2025年10月10日 9:53（2025年10月10日 9:54 更新）
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https://www.nishinippon.co.jp/item/1409712/
**Historic First in Canada: Successful Heart Transplant Using Donation After Circulatory Death**
In a groundbreaking medical achievement, surgeons at Toronto’s University Health Network (UHN) have successfully completed a heart transplant using a donor whose heart had stopped beating. This innovative technique, known as donation after circulatory death (DCD), marks a significant milestone for Canada’s organ transplant landscape.
Unlike traditional heart transplants that rely on organs from brain-dead donors whose hearts continue to beat, the DCD approach recovers hearts after life support is withdrawn and the heart has stopped beating. This expands the donor pool and offers new hope for patients on transplant waiting lists.
In early September, a team at UHN’s Toronto General Hospital performed the novel transplant. Dr. Ali Rabi, the cardiac surgeon at UHN’s Peter Munk Cardiac Centre who led the surgery, explained the significance of the procedure:
“Before, we only used hearts from brain-dead donors whose hearts were still beating. Now, we can use hearts that have stopped beating after life support is withdrawn. These are donors who are not considered brain dead. They have a few basic reflexes but no prospect of recovery. That decision is made by the patient, their family, their treatment team, and a neurology team. The family then decides they do not want their loved one to continue like this.”
Heart failure remains one of the most common causes of hospital admission and death in Canada. According to the Canadian Institute for Health Information, by the end of 2024, there were 155 adults and 29 children waiting for a heart transplant. Dr. Rabi highlighted the impact of this new technique:
“Because of this surgery, we increase the number of heart transplants by 20 to 40 per cent. This will also reduce the number of people who never receive a heart transplant and die waiting for one.”
This technique is not entirely new globally—it has been successfully used in countries including Australia, the U.K., and the United States. In Canada, it is expected to increase heart transplants by approximately 30 percent. A representative shared the emotional impact of seeing the new heart beating:
“When the heart started beating again in the new patient, it’s amazing. The heart’s natural strength is incredible. This breakthrough shows how innovation can save more lives. Congratulations to UHN for this historic milestone.”
Dr. Rabi also acknowledged the profound generosity of donor families:
“It’s the hardest day of their lives, but many find comfort knowing their loved one helped save others.”
Recent data from Australia and the U.S. indicate no difference in long-term survival between recipients of DCD hearts and those receiving organs from traditional brain-dead donors. Dr. Rabi is optimistic about the future of heart transplantation:
“I encourage young people who are interested in heart failure and heart transplant to look at the field, and I guarantee you in the next five years, the field will be completely unrecognizable.”
This landmark surgery not only expands opportunities for patients in need but also represents a hopeful leap forward in cardiac care and transplant innovation in Canada.
https://globalnews.ca/news/11469587/toronto-heart-transplant/
**Breakthrough Israeli AI Slashes Head-CT Wait Times, Flags Missed Brain Bleeds**
An innovative AI system developed in Israel and installed on CT scanners at Assuta Medical Centers has significantly reduced reporting times for suspected stroke cases. This advanced technology not only accelerates diagnosis but also accurately identifies life-threatening intracranial hemorrhages that might otherwise be missed.
The implementation of this AI-driven solution marks a major advancement in emergency medical care, enabling faster and more reliable detection of brain bleeds. Early identification is crucial for effective treatment, improving patient outcomes and potentially saving lives.
*Brain scans (photo credit: Shutterstock)*
By Dr. Itay Gal
https://www.jpost.com/health-and-wellness/article-869819
**Breakthrough Israeli AI Slashes Head-CT Wait Times, Flags Missed Brain Bleeds**
An Israeli-developed artificial intelligence system, recently installed on CT scanners at Assuta Medical Centers, has significantly reduced reporting times for patients with suspected stroke. This cutting-edge technology not only accelerates diagnosis but also helps identify life-threatening intracranial hemorrhages that might otherwise be missed.
The system analyzes brain scans quickly and accurately, allowing medical teams to respond faster and improve patient outcomes in critical situations.
*Brain scans (photo credit: SHUTTERSTOCK)*
By Dr. Itay Gal
https://www.jpost.com/health-and-wellness/article-869819
EU governments are planning to launch a European Life Sciences Investment Fund as part of a coordinated strategy to make Europe a more attractive destination for private investment in research and innovation.
At a meeting held in Brussels on September 30, research ministers approved Council conclusions focused on life sciences for enhancing EU competitiveness. These conclusions call on the European Commission to explore the feasibility of establishing a dedicated fund through the European Investment Fund (EIF), which is part of the European Investment Bank Group.
