   AIIMS Patna COVID 19 Management protocol (Version 4.0: 21/04/2021) COVID – 19: Mild Disease Upper respiratory tract symptoms and/or fever without shortness of breathing or hypoxia. Same criteria for children and young adults. Admission category: Home isolation (advice on OPD, day-care and / or tele-consultations) Management plan Advice: 1. Ensure adequate […]
केवल remdesivir inj मिल जाने से जान नहीं बचेगी। आपके किसी परिचित की सांस फूल रही है, आपको आईसीयू में बेड नहीं मिल रहा और आप पैसे की गठरी लेकर remdisevir या favipiravir लाकर मरीज को लगा देने के लिए जमीन आसमान एक किए हैं, तो गलत कर रहे हैं। सबसे पहले तो आप अपनी […]
   ICMR – National Institute for Research in Reproductive Health Jehangir Merwanji Street, Parel, Mumbai – 400 012 PREFACE These infection prevention and control considerations are for healthcare facilities providing obstetric care for pregnant patients with confirmed novel coronavirus disease (COVID-19) or pregnant Persons Under Investigation (PUI) in obstetric healthcare settings including obstetrical […]
Lessons from the second wave. India today seems to be in the exact same situation that the UK was in mid december. First an exponential number of people testing Covid positive followed a week later by an exponential increase in number of hospitalizations followed 2 weeks later by an exponential increase in Covid deaths. Here […]
Hi everyone. It’s been a few months now since anti – covid vaccination was started in our country. But even now, awareness remains poor and mixed messaging by the government and media has not helped. So I have compiled a list of some important and practical points about vaccination from my experience and research. Do […]
* Once covid is diagnosed get a baseline CBP, LFT, RFT, CRP, d Dimer, IL6 (if available), LDH, Ferritin, Trop T, ECG, baseline CXR and CT chest. Ask for replication score in RT PCR test. It indicates how infective you are for other people. Any score above 30 is generally non infectious especially if you […]
COVID19 Management Protocol School of Excellence in Pulmonary Medicine, Netaji Subhash Chandra Bose Medical College (NSCB Medical College) Jabalpur (Madhya Pradesh) Based on COVID19 Management Guidelines Issued by- MoHFW, Govt of India AIIMS, New Delhi Ministry of Health, Govt of Madhya Pradesh Authors Prof.Dr. Jitendra Bhargava, Director, School of Excellence in Pulmonary Medicine (SEPM), Netaji […]
को वड रोगी के लए होम आइसोलेशन                  बात काम क                             […]
By Vimal Aga, MD, Board-certified Geriatric psychiatrist and Assistant Professor of Psychiatry, Oregon Health Sciences University, Portland, OR Do the same anti-dementia medications that are used for Alzheimer’s disease and mixed dementia work for other dementias as well? *Dementia due to diffuse Lewy Body disease* None of the anti-dementia medications are FDA-approved for the treatment […]
*What about other dementias?* By Vimal Aga, MD, Board-certified Geriatric psychiatrist and Assistant Professor of Psychiatry, Oregon Health Sciences University, Portland, OR Do the same anti-dementia medications that are used for Alzheimer’s disease and mixed dementia work for other dementias as well? *Dementia due to diffuse Lewy Body disease* None of the anti-dementia medications are […]
 Dx/Rx: Edited by Stanley Zaslau, MD, MBA, FACS Professor Urology Residency Program Director Division of Urology West Virginia University Morgantown, West Virginia                        World Headquarters Jones & Bartlett Learning 40 Tall Pine […]
There is an ongoing clash between US & Europe over vaccines. Some of the news about vaccine efficacy or safety which we read is more about the * Vaccine War* than any real problem. Indian vaccine manufacturing surge has displeased both west and the International Pharma lobby and even China. All are out with knives […]
*The bottom line on medications for Alzheimer’s disease* By Vimal Aga, MD. Board-certified Geriatric psychiatrist and Assistant Professor of Psychiatry, Oregon Health Sciences University, Portland, OR. *Overview of medications* Four medications are currently FDA-approved for the treatment of Alzheimer’s disease. 1. Acetylcholinesterase inhibitors (also called cholinesterase inhibitors): donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne). 2. […]
BusinessToday.In | April 17, 2021 | Updated 12:58 IST The report has gone against the predominant scientific view which says that coronavirus spreads through smaller aerosols that remain suspended in the air or through fomites Share Share The paper was written by six experts from the US, the UK and Canada A report recently published […]
Lancet & British Medical Journal (BMJ) on 14th April 2021 – ‘Covid-19 has redefined airborne transmission’. These two articles compare and explain the meaning and difference between ‘aerosol’ and ‘droplet’ infections and ways to safeguard. Summary is that ‘aerosol’ lingers in the air whereas ‘droplets’ fall to surfaces. For the last one year, it was […]
