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State hires engineers to check health of bridges

first_imgKolkata: The state government on Friday inducted 21 engineers for the Bridge Inspection and Special Monitoring Cell, which will examine the health of various bridges across the state.The decision was taken three days after Ultadanga flyover developed a crack. The main purpose of the monitoring cell would be to examine the condition of the bridges and take necessary steps to initiate repair work if problems are detected in these bridges. A section of the Ultadanga flyover, which had collapsed six years ago, had developed cracks and the traffic movement on Tuesday was closed immediately after the problem was detected. Also Read – Centuries-old Durga Pujas continue to be hit among revellersAccording to Kolkata Metropolitan Development Authority officials, the cracks in pier cap of the flyover were found during the routine checkup. The expert committee, which will conduct the health checkup of bridges, will have four superintendent engineers, three executive engineers and 14 assistant engineers. The chief engineer of the headquarters of the Public Works Department (PWD) will be heading the monitoring cell. All 21 engineers will be deployed soon and they will go to districts and conduct health checkups of various bridges. Also Read – Bengal family worships Muslim girl as Goddess Durga in Kumari PujaThere are around 1,749 bridges owned by the Public Works Department out of which 738 are in bad condition. Around 95 bridges are in critical condition. According to sources, among the critical bridges, around 15 are located in Birbhum, 7 in Nadia, 9 each in East Burdwan and Jalpaiguri, 8 in Hooghly and 1 in Purulia. Expert committee of the Public Works Department and KMDA officials and other agencies held a number of meetings regarding Ultadanga flyover incident. It was decided that the cracks will be repaired by installing steel plates on the damaged portion. After examining the cracks, the engineers found that it would take around two months to repair the pillar that developed maximum cracks. The experts also suggested to construct a bailey bridge. The Urban Development department will take up the construction work with Bidhannagar Municipal Corporation. The traffic movement along the flank connecting Eastern Metropolitan Bypass to the VIP road was thrown open for traffic from Thursday night. Work to repair the damaged portion of the flyover has been already started. It may be mentioned here that the portion that developed fresh cracks had collapsed on March 3, 2013 when a loaded truck was passing by pier 13 and 14 of the flyover.last_img read more

Road from plastic waste in Noida

first_imgNoida: The Noida authority has started using plastic waste for resurfacing road between sector 14A and film city in Noida. Officials said that this technique has been used for the first time in Noida.The authority is performing resurfacing of nearly a stretch of four kilometer road on both sides between Noida entry gate and film city with a mixture of bitumen and plastic. Officials claim that these roads will be durable and it will create a plastic coating over the road and not allow water to penetrate. Also Read – After eight years, businessman arrested for kidnap & murderDetailing over the newly adopted process of road surfacing, a senior officer of Noida authority said that nearly 8 percent of the plastic is used in the mixture which also contribute towards the durability of road. “The plastic waste including wrappers to plastic bags are shredded and heated at a particular temperature. It is them mixed with bitumen and the mixture is finally heated before being used for the construction purpose. The roads made from waste plastic are more durable against extreme weather conditions like floods and heat as compared to the conventional roads,” a senior Noida authority officer said. Also Read – Two brothers held for snatchingsThe authority has also planned to set up a plant for the use of shredded plastic in construction soon and will also sign an MoU for collection of plastic waste which will also benefit ragpickers. Meanwhile, the authority will also organise a prize distribution ceremony to encourage all the hotels, RWAs, hospitals, schools, government offices and other market associations for cleanliness. The authority will give away prize to the best performer in these categories which will maintain cleanliness.last_img read more

