Category neuropsychiatry

Positive Psychology Takes a New Look at Happiness

When happiness means more than feeling good. Posted Jul 07, 2020 The emphasis in positive psychology has, since its inception, focused on happiness as the key feature of well-being. The most widely-used survey studies of well-being typically ask participants to rate their current, momentary, happiness on a scale of 1 to 10. Using these results, […]

Telemedicine Practice Guidelines

BOARD OF GOVERNORS In supersession of the Medical Council of India  Enabling Registered Medical Practitioners to Provide Healthcare Using Telemedicine [This constitutes Appendix 5 of the Indian Medical Council (Professional Conduct, Etiquette and Ethics Regulation, 2002] 25 March 2020    These Guidelines have been prepared in partnership with NITI Aayog 2 TABLE […]

Clinical trials evaluating AD drugs targeting different pathology other than amyloid hypothesis

Objective: Clinical trials evaluating AD drugs targeting different pathology other than amyloid hypothesis Citation: Li-Kai Huang et al. Clinical trials of new drugs for Alzheimer disease. Journal of Biomedical Science. 2020; 27:18 Introduction: The seriousness of Alzheimer’s disease (AD) accounts for more than 60 % worldwide. Presently, few drugs are available for the treatment of […]

*RECOVERY IS THE RULE*

Edited for CME INDIA ⭕Timely action can save lives as most cases are mild; few are moderate and less than 5% are serious. ⭕Death rate is reducing as we are now able to better manage cases.  ⭕In all patients who have loss of smell/taste, recovery is the rule and mortality is an exception. Analysis of […]

Vaccine. No way

OffGuardian / Editor Rosemary Frei and Patrick Corbett A high-profile European pathologist is reporting that he and his colleagues across Europe have not found any evidence of any deaths from the novel coronavirus on that continent. Dr. Alexov called the World Health Organization (WHO) a “criminal medical organization” for creating worldwide fear and chaos without […]

physician stereotypes

Harendza and Pyra BMC Medical Education (2017) 17:128 DOI 10.1186/s12909-017-0964-6 RESEARCH ARTICLE Just fun or a prejudice? – physician stereotypes in common jokes and their attribution to medical specialties by undergraduate medical students Sigrid Harendza* and Martin Pyra Open Access                […]

Covid

As time passes in a pandemic there’s a greater chance of survival for those getting infected 3 months later like June 2020 than those who got infected 3 months earlier say February 2020. The reason for this is that Doctors and scientists know more about Covid-19 now than 3 months ago and hence are able […]

MMR AND COVID

In view of lot of speculation about protection of serious COVID 19 by MMR – I looked at literature- it’s complicated but worth reading – following conclusions by various studies ( posted above)- didn’t changed the language so that everyone can draw conclusions FIRST STUDY – Most recent is by Adam Young which has revived […]

An Ominous ECG Sign in Critical Care

Circulation  CASES AND TRACES    ECG CHALLENGE A 35-year-old woman was admitted to the critical care unit for treatment of septic shock. She had developed an abscess in her right hand and group A strep- tococcal bacteremia as a result of intravenous drug abuse. A transesophageal echocardiogram detected a vegetation on the […]

*COVID19 tests and significance*

1) *RT PCR* gold std Highly expensive Read ORF of proteins and E gene Result is in 3hrs 2) *CBNAAT* detect E&N gene in one go Both for screening and confirmatory Less expensive than RTPCR Result is in 2hrs ICMR adviced for SARI&ICU patients 3) *TRUENAT* Detect E gene in first level for screening suspected […]

Long QT syndrome (LQTS)

Overview Long QT syndrome (LQTS) is a heart rhythm condition that can potentially cause fast, chaotic heartbeats. These rapid heartbeats might trigger you to suddenly faint. Some people with the condition have seizures. In some severe cases, LQTS can cause sudden death. Begin Rubicon Project Tag Site: Mayo Clinic (INTL) – Tag Zone: Top – […]

A brief history of vaccine routes.

This answer covers: ‘Depot‘ effect: How this immunological dogma got started and a brief assessment of its impact. Role practical field conditions play in choice of vaccination routes. Book Your Booth Now One-Stop Quality Sourcing Platform. Nov. 5-10 in Shanghai, China. Join The 2020 CIIE. Ads by Stop seeing this adWhy this ad?  Ads by […]

Net user glossary

App A software program that performs a specific function that is used on a computer or mobile device. Avatar A graphic or illustration that represents a particular person in a computer game or on an Internet site. Blog An interactive website, or part of a website, maintained by an individual, a group of individuals, or […]

Which category do you belong to?

