5-Year-Old Youngest In World To Undergo Successful "Awake" Brain Surgery

Doctors at AIIMS, Delhi, successfully performed a brain tumour surgery on a five-year-old girl while keeping her in a conscious state during the operation with the hospital claiming that she was the youngest patient in the world to undergo such a procedure.

The procedure termed as 'awake craniotomy' (conscious sedation technique) surgery for left perisylvian intraaxial brain tumour was performed on January 4, AIIMS said in a statement.

The child presented with a history of seizures and her brain MRI was done which showed a tumour in the left side of her brain adjacent to speech/language area, it said.

The surgery lasted three hours, including time taken for giving local anaesthesia to the child by neuroanaesthetists.

The tumour was removed successfully by a team of neurosurgeons as she remained conscious throughout the procedure.

"Technological adjuncts viz preoperative functional MRI brain, intraoperative ultrasonography, neuronavigation were used to localise tumour precisely during resection while mapping of functional areas was being carried out under awake conditions. Ice cold saline was used for the brain surface to prevent any seizures during the procedure,” the statement said.

“The child is doing well and will be sent home on Monday," it said.

A long discussion was held between team members, patient's family and the child before taking a decision to go ahead with the surgery. They were counselled at length on steps of procedure, it stated.

She was shown common objects, common animals and given some tasks for language and sensorimotor assessments before surgery, which were repeated during the surgical procedure also.

She is a first standard student and was quick in identifying the picture of Prime Minister Narendra Modi during the surgery, the statement said.

"Awake surgeries for brain tumours are done for maximising tumour removals and minimising neurological deficits usually. During awake craniotomy, patients should feel a minimum level of pain while being completely able to cooperate in neurological tests,” it said.

"Although this method is called awake craniotomy, this method requires even more collaboration in perfect harmony of the surgical and anaesthesia teams than other operations under general anaesthesia said,'' Dr Deepak Gupta, Professor of Neurosurgery who performed this operation with his team with neuroanesthesia team led by Dr Mihir Pandia and Dr Gyanendra Pal Singh.

"Akshita happens to be the youngest child in the world to undergo successful brain tumour surgery under awake conditions at this age at AIIMS, Delhi," Dr Gupta said.

(Except for the headline, this story has not been edited by NDTV staff and is published from a syndicated feed.)

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Ajit Pawar On Stage, His Party Worker Claims BJP MLA Slapped Him

An office bearer of the Ajit Pawar faction of NCP accused BJP MLA Sunil Kamble of hitting him during an event at Sassoon Hospital in Pune, a charge denied by the latter even as a purported video of the incident went viral on social media.

In the video, Pune Cantonment MLA Sunil Kamble is seen coming down the steps and slapping a person who comes in the way. The identity of the person is not known though sources said he was a policeman.

Deputy Chief Minister Ajit Pawar was also present at the function.

Meanwhile, Jitendra Satav, an office bearer of the Ajit Pawar faction of NCP, claimed Mr Kamble hit him at the event. Mr Satav also claimed Sunil Kamble hit a police personnel.

Mr Satav submitted a complaint with the Bundgarden police and senior inspector Santosh Patil confirmed the receipt of the former's application and said it was being looked into.

Denying the allegations, Mr Kamble said, "I did not assault anyone. I was coming down the steps when someone came in the way. I pushed him and went ahead."

He also said he did not know who Mr Satav was and there was no question of assaulting him.

(Except for the headline, this story has not been edited by NDTV staff and is published from a syndicated feed.)

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Mizoram Chief Minister Lalduhoma On Key To Stop Violence In Manipur

Mizoram Chief Minister Lalduhoma on Friday said there has to be a political solution to the ongoing ethnic strife in neighbouring Manipur, adding that there is no "magic solution" to stop violence in Manipur.

Responding to a query on reports of fresh violence in Manipur, he said, "(It will) keep on happening unless and until we find a solution. But the solution is not with me. It lies with the Chief Minister of Manipur."

