was impaled by an arrow shot accidentally at the SAI centre in Dibrugarh, was training unsupervised and the mishap was a result of negligence by the local coach and officials, the state's archery association has said.

The child was training at the Dakha Devi Rasiwasia College at Chabua, which serves as an extension centre under the Sports Authority of India (SAI) Regional Centre in Guwahati when the incident took place on Wednesday.

She was airlifted to Delhi on Thursday night and admitted to the AIIMS Trauma Centre. Pulin Das, a joint secretary of Assam Archery Association and executive member of the state Olympic association said the injury to the school girl from the Deodhai village, which is 3km from Chabua, happened as the trainees were practising without any coach and other officials.

“There is a SAI contractual coach Marcy and he has left for the Khelo India Games in Guwahati. He didn't instruct the trainees to stop the camp for some time nor did the college principal, who acted as administrator of the extension centre, looked after the practice,” Das said on Friday.

The extension centre has 11 trainees, six boys and five girls, and they were training under SAI contractual coach A C Marcy from Nagaland, who is in Guwahati for the Khelo India Youth Games.

“The training ground itself is in very bad shape, it was not even a dedicated ground for archery training, some play football, cricket and other sports on that ground. But the worst part is that the SAI coach did not give instructions to stop the camp for a while and the archers were training without any supervision,” he added Das said Gohain was struck by an arrow shot by boys doing practice for compound event. The arrow remained stuck for more more than a day before she was airlifted to New Delhi on Thursday night.

“There was nobody to look after the archers, they were training on their own though their parents were outside the ground. An arrow shot by a boy trainee who was doing compound event practice hit her on the shoulder,” the official said.

Gohain's father Brinchi Gohain was outside the practice area and with no official of the college and SAI coming for help, she was taken to Assam Medical College in Dibrugarh, 33km from Chabua.

“She could reach the AMC in Dribugarh only on Thursday morning. There, the doctors told her parents to take her to a more reputed hospital like AIIMS in Delhi. With help from people close to the local Member of Parliament and Assam CM himself, she was taken by air ambulance to Delhi.

“I was told that she had a very tough time as the arrow remained stuck for more than a day. She is a strong-willed girl and she fought. Her father must be a daily wage labourer and he was distraught also.”

The SAI said that it will bear all the expenses of her treatment. The Assam Archery Association has contributed Rs 20,000 towards her treatment.

Beijing/Zurich, Mar 4: China has approved the use of Swiss drugmaker Roche's anti-inflammation drug Actemra for patients who develop severe complications from the coronavirus as it urgently hunts for new ways to combat the deadly infection that is spreading worldwide.

China is hoping that some older drugs could stop severe cytokine release syndrome (CRS), or cytokine storms, an overreaction of the immune system which is considered a major factor behind catastrophic organ failure and death in some coronavirus patients.

Actemra, a biologic drug approved in 2010 in the United States for rheumatoid arthritis (RA), inhibits high Interleukin 6 (IL-6) protein levels that drive some inflammatory diseases.

China's National Health Commission said in treatment guidelines published online on Wednesday that Actemra can now be used to treat coronavirus patients with serious lung damage and high IL-6 levels.

Separately, researchers in the country are testing Actemra, known generically as tocilizumab, in a clinical trial expected to include 188 coronavirus patients and running until May 10.

Roche, which donated 14 million yuan ($2.02 million) worth of Actemra during February, said the trial was initiated independently by a third party with the aim of exploring the efficacy and safety of the drug in coronavirus patients with CRS.

It added that there was currently no published clinical trial data on the drug's safety or efficacy against the virus.

More than 3,000 people have died and 93,000 have been infected by the novel coronavirus thought to have originated in Wuhan, China, before spreading to around 90 countries including the United States, Italy, Switzerland, France and Germany.

The Swiss company, for which China is its No. 2 market behind the United States, also makes diagnostic gear to detect the coronavirus.

Since Actemra's approval a decade ago, it has become a go-to drug against other inflammatory conditions, including cytokine storms in cancer patients receiving cell therapies from Novartis and Gilead Sciences.

