Monthly Archives: December 2020

Central mental health authority

 रजि री स.ं डी.एल.- 33004/99 REGD. No. D. L.-33004/99 स.ं 554] No. 554] असाधारण EXTRAORDINARY भाग III—ख ड 4 PART III—Section 4 ाजधकार से काजित PUBLISHED BY AUTHORITY नई दि ली, िु वार, दिस बर 18, 2020/ अ हायण 27, 1942 NEW DELHI, FRIDAY, DECEMBER 18, 2020/AGRAHAYANA 27, 1942 क ीय मानजसक वा ्य […]

*What is solution to mess in Indian healthcare?

————————— Bohr Committee advised for Indian Medical Services, in line of Indian Administrative services in year 1948 . After that many Committees were formed on same subject but recommendations not implemented. It is high time that government should immediately nationalise healthcare services in India. Till 1990 it was mainly government hospitals which were providing healthcare […]

THE HUMAN HAND

The Most Powerful Tool in Medicine: THE HUMAN HAND Dr. PHILIP JOHN, COCHIN IMA PAST-PRESIDENT National Chairman, Biological Psychiatry Senior Consultant Psychiatrist, Cochin Michael Angelo’s ‘hands’ The good Lord allocated quarter of the motor cortex to the Human-Hand. Hand does not act alone, it works in coherence with the Frontal Lobe, and the Mind which […]

47 symptoms of the new COVID strain

01/47 symptoms of the new COVID strain With the onset of the new strain of coronavirus, England has entered a state of chaos and turmoil. While the news of the vaccine roll out did raise a lot of hope amongst the people, the mutant virus has surely challenged that hope and has triggered another wave […]

What determines when a patient confirmed to have COVID-19 is no longer infectious?

 American Society of Anesthesiologists and Anesthesia Patient Safety Foundation Joint Statement on Elective Surgery and Anesthesia for Patients after COVID-19 Infection December 8, 2020 Since hospitals are able to continue to perform elective surgeries while the COVID-19 pandemic continues, determining the optimal timing of procedures for patients who have recovered from COVID-19 infection and […]

FAQ’s on Covid Vaccines.

FAQ’s on Covid Vaccines 1. When is the Corona vaccine likely to be available? Probably the Government will get it by January and the private market by March. 2. Do we all need to take it? Yes, all should take it. 3. Who will get it first? It will be prioritised. First frontline workers and […]

Diabetic foot ulcer treatment: IWGDF Guideline

Diabetic foot ulcer treatment: IWGDF Guideline M3 India Newsdesk Apr 20, 2020 A A A The International Working Group on the Diabetic Foot (IWGDF) has issued an evidence-based guideline which lists out the principles of ulcer treatment. As per IWGDF, foot ulcers will heal in the majority of patients if the clinician bases treatment on the […]

Psychiatric Disorders in Pregnancy and the Postpartum

 Psychiatric Disorders in Pregnancy and the Postpartum Principles and Treatment Edited by VICTORIA HENDRICK, MD          Psychiatric Disorders in Pregnancy and the Postpartum CURRENT CLINICAL PRACTICE NEIL S. SKOLNIK, MD • SERIES EDITOR Psychiatric Disorders in Pregnancy and the Postpartum: Principles and Treatment, edited by VICTORIA […]

Pregnancy

Introduction Donald R. Mattison 1 Over the past decade, attention to clinical therapeutics has grown substantially from many different directions, including the important in uences of gender differences and pregnancy [1–3]. Despite these advances there is increasing concern that discovery and development of new drugs for these important populations is lagging [4–9]. At the same […]

Anti epileptic drugs and pregnancy

MJ Eadie FJE Vajda Antiepileptic Drugs and Pregnancy A Guide for Prescribers   Antiepileptic Drugs and Pregnancy MJ Eadie • FJE Vajda Antiepileptic Drugs and Pregnancy A Guide for Prescribers  Adis MJ Eadie Emeritus Professor of Clinical Neurology and Neuropharmacology, University of Queensland, and Honorary Consultant Neurologist, Royal Brisbane and Women’s Hospital Brisbane, […]

