Experts release scientific statement on predicting survival for cardiac arrest survivors

first_imgCredit: Getty Images Source:Johns Hopkins Medicine According to the statement, about 8% of the more than 320,000 people who have cardiac arrest outside of a health care setting in the U.S. are released from the hospital with a good outcome, whereas the vast majority of resuscitated patients end up in a coma or another state of consciousness due to brain injury. Most of the deaths are reported as brain injury, yet only 10% of these patients show clinical signs of brain death. Most die from being removed from life support because it’s predicted that they will have little brain function and will most likely not recover.Related StoriesSmarter, more educated people get a cognitive ‘head start’, but aren’t protected from Alzheimer’sJohns Hopkins experts release digital health roadmapLoose double-stranded RNA molecules spur skin rejuvenationCurrently, many physicians wait 48 hours after a cardiac arrest for a patient to awaken from a coma, and some even opt to wait 72 hours. But due to testing limitations and other confounding factors, such as therapeutic hypothermia, predicting an outcome may be biased and premature.During a cardiac arrest, there are two stages of brain injury: One is due to lack of oxygen and the other happens, ironically, after blood returns. Healing may not begin until after the patient has cleared this hurdle, which may take at least a week after the cardiac arrest. This further muddies the decision for how long to wait for a patient to awaken. Sedatives may also influence some of the diagnostics that determine brain function, so the authors generally recommend waiting seven days or until after the patient comes off sedatives, whichever happens later.“One possible reason that every single drug that has been tested in clinical trials to heal brain injury after cardiac arrest may have failed is because the studies are designed to look for these drug effects at 30 or 90 days after successful resuscitation from cardiac arrest, but we don’t allow most of the patients time to recover for that period. Instead, early predictions on recovery (within 72 hours) are made based on low quality studies,” says Geocadin. “By providing this statement, health care providers can use this as a guide to develop better, more rigorous studies that can inform how to undertake better clinical studies that will lead to better practice medicine and develop helpful treatments for our patients.”The authors reviewed the current diagnostics available and their limitations to test brain function, such as assessing reflexes, stimulating sensory nerves in the arm, measuring pupil dilation after shining a penlight in the eye, using electroencephalogram to evaluate for seizures, applying MRI and computerized tomography brain imaging, and more. By using existing or yet to be developed tools properly in better designed studies, they hope researchers can adopt these procedures or enhance them to create better diagnostics for predicting long-term brain function.The statement offers clinician researchers parameters for setting up their studies, such as how many people they need to enroll, what statistical methods to use, when to reassess function in those that do recover, ways to avoid bias and applying protocols consistently.The statement’s final section addresses ethical issues like respecting patient or family wishes for being on life support and do-not-resuscitate orders. The authors address that quality of life is an important factor, and stress that currently there is limited data regarding long term outcomes after awakening and more work needs to be done. Jul 12 2019If a loved one has a heart attack that stops the heart, ends up in a coma, and the treating physician approaches you about taking the person off life support, would you trust that the physician knows when to make the call or how to judge that the person won’t recover? It turns out that the science is rather shaky on when to decide the likelihood of recovery from a coma after the heart stops.center_img We owe it to patients and families to ensure we are doing the best to both not prolong unnecessary suffering while balancing that with not withdrawing care too soon if the person has the potential to recover with a reasonably good quality of life. At the current state of affairs, we have to acknowledge the limitations in our practices in this area because we don’t have high-quality science to back our decision-making.”Romergryko Geocadin, M.D., the chair of the expert panel and professor of neurology, neurosurgery, and anesthesiology and critical care medicine at the Johns Hopkins University School of Medicine To better facilitate research on appropriately determining prognosis after cardiac arrest and to establish better treatments for recovering from brain injury, a working group composed of a Johns Hopkins Medicine physician and American Heart Association (AHA) experts have released a scientific statement that provides best practices on how to predict recovery in comatose survivors. The statement was released in the July 11 issue of Circulation.At this time, there aren’t any rules or set criteria for how to carry out a study to predict recovery. Because of low quality, flawed research, decisions related to current policies may result in prediction errors that may forecast a poor outcome for patients who may have a good outcome, or vice versa. Moreover, the lack of standards for predicting outcomes has made it all but impossible to properly study therapies that could potentially heal the brain and the rest of the body after being resuscitated from cardiac arrest.To develop this scientific statement, the AHA Emergency Cardiovascular Care Science Subcommittee formed an international panel of experts in the adult and pediatric specialties of neurology, cardiology, emergency medicine, intensive care medicine and nursing. The group’s goal is for the clinical research community to develop an accurate, precise clinical test for most patients after resuscitation from a cardiac arrest to determine likely prognosis.last_img read more

