Category neuropsychiatry

How to increase opd

 History of professional etiquette Hospitals as we know them didn’t exist until the first Muslim-built “bimaristan” was established in Baghdad in 9th AD. Till late 19th century AD, doctors occupied a fairly low status in the society. From Roman times and throughout the European middle ages, doctors were subjected to and endured any indignity […]

For Kolkata / Bengal only:

I am a person who has returned home after recovering from corona. After returning home, I see in the news that corona affected patient cannot be admitted to hospital and is leaving this world at last. It is a very sad and tragic event. So I would like to share my experience with hospitalization. I […]

Goodbye, Doctor

�© Dr. Rajas Deshpande “Screw this satisfaction. Dump this happiness. Can you try to understand that I am fed up of both?” said Dr. Sahil. He was one of the busiest and most respected specialist in our town. Surprised at a superspecialist friend speaking this, still impressed by his ability to identify and speak the […]

Masks

Technical Bulletin May, 2020 Revision 4 Comparison of FFP2, KN95, and N95 and Other Filtering Facepiece Respirator Classes                          Description Filtering facepiece respirators (FFR), which are sometimes called disposable respirators, are […]

TREATMENT PROTOCOL FOR COVID19 PATIENTS

(VERSION 3.0) DISCLAIMER: This Recommendation is derived from the prevailing trials published and collation of various guidelines. These guidelines would change with the evolving evidences DEFINITIONS: • ILI is defined as one with acute respiratory infection –  with fever ≥ 380 C (100.40F) and –  cough –  with onset within last 10 days • SARI […]

Consumer Protection Act – 2019 and Rule – 2020

From 20/07/2020 it is to be implemented by Notification in Gazette After this news I have received almost 500 messages from different parts of India. A few were congratulating for removal of medical professionals from the ambit of CPA-2020 now on. I felt that rather than replying all individually I should put forward my stand […]

Comparison on Consumer Protection Act 1986 with the New Consumer Protection Act 2019 notified on 20.07.2020 for implementation.

By N.Naresh Kumar, HRO, NICL. In exercise of the powers conferred by sub-section (3) of section 1 of the Consumer Protection Act, 2019 (35 of 2019), the Central Government hereby appoints the 20th day of July, 2020 as the date on which the following provisions of the said Act shall come into force. Objective of […]

Virus

Doctor Patricio Avendaño, a cardiologist at U. De Chile who attends the German clinic, points out the tips to avoid contagion: * The virus is not a living organism, but a protein molecule (DNA) covered by a protective layer of lipids (fat) that, when absorbed by the cells of the ocular, nasal or oral mucosa, […]

*COVID Treatment Protocol : simplified*. 29/ 05/20

1) *All covid positive patients* * *Tab HCQ* 400 twice a day for 1 day Then 200 twice a day for 4- 9 days * *Tab Oseltamivir* 1-0-1 for 5 days * *Tab Ivermectin* 12mg twice a day for 2 days * *Tab Doxy* 100 twice a day for 5 days. ( In case of […]

“Covid Straight Drives”

*Salient points *1.* Having symptoms, fever high grade, cold, sore throat, cough, malaise at this time of Pandemic should be taken as suspected covid. *2.* Day 2 to Day 5 of symptoms to get the Real Time PCR and more likely to come positive. (at present so called gold standard) No Antigen test. *3.* HRCT […]

Lessons learned from 108 doctor deaths in India:

Dr Rajeev Jayadevan, 16 July (Link to original paper and other references are embedded/hyperlinked in the text below) 1. No age group appears to be immune to the pandemic. Unlike western countries where most of the deaths are among older age groups, published mortality data from Maharashtra and UP show that over 60% of deaths […]

*From Dr. Fauci…*

“Chickenpox is a virus. Lots of people have had it, and probably don’t think about it much once the initial illness has passed. But it stays in your body and lives there forever, and maybe when you’re older, you have debilitatingly painful outbreaks of shingles. You don’t just get over this virus in a few […]

End

 When will the Covid-19 Pandemic End ? Levitt’s Metric on Indian Data Bhaskaran Raman, Dept of CSE, IIT Bombay 13 July 2020   Opening Remarks, Disclaimers ●  What you will see is childishly simple (high school math) [and hence blindingly brilliant] ●  It is nothing new: it has been known since Mar/Apr ● […]

Bacillus Calmette–Guérin vaccine, antimalarial, age and gender relation to COVID-19 spread and mortality

