No increase in MBBS fee in Karnataka for 2024-25 academic Year

In a relief to medical students, the Karnataka government has decided not to increase the fees for MBBS course for the academic year 2024-25. With this, the MBBS course fee will continue to be ₹50,000 per year in government medical colleges and ₹1,28,746 per year for government quota seats in private medical colleges for the academic year 2024-25.
As per the Hindu report, the Karnataka government had not increased the fees for medical courses from 2021-22. However, in 2018-19 the government had allowed private medical and dental college managements to increase fees by 26% and further allowed a 15% increase each year in 2019-20 and 2020-21.
For more information, click on the link below:

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NMC imposes Rs 12 lakh fine on GMC Udhampur

The National Medical Commission (NMC) has imposed a fine of Rs 12 lakh on the Government Medical College (GMC) Udhampur for persistent deficiencies and non-adherence to NMC guidelines and regulations.
NMC imposed the fine while evaluating the annual declaration form submitted by the institute while applying for renewal of their 100 MBBS seats. Even though the Commission imposed a fine on the institute, it has granted a conditional renewal for the academic year 2024-2025.
For more information, click on the link below:

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NEET PG 2024 exam postponed

In an unexpected turn of events, the National Eligibility cum Entrance Test for Postgraduate (NEET PG) 2024 has been postponed just 12 hours before it was scheduled to take place. The decision was taken as precautionary measure by the Union Health Ministry amid the ongoing controversies concerning the NEET exam as well as the UGC NET exam
“Taking into consideration, the recent incidents of allegations regarding the integrity of certain competitive examinations, Ministry of Health has decided to undertake a thorough assessment of the robustness of processes of NEET-PG Entrance Examination, conducted by National Board of Examinations for medical students. It has accordingly been decided, as precautionary measure to postpone the NEET-PG Entrance Examination, scheduled to be held on 23rd June, 2024,” the Union Health Ministry stated in a release.
For more information, click on the link below:

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Taro Pharma now wholly owned by Sun Pharma

Mumbai: Sun Pharmaceutical Industries Limited today announced the successful completion of the merger of Taro Pharmaceutical Industries Ltd. with its subsidiary. As part of this merger, Sun Pharma acquired all outstanding ordinary shares of Taro other than the shares already held by Sun Pharma or its affiliates.

As a result of the merger, Taro is now a private company and wholly-owned by Sun Pharma. Sun Pharma has been the majority shareholder of Taro since 2010.

Dilip Shanghvi, Chairman and Managing Director of Sun Pharma, said, “We are pleased with the successful completion of Taro merger process. This milestone marks a significant step forward for both organizations, allowing us to effectively leverage each other’s strengths and capabilities. Together, we are excited about starting this new chapter and creating a more robust, successful future for the combined entity.”

Medical Dialogues team had earlier reported that the Company had declared results from a Phase 1, multiple ascending-dose study evaluating the safety, tolerability, pharmacokinetics, and pharmacodynamics of GL0034 (Utreglutide) in obese adults.

Read also: Sun Pharma GL0034 demonstrates significant weight loss, gluco-metabolic and lipid lowering efficacy in individuals with obesity in oral presentation

Sun Pharma is a specialty generics company with presence in Specialty, Generics and Consumer Healthcare products. Sun’s high growth Global Specialty portfolio spans products in dermatology, ophthalmology, and onco-dermatology and accounts for over 18% of company sales. Its manufacturing facilities are spread across six continents. 

Read also: Sun Pharma, Moebius Medical present positive data from phase 2b trial of MM-II in painful knee osteoarthritis patients at EULAR 2024

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Health Bulletin 24/ June/ 2024

Here are the top health stories for the day:

NEET-PG exam postponed as a ‘precautionary measure’
In an unexpected turn of events, the National Eligibility cum Entrance Test for Postgraduate (NEET PG) 2024 has been postponed just 12 hours before it was scheduled to take place. The decision was taken as precautionary measure by the Union Health Ministry amid the ongoing controversies concerning the NEET exam as well as the UGC NET exam
“Taking into consideration, the recent incidents of allegations regarding the integrity of certain competitive examinations, Ministry of Health has decided to undertake a thorough assessment of the robustness of processes of NEET-PG Entrance Examination, conducted by National Board of Examinations for medical students. It has accordingly been decided, as precautionary measure to postpone the NEET-PG Entrance Examination, scheduled to be held tomorrow i.e. 23rd June, 2024,” the Union Health Ministry stated in a release
For more information, click on the link below:
No MBBS fee hike in Karnataka for 2024-25 academic year
In a relief to medical students, the Karnataka government has decided not to increase the fees for MBBS course for the academic year 2024-25. With this, the MBBS course fee will continue to be ₹50,000 per year in government medical colleges and ₹1,28,746 per year for government quota seats in private medical colleges for the academic year 2024-25.
As per the Hindu report, the Karnataka government had not increased the fees for medical courses from 2021-22. However, in 2018-19 the government had allowed private medical and dental college managements to increase fees by 26% and further allowed a 15% increase each year in 2019-20 and 2020-21.
For more information, click on the link below:


Non-adherence to guidelines: NMC imposes Rs 12 lakh fine on GMC Udhampur, conditional renewal for MBBS seats

The National Medical Commission (NMC) has imposed a fine of Rs 12 lakh on the Government Medical College (GMC) Udhampur for persistent deficiencies and non-adherence to NMC guidelines and regulations.
NMC imposed the fine while evaluating the annual declaration form submitted by the institute while applying for renewal of their 100 MBBS seats. Even though the Commission imposed a fine on the institute, it has granted a conditional renewal for the academic year 2024-2025.
For more information, click on the link below:
Walking for 30 mins a day can help reduce lower back pain: Lancet
In a groundbreaking study, researchers have discovered that walking for just 30 minutes daily can significantly reduce low back pain. This world-first trial, aimed at assessing the effectiveness of low-cost exercise, offers new hope for those suffering from this common condition.
The trial involved 701 individuals across Australia, with an average age of 54, who had recently recovered from non-specific low back pain. Participants were randomly divided into two groups: an intervention group and a no-treatment control group. The intervention group engaged in progressive walking for at least 30 minutes daily for six months under the supervision of a trained physiotherapist. Both groups were followed for 12 to 36 months.
Reference:

Effectiveness and cost-effectiveness of an individualised, progressive walking and education intervention for the prevention of low back pain recurrence in Australia (WalkBack): a randomised controlled trial, Natasha C Pocovi, Prof Chung-Wei Christine Lin, Prof Simon D French, Petra L Graham, Johanna M van Dongen, Prof Jane Latimer, PhD, DOI:https://doi.org/10.1016/S0140-6736(24)00755-4

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BAMS doctor performs delivery at Patiala Nursing home, patient dies of postpartum haemorrhage

Patiala: A BAMS (Bachelor of Ayurvedic Medicine and Surgery) doctor allegedly conducted delivery of a 31-year-old patient at a private nursing home, in Patiala instead of a gynaecologist following which the patient is reported to have died from postpartum haemorrhage on Thursday night.  

As per the latest HT report, the patient was experiencing excessive bleeding following the delivery, and despite the efforts of the BAMS doctor to manage the bleeding, he was unsuccessful. Consequently,  she was transferred to Rajindra Hospital, where she tragically passed away moments later.    

Taking cognizance of the matter, the Patiala Health Department ordered a probe into the matter and asked the committee to submit a preliminary report within 2 days.  

Also read- Probe Ordered After Nurses Perform Delivery At Kharar Civil Hospital In Absence Of Doctors At Night

Speaking to HT, Dr Hatinder Kaur, Director of the Punjab Health Department, said, “The Patiala civil surgeon had been asked to submit a preliminary report within 48 hours.”

Blaming the nursing home for the death of their patient. Singh, the husband of the deceased, said, “My wife died because of negligence. I want justice.” 

When asked about the occurrences of alleged cases of negligence leading to maternal deaths, Patiala civil surgeon Dr Sanjay Goyal told the Daily that he was not aware of the incidents but would look into it.  

Meanwhile, Dr Bhagwant, a member of the Punjab Medical Council, said, “Obstetrics is a very complicated science. Identifying and timely management of fallouts and complications during the delivery is the domain of gynaecologists. If you fail in this, you are deficient in your services. This shows that they lack expertise in obstetrics and health facilities. The government should take remedial measures to ensure that such incidents do not happen in future.”

Responding to the issue, the BAMS doctor who performed the patient’s delivery said, “After the delivery, the woman started bleeding. We tried to manage but the patient kept bleeding so we referred her to Rajindra Hospital. She died moments after being admitted there.”

Also read- Gynaecologist On Phone, Nurses Performing Delivery: Doctor Booked Under IPC 304A After Death Of Newborn

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IMA lauds Govt’s move to transfer NEET irregularities case to CBI

New Delhi: The doctors have welcomed the government’s move to transfer the investigation into alleged irregularities in NEET 2024 conduct to the CBI. 