TVA network apologizes for saying mosques sought exclusion of women at worksite

first_imgMONTREAL – French-language network TVA has apologized for a baseless report that said members of two Montreal mosques asked for female construction workers to be excluded from a nearby site.The TV network’s management posted a short statement online Friday, one day after mentioning the debunked story on air.The network said Friday the report was based on comments Tuesday by two entrepreneurs whose versions subsequently changed.“TVA Nouvelles regrets this situation and wishes to apologize to the various stakeholders and viewers who have been affected by this news,” it wrote.The brouhaha erupted when TVA initially reported the mosques had requested the no-women policy for the construction site during the busy Friday prayer sessions.TVA also said women on the site were intimidated.A day later, mosque officials dismissed the report and said they had only asked for parking to be available on Fridays.The provincial government referred the matter to the Quebec Construction Commission, which studied documents, met with representatives of the mosques and the companies involved and spoke to women who worked on the site.Commission president Diane Lemieux said Thursday there was absolutely no evidence that mosque members asked for female construction workers to be excluded from the nearby site.TVA said during its 10 p.m. newscast Thursday the story it had broadcast two days earlier had evolved to the point it could no longer definitively say the request had been made.A reporter called it a “serious mix-up” among those implicated in the story.Lemieux did say it appears some women were moved around the site at certain times as part of normal procedures but that these measures were possibly linked to a surplus of personnel or to operational needs.TVA management says it is investigating the journalistic practices employed in the story, which is also the subject of several complaints filed with Quebec’s press council.Asked about the controversy on CBC Montreal’s Daybreak on Friday, Premier Philippe Couillard said there should be an “exercise of self-examination” following the event.“There should at least be a recognition of the social impact of what happened,” he said.The initial report prompted virulent discussion on social media, alleged death threats as well as calls by right-wing groups for a protest at the mosques. .“It created lots of tension in the community,” Couillard said. “We almost had a demonstration by an extreme right group because of that … that’s so sad.”Montreal police kept close watch on the mosques Friday as worshippers attended prayers.last_img read more

Elsipogtog man says RCMP officers visited home with questions about Facebook comment

first_imgJorge Barrera APTN National NewsA man from the Mi’kmaq community at the centre of intense anti-shale gas protests says he was visited Wednesday by two plain clothes RCMP officers who were asking questions about a Facebook post calling for a protest on New Brunswick Day.Brian Milliea, a Mi’kmaq man from Elsipogtog First Nation, said the two officers showed up at his house at about 2 p.m. looking for him. Milliea was in his office at the Elsipogtog forestry department when he received a phone call from his wife saying two men wanted to speak with him. Milliea rushed home to find the two officers waiting for him.“They were parked in a gray van outside my driveway. One came out, and he had tattoos, while the other guy stayed in the van,” said Milliea, in a telephone interview with APTN National News. “He showed me his badge and said he was with the RCMP from a special task force.”Milliea, who doesn’t remember the officer’s name, said the officer mentioned “the big guy,” meaning New Brunswick Premier David Alward, and an online comment Milliea made on a Facebook group.Milliea said he can no longer find the Facebook comment, but remembers it called for a protest during New Brunswick Day celebration scheduled for Monday in Cocagne, NB.“My comment said maybe we should protest Alward and see how he likes it with SWN and fracking,” said Milliea. “I made no threat about a violent protest or anything like that. I made no threats that we were going there to confront him. So I told him everybody makes comments every single day about Alward and fracking.”New Brunswick RCMP spokesperson Const. Julie Rogers-Marsh said the RCMP couldn’t confirm or deny private conversations between members of the public and RCMP investigators.SWN Resources Canada, which is headquartered in Houston, is currently exploring for shale gas deposits in the province and is expected to begin using exploratory wells by this fall.“(The officer) said, ‘I’m here to talk about your comments.’ And he said, ‘I hope the protest is not going to be like Oct. 17,’” said Milliea. “I took offense to that, because now we’re considered terrorists every time we make comments. It’s because I’m from Elsipogtog.”Milliea said the conversation lasted about five minutes and the officer left after he was told there would be no violent protests.Heavily armed and camouflaged-clad RCMP tactical officers raided a Mi’kmaq Warrior Society-anchored anti-fracking camp on Oct. 17, 2013. The camp was blocking a compound holding shale gas exploration vehicles. The raid triggered day-long clashes between RCMP officers, Elsipogtog residents and supporters from surrounding Acadian and Anglophone communities.Amanda Polchies holds an eagle feather and kneels before a wall of RCMP officers on Oct. 17. APTN/Ossie MichelinThe RCMP arrested 40 people and several police vehicles were torched that day. The RCMP seized hunting rifles, ammunition and crude explosive devices.Two Warrior Society members were sentenced to 15 months this week in connection to the Oct. 17 raid.RCMP investigators are still searching for the individuals responsible for torching the police vehicles.The anti-fracking protests continued into late November, repeatedly shutting down a main provincial highway. Tires were also set on fire twice on Hwy 11.Round dance against backdrop of burning tires on Hwy 11. File photoMilliea said the events of Oct. 17 now overshadow any movement by Elsipogtog residents who are still concerned about the discovery of shale gas which will lead to hydraulic fracturing, or fracking. People in the Mi’kmaq community and surrounding municipalities fear fracking operations could poison the region’s water.“Every time we want to have a peaceful protest, they think we’ll have violence,” said Milliea. “It’s just because of Oct. 17. It wasn’t us who started that confrontation, it was the RCMP.”jbarrera@aptn.ca@JorgeBarreralast_img read more