Vaccine 38 (2020) 5564–5568    Contents lists available at ScienceDirect Vaccine journal homepage: http://www.elsevier.com/locate/vaccine  Commentary Ahmed Osama El-Gendy a, Haitham Saeed b, Ahmed M.A. Ali c,d, Hossam M. Zawbaa e, Dina Gomaa f,g, Hadeer S. Harb b, Yasmin M. Madney b, Hasnaa Osama b, Mona A. Abdelrahman b, Mohamed E.A. Abdelrahim b,⇑ […]

Covid-19 symptoms: What we know now and what to do

(CNN)It may feel like years, but the world has only been battling the deadly novel coronavirus for months. As scientists feverishly work around the clock to unravel the mysteries of this deadly invader, they have gained interesting insights into the virus and the disease it causes: Covid-19. “We know more now about how it makes […]

Masks

Docs!  Wear a mask scientifically. Nothing else will save you !!!!!  Dr Mahesh Holeyannavar MD FPCC   Wearing a STANDARD mask properly is of utmost importance in today’s situation.   Here are some key observations in scientific studies 1. N95 MASK ( STANDARD ONE) SEEMS TO DO THE JOB EFFECTIVELY. AGAINST […]

Usefulness of Ivermectin in COVID-19 Illness

Amit N. Patel MD, MS1,2; Sapan S. Desai MD PhD Usefulness of Ivermectin in COVID-19 Illness Amit N. Patel MD, MS1,2; Sapan S. Desai MD PhD MBA3; David W. Grainger PhD1; Mandeep R. Mehra,MD, MSc4 1Department of Bioengineering, University of Utah, Salt Lake City, UT; 2HCA Research Institute, Florida; 3Surgisphere Corporation, Chicago, Illinois; 4Brigham and […]

physicians’ lounge

I recently read an article about how the physicians’ lounge, which was once present in every hospital and an important congregating area for doctors during the day, is now mostly a thing of the past. Although the article was not a new one, it peaked my interest because I’ve witnessed the demise of the physicians’ lounge at […]

Donepezil Treatment in Patients With Depression and Cognitive Impairment on Stable Antidepressant Treatment: A Randomized Controlled Trial

 HHS Public Access Author manuscript Am J Geriatr Psychiatry. Author manuscript; available in PMC 2019 March 01.   Published in final edited form as: Am J Geriatr Psychiatry. 2018 October ; 26(10): 1050–1060. doi:10.1016/j.jagp.2018.05.008. Davangere P. Devanand, M.D., Gregory H. Pelton, M.D., Kristina D’Antonio, M.S.W., Adam Ciarleglio, Ph.D., Jennifer Scodes, M.S., Howard Andrews, […]

Fever, Chills, and Night Sweats

Chapter Dall L, Stanford JF. In health, body temperature is regulated around a set point of 37 ± 1°C, and a circadian temperature rhythm exists in which the highest temperature of each day occurs around 6 p.m. The variance between the highest and lowest core temperature in a given day is usually no more than […]

CORONA UPDATE-6

Compiled by Dr. Narendra Malhotra, Dr. Neharika Malhotra, Dr. Jaideep Malhotra, Dr. Keshav Malhotra Special Inputs CORONA INDIA IN JULY by Prof. K. K. Aggarwal SARS-COV-2 pandemic is still on the way of spreading. The curve has not flattened and the disease has not shown any signs of regression in numbers. The pandemic is predicted […]

Gender and Mental Health Combining Theory and Practice

Gender and Mental Health Meenu Anand Editor 1 3 Editor Meenu Anand Department of Social Work University of Delhi New Delhi, Delhi, India ISBN 978-981-15-5392-9 ISBN 978-981-15-5393-6 (eBook) https://doi.org/10.1007/978-981-15-5393-6 © Springer Nature Singapore Pte Ltd. 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of […]

Tracking changes in SARS-CoV-2 Spike: evidence that D614G increases infectivity of the COVID-19 virus

Journal Pre-proof Tracking changes in SARS-CoV-2 Spike: evidence that D614G increases infectivity of the COVID-19 virus B. Korber, W.M. Fischer, S. Gnanakaran, H. Yoon, J. Theiler, W. Abfalterer, N. Hengartner, E.E. Giorgi, T. Bhattacharya, B. Foley, K.M. Hastie, M.D. Parker, D.G. Partridge, C.M. Evans, T.M. Freeman, T.I. de Silva, C. McDanal, L.G. Perez, H. Tang, […]

Corona Virus Infection

Precautions & Treatment Pbn. Dr.(Prof.) Manju Kaushal ABVIMS, Dr. RML Hospital, New Delhi    COVID – 19   • Corona virus disease (COVID-19) is an infectious disease caused by a newly discovered virus. • Most people who fall sick with COVID-19 will experience mild to moderate symptoms and recover without special treatment. […]

WHAT IS CO-RADS ?

