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Tejashwi Yadav’s Comments On Wife Rachel Godinho Go Viral: 5 Facts About Her
Tejashwi Yadav, his mother Rabri Devi and wife Rachel Godinho in Patna.
Tejashwi Yadav’s comments on his marriage to Rachel Godinho, made in an interview to NDTV have gone viral. “I told my father ‘I’m dating this girl and would love to marry her. But she’s a Christian’. My dad was like, ‘It’s OK. No problem’,” he said.
Nancy Pelosi Taiwan Visit LIVE Updates: US House Speaker Nancy Pelosi landed in Taiwan late Tuesday, defying a string of increasingly stark warnings and threats from China
News18.com | August 03, 2022, 19:48 IST
Nancy Pelosi
Nancy Pelosi Taiwan Visit LIVE Updates: Chinese Foreign Minister Wang Yi vowed Wednesday to punish those who offend Beijing, state media reported, as the country seethes over US House Speaker Nancy Pelosi’s visit to Taiwan. “This is a complete farce. The United States is violating China’s sovereignty under the guise of so-called ‘democracy’… those who offend China will be punished,” Read More
The Supreme Court on Monday refused to allow the temporary release of Maharashtra MLAs Nawab Malik and Anil Deshmukh from the prison for casting vote
https://www.livelaw.in/top-stories/supreme-court-refuses-to-release-nawab-malik-anil-deshmukh-from-prison-for-voting-in-mlc-elections-201941
West Delhi fire: More than 70 people were in the building when the fire started on Friday evening on the first floor of the building near Mundka metro station. Delhi Fire Services (DFS) chief Atul Garg said that the fire control room received a call reporting the fire around 4.40pm.
Firefighters try to douse the fire that broke out in a building near Mundka metro station, in New Delhi on Friday. (ANI)
Firefighters try to douse the fire that broke out in a building near Mundka metroWest Delhi fire: More than 70 people were in the building when the fire started on Friday evening on the first floor of the building near Mundka metro station. Delhi Fire Services (DFS) chief Atul Garg said that the fire control room received a call reporting the fire around 4.40pm.
Firefighters try to douse the fire that broke out in a building near Mundka metro station, in New Delhi on Friday. (ANI)
Prime Minister Narendra Modi takes the stage as the Indian diaspora in Berlin welcomes him. (PTI Photo)
‘Twenty Twenty-Four; Modi Once More!’ The Bharatiya Janata Party seems to have found its next election slogan in Germany on Monday. A theatre at Potsdamer Platz in Berlin resonated with this slogan as Prime Minister Narendra Modi addressed the Indian diaspora.
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All IndiaReported by Sukirti Dwivedi, Edited by Saikat Kumar BoseUpdated: May 02, 2022 11:35 am IST
‘Bodily Autonomy Protected Under Constitution’: 5 Big Vaccine Order Points
The court said the current vaccination policy cannot be called unreasonable
4
New Delhi: The Supreme Court today said no one can be forced to take vaccines for the Covid infection, while adding that authorities can impose curbs on individuals’ rights in the interest of public health.
Here are top 5 points from this big judgment:
The Supreme Court said bodily integrity is protected under the law and nobody can be forced to be vaccinated. It said restrictions on individuals through vaccine mandates cannot be called pro
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Germany, which currently holds the rotating G-7 presidency, will also welcome the leaders of Indonesia, South Africa and Senegal to the gathering in the Bavarian Alps June 26 to June 28, said people with knowledge of the matter. The decision could be announced as early as Monday, when Mr Scholz welcomes PM Modi for talks in Berlin and a joint German-Indian cabinet meeting.
Scholz was undecided on PM Modi’s invitation until a few weeks ago given the prime minister’s reluctance to condemn Russia’s invasion
But the German Chancellor has decided the G-7 should court India, with its growing population and long democratic tradition, as a potentially valuable partner in efforts to isolate Russia, according to the people, who spoke on condition of anonymity. Mr Scholz also sees an opportunity to work closely with PM Modi in other policy areas such as climate change and defense.
The German government wants to strengthen bilateral ties with India in the coming years and also supports the European Union’s efforts to embrace the country by offering economic incentives which could help it rethink its ties to Russia, the people added.