Strong and innovative life sciences are essential for the Union’s sustainable global competitiveness, sovereignty, security, and autonomy. They play a crucial role in ensuring the health and wellbeing of European citizens, addressing societal and environmental challenges, and supporting the green transition.
https://sciencebusiness.net/news/r-d-funding/life-sciences/eu-council-calls-life-sciences-investment-fund
**CGHS Rates Revised After 15 Years: How It Affects You**
*By Mudit Dube | Oct 06, 2025, 05:28 PM*
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**What’s the Story?**
The Union Health Ministry has announced a significant overhaul of the Central Government Health Services (CGHS) scheme for the first time since 2014. The revised rates for nearly 2,000 medical procedures will come into effect from October 13, 2025.
This new rate structure takes into account several important factors, including accreditation status, hospital type, city classification, and ward entitlement, aiming to better reflect current healthcare realities.
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**Scheme Revamp: Addressing Complaints from Beneficiaries and Hospitals**
The revision comes amid growing complaints from CGHS beneficiaries about the denial of cashless treatment by empanelled hospitals. Many patients reported having to pay out of pocket and then wait months for reimbursement.
Hospitals, meanwhile, argued that the government-set package rates had become outdated and failed to keep pace with medical inflation over the past 11 years.
The newly introduced multi-dimensional rate structure seeks to address these issues, ensuring fair compensation for hospitals and smoother access to cashless treatment for patients.
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**New Rate Structure: Based on Ward Entitlement**
The revised framework applies to all categories of CGHS cardholders, with rates anchored to the cost of a semi-private room, which serves as the base package rate.
– **General Ward Entitlement**: A 5% reduction in rates applies.
– **Private Ward Entitlement**: Rates increase by 5% compared to the base.
Additionally, consultations at hospitals and healthcare organizations accredited by NABH or NABL will be charged at the standard base rate. Non-accredited healthcare organizations will have rates 15% lower than those for accredited hospitals.
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**City-Wise Rate Variations Introduced**
To accommodate geographical cost differences, the scheme now includes tier-wise rate variations for CGHS-empanelled hospitals located in Tier I, II, and III cities:
– Rates in **Tier II cities** will be 10% lower than in Tier I.
– Rates in **Tier III cities** will be 20% lower than in Tier I.
However, rates for radiotherapy, investigations, day-care procedures, and minor procedures that do not require hospital admission will remain consistent across all ward entitlements and city classifications.
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**Beneficiary Coverage and Implementation**
CGHS primarily serves central government employees, pensioners, and their dependent family members. As of October 5, 2025, the scheme covers approximately 4.26 million beneficiaries across 80 cities in India.
The Union Health Ministry has instructed all healthcare organizations under the CGHS network to submit an undertaking confirming their acceptance of the new rates’ terms and conditions by October 13. Failure to comply will result in de-paneling from the scheme.
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**What This Means for You**
If you are a CGHS beneficiary, the revised rates could affect the costs associated with your medical procedures depending on your ward entitlement, your city, and the accreditation status of the hospital you visit.
For hospitals and healthcare providers, accepting the new terms is mandatory to continue serving CGHS patients and to receive government reimbursements under the updated framework.
Stay informed and check with your CGHS-appointed healthcare provider about how these changes may impact your access to services and reimbursements going forward.
https://www.newsbytesapp.com/news/business/new-cghs-rate-structure-effective-from-october-13/story
By Chanshimla Varah | Oct 06, 2025 | 11:16 AM
**Major Fire at Jaipur Hospital Raises Safety Concerns**
A devastating fire broke out late Sunday night at the Sawai Man Singh Hospital in Jaipur, Rajasthan, raising serious questions about safety preparedness at the facility. The blaze ignited on the second floor of the hospital’s trauma center, tragically killing eight people.
Thick smoke quickly filled the Intensive Care Unit (ICU), forcing family members to carry patients outside onto the streets in a desperate attempt to save lives.
**Victim Details and Accusations of Negligence**
At the time of the fire, the hospital was treating 210 patients, with reportedly only one staff member present in each ICU, according to India Today. Family members have accused the hospital administration of negligence, alleging that smoke warnings were ignored and that staff fled the scene after the fire started.
They further claimed that fire extinguishers were non-functional and that there was not even water available to douse the flames. The fire was eventually contained within two hours.
**Families Speak Out**
One grieving man who lost his mother in the fire told ANI, “The ICU caught fire, but there was no equipment to extinguish it. There were no facilities at all. My mother didn’t survive.”
Another relative of a victim, named Pintu, said they informed doctors about the smoke at around 11:20 PM on Sunday. “But the smoke kept getting thicker. As it spread, the doctors and other staff working downstairs all ran out,” he recalled.
**Rescue Efforts Amid Chaos**
Despite the chaos, some hospital staff members attempted to rescue patients. Vikas, a ward boy present during the incident, told PTI that he and others managed to save three to four patients before the flames became too intense to continue.