Asked what would be his suggestion to his Manipur counterpart N Biren Singh, Lalduhoma said, "There has to be negotiations. There is some demand from the tribal population and tribal leaders. That has to be discussed with the Union Home Ministry. A political solution has to be there."

Lalduhoma was in Kolkata to attend an interactive session of the Merchants' Chamber of Commerce.

Responding to a query whether his government will facilitate any discussion to stop violence in the neighbouring state, the Mizoram Chief Minister said, "No I am an outsider."

To a question on Mizoram facing the brunt of ethnic violence in Manipur with internally displaced people (IDPs) streaming in from the neighbouring state, Lalduhoma said, "On humanitarian grounds, we have to look after them. We are taking care of them. There is no problem. They are not foreigners. They are Indian citizens."

According to an official of the Mizoram Home Department, around 9,000 displaced people from Manipur are now living in Mizoram.

More than 180 people have been killed and several hundred injured since ethnic violence broke out in Manipur on May 3 last year when a Tribal Solidarity March was organised in the hill districts to protest against the majority Meitei community's demand for Scheduled Tribe status.

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किम जोंग के साथ अक्सर देखी जाने वाली बेटी उत्तर कोरिया की संभावित उत्तराधिकारी : रिपोर्ट

उत्तर कोरियाई नेता किम जोंग-उन की युवा बेटी, जो लंबी दूरी के मिसाइल परीक्षणों सहित सार्वजनिक कार्यक्रमों में अक्सर अपने पिता के साथ जाती है, किम की सबसे संभावित उत्तराधिकारी बताई जा रही है. न्यूयॉर्क टाइम्स ने एक दक्षिण कोरियाई खुफिया एजेंसी के हवाले से ये खबर दी है. हालांकि, इसमें बेटी का नाम और उम्र सहित कोई भी व्यक्तिगत विवरण नहीं बताया गया, लेकिन दक्षिण कोरियाई अधिकारियों ने उसकी पहचान किम जू-ए के रूप में की है.

जू-ए ने तब सुर्खियां बटोरीं, जब सेवानिवृत्त एनबीए स्टार डेनिस रोडमैन ने कहा कि 2013 में प्योंगयांग में किम से मिलने पर उन्हें बच्चे को गोद में लेने की अनुमति दी गई थी.

उत्तर के राज्य मीडिया ने उन्हें किम की सबसे प्यारी संतान के रूप में बताया है और सैन्य जनरलों और अन्य उच्च पदस्थ अधिकारियों को उनके सामने घुटने टेकते हुए दिखाया है. न्यूयॉर्क टाइम्स की रिपोर्ट के अनुसार, ऐसी तस्वीरों ने बाहरी विश्लेषकों के बीच व्यापक अटकलें शुरू कर दी हैं कि बेटी को उसके पिता के स्पष्ट उत्तराधिकारी के रूप में तैयार किया जा रहा है.

दक्षिण कोरियाई अधिकारियों का कहना है कि हालांकि किम की मृत्यु के बाद किम परिवार का ही वंशवादी शासन संभवतः जारी रहेगा, लेकिन उन्हें यकीन नहीं था कि कौन सा बच्चा उनका उत्तराधिकारी बनेगा.

दक्षिण कोरिया की मुख्य सरकारी जासूसी एजेंसी नेशनल इंटेलिजेंस एजेंसी ने नेशनल असेंबली के एक सदस्य के माध्यम से गुरुवार को जारी एक आकलन में कहा, "फिलहाल, किम जू-ए को सबसे संभावित उत्तराधिकारी के रूप में देखा जा रहा है." ये मूल्यांकन असेंबली की खुफिया समिति के सदस्य युन कुन यंग के प्रश्नों के एजेंसी द्वारा प्रदान किए गए लिखित उत्तरों में शामिल था.