Developing keen interest in mental health at some point of time in life is a sign of emotional intelligence. Some reach that point via personal experience, some via observations in life, but most people reach there somehow. Modern human has this insatiable urge to follow interests. Fortunately middle and upper middle class life offers time […]

Social Media and Health Care Professionals: Benefits, Risks, and Best Practices

C. Lee Ventola Additional article information INTRODUCTION Many social media tools are available for health care professionals (HCPs), including social networking platforms, blogs, microblogs, wikis, media-sharing sites, and virtual reality and gaming environments.1–8 These tools can be used to improve or enhance professional networking and education, organizational promotion, patient care, patient education, and public health […]

Statement on Guidelines for the Ethical Use of Social Media by Surgeons

Online May 1, 2019 The American College of Surgeons (ACS) Committee on Ethics developed the following Guidelines for the Ethical Use of Social Media by Surgeons. The ACS Board of Regents approved the guidelines at its February 8−10 meeting in Chicago, IL. Social media has become a ubiquitous part of modern life. As such, surgeons […]

Position statement and guideline on media coverage of suicide

[Downloaded free from http://www.indianjpsychiatry.org on Monday, June 29, 2020, IP: 103.94.59.73]  Guest editorial Smitha Ramadas, Praveenlal Kuttichira1, C. J. John2, Mohan Isaac3,4, Roy Abraham Kallivayalil5, Indira Sharma6, T. V. Asokan7, Asim Mallick8, N. N. Raju10, Chittaranjan Andrade9 Departments of Psychiatry, Government Medical College, Kozhikode, 5Pushpagiri Institute of Medical Sciences, Thiruvalla, Kerala, 6Institute of Medical […]

Media Matters in suicide – Indian guidelines on suicide reporting

[Downloaded free from http://www.indianjpsychiatry.org on Monday, June 29, 2020, IP: 103.94.59.73]  GUEST EDITORIAL Lakshmi Vijayakumar1,2,3 1Department of Psychiatry, VHS, SNEHA (suicide prevention agency), Chennai, Tamil Nadu, India, Hon Associate Professor, 2Univeristy of Melbourne, Melbourne, 3Univeristy of Gri th, Southport, Australia   The Press Council of India chaired by Justice C.K. Prasad, in a […]

MMR VACCINE. NO

Reviewed innate immunity, immunity boosters in the form of various vaccines esp mmr, bcg, opv etc. so called MDSC which are actually T suppressor/ regulatory/ T memory cells. Also the hypothesis of the microbiologist who published this. Find this atrocious and a viewpoint fanned by a paranoid researchers trying to actually shoot in the dark […]

ready to make plasma donation

From a group of people ready to make plasma donation: We are ready to help For blood donate pls share to u r friends,collegus,relation etc 1.Srikanth O+ ,9700655144. 2.Mani O+ ,7401535415 3.Sriram B+ ,8056051072 4.Ramesh B+ , 9884727286 5.Suresh B+, 8148916988 6.Murali A+. 7299399392 7.PRABHU. O+ 9884641396 8.Vijay. AB-ve. 9790954376 9.Jai. B- 99623610622 10.Raja A1+ […]

MMR

I GOT VACCINACTED AGAINST COVID19 ! Dr Ramesh Gulla, MS  The China born novel Corona virus is devastating the world by killing people in thousands and ruining the the world economies like never before. We still do not have an effective medicine nor do we have a novel vaccine. The medical world was not […]

Change This Medical Scene: Article Two

In the last article I had written all the reasons that make doctor’s unity impossible, and had also pointed out the fallacies of some medical professionals. Accepting that yes, some doctors are wrong sometimes, let me go to the next part: our society. 1 The Absent Scientific Mindset: 2 We have a biased society beyond […]

how-to-decontaminate-an-n95-mask-in-just-3-minutes

Months after mask manufacturers ramped up production of N95 masks in response to the coronavirus crisis, hospitals, clinics, and nursing homes taking care of COVID-19 patients are still facing shortages of the respirators. Because of the lack of supply for essential workers, consumers still can’t buy the masks in many stores, despite the fact that […]

The Conversation

Can people spread the coronavirus if they don’t have symptoms? 5 questions answered about asymptomatic COVID-19 Jun 25, 2020 Screening for symptoms of COVID-19 and self-quarantine are good at preventing sick people from spreading the coronavirus. But more and more evidence is suggesting that people without symptoms are spreading the virus too. Monica Gandhi, an […]