In their meeting on Monday, Scholz and PM Modi will discuss how to further ease immigration rules for skilled workers from India to tackle labour shortages in Europe’s largest economy, and how to accelerate technology transfer to India in the push to reduce climate-damaging carbon emissions.
In the medium term, Germany also wants European defense companies to offer India an alternative to Russian weapons deliveries, as a way to reduce its reliance on Moscow. No deals or agreements are expected to be sealed on Monday.
Following Russia’s invasion of Ukraine, Scholz wants to strengthen Germany’s political and economic ties to democratically ruled countries around the world. That was why the 63-year-old Social Democrat picked Japan for his first Asian trip as chancellor last week; his predecessors typically visited China first, with huge business delegations.
India was among the more than 50 countries that abstained from a United Nations vote to suspend Russia from the UN Human Rights Council in April. Germany and its G-7 allies, including the U.S., U.K., France, Italy, Japan and Canada, have imposed sweeping sanctions on Russia, but few other countries have joined those efforts — and many governments in Latin America, Africa, Asia and the Middle East remain reluctant to do so.
The German Chancellor has decided the G-7 should court India, with its growing population and long democratic tradition, as a potentially valuable partner in efforts thttps://c.ndtvimg.com/2022-05/t9fggkgg_pm-narendra-modi_625x300_02_May_22.jpgo isolate Russia
Amid speculations that he was likely to join hands with the Congress, poll strategist Prashant Kishor Tuesday declined the offer to join the grand old party as part of its empowered action group.
In a tweet posted on his official account, Kishor said: “I declined the generous offer of #congress to join the party as part of the EAG & take responsibility for the elections. In my humble opinion, more than me the party needs leadership and collective will to fix the deep rooted structural problems through transformational reforms.”
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KS Eshwarappa to resign tomorrow amid row over contractor’s suicide
The minister’s statements come two days after Santosh Patil, a right-wing leader and a contractor was found dead in an Udupi hotel, blaming the minister for his decision to take his own life.
Karnataka’s minister for Rural Development and Panchayat Raj (RDPR) KS Eshwarappa on Thursday said that he will step down from the cabinet on Friday after a contractor blamed him for his death before taking his own life. (HT PHOTO.)
Karnataka’s minister for Rural Development and Panchayat Raj (RDPR) KS Eshwarappa on Thursday said that he will step down from the cabinet on Friday after a contractor blamed him for his death before taking his own life. (HT PHOTO.)
Published on Apr 14, 2022 07:44 PM IST
BySharan Poovanna
Karnataka’s minister for Rural Development and Panchayat Raj (RDPR) KS Eshwarappa, on Thursday said that he will step down from the cabinet on Friday, claiming he does not want to “embarrass” the party and its leaders.
“Under the government led by Basavaraj Bommai, I have worked as RDPR minister till today. Today, I have made a decision that I will resign from the post of minister tomorrow (Friday),” Eshwarappa said on Thursday evening in Shivamogga, about 350 km from Bengaluru.
The minister’s statements come two days after Santosh Patil, a right-wing leader and a contractor was found dead in an Udupi hotel, blaming the minister for his decision to take his own life.
Santosh K Patil’s body was found on Tuesday morning. In a Whatsapp message on Monday night, which he shared with associates and some sections of the media, Patil had alleged that Eshwarappa is directly responsible for his death.
Patil had earlier also said that the minister was seeking 40% commission to make payments for a job undertaken by the former in February last year, adding to the piling corruption charges against the Bommai-led Bharatiya Janata Party (BJP) government in Karnataka.
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Tears flowing into the Danube
Romania. Families displaced from Ukraine arrive in Romania.
UNICEF/UN0602241/Câtu
08 March 2022
ISACCEA, Romania – “I’ve been crying for two days,” says Olena, as she recounts how she fled her home in Ukraine to escape the escalating conflict. “My husband said I should leave to keep our boy safe.”
Olena and 8-year-old Yaroslav are just two of the thousands of people, mostly women and children, who have just stepped onto land in Isaccea, a port town in eastern Romania, after crossing the Danube River on a crowded ferry. But while everyone fleeing the conflict is relieved to have made it to safety, many of them are also left confronting enormous uncertainty over what happens next.
“I don’t know where I will go now, if I’ll ever see my husband again,” Olena says. It’s a tragic and desperate story, one echoed by every woman and child we meet. The sense of shock among these families is palpable as they describe how their lives have been turned upside down by the conflict.