Remdesivir Distributor List State Distributor Name Address E-Mail Address Telephone Maharashtra A.N. PHARMA G1/G2, KANTI EMPIRE,LAL GODOWN, COLLEGE ROAD,VASAI (W),THANE.LBT NO 67 343 2011,VASAI (W),401202 subhas105@yahoo.in 9028088463 Maharashtra ATOR HEALTHCARE PVT. LTD. SONMUR APARTMENTS,DARUWALLA COMPOUND,S.V.ROAD,MALAD (W), MUMBAI,MALAD (W),400064 mahendra@ator.in 022-28662979 / 8 Maharashtra AAKANKSHA LOGISTICS PRIVATE LTD 1ST FLOOR,C\O MANTRI HOSPITALSURVEY NO 69 15.B.T. KAWADE […]
6. Features of Pneumonia- Temp>101 CRP Rapid rise of CRP Cough on day 3 5% fall in SPO2 after 6 min. walk. COVID SECOND WAVE 1. RT-PCR may be negative-(read ORF and N gene also as S gene may not be detectable). 2. Diagnosis- (If RT-PCR negative) —— Clinical symptoms, Serum Markers CT Chest. 3. […]
“The Darkest Hour has but sixty minutes.” Amongst all, the sad stories from India about the Covid numbers, I want to spread a story that would be inspiring and boost the morale of the people. If you are a resident or even an ex-resident of Jamnagar, Gujarat, India, take a bow. If you have been […]
Home / Opinion / India’s health system has collapsed OPINION India’s health system has collapsed As human tragedy unfolds, there is a shortage of everything — oxygen, drugs, beds, vaccines, even cremation space By Barkha Dutt UPDATED ON APR 17, 2021 06:44 AM IST Representational image. (AP) “We have collapsed, Maharashtra is sinking and other […]
Rhee et al. BMC Infectious Diseases (2021) 21:354 https://doi.org/10.1186/s12879-021-06056-0 RESEARCH Open Access Michelle S. M. Rhee1, Carin D. Lindquist1, Matthew T. Silvestrini1, Amanda C. Chan2, Jonathan J. Y. Ong2 and Vijay K. Sharma2*                       […]
6. Features of Pneumonia- Temp>101 CRP Rapid rise of CRP Cough on day 3 5% fall in SPO2 after 6 min. walk. COVID SECOND WAVE 1. RT-PCR may be negative-(read ORF and N gene also as S gene may not be detectable). 2. Diagnosis- (If RT-PCR negative) —— Clinical symptoms, Serum Markers CT Chest. 3. […]
Department of Health and Family Welfare Government of West Bengal INDEX Topics Epidemiology, Pathophysiology, Cytokine storm Top Sheet for Management of Covid19 General Principles Donning & Doffing Case Definition Triage Management of Mild Cases Home Isolation of Mild, Pre-Symptomatic, Asymptomatic Cases Management of Moderate / Severe Cases Salient Points in Management (Tocilizumb, Remdesivir, Convalescent Plasma, […]
By Vimal Aga, MD, Board-certified Geriatric psychiatrist and Assistant Professor of Psychiatry, Oregon Health Sciences University, Portland, OR The acetylcholinesterase inhibitors, also called cholinesterase inhibitors include donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne). They are used for the treatment of major neurocognitive disorder (dementia) due to Alzheimer’s disease and other causes. *How to choose between […]
(CNN) About 5,800 people who have been vaccinated against coronavirus have become infected anyway, the US Centers for Disease Control and Prevention tells CNN. Some became seriously ill and 74 people died, the CDC said. It said 396 — 7% — of those who got infected after they were vaccinated required hospitalization. Ongoing trial shows […]
SOME GENERAL FACTORS 6. Features of Pneumonia- Temp>101 CRP Rapid rise of CRP Cough on day 3 5% fall in SPO2 after 6 min. walk. COVID SECOND WAVE 1. RT-PCR may be negative-(read ORF and N gene also as S gene may not be detectable). 2. Diagnosis- (If RT-PCR negative) —— Clinical symptoms, Serum Markers […]
सिप्ला कंपनी का टोल फ्री नंबर 8657311088 (24 घंटे) है. जिन मरीजों को रेमडिसिविर इंजेक्शन की जरूरत है, उन्हें सीधे अस्पताल पहुंचाया जाएगा। इसमें बीच में कोई डीलर / वितरक / अस्पताल नहीं होगा. इससे कालाबाजारी करने वालों पर दबाव पड़ेगा. एक छोटी सी पहल मदद की सिप्ला की ओर से … For Remdesivir injection […]
FOCUS| | Review ARticle https://doi.org/10.1038/s41591-021-01283-z     FOCUS Review ARticle https://doi.org/10.1038/s41591-021-01283-z       Ani Nalbandian 1,24, Kartik Sehgal 2,3,4,24 ✉, Aakriti Gupta 1,5,6, Mahesh V. Madhavan 1,5, Claire McGroder 7, Jacob S. Stevens8, Joshua R. Cook 9, Anna S. Nordvig 10, Daniel Shalev11, Tejasav S. Sehrawat 12, Neha Ahluwalia13, […]
Doctor being insulted amounting to Battery. In response to a video post. But besides the white clothed gentleman another person is shouting at the doctor. I know how much we had to work day and night even ourselves being sick or ill. Once I was myself operated but I went to operate on a child […]
At a seminar about covid immunity and vaccines at JIPMER, attended by experts immunologists Dr Amita Aggarwal (SGPGI), Dr Andrew Pollard (UK), Dr N K Arora, Dr Gagandeep Kang (CMC Vellore) and epidemiologist like Dr Muliyil (formerly CMC Vellore). the summary of post Covid immunity status is: 1. Immunity following natural Covid infection, based on […]
From AARP Here’s what you should and shouldn’t do post-vaccination, according to health experts by Michelle Crouch, AARP, March 27, 2021 If it has been at least two weeks since you received your last dose of the COVID-19 vaccine, congratulations! You are now considered “fully vaccinated.” You are armed with our best weapon against a […]
