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Study reveals post-COVID syndrome severely damages children’s hearts


 Multisystem inflammatory syndrome in children (MIS-C), believed to be linked to COVID-19, damages the heart to such an extent that some children will need lifelong monitoring and interventions, said the senior author of a medical review.

The review was published in EClinicalMedicine, a journal of The Lancet.
Case studies also show MIS-C can strike seemingly healthy children without warning three or four weeks after asymptomatic infections, said Alvaro Moreira, MD, MSc, of The University of Texas Health Science Center at San Antonio. Dr Moreira, a neonatologist, is an assistant professor of paediatrics in the university’s Joe R. and Teresa Lozano Long School of Medicine.
“According to the literature, children did not need to exhibit the classic upper respiratory symptoms of COVID-19 to develop MIS-C, which is frightening,” Dr. Moreira said. “Children might have no symptoms, no one knew they had the disease, and a few weeks later, they may develop this exaggerated inflammation in the body.”

The team reviewed 662 MIS-C cases reported worldwide between January 1 and July 25.

Among the findings:

71% of the children were admitted to the intensive care unit (ICU).
60% presented with shock.
Average length of stay in the hospital was 7.9 days.
100% had a fever, 73.7% had abdominal pain or diarrhoea, and 68.3% suffered vomiting.
90% had an echocardiogram (EKG) test and 54% of the results were abnormal.
22.2% of the children required mechanical ventilation.
4.4% required extracorporeal membrane oxygenation (ECMO).
11 children died.
Children with an aneurysm are at the most risk of a future event. “These are children who are going to require significant observation and follow-up with multiple ultrasounds to see if this is going to resolve or if this is something they will have for the rest of their lives,” Dr Moreira said.

“And that’s catastrophic to a parent who had a previously healthy child and then he/she is in the very small percentage of individuals who developed MIS-C after COVID-19 infection,” he said.

Another finding from the case studies: Almost half of the patients who had MIS-C had an underlying medical condition, and of those, half of the individuals were obese or overweight.

“Generally, in both adults and children, we are seeing that patients who are obese will have a worse outcome,” Dr Moreira said.

When compared to the initial COVID-19 infection, inflammatory markers in MIS-C were far more abnormal. For instance, troponin, the marker used in adults to diagnose heart attacks, was 50 times its normal level in children with MIS-C.

“Evidence suggests that children with MIS-C have immense inflammation and potential tissue injury to the heart, and we will need to follow these children closely to understand what implications they may have in the long term,” Dr Moreira said.

Source: ANI

 

 




Situation at India-China border ‘very nasty’, would love to get involved: US President Donald Trump


‘If we can do anything, we would love to get involved and help. And we are talking to both countries about that,’ he said.

Amid the ongoing tensions between the India and China at the Line of Actual Control (LAC), the President of United States of America Donald Trump on Saturday offered to mediate by saying, the situation has been “very nasty” and “they (China) are certainly going at it.”

While speaking to the reporters at the White House, US President said, “While we’re at it, we’re talking about China and India, (they) are going at it pretty good on the border, as you know. It has been very nasty. We stand ready to help, with respect to China and India.”

“If we can do anything, we would love to get involved and help. And we are talking to both countries about that,” he said.

Last month, US Secretary of State Mike Pompeo criticised the Chinese Army for “escalating” the border tension with India and described the ruling Chinese Communist Party as a “rogue actor.”

He said that he had a very frank discussion with his Chinese counterpart Wang Jiechi about the “unprovoked aggression” by Beijing on a number of fronts.

Yesterday, the Defence Minister Rajnath Singh met with his Chinese counterpart in Moscow on the sidelines of the SCO summit. It was the first meeting between the leaders of the two countries after the escalated tensions at the LAC.

During the talks, Rajnath Singh said that peace and security in the region demanded a climate of trust, non-aggression, peaceful resolution of differences and respect for international rules.

The Indian and Chinese foreign ministers will also be in Moscow in next few days as S Jaishankar will be heading to Moscow for a meeting of the SCO Foreign Ministers on September 9.

S Jaishankar also participated in a meeting of the G-20 Foreign Ministers on Thursday and will be meeting his BRICS counterparts via videoconferencing on Friday.

In a separate development, yesterday, the Army chief Manoj Mukund Naravane had said that the situation along the Line of Actual Control (LAC) is slightly tense and the morale of jawans is high and they are ready to face any challenge.

His remarks come amid the ongoing tensions at the LAC in Ladakh at the south bank of Pangong Lake.