A step toward independence from fossil resources

Nature demonstrates how bacteria degrade lignin and provides better understanding to make biofuels Instead of happening as a result of one big discovery, independence from fossil resources will most likely take place gradually. Researchers at the Fraunhofer Institute for Manufacturing Technology and Advanced Materials IFAM in Bremen have succeeded in taking another step in this direction. The scientists are now able to produce a paint primer on the basis of lignin, which, for example, can be obtained from plant residues. It is free of petrochemical raw materials and therefore has a significantly improved CO2 balance. Lignin is a real alternative to fossil resources in the manufacture of primers and adhesives. Credit: Fraunhofer IFAM This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only. Explore further Fossil resources are limited in supply. Nevertheless, the production of many products depends on these finite – often environmentally harmful – resources. Accordingly, there is great demand for raw materials that not only will be a substitute for petrochemical substances, but also have a better environmental compatibility and CO2 balance. Of particular interest are raw materials that are not in competition with the production of foodstuffs or biofuels and, at the same time, are available in large quantities. One example is lignin, which – next to cellulose – is the most abundant natural product. Among other things, lignin is a by-product of paper production. Also large quantities of lignin are produced as a waste product in the production of bioethanol. For the Fraunhofer scientists, it therefore seemed reasonable to create an alternative to petrochemicals by processing lignin, which is renewable, environmentally friendly and available almost without any limit. In the development of alternatives to petrochemical substances, lignin has often attracted the attention of scientists. Due to its challenging properties, though, such efforts with the mechanical wood pulp have so far not prevailed. For example, the exact chemical composition of the lignin mass depends on whether it comes from paper production and is mixed with other substances or whether it is a by-product of biofuel. Accordingly, the production of a substance that always has a similar reaction is highly complex. “Most previous approaches were based on producing lignin monomeric starting materials, which always have the same properties. Due to the different composition of the starting material, this is quite complex,” explains Yvonne Wilke from the Fraunhofer IFAM. “We took a different approach by standardizing and modifying the whole substance. This gives us a raw material that we can say is always the same within certain limits.” The experts from the Fraunhofer IFAM transformed the standardized mixture further and used it as raw material for binders for primer formulations. The result is a primer that has key properties such as corrosion protection, adhesion or applicability comparable to primers based on petrochemicals. Primers made of plant residuesEspecially in times when the call of both manufacturers and end customers for sustainable products is becoming louder, such bio-based solutions are particularly interesting. In the automotive industry, for example, the carbon footprint is an important selling point. Through the use of bio-based primers and paints, this can be significantly improved. And since the lignin-based primer of the Fraunhofer IFAM has comparable properties to those of conventional primers, no compromise would have to be made in terms of quality.”Independence from fossil fuels is a tremendous goal. Especially considering the amount of products that are still based on fossil fuels,” says Wilke. “With our project, we’ve been able to take a few steps in the right direction and to show that lignin is a real alternative in the manufacture of primers and adhesives, as well as that it brings us closer to independence from petrochemicals.” Citation: A step toward independence from fossil resources (2018, February 1) retrieved 18 July 2019 from Provided by Fraunhofer-Gesellschaft read more

