Category neuropsychiatry

हिंदुस्तान के अस्पतालों का इवोल्यूशन💥💥

———————————– फेसबुक पर कुछ क्रूसेडर लिख रहे हैं मालदीव्स के रिसॉर्ट्स से भी महंगे हैं दिल्ली ,एनसीआर के कॉर्पोरेट अस्पताल।बिल्कुल सही है, और होने भी चाहिए। 80 -90 के दशक तक ऐसा नही था। अस्पताल बहुत कम थे लेकिन उन पर अनावश्यक नियम कानूनों का , अनावश्यक उम्मीदों का बोझ नही था इसलिए कम होने […]

Cytokine storm – A Life changing experience

It was 12th May 2020 when I started my second round of obstetrics Covid Ward duty along with my team. We did three lscs of Covid suspect on the first day itself. Out of which first patient turned out to be positive for Covid-19. We were also managing one Covid suspect post LSCS day one […]

Can Mouthwash Douse the Spread of COVID-19?

News > Medscape Medical News Michael Vlessides June 12, 2020 • 9 Share Email ADD TO EMAIL ALERTS create-article-wrapper-contenet-template: xml_id: P1, isMultipage= false, page_id: 1 Editor’s note: Find the latest COVID-19 news and guidance in Medscape’s Coronavirus Resource Center. Can oral rinses help stop the spread of COVID-19? After reviewing evidence from more than 100 articles, researchers […]

Dominant Airborne Transmission of covid

We further elucidated the contribution of airborne transmission to the COVID-19 outbreak by comparing the trends and mitigation measures during the pandemic worldwide and by considering the virus transmission routes (Fig. 4). Face covering prevents both airborne transmission by blocking atomization and inhalation of virus-bearing aerosols and contact transmission by blocking viral shedding of droplets. […]

Lancet Editor Spills the Beans

by Vera Sharav Alliance for Human Research Protection Philippe Douste-Blazy, MD, is a cardiologist and former French Health Minister who served as Under-Secretary General of the United Nations. He was a candidate in 2017 for Director of the World Health Organization. Philippe Douste-Blazy, MD In a videotaped interview on May 24, 2020, Dr. Douste-Blazy provided […]

Media 😳

Media should behave in a sane and literate way….and society shud try to find the way , not just keep sitting in front of TV and be the best judge. आओ हमारे अस्पतालों में हमारे साथ कंधे से कंधा मिलाकर कुछ कदम चलने की हिम्मत दिखाओ। कुछ करके दिखाओ…वीडियो बनाना बहुत आसान है, कुछ हिम्मत […]

Drug and cosmetic act

(TobepublishedinPartI,Section3,Sub-section(i)oftheGazeteofIndia, Extraordinary,datedthe….) GovernmentofIndia MinistryofHealthandFamilyWelfare (DepartmentofHealthandFamilyWelfare) NewDelhi,the…………,2018 Notification. G.S.R._(E).-WHEREASthedraftoftheNew DrugsandClinicaltrialsRules, 2018 was published,in supersession ofPartXA and Schedule Y ofthe Drugs and CosmeticsRules,1945,andinexerciseofthepowersconferedbysection12andsection 33 of the Drugs and Cosm etics Act, 1940 (23 of 1940), in the Gazet te of India, Extraordinary,PartI,section3,sub-section(i),videnotificationnumberG.S.R.104(E), st datedthe1 February,2018,bytheCentralGovernment,afterconsultationwiththeDrugs TechnicalAdvisoryBoard,invitingobjectionsandsuggestionsfrom alpersonslikelytobe afectedthereby,beforetheexpiryofaperiodoffortyfivedaysfrom thedateonwhich copiesofthesaidGazetecontainingthesaidnotificationweremadeavailabletothe public; ANDWHEREAS,copiesoftheGazetecontainingthesaidnotificationweremade availabletothepubliconthe1stFebruary,2018; AND WHEREAS,alobjectionsandsuggestionsreceivedinresponsetothesaid draftnotificationhavebeendulyconsideredbytheCentralGovernment; N […]

NAtIONAL EtHICAL GUIDELINES FOR BIOMEDICAL AND HEALtH RESEARCH INvOLvING HUMAN PARtICIPANtS

  INDIAN COUNCIL OF MEDICAL RESEARCH 2017 Published by: Director-General Indian Council of Medical Research New Delhi 110 029 http://www.icmr.nic.in ISBN: 978-81-910091-94 October, 2017 Price: ₹ 500.00 © Copyright Indian Council of Medical Research The use of content from this book is permitted for all non-commercial purposes like education, training and dissemination of information, […]

Changing portrayal of doctors in Bollywood films: 1940 – 2020; time for introspection.