Morocco Praises Calm Atmosphere Of Tunisias Elections

Rabat –  Morocco praised, Tuesday, the calm atmosphere that marked Tunisia’s parliamentary elections, which took place last Sunday.Morocco extends its congratulations to Tunisia, government and people, for the success of the electoral process which constitutes an important stage in the democratic transition process, the Foreign ministry said in a statement.“Praising this milestone in the history of modern Tunisia, which would consolidate the democratic process and usher in a new era, the Kingdom of Morocco reiterates its total support for this brother country to achieve its aspirations for prosperity, development and peace, continue its path of development and build the bases of its institutions on the path of a singular and exemplary process of democratic transition”, the statement added. read more

Probe into illegal executions in Afghanistan urged by UN human rights expert

Asma Jahangir, the UN Special Rapporteur on extrajudicial, summary or arbitrary executions, released a statement in Geneva citing evidence “clearly indicating that large numbers of unarmed civilians have been and are still being killed extrajudicially by Taliban forces and other warring factions.” The statement, issued on Thursday, said this evidence supported credible reports of such atrocities that had been filtering out of Afghanistan in recent years. “There is now an urgent need to ensure that these crimes are promptly and independently investigated, with a view to bringing those responsible to justice without delay,” said Ms. Jahangir. “There can be no impunity for these widespread and systematic killings, which may amount to crimes against humanity.”The Special Rapporteur also emphasized that a sustainable and just peace in Afghanistan could only be achieved if those responsible grave human rights violations were held accountable for their crimes in trials that conformed to international human rights standards. read more

Voices of young climate action activists give me hope says UN chief

In a direct message to the youth activists who took to the streets, UN chief António Guterres said that he understood the anxiety and “fear for the future” behind their actions but added that “humankind is capable of enormous achievements. Your voices give me hope.”My generation has failed to respond properly to the dramatic challenge of climate change. This is deeply felt by young people. No wonder they are angry – UN chief António GuterresWriting in an opinion piece for The Guardian, Mr. Guterres said that the more he witnessed the “commitment and activism” of young people who were fed up with the pace of the international response to global warming, “the more confident I am that we will win. Together, with your help and thanks to your efforts, we can and must beat this threat and create a cleaner, safer, greener world for everyone,” he added.“These schoolchildren have grasped something that seems to elude many of their elders”, he said, adding that “we are in a race for our lives, and we are losing. The window of opportunity is closing; we no longer have the luxury of time, and climate delay is almost as dangerous as climate denial.” “Momentum is building:, he added, “people are listening and there is a new determination to unleash the promise of the Paris Agreement. The Climate Summit must be the starting point to build the future we need.” The Secretary-General acknowledged that his older generation “has failed to respond properly to the dramatic challenge of climate change.  This is deeply felt by young people. No wonder they are angry.”Global emissions are reaching record levels, and continuing to rise, he said, adding that concentration of carbon dioxide in our atmosphere is the highest it has been in 3 million years.“The last four years were the four hottest on record, and winter temperatures in the Arctic have risen by 3°C since 1990,” he added, noting also rising sea levels, the death of coral reefs, and a growing threat to human health worldwide, as made clear in the UN’s Global Environmental Outlook, published this week.The historic 2015 Paris Agreement signed by more than 190 countries to keep global emissions well below 2°C, “itself is meaningless without ambitious action,” said the UN chief.“That is why I am bringing world leaders together at a Climate Action Summit later this year. I am calling on all leaders to come to New York in September with concrete, realistic plans to enhance their nationally determined contributions by 2020, in line with reducing greenhouse gas emissions by 45 per cent over the next decade, and to net zero by 2050.”The latest analysis shows that if we act now, we can reduce carbon emissions within 12 years and limit global warming to 1.5°” said Mr. Guterres. “But if we continue along our current path, the consequences are impossible to predict.” read more

