Category neuropsychiatry
*VMAT2 inhibitor? What’s that?* Valbenazine (Ingrezza) is a selective inhibitor of vesicular monoamine transporter 2 (VMAT 2). In April, 2017, it was approved by the FDA for the treatment of adults with tardive dyskinesia. It is the first medication ever to be FDA-approved for the treatment of tardive dyskinesia. What is VMAT 2? VMAT2 sounds […]
Summary of COVID Rx updated guideline*
*Summary of COVID Rx updated guideline* (Adopted from webinar held on 25/4/2021 conducted by Dept of H & FW, Govt of West Bengal, Presented by Prof Soumitra Ghosh, HOD Medicine, IPGME & R, Kolkata) *Virus doesn’t kill directly, it kills by immune inflammation.* Treatment must centre on the monitoring of clinical, biochemical and inflammatory parameters. […]
*Summary of COVID Rx updated guideline*
*Summary of COVID Rx updated guideline* (Adopted from webinar held on 25/4/2021 conducted by Dept of H & FW, Govt of West Bengal, Presented by Prof Soumitra Ghosh, HOD Medicine, IPGME & R, Kolkata) *Virus doesn’t kill directly, it kills by immune inflammation.* Treatment must centre on the monitoring of clinical, biochemical and inflammatory parameters. […]
COVID-19 Treatment Guidelines
  Coronavirus Disease 2019 (COVID-19) Treatment Guidelines  Credit NIAID-RML Downloaded from https://www.covid19treatmentguidelines.nih.gov/ on 4/25/2021 Visit https://www.covid19treatmentguidelines.nih.gov/ to access the most up-to-date guideline. How to Cite the COVID-19 Treatment Guidelines: COVID-19 Treatment Guidelines Panel. Coronavirus Disease 2019 (COVID-19) Treatment Guidelines. National Institutes of Health. Available at https://www.covid19treatmentguidelines.nih.gov/. Accessed [insert date]. The COVID-19 Treatment Guidelines […]
CovRelief ( https://covidrelief.glideapp.io/)
Friends, this website may help some of you. It is an accurate count of available hospital beds and updated hourly. Feel free to share Hi Everyone 😃, IITD Alumni have made CovRelief ( https://covidrelief.glideapp.io/) which provides *live tracking of vacant hospital beds in cities*. All the data for hospital bed tracking is taken from government […]
homeless wandering mentally ill patients
“One of the greatest diseases is to be nobody to anybody” – Mother Teresa. 1. There are about 500,000 homeless wandering mentally ill patients in India. 2. They are mainly found wandering on the streets near bus stands, street corners, pilgrim centres and railway stations in poor physical state in urban areas. 3. They are […]
Why oxygen crisis?a post from Hanuman Mal Bengani the ex CEO of Linde India.
Sharing below a post from Hanuman Mal Bengani the ex CEO of Linde India. Linde is one of the largest oxygen producers in India “Having spent my life time of 45 years in oxygen industry and involved with setting up 50% of production capacities in india ( as business head of Linde) I can share […]
HCFI Round Table Expert Zoom Meeting on “Consequences of COVID situation today
Sharing some important SUTRAS This could be controversial So, please , apply with care and do comment if you agree—-CME INDIA gr HCFI Round Table Expert Zoom Meeting on “Consequences of COVID situation today” Consensus Statement of HCFI Expert Round Table Sutra 1: In view of the controversy of vaccine clots, consider low-dose (75mg) […]
Covid hospital in delhi
Dear Friends in delhi and NCR(Please share you never know who needs help) This is to inform you that from today onward 1000 beds facility is initiated by Armed Forces w.e.f 0800 hrs today for admission of all confirmed Carona Patients, who need immediate hospitalisation. This state-of-the-art, 1000-bedded Covid Care Hospital is very close to […]
Valproate, carnitine and hyperammonemia
Therapy with valproate is associated with hyperammonemia, usually less than 2-3 times the upper limit of the reference range. It is frequent in patients on combination therapy for epilepsy. The mechanism is decreased production of mitochondrial acetyl CoA, which causes decrease in N -acetylglutamate, an activator of carbamoyl phosphate synthetase. Thus, patients with partial enzyme […]