“I told [my daughters] it’s a vacation for several weeks,” says Iryna, who arrives on a later boat. She says she has been trying desperately to manage the growing anxiety felt by her two daughters, 5-year-old Dasha and 8-year-old Masha, over what is happening.
Romania.
UNICEF/UN0602237/Câtu
A volunteer offers warm bread to a child in Isaccea, Romania, who crossed the Danube with his mother on a ferry from Ukraine.
The current scenes are in stark contrast to what someone standing at the dock would have seen just a couple of weeks ago. Then, the ferry was shuttling families taking holidays, businesspeople traveling for meetings, or people going to visit relatives or friends. Today, people have taken the journey in a desperate bid to save themselves and their families.
“I left for my children,” Iryna says. “I wouldn’t have gone, if it wasn’t for my daughters.” She shows us a colorful school bag that the family packed with books. Aside from that, the only things they could carry were food, medicines and a few items of clothing.
Iryna has left family, her home and her business behind, but the creeping violence left her no choice. “We didn’t sleep at all, I don’t remember sleeping. The siren was going off and we were underground,” Iryna says as she struggles to recount the horrors of recent days.
Romania. Two children looks at cell phones.
UNICEF/Fricker
Masha, left, and Dasha play games on mobile devices after arriving in Isaccea, Romania, with their mother.
“In Odessa, I had a store that sold beautiful clothes, but now I can’t imagine what’s happening.” She says her husband, a sailor, was abroad when the conflict started. It’s visibly difficult for Iryna to reflect on the life that she built for her family, a life she had no choice but to leave behind for the sake of her children’s safety.
Deceptive serenity
It’s a nine-hour drive north to the town of Sighetu Marmtiei, past the serene and snow-covered scenery of the Carpathian Mountains. Women and their children are arriving by the hundreds, if not thousands. Some are arriving in cars, but most are wheeling suitcases and carrying backpacks containing whatever they could quickly pack.
There’s no water to cross here, but the stories are similar.
Maria and her 3-year-old daughter, Ksenyna, sit at a UNICEF-supported ‘Blue Dot’ space. The hub provides information and guidance for people arriving, family reunification services when needed, and a place for children to rest and play a little.
“I have one reason I’m here,” Maria says. “It’s for my daughter, she was very afraid.” Ksenya is focused on Krosh, the soft toy she brought with her. In the background, the voices and cries of children pierce the icy air.
Maria fled home when the fighting came within hundreds of metres of them. “It was too dangerous to stay,” she says. “I had some work before, but I have no idea what I should do, now I have nothing.” She is waiting for a friend’s contact to pick her up and take them to Moldova. She is thankful that they are now safe. But the family’s future is now deeply uncertain, one of the many endless tragedies of conflict.
The common priority among every family arriving here is the children. Despite leaving husbands, partners and family behind, every mother here has made clear their determination to do whatever they can to ensure their children have a future.
Peace would make that much easier and is needed desperately, now.
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Before the California Gold Rush of 1849, the indigenous Mountain Maidu were the primary inhabitants of the area now known as Plumas County. The Maidu lived in small settlements along the edges of valleys, subsisting on roots, acorns, grasses, seeds, and occasionally fish and big game. They were decentralized and had no tribal leadership; most bands lived along waterways in and around their own valleys. Areas with high snowfall, including the Mohawk and Sierra valleys, were hunting grounds for game in the warmer months.[3][4]
In 1848, European Americans discovered gold in the Sierra foothills. Miners were attracted to Plumas County in particular, largely due to the tales of Thomas Stoddard, who claimed to have discovered a lake lined with gold nuggets while lost in the wilderness. Gold-hungry prospectors flooded the area. Though hopeful miners scoured the glacial lakes (now designated as the Lakes Basin Recreation Area) for months, they did not find the purported lake of gold. But some had success panning for gold in the rivers and creeks in the area, and created squatters’ villages, the first non-Native American settlements.[5]
Rough shanty towns quickly sprang up around successful mining areas, including Rich Bar, Indian Bar, and Rabbit Creek (now La Porte). Many were developed adjacent to the Feather River, named Río de las Plumas by Spanish explorer Captain Luis Arguello in 1820.
