*Which antidepressants have greater or lesser risk in bipolar depression?* . If we do decide to prescribe an antidepressant to a person with bipolar disorder, are there particular antidepressants that are either better or worse than others in terms of the risk? Please note that: – Here we are not focusing on whether they help […]

 ► Additional material is published online only. To view please visit the journal online (http://dx.doi.org/10.1136/ postgradmedj-2021-139923). 1Internal Medicine, RG Kar Medical College and Hospital, Kolkata, India 2Neurology, Institute of Postgraduate Medical Education and Research, Bangur Institute of Neurology, Kolkata, West Bengal, India 3Critical Care Medicine, RG Kar Medical College and Hospital, Kolkata, West Bengal, […]

 Pharmacotherapy for Insomnia Charles F. Reynolds, III, M.D. Distinguished Professor of Psychiatry & UPMC Endowed Professor in Geriatric Psychiatry (Emeritus), University of Pittsburgh School of Medicine; Adjunct Professor of Psychiatry, Tufts University School of Medicine/MMC   Pharmacologic Treatments for Insomnia Drug Comment • BZD • Zolpidem • Zopiclone • Temazepam • Doxepin • […]

Comments on the Lancet Editorial. Vol 397 May 8, 2021 To The Editors, The Lancet. Respected Editors, Greetings from India. First we take this editorial seriously, and accept its postulates. 1. That India declared its victory too early with health minister Harshvardhan calling it an end game, disregarding warning. 2. Assuming herd immunity with 21% […]

Fact Check: Why does an oximeter display ‘oxygen level’ of pens? In the midst of the deadly second wave of Covid-19, a video of an oximeter displaying the “oxygen level” of a sketch pen is making the rounds on social media. Fast Delivery | 1 Yr Warranty Medical Grade For Hospitals | Infrared Remote Control: […]

Sarojini Naidu, the eldest daughter of scientist-philosopher, Aghornath Chattopadhyaya, and Barada Sundari Devi, a poetess was born on 13 February 1879 in Hyderabad. her father was also a linguist, a crusader, who established the Nizam’s College in Hyderabad in 1878, pioneering English and women’s education. she studied at the King’s College, London and Girton College, Cambridge. […]

“Modelling analyses showed an increase in vaccine efficacy after two standard doses from 55·1% (95% CI 33·0 to 69·9) with an interval of less than 6 weeks to 81·3% (60·3 to 91·2) with an interval of at least 12 weeks. A single standard dose had an efficacy against symptomatic COVID-19 in the first 90 days […]

MEGAN MOLTENIBACKCHANNEL05.13.2021 06:00 AM The 60-Year-Old Scientific Screwup That Helped Covid Kill All pandemic long, scientists brawled over how the virus spreads. Droplets! No, aerosols! At the heart of the fight was a teensy error with huge consequences. PHOTOGRAPH: NAILA RUECHEL EARLY ONE MORNING, Linsey Marr tiptoed to her dining room table, slipped on a […]

Sarojini Naidu Medical College & Hospital,a specialized Tertiary Level Health Care Institution is situated in Agra. Agra, an historical city is famous for its monuments of archeological importance, the major among which are Taj Mahal, one of the Seven Wonders of the World, Fort and Fatehpur Sikri. The antiquity of Agra goes back to the […]

Why COVID Patients Die Between Midnight & 3 am And How TN Doctors Are Addressing This A fall in oxygen saturation during sleep has led to a tweak in treatment protocol Sandhya Ravishankar Sandhya Ravishankar Jun 22, 2020, 2:41 PM About two and half months ago, government doctors in Tamil Nadu wracked their brains over […]

American Journal of Therapeutics 28, e299–e318 (2021)  Review of the Emerging Evidence Demonstrating the Efficacy of Ivermectin in the Prophylaxis and Treatment of COVID-19 Pierre Kory, MD,1* Gianfranco Umberto Meduri, MD,2 Joseph Varon, MD,3 Jose Iglesias, DO,4 and Paul E. Marik, MD5 Background: After COVID-19 emerged on U.S shores, providers began reviewing the emerging […]