* The Vaccine Politics*
There is an ongoing clash between US & Europe over vaccines. Some of the news about vaccine efficacy or safety which we read is more about the * Vaccine War* than any real problem. Indian vaccine manufacturing surge has displeased both west and the International Pharma lobby and even China. All are out with knives […]
SaNOtize’s
UK Clinical Trial Confirms SaNOtize’s Breakthrough Treatment for COVID-19 • Patients with a self-administered nasal spray application found to have reduced SARS-CoV-2 log viral load by more than 95% in infected participants within 24 hours of treatment, and by more than 99% in 72 hours • Trial concluded that treatment accelerated clearance of SARS-CoV-2 by […]
Covid guide
 Your Complete Guide in  Recovery from COVID-19  Your guide will cover… COVID-19: How it spreads 3 Do’s and Don’ts for wearing mask 4 COVID-19: How it manifests 6 Home treatment- Do’s 7 Home treatment- Don’ts 8 When to seek emergency medical advice 9 Home treatment – Instructions for Caregivers 10 COVID-19: Winning […]
Latest covid protocol
Published by Department of Health & Family Welfare, Govt of West Bengal LABORATORY CONFIRMED COVID 19 PATIENT   Symptomatic patientswith the following co- morbidities Age>60yrs DM HTN /IHD COPD/Chronic lung disease Immunocompromised state Immunosuppressive drugs CKD Chronic Liver Disease Obesity Symptomatic patients (irrespective of comorbid […]
SOP COVID
   AIIMS Patna COVID 19 Management protocol (Version 4.0: 21/04/2021) COVID – 19: Mild Disease Upper respiratory tract symptoms and/or fever without shortness of breathing or hypoxia. Same criteria for children and young adults. Admission category: Home isolation (advice on OPD, day-care and / or tele-consultations) Management plan Advice: 1. Ensure adequate […]
remdesivir inj
केवल remdesivir inj मिल जाने से जान नहीं बचेगी। आपके किसी परिचित की सांस फूल रही है, आपको आईसीयू में बेड नहीं मिल रहा और आप पैसे की गठरी लेकर remdisevir या favipiravir लाकर मरीज को लगा देने के लिए जमीन आसमान एक किए हैं, तो गलत कर रहे हैं। सबसे पहले तो आप अपनी […]
Guidance for Management of Pregnant Women in COVID-19 Pandemic
   ICMR – National Institute for Research in Reproductive Health Jehangir Merwanji Street, Parel, Mumbai – 400 012 PREFACE These infection prevention and control considerations are for healthcare facilities providing obstetric care for pregnant patients with confirmed novel coronavirus disease (COVID-19) or pregnant Persons Under Investigation (PUI) in obstetric healthcare settings including obstetrical […]
*UK experience of covid that we should learn from*
Lessons from the second wave. India today seems to be in the exact same situation that the UK was in mid december. First an exponential number of people testing Covid positive followed a week later by an exponential increase in number of hospitalizations followed 2 weeks later by an exponential increase in Covid deaths. Here […]
About covid vaccine. In short
Hi everyone. It’s been a few months now since anti – covid vaccination was started in our country. But even now, awareness remains poor and mixed messaging by the government and media has not helped. So I have compiled a list of some important and practical points about vaccination from my experience and research. Do […]
Covid management: in short
* Once covid is diagnosed get a baseline CBP, LFT, RFT, CRP, d Dimer, IL6 (if available), LDH, Ferritin, Trop T, ECG, baseline CXR and CT chest. Ask for replication score in RT PCR test. It indicates how infective you are for other people. Any score above 30 is generally non infectious especially if you […]
COVID19 Management Protocol
COVID19 Management Protocol School of Excellence in Pulmonary Medicine, Netaji Subhash Chandra Bose Medical College (NSCB Medical College) Jabalpur (Madhya Pradesh) Based on COVID19 Management Guidelines Issued by- MoHFW, Govt of India AIIMS, New Delhi Ministry of Health, Govt of Madhya Pradesh Authors Prof.Dr. Jitendra Bhargava, Director, School of Excellence in Pulmonary Medicine (SEPM), Netaji […]
होम आइसोलेशन ा है?