HOW TO INTERPRET HRCT REPORT WHAT IS CO-RADS ? WHAT IS CT SEVERITY SCORE ?  HRCT REPORT TEMPLATE LOW DOSE H.R.C.T. CHEST SCREENING (L.D.C.T.S.): IMPRESSION: Findings are suggestive of atypical viral pneumonia, possibility of COVID-19 infection. (CO-RADS V). CT severity score 9 / 25 (Moderate)       What is CO-RADS??? […]

Using neuroscience to make feedback work and feel better

Research shows that using feedback is how organisms — and organizations — stay alive. Here’s how leaders can make the most of the anxiety-producing process. by David Rock, Beth Jones, and Chris Weller August 27, 2018 A version of this article appeared in the Winter 2018 issue of strategy+business. Not too long ago, 62 employees […]

COVID PROTOCOL*

    MILD   MODERATE   SEVERE Clinical Criteria  SPO2  > 94 % in Room Air  90 – 94 % in Room Air < 90 % in Room Air RR < 24 / min 24 – 30 > 30  No Pneumonia  Pneumonia +  Pneumonia ++ […]

WHAT IS CO-RADS ? WHAT IS CT SEVERITY SCORE ?

HOW TO INTERPRET HRCT REPORT WHAT IS CO-RADS ? WHAT IS CT SEVERITY SCORE ?  HRCT REPORT TEMPLATE LOW DOSE H.R.C.T. CHEST SCREENING (L.D.C.T.S.): IMPRESSION: Findings are suggestive of atypical viral pneumonia, possibility of COVID-19 infection. (CO-RADS V). CT severity score 9 / 25 (Moderate)       What is CO-RADS??? […]

WPBeginner Turns 11 Years Old – Reflections and Updates (+ Giveaway)

Last updated on July 4th, 2020 by Syed Balkhi 828 SHARES Share Tweet Share Pin Today is July 4th which means WPBeginner is officially 11 years old. We’ve come a long way Like every year, I want to take a few minutes and do a quick recap of all the major things happening in business […]

RT PCR – (Throat Swab) –

If positive , Cycle Threshold (Ct) values have to be compulsorily given in report according to *new ICMR rules* *Ct value* is the number of cycles required to detect the viral antigen. Lower the value (more viral load) higher the risk. Ct Values : Value between 17 to 24 – High Viral Load. Value between […]

प्राइवेट अस्पतालों का एनकाउंटर

💥💥 —————————– अपने एक वीडियो में सद्गुरु ने जितने प्रभावशाली तरीके से प्राइवेट हॉस्पिटल्स पर लूट के आरोपों का जवाब दिया है उतना अच्छा जवाब शायद कोई प्राइवेट हॉस्पिटल का मालिक भी न दे पाए।वो प्रश्न पूछने वाली वकील साहिबा से कहते हैं ,”आपके समाज ने स्वयं इस खूबसूरत सेवाभावी प्रोफेशन को व्यवसाय यानि बिज़नेस […]

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 […]

A psychiatry trainee’s struggle with depression

Anurag Kumar Jun 21 · 6 min read I am a psychiatry resident diagnosed with severe depressive episode. While I can’t say that I have recovered completely (as of June 2020), I am far away from the clutches of extreme suicidality. It all started in the cold days of December 2019 when I was relatively […]

A Psychiatrist’s Guide to Advocacy

Edited by Mary C. Vance, M.D., Katherine G. Kennedy, M.D., Ilse R. Wiechers, M.D., M.P.P., M.H.S., and Saul Levin, M.D, M.P.A. • 2020 458 Pages Editorial Reviews • ISBN 978-1-61537-233-1 • Item #37233 • Paperback • eBook Tabs to Accordion Description Overcoming fear, ambivalence, and inertia to act on behalf of self or others can […]

Academic degrees or professional experience- Which is more important legally? Dr. MC Gupta answers

M3 India Newsdesk Oct 10, 2019 A A A Read on to find the right answer from Dr. MC Gupta, who also defines the scope of work for MBBS doctors, general surgeons, and DNB trained professionals. Which is more important legally—Academic Degrees or professional experience? ANSWER 1—The answer to this question is straightforward. In general, […]

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 […]