In 1850, African-American frontiersman James Beckwourth discovered the lowest pass through the Sierras, which became known as Beckwourth Pass. Using the pass, he blazed a trail from Western Nevada through much of Plumas County, eventually terminating in the Sacramento Valley.[6] Many erstwhile miners followed this trail into Plumas County. Beckwourth also set up a trading post in the western Sierra Valley that still stands today. Though the Beckwourth Trail was longer than the original emigrant trail that ran south of Plumas County, its lower elevations extended its seasonal use when the higher trail was snowbound and impassable. Between 1851 and 1854, the Beckwourth Trail was frequently traveled, but in 1854, use dropped sharply when it became a toll road. The toll to move a ton of freight from Bidwell Bar to Quincy was about $18. This made using the Beckwourth Road an expensive enterprise and use of the Beckwourth Trail declined. [7]
Plumas county
Before the California Gold Rush of 1849, the indigenous Mountain Maidu were the primary inhabitants of the area now known as Plumas County. The Maidu lived in small settlements along the edges of valleys, subsisting on roots, acorns, grasses, seeds, and occasionally fish and big game. They were decentralized and had no tribal leadership; most bands lived along waterways in and around their own valleys. Areas with high snowfall, including the Mohawk and Sierra valleys, were hunting grounds for game in the warmer months.[3][4]
In 1848, European Americans discovered gold in the Sierra foothills. Miners were attracted to Plumas County in particular, largely due to the tales of Thomas Stoddard, who claimed to have discovered a lake lined with gold nuggets while lost in the wilderness. Gold-hungry prospectors flooded the area. Though hopeful miners scoured the glacial lakes (now designated as the Lakes Basin Recreation Area) for months, they did not find the purported lake of gold. But some had success panning for gold in the rivers and creeks in the area, and created squatters’ villages, the first non-Native American settlements.[5]
Rough shanty towns quickly sprang up around successful mining areas, including Rich Bar, Indian Bar, and Rabbit Creek (now La Porte). Many were developed adjacent to the Feather River, named Río de las Plumas by Spanish explorer Captain Luis Arguello in 1820.
In 1850, African-American frontiersman James Beckwourth discovered the lowest pass through the Sierras, which became known as Beckwourth Pass. Using the pass, he blazed a trail from Western Nevada through much of Plumas County, eventually terminating in the Sacramento Valley.[6] Many erstwhile miners followed this trail into Plumas County. Beckwourth also set up a trading post in the western Sierra Valley that still stands today. Though the Beckwourth Trail was longer than the original emigrant trail that ran south of Plumas County, its lower elevations extended its seasonal use when the higher trail was snowbound and impassable. Between 1851 and 1854, the Beckwourth Trail was frequently traveled, but in 1854, use dropped sharply when it became a toll road. The toll to move a ton of freight from Bidwell Bar to Quincy was about $18. This made using the Beckwourth Road an expensive enterprise and use of the Beckwourth Trail declined. [7]
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Russia Ukraine Conflict Live News, Russia Ukraine War Crisis News Today, 7 March: Prime Minister Narendra Modi is scheduled to hold telephonic conversations with Ukraine’s President Volodymyr Zelenskyy and Russian President Vladimir Putin today, sources said.
By: Express Web Desk |
Updated: March 7, 2022 1:57:01 pm
People killed by Russian shelling in the town of Irpin, Ukraine, on Sunday. (Photo: AP)
Russia Ukraine Crisis Live: The north-eastern Ukrainian city of Sumy, where about 700-odd Indian students remain stranded awaiting evacuation, is among the cities where the Russian military will hold fire and open humanitarian corridors on Monday, Russia’s Defence Ministry informed. The other towns include capital Kyiv, Kharkiv and Mariupol.
Prime Minister Narendra Modi is scheduled to hold telephonic conversations with Ukraine’s President Volodymyr Zelenskyy and Russian President Vladimir Putin today, sources said. Late last night, Zelenskyy delivered an impassioned address to his nation, warning Russian troops that he will punish those who committed atrocities in Ukraine while the “only quiet place” that awaits them is the grave. “Today is Forgiveness Sunday. But we will not forgive hundreds and hundreds of victims. Thousands and thousands of sufferings. Instead of Forgiveness, there will be a Day of Judgment,” Zelenskyy added.