Chest CT Severity Score: An Imaging Tool for Assessing Severe COVID-19

Radiology. Cardiothoracic Imaging Radiological Society of North America Ran Yang, Xiang Li, […], and Wenbing Zeng Additional article information Abstract article-meta Background Quantitative and semi-quantitative indicators to evaluate the severity of lung inflammation in Coronavirus Disease 2019 (COVID-19) could provide an objective approach to rapidly identify patients in need of hospital admission. Purpose To evaluate […]

Resuscitation

RESUSCITATION 156 (2020) A80 A119  Available online at http://www.sciencedirect.com journal homepage: http://www.elsevier.com/locate/resuscitation                               Adult Advanced Life Support 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency […]

Differential diagnosis of Dementia; what to look for in baseline investigations?: Dr. Prithika Chary

M3 India Newsdesk Aug 26, 2019 A A A Dr. Prithika Chary discusses how simple investigations can be used to make a differential diagnosis of dementia and with the help of two cases explains the approach taken to diagnose and treat such patients. The DSM – IV criteria for definition of the dementia syndrome are […]

Covid

 Abbreviations Table of Contents 1. ExecutiveSummary 2. Introduction:COVID-19,Prevention,Vaccines –  About COVID-19 –  Prevention of COVID-19 –  Vaccines for COVID-19 o Background o Type of vaccines o Dose and schedule 3. MultilevelGovernanceMechanism (national, state, district and sub-district) 4. IntersectoralConvergence 5. Human Resources: Training & Capacity Building –  Cascaded training plan –  Three phases of training […]

letter by Dr V.N .Shrikhande

I think you will enjoy reading this letter by Dr V.N .Shrikhande a professor emeritus of surgery and GI surgery now age about 90. It will teach you that life goes on and always be optimistic and grateful 👇 Dear Dr Aniruddh Trivedi 10 years back on December 7th 2010 you operated on me to […]

A Reality Check on Suicides in India

          BROOKINGS INDIA IMPACT SERIES DEVELOPMENT AND GOVERNANCE                    A Reality Check on Suicides in India DR. SHAMIKA RAVI JUNE 2015 Brookings India IMPACT SERIES  Editor’s Note: […]

Scientists Explain COVID-19 Re-infection

Scientists Explain COVID-19 Re-infection November 30, 2020 A large number of people continue to get infected with COVID-19 and so do a large number of patients recover. In some cases, people are testing positive for SARS-CoV-2 again or are experiencing a recurrence of clinical symptoms. Some scientists believe that a positive retest is due to […]

Covid guidelines

 Abbreviations Table of Contents 1. ExecutiveSummary 2. Introduction:COVID-19,Prevention,Vaccines –  About COVID-19 –  Prevention of COVID-19 –  Vaccines for COVID-19 o Background o Type of vaccines o Dose and schedule 3. MultilevelGovernanceMechanism (national, state, district and sub-district) 4. IntersectoralConvergence 5. Human Resources: Training & Capacity Building –  Cascaded training plan –  Three phases of training […]

Group of Ministers on Health call for shorter MBBS duration, Integration with PG medical courses:

Group of Ministers on Health call for shorter MBBS duration, Integration with PG medical courses: Group of Ministers on Health call for shorter MBBS duration, Integration with PG medical courses: Report New Delhi: The Group of Ministers (GoM) on Health has suggested a complete revamp of the medical education system, calling for series of measures […]

Dear Dr. Deshpande

Dear Dr. Deshpande, I really appreciate your well written unmasking of the health care issues in India! Yes, emotions manipulated on media – the pathos distraction -so we don’t look at the core issues of why the Indian government has not funded health care properly, even amid the boom of the last few years, and […]

Why you should not worry about vaccine side effects

8 hours ago Italian Prosecutors Seek Trial For Four Egyptians Over Regeni MurderTRP Report Week 48: Anupamaa rules yet again; Naagin 5 and Bigg Boss 14…Why you should not worry about vaccine side effects The vaccines are here but they’ll be no good without willing arms to take shots. For policymakers, the next challenge is […]

Document PFIZER-BIONTECH COVID-19 VACCINE (BNT162, PF-07302048) VACCINES AND RELATED BIOLOGICAL PRODUCTS ADVISORY COMMITTEE BRIEFING DOCUMENT MEETING DATE: 10

