Desai Neha Diwakar, IRTS; Dr.Sagar Chahar, IRTS; S. Rishi Raghav, IRTS On 24th March 2020, Government of India implemented a nationwide lockdown for 21 days in response to COVID-19 pandemic. Government of India is planning for a staggered approach to exit the lockdown across the country in order to restore normalcy while ensuring safety of […]
libertymavenstock Follow Apr 5 · 8 min read In the last 3–5 days, a mountain of anecdotal evidence has come out of NYC, Italy, Spain, etc. about COVID-19 and characteristics of patients who get seriously ill. It’s not only piling up but now leading to a general field-level consensus backed up by a few previously […]
Harrison’s principle of internal medicine in its chapter on Dengue (arboviruses) says that …..Endemic Presence of dengue in Indian subcontinent , and those who have already suffered from dengue , makes them partially immune to other group of RNA viruses , even if there occurs a major antigenic shift. (Covid 19 is a RNA virus) […]
 Issued in public interest by: Malad Medical Association  Introduction to the disease… • The clinical disease termed COVID-19 is caused by a novel beta coronavirus, now named SARS-CoV-2. • The SARS-CoV-2 is the seventh Corona virus known to infect humans. • Was declared a global pandemic by WHO on March 11th 2020.  […]
The full article from the Financial Times. A great read…. Arundhati Roy: ‘The pandemic is a portal’ Who can use the term “gone viral” now without shuddering a little? Who can look at anything any more — a door handle, a cardboard carton, a bag of vegetables — without imagining it swarming with those unseeable, […]
  The economics of a pandemic: the case of Covid-19 Paolo Surico and Andrea Galeotti Professors of Economics at London Business School  london.edu Financial support from the European Research Council and the Wheeler Institute is gratefully acknowledged.  This Lecture 1. Science 2. Health policies 3. Economics 4. Macroeconomic policies  london.edu The […]
from the Head of ICU at the Royal Free. Please feel free to disseminate further. “Dear All, I have just finished a very useful ICU / NHS Nightingale teleconference, the aim of which was to consolidate experiences about CV19 and how best to manage the disease. I have provided a summary below. Please understand that […]
 SARS-CoV-2 (COVID-19) by the numbers Yinon M. Bar-On1 , Avi Flamholz 2 , Rob Phillips3 ,4 , and Ron Milo1 1 Weizmann Institute of Science, Rehovot 7610001, Israel 2 University of California, Berkeley, CA 94720, USA 3 California Institute of Technology, Pasadena, CA 91125, USA 4 Chan Zuckerberg Biohub, 499 Illinois Street, SF CA […]
Do’s and don’ts for OPD With enough evidence that India is in stage 3 that is community transmission stage OPDs of general physicians ,internal medicine consultants and chest physicians need to be modified to avoid putting HCWs at a risk of getting infected and also to avoid the situation where these setups were portrayed as […]
To the doctors in our Group. I received this today with details of Covid 19 management from Prof MS Seshadri , co authored by Prof T Jacob John, Former Head of Clinical Virology, Christian Medical College, Vellore. Read on. Thank you. Dr John Thanakumar. COVID 19 pandemic : defining the clinical syndrome and describing an […]
New Delhi: Countries that do not have a BCG vaccination policy saw ten times greater incidence of and mortality from Covid-19, compared with those who do, a forthcoming study from medical researchers in the US and UK, which analysed data from 178 countries, has found. BCG, or Bacillus Calmette-Guérin, is a vaccine for tuberculosis and […]
 DISASTER MENTAL HEALTH SERVICES - Charles R. Figley, PH.D., Series Editor 1. Stress Disorders Among Vietnam Veterans, edited by Charles R. Figley, Ph.D. 2. Stress and the Family Vol. 1: Coping with Normative Transitions, edited by Hamilton I. McCubbin, Ph.D., and Charles R. Figley, Ph.D. 3. Stress and the Family Vol. […]
