Wireless device to detect heart dysfunction in cancer survivors
New York, June 23 : Scientists have designed a novel wireless device which may accurately detect heart dysfunction in children who have survived cancer.
Childhood cancer survivors are advised to undergo screening for the detection of heart dysfunction because of known anthracycline-induced cardiotoxicity.
However, screening with echocardiography -- the standard of care for monitoring heart function -- can be highly variable and limited.
Another alternative is cardiac magnetic resonance (CMR) imaging, which is expensive and is not widely accessible.
In the study, the team tested Vivio -- a prototype handheld instrument which collects pulse waves and phonocardiogram data from the carotid artery. The results showed that the device was accurate and it displayed a low false-negative rate as compared to CMR imaging.
"This study is the first step in thinking about new paradigms of long-term monitoring and care delivery for cancer survivors who are at risk for severe and life-threatening health conditions," said Saro Armenian, Director at City of Hope National Medical Centre in California.
The study, published in the journal Clinical Cancer Research, involved data from 191 patients exposed to anthracycline chemotherapy.
The data of the participants was collected using Vivio which then streamed wirelessly to a compatible device such as a smart phone or e-tablet.
This mobile health platform negates the need for result interpretation and allows for real-time monitoring of heart health, explained Armenian.
Using a specialised algorithm, Vivio measures the left ventricular ejection fraction (LVEF), which is commonly used to assess heart function and measures the percentage of blood ejected from the left ventricle of the heart, Armenian added.
However, the author said that Vivio is not currently intended to replace echocardiography or CMR imaging.
"One possible implementation of Vivio could be for preliminary screening," Armenian explained.
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'Even Ajmal Kasab was given a fair trial': SC remarks in Yasin Malik case
New Delhi, Nov 21: Even Ajmal Kasab was given a fair trial in our country, the Supreme Court on Thursday remarked and indicated it may set up a courtroom inside Tihar Jail for the trial of J&K separatist leader Yasin Malik in a kidnapping case.
A bench of Justices Abhay S Oka and Augustine George Masih was hearing a CBI plea against the September 20, 2022 order of a Jammu trial court that directed Malik, serving life term in Tihar jail, to be produced before it physically to cross-examine the prosecution witnesses in the kidnapping case of Rubaiya Sayeed, daughter of politician Mufti Mohammad Sayeed.
The bench, however, remarked, "How will cross-examination be done online? There is hardly any connectivity in Jammu... In our country, a fair trial was given even to Ajmal Kasab and legal assistance was given to him in the high court."
Kasab, the lone Pakistani gunman caught alive after the Mumbai terror attack, was hanged till death at the Yerawada Central Prison .
The bench told Solicitor General Tushar Mehta, representing the CBI, to take instructions on the total number of witnesses in the case.
Mehta pointed out security concerns and said Malik couldn't be taken to Jammu for the trial.
The law officer accused Malik of "playing tricks" for having asked to appear personally and not engaging a lawyer. Mehta said Malik was not an ordinary criminal and showed a purported photograph of Malik sharing the dais with terrorist Hafiz Saeed.
The top court said it could order trial to take place inside the jail premises and ask the judge to come to the national capital for the proceedings.
The bench, however, noted all the accused persons in the matter had to be heard before it passes an order.
Mehta said Malik appearing in the Supreme Court physically raised security concerns previously.
The bench said Malik could be allowed to appear virtually in the apex court proceedings and posted the matter on November 28.
The CBI in the meantime was directed to amend its petition and implead all accused persons as respondents.
In 2023, Mehta wrote to then Union Home Secretary Ajay Kumar Bhalla flagging a "serious security lapse" after Malik was brought to the Supreme Court to appear in a case.
Malik, serving life sentence in a terror-funding case, was brought to the high-security apex court premises in a prison van escorted by armed security personnel without the court's permission.
Expressing surprise at his presence, Mehta informed the apex court there was a procedure for high-risk convicts to be allowed into the courtroom to argue their case personally.
The CBI said Malik, the top leader of the Jammu and Kashmir Liberation Front (JKLF), was a threat to national security and cannot be allowed to be taken outside the Tihar jail premises.
The apex court on April 24, 2023, issued notices on the CBI's appeal following which the incarcerated JKLF chief wrote a letter to the registrar of the Supreme Court on May 26, 2023 seeking permission to appear in person to plead his case.
An assistant registrar took up his request on July 18, 2023 and said the apex court would pass necessary orders -- a decision the Tihar Jail authorities reportedly misconstrued to allow Malik to appear and argue his case.
Mehta referred to the CBI's contention in its appeal against the trial court order to bring Malik to Jammu for the in-person examination of the witnesses in the kidnapping case, and said under Section 268 of the CrPC a state government may direct certain people to not be shifted from the confines of a prison.
On September 20, 2022, a special TADA court in Jammu directed Malik to be physically produced before it on the next hearing for him to cross-examine prosecution witnesses in the kidnapping case.
The CBI challenged the trial court order before the Supreme Court as appeals in TADA cases are only heard by the top court.
Rubaiya was abducted near Lal Ded Hospital in Srinagar on December 8, 1989 and freed five days later after the then BJP-backed V P Singh government at the Centre released five terrorists in exchange.
Mufti, who now lives in Tamil Nadu, is a prosecution witness of the CBI, which took over the case in early 1990s.
Malik is lodged in Tihar jail after he was sentenced by a special NIA court in May, 2023 in a terror-funding case.