1  Satyendra Tyagi, MD Introduction  changing portrayal of doctors in Bollywood films in the last eighty years to see if it has been influenced by the ongoing changes in The Indian film industry is one of the largest cinema hubs in the world. Indian cinema, popularly referred to as Bollywood, is renowned not […]

RxISK

. The RxISK post on Medications Compromising Covid Infections resonated with many. Its basic premise that many of the drugs we are on might compromise our ability to fight the infection seems close to self-evident. It made a call to the powers that be to ensure that data was collected on the meds that people […]

Healthcare workers & SARS-CoV-2 infection in India: A case-control investigation in the time of COVID-19

[Downloaded free from http://www.ijmr.org.in on Wednesday, June 10, 2020, IP: 157.44.115.2] Indian J Med Res, Epub ahead of print DOI: 10.4103/ijmr.IJMR_2234_20 Pranab Chatterjee1,#, Tanu Anand7,#, Kh. Jitenkumar Singh2, Reeta Rasaily3, Ravinder Singh4, Santasabuj Das8, Harpreet Singh5, Ira Praharaj6, Raman R. Gangakhedkar6, Balram Bhargava† & Samiran Panda9 1Translational Global Health Policy Research Cell, †Department of Health […]

Covid

Government of India PIB Press Briefing 11th June 2020 1 Cases per Lakh Population amongst the Lowest in the World 800 700 600 500 400 300 200 100 746.8    91.67 93.2 204.1 209.5 220.6 332.8 230.9 338.3 425.9 389.6 589.5 517.5 605.7   20.77 0 World India Mexico Turkey Iran Germany […]

Coagulation abnormalities and thrombosis in patients with COVID-19

Comment            e438 http://www.thelancet.com/haematology Vol 7 June 2020 Published Online May 11, 2020 https://doi.org/10.1016/ S2352-3026(20)30145-9 Although most patients with coronavirus disease 2019 (COVID-19) predominantly have a respiratory tract infection, a proportion of patients progress to a more severe and systemic disease, characterised by treatment- resistantpyrexia,acutelunginjurywithacuterespiratory […]

COVID- 19 Infection Control During Reopening Efforts

Medical services, Offices, Manufacturing units, Hotels, Malls    JAAN JAHAAN BHI BHI  Shouldering Responsibility Of COVID -19 Decontamination • The Leader in disinfection • Specialized in surface and environment disinfection with US EPA certified products • Infection control products range to meet everyone requirements including Medical Services, Offices, Industry, Food Industry, Retails, […]

HOSPITAL ECONOMY IN COVID TIMES

Corona Virus is here to stay for quite some time, and so we have to change our ways of Medical Practice, to keep ourselves , our families and our staff safe. Here are some important tips for safe practice , though every one can add or modify to some extent, depending upon his type of […]

*Naam Nishan Aur Namak.*

(This is a story of leadership told by *Subedar Major Darbara Singh* to NDA cadets in the mid eighties:) NDA Cadets from the early to mid eighties will remember the imposing frame of SM Darbara Singh. During the rehearsal for the Passing out Parade in 1985, the cadets were in a particularly rebellious mood. The […]

Food

 YOUR Plan of Action TO BE FIT, FINE & HEALTHY LIFE-LONG   Continuously living in the hormones of stress, fear and anxiety will just invite more diseases. Instead let us start living with more awareness and right knowledge.  IMMUNITY BOOSTING FOODS  DRUMSTICKS – Drumstick is one of the superfoods which helps […]

‘It didn’t kill me, but I came out stronger’

A nurse contracted COVID-19 from one of his patients, recovered, and returned to work with much more resolve and compassion /noindexstartindex Eugene, a 32-year old nurse, left the elderly care home early on 1 April eager to spend time with his wife and five-month old son at their newly built house just outside of Vienna. […]

Zinc and covid

Abstract. In view of the emerging COVID‐19 pandemic caused by SARS‐CoV‐2 virus, the search for potential protective and therapeutic antiviral strategies is of particular and urgent interest. Zinc is known to modulate antiviral and antibacterial immunity and regulate in ammatory response. Despite the lack of clinical data, certain indications suggest that modulation of zinc status […]

COVID-19 – Sample collection guidelines

April 1, 2020 Indian Council of Medical Research – National Institute of Epidemiology Scope of this document: To be used by hospitals involved in collecting samples for COVID-19 testing Purpose: This document gives information on sample collection, packing and transport to laboratory for COVID-19 testing Responsibilities:  Clinician: o To identify the appropriate patient for […]

U can manipulate data

U can manipulate data and the basic concept of ” Evidence based Medicine” – is thrashed when u learn that Evidence is sold in market Most prestigious journals (LANCET, NEJM) loose credibility and I believe- This is not new. In the field of Diabetes- Pioglitazone was banned by recommendations of big shots who are funded […]

*Latest from CDC, USA*

*[07/06, 12:10]:* *The US government’s Centre for Disease Control has made official the emerging scientific evidence on Coronavirus transmission:* Very low risk of transmission from surfaces. Very low risk from outdoor activities. Very high risk from gatherings in enclosed spaces like offices, religious places, cinema halls or theatres. These findings that have been emerging for […]

Corona virus acrophobic?