CLINICAL MANAGEMENT PROTOCOL: COVID-19

 Government of India Ministry of Health and Family Welfare Directorate General of Health Services (EMR Division) Version 4 27.06.20 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. Table of Contents Background ……………………………………………………………………2 Disease epidemiology………………………………………………………2 Patho-physiology…………………………………………………………….2 Case definition ……………………………………………………………….3 Clinical features ………………………………………………………………3 Risk factors …………………………………………………………………….4 Clinical severity ………………………………………………………………4 Infection prevention […]

Prone Positioning in Awake, Nonintubated Patients With COVID-19 Hypoxemic Respiratory Failure

 Letters RESEARCH LETTER Prone Positioning in Awake, Nonintubated Patients With COVID-19 Hypoxemic Respiratory Failure Critically ill patients with coronavirus disease 2019 (COVID- 19) severely strained intensive care resources in New York City in April 2020.1 The prone position improves oxygenation in in- tubated patients with acute respiratory distress syndrome.2,3 We investigated whether the Invited […]

Hospitals building types.

“A functional design can promote skill, economy, conveniences, and comforts; a non-functional design can impede activities of all types, detract from quality of care, and raise costs to intolerable levels.” … Hardy and Lammers Hospitals are the most complex of building types. Each hospital is comprised of a wide range of services and functional units. These include diagnostic […]

Neuropsychiatric Complications of covid

They described the range of neurological and psychiatric complications that may be linked to the disease in the study published in the journal The Lancet Psychiatry. “There have been growing reports of an association between COVID-19 infection and possible neurological or psychiatric complications, but until now these have typically been limited to studies of ten […]

Mental, behavioural or neurodevelopmental disorders

 INTERNATIONAL CLASSIFICATION OF DISEASES – Mortality and Morbidity Statistics CHAPTER 06 This chapter has 161 four-character categories. Code range starts with 6A00 Mental, behavioural and neurodevelopmental disorders are syndromes characterized by clinically significant disturbance in an individual’s cognition, emotional regulation, or behaviour that reflects a dysfunction in the psychological, biological, or developmental processes that […]

Silicon nitride

Crucial immune cells failing to respond to virus An important set of immune cells is failing to respond properly to the novel coronavirus, providing a possible explanation for why some patients appear mildly ill at first and suddenly deteriorate, according to new research from Hong Kong. The dendritic cells are supposed to alert the immune […]

**Story of my wife who won a tough battle against severe Covid 19 (may be useful for understanding):

Covid19 was declared a pandemic in the first quarter of 2020. Everyone’s lives changed. We, the doctors who were looked down upon by the public, suddenly found ourselves in the midst of a revolution wherein we began to take the role of leading the healthcare battlefields from the frontlines. We knew our limitations and scarily […]

Did anyone ever realize how the Chinese did their wars in last 80 years?

All they did were border wars with Russia, Vietnam, Korea, Japan, India. They may have lots of weaponry. Have they ever done any significant bombing using a fighter plane? NO. They have a simple methodology when it comes to war. Irrespective of the faction or leader at the top, the war has to be just […]

Revised Discharge Policy for COVID-19

The revised discharge policy is aligned with the guidelines on the 3 tier COVID facilities and the categorization of the patients based on clinical severity (Available at: https://www.mohfw.gov.in/pdf/FinalGuidanceonMangaementofCovidcasesversion2.pdf) 1. Mild/very mild/pre-symptomatic cases Mild/very mild/pre-symptomatic cases admitted to a COVID Care Facility will undergo regular temperature and pulse oximetry monitoring. The patient can be discharged after […]

Diastolic dysfunction

Did you ever take the time to read an old cardiology journal – maybe, one from the late 80ies – early 90ies? In a way, it is amazing how much we already knew about diastolic dysfunction 30-40 years ago. But then again it is also disturbing to see how so many recommendations never made it […]

COVIDOLOGY

* Dear friends Dr Shashank Joshi, head of the covid response team in Mumbai, has coined the word covidology for the learning gems from corona experience. He is the man responsible for increasing the doubling time in mumbai to 28 days ( national average is 15 days) thus flattening the curve in Mumbai. In his […]

Colour coding for BMW

Whether or not you’ve been following our other articles about biomedical waste management, you probably know that the disposal of such garbage must be done in a certain manner: without damaging the environment, or endangering the safety of patients or medical staff. The sterilizing and removal methods are also highly dependent on the kind of […]

How is life on the first year of an MBBS?