A webcam is enough to produce a realtime 3D model of a

first_imgFranziska Müller, Max Planck Institute for Informatics, has developed a software system that requires only the built-in camera of a laptop to produce a real-time 3-D model of a moving hand. Credit: Oliver Dietze More information: … ects/GANeratedHands/ Citation: A webcam is enough to produce a real-time 3-D model of a moving hand (2018, June 11) retrieved 18 July 2019 from Capturing hand and finger movements within milliseconds is becoming increasingly important for many applications, from virtual reality to human-machine interaction and Industry 4.0. So far, its enormous technical demands have limited possible applications. Computer scientists at the Max Planck Institute for Informatics have now developed a software system involving the interaction of various neural networks that requires only the built-in camera of a laptop. Tracking humans in 3-D with off-the-shelf webcams For the first time, the researchers will be presenting the program at stand G75 in hall 27 of the computer fair Cebit, which will take place in Hannover from June 11th onward.When computer scientist Franziska Müller holds her hand in front of the laptop camera, the hand’s virtual counterpart appears on the screen. This is overlaid by a colorful virtual hand skeleton. No matter what movements Müller’s hand makes in front of the webcam, the colored bones of the model do the same. Müller demonstrates the software she developed together with Professor Christian Theobalt and other researchers from the Max Planck Institute for Computer Science in Saarbrücken, Stanford University and the Spanish King Juan Carlos University. So far, no other software can do this with such a low-cost camera.Since it works in almost every kind of filmed scene, it can be used anywhere, and thus trumps previous approaches that require a depth camera or multiple cameras. The algorithm the system uses transforms the two-dimensional information of the video image in real time into the three-dimensional movement model of the hand’s bones. It is based on a so-called “convolutional neural network,” or CNN for short. The researchers have trained it to detect the bones of the hand. They have generated the necessary training data with another neural network. The result: The software calculates the exact 3-D poses of the hand’s bones in milliseconds. Even if some of them are occluded, for example, by an apple held in the user’s hand, the software compensates. However, the system still has trouble processing several hands working together, and solving this is the researchers’ next goal. Provided by Saarland University Explore further This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.last_img read more

Dont call me before you text The new rules of communicating in

first_img Message sent and received but no instant reply: How does that make you feel? Explore further Connecting with people has become so much easier with advancing technology. Tasks that once required an operator, postage stamp or carrier pigeon are now as simple as tapping a name or even a face on your screen, and, voila, you’re connected. (c)2019 USA TodayDistributed by Tribune Content Agency, LLC. Ivory said that the same way that generations and small groups of friends have their own slang and customs, internet culture has given birth to technology-dependent beings that have their own unique set of correspondence rituals.So, not everyone gets the memo.Unlike formal language, which can be taught with practice using an online subscription to Rosetta Stone, digital communication can be laced with cryptic clues that the person on the other end of the call, text or email may or may not easily understand.”As soon as people aren’t talking face to face, the first thing that gets lost is some of the richness of the nonverbal communication,” Ivory said. “People immediately fill that gap by trying to approximate it,” either by using emoji, adopting informal etiquette or sending gifs—those animated images that seem to sum up a sentiment in seconds.Etiquette and lifestyle expert Elaine Swann said that it’s perfectly natural for the social manners to change as formats for chatter evolve.”We used to pick up the phone and say happy birthday, happy New Year’s and Merry Christmas to each other. Nowadays, it is appropriate and in good form to send those via text,” the founder of a nationwide etiquette training institute said. “We are evolving with the way we communicate using electronic (devices). The guidelines of etiquette must evolve as well.”Ivory said that the only way to adapt to the techno-talk rules is to fully immerse yourself in the culture, but there are inherent drawbacks to over-adopting “chillaxed” methods of communication.”There’s great potential for danger,” Ivory said. “What’s considered polite in one form might be inappropriate or rude in another scenario.”Still, some communication rules should stand the test of time, Swann said.”If I call you and you cannot talk at the moment, please don’t answer your phone. Don’t cut me off mid-sentence to tell me you are busy,” Swann said. “First of all, it’s rude to answer your phone in the presence of the folks you are with. Second of all, you are inconsiderate of my time.”15 unwritten rules of communicating in the digital age, according to people on Twitter1. Don’t randomly FaceTime people. If you want to Facetime, shoot them a text or call first.2. One word texts like OK and LOL are conversation killers. Don’t respond with one word, unless you don’t want to talk anymore.3. If someone you know comments on a photo or video you posted, you should respond.4. If someone communicates to you using a certain form of communication, e.g. e-mail, then you are expected to respond using the same form of communication.5. Don’t like your own posts. People see that, and it makes you look weird.6. Don’t ask for likes, comments or shares.7. Don’t take hours to respond without an excuse.8. You don’t actually have to leave a voice message.9. If someone asks you multiple questions via text, don’t just reply to part of the message.10. Don’t post dozens of photos of cheezy quotes back to back.11. It’s OK to text Happy Birthday, Merry Christmas, etc. You don’t have to call.12. Don’t have one-on-one’s in the group-chat, better yet, rarely send group chats. They’re mostly annoying and usually avoidable.13. Try not to deliver bad news via text. Don’t deliver bad news via DMs.14. If you don’t get a response, you don’t have to get angry. It’s not always that big of a deal.15. If you have time to post on Snapchat, you have time to respond to text messages. Credit: CC0 Public Domain Citation: ‘Don’t call me before you text’: The new rules of communicating in the digital era (2019, March 1) retrieved 17 July 2019 from This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only. But also easier is unwittingly getting caught up in a major disconnect by violating a tangle of new rules for communicating. A big one for some: Don’t call until you’ve texted to confirm it’s OK to call. But that’s just the beginning.”I’m usually pretty chill and not much bothers me,” said Mark Angiello, a 29-year-old office manager from White Plains, New York. But the one thing that really gets under his skin, that he “hates more than anything else in life” is the horrendous one-word message—”K.””At the very least reply with, ‘Got it.'” Angiello said. “At least give me the courtesy of a few words here. You’re not that busy.”Ramoan Bruce, a 29-year-old DJ from the Bronx said his personal list of digital interaction rules runs long.”Don’t text me and say, ‘Hey, did you get my last text?’ You know that I got it,” Bruce said. “I get kinda annoyed when I text someone and then they respond by calling me, and I hate when people FaceTime me out of nowhere. Like, don’t do that.”There are hundreds, perhaps even thousands, of others who have taken to social media to express their detest for people who don’t follow the unwritten ground rules of digital communication.Twitter user @Zelvel writes: “It’s an unsaid rule in texting if you weren’t the last person to send a text before you fell asleep, you should be the first to send one in the morning.””Doesn’t everyone know the unsaid rule? You have to send at least 3 texts pretending to be friendly before you can ask for a favor.” writes Twitter user @Tforace.Twitter user @Kassmori writes: “Okay rule #1 if I unadd you on anything, do not ask me why on something else. Especially if I don’t know you?”Other examples include don’t leave a message after the beep, don’t send too many texts in a row, and don’t just start a conversation with “Hey.” If you decline incoming phone calls just to text the caller “What’s up?” then you, too, have adopted some informal protocols.Have you ever wondered where these seemingly innate communication subtleties come from?”These rules are simply a new manifestation of a phenomenon we’ve seen in the past,” said James Ivory, professor of communication at Virginia Tech.last_img read more