Remember, we told you understanding novel coronavirus, which is officially called SARS-CoV-2 and which causes Covid-19, is a continuous process as of now? Bio-chemical scientists are devoting maximum energy to decode the behaviour of the coronavirus. Now, a group of researchers have found that SARS-CoV-2, which has frightened the most powerful governments, may be fearful […]

ABCDEFGHIJ

Dr Jagdish Hiremath, renowned interventional cardiologist, credited with successful use of “reversal of heart disease program”  shares his expertise for the medical fraternity here. Cardiovascular diseases are on the rise and among the “stressed” community of doctors! Overall the incidences of smoking among doctors has gone down drastically but the prevailing situation of stress makes every doctor prone to […]

Why should we let doctors decide who should be tested for Covid19 ?

1. It’sknownthattherearealargenumberofCovidpositive asymptomatic individuals. These people if undergoing surgery under anesthesia would be at high risk to develop lung complications after surgery. If God forbid, someone was to die and we are asked, could you have done any test to avoid this death, what are we to say ? That someone from the government gave […]

COVID-19 human challenge studies: ethical issues

Euzebiusz Jamrozik, Michael J Selgelid COVID-19 poses an extraordinary threat to global public health and an e ective vaccine could provide a key means of overcoming this crisis. Human challenge studies involve the intentional infection of research participants and can accelerate or improve vaccine development by rapidly providing estimates of vaccine safety and e cacy. […]

COVID-19 Is Likely Airborne, Aerosol Scientist Says

6/4/2020 https://www.medscape.com/viewarticle/931320_print http://www.medscape.com   Brenda Goodman, MA May 28, 2020 Editor’s note: Find the latest COVID-19 news and guidance in Medscape’s Coronavirus Resource Center. Something has been bothering Kimberly Prather, PhD: everything she reads about COVID-19 points to a pathogen that travels through the air.  Kimberly Prather, PhD There’s how quickly it has […]

Bhagwad Gita and corona

     European Heart Journal (2020) 00, 1–2 doi:10.1093/eurheartj/ehaa489 COVID-19 and the healthcare workers Lessons from the Bhagavad Gita (the ‘Lord’s Song’) from India during these difficult times                         […]

How long does the coronavirus last inside the body?

SCIENCECORONAVIRUS COVERAGE PHOTOGRAPH BY SEFA KARACAN, ANADOLU AGENCY VIA GETTY IMAGES READ CAPTION 3D image of tomography datas displaying Covid-19 symptoms on lungs and the overall damage… Read More PHOTOGRAPH BY SEFA KARACAN, ANADOLU AGENCY VIA GETTY IMAGES Researchers are narrowing down how long the virus persists inside the body and whether people can be […]

Guidelines for Quarantine facilities COVID-19

  The purpose of this document is to provide interim guidance for setting up of quarantine facilities 1 Guidelines for Quarantine facilities   Topic Contents Page No. Introduction 3 Evaluation of Potential Sites 4 Risk assessment of the quarantine facility 5 Securing Entry and Exit points Human resource Deployment, training, IEC, Clinical Examination […]

COVID-19  CHECKLIST FOR MONITORING AND SUPPORTIVE SUPERVISION

Private facilities Name of hospital: Category: Clinic/Polyclinic/Nursing Home/Multi speciality Hospital Address: District: Division: State:   Facility Nodal officer- Name – Designation- Contact number – Whether entire hospital/ Block(s) within hospital is dedicated for COVID care/non-COVID (Tick as Applicable) Whether the facility is functional/being made functional (for COVID)/NA (Tick as Applicable)   Numbers/Quantity of : • […]

INDIAN MEDICAL ASSOCIATION MANUAL FOR HOSPITAL PREPAREDNESS AND MANAGEMENT OF COVID19

Table of Contents S. no. Page no. 1. 3 2. 6 3. 8  Contents Introduction Case definition Triaging  SECTION A 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. SECTION B 1. 2. 3. 4. SECTION C 15. 16. 17. 18. COVID FACILITY Testing strategy (India) Patient management Chart of covid […]

OPD Practice Post COVID-19 Lockdown Lift

     Clinical Practice Guidelines June 2020     Introduction: Developing a pandemic safety plan in the wake of covid19 is crucial. Healthcare workers are at the front line of the outbreak. Alongside concerns for their personal safety, they are anxious about possibly infecting their families and other staff working […]