  Copyright Copyright © 2017 by Michael T. Osterholm PhD, MPH, and Mark Olshaker Cover design by Neil Alexander Heacox Cover photograph by Diego Salles / Getty Images Cover copyright © 2017 by Hachette Book Group, Inc. Author photograph by Chantal Lavine Photography Hachette Book Group supports the right to free expression and the […]
  3 March 2020 In January 2020 the World Health Organization (WHO) declared the outbreak of a new coronavirus disease in Hubei Province, China to be a Public Health Emergency of International Concern. WHO stated there is a high risk of the 2019 coronavirus disease (COVID-19) spreading to other countries around the world. WHO […]
Last year, after a month of dry cough and shortness of breath while walking up the steep steps of Fillmore Street in San Francisco, Mary, my mother-in-law and housemate, noticed that she was becoming more and more easily winded. When her symptoms didn’t improve over the next several weeks, her doctors at the University of […]
This is an experience written by an Indian student in Japan I am continously thinking when Japan was the first country to be impacted by Corona from China because of the luxury ship Diamond Princess from China in January by now it would have gone to stage 4 like European countries. When Japan was hit […]
               Download Share Export   Editorial COVID-19 campus closures: see options for Remote Access to subscribed content  Medical Journal Armed Forces India Available online 31 March 2020 In Press, Journal Pre-proof   Dr Zarir F. Udwadia MD, DNB, […]
Landscape analysis of therapeutics as 21st March 2020 Product type and candidate Description Licensed for Licensed dose Route of administration Currently being trialled COVID-19? Status of clinical development for Coronaviruses Proposed dose for COVID-19 Status of clinical development for other relevant conditions Re-purposed/off label Corticosteroids Steroid hormones   Various Various  Inhaled, parenteral injectables […]
 Developing Covid-19 Vaccines at Pandemic Speed The need to rapidly develop a vaccine against SARS-CoV-2 comes at a time of explosion in basic scientific understanding, including in areas such as genomics and structural biology, in the recent outbreaks in the Democratic Republic of Congo. The vaccine received conditional marketing authorization from the European Medicines […]
N95 EXTENDED USE, REUSE AND STERILISATION Courtes my friend Dr Shiv Kumar Singh, sr Intensivist 🇬🇧 UK In the present situation of shortage of PPE, this question is often asked. Please read till the end This is based on CDC recommendations and some research on sterilisation. I hope this information will be helpful to everyone […]
 Government of India Ministry of Health & Family Welfare Directorate General of Health Services (EMR Division) Guidelines on Clinical Management of COVID – 19 This document is intended for clinicians taking care of hospitalised adult and paediatric patients of COVID – 19. It is not meant to replace clinical judgment or specialist consultation but […]
Understanding about the various types of commonly used masks and clarify the proper indications of use… Q1 … What are the common types of masks Ans… 1 Cloth mask 2 Surgical mask Q2… What are the Respirators Ans. N- 95 N- 99 N- 100 are the respirators Q3.. what is the difference between mask and […]
 CLINICAL PRACTICE GUIDELINES on Newer and Emerging Published by Indian Psychiatric Society, India Editors Debasish Basu | P.K. Dalal | Y.P.S. Balhara  Indian Psychiatric Society Specialty Section on Substance Use Disorders CLINICAL PRACTICE GUIDELINES on Newer and Emerging Addictive Disorders in India  Indian Psychiatric Society Specialty Section on Substance Use Disorders 2016 […]
The Duke and Duchess of Cambridge have given their support to a campaign to protect people’s mental health during the coronavirus outbreak. Public Health England (PHE) has launched new advice on wellbeing. The guidance encourages people to keep in contact with family and friends by phone or social media and stick to a regular routine […]