“I took a review of the situation after reaching Leh yesterday (Thursday). The morale of (the) jawans is high. They are ready to face any challenge. I can say, without a shadow of doubt, that our soldiers are the best. They will make not just the army but the entire country proud,” he was quoted as saying by ANI.

“The situation along the LAC is tense. However, we are constantly deliberating. We have taken some measures such as precautionary deployment,” he added.

The stand-off between the two Asian superpowers escalated in the eastern Ladakh region in April-May and peaked on June 15 when 20 Indian soldiers were martyred at the Galwan Valley.

In retaliation, around 40 PLA soldiers were also killed, but China maintained not to disclose the number.

Talks paced up after the stand-off resulting in agreement to disengage from the LAC, but the withdrawal is still not complete.




With another single-day spike, coronavirus caseload in India crosses 40-lakh mark


The recovery rate has been recorded at 77.2 per cent with about 31 lakh patients recovering from the deadly virus.

Yet another highest single-day surge in the coronavirus cases has been recorded in India on Saturday as 86,432 cases of coronavirus was recorded taking the caseloads past 40-lakh mark.

As per the Union Health Ministry website, the total number of cases stands at 40,23,179, which is not far behind Brazil, the world’s second-worst coronavirus-affected nation.

As of now, Brazil has recorded 40,91,801 showing initial signs of easing in the spread of the virus.

In the last 24 hours period, India recorded 1,089 Covid-related deaths taking the toll to 69,561.

The recovery rate has been recorded at 77.2 per cent with about 31 lakh patients recovering from the deadly virus.

The national capital, which is resuming metro rail services from Monday, has seen a rise in the coronavirus cases over the last few days after a brief drop in the cases.

On Friday, Delhi reported 2,914 fresh infections, its highest one-day spike in 69 days. Delhi now has over 1.85 lakh cases, while the death count jumped to 4,513, authorities said.

Maharashtra, which is at the top of the list of coronavirus cases since the beginning, has reported the highest single-day spike of 19,218 new cases on Friday.

The coronavirus infections globally have crossed the 2.57 crore mark with over 8.56 lakh cases reported due to the virus.

In its new advisory, the Indian Council of Medical Research (ICMR) has stressed every individual living in containment zones should be tested using rapid antigen testing (RAT) kits.

“If an individual develops symptoms following a negative RAT (Rapid antigen tests), and RT-PCR test should be done,” reads the nodal body’s new advisory.




Testing on demand, rapid antigen tests for people living in containment zones: ICMR’s new guidelines


‘If an individual develops symptoms following a negative RAT (Rapid antigen tests), the RT-PCR test should be done,’ the guidelines said.

The Indian Council of Medical Research (ICMR) has released new guidelines for the testing procedure of coronavirus infected patients. It said all people living in containment zones should be tested using rapid antigen testing (RAT) kits, especially in the cities that are badly affected by the coronavirus outbreak.

The guidelines also recommended testing on demand for all individuals undertaking travel to other countries or Indian states mandating a negative COVID-19 test at the point of entry.

The states, however, can use their discretion to modify the approach, the advisory said.

“If an individual develops symptoms following a negative RAT (Rapid antigen tests), RT-PCR test should be done,” the guidelines said.

“100 per cent people living in containment zones should be tested by rapid antigen tests, particularly in cities where there has been widespread transmission of the infection,” it said.

The guidelines further said that no emergency procedure should be delayed for lack of tests, and pregnant women should not be referred for a lack of testing facility.

The ICMR has also listed measures to priortise methods of testing.

“For routine surveillance of containment zones, antigen tests should be first priority for routine surveillance of non-containment zones, RT-PCR tests should be first priority,” the guidelines said.

For hospital settings, RT-PCR tests should be first priority. For “testing on demand”, state governments can decide modalities, it added.

Yet another highest single-day surge in the coronavirus cases has been recorded in India on Saturday as 86,432 cases of coronavirus was recorded taking the caseloads past 40-lakh mark.

As per the Union Health Ministry website, the total number of cases stands at 40,23,179, which is not far behind Brazil, the world’s second-worst coronavirus-affected nation.




Rajnath Singh holds talks with Chinese counterpart General Wei Fenghe in Moscow


The meeting between the two leaders, which is first of its kind after the stand-off at the Galwan valley, lasted for 2 hours 20 minutes.  

Defence Minister of India Rajnath Singh had held a meeting with his Chinese counterpart General Wei Fenghe on Friday night at the sidelines of the SCO summit in Moscow, Russia.