Over View of COVID 19

Virology- • •SARS-CoV-2 is a β-coronavirus. • •Coronaviruses(CoV) are divided into four genera, including α−/β−/γ−/δ-CoV. • •α-and β-CoVare able to infect mammals, while γ-and δ-CoVtend to infect birds. • •αCoVcause mild respiratory infection in humans • •Other two known β-CoVsare SARS-CoVand MERS-CoVcause severe and potentially fatal respiratory tract infections . Modes of transmission • Droplet […]

Covid task force

Important points from the panel discussion of Dr.Sanjay Oak, Chairman Covid Task Force, Maharashtra and Dr.Shashank Joshi ,Dean ,Indian college of Physicians. *Mumbai* 1.Covid 19 positive patient if symptomatic and having comorbidities should only be admitted. 2.Initial line of treatment Vit C 1000 mg per day plus Zinc 50 mg per day plus Tab HCQ […]

COVID-19  CHECKLIST FOR MONITORING AND SUPPORTIVE SUPERVISION

Private facilities Name of hospital: Category: Clinic/Polyclinic/Nursing Home/Multi speciality Hospital Address: District: Division: State:   Facility Nodal officer- Name – Designation- Contact number – Whether entire hospital/ Block(s) within hospital is dedicated for COVID care/non-COVID (Tick as Applicable) Whether the facility is functional/being made functional (for COVID)/NA (Tick as Applicable)   Numbers/Quantity of : • […]

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

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 […]

Guidelines Update

 COVID- The clinical guidance provided in this booklet is for informa on and educa on purpose only. The content of this booklet is intended to offer healthcare professionals guidance regarding the best prac ces in caring for and trea ng pa ents infected by COVID-19. It is not necessary that adhering to any of […]

Be Smart Be Prepared Disaster Survival Guide

  A publication of : National Disaster Management Authority Government of India NDMA Bhawan A-1, Safdarjung Enclave New Delhi – 110 029 September 2019                            ç/kku ea=h Prime […]

Being doctor

http://www.amazon.in/dp/B088RLZ61Q/ref=cm_sw_r_oth_api_i_b.Z0EbCHH6KQ1

bali

dubai

salzburg

cape town

ICMR EPIDEMIOLOGICAL STUDY

ICMR has published a good epidemiological summary paper of COVID-19 cases from Jan22-April30 in India I encourage you to read it at ijmr.org.in/temp/IndianJMe… Here are key insights for me from this paper Only 60% of COVID-19 cases have Fever at point of testing(thermal screening less likely to work in 40%). 31% have breathlessness (they present […]

Drug use and Addiction: Evolutionary Perspective

http://anp.sagepub.com/ Russil Durrant, Simon Adamson, Fraser Todd and Doug Sellman Aust N Z J Psychiatry 2009 43: 1049 DOI: 10.3109/00048670903270449 The online version of this article can be found at: http://anp.sagepub.com/content/43/11/1049 Published by: http://www.sagepublications.com On behalf of: The Royal Australian and New Zealand College of Psychiatrists Additional services and information for Australian and New Zealand […]

The evolutionary origins and significance of drug addiction

 BioMed Central Review Tammy Saah* Address: Stanford University School of Medicine, Transplant Immunobiology Laboratory, USA Email: Tammy Saah* – tammysaah@yahoo.com * Corresponding author Published: 29 June 2005 Received: 09 August 2004 Accepted: 29 June 2005 Harm Reduction Journal 2005, 2:8 doi:10.1186/1477-7517-2-8 This article is available from: http://www.harmreductionjournal.com/content/2/1/8 Open Access © 2005 Saah; licensee BioMed […]

Opioid receptors: drivers to addiction?

Emmanuel Darcq1 and Brigitte Lina Kieffer 1,2* Abstract | Drug addiction is a worldwide societal problem and public health burden, and results from recreational drug use that develops into a complex brain disorder. The opioid system, one of the first discovered neuropeptide systems in the history of neuroscience, is central to addiction. Recently, opioid receptors […]

Cleaning masks 🎭

PHOTOGRAPH BY BOBBY DOHERTY, NATIONAL GEOGRAPHIC READ CAPTION If you do venture out wearing masks and gloves, here’s how to clean them, when to dispose of them… PHOTOGRAPH BY BOBBY DOHERTY, NATIONAL GEOGRAPHIC SCIENCECORONAVIRUS COVERAGE Here’s the best way to clean your face mask Whether you’re wearing a disposable surgical mask or a cloth bandana, […]

Covid 19: We need neither vaccine nor herd immunity

I had said in an earlier blog article that the SARS Cov-2 virus responsible for the current pandemic is likely to evolve rapidly towards reduced virulence. The reason why I expect this is that on the one hand, almost all countries are implementing strict quarantine measures for all detected positive cases. But on the other […]