**Investigation Launched**
In response to the tragedy, Rajasthan Chief Minister Bhajanlal Sharma ordered an investigation on Monday. “Every possible step is being taken for the safety of patients, their treatment, and the care of those affected, and the situation is being continuously monitored,” Sharma stated.
**Cause of the Fire**
A short circuit is suspected to have caused the fire. Jaipur Police Commissioner Biju George Joseph confirmed that the forensic science laboratory will conduct an inquiry to determine the exact cause.
Additionally, the Rajasthan government has constituted a commission to investigate the incident. This investigation will focus on the hospital management’s response, the facility’s firefighting arrangements, and the preventive measures needed to avoid similar disasters in the future.
https://www.newsbytesapp.com/news/india/no-fire-extinguishers-or-water-witnesses-expose-jaipur-hospital-lapses/story
After Global News shared photos and videos submitted by concerned visitors to the Royal University Hospital (RUH), the Saskatchewan Health Authority held a press conference to address and clarify the sudden spike in patients.
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Watch the video above to hear more from 2025 Global News, a division of Corus Entertainment Inc.
https://globalnews.ca/news/11462206/saskatchewan-health-authority-responds-ruh-overcrowding/
A Limerick-Based Doctor Faces Professional Misconduct Inquiry Over Prescription Incident
A doctor from Limerick has been accused of professional misconduct for using a prescription form from a hospital where he no longer worked to prescribe a high-strength, highly-addictive painkiller to a family friend.
The doctor appeared before a fitness-to-practise hearing of the Medical Council on Monday. During the hearing, he admitted the facts of certain allegations but made no admissions regarding whether these amounted to professional misconduct or poor professional performance.
### Prescription Raised Concerns
The inquiry heard that a complaint was made to the Medical Council after a pharmacist at a Boots pharmacy in Limerick became suspicious about a prescription submitted by a woman referred to as Patient A on October 6th, 2021.
The fitness-to-practise committee overseeing the inquiry ruled that the identity of the doctor cannot be made public.
### Details of the Prescription
The prescription was written on notepaper from the Department of Psychiatry at St Luke’s General Hospital in Kilkenny, dated September 29th, 2021, and signed by the doctor. The form contained a watermark stating “not for MDA drugs,” although the prescription was for a 28-day supply of OxyNorm — a strong opioid analgesic classified as a controlled drug under the Misuse of Drugs Act.
Counsel for the Medical Council, Eoghan O’Sullivan BL, explained that the pharmacist then confirmed with the hospital that the woman had never been a patient at St Luke’s, and the doctor had not worked there for approximately a year.
### Admissions and Explanation from the Doctor
Mr. O’Sullivan acknowledged that the doctor made certain admissions of fact in December 2021, including that he had written the prescription, which he accepted was inappropriate. However, the doctor claimed he prescribed the medication for special and substantial reasons, specifically to help a family friend who was in severe pain from a long-term condition, erosive esophagitis. The inquiry was told that the doctor intended the prescription to tide her over for a number of days.
### Additional Allegations
The doctor also faced two other allegations: failing to carry out an examination of Patient A and maintain adequate medical records of her treatment, as well as the unauthorized use of a HSE prescription pad.
The inquiry noted that the doctor, who qualified in 2011 and has been registered to work in Ireland since 2017, has not practised medicine since the complaint was filed. He was not suspended in relation to this case.
### Expert Witness Opinion
Fiona Fenton, a consultant psychiatrist specializing in substance misuse, gave expert evidence on behalf of the Medical Council. She stated that writing a prescription for a controlled drug when the doctor was not employed at St Luke’s, and for someone who was not his patient, constituted professional misconduct. According to Prof. Fenton, the doctor’s actions fell considerably short of the standards expected of medical professionals.
Prof. Fenton explained that the appropriate treatment for the patient’s condition was a proton pump inhibitor and antacid medication aimed at reducing stomach acid. OxyNorm, a strong opioid painkiller, is only recommended for advanced cancer or post-operative pain management and should be prescribed short-term due to its addictive nature. The psychiatrist emphasized that OxyNorm is not used in psychiatry.
She added that the proper course of action for the doctor, when asked for pain relief, should have been to refer Patient A to an on-call doctor service or the emergency department of a local hospital. Prof. Fenton also noted that suitable medication for the patient’s condition could have been obtained over the counter at pharmacies or even supermarkets.
While she considered the doctor’s actions amounted to poor professional performance, she did not believe they met the legal threshold for such a finding, as there was no adverse outcome for the patient.
### Legal Representation and Outcome
David Higgins, the doctor’s solicitor, said his client was genuinely remorseful and had learned from the incident. Mr. Higgins described the event as a one-off incident, admitted at an early stage, with no personal gain for the doctor. He characterized it as an isolated error made under stressful circumstances while assisting a family friend experiencing chronic pain.