medRxiv preprint doi: https://doi.org/10.1101/2020.03.24.20042937. The copyright holder for this preprint (which was not peer-reviewed) is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY-ND 4.0 International license . Aaron Miller, Mac Josh Reandelar, Kimberly Fasciglione, Violeta Roumenova, Yan Li, and Gonzalo H. Otazu* […]
Do Indians have better chances of survival from COVID 19 epidemic? The impact of epidemic depends on three factors: the infectivity and virulence of the agent, the suspecptibity of the host, and the environment favorability of the agent. That means simply, if the infectivity is high, it’s going to attack more people, but if the […]
Summary of today’s webinar session with Dr. WenHong Zhang, the chair of the Society of Infectious Diseases of China Medical Association. -There about 7000 attendees, mostly United States listeners, including Stanford Health Care, Santa Clara County hospitals, and New York City hospitals and also India and London . Here are some notes. -Predicted number of […]
This is a copied post from another page and is a very good overview of the clinical presentation written by an A and E consultant in the US. Is identical to our experience in London. An experience from the field……… I am an ER MD in New Orleans. Class of 98. Every one of my […]
:- 1.सारे बड़े अस्पताल और उनकी आकस्मिक सुविधाएं चालू है हमेशा से , लोकडाउन की अपील प्रधान मंत्री जी ने की थी इसलिए हमने आप की सुरक्षा के लिए आम ओपीडी बंद की जो की कई सरकारी अस्पताल भी कर चुके है। 2.हमें आपकी सेवा के लिए उपकरण चाहिए जैसे पी पी ई मतलब करोना […]
1. Patient requesting for phone consultation is consent implied. 2. If we are giving an option for phone consultation patient should give it in writing via mail, message or voice or video message as explicit consent is needed. 3. Mode of consultation in Telemedicine (like video or audio) can be decided by us. 4. New […]
How do doctors and hospitals decide who gets potentially lifesaving treatment and who doesn’t? A lot of thought has been given to just such a predicament, well before critical shortages from the coronavirus pandemic. “It would be irresponsible at this point not to get ready to make tragic decisions about who lives and who dies,” […]
Hope all of you are staying safe ,while trying to save the community. NSAIDs should not be used . No steroids (unless COPD/Asthma patients requiring absolutely ) Ok to continue ACEI/ARB,no need to stop them for suspicious or confirmed covid cases . Look for troponin elevation in COVID 19 ,which generally signifies myocarditis with electric […]
     Copyright © 2020 Hubei Science and Technology Press Originally published by Hubei Science and Technology Press, Wuhan, China. The world translation rights is exclusively represented by Rightol Media (copyright@rightol.com) Chief Editor: Wang Zhou Reviewed by Yongjian Xu Foreword by Nanshan Zhong Translated by Shan Zhu, Qing Chen, Jun Li All […]
   Version-QI/NHSRC/00-27/3/2020 Scope and Objectives The scope of these guidelines is limited to a Secondary Healthcare setting that includes DHs, SDHs and CHCs. These simple and practical guidelines intents to serves the following purpose:- To establish isolation facility at the level of Secondary health care facility DHs, SDHs and CHCs. To Guide health […]
The impact of epidemic depends on three factors: the infectivity and virulence of the agent, the suspecptibity of the host, and the environment favorability of the agent. That means simply, if the infectivity is high, it’s going to attack more people, but if the virulence is high, it will kill more people without being able […]
ener HEALTH By Jamie Ducharme When Dr. mark Lewis has To give a cancer patient bad news, he usually o ers a hug or a hand to hold. The idea of doing so by phone felt heartbreakingly imper- sonal, he says. But in the face of the COVID-19 pandemic, the Salt Lake City–based gastrointestinal oncologist […]
 Note: this is a compressed version for quick downloading, a higher resolution standard version is also provided Handbook of COVID-19 Prevention and Treatment The First Affiliated Hospital, Zhejiang University School of Medicine Compiled According to Clinical Experience       Editor’s Note: Faced with an unknown virus, sharing and collaboration are […]