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This came after rescue efforts of civilians came under direct attack by Russian forces with at least three people getting killed in shelling outside Kyiv. However, Russian forces launched a heavy artillery barrage against the strategic southern Ukrainian port city of Mykolaiv early Monday morning, a day after Ukrainian troops pushed them from the city limits.
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Russia-Ukraine crisis Live:
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In Ukraine, the human toll was mounting in Kharkiv, a city of 1.5 million people, where bombing has left its centre a wasteland of ruined buildings and debris. (AP)
Russia Ukraine Crisis Live: Russia’s advance on the Ukrainian capital has made little progress over the past three days and the cities of Kharkiv, Chernihiv and Mariupol remain in Ukrainian hands, according to British military intelligence. Russia’s defence ministry said Wednesday morning it had captured Kherson but several hours later an adviser to President Volodymyr Zelenskiy responded that the Ukrainian side was continuing to defend the location.
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The UN General Assembly voted at an emergency session Wednesday to demand an immediate halt to Moscow’s attack on Ukraine and the withdrawal of all Russian troops, with sustained applause breaking out after a formidable show of support among the 193 member nations against the invasion. India abstained on the resolution and reiterated that differences can only be resolved through dialogue and diplomacy.
Russia reported its military casualties for the first time since the invasion began last week, saying nearly 500 of its troops have been killed and almost 1,600 wounded. Ukraine, however, claimed that over 7,000 Russian servicemen have been killed since last Thursday. It did not disclose its own military losses but said more than 2,000 civilians have died.
Under Operation Ganga, 3726 Indians will be brought back today. Civil aviation minister Jyotiraditya Scindia said 8 of these flights will arrive from Bucharest, 2 flights from Suceava, 1 flight from Kosice, 5 flights from Budapest and 3 flights from Rzeszow. Stay with TOI for the latest developments on Russia-Ukraine conflict.Russia-Ukraine war news live updates: 19 flights to bring back 3,726 Indians today
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News Ukraine
Russia-Ukraine War LIVE Updates: Sounds of Powerful Explosions in Kharkiv; Air Raid Alert Raised in Dnipro
Russia-Ukraine War LIVE Updates: A senior Indian diplomat said that the neighbouring countries is helping in evacuation of stranded students and they are facing problem due to traffic jams and long queues on the Ukrainian side of the border.
News18.com | March 02, 2022, 12:22 IST
Russia-Ukraine War News Live Updates on the Russia-Ukraine conflict Highlights for today
Russia-Ukraine War LIVE Updates: Russian airborne troops landed in the eastern Ukrainian city of Kharkiv on Wednesday, the Ukrainian army said, adding that there were immediate clashes. “Russian airborne troops landed in Kharkiv… and attacked a local hospital,” the army said in a statement on messaging app Telegram. “There is an ongoing fight between the invaders and the Ukrainians. Read More
Russia war on Ukraine
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India’s R Praggnanandhaa stuns World No. 1 Magnus Carlsen at Airthings Masters chess tournament
Indian teenager R Praggnanandhaa clinched a stunning win over Magnus Carlsen, his first-ever in any form of chess against the Norwegian World No. 1, at the Airthings Masters.
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India Today Web Desk
New Delhi
February 21, 2022UPDATED: February 21, 2022 12:09 IST
Indian teenager R Praggnanandhaa stuns World No.1 chess great Magnus Carlsen (Photo Courtesy: FIDE)
16-year-old Indian Grandmaster R Praggnanandhaa clinched his first-ever victory over World No. 1 Magnus Carlsen in any form of chess in the 8th round of Airthings Masters, an online rapid chess tournament on Monday.
Praggnanandhaa won with black pieces to end Carlsen’s 3-match winning run at the Airthings Masters in just 19 moves in a Tarrasch variation game.
The Indian GM lies in joint 12th spot after eight rounds with eight points. His spectacular win over Carlsen comes after a moderate run in the earlier rounds, which included a solitary victory over Lev Aronian, two draws and four defeats.
Asked what he would do to celebrate the stunning victory over Carlsen, Praggnanandhaa said: “I think it’s about just going to bed,” as reported by Chess24.
He drew against Anish Giri and Quang Liem Le and lost to Eric Hansen, Ding Liren, Jan-Kryzstof Duda and Shakhriyar Mamedyarov.
Russia’s Ian Nepomniachtchi, who lost the world championship match a few months ago to the Norwegian world no 1 Carlsen, is on top of the standings with 19 points followed by Ding Liren and Hansen (both on 15 points).
