Tuesday, October 3, 2000,
Chandigarh, India
C H A N D I G A R H   S T O R I E S


Alcohol not sole cause of liver diseases
Tribune News Service

CHANDIGARH, Oct 2 — Specialists, from India and abroad, deliberated on the effect of liver cirrhosis on brain functions, on the concluding day of the two-day conference organised by the Department of Hepatology in the PGI, here today.

Day one of the conference dealt primarily with current perspectives in liver diseases aimed at increasing awareness amongst younger people and general practitioners about current trends. Discussion today, had more specialised end-stage hepatic encephalopathy as its main focus.

This end-stage chronic condition of liver causes unconsciousness of the brain, medically known as encephalopathy. According to Dr S.R. Naik, early indications of the disorder include inability of the patient to control very fine movements of hands. The condition later develops into severe tremors and disturbance of mood and sleep. It later causes convulsions and seizures.

A session on subclinical hepatic encephalopathy dealt specifically with the methods to test brain functions of persons with liver disorders. Dr V.A. Saraswat, Dr R.K. Gupta and Dr Ajay Duseya spoke on early symptoms and changes which could be diagnosed with psychological tests and MRI scan to pick up manganese deposition in the basal ganglia.

According to Dr Naik, hepatic encepalopathy is a common condition in India.” At present, treatment includes lactulose therapy and some similar methods based on a similar concept. These methods produce laxative effect to flush out ammonia produced by a malfunctioning liver. Various trials are on to develop other techniques. For example, ways to protect the astrocyte cells in the brain, which swell in this condition and monitor the manganese deposit in the brain. However, these studies are still in preliminary stages”, he added.

Dr R.F. Butterworth, from Montreal in Canada agrees. “At present, the only way to treat the condition is by controlling ammonia and a liver transplant”. Major function of the liver is to remove ammonia from blood. In India, unlike abroad, there are other reasons for hepatic encephalopathy besides alcohol abuse. When liver fails, ammonia in the blood interferes with brain mechanism of neuro transmission, resulting in coma,” he said.

Dr N.K.Arora spoke about fulminant hepatic failure in children. “In AIIMS, we get 50 to 60 cases of paediatric liver failure. The most common cause is poor sanitary conditions in the country. Other causes include metabolic liver diseases and genetic disorders. Interestingly, a well nourished child has more chances of suffering from hepatic encephalopathy than a malnourished child.”

Dr K.D. Mullen from Cleveland, in the USA added that India had a special category of hepatic encephalopathy. This exists due to portal hypertension. Speaking about non cirhotic portal fibrosis, he talked about its direct effects and ways to control it.

Dr R. Jalan from Edinburgh, in the UK conducted an experimental model, in which effects of simulated bleeding into gastro-intestinal tract were observed, besides study of its effect on brain in liver diseases. He felt that deficiency of certain amino acids could be the cause of hepatic encephalopathy. He also suggested some new methods of treating hypertension in acute liver failure, which included bringing down the body temperature.

Prof S.K. Acharya expanded on the early indications of outcome in patients and prediction of death. Dr A.C. Anand spoke about latest experiments on artificial liver.

An emphasis was laid on India’s perspective. An infection of hepatitis-E, as in pregnant women, can assume a malignant condition of liver. Certain drugs, used in treatment of tuberculosis, also cause liver disorders. 


468 examined at eye camp
Tribune News Service

CHANDIGARH, Oct 2 — As many as 468 persons were examined and 47 operated upon for cataract during the three-day eye camp organised by the Rotary Club of Chandigarh Mid-Town, which ended here today. The camp was organised in association with Rotary Innerwheel, Rotaract Club, Chandigarh Midtown and District Blindness Control Society.

According to Dr Vanita Gupta, president of the Rotary Club of Chandigarh Mid-Town, all the operations, performed by a team of volunteer eye -specialists, were successful. During the eye camp, poor patients from nearby villages and colonies were provided with intra-ocular lenses, medicines and free meals.