Ford to shut three factories stop making passenger cars in Russia

first_img Citation: Ford to shut three factories, stop making passenger cars in Russia (2019, March 27) retrieved 17 July 2019 from © 2019 AFP Ford to cut jobs in European revamp Ford said that by the end of June this year it will close its vehicle assembly plant in the northwestern city of Saint Petersburg Ford said in a statement that it has signed a preliminary agreement with its local partner Sollers on “a significant restructuring of its… joint venture in Russia, focusing exclusively on growing its commercial vehicle business moving forward.”The joint venture “will discontinue its passenger vehicle portfolio in Russia to help deliver a more competitive and sustainably profitable business going forward,” Ford said.Ford, based in the US state of Michigan, said that by the end of June this year it will close its vehicle assembly plants in the northwestern city of Saint Petersburg and the city of Naberezhnye Chelny in Tatarstan, central Russia. It will also close an engine plant in Yelabuga in Tatarstan that opened in 2015.Sollers will have a 51 percent stake in the restructured joint venture.Currently the factories produce seven models including the Ford Transit van.Ford said that the “Russian passenger vehicle market has been under significant pressure in recent years, with recovery slower than expected and a shift to lower priced passenger vehicle segments.”The carmaker said that this led to “underutilisation” of factories and “inadequate returns on invested capital,” although sales of the Ford Transit continue to grow, with a 15 percent share of the market segment.Following a period of growth and massive investment by global carmakers, Russia’s car market collapsed between 2013 and 2016, whiplashed by international sanctions over the Ukraine conflict and a crash in global oil prices. New car sales, a key indicator of consumer confidence, fell by more than half during that period.However sales of new cars in Russia rose in 2018 for a second year running, but slowed in February this year.center_img Explore further This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only. US carmaker Ford will close three of the four factories of its Russian joint venture after deciding to stop making passenger cars in a country where car sales have slumped in recent years, the company said Wednesday.last_img read more