जू-ए की पहली सार्वजनिक उपस्थिति नवंबर 2022 में दिखी थी, जब उन्होंने अपने पिता के साथ लंबी दूरी की मिसाइल परीक्षण देखा था. तब से वह किम के साथ सैन्य परेड जैसे महत्वपूर्ण राजकीय कार्यक्रमों में गई हैं, उत्तर कोरियाई मीडिया कवरेज में अपने पिता के साथ केंद्र मंच साझा कर रही हैं. राज्य मीडिया ने अक्सर पिता और बेटी को एक-दूसरे से हाथ मिलाते और प्यार भरे इशारों में एक-दूसरे के चेहरे को छूते हुए दिखाया है.

रविवार को प्योंगयांग में नए साल की पूर्व संध्या के जश्न में, किम को उत्तर कोरियाई टीवी फुटेज में अपनी बेटी को गले लगाते और गाल पर चूमते देखा गया था.

बता दें कि उत्तर कोरिया एक राजशाही नहीं है, लेकिन द्वितीय विश्व युद्ध की समाप्ति के बाद से यहां वंशवादी नेतृत्व रहा है. माना जाता है कि इसके शीर्ष नेता को सत्तारूढ़ वर्कर्स पार्टी कांग्रेस के माध्यम से चुना जाता है. हालांकि, वास्तव में किम ने अपनी स्थापना के बाद से देश को एक निजी पारिवारिक उद्यम की तरह चलाया है. किम के दादा और पिता दोनों ने अपनी मृत्यु तक शासन किया. किम ने अपने पिता किम जोंग-इल की 2011 में मृत्यु के बाद सत्ता संभाली थी.

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अब सिर्फ घर के देने होंगे पैसे : यूपी RERA के इस फैसले से खरीदारों को कैसे होगा फायदा?

उत्तर प्रदेश में रियल एस्टेट विनियमन एवं विकास अधिनियम (RERA) ने घर खरीदारों के हित में एक बड़ा फैसला लिया है. अब खरीदारों को सिर्फ घर के पैसे देने होंगे. अब बिल्डरों को घर खरीदारों को घर का असल एरिया साफ-साफ बताना होगा. अब तक कई बिल्डर कॉमन एरिया को भी शामिल करके पूरे हिस्से का पैसा घर खरीदारों से मांगते रहे हैं. खरीदार को घर के साथ ही कॉमन एरिया की कीमत भी देनी पड़ती है. कई बार तो घर बहुत छोटा मिलता है. कई बिल्डर यह बताते ही नहीं हैं कि कारपेट एरिया कितना होगा. लेकिन अब यूपी रेरा ने कह दिया है कि सुपर एरिया पर फ्लैट नहीं बेचे जा सकेंगे. 

यूपी रीयल एस्टेट रेगुलेशन एंड डेवलपमेंट एक्ट (RERA) ने कहा कि सुपर एरिया नहीं चलेगा. सुपर एरिया पर फ़्लैट की बिक्री अवैध मानी जाएगी. कारपेट एरिया के आधार पर फ़्लैट बेचना होगा. सुपर एरिया का कोई औचित्य नहीं है. RERA अधिनियम में सुपर एरिया की कोई परिभाषा नहीं है. रजिस्ट्रेशन के समय फ़्लैट की संख्या, दूसरी जगहों का उल्लेख होता है. यूपी RERA के पोर्टल पर बिक्री के लिए एक मॉडल समझौता है. यह समझौता कारपेट एरिया पर ही आधारित है. 

यूपी RERA ने अहम निर्देशों में कहा है कि, अब खरीदारों को सिर्फ घर के पैसे देने होंगे. फ़्लैट सुपर एरिया के नाम पर नहीं बिकेंगे. सिर्फ अपने घर का पैसे देना होगा, कॉमन एरिया का नहीं देना होगा. कारपेट एरिया का ही पैसा दिया जाएगा. कई बिल्डर सुपर एरिया का पैसा लेते हैं. वे बड़ा एरिया बताते हैं, छोटा घर मिलता है. यूपी RERA ने कहा कि सुपर एरिया नाम की कोई चीज नहीं. रेरा के फैसले से रियल एस्टेट सेक्टर में बदलाव दिखेगा. 