The club plans to carry out a survey of the different villages and colonies to identify the persons in need of intra-ocular lens transplant, the eye camp for whom will be organised in February, next year. 


Dev Samaj girls bag CBSE basketball trophy
By Our Sports Reporter

CHANDIGARH, Oct 2 — IS Dev Samaj Girls Senior Secondary School, Sector 21 and SD Public School, Sector 32 emerged winners in the girls and boys categories, respectively, in the CBSE basketball tournament for cluster XI which concluded here this evening at New Public School, Sector 18. In the girls’ final, ISDSSS-21 outplayed Bhavan Vidyalaya, Sector 27, 46-29, with a half time score of 16-11.The scorers for the winners were — Navneet 14, Manpreet 13, Shveta 9; scorers for the losing team were — Rubina 19, Minakshi 10 points.

In the boys’ final, SD Public School, Sector 32 scored a brilliant win over DAV English Model School, Sector 8, Panchkula, 45-20 with a half time score of 30-16.The scorers for the winners were — Harminder 23, Bhupinder 7, Digvijay 09; scorers for the losing team were — Karan 8,Shiv 4 and Aman 4 points.

The third place in the girls cetegory went to Sacred Heart School, Sector 26, while in the boys category it was bagged by DAV Senior Secondary School, Sector 8.

Pataudi trophy

Ajay Sikka will lead the Chandigarh cricket team for the Pataudi trophy beginning on October 4 at Panchkula. According to Mr Surinder Singh ‘Baijee’, secretary of the Chandigarh Cricket Association affiliated Haryana Cricket Association, the other members of the team are, Charanpreet, Navjeet Singh, Amit Bhardwaj, Randhir Nain, Jagjit Saini, RP Singh, Kulbir Singh, Rajiv Dutta, Ramandeep, Ravinder Singh, Sanjeev Sharda, Azad Singh, Harminder Singh, Ravijot Singh, Sumit Verma, Arun Madan and MP Singh. Meanwhile CCA will also hold selection trials for the selection of the Chandigarh under-16 team for the Rajinder Goel trophy at Government Model Senior Secondary School, Sector 19, on October 4 at 6.30 am.

Team selected

The Panchkula District Cricket Association has selected the Panchkula team for the Haryana Inter District Cricket Tournament to be held on October 4 at Panchkula. The team is Girish Bhanot captain, Vineet Jain, Yogender Bhandari, Ashish Sharma, Rajinder Singh, Vishal Saini, Ravi Shanker, Rajesh Patha, Umesh Kaira, Harish Garg, Sushil Siwach, Amit Kumar, Sunil Kaira and Inderjeet Singh. The match will begin at 9 am and players must report at 8 am, said Mr Sandeep Moudgil, secretary of the PDCA.


Umpire of international repute

AMONG the minuscule hockey umpiring fraternity of the city is a smart,well-built man whose stern looks on the field during matches are enough to cool down frayed tempers. His decisions are seldom questioned as they are based on years of experience on the hockey ground.

Yes, he is Satinder Sharma, a Chandigarh-bred boy who first excelled as a player and later took to coaching. Today, he is recognised as an international umpire having officiated in the Four-Nations International Hockey Tournaments at Sydney and Perth in April this year.

Employed in the State Bank of India here, Satinder made his debut as a player in the junior nationals at Kohlapur in 1981.Two years later he made his maiden appearance in the senior nationals at Meerut. Till 1997, he continuously represented Chandigarh in the senior nationals. In the National Games held at Bombay in1994, he was a member of the Chandigarh team who won the bronze medal.

After taking up coaching, Satinder officiated in all major national tournaments. He was an umpire for the Imphal National Games followed by the hockey nationals last year.

At the international level, Satinder was the reserve umpire for the India-Pakistan Test in Delhi last year. In February this year, Satinder was selected to officiate in the Akbar-El-Yom International Hockey Tournament at Cairo.

As an active member of the local Rock Rovers Hockey Club, Satinder has been lending his helping hand in organising the All-India Gurmit Memorial Hockey Tournament which is an annual feature for the past 30 years.

— Amardeep Bhattal

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