In 2012 it helped save the life of a young U.S. girl, the first child to be treated for leukaemia with Novatis' Kymriah, from a post-treatment rush of IL-6.

Priced at between $20-30,000 annually for RA according to SSR Health, Roche's medicine is also used for rare juvenile arthritis and giant cell arteritis, or inflammation of the blood vessels.

Feb 2: Prime Minister Narendra Modi’s second budget in seven months disappointed investors who were hoping for big-bang stimulus to revive growth in Asia’s third-largest economy.

The fiscal plan -- delivered by Finance Minister Nirmala Sitharaman on Saturday -- proposed tax cuts for individuals and wider deficit targets but failed to provide specific steps to fix a struggling financial sector, improve infrastructure and create jobs. Stocks slumped as a proposal to scrap the dividend distribution tax for companies failed to impress investors.

"Far from being a game changer, the budget provides little in terms of short-term growth stimulus,” said Priyanka Kishore, head of India and South East Asia economics at Oxford Economics Ltd. in Singapore. “While income tax cuts will provide some relief on the consumption front, the multiplier effect is low and the overall stance of the budget is not expansionary."

India has gone from being the world’s fastest-growing major economy three years ago, expanding at 8%, to posting its weakest performance in more than a decade this fiscal year, estimated at 5%.

While the government has taken a number of steps in recent months to spur growth, they’ve fallen short of spurring demand in the consumption-driven economy. Saturday’s budget just added to the glum sentiment.

Okay Budget

“It’s an okay budget but not firing on all cylinders that the market was hoping for,” said Andrew Holland, chief executive officer at Avendus Capital Alternate Strategies in Mumbai.

The government had limited scope for a large stimulus given a huge shortfall in revenues in the current year. The slippage induced Sitharaman to invoke a never-used provision in fiscal laws, allowing the government to exceed the budget gap by 0.5 percentage points. The result: the deficit for the year ending March was widened to 3.8% of gross domestic product from a planned 3.3%.

On Friday, India’s chief economic adviser Krishnamurthy Subramanian said reviving economic growth was an “urgent priority” and deficit goals could be relaxed to achieve that. The adviser’s Economic Survey estimated growth will rebound to 6%-6.5% in the year starting April.

The fiscal gap will narrow to 3.5% next year, as the government budgeted for gross market borrowing to rise marginally to 7.8 trillion rupees from 7.1 trillion rupees in the current year. A plan to earn 2.1 trillion rupees by selling state-owned assets in the year starting April will also help plug the deficit.

Total spending in the coming fiscal year will increase to 30.4 trillion rupees, representing a 13% increase from the current year’s budget, according to latest data.

Key highlights from the budget:

* Tax on annual income up to 1.25 million rupees pared, with riders

* Dividend distribution tax to be levied on investors, instead of companies

* Farm sector budget raised 28%, transport infrastructure gets 7% more

* Spending on education raised 5%

* Fertilizer subsidy cut 10%

Analysts said the muted spending plan to keep the deficit in check will lead to more downside risks to growth in the coming months.

“It is very doubtful that the increase in expenditure will push demand much,” Chakravarthy Rangarajan, former governor at the Reserve Bank of India told BloombergQuint, adding that achieving next year’s budget deficit goal of 3.5% of GDP was doubtful.

With the government sticking to a conservative fiscal path, the focus will now turn to central bank, which is set to review monetary policy on Feb. 6. Given inflation has surged to a five-year high of 7.35%, the RBI is unlikely to lower interest rates.

What Bloomberg’s Economists Say:

The burden of recovery now falls solely on the Reserve Bank of India. With inflation breaching RBI’s target at present, any rate cuts by the central bank are likely to be delayed and contingent upon inflation falling below the upper end of its 2%-6% target range.

-- Abhishek Gupta, India economist

Governor Shaktikanta Das may instead focus on unconventional policy tools such as the Federal Reserve-style Operation Twist -- buying long-end debt while selling short-tenor bonds -- to keep borrowing costs down.