2012 Peachtree Road Race Kicks Off July 4th

On Wednesday, July 4th the Atlanta Journal Constitution Peachtree Road Race will kick off its annual festivities. Organized by the Atlanta Track Club, the event attracts runners of all ages from around Georgia to enjoy the scenic city course and festive atmosphere. The road race was originated in 1970 and has been a Fourth of July tradition ever since.The famed road race starts in Buckhead near Lenox Square Mall and ends in Piedmont Park. The wheelchair race begins at 6:45 a.m. while the footrace begins at 7:30 a.m.Registration for the event is closed, and organizers suggest that all event participants and spectators take MARTA, which will begin running at 5 a.m. on race day.The course starts at Lenox Square and travels down Peachtree to 10th Street in Midtown and finishes on 10th Street just outside of Piedmont Park. read more

Codelco gets approval for 1 billion desalination plant

first_imgReuters reports that Chile’s state-owned mining company Codelco, the largest copper producer in the world, received environmental approval this week to build a $1 billion desalination plant to supply water to its operations in the country’s northern region.The go-ahead from the Antofagasta region’s environmental regulator will allow the company to expand its Radomiro Tomic mine and advance with an ambitious investment plan in its water-intensive mining operations in one of the driest deserts in the world. The plant would be the second-largest desalination plant in the South American country, behind the one supplying BHP’s Escondida copper mine, the largest in the world.In its original tender announcement last year, Codelco stated that the initial capacity of the project, which shall benefit Codelco’s operations in the Region of Antofagasta, will be 630 litres per second (l/s) and a potential 1,680 l/s. The project include marine works, desalination plant, and an approximately 160 km pipeline and relevant pumping system to transfer the water, as well as the associated electrical infrastructure.last_img read more

Woman in her 50s killed after being struck by car near Cahir

first_img A WOMAN IN her 50s has been killed after being struck by a car in Co Tipperary last night.It happened at Kilcoran, Cahir on the Old Cork Road at around 8.20pm.The woman, who was on foot and walking on the hard shoulder of the road, was struck and fatally injured.She was walking accompanied by a child on a bicycle, according to gardaí. The child was not injured.The car was travelling from Cahir towards Mitchelstown.The woman was pronounced dead at the scene. The driver of the car, a man in his late 20s, was uninjured.Gardaí are appealing for witnesses or anyone who was travelling in the area at the time to contact them at Cahir Garda Station on 052 744 5630. Image: Google Streetview Tuesday 12 Jun 2018, 7:34 AM Tweet thisShare on FacebookEmail this article A stretch of road close to where the crash happened. Woman in her 50s killed after being struck by car near Cahir The woman, aged in her 50s, was walking with a child. The child was not injured. A stretch of road close to where the crash happened. Image: Google Streetview Share30 Tweet Email center_img Short URL 13 Comments http://jrnl.ie/4065951 Jun 12th 2018, 7:34 AM By Daragh Brophy 16,965 Views last_img read more

Season 2 of WWE Tough Enough added to WWE Network

first_imgFacebook Videos Articles Ronda Rousey Highlighting WWEs Problems Now Playing Up Next Now Playing Up Next Now Playing Up Next Google+ Twitter Now Playing Up Next WWE has added season 2 of the Tough Enough reality series that aired in 2002 to the WWE Network earlier this week. Tough Enough Season 2 featured former TNA star Matt Morgan and current TNA star Kenny King as part of the cast, with former WWE Divas Jackie Haas (Miss Jackie) and Linda Miles (Shaniqua) winning the 2 contracts. WWE.com: New on WWE Network video on demand: Tough Enough, Season 2Recommended videosPowered by AnyClipBully Ray Calls Out Ring Of Honor Fan On TwitterVideo Player is loading.Play VideoPauseUnmuteDuration 0:30/Current Time 0:04Loaded: 100.00%0:05Remaining Time -0:26 FullscreenUp NextThis is a modal window.Beginning of dialog window. Escape will cancel and close the window.TextColorWhiteBlackRedGreenBlueYellowMagentaCyanTransparencyOpaqueSemi-TransparentBackgroundColorBlackWhiteRedGreenBlueYellowMagentaCyanTransparencyOpaqueSemi-TransparentTransparentWindowColorBlackWhiteRedGreenBlueYellowMagentaCyanTransparencyTransparentSemi-TransparentOpaqueFont Size50%75%100%125%150%175%200%300%400%Text Edge StyleNoneRaisedDepressedUniformDropshadowFont FamilyProportional Sans-SerifMonospace Sans-SerifProportional SerifMonospace SerifCasualScriptSmall CapsReset restore all settings to the default valuesDoneClose Modal DialogEnd of dialog window.Replay the list Impact Wrestling leaving channel 5Spike in the UK, New deal with 5STAR announced Bully Ray Calls Out Ring Of Honor Fan On Twittercenter_img Tampa Bay to host WrestleMania 36 at Raymond James Stadium in April 2020 Now Playing Up Next Dean Ambrose to appear at Cauliflower Alley Club reunion after his WWE contract expires Roman Reigns is in Remission Pinterest Seth Rollins Defends WWE On Two Separate Occasions Jason Namako RELATED ARTICLESMORE FROM AUTHOR Ronda Rousey On WWE: I Love This Job, But I Dont Need It WhatsApp Velvet Skylast_img read more