को वड रोगी के लए होम आइसोलेशन                  बात काम क                             […]
*What about other dementias?*
By Vimal Aga, MD, Board-certified Geriatric psychiatrist and Assistant Professor of Psychiatry, Oregon Health Sciences University, Portland, OR Do the same anti-dementia medications that are used for Alzheimer’s disease and mixed dementia work for other dementias as well? *Dementia due to diffuse Lewy Body disease* None of the anti-dementia medications are FDA-approved for the treatment […]
*What about dementias?*
*What about other dementias?* By Vimal Aga, MD, Board-certified Geriatric psychiatrist and Assistant Professor of Psychiatry, Oregon Health Sciences University, Portland, OR Do the same anti-dementia medications that are used for Alzheimer’s disease and mixed dementia work for other dementias as well? *Dementia due to diffuse Lewy Body disease* None of the anti-dementia medications are […]
Sexual Dysfunction in Men and Women
 Dx/Rx: Edited by Stanley Zaslau, MD, MBA, FACS Professor Urology Residency Program Director Division of Urology West Virginia University Morgantown, West Virginia                        World Headquarters Jones & Bartlett Learning 40 Tall Pine […]
* The Vaccine Politics*
There is an ongoing clash between US & Europe over vaccines. Some of the news about vaccine efficacy or safety which we read is more about the * Vaccine War* than any real problem. Indian vaccine manufacturing surge has displeased both west and the International Pharma lobby and even China. All are out with knives […]
*The bottom line on medications for Alzheimer’s disease*
*The bottom line on medications for Alzheimer’s disease* By Vimal Aga, MD. Board-certified Geriatric psychiatrist and Assistant Professor of Psychiatry, Oregon Health Sciences University, Portland, OR. *Overview of medications* Four medications are currently FDA-approved for the treatment of Alzheimer’s disease. 1. Acetylcholinesterase inhibitors (also called cholinesterase inhibitors): donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne). 2. […]
COVID-19 is primarily airborne, safety protocols should change urgently: Lancet report
BusinessToday.In | April 17, 2021 | Updated 12:58 IST The report has gone against the predominant scientific view which says that coronavirus spreads through smaller aerosols that remain suspended in the air or through fomites Share Share The paper was written by six experts from the US, the UK and Canada A report recently published […]
2021 – ‘Covid-19 has redefined airborne transmission’.
Lancet & British Medical Journal (BMJ) on 14th April 2021 – ‘Covid-19 has redefined airborne transmission’. These two articles compare and explain the meaning and difference between ‘aerosol’ and ‘droplet’ infections and ways to safeguard. Summary is that ‘aerosol’ lingers in the air whereas ‘droplets’ fall to surfaces. For the last one year, it was […]
Remdesvir distributor list
Remdesivir Distributor List State Distributor Name Address E-Mail Address Telephone Maharashtra A.N. PHARMA G1/G2, KANTI EMPIRE,LAL GODOWN, COLLEGE ROAD,VASAI (W),THANE.LBT NO 67 343 2011,VASAI (W),401202 subhas105@yahoo.in 9028088463 Maharashtra ATOR HEALTHCARE PVT. LTD. SONMUR APARTMENTS,DARUWALLA COMPOUND,S.V.ROAD,MALAD (W), MUMBAI,MALAD (W),400064 mahendra@ator.in 022-28662979 / 8 Maharashtra AAKANKSHA LOGISTICS PRIVATE LTD 1ST FLOOR,C\O MANTRI HOSPITALSURVEY NO 69 15.B.T. KAWADE […]
Covid. SOME GENERAL FACTORS
6. Features of Pneumonia- Temp>101 CRP Rapid rise of CRP Cough on day 3 5% fall in SPO2 after 6 min. walk. COVID SECOND WAVE 1. RT-PCR may be negative-(read ORF and N gene also as S gene may not be detectable). 2. Diagnosis- (If RT-PCR negative) —— Clinical symptoms, Serum Markers CT Chest. 3. […]
The Covid Story in Jamnagar: The Light in The Darkness
“The Darkest Hour has but sixty minutes.” Amongst all, the sad stories from India about the Covid numbers, I want to spread a story that would be inspiring and boost the morale of the people. If you are a resident or even an ex-resident of Jamnagar, Gujarat, India, take a bow. If you have been […]
Has India’s health system collapsed???
Home / Opinion / India’s health system has collapsed OPINION India’s health system has collapsed As human tragedy unfolds, there is a shortage of everything — oxygen, drugs, beds, vaccines, even cremation space By Barkha Dutt UPDATED ON APR 17, 2021 06:44 AM IST Representational image. (AP) “We have collapsed, Maharashtra is sinking and other […]
Carbon dioxide increases with face masks but remains below short-term NIOSH limits
Rhee et al. BMC Infectious Diseases (2021) 21:354 https://doi.org/10.1186/s12879-021-06056-0 RESEARCH Open Access Michelle S. M. Rhee1, Carin D. Lindquist1, Matthew T. Silvestrini1, Amanda C. Chan2, Jonathan J. Y. Ong2 and Vijay K. Sharma2*                       […]
Covid SOME GENERAL FACTORS