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No immediate plans to evacuate Indian nationals, assessing situation in Ukraine: MEA
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In the Airthings Masters, a 16-player online rapid tournament, a player gets three points for a win and one for a draw in the preliminary rounds. Seven more rounds remain in the preliminary phase.
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Karnataka hijab row news LIVE Updates | Arrested protesters are outsiders, not students, says Karnataka Home Minister
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Amid escalating protests, Karnataka cabinet will discuss the hijab row today (PTI photo)
10:48 AM ISTPosted by Devika Bhattacharya
Action will be taken wherever unpleasant things happened: K’taka HM on hijab protests
Action will be taken wherever unpleasant things have happened. Police have registered cases. We have arrested a few people, they are outsiders, not students, after inquiry, we will let you know. The government is expecting court orders by the end of the day. We can’t advise the court. We have to accept it when the court orders.
– Karnataka Home Minister Araga Jnanendra
10:23 AM ISTPosted by Devika Bhattacharya
Karnataka cabinet to discuss hijab row today
A meeting of the Karnataka state cabinet will be held at Vidhana Soudha in Bengaluru at 11 am today. While the hijab row is not mentioned in the agenda of the cabinet, it will be discussed among ministers, sources said.
Earlier today, Karnataka’s home minister met Chief Minister Basavaraj Bommai and briefed him on the arrests made yesterday after stone pelting incidents during hijab protests.
10:05 AM ISTPosted by Tarini Mehta
Woman’s right to wear what she wants is guaranteed by Constitution: Priyanka Gandhi
Congress leader Priyanka Gandhi Vadra tweeted, “Whether it is a bikini, a ghoonghat, a pair of jeans or a hijab, it is a woman’s right to decide what she wants to wear. This right is GUARANTEED by the Indian constitution. Stop harassing women.”
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Omicron symptoms
Omicron COVID Variant Symptoms, Cause, Precaution & Treatment
December 20, 2021 by Editorial Team
Omicron COVID Variant Symptoms: On 24 November 2021 (Wednesday) a new COVID Variant was identified in South Africa. The new COVID Variant is named Omicron, WHO or World Health Organization has designated the new COVID Variant as the Variant of concern. After knowing that a new variant of COVID has been identified, the whole world is not panicking about this. Through this article, you will get the detailed information about the Omicron COVID Variant‘s. We have taken all the details about this variant of concern from a trustable source like who.int.
Omicron COVID Variant
Research from all over the world is now in finding this COVID Variant, actually, there are conducting various studies, in order to understand this variant of concern.
On 26 November 2021 (Friday) the variant of COVID was named as “Omicron” by the World Health Organization’s TAG-VE or Technical Advisory Group on Virus Evolution. The new variant of COVID is also named as B.1.1.529.
In South Africa. Since last week the COVID cases has increased steeply. The growth in cases is because of the new SARS-CoV-2 variant: B.1.1.529. The first case of this COVID Variant was found from a specimen on 9 November 2021 (Tuesday).Omicron Covid Variant Symptoms
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BREAKING: 2 accused officers sent to 7-day police custody in extortion case against Param Bir Singh, others

Welcome to hindustantimes.com live updates platform where you can find breaking news from India and across the world. Find fast updates about the latest news as it breaks.
Missed an important news update? Worried about what is happening in the world of finance and how it will impact you? Want to know about the latest update on Covid-19? Don’t worry, we have you covered.
Encephalitis
Encephalitis is a serious condition affecting the brain that requires prompt treatment to lower the risk of lasting complications or death.
WHAT YOU NEED TO KNOW
- Symptoms of encephalitis vary depending on the affected area of the brain, but often include headache, sensitivity to light, stiff neck, mental confusion and seizures.
- It’s important to see a doctor promptly if you are experiencing symptoms, which may not seem troubling at the time. Timely diagnosis and treatment are the keys to a successful recovery from encephalitis.
- There are many types of encephalitis, and the causes vary from a viral infection to an abnormal response of the immune system.
What is encephalitis?
Encephalitis is inflammation of the active tissues of the brain caused by an infection or an autoimmune response. The inflammation causes the brain to swell, which can lead to headache, stiff neck, sensitivity to light, mental confusion and seizures.