The Indian Medical Association (IMA) expressed its gratitude to Prime Minister Narendra Modi and other key ministers for their prompt response to concerns surrounding the controversies over the exam. The IMA also commended the Centre for its swift response to the NEET-UG exam controversies.

IMA also appreciated the introduction of stringent laws aimed at combating malpractice and irregularities in competitive exams, which include penalties of up to 10 years of imprisonment and a minimum fine of Rs 1 crore for offenders involved in organized examination crimes.

“We extend our gratitude to the Union Ministry of Education for transferring the investigation of the ‘irregularities’ in NEET-UG to the CBI for a thorough probe,” it said in a statement.

Also Read:NTA should answer serious questions, says Former HRD Minister Sibal over NEET exam row, demands probe by SC-appointed officials

The Central Bureau of Investigation (CBI) filed an FIR on Sunday in connection with the alleged irregularities in Eligibility-Entrance Test Undergraduate (NEET-UG) held on May 5 on a reference from the Union education ministry, amid countrywide protests and litigation by students for a probe into paper leak claims.

The CBI action came a day after the ministry announced it would hand over the probe into the alleged irregularities to the central agency, a demand raised by a section of protesting students.

The IMA also said it is thankful to the government for removing the National Testing Agency (NTA) director general.

The IMA statement said, “We appreciate the government for enacting stringent laws to address malpractice and irregularities in competitive examinations. In cases of organised crime involving examination authorities, service providers, or other institutions, offenders may face imprisonment of up to 10 years and a minimum fine of Rs 1 crore.”

The students are the future of India and it is crucial that important competitive examinations are conducted with the utmost diligence and confidentiality, it said.

“We trust that the difficulties endured by NEET-PG students are an inevitable corollary of the welcome reforms of the government and we hope for the robust mechanism as promised by the government,” the association said.

The health ministry on Saturday postponed NEET-PG, scheduled to be held on June 23, as a “precautionary measure” in the wake of recent allegations on the integrity of certain competitive exams.

The IMA urged the government to take swift action to ensure that counselling for admission in medical, dental, and other courses begins on time.

The ministry had on Saturday notified the seven-member panel headed by former Indian Space Research Organisation (ISRO) chief K Radhakrishnan to ensure transparent, smooth and fair conduct of examinations through the NTA.

On Sunday, the NTA also clarified that its website and all its other web portals are fully secure, and reports that these have been compromised and hacked are wrong and misleading.

“NTA website and all its web portals are fully secure. Any information that they have been compromised and hacked is wrong and misleading,” a senior official said.

The NEET-UG was held on May 5 across 4,750 centres and around 24 lakh candidates appeared. The results were expected to be declared on June 14 but were announced on June 4.

In an optional retest held for students whose grace marks were scrapped after the matter reached the Supreme Court, only 813 of the 1,563 such candidates appeared on Sunday. These candidates were awarded grace marks by the NTA to make up for the loss of time at six centres due to a delay in the start of the examination on May 5. There were allegations that it led to inflation of marks and contributed to six of the grace mark candidates from the same centre in Haryana scoring a perfect 720 marks along with 61 others.

“At least 52 per cent — 813 out of 1,563 candidates — appeared for the retest on Sunday. While no candidate appeared in Chandigarh, the number of candidates appearing from Chattisgarh (291), Gujarat (1), Haryana (287) and Meghalaya (234),” a senior National Testing Agency (NTA) official said.

Over 13 lakh candidates out of around 25 lakh qualified the NEET-UG this year and they will compete for around 1.8 lakh MBBS/dental seats. Amid allegations of irregularities as well as “bunching of high scorers”, the NTA stated that the top one lakh candidates are spread across 4,500 centres all over the country. Moreover, nearly two third of these are from rural or semi-rural areas, it stated.

The NEET-UG examination is conducted by the NTA for admissions to MBBS, BDS, AYUSH and other related courses in government and private institutions across the country.

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RIMS Ranchi struggles with shortage of staff

Ranchi: The Rajendra Institute of
Medical Science (RIMS), a key medical institution in Jharkhand that serves
approximately 2,500 patients daily, is grappling with severe staffing issues,
Dr Ram Kumar, the hospital’s director, revealed on Friday. During a press conference,
Dr Kumar highlighted the critical shortfall in manpower, noting that the
current staff strength is far below the required levels.   