इससे रियल एस्टेट सेक्टर में कई बदलाव आने की आशा है. इससे पारदर्शिता बढ़ेगी. पता होगा कि, घर की कितनी क़ीमत देनी है. कारपेट एरिया होने पर कीमतें बढ़ने की संभावना है. 

यूपी रेरा ने कहा है कि सुपर एरिया पर फ़्लैट की बिक्री अवैध मानी जाएगी. कारपेट एरिया के आधार पर फ़्लैट बेचना होगा. RERA अधिनियम में सुपर एरिया की कोई परिभाषा नहीं है. 

क्या है सुपर एरिया और कारपेट एरिया? 

बिल्डर सुपर एरिया में कॉमन एरिया भी शामिल करता है. कॉमन एरिया में लिफ़्ट, गैलरी और दूसरी जगहें आती हैं. सुपर एरिया से फ़्लैट के सही आकार का अनुमान नहीं होता. कारपेट एरिया वह है जितनी जगह में सिर्फ फ़्लैट होता है. 

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Cold Wave Grips Delhi, Temperature Settled Four Notches Below Normal

It was a bone-chilling cold in the national capital on Wednesday with the maximum temperature settling at 15.7 degrees Celsius, four notches below the normal, the weather department said.

Safdarjung, Delhi's main weather station, recorded a visibility of 200 meters at 8:30 am, while the minimum temperature was recorded at 7.3 degrees Celsius, below the normal for the season's average.

"In Delhi, the temperature is set to hold steady over the next two days, while in some areas it may drop to around 6 or 7.5 degrees Celsius," said Kuldeep Srivastava, scientist and head, of Regional Weather Forecasting Centre.

Srivastava said the first ten days of January are considered the coldest, but it's relatively warmer this year compared to the previous year.

"The minimum temperature has not yet dropped to 2 or 3 degrees, unlike in previous years when it occurred for one or two days," an official of the India Meteorological Department (IMD) told PTI.

According to the Indian Railways, 26 Delhi-bound trains were delayed by one to six hours due to fog.

The humidity levels oscillated between 75 per cent and 100 per cent on Wednesday.

The IMD has forecast moderate fog for Thursday with the maximum and minimum temperatures likely to settle around 17 and 7 degrees Celsius respectively.

The 24-hour average Air Quality Index (AQI) recorded at 4 pm was 341, which stands in the "very poor" category.

An AQI between zero and 50 is considered "good", 51 and 100 "satisfactory", 101 and 200 "moderate", 201 and 300 "poor", 301 and 400 "very poor", and 401 and 500 "severe".

December 2023 was the national capital's warmest month in six years, with the city not recording a single 'cold wave day' during the month, the IMD said. PTI COR SJJ AS AS

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Not Tenable At This Stage: Court Rejects 12-Year-old's Abortion Petition

The Kerala High Court has declined a plea requesting the termination of the pregnancy of a 12-year-old girl, allegedly in an incestual relationship with her minor brother. The court noted that the foetus, now at 34 weeks, is fully developed and preparing for life outside the womb.

The court stated that termination at this stage is not tenable, if not impossible, and the child must be allowed to be born through either a caesarean section or normal delivery, a decision left to medical experts.

The parents argued that childbirth would have severe consequences on the girl's physical and mental well-being.

In its December 22 order, the court allowed the petitioners to seek continuous assistance from doctors at the nearby Government Medical College.

After reaching 36 weeks of gestation, they can approach the Medical College Superintendent for evaluation by experts, who will then decide on the nature of delivery.

The court assured protection for the baby after birth, emphasising the girl's comfort with her parents until delivery.

The parents were directed to ensure the accused brother stays away from her, with competent authorities enforcing this directive.

The court emphasised maintaining the petitioners' anonymity throughout the process and thereafter.

(Except for the headline, this story has not been edited by NDTV staff and is published from a syndicated feed.)

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