Encephalitis strikes 10–15 people per 100,000 each year, with more than 250,000 patients diagnosed in the last decade alone in the U.S. The condition can affect anyone, but more often occurs in younger people.
Encephalitis Causes and Types
Encephalitis can be caused by infections or autoimmune conditions where the body’s own immune responses attack the brain. Even with extensive testing, the specific cause of encephalitis remains unknown in about 30%–40% of cases.
Cases of encephalitis are likely to continue to rise as more and more autoimmune causes are recognized. Emerging infections such as Zika, chikungunya and Powassan viruses can also contribute to this trend.
Infectious Encephalitis
Infectious encephalitis is typically caused by a viral infection. Vaccines for measles, mumps, rubella and chickenpox have reduced the rate of encephalitis from these diseases, but other viruses can cause encephalitis. The most common causes of viral encephalitis are herpes simplex virus types 1 and 2, varicella zoster virus and enteroviruses, which cause gastrointestinal illness.
Encephalitis can also result from certain viruses carried by mosquitoes, ticks and other insects or animals such as:
- West Nile virus
- Japanese encephalitis virus
- La Crosse virus
- St. Louis virus
- Equine viruses
- Powassan virus
- Zika
- Chikungunya
Other infectious microorganisms such as bacteria, fungi and parasites can also cause encephalitis, though rarely.
Autoimmune Encephalitis
Autoimmune encephalitis occurs when a person’s own antibodies or immune cells attack the brain. Antibodies may target specific proteins or receptors in the brain, which determine the type of autoimmune encephalitis:
- In anti-NMDA receptor encephalitis, the immune system targets the NMDA receptors in the brain.
- In VGKC-complex antibody encephalitis, the immune system targets the VGKC brain protein complex that includes subtypes LGI-1 and CASPR2.
- GABA-A and GABA-B receptors may also be targeted.
While the causes of autoimmune encephalitis are not well understood, it can sometimes result from a tumor (benign or cancerous). Some types of autoimmune encephalitis such as acute disseminated encephalomyelitis (ADEM) are typically triggered by an infection (post-infectious encephalitis).
Encephalitis Symptoms
Acute encephalitis shows up with an onset of symptoms that get worse over the course of days to weeks. Infectious encephalitis often starts with flu-like symptoms or headache and evolves to altered mental status and problems with thinking, remembering and reasoning. Autoimmune encephalitis typically progresses over the course of weeks.
Symptoms of encephalitis vary according to the area of the brain affected and, in autoimmune encephalitis, depending on the associated antibody.
Physical Symptoms
- Fever
- Seizures
- Headache
- Movement disorders
- Sensitivity to light
- Sensitivity to sound
- Neck stiffness
- Loss of consciousness
In severe cases, encephalitis symptoms may include:
- Weakness or partial paralysis in the arms and legs
- Double vision
- Impairment of speech or hearing
- Coma
Cognitive Symptoms
- Excessive sleepiness
- Confusion and disorientation
- Irritability
- Anxiety
- Psychosis
- Hallucinations
- Memory loss
- Other behavioral changes
- Cognitive impairment
Symptoms Due to Specific Types of Encephalitis
Encephalitis caused by certain infections or autoimmune processes can show up with characteristic symptoms.
- A sensation of déjà vu (the feeling that one is reliving something already experienced) is a common finding in early stages of herpes simplex virus encephalitis.
- A type of autoimmune encephalitis affecting NMDA receptors can start with a flu-like illness. It can then lead to behavioral changes and unusual movement patterns affecting the mouth and face, cognitive decline and impaired function of the autonomic nervous system.
- Another type of autoimmune encephalitis (LGI1) is associated with seizures or other abnormal movement of the face or arm.
The symptoms of encephalitis may resemble other problems or medical conditions. Always consult your health care provider for a diagnosis.
Encephalitis Diagnosis
You may need to be evaluated for encephalitis if you are experiencing a combination of symptoms such as fever, altered state of awareness, seizures or changes in behavior or movement. It is very important to identify encephalitis promptly to decrease the risk of death or lasting complications.
To diagnose encephalitis, your healthcare provider might order tests, perform a medical exam and discuss your medical history. The doctor may ask about your vaccinations, recent colds and other respiratory illnesses or gastrointestinal illness. He or she will want to know if you have recently had a tick bite, have been around pets or other animals, or have traveled to certain locations.