CBO warns Congress of recession

first_imgWASHINGTON — A stalemate between Democrats and Republicans that ends up boosting taxes and slashing federal spending in January would likely thrust the nation into a 2013 recession and cost 2 million jobs by the end of that year, Congress’ top nonpartisan budget analyst warned Wednesday.The cautionary report by the Congressional Budget Office, drearier than a similar alarm it issued in May, immediately raised the political stakes in one of this election year’s signature conflicts between the two parties.Without an agreement between President Barack Obama and Congress by January, tax reductions on virtually all taxpayers are scheduled to expire and spending cuts will be imposed on hundreds of popular domestic and defense programs. That would plunge the nation off a so-called “fiscal cliff,” which each side is eager to blame on the other.Together, the scheduled tax increases and spending cuts would total nearly $500 billion next year, the report said — a huge amount of activity to suck out of a $16 trillion economy that is already struggling. That would be the largest annual reduction in the federal deficit compared to the size of the economy in more than four decades, said Douglas Elmendorf, the budget office’s director.Doing that “would probably lead to a recession early next year,” Elmendorf told reporters.That scenario would cause the economy to shrink by 0.5 percent in 2013 and push unemployment up to around 9 percent in the second half of next year, according to the report. Elmendorf said that would mean 2 million fewer jobs than if the tax cuts are renewed and the spending cuts averted.last_img read more

Robbery suspect friends victim on Facebook

first_imgPORT ORCHARD — Authorities say that a 28-year-old man suspected of robbing a woman at a Washington ferry terminal friended her on Facebook the next day.The Kitsap Sun reports Saturday that Riley Allen Mullins was charged Friday in Kitsap District Court with second-degree robbery.Authorities say a woman was sitting at the Bremerton ferry terminal on Tuesday using her headphones when she was struck on the head from behind. After being struck, a man grabbed her iPod and purse and ran. She didn’t recognize the man but noticed a tattoo of a triangle on his neck.The next day, the woman received a Facebook friend notification and recognized the sender as the man who robbed her.Investigators confirmed the Facebook account belonged to Mullins, and they noted a profile picture of Mullins showing the triangle neck tattoo.last_img read more

Crews extinguish fire at Fontainebleau Miami Beach no injuries

first_imgMIAMI BEACH, FLA. (WSVN) – Crews were able to put out a fire that broke out inside a steakhouse at the Fontainebleau Hotel in Miami Beach, Saturday evening.According to Miami Beach Fire Rescue, the blaze sparked inside an oven at StripSteak by Michael Mina. The flames spread to the restaurant’s exhaust system, which is located on the fourth floor of the hotel.A statement issued by the Fontainebleau Miami Beach reads in part, “The property’s management and Miami Beach Fire Rescue immediately responded and were able to control the incident.”Firefighters arrived at the scene and were able to contain and extinguish the flames.Fontainebleau’s management said StripSteak will remain closed “until further notice.” The hotel remains open for business.No one was hurt.The cause of the fire remains under investigation. Copyright 2019 Sunbeam Television Corp. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.last_img read more