Pfizer-BioNTech COVID-19 Vaccine VRBPAC Briefing Document PFIZER-BIONTECH COVID-19 VACCINE (BNT162, PF-07302048) VACCINES AND RELATED BIOLOGICAL PRODUCTS ADVISORY COMMITTEE BRIEFING DOCUMENT MEETING DATE: 10 December 2020   090177e195a63925\Approved\Approved On: 30-Nov-2020 14:23 (GMT) Page 1 Pfizer-BioNTech COVID-19 Vaccine VRBPAC Briefing Document  TABLE OF CONTENTS LIST OF TABLES………………………………………………………………………………………………………3 LIST OF FIGURES …………………………………………………………………………………………………….4 APPENDICES ……………………………………………………………………………………………………………5 ABBREVIATIONS …………………………………………………………………………………………………….6 […]

FDA Briefing Document Pfizer-BioNTech COVID-19 Vaccine

Vaccines and Related Biological Products Advisory Committee Meeting December 10, 2020 FDA Briefing Document Pfizer-BioNTech COVID-19 Vaccine Sponsor: Pfizer and BioNTech Table of Contents List of Tables …………………………………………………………………………………………………………….. 3 List of Figures ……………………………………………………………………………………………………………. 4 Glossary……………………………………………………………………………………………………………………. 5 1. Executive Summary ………………………………………………………………………………………………… 6 2. Background……………………………………………………………………………………………………………. 7 2.1. SARS-CoV-2 Pandemic …………………………………………………………………………………… 7 2.2. EUA Request for the Pfizer […]

*Pearls Of Wisdom In Covid Vaccinology*

*Pearls Of Wisdom In Covid Vaccinology* By *Dr.Vijay Yewale* Head, Dept Of Pediatrics, Apollo Hosp Navi Mumbai 1. *What are the different types of Corona vaccines* likely to be available for use in near furure *mRNA vaccine* ( *Pfizer and Moderna)* Consist of messenger RNA molecules of the virus which code for parts of the […]

The Role of Oral Bacteriotherapy as Complementary Therapeutic Strategy to Avoid the Progression of COVID-19

                                                Edited by: Alessandro Russo, University of Pisa, […]

Covid vaccine side effects

Today the FDA released Pfizer’s Phase III vaccine trial data. Pfizer’s report was 92 pages long and the FDA report was 53 pages long. Here are some cliff notes… Things are looking good. Well, not just good, they are looking great. This trial was as clean as it can get. There is nothing (big) we […]

Q & A ON COVID VACCINE

Someone asked me 15 questions. My honest answers are as follows. My answers 1)Would Corona vaccine be available in short future? Yes in a months time 2) Do u need to take it? Yes all should take it. 3)Who shall get it? It will be prioritised. First frontline workers. Then older and those with cormorbidies. […]

(DiAMAND) Study

  Research Protocol Managing Depression in Diabetes Mellitus: A Multicentric randomized Controlled Trial Comparing effectiveness of Fluoxetine and Mindfulness in Primary Care: Protocol for DiAbetes Mellitus ANd Depression (DiAMAND) Study Mina Chandra1, Dhanya Raveendranathan2, Johnson Pradeep R.3, Suravi Patra4 , Rushi5, Konasale Prasad6, Jaspreet S Brar7      ABSTRACT Background: Suboptimal […]

Different strokes

क्या हमें अपनी विरासत पर नहीं है गर्व ? वैदिक गणित ,संस्कृत, देसी भाषा विज्ञान, खगोल शास्त्र पर हमें नहीं है भरोसा ? 2000 वर्ष पूर्व सुश्रुत संहिता मैं शल्य तंत्र ट्रेनिंग , इंस्ट्रूमेंट और सैकड़ों सर्जिकल प्रोसीजर का जिक्र है। महर्षि सुश्रुत को फादर ऑफ सर्जरी और फादर ऑफ प्लास्टिक सर्जरी माना गया है […]

Prescribing Physical Activity in Mental Health:

  Viewpoint Prescribing Physical Activity in Mental Health: A Focused review on the latest evidence, recommendations, Challenges, and relevance  to india Sai Krishna Tikka1 , Shobit Garg2, M. Aleem Siddiqui3    Physical activity and mental health are intimately linked. Physical ac- tivity has been considered to have a signi cant impact […]

sleep medication

There is a common problem that all of us who prescribe psychotropic medications have faced hundreds of times. Some patients strongly request a sleep medication but are at risk for abuse or dependence. Or the institution where they are does not allow medications like benzodiazepines or the Z-drugs. So, the question is: “How should we […]