Fungal Infection Study Forum (FISF) recommendation http://www.fisftrust.org References 1. RECOVERY Collaborative Group. Dexamethasone in Hospitalized Patients with Covid-19. N Engl J Med. 2021 Feb 25;384(8) 2. WHO Rapid Evidence Appraisal for COVID-19 Therapies (REACT) Working Group, . Association Between Administration of Systemic Corticosteroids and Mortality Among Critically Ill Patients With COVID-19: A Meta-analysis. JAMA. 2020 […]

हिंदुस्तान के अस्पतालों का इवोल्यूशन सोशल मीडिया पर कुछ लोग लिख रहे हैं मालदीव्स के रिसॉर्ट्स से भी महंगे हैं दिल्ली ,एनसीआर के कॉर्पोरेट अस्पताल।बिल्कुल सही है, और होने नही चाहिए। पर किसने बनाया? 80 -90 के दशक तक ऐसा नही था। अस्पताल बहुत कम थे लेकिन उन पर अनावश्यक नियम कानूनों का , अनावश्यक […]

COVID-19 patient Mild disease Moderate disease Severe disease  Any one of: 1. Respiratory rate > 24/min, breathlessness 2. SpO2: 90% to < 93% on room air  Any one of: 1. Respiratory rate >30/min, breathlessness 2. SpO2 < 90% on room air Upper respiratory tract symptoms (&/or fever) WITHOUT shortness of breath or hypoxia […]

Anticoagulation Dosing Guideline for Adult COVID-19 Patients Enoxaparin is the preferred first line anticoagulant for patients diagnosed with COVID-19. The incidence of HIT with enoxaparin is less than 1%. 1. 2. 3.  VTE Prophylaxis:   VTE prophylaxis will be considered for COVID-19 patients who are low risk.  Low risk COVID-19 patient  […]

A ripping write up byJustice Debangshu Basak against interference by Courts these days : Hon’ble Lordships, There is a India beyond Delhi. This shouldn’t come as a surprise to your Lordships as many of you have practiced in different courts across the country and have been a part of various High Courts as Hon’ble Judges […]

Version 40 (updated 10th May 2021)   Suspect COVID when: -Fever >38 C, coryza, sore throat, cough, dyspnea -Muscle pain, chills, repeated shaking with chills, conjunctivitis, loss of taste or smell, headache, nausea, diarrhea, hepatitis, acute abdominal pain, new skin signs around toes, rash with or without enanthem, myocarditis, STEMI, ischemic/hemorrhagic stroke, encephalitis, altered […]

Redox Biology 43 (2021) 101976   Contents lists available at ScienceDirect Redox Biology journal homepage: http://www.elsevier.com/locate/redox   Review article The central role of mitochondrial tness on antiviral defenses: An advocacy for physical activity during the COVID-19 pandemic Johannes Burtschera,b,*, Martin Burtscherc, Gr ́egoire P. Milleta a Institute of Sport Sciences, University of Lausanne, […]

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*Tips on Selecting the right oxygen concentrator!* Please read through before buying any concentrator. The most important is to understand Covid patients may require 90% Oxygen concentration at 1 to 5Litre flow and above 10L when they are suffering with acute respiratory discomfort. *90% oxygen concentration is the most important point here.* 1. We can […]

Lot of queries around CT chest Clarification for a few 1.When CT chest ? 5th to 7th day from the onset of symptoms Or when the patinet is dyspenoeic or in happy hypoxia 2.I had fever 5 days back – now I m ok – no dyspnea – do I need a CT ? NO […]

PLOS ONE    a1111111111 a1111111111 a1111111111 a1111111111 a1111111111 OPEN ACCESS Citation: Behera P, Patro BK, Singh AK, Chandanshive PD, S. R. R, Pradhan SK, et al. (2021) Role of ivermectin in the prevention of SARS-CoV-2 infection among healthcare workers in India: A matched case-control study. PLoS ONE 16(2): e0247163. https://doi.org/10.1371/journal. pone.0247163 Editor: Muhammad […]

*Covid Update-152* *When to get vaccinated after Covid 19 infection?* 🌹 *What various agencies have to say?* *CDC* The US’ Centres for Disease Control and Prevention (CDC) recommends that a covid recovered person should get vaccinated but CDC does not frame any time line. Though CDC clarifies that *If you were treated for COVID-19 with […]

Covid-19 Vaccines: What We Know So Far! (By Dr Vipin M. Vashishtha, MD) Global Scenario: 1-Ten different Covid-19 vaccines have shared their Phase III data; 2 based on mRNA, 4 on viral vector, 3 on inactivated & 1 on protein subunit platform 2-After 4 months of their trials, now there is a definite gradient in […]