The meeting between the two leaders, which is first of its kind after the stand-off at the Galwan valley, lasted for 2 hours 20 minutes.

 

On Thursday, Chinese Defence Minister Wei Fenghe has sought a meeting with his Indian counterpart Rajnath Singh.

READ: Chinese Defence Minister ‘keen’ to meet Rajnath Singh in Moscow, India yet to respond

“Peaceful stable and secure region of SCO member states, which is home to over 40 per cent of the global population, demands a climate of trust and cooperation, non-aggression, respect for international rules and norms, sensitivity to each other’s interest and peaceful resolution of differences,” Rajnath Singh said at the SCO.

Separate from Rajnath Singh, Foreign Secretary Harsh Vardhan Shringla said there will be no compromise on India’s sovereignty and territorial integrity, and asserted it cannot be “business as usual” in bilateral ties unless there is peace and tranquillity in the border areas.

At the same time, he said India is open to resolving outstanding issues through dialogue.

Foreign Minister S Jaishankar also participated in a meeting of the G-20 Foreign Ministers on Thursday and will be meeting his BRICS counterparts via videoconferencing on Friday.

“We have a long history, which is very good in many parts, very indifferent in some parts and very difficult in some ways. The problem is the more difficult parts are more recent… This is not the easiest of times in the relationship,” the External Affairs Minister was quoted as saying by Indian Express.

“I am not underplaying the seriousness of the current situation or the actual challenges of the boundary question. It is vital for both countries to reach and accomplish, not just for them. I think that one has a lot riding. I am also conscious that right now we have a situation in the border areas of the western sector. We have agreements and understandings with China the agreements and understandings must be scrupulously observed by both parties, neither party should attempt to change the status quo unilaterally. And the reality is, what happens on the border, will impact the relationship, you cannot separate it,” he added.

India said the border tension in Ladakh over the past four months is a direct result of Chinese actions which is aimed at effecting unilateral change in the status quo of the region.

On Monday, the Indian Army said in a statement that the Chinese Army has carried out provocative military movements on the southern bank of Pangong Tso Lake on Saturday night to change the status quo.

“The Chinese People’s Liberation Army (PLA) troops violated the previous consensus arrived at during military and diplomatic engagements during the ongoing standoff in eastern Ladakh and carried out provocative military movements to change the status quo,” said the statement.




BSF chief visits strategic Chicken Neck along Pakistan border, reviews situation


DG interacted with Jawans and was full of praise for BSF Jawans for their dedication towards the safeguarding of International Border and also conveyed that BSF is a well disciplined and professional force.

Director-General of BSF, Rakesh Asthana, on Friday reviewed the security scenario at the strategic Chicken Neck area in Akhnoor on the border with Pakistan.

Asthana arrived here on a three days visit to review the security situation after a cross border tunnel dug by Pakistani agencies to infiltrate terrorists in the Samba sector was recently unearthed by the BSF.

Accompanied by the IG BSF (Jammu Frontier) NS Jamwal, Asthana also visited Pargwal and Akhnoor Sectors and took stock of the situation. Jamwal briefed the DG about complexities of management of Jammu border under prevailing current security scenario.

DG BSF reviewed the overall deployment of BSF and also the domination plan. DG visited the critical areas of Chicken Neck stretch of Akhnoor Sector and held discussion with sector and unit commanders on the ground and reviewed the security situation.

DG interacted with Jawans and was full of praise for BSF Jawans for their dedication towards the safeguarding of International Border and also conveyed that BSF is a well disciplined and professional force.

He said that recent detection of a tunnel shows the devotion toward duty for motherland which ruins the cruel motives of counterparts. Motivated Border Man met their new chief with full enthusiasm and zeal with COVID-19 protocols and social distancing. DG BSF also reviewed the prevailing COVID-19 situation.




Showik Chakraborty picked up by NCB for interrogation after searches at his house


NCB has also raided the house of Sushant’s manager Samuel Miranda and he was taken to the NCB office for questioning after the searches.

The Narcotics Control Bureau (NCB) on Friday took Showik Chakraborty, brother of Rhea Chakraborty, to its office in Mumbai shortly after searches in his house.

As per the reports, the NCB has seized his laptop. NCB has drawn links between Showik and alleged drug dealer Zaid Vilatra, who was arrested on Wednesday.

Another team of NCB has conducted the raid this morning at the residence of Bollywood actress Rhea Chakraborty under the Narcotic Drugs and Psychotropic Substances (NDPS) Act.