 Journal of American Medical Association (JAMA) Salient Features • Serum neutralizing antibodies rapidly appear after SARS-CoV-2 infection and vaccination • This study compared neutralizing antibody response of previously infected and vaccinated person against mutants. • Serum from PCR confirmed cases and also from vaccinated persons were tested with variants (Mutants) for neutralizing potential. These […]
There is a myth that the British children’s rhyme “Ring a Ring a Roses” is all about the plague—either the Great Plague of 1665-6 or the Black Death centuries earlier—and dates from those eras. The words describe the contemporary practice in treating it, and refer to the fate so many befell. The Truth The earliest […]
In 1975, University of Chicago economist Samuel Peltzman first described the phenomenon of compensating behavior – often termed the ‘Peltzman effect’ or in epidemiology, “risk compensation” or “risk homeostasis.” In his classic analysis of automobile safety regulation,4 Peltzman argued that federally mandated improvements in U.S. automobile safety in the 1960s (e.g., seat belts for all […]
Dravet syndrome is a rare, severe, and incurable epilepsy syndrome that begins in early childhood. It was previously known as severe myoclonic epilepsy of infancy (SMEI). Dravet syndrome is characterized by prolonged, multiple seizures frequently brought on by increased body temperature. A mutation of the SCN1A gene, which controls electrical signals in the brain, is […]
S.N. medical college is having a golden history but those days are over now. It is India’s 3rd opened medical college and have produced large number of good doctors. In Uttar Pradesh either govt. Is not taking care of this medical college or it is solely fault of S.N. contruction authority. •No drinking water facility. […]
Recently there was a seminar about covid immunity and vaccines at JIPMER, attended by experts immunologist like Dr Amita Aggarwal (SGPGI), Dr Andrew Pollard (UK), Dr N K Arora, Dr Gagandeep Kang (Vellore) and epidemiologist like Dr Muliyel (Vellore). Based discussions held, this is what I am able to conclude: 1. Our current understanding about […]
The Heimlich Maneuver If a person is coughing forcefully, encourage continued coughing to clear the object. A person who can’t cough, speak or breathe, however, needs immediate help. Ask if they are choking and let them know you will use abdominal thrusts, also known as the Heimlich maneuver, to prevent suffocation. The procedure is not recommended for children […]
      FIFTH EDITION       CASE FILES® Psychiatry   Eugene C. Toy, MD Assistant Dean for Education Professor and Vice Chair of Medical Education Department of Obstetrics and Gynecology University of Texas Medical School at Debra Klamen, MD, MHPE Associate Dean of Education and Curriculum […]
             Indian Government started the vaccination rollout on 16th January 2021 and so far around 1. 8 crore people (as of 4th March) have been vaccinated with priority to healthcare and other frontline workers. From 1st March, the drive at the private vaccination […]
Antidepressant discontinuation (withdrawal) syndrome (ADS) is a relatively common and troublesome condition. For mild symptoms, education and symptomatic treatment may be enough but for moderate/severe symptoms, it will be necessary to either restart the same antidepressant or switch to fluoxetine. Educate the patient Antidepressant discontinuation symptoms can really freak out the person. So, taking the […]
NICE guideline on long COVID News            As the global COVID-19 pandemic has progressed, evidence has emerged that some patients are experiencing prolonged multiorgan symptoms and complications beyond the initial period of acute infection and illness. The list of persisting and new symptoms reported by […]
                                                Post-traumatic stress disorder NICE guideline Published: 5 […]
                                                Clinical guideline Published: 25 July 2007 http://www.nice.org.uk/guidance/cg52 […]
                                                Autism spectrum disorder in under 19s: support […]
                                                Clinical guideline Published: 24 September 2014 http://www.nice.org.uk/guidance/cg185 […]
Could you get the benefits of a COVID vaccine by having it injected into your butt instead of your arm, if for some reason you wanted to do that and were capable of finding a medical professional who would do it? ADVERTISEMENT Let’s get straight to the point here: Yes. The COVID vaccine would still […]
 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 […]
*Covid Vaccine update –53* A Zoom *meeting was held with Executive Director Serum Institute of India* to clear certain doubts about Covishield Vaccine, Presenting Excerpts of the session : 1. Covishied *can be safely given to people with multiple allergies*. However it is advisable to give prior information to the vaccine provider. 2. *2nd dose […]
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