Covid vaccine

 A Brief Introduction to Covid-19 Vaccines Khusro Arastu, MD skarastu@aol.com December 2020    Types of Covid-19 Vaccines  • Active Immunity (Vaccination) • DNAVaccine(Inovio) • RNAVaccine(Moderna,Pfizer) • Viral Vector (Oxford/AstraZeneca, CanSino Biologics, Janssen (J & J), Gamalaya-Sputnik) • ViralSubunit(Novavax,AdaptVac,CloverBiopharma) • Live Attenuated (Codagenix, Indian Immunologicals Ltd.) • Inactivated Virus (SinoVac, SinoParm) • […]

Shock

Prof. Dr. Sundeep Mishra provides a quick prescription guide for the selection and dosage of vasopressors (adrenalin, nor-adrenalin, dopamine or others) used in the treatment of different types of shocks. Click to read other articles from Dr. Sundeep Mishra. For our comprehensive coverage and latest updates on COVID-19 click here. Various agents increase blood pressure acting on […]

Beginning of the end of modern medicine in India

*Long post but worth reading to prevent existential crisis in MBBS medicose* Beginning of the end of modern medicine Dr Vinay Aggarwal “East is East, and West is West, and never the twain shall meet.” Indian Healthcare authorities appear to be hell bent on proving this wrong. India is the birthplace of Ayurveda. Unani system […]

When deciding whether to use lithium

When deciding whether to use lithium in a person with a bipolar disorder, we should systematically look for the following TEN factors in the Past, Present, and Future: Past 1. Adult (rather than an adolescent) 2. Later age of onset 3. Less than three prior episodes. (The problem is that many clinicians will try other […]

Back pain. Home remedies

Back pain can be quite annoying. Lower back pain, also called lumbago, may occur to anyone or anytime. This pain may be an after-effect of some underlying damage to the ligaments or muscles of the back. However, there are a few natural remedies that may help in treating back pain. Read on to find more. […]

The new field of ‘precision psychiatry’

Fernandes et al. BMC Medicine (2017) 15:80 DOI 10.1186/s12916-017-0849-x OPINION Open Access Brisa S. Fernandes1,2,3*, Leanne M. Williams4,5, Johann Steiner6, Marion Leboyer7, André F. Carvalho8                         and Michael Berk1,2,9,10   Abstract […]

Coronavirus disease 2019 (COVID-19): Vaccines to prevent SARS-CoV-2 infection

Coronavirus disease 2019 (COVID-19): Vaccines to prevent SARS-CoV-2 infection Authors:Kathryn M Edwards, MDWalter A Orenstein, MDSection Editor:Martin S Hirsch, MDDeputy Editor:Allyson Bloom, MD Contributor Disclosures All topics are updated as new evidence becomes available and our peer review process is complete. Literature review current through: Nov 2020. | This topic last updated: Dec 02, 2020. What’s New Vaccines to […]

mRNA vaccine

Key Points • Recent improvements in mRNA vaccines act to increase protein translation, modulate innate and adaptive immunogenicity and improve delivery. • mRNA vaccines have elicited potent immunity against infectious disease targets in animal models of influenza virus, Zika virus, rabies virus and others, especially in recent years, using lipid-encapsulated or naked forms of sequence-optimized […]

m rna vaccine

Within the next month, messenger RNA vaccines—also called mRNA vaccines—are likely to be some of the first COVID-19 vaccines authorized for use in the United States. New Approach to Vaccines mRNA vaccines are a new type of vaccine to protect against infectious diseases. To trigger an immune response, many vaccines put a weakened or inactivated […]

Art of thesis writing

Thesis Writing for Master’s and Ph.D. Program Subhash Chandra Parija Vikram Kate Editors  1 3     Thesis Writing for Master’s and Ph.D. Program  Subhash Chandra Parija • Vikram Kate Editors Thesis Writing for Master’s and Ph.D. Program   Editors Subhash Chandra Parija Sri Balaji Vidyapeeth (Deemed University) Pondicherry India […]

Summary covid

As coronavirus disease 2019 (COVID-19) spreads across the world, the intensive care unit (ICU) community must prepare for the challenges associated with this pandemic. Streamlining of workflows for rapid diagnosis and isolation, clinical management, and infection prevention will matter not only to patients with COVID-19, but also to health-care workers and other patients who are […]