“Mom, I won’t go to school today. Would you please let me sleep, turn off the alarm na !!!” Oh. I’m no longer in a school 😦 So what ?!? I am in a college right, who gives a shit about attendance. Lemme sleep. Anatomy Practical : Sleep kiddo sleep. I am gonna deal with […]

Managing emergencies

Nonischaemic Causes of Chest PainIllness/Condition Differentiating Symptoms and SignsReflux oesophagitis,  No ECG changesoesophageal spasm  No ECG changes Heartburn Worse in recumbent position, and also whilst straining, like anginapectoris The most common cause of chest pain. Be careful to recognize arisk patient who also has ischaemia.Pulmonary embolism  Tachypnoea, hypoxaemia, hypocarbia No pulmonary congestion […]

MRgFUS

MR-guided focused ultrasound (MRgFUS) is a novel surgical technique that can be used for incision-free ablative neurosurgery. Two Phase I clinical trials conducted at Sunnybrook Research Institute have demonstrated that MRgFUS appears to be safe and effective for patients with treatment-resistant obsessive compulsive disorders (OCD) and major depressive disorder (MDD). Of 12 study participants who […]

COVIDOLOGY

Dr Shashank Joshi, head of the covid response team in Mumbai, has coined the word covidology for the learning gems from corona experience. He is the man responsible for increasing the doubling time in mumbai to 28 days ( national average is 15 days) thus flattening the curve in Mumbai. In his discussion with Dr […]

एक चिकित्सक की आप बीती

🌹कोरोना से मुलाक़ात 🌹 लोकडौन शुरू हुए दो महीने बीत चुके थे और मैं अपने क्लिनिक नहीं जा रहा था ।लेकिन धीरे धीरे कुछ ढील मिलने पर और अपने मरीज़ों के बार बार आग्रह पर मैंने क्लिनिक जाने का निर्णय ले लिया ।हालाँकि मेरा परिवार ये बिल्कुल नहीं चाहता था ।उनका मानना था की मैं […]

Can death in Covid patients be prevented if trigger/s can be identified?

1. Timely detection of hypoxia can prevent death The first trigger is silent hypoxia or “happy hypoxia”. It appears more when fever subsides (between Day 7 to 9). It may occur in patients who have no comorbid conditions. Normally, in hypoxia, carbon dioxide levels are raised and the person is irritable. In hypoxia in Covid […]

Improving the mental health of Indian workers

        Feature Gajal Gupta With research from the India State-Level Disease Burden Initiative suggesting that as many as one in seven Indians may be a ected by mental health problems, there is a pressing need to focus on ways of supporting and improving the mental wellbeing of the […]

STRESS RESILIENCE

  MOLECULAR AND BEHAVIORAL ASPECTS Edited by ALON CHEN  Academic Press is an imprint of Elsevier 125 London Wall, London EC2Y 5AS, United Kingdom 525 B Street, Suite 1650, San Diego, CA 92101, United States 50 Hampshire Street, 5th Floor, Cambridge, MA 02139, United States The Boulevard, Langford Lane, Kidlington, Oxford OX5 1GB, […]

Key discussion point: Can death in Covid patients be prevented if trigger/s can be identified?

1. Timely detection of hypoxia can prevent death The first trigger is silent hypoxia or “happy hypoxia”. It appears more when fever subsides (between Day 7 to 9). It may occur in patients who have no comorbid conditions. Normally, in hypoxia, carbon dioxide levels are raised and the person is irritable. In hypoxia in Covid […]

My experience with COVID 19 infection and cytokine storm

Good morning to everyone Myself Dr. Ram Bihade. I have been treated for covid 19 pneumonia with cytokine storm. Today I have been discharged to home after 22 days. I intend to use this platform for sharing my experience. I became symptomatic on 23 may evening, I had high grade fever and severe headache. 5 […]

Indian Medical Association Healthcare under the ambit of MSME

 Benefits of MSME Registration Proof of Legal Existence Any MSME having Udyog Aadhar Registration is treated as a registered business entity in India. This is beneficial for Proprietorship Firms which otherwise do not have any other proof of existence in the name of proprietorship firms. Credit Facilities through Financial Institutions at lower rate of […]

Shedding of infectious virus in hospitalized patients with coronavirus disease-2019 (COVID- 19): duration and key determinants

medRxiv preprint doi: https://doi.org/10.1101/2020.06.08.20125310.this version posted June 9, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. All rights reserved. No reuse allowed without permission. Jeroen J.A. van Kampen M.D., Ph.D.1, David A.M.C. van de […]

radiation in covid

Human medical trials have begun on severely ill COVID-19 patients using low-doses of radiation. The first results on a very small group were published this week in a non-peer-reviewed journal that exists to get critical results out quickly to the scientific and medical community. The results were quite extraordinary. Researchers at Emory University Hospital, led […]