PowerGrid to install solar lighting systems in E Godavari district

first_imgPower Grid Corporation of India Ltd COMMENTS Published on PowerGrid Corporation of India Ltd has signed a memorandum of understanding (MoU) with New & Renewable Energy Development Corporation of Andhra Pradesh Ltd (NREDCAP) for the supply and installation of solar lighting systems at Jaggampeta and Irripaka villages in East Godavari district of Andhra Pradesh.According to a company release, solar lighting will help in improving the living conditions of the villagers. It will also result in the savings of energy bills and optimum use of natural light.Under this PowerGrid’s CSR initiative with an estimated amount of Rs 20.82 lakh, 18 LED-based 50 solar street lighting systems for Jaggampeta and 25 for Irripaka villages will be installed by NREDCAP, a Andhra Pradesh Government Undertaking.PowerGrid, a Navaratna under the Ministry of Power, has undertaken various CSR activities with a thrust on health, rural development, infrastructural development, skill development, education and environment. SHARE SHARE EMAIL SHAREcenter_img August 04, 2018 energy and resource Andhra Pradesh COMMENTlast_img read more

Alaphilippe reclaims yellow and Pinot impresses in French tour de force

first_img“I was ready for his attack since last night and all day I was waiting for it because I had great legs,” said Pinot.”It was a fantastic finale, it was beautiful to go together like this and we showed that we can work together even if we’re in different teams,” said Alaphilippe, whose move was highly expected as bonus seconds were up for grabs in the ascent to the Cote de la Jaillere and at the finish.Alaphilippe now leads Italian Giulio Ciccone, who started the day in yellow with a six-second advantage, by 23 seconds and Pinot by 53 seconds.Deceuninck Quick Step’s Alaphilippe gained a total of nine bonus seconds and Pinot (Groupama-FDJ) picked up eight at the top of the final ascent and on the finish line.Thomas is fifth, 1:12 off the pace with his Ineos team mate Egan Bernal a further four seconds adrift.Vincenzo Nibali, the 2014 champion, dropped out of contention when he cracked on the Cote de la Jaillere and reached the line 4:25 off the pace.Thomas was frustrated that Alaphilippe’s move came shortly after he had made his way back into the peloton.”I’m fine but it was just frustrating,” he said. “It was a key moment in the race. (Michael) Woods crashed and took out Gianni (Moscon) and me and I just got tangled in Gianni’s bike.”By the time I got up to the group I was gassed for a bit and obviously that’s when they started to sprint away. It’s annoying and frustrating but to come back like I did is good.”If I hadn’t crashed I could have followed (Pinot and Alaphilippe) and it’s a totally different story then. Still a lot of racing to go though.” (Reporting by Julien Pretot; Editing by Toby Davis and Clare Fallon) ST ETIENNE, France (Reuters) – Julian Alaphilippe reclaimed the Tour de France’s yellow jersey and Thibaut Pinot underlined his title credentials as the French pair highly impressed in a spectacular eighth-stage finale on Saturday.Belgian Thomas De Gendt won the 200-km hilly stage from Macon from a breakaway, ahead of Pinot, the only rider able to follow Alaphilippe’s brutal attack on the last climb with about 13 kilometres left.The French duo went at full tilt on the descent into St Etienne and held off a trimmed-down peloton at the finish.They crossed the line six seconds behind De Gendt but 20 seconds ahead of the bunch featuring defending champion Geraint Thomas, who suffered a scare 15 kilometres from the finish when he took a minor tumble. Cycling 09 Jul 2019 Cycling: Viviani completes set of grand tour stage wins Related News Cycling 08 Jul 2019 Cycling – Alaphilippe takes Tour stage three and yellow jerseycenter_img Cycling 11 Jul 2019 Cycling: Thursday’s Tour stage favours Bernal, says Thomas Related News {{category}} {{time}} {{title}}last_img read more