Tests for encephalitis can include:
- Neuroimaging, such as a brain MRI or CT scan
- A lumbar puncture (spinal tap) to check for signs of infection in the brain or spinal cord
- Electroencephalogram (EEG) to look for seizures or specific patterns of electrical activity in the brain
- Blood tests or urine and stool tests to identify organisms or antibodies responsible for an infection
Additional tests may include:
- A sputum culture tests the material that is coughed up from the lungs to see if certain infections are present.
- In rare cases, a biopsy of affected brain tissue may be performed to allow for examination under a microscope.
- Intracranial pressure monitoring (ICP) measures the pressure inside the skull to monitor the brain swelling.
Encephalitis Treatment
The key to surviving encephalitis is early detection and effective treatment of the underlying cause. A team of specialists working together is an important factor in optimal care.
Encephalitis patients might require a stay in the ICU so that health care providers can watch for seizures, brain swelling, respiratory failure or heart rhythm changes.
Encephalitis treatment depends on the underlying cause and symptoms, and may include:
- Antiviral medications to fight viral infections affecting the brain.
- Antibiotics to address underlying bacterial infections causing encephalitis.
- Immunotherapy, such as steroids, intravenous antibodies (IVIg) or plasma exchange, to address certain types of autoimmune encephalitis.
- Medications or other therapies to control seizures.
- A breathing tube, urinary catheter, or feeding tube may be necessary if the person’s encephalitis has caused loss of consciousness.
Patients with encephalitis who have seizures that don’t respond well to anti-seizure medications could benefit from a ketogenic diet, which is high in fat and low in carbohydrates. It has been effective in reducing seizures in drug-resistant epilepsy in children and adults, as well as in patients with autoimmune encephalitis such as anti-NMDA receptor encephalitis.
The Johns Hopkins Encephalitis Center
The Johns Hopkins Encephalitis Center is dedicated to providing expert clinical care for patients with encephalitis. We have established a multidisciplinary group of specialists who work together to improve the diagnosis and treatment of patients with this dangerous and disabling condition.
Encephalitis Prognosis
Encephalitis is very serious. Both the acute stage and the aftermath can be overwhelming for patients and their families.
During the encephalitis attack, the inflamed brain tissue can suffer damage, which varies greatly between patients. In general, the brain doesn’t bounce back as quickly as other body parts such as bone, skin and muscles, but it does have some capacity to recover.
Mild cases of encephalitis are usually short and result in a full recovery. However, despite improvements in diagnosis and treatment, encephalitis still leads to death in about 10% of patients.
Survivors of severe cases of encephalitis can be left with permanent problems such as fatigue, irritability, impaired concentration, seizures, hearing loss, memory loss and blindness.
The recovery process may take months to even years. Intensive rehabilitation, involving specialists in neurology, occupational therapy, speech and language therapy, nutrition and neuropsychology, can help patients make the best possible recovery.
Can encephalitis be prevented?
These measures can help prevent certain types of infectious encephalitis:
- Keep your vaccinations up to date, especially when traveling to areas known to have encephalitis-causing viruses.
- Use proper hygiene and hand-washing to help prevent the spread of viruses and bacteria.
- Avoid mosquito and tick exposure.
If you are exposed to someone with bacterial encephalitis, contact your doctor. You may be offered a course of antibiotics to prevent you from getting the disease.
What is encephalitis?
Encephalitis is a serious condition affecting the brain that requires prompt treatment to lower the risk of lasting complications or death. It is an inflammation of the active tissues of the brain caused by an infection or an autoimmune response. The inflammation causes the brain to swell, which can lead to headache, stiff neck, sensitivity to light, mental confusion and seizures.
Encephalitis strikes 10–15 people per 100,000 each year, with more than 250,000 patients diagnosed in the last decade alone in the U.S. The condition can affect anyone, but more often occurs in younger people.
Encephalitis Causes and Types
Encephalitis can be caused by infections or autoimmune conditions where the body’s own immune responses attack the brain. Even with extensive testing, the specific cause of encephalitis remains unknown in about 30%–40% of cases.
Cases of encephalitis are likely to continue to rise as more and more autoimmune causes are recognized. Emerging infections such as Zika, chikungunya and Powassan viruses can also contribute to this trend. Most recently, it has become a symptom associated with the Gamma
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