AK Keeping the Tlingit language alive with youth

first_imgMarsha Hotch teaches at her language nest in Haines. (Photo by Henry Leasia, KHNS – Haines)Officially there are 20 Alaska Native languages in the state. But fluent speakers continue to decline. That led then-Gov. Bill Walker to declare a linguistic emergency last year. Now, Tlingit elders are teaching young children early in a home-like environment, and they’re finding it more effective than the classroom.The walls of the children’s gallery at the Haines Sheldon museum are lined with stuffed animals. Behind them is a mural of the Chilkat Valley. Mothers rock sleeping babies. Dinner is a steaming tray of mac and cheese cooling in the corner.Language teacher Marsha Hotch is seated in a semi-circle with a half-dozen youngsters.She begins to sing.At first, she’s met with blank stares. Slowly the children pick up the rhythm of the song. By the end nearly everyone is singing along.“I’ve taught little ones, but this is different,” Hotch said. “We have a family and I’m looking at adults and I’m looking at babies and in-between. And it’s wonderful because that’s actually where our language starts is with a family.”Hotch is from Klukwan in Southeast. She grew up speaking Tlingit with her family.“In the home, that was all that was spoken,” she said. “Leaving home, I was leaving one environment and stepping into a different environment. I can’t explain it, but it just felt different at that time.”Hotch is one of the roughly 60 fluent Tlingit speakers left in Alaska. And she’s been teaching her language to others for two decades. She’s taught in classrooms, at community centers and at the university. But she says this is different.“Here in the museum, we’ve created a little language environment and so when people come into my classroom, we try to do our best to create that environment as if they were out in the community,” Hotch said.This type of learning environment is called a language nest. It’s less structured than a typical classroom. The kids are at home here. Babies nap in their mother’s laps while kids color eagles and moose at a round table in the corner.Gina Randles is here with her daughter Grace. She’s just finished her shift as a bank teller and says it’s a nice way to unwind with her five-year-old. Even if the pronunciation can be tough.“They’re sounds that aren’t in any other language, so it’s a little tricky to shape your mouth around that,” Randles said.Linguists say Tlingit has two dozen sounds that don’t exist in English. That’s hard for adults but less so for kids who are still learning to communicate.Tlingit was once the predominant language spoken here and across Southeast and parts of B.C. There are many efforts to revitalize it. But the Alaska Native Language Preservation Advisory Council warns that unless Native tongues are spoken daily they could be practically extinct by the end of the century.Xunei Lance Twitchell serves on the advisory council. He’s been pushing the state to adopt Indigenous languages into the public school curriculum.“What I would like to see is that there is a language teacher in every school and that there is an expectation that every child who is going to graduate takes one semester of an Alaska Native Language,” Twitchell said.That’s an ambitious goal. But there are efforts afoot. A new Tlingit immersion preschool opened in Juneau earlier this year. And statewide Native language initiatives are starting to gain some ground.Last year, then-governor Bill Walker declared a linguistic emergency. He issued an administrative order directing the Department of Education and Early Development to work with partners to promote Alaska Native languages in public schools and universities.But the future of this initiative is in doubt following the gubernatorial election. Gov. Mike Dunleavy’s administration froze all of his predecessor’s administrative orders.The language preservation advisory council’s researcher Roy Mitchell says no one’s sure quite what that means.“All the previous administrative orders are under review,” Mitchell said. “There is currently not an official directive as far as whether that still stands or not.”But that hasn’t deterred advocates at the grassroots level. Hotch says she’s intent on helping nurture the next generation of Tlingit native speakers.“Seeing the parents come in and the kids get to see their parents being enthusiastic about learning this new language that’s so new to them, it’s different,” Hotch said. “You know, but it’s a way to communicate. Even some of the kids, to them it’s just communication, they don’t recognize it as language.”last_img read more