Foreign students lament harsh treatment

first_img Nation 9h ago University informed of Nigerian student’s death {{category}} {{time}} {{title}} “I have been so scared since that experience. I have stopped going out at night,” said the Indonesian who’s studying here.She also claimed to have lost 10kg and clumps of hair due to trauma following the incident. Ashanti, 21, and Eshe, 26, from Zambia and Zimbabwe (the names of these legitimate students have been changed to protect their identities) were recently detained for four days despite having their iKad.Ashanti’s friend later brought her passport but they still refused to let her leave.“We slept on a dirty floor and barely had water to drink. “It was traumatising. They took my prints and mugshot but I’m not a criminal.” Sasha, 26, claimed that he was confronted by enforcement officers wearing masks and hoodies in May.“I initially resisted because I didn’t know who they were. I was pushed, kicked and thrown to the ground when I tried to explain that my passport was in my apartment.“When I arrived at the detention centre, I was handcuffed together with 29 others. I could see fear in the eyes of the youngsters,” said the Russian.Khalid, 22, from the United States, and Hameed, 20, from Oman, were also handcuffed.Khalid had photos of his travel documents but had left his iKad at home. “I wanted to get it for them but they said no,” he said.Hameed was taken away when he was at the barber shop.“I was in handcuffs for almost 11 hours – even when I was sleeping in a small cell with 20 others,” he said, adding that the food was terrible.Ebele, 30, from Bostwana, said not everyone who comes here are illegals.“Most of us came here to study. We are human beings. We have our dignity.” Foreign students attending universities here have become the target of overzealous enforcement against illegal immigrants, Malay­sian Association of Private Colleges and Universities told The Star on July 4.The association had received numerous complaints from its member institutions on the predicament faced by their foreign students. Wrongfully harassed: Foreign students attending universities in Malaysia are often mistaken for illegals and mistreated. PETALING JAYA: Some foreign students here have spoken out about what they went through when enforcement officers checked on them.One of them, known only as Aisyah, recounted how she was trying to get a e-hailing ride outside a restaurant with two friends last year when they were detained despite having valid iKad. (The iKad was gazetted as a valid identification document on Feb 22 last year.)“They said our documents were invalid but how can that be when it was issued by the authorities? Nation 04 Jul 2019 Foreign students being victimised Related News Related News Nation 9h ago ‘Carry documents with you’last_img read more

Four exCMs will not allow Congress to form govt BJP MLA Atanasio

first_img Press Trust of India Panaji (Goa)July 12, 2019UPDATED: July 12, 2019 22:16 IST (Image Credit: ANI)The four former chief ministers in the Congress will never allow the party to come to power in Goa, Panaji MLA Atanasio Monserratte, who joined the ruling Bharatiya Janata Party two days ago, said on Friday.Atanasio Monserratte and nine other MLAs crossed over to the saffron party Wednesday, reducing the Congress’ strength in 40-member Goa Assembly to five.Of the five remaining legislators, four are former chief ministers, namely, Ravi Naik, Luizinho Faleiro, Digambar Kamat and Pratapsingh Rane.”They want to become chief minister again and they will never allow Congress to form government,” Atanasio Monserratte told reporters.The fact that even Leader of Opposition Chandrakant Kavlekar left the party and joined the Bharatiya Janata Party indicated how bad the things were in the Congress, he also added.However, he himself was not in the position to comment on the Congress’ affairs as he had joined it recently, he said.”I was like a traveler in Congress for one month,” he said.Atanasio Monserratte won Panaji Assembly by-election on Congress ticket in May.ALSO READ | Goa CM Pramod Sawant seeks resignation of 3 ministers, independent MLA to induct new facesALSO WATCH | Please change your thinking: BJP MLA’s daughter’s emotional appeal to her fatherFor the latest World Cup news, live scores and fixtures for World Cup 2019, log on to Like us on Facebook or follow us on Twitter for World Cup news, scores and updates.Get real-time alerts and all the news on your phone with the all-new India Today app. Download from Post your comment Do You Like This Story? Awesome! Now share the story Too bad. Tell us what you didn’t like in the comments Posted byKritika Kashyap Tags :Follow congressFollow Atanasio MonserratteFollow PanajiFollow Bharatiya Janata PartyFollow Goa Next Four ex-CMs will not allow Congress to form govt: BJP MLA Atanasio MonserratteAtanasio Monserratte and nine other MLAs crossed over to the saffron party, reducing the Congress’s strength in 40-member Goa Assembly to five.advertisementlast_img read more