Dr Ram Kumar assumed
the charge as the Director of the institute four months ago. As per a recent
media report by the Times of India, Dr Kumar explained that out of a sanctioned
strength of 596 Group D employees, only 94 are presently employed, indicating a
significant gap in essential support staff. “There are no administrative, accounts, and vigilance officers. RIMS is running its administration with the help of
doctors like the medical superintendent, who is a paediatric surgeon. We need
two deputy medical superintendents and an additional medical superintendent on
deputation,” he added.

Dr Kumar has been in
continuous dialogue with the state’s health minister, Banna Gupta, and senior
officials to address the crisis. She had multiple discussions with the health
minister and other top bureaucrats, bringing the dire situation at RIMS to
their attention. In addition to his appeals for more staff, Dr Kumar mentioned
that the next meeting of the RIMS governing body is scheduled for July 9.

This
will be the first meeting since March 2023, and it is set to discuss around 35
proposals aimed at addressing various issues faced by the institution, reports
the Daily. These proposals will cover topics ranging from staff recruitment to
the improvement of hospital infrastructure and services.

The staff shortage at
RIMS is not only a burden on the existing workforce but also poses a risk to
patient care quality. With only a fraction of the required personnel, the
hospital struggles to manage the influx of patients, which often leads to
longer wait times and potentially compromised care. 

Hospital
Improvements and New Initiatives

Dr Ram Kumar, Director
of Rajendra Institute of Medical Sciences (RIMS), has reported that there are
148 encroachments on the hospital premises, including unauthorized temple
constructions. Efforts are underway to reinforce the hospital’s green corridor,
ensuring a more efficient route for emergency patients.

A new subway is being
planned to facilitate pedestrian movement towards Kokar, while the existing
road will be reserved exclusively for RIMS use. The Jharkhand Building
Corporation has conducted multiple inspections of older buildings on campus to
assess and plan renovations. 

The basement’s blocked drainage system, which has
caused waterlogging issues, is also being addressed. Approval has been granted
to establish a new outpatient department in a proposed block, with the tender
process expected to begin soon.

A central lab will be constructed to streamline
medical diagnostics for patients. The state administration has sanctioned the
establishment of a police picket on the hospital grounds to enhance security. These
initiatives are part of a broader effort to upgrade RIMS and provide better
healthcare services to the community.

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Lupin, Aurobindo Pharma unit recall products from US over manufacturing issues

New Delhi: According to the US health regulator, Lupin and a unit of Aurobindo Pharma are recalling products from the American market over manufacturing issues.

Specifically, a US-based Lupin unit Lupin Pharmaceuticals Inc is recalling 3,552 bottles of Cefixime for Oral Suspension (USP 200 mg/5 mL) used to treat bacterial infections.

The Company is recalling the medication due to “failed content uniformity specifications”.

The affected lot has been produced at the company’s Mandideep-based manufacturing plant in Madhya Pradesh.

The company commenced the Class II nationwide (US) recall on May 30 this year.

According to PTI, the US health regulator stated that New Jersey-based Eugia US LLC, a subsidiary of Aurobindo Pharma, is recalling 70,125 vials of Dexamethasone Sodium Phosphate injection USP.

The company is recalling the affected lot due to “failed impurities/degradation specifications”, USFDA said.

Eugia commenced the nationwide Class II recall on May 23 this year.

According to USFDA, a Class II recall is initiated in a situation in which the use of, or exposure to, a violative product may cause temporary or medically reversible adverse health consequences or where the probability of serious adverse health consequences is remote.

Eugia is also recalling 15,500 single-dose vials of Eptifibatide injection from the US market, the American health regulator said.

The medication prevents blood from clotting during episodes of chest pain or a heart attack.

Eugia is recalling the affected lot due to “failed impurities/ degradation specifications”, USFDA said.

The company initiated the Class III recall on May 22 this year.

As per USFDA, a Class III recall is initiated in a “situation in which use of, or exposure to, a violative product is not likely to cause adverse health consequences”.

India is the largest supplier of generic medicines, with around 20 per cent share in the global supply by manufacturing 60,000 different generic brands across 60 therapeutic categories.

The products manufactured in the country are shipped to over 200 countries around the globe, with Japan, Australia, Western Europe, and the US as main destinations.

India has the highest number of USFDA-compliant companies with plants outside the US.

Read also: Lupin collaborates with Fuji Pharma arm for marketing birth control pill Nextstellis in Vietnam, Philippines

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Extreme heat can be dangerous for runners, cyclists and those spending time outdoors: Six tips for staying safe

When summer starts with a stifling heat wave, as many places are seeing in 2024, it can pose risks for just about anyone who spends time outside, whether they’re runners, people who walk or cycle to work, outdoor workers or kids playing sports.

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