NCB has also raided the house of Sushant’s manager Samuel Miranda and he was taken to the NCB office for questioning after the searches.

“The searches were conducted under the Narcotic Drugs and Psychotropic Substances Act, 1985,” an official said, reported Indian Express.

According to the sources, the 20-year-old Vilatra allegedly supplied cannabis to Showik Chakraborty and Samuel Miranda.

The duo was introduced by a middleman Abdel Basit Parihar.

The NCB officials had raided the premises of Vilatra also and yielded Rs 9,55,750 and foreign currency (US $ 2,081, 180 British Pound, 15 Dirham) from there, officials said.

During the questioning, NCB got to know about Parihar who was arrested on Wednesday. “During his interrogation his links to the Rhea case were found and it is under investigation,” an official said.

Following the recommendation of the Bihar government, the CBI had on August 6 registered a case against six persons, including Rhea Chakraborty, her brother Showik, her father Indrajit, her mother Sandhya, Sushant’s ex-manager Shruti Modi, his house manager Samuel Miranda and unknown others.

This came after the case was transferred from the Bihar Police who had registered the first FIR in the case on July 25 on a complaint by Sushant’s father.

The Narcotics Control Bureau has registered ‘Crime Number 15’ against Rhea Chakraborty and her associates including her brother Showik Chakraborty, SSR’s house manager Samuel Miranda, Rhea’s talent manager Jaya Saha and others. The anti-drug agency is inquiring into the allegations under sections in the law related to ‘possessing, purchasing and using cannabis’ and ‘abetment and criminal conspiracy to commit an offence’.

This came after the ED retrieved deleted WhatsApp chats of Rhea Chakraborty’s mobile phone that was seized for a money-laundering probe in the sensational case. Fifteen pages of deleted WhatsApp chats of Rhea are being investigated.

Meanwhile, the Enforcement Directorate (ED) is probing the alleged money laundering angle in the case and fraud charges against Rhea Chakraborty and her family.




Chinese Defence Minister ‘keen’ to meet Rajnath Singh in Moscow, India yet to respond


The Indian and Chinese foreign ministers will also be in Moscow in next few days as S Jaishankar will be heading to Moscow for a meeting of the SCO Foreign Ministers on September 9.

With the tensions at the Line of Actual Control (LAC) increasing day-by-day, the Chinese side is willing to have a set of talks with India as Chinese Defence Minister Wei Fenghe has sought a meeting on Friday with the Indian counterpart Rajnath Singh.

Both the leaders are in Moscow currently to attend a meeting of SCO. As per the reports, the Chinese side conveyed the keenness to meet Singh.

The Indian and Chinese foreign ministers will also be in Moscow in next few days as S Jaishankar will be heading to Moscow for a meeting of the SCO Foreign Ministers on September 9.

S Jaishankar also participated in a meeting of the G-20 Foreign Ministers on Thursday and will be meeting his BRICS counterparts via videoconferencing on Friday.

We have a long history, which is very good in many parts, very indifferent in some parts and very difficult in some ways. The problem is the more difficult parts are more recent… This is not the easiest of times in the relationship,” the External Affairs Minister was quoted as saying by Indian Express.

“I am not underplaying the seriousness of the current situation or the actual challenges of the boundary question. It is vital for both countries to reach and accomplish, not just for them. I think that one has a lot riding. I am also conscious that right now we have a situation in the border areas of the western sector. We have agreements and understandings with China the agreements and understandings must be scrupulously observed by both parties, neither party should attempt to change the status quo unilaterally. And the reality is, what happens on the border, will impact the relationship, you cannot separate it,” he added.

Yesterday, India said the border tension in Ladakh over the past four months is a direct result of Chinese actions which is aimed at effecting unilateral change in the status quo of the region.

On Monday, the Indian Army said in a statement that the Chinese Army has carried out provocative military movements on the southern bank of Pangong Tso Lake on Saturday night to change the status quo.

“The Chinese People’s Liberation Army (PLA) troops violated the previous consensus arrived at during military and diplomatic engagements during the ongoing standoff in eastern Ladakh and carried out provocative military movements to change the status quo,” said the statement.

READ: Indian troops preempt Chinese army’s activity on southern bank of Pangong Tso

The stand-off between the two Asian superpowers escalated in the eastern Ladakh region in April-May and peaked on June 15 when 20 Indian soldiers were martyred at the Galwan Valley.

In retaliation, around 40 PLA soldiers were also killed, but China maintained not to disclose the number.