New technique may help check spread of cancer

first_imgPressurised Intra peritoneal Aerosol Chemotherapy (PIPAC) is a breakthrough in cancer treatment, where chemotherapy is delivered to confined spaces in the body like abdominal and chest cavities under pressure in spray form to destroy cancer cells through a simple laparoscope. The therapy is best suited for the treatment of ovarian, colon, stomach and appendix cancers that are in advanced stages involving peritoneal cavity, where other conventional therapies fail to treat. It is highly effective in treating cancers that originate from the lining of the abdominal cavity and chest cavity, known as mesotheliomas. Also Read – TSBB, NGC promotes eco-friendly Ganeshas Advertise With Us Such cancers are currently being subjected to intense chemotherapy as the first line of treatment, and it is yielding unsatisfactory results. Moreover, multiple chemotherapy sessions also render such patients weak and lead to the development of fluid formation known as ‘Ascitis.’ PIPAC in such cases is highly beneficial to the patients, as the therapy palliates their symptoms by melting the disease and extending the quality of life. Also Read – CM KCR praises PRO for his books on Telangana Advertise With Us As no surgery is involved, other than a biopsy for possible NGS studies, is permitted during PIPAC procedure, it is a totally atraumatic undertaking, and it is the beauty of the operation PIPAC gaining popularity The other treatment modules, including CRS, HIPEC and third line chemotherapies, are being currently used for the treatment of cancers, but they are giving substandard outcomes. Advertise With Us Surgical treatments CRS and HIPEC are an extensive supra major surgeries conducted for over 10 hours at a stretch, involves resection of various organs, requiring blood replacements over 8 to 10 units and a longer hospital stay of over 3 weeks. Even though after performing such risky procedure, the complication rates are still high due to its curative intent and costs incurring approximately Rs 9 Lakh. Similarly, 3rd line chemotherapies are also not very effective and patients are loaded with side effects. Classical Intra peritonel chemotherapy is not as effective as PIPAC because the liquid distribution inside the cavities is not homogeneous and penetration into disease surfaces is low compared to PIPAC. Radiation therapies Even though being minimally invasive, the latest Cyberknife and Gamma knife radio surgeries are of no use in extensively advanced disease situations of the abdomen or chest wall, while they are beneficial in cases of minimal disease progression in other body parts. Microwave ablation is used to treat small tumours in liver or occasionally other organs, but it is useless in advanced cancers. PIPAC currently fulfills an unmet need in cancers disseminated to peritoneum and pleura where nothing better exists. But, the studies are showing that it can also act as Neoadjuvant therapy to downstage extensive abdominal cancers and make them suitable for curative procedures like CRS and HIPEC, subsequently. This is an exciting observation with potential for getting lots of patients into treatment domain that may otherwise have no chance. In comparison to the above treatment modules, PIPAC is emerging as one of the best game changers for the oncologists, due to the following advantages – 1. No complications: PIPAC has virtually no complications, and the treatment aims for palliation than curative purpose. 2. Cost Effective: In comparison to other treatments, PIPAC costs under Rs 3 Lakh. 3. Minimal hospital stay: Minimising the hospital stay to only 1 day against 2 to 3 weeks as in case of 3rd line chemotherapies. 4. Quicker recovery: With minimal incisions and decreased tumor load to operable mode, the patient makes a better and quicker recovery. Potential of PIPAC in India The technique is originated recently in Tubingen Germany by Prof Marc Rubens, and it is still evolving. Multiple clinical trials are underway to collate solid evidence in its favour. Only a few centers in the world like France, Germany and US have experience and our center in India is one of them. As more and more centers acquire this expertise, it would become more popular in the future. Depending upon the type of primary cancer, the outcomes of PIPAC therapy may vary. For instance, in cases of advanced (Stage IV) ovarian cancer, the objective response rates are very high (over 70%) with better survival (14 months) in comparison to other currently used methods. Appendix and colon also have similar noteworthy results, but outcomes in cases of gastric cancer are not so good due to its adverse biology. PIPAC provides a significant improvement in the quality of life. Patient satisfaction Many patients suffering from advanced stages of ovarian, colonic and appendicle cancer have achieved astounding results. Since there are absolutely no side effects and patients can walk out of the hospital, they are usually satisfied and happy. They come back for repeat procedures after 6 weeks or so, which is recommended as well. Infrastructure for PIPAC One requires an operating room with laminar airflow or fitted with a Hepa filter, so that minute aerosol particles of chemotherapy are sucked out. Laproscopic cart and scope, a double chamber high pressure injector, a Buffalo filter to suck out vapours, and the last but not least, a uniquely developed aerosoliser called ‘Capnopen’ are needed. Of course, the performing surgical oncologist should be trained for the procedure. It is performed with patient under general anaesthesia. (Writer is president of Brest Cancer Patient Benefit Foundation)By Dr Sameer Kaullast_img read more