COVID-19 Management with New Protocol Prof. Soumitra Ghosh MD (Cal), FRCP (Edin), FACE (USA), FACP (USA), SCOPE (UK) MD, FRCP (Edin), FACE (USA), DTCD, FICP MSc. Diabetes (UK), PG.Dip Diabetes (UK), DTCD (Cal), FICP Professor of Medicine Head, Obesity & Lifestyle Diseases Division Institute of Post-Graduate Medical Education & Research SSKM, Belle Vue & Nightingale […]

Determining the Appropriate Tapering Strategy By Carol Eustice Medically reviewed by Grant Hughes, MD on July 21, 2019 Table of Contents Table of Contents Why Taper? Withdrawal How to Taper What to Expect Alternatives Prednisone is a synthetic steroid with potent anti-inflammatory effects that is used to treat inflammatory types of arthritis and other conditions.1 […]

Part I. SARS-CoV-2 triggered ‘PANIC’1 attack in severe COVID-19 Elliot M. Frohman, Nicole R. Villemarette-Pittman, […], and Teresa C. Frohman Additional article information Abstract article-meta The coronavirus disease 2019 (COVID-19) pandemic has produced a world-wide collapse of social and economic infrastructure, as well as constrained our freedom of movement. This respiratory tract infection is nefarious […]

 A Training Manual for Counsellors April 2021  Rahbar A Field Action Project of the School of Human Ecology Tata Institute of Social Sciences In collaboration with National Disaster Management Authority   Psychosocial Support During The COVID-19 Pandemic: A Training Manual for Counsellors April 2021 By Rahbar A Field Action Project of the […]

Bouncing Back From COVID-19 Your Guide to Restoring Movement 1  The Impact of COVID-19 on Recovery and Rehabilitation As COVID-19 attacks the body and mind — our rehabilitation e orts aim to restore the whole person, helping you return to your previous quality of life. Common impairments of COVID-19 include weakness, fatigue and shortness […]

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Fact no. 1: Even though stimulant medications are very effective for ADHD in children and adolescents, only about half the patients get full improvement in the ADHD symptoms. Even with energetic and careful optimization of the dose of the stimulant in the MTA study, only 56% of children with ADHD reached symptom remission. Fact no. […]

Because the number of cases are huge. Simple. Cases were falling right from 71660 in October to 16110 around end of February. As cases fell, demand for Oxygen fell and nobody thought twice about restocking. When the cases surged, they surged too fast and the Oxygen stocks in states where cases are surging is getting […]

This man karan Thapar hates modi. He is intelligent enough to understand that SII vaccine is a contract between Poona wala and those who funded him and the company whose research the SII is using. Nothing was freely distributed. Because the vaccine is not indegenously developed, SII has contractual obligations to fulfill with regard to […]

Updated recommendation New recommendation (published on 27 May 2020 as part of more comprehensive clinical care guidance1) Within the Clinical Management of COVID-19 interim guidance published on 27 May 2020,1 WHO updated the criteria for discharge from isolation as part of the clinical care pathway of a COVID-19 patient. These criteria apply to all COVID-19 […]

IRIA PRESS STATEMENT (05-05-2021) The Indian Radiological and Imaging Association is shocked and disappointed at the recent comments by Dr Randeep Guleria, Director AIIMS on the use of CT Scans in the evaluation of Covid 19 patients, which has been widely circulated by the press and social media. The statement given by Dr Randeep are […]

Looking at overall confusion and panic in the society, and even doctors, we a group of AIIMS-trained doctors have tried to summerise what seems reasonable. *Consensus guidance of AIIMS-trained specialists (AIMS2Health.com) on treatment of COVID 19* Q-1: I am running fever for three days, should I go for RT-PCR/Rapid Antigen Test/CBNAAT? In the current situation […]

*Covid Update-149* Fever is seen in about 78% cases of Covid. *Most patients (45%)will have intermittent fever in range of 100.5 to 102°F* especially young *About one-third patients may have low grade fever upto 100.4°F especially in old age* In only 15% cases fever crosses 102°F. About 15% cases can have fever with chills. Fever […]