Blood from people who recover from coronavirus could provide a treatment Plasma is being studied as a way to fight off the virus A transmission electron micrograph of SARS-CoV-2 virus particles, isolated from a patient. (NIAID/National Institutes of Health Handout/EPA-EFE/Shutterstock) By Carolyn Y. Johnson and Ben Guarino March 28, 2020 at 12:00 a.m. GMT+5:30 PLEASE […]
चीन में आज से 60 वर्ष पूर्व भी किया था एक मानवीय भूल और आज फिर उसी गलती को दोहरा दिया आइए जानते हैं ऐसा क्या हुआ था चीन में जिससे चार करोड़ लोगों की जान गई थी चिड़िया! चीं चीं करने वाली घरेलू चिड़िया… और 3 करोड़ से ज़्यादा इंसानी मौतें! एक भयावह ऐतिहासिक […]
*Which medicines to give in COVID-19 and why?* 1. Antimicrobials- Post viral pneumonias have about 20% co-infection with bacteria. Give Gram negative and cover staph. 2. Paracetamol- The range of temperature in COVID was recorded as 37.8–38.9C. Paracetamol is effective antipyretic without almost any harm upto a dose of 4 gm/day in adults. Besides fever […]
Series  Evolutionary public health 3 Graham Rook, Fredrik Bäckhed, Bruce R Levin, Margaret J McFall-Ngai, Angela R McLean A bacterium was once a component of the ancestor of all eukaryotic cells, and much of the human genome originated in microorganisms. Today, all vertebrates harbour large communities of microorganisms (microbiota), particularly in the gut, and […]
Evidence-based answers to questions that doctors commonly ask about COVID19. Dr Rajeev Jayadevan, 26 March 2020 Note: 1. This is a scientific update written specifically for doctors. It is NOT meant for circulation among the general public. Those who do not have a medical background and adequate knowledge of statistics SHOULD NOT be reading this, […]
Dr. Sudhir Mehta discusses the current hot topics concerning COVID-19- lymphocyte count as a marker for the illness plus other significant lab findings to watch out for, and the use of drugs- hydroxychloroquine and azithromycin. For our comprehensive coverage and latest updates on COVID-19 click here. Lymphocyte count: Is it a prognostic marker in COVID-19? […]
Over 2000 years ago, in Greece, there was a lawyer named Protagoras. A young student, Euthalos, requested to apprentice under him, but was unable to pay the fees. The student struck a deal saying, “I will pay your fee the day I win my first case in the court”. Teacher agreed. When the training was […]
GUIDE TO LOCAL PRODUCTION: WHO-RECOMMENDED HANDRUB FORMULATIONS                                                 […]
Qasim Bukhari1 * , Yusuf Jameel2 * 1 McGovern Institute for Brain Research, Massachusetts Institute of Technology (MIT), Cambridge, USA 2 Department of Civil and Environmental Engineering, Massachusetts Institute of Technology (MIT), Cambridge, USA Funding: This work is supported by Abdul Latif Jameel Clinic for Machine Learning in Health (J-Clinic) Abstract The novel coronavirus (2019-nCoV) […]
High Temperature and High Humidity Reduce the Transmission of COVID-19 Jingyuan Wang, Ke Tang, Kai Feng and Weifeng Lv* March 9, 2020 Abstract. This paper investigates how air temperature and humidity influence the transmission of COVID-19. After estimating the serial interval of COVID-19 from 105 pairs of the virus carrier and the infected, we calculate […]
Summary of today’s webinar session with Dr. WenHong Zhang, the chair of the Society of Infectious Diseases of China Medical Association. -There about 7000 attendees, mostly United States listeners, including Stanford Health Care, Santa Clara County hospitals, and New York City hospitals and also India and London . Here are some notes. -Predicted number of […]
To the Editor — Since the first reports of novel pneumonia (COVID-19) in Wuhan, Hubei province, China1,2, there has been considerable discussion on the origin of the causative virus, SARS-CoV-23 (also referred to as HCoV-19)4. Infections with SARS-CoV-2 are now widespread, and as of 11 March 2020, 121,564 cases have been confirmed in more than […]
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deemag and chest clinic 