The fitness-to-practise committee made no findings against the doctor after accepting his offer of an undertaking regarding future conduct. Additionally, the doctor agreed to complete a continuous professional development course on prescribing before resuming medical practice and consented to be censured.
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*This case highlights the importance of adhering to proper medical protocols when prescribing controlled substances and the consequences of unauthorized use of medical resources.*
https://www.breakingnews.ie/ireland/doctor-prescribed-highly-addictive-painkiller-from-a-hospital-he-no-longer-worked-at-1812652.html
Washington — President Trump said Sunday that a government shutdown is likely unless top Democrats back down from their negotiating position.
“I just don’t know how we are going to solve this issue,” Mr. Trump said in a phone interview with CBS News.
Mr. Trump also expressed confidence that the American people will side with him if government funding expires in the coming days. He believes Democrats will pay a political price for not working with him, on his terms, to further cut spending.
“They’re not interested in fraud, waste and abuse,” Mr. Trump said of the Democrats.
The president is scheduled to meet Monday with congressional leaders ahead of the Oct. 1 deadline for lawmakers to reach an agreement on a spending bill that would avert a shutdown.
A source close to Mr. Trump told CBS News that the president privately welcomes the prospect of a shutdown because it will enable him to wield executive power to slash some government programs and salaries.
Last week, the White House Office of Management and Budget sent a memo to federal agencies instructing them to prepare layoff plans if there is a government shutdown. The memo, obtained by CBS News, directs agencies to consider reduction-in-force (RIF) notices—a federal term for layoffs—for employees in programs, projects, or activities with discretionary funding that stops on Oct. 1 or that lack alternative funding sources.
The memo further states that employees should receive RIF notices if they work in programs or projects “not consistent with the President’s priorities.”
In the interview Sunday, Mr. Trump criticized the Democrats’ current demands, which in recent weeks have focused on extending Affordable Care Act insurance subsidies, calling them ill-advised.
Instead, Mr. Trump said, if the Democrats want to discuss health care, they should work with him to prevent undocumented migrants from accessing public benefits.
“The Democrats, incredibly, want to keep their old policies of open borders and we’re not going to have it. We’re not going to allow it,” Mr. Trump said.
He added that any possible health-care negotiations must address immigration and border-related matters; otherwise, “It’s just not acceptable for us.”
Democrats have forcefully pushed back against Mr. Trump’s characterization of their positions on both government funding and immigration. They emphasize that people who are in the U.S. illegally are not eligible to receive Medicaid coverage.
“Donald Trump knows, or at least I think he knows, that current federal law prohibits using taxpayer dollars for undocumented immigrants in connection with their health care. And no one is trying to change or reverse that law,” House Minority Leader Hakeem Jeffries told MSNBC on Saturday.
“What we are doing is fighting to protect the healthcare of everyday Americans in the midst of this Republican-caused crisis that is devastating hospitals and nursing homes and community-based health clinics,” Jeffries added.
Mr. Trump is scheduled to meet Monday with Senate Majority Leader John Thune, Senate Minority Leader Chuck Schumer, House Speaker Mike Johnson, and Jeffries. The meeting comes after the president canceled an initial session last week, citing the Democrats’ “unserious and ridiculous” demands.
Earlier this month, the House approved a GOP-led continuing resolution to keep the government funded until Nov. 21. However, Democrats put forward their own proposal to keep the government funded until Oct. 31, including other party priorities such as their health-care request.
In the Senate, where 60 votes are needed to advance most legislation, both the House-passed bill and the Democrats’ proposal fell short.
The Democrats’ proposal includes a permanent extension of enhanced tax credits for Americans purchasing health insurance through the Affordable Care Act marketplace, which Democrats have described as a red line for their support.
The proposal would also roll back cuts to Medicaid in Mr. Trump’s “big, beautiful” bill and restore funding for public broadcasters that was rescinded earlier this year.
The Senate is returning to Washington on Monday after a weeklong recess and will have little time to act to avert a shutdown.
Echoing Mr. Trump, Senate Majority Leader John Thune told NBC’s “Meet the Press” that it’s “totally up to the Democrats” whether the government shuts down, noting “there is a bill sitting at the desk in the Senate right now” that the House passed to keep the government open.
“This decision, in my judgment at this point in time, is up to a handful of Democrats,” Thune said. “We need eight Democrats to pass it through the Senate.”
Senator Amy Klobuchar, a Minnesota Democrat, told “Face the Nation” Sunday that “Democrats are united in pushing” on the health-care issue and expressed optimism about the upcoming meeting.
“This is an opportunity for the country because of one big problem, and that is that the Republicans have created a health care crisis,” Klobuchar said. “My constituents, Americans, are standing on a cliff right now with these insurance premium increases that are upon them.”
— Contributed to this report
https://www.cbsnews.com/news/trump-confident-government-shutdown-meeting/