6. Features of Pneumonia- Temp>101 CRP Rapid rise of CRP Cough on day 3 5% fall in SPO2 after 6 min. walk. COVID SECOND WAVE 1. RT-PCR may be negative-(read ORF and N gene also as S gene may not be detectable). 2. Diagnosis- (If RT-PCR negative) —— Clinical symptoms, Serum Markers CT Chest. 3. […]
MANAGEMENT PROTOCOL FOR COVID-19
Department of Health and Family Welfare Government of West Bengal INDEX Topics Epidemiology, Pathophysiology, Cytokine storm Top Sheet for Management of Covid19 General Principles Donning & Doffing Case Definition Triage Management of Mild Cases Home Isolation of Mild, Pre-Symptomatic, Asymptomatic Cases Management of Moderate / Severe Cases Salient Points in Management (Tocilizumb, Remdesivir, Convalescent Plasma, […]
*How to choose a cholinesterase inhibitor*
By Vimal Aga, MD, Board-certified Geriatric psychiatrist and Assistant Professor of Psychiatry, Oregon Health Sciences University, Portland, OR The acetylcholinesterase inhibitors, also called cholinesterase inhibitors include donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne). They are used for the treatment of major neurocognitive disorder (dementia) due to Alzheimer’s disease and other causes. *How to choose between […]
Covid vaccine results
(CNN) About 5,800 people who have been vaccinated against coronavirus have become infected anyway, the US Centers for Disease Control and Prevention tells CNN. Some became seriously ill and 74 people died, the CDC said. It said 396 — 7% — of those who got infected after they were vaccinated required hospitalization. Ongoing trial shows […]
Covid
SOME GENERAL FACTORS 6. Features of Pneumonia- Temp>101 CRP Rapid rise of CRP Cough on day 3 5% fall in SPO2 after 6 min. walk. COVID SECOND WAVE 1. RT-PCR may be negative-(read ORF and N gene also as S gene may not be detectable). 2. Diagnosis- (If RT-PCR negative) —— Clinical symptoms, Serum Markers […]
सिप्ला कंपनी का टोल फ्री नंबर 8657311088 (24 घंटे) है. For / buy Remdesivir
सिप्ला कंपनी का टोल फ्री नंबर 8657311088 (24 घंटे) है. जिन मरीजों को रेमडिसिविर इंजेक्शन की जरूरत है, उन्हें सीधे अस्पताल पहुंचाया जाएगा। इसमें बीच में कोई डीलर / वितरक / अस्पताल नहीं होगा. इससे कालाबाजारी करने वालों पर दबाव पड़ेगा. एक छोटी सी पहल मदद की सिप्ला की ओर से … For Remdesivir injection […]
Post-acute COVID-19 syndrome
FOCUS| | Review ARticle https://doi.org/10.1038/s41591-021-01283-z     FOCUS Review ARticle https://doi.org/10.1038/s41591-021-01283-z       Ani Nalbandian 1,24, Kartik Sehgal 2,3,4,24 ✉, Aakriti Gupta 1,5,6, Mahesh V. Madhavan 1,5, Claire McGroder 7, Jacob S. Stevens8, Joshua R. Cook 9, Anna S. Nordvig 10, Daniel Shalev11, Tejasav S. Sehrawat 12, Neha Ahluwalia13, […]
Dr Yogendra Srivastava
Doctor being insulted amounting to Battery. In response to a video post. But besides the white clothed gentleman another person is shouting at the doctor. I know how much we had to work day and night even ourselves being sick or ill. Once I was myself operated but I went to operate on a child […]
the summary of post Covid immunity status
At a seminar about covid immunity and vaccines at JIPMER, attended by experts immunologists Dr Amita Aggarwal (SGPGI), Dr Andrew Pollard (UK), Dr N K Arora, Dr Gagandeep Kang (CMC Vellore) and epidemiologist like Dr Muliyil (formerly CMC Vellore). the summary of post Covid immunity status is: 1. Immunity following natural Covid infection, based on […]
10 Things the Fully Vaccinated Need to Know
From AARP Here’s what you should and shouldn’t do post-vaccination, according to health experts by Michelle Crouch, AARP, March 27, 2021 If it has been at least two weeks since you received your last dose of the COVID-19 vaccine, congratulations! You are now considered “fully vaccinated.” You are armed with our best weapon against a […]
Neutralizing antibodies after vaccination and Covid infection: Effect on Mutants
 Journal of American Medical Association (JAMA) Salient Features • Serum neutralizing antibodies rapidly appear after SARS-CoV-2 infection and vaccination • This study compared neutralizing antibody response of previously infected and vaccinated person against mutants. • Serum from PCR confirmed cases and also from vaccinated persons were tested with variants (Mutants) for neutralizing potential. These […]
“Ring a Ring a Roses
There is a myth that the British children’s rhyme “Ring a Ring a Roses” is all about the plague—either the Great Plague of 1665-6 or the Black Death centuries earlier—and dates from those eras. The words describe the contemporary practice in treating it, and refer to the fate so many befell. The Truth The earliest […]
The ‘Peltzman effect’
In 1975, University of Chicago economist Samuel Peltzman first described the phenomenon of compensating behavior – often termed the ‘Peltzman effect’ or in epidemiology, “risk compensation” or “risk homeostasis.” In his classic analysis of automobile safety regulation,4 Peltzman argued that federally mandated improvements in U.S. automobile safety in the 1960s (e.g., seat belts for all […]
deemagclinic
deemag and chest clinic 