Talks paced up after the stand-off resulting in agreement to disengage from the LAC, but the withdrawal is still not complete.




3-year-old girl raped, murdered in UP’s Lakhimpur Kheri; third incident in district in 20 days


In yet another barbaric incident in Uttar Pradesh, a three-year-old girl was found dead in a field in Lakhimpur Kheri on Thursday morning. Police said that the girl was raped and strangulated.

This is the third case of rape and murder in the state in the last 20 days.

She was found missing since Wednesday and her body was found just half a kilometre from her home.

Yesterday, the police had called it murder. Sexual assault was confirmed by the autopsy, said the police.

In his complaint to the police, the girl’s father had accused a villager Lekhram. He alleged that the girl was kidnapped and killed in a rivalry.

The district police chief, Satendra Kumar, told that the police have formed four teams to look for the accused man.

“The body has been sent for post-mortem. We are investigating the matter and stringent action will be taken against accused,” he added.

Last week, a 17-year-old girl was raped and her mutilated body was found near a village in Lakhimpur Kheri district.

The police had initially said the girl appeared to have been killed with a sharp weapon and that she had sustained injuries to her neck. The body was found near a dried-up pond, around 200 metres from her village.

The post-mortem report has confirmed rape, said SP Satendar Kumar and added that all possible efforts are being made to identify and arrest the accused.

According to the relatives of the girl, she had left home on Monday to visit a neighbouring town to fill up a scholarship form. However, when she did not return, the family informed the police.

On August 15, a 13-year-old girl was raped and killed in Lakhimpur Kheri district and her body found in a sugarcane field. The girl’s family had claimed that their daughter’s body was found with her eyes gouged out, tongue cut and strangled with a ‘dupatta’, in a sugarcane field.

However, the UP Police denied that the girl’s eyes were gouged out or tongue being cut, as it was not mentioned in the post-mortem report. They said that the report states rape and strangulation.

On August 16, in yet another shocking incident emerging from Uttar Pradesh, a minor girl was allegedly raped and singed with cigarette butts by two men in the Gola area of Gorakhpur district.

Earlier, on August 6, a 6-year-old girl in Hapur district of Uttar Pradesh was kidnapped and raped. She was left to die in a nearby forest, from where a search and rescue team found her almost 12 hours later. The police later arrested the accused. The girl has been through at least one surgery following the attack.




India adds 83.8k new Covid cases in 24 hrs


The country added a huge 83,883 Covid-19 cases over the previous 24 hours, far exceeding all previously recorded daily numbers for any country, even as the government defended its decision to open up various economic activities , saying it firmly believes that “while lives are important, livelihoods are equally important”.

With a record singleday spike of 83,883 infections, India’s Covid-19 caseload mounted to 38,53,406, while the death toll climbed to 67,376 with 1,043 people succumbing to the disease in a day, according to Union Health Ministry data updated at 8 a.m.

Asked why the government is opening up different economic activities when there is a spike in daily positive cases, secretary in the Health Ministry, Rajesh Bhushan, told a press conference: “These numbers have to be seen in the context of the total population of India. We are the second most populous country in the world.”

It is not as if suddenly everything has been opened up, he said and underscored that prior to graded opening of economic activities in the country, the government ensured all prerequisites such as adequate testing capacity, clear-cut guidelines of standard clinical treatment protocol, enhanced hospital infrastructure, adequate intensive care unit beds and beds with oxygen facility.

“At the end of the day, the government firmly believes that while lives are important, livelihoods are equally important,” Bhushan said.

According to the Union Health Ministry data, out of total confirmed cases, 8,15,538 are active cases, while a total of 2,970,492 patients have recovered from the virus so far. With 68,584 recoveries in a day, the recovery rate has increased to 77.09 per cent. India has registered more than 60,000 recoveries each day for the seventh day in a row.

The Ministry said that 12 states and Union Territories like Andaman and Dui, Delhi, Bihar, Tamil Nadu, Andaman and Nicobar, West Bengal, etc., have reported a recovery rate more than the national average. Maharashtra continues to be the worst-hit with a total of 8,08,306 cases and 24,903 deaths; followed by Andhra Pradesh with 4,45,139 cases and 4,053 deaths. Tamil Nadu, Karnataka, Uttar Pradesh, Delhi, West Bengal, and Bihar come next.

Bhushan said India has 2,792 cases of Covid-19 per million population which is amongst the lowest in the world. Bushan also added that in India, deaths per million population is 49 which is also amongst the lowest in the world.

(With input from PTI)





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