Category neuropsychiatry

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

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bali

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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 […]

Covid is airborne?

May 27, 2020 — Something has been bothering Kimberly Prather, PhD: Everything she reads about COVID-19 points to a pathogen that travels through the air. There’s how quickly it has spread around the world, studies showing how it spreads through restaurants (maybe by the air conditioning system?), how it attacked a church choir even though […]

Delhi covid scene

Hi, this is Dr. Ambarish Satwik . Allow me to state a few elementary facts. Community transmission of COVID is properly underway and the epidemic is just about taking off in Delhi. The numbers are rapidly increasing and it’s expected to peak in July, which means that on its downturn, the curve is likely to […]

BAD IDEA ?

As the number of coronavirus infections increases rapidly, scientists and health experts are clear that herd immunity isn’t going to bail the world from this deadly pandemic. Herd Immunity is a benchmark which is reached when the majority of the population develops resistance to a contagious disease — thereby developing antibodies that can immune the […]

Alcohol and API

1. APA recommends (1C) that the initial psychiatric evaluation of a patient with suspected alcohol use disorder include assessment of current and past use of tobacco and alcohol as well as any misuse of other substances, including prescribed or over-the-counter medications or supplements. 2. APA recommends (1C) that the initial psychiatric evaluation of a patient […]

HCQ

Revised advisory on the use of Hydroxychloroquine (HCQ) as prophylaxis for COVID-19 infection (in supersession of previous advisory dated 23rd March, 2020) 1. Background The Joint Monitoring Group under the Chairmanship of DGHS and including representatives from AIIMS, ICMR, NCDC, NDMA, WHO and experts drawn from Central Government hospitals reviewed the prophylactic use of Hydroxychloroquine […]

Covid

All health care workers will have a breakdown, have patience for them, you really don’t understand what they are going through. They are carrying burdens and worries they can’t discuss with you. They find out things before the general public they can’t share with you. They feel unsure. They are questioning everything they used to […]

DIET CHARTS

Dr.Kanagaraju.c.g Sr.M.O 9810134122 Index 1. 1400 Cal Diabetic Diet 2. 1200 Calories Diet Example 3. 1400 Calories Diet Example 4. 1600 Calories Diet Example 5. 1800 Calories Diet Example 6. 2000 Calories Diet Example 7. Delhi Diabetic Forum 8. Diet on Ulcerative Colitis 9. Home remedy for Kidney Stones 10. Irritable bowel syndrome: Controlling symptoms […]

Dark side of science

Science Has an Ugly, Complicated Dark Side. And the Coronavirus Is Bringing It Out. Experts say the pandemic is letting bad science slip through the cracks.  Mother Jones illustration; Getty The coronavirus is a rapidly developing news story, so some of the content in this article might be out of date. Check out our […]

Schizophrenia

Covid

Last week I faced the task of telling brand-new parents that their 2-lb premature son needed emergency surgery. The conversation was all the more difficult because, surgery or no surgery, odds were he would die. They agreed to the procedure with one request: that we allow his grandparents and uncles the chance to meet him […]

Dehradun song

One of the 50th Anniversary of rarest BEATLE songs… ‘Dehradun’ by GEORGE HARRISON – It is one of the rarest Beatles’ songs. The words of the haunting song capture the gypsy-like spirit of the town, especially as it used to be in the sixties. The lyrics of the song: _‘Dehra Dehra Dun, _Dehra Dun Dun_ […]

Psychosocial Support for Children during COVID-19

   A Manual for Parents and Caregivers    FOREWORD As COVID-19 pandemic continues to expand in India and in the world, only one thing is certain: the current outbreak will have profound impact not only in the health and economic situation, but also on the psychosocial well-being of societies across nations. […]

NO MORE LOCKDOWN

The nationwide lockdown will no longer help India in its fight against COVID-19, and in its place community-driven containment, isolation and quarantine strategies have to be brought into play, leading virologist Shahid Jameel said. Also watch: Bihar, UP begin to witness a sudden spike in coronavirus cases (Video by News18)Click to expand Ad 00:25 – up […]

HCQ advisory

 भारतीय आयु वि ान अनुसंधान प रषद वा ्य अनुसंधान वभाग, वा ्य और प रवार क याण म ं ालय, भारत सरकार Date: 22/05/2020 Revised advisory on the use of Hydroxychloroquine (HCQ) as prophylaxis for SARS-CoV-2 infection (in supersession of previous advisory dated 23rd March, 2020) 1. Background The Joint Monitoring Group under […]