      Essentials of Psychiatry for Dermatology and Aesthetic Practice Editors Dr. Ashwini P.K. Associate Professor Department of Dermatology JSS Medical College & Hospital JSS Academy of Higher Education & Research Dr. Kishor M. Associate Professor Department of Psychiatry JSS Medical College & Hospital JSS Academy of Higher Education & Research […]

Prof. Kapila 83 years of age had history of Diabetes and CAD S/P stents. He had received 2 doses of mRNA vaccine a month before leaving for India. During his visit he contracted COVID-19 and was hospitalized for 4 days but signed out against medical advice. Thereafter he was admitted to a different hospital where […]

  REPORT ON INDIAN MEDICAL SERVICES PREPARED BY NATIONAL WORKING GROUP (Indian Medical Association, New Delhi) Dr. Rajan Sharma Dr. R.V. Asokan National President Hony. Secretary General  INDEX CHAPTER NO. CONTENTS PAGE NO. 1. PROLOGUE 01 2. HISTORICAL PERSPECTIVE 04 3. THE FOUNDATIONS OF THE SERVICE 10 4. NEED 13 5. POST INDEPENDENCE […]

सभी यह information पढ़े और शेयर करें। *शरीर में ब्लड प्रेशर.* *120 / 80 — Normal * *130 / 85 — Normal (Control)* *140 / 90 — High थोड़ा बढ़ा हुआ* *150 / 95 — Very High बहुत ज्यादा* *Oxygen Leval)* *ऑक्सिजन लेव्हल* ऑक्सिजन ऑक्सिमीटर से चेक करने पर.. *94 – Normal * *95, 96, […]

The COVID-19 adaptive risk predictor (SCARP), an algorithmic tool, can estimate the risk of progression to serious disease or death in adult patients (18 years and older) hospitalised with COVID-19 on a 1-day and 7-day basis. Given the current crisis, this calculator can prove to be an indispensable tool for Indian clinicians in the front […]

COVID-19 treatments, QT interval, and arrhythmic risk: The need for an international registry on arrhythmias Lia Crotti, MD, PhD and Elena Arbelo, MD, PhD, MSc Additional article information In December 2019, the Chinese public health authorities reported several cases of acute respiratory syndrome in the city of Wuhan caused by the novel severe acute respiratory […]

The most important is to understand Covid patients require 90% Oxygen concentration at 1to 5Litre flow and above to 10L when they are suffering with acute respiratory discomfort. *90% oxygen concentration is the most important point here.* 1. We can break down oxygen concentrator into small (5 to 10 kg) oxygen concentrator suitable for COPD […]

COVID SECOND WAVE *Guiding Principles* 1. RT-PCR may be negative-(read ORF/Rdrp and N/E gene as S gene may not be detectable). 2. Diagnosis (If RT-PCR negative) Clinical symptoms, Serum Markers CT Chest. 3. Loss of smell is equal to RT-PCR 4. Virus stops replicating after 9 days. 5. Around15 minutes of exposure is required to […]

Finally a Good News : To Counter scarcity of Covid ICU Beds in India (Second Wave ) ADGPI – Indian Army today announced opening up of its all Military hospitals for civilians during Covid. The medical staff of the Army is being made available to various State governments also and the Indian Army is setting […]

NO nation likes to lock itself down but an “immediate” shutdown for a “few weeks” could put an end to the cycle of transmission in India, Dr Anthony S Fauci, one of Covid’s most trusted global voices, told The Indian Express. That will provide a window, he said, to take critical “immediate, intermediate, and long […]

NEWS FEATURE 16 FEBRUARY 2021 A Nature survey shows many scientists expect the virus that causes COVID-19 to become endemic, but it could pose less danger over time. Nicky Phillips ?xml version=”1.0″ encoding=”UTF-8″ standalone=”no”? Share on Twitter Share on Twitter ?xml version=”1.0″ encoding=”UTF-8″ standalone=”no”? Share on Facebook Share on Facebook ?xml version=”1.0″ encoding=”UTF-8″ standalone=”no”? Share […]

 Non‐Alzheimer’s and Atypical Dementia Edited by Michael D. Geschwind, MD phD Memory and Aging Center Department of Neurology University of California, San Francisco San Francisco, CA, USA Caroline Racine Belkoura, phD Department of Neurological Surgery University of California, San Francisco San Francisco, CA, USA           […]