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Medical Voice 7th October 2020

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Dr KK Aggarwal    07 October 2020

Early steroid use can worsen Covid infection, caution doctors

Mumbai: Steroids, the latest class of medication given to US President Donald Trump, are a double-edged sword as far as Covid patients are concerned. Doctors said steroids could worsen the infection if given too early, but work like magic in critically ill patients. Traditionally associated with inflammatory conditions such as asthma and arthritis, steroids have been a part of Covid treatment in India since early April when the first guidelines were drawn up. But Dr Rahul Pandit, a member of Maharashtra’s Covid task force, said steroids — either dexamethasone or methylprednisolone — are only recommended for Covid patients with hypoxia (a condition in which the body or a part of the body is deprived of adequate oxygen supply). “On rare occasions, a patient with high levels of c-reactive proteins (a marker for inflammation) may be given steroids based on the doctor’s clinical judgement,” added Dr Pandit, who uses it for patients in his ICU at Fortis Hospital, Mulund. The thumb rule, said a civic hospital doctor, is to give it to patients whose oxygen saturation levels are below 94%. ....read more

Inflammation & Anti-Inflammatory Drugs in COVID-19

Inflammation is the hallmark of Covid-19. Join us today at 7:00 PM on Medtalks with Dr KK Aggarwal as we discuss the nuances of inflammation and the role of anti-inflammatory drugs in Covid-19. Just click on www.facebook.com/drkkaggarwal or https://perfecthealthmela.com/vevent/general-webinar.php

CMAAO Coronavirus Facts and Myth Buster: Consensus Statement

11010: CMAAO IMA Consensus Statement on Protocol recommended by CMAAO-IMA to reduce mortality among healthcare workers (HCWs) in Asian countries with special focus on resource-limited countries (Inputs: Round Table HCFI, CMAAO Weekly Meeting, IMA),COVID-19: Definition,Acute manageable immunogenic thrombogenic inflammatory notifiable viral disease PreventionAll HCPs (caregivers) while on duty (clinical and non-clinical areas) should wear N95/FF2P/Surgical Three Layered Mask (correct and consistent use). Transmission risk is < 0.5% with N95 mask (Y Qian, et al. Performance of N95 respirators: filtration efficiency for airborne microbial and inert particles. Am Ind Hyg Assoc J. 1998;59(2):128-32) ....read more

World COVID Meter 5th October: Acute manageable immunogenic thrombogenic inflammatory viral disease pandemic

Cases: 1M April 2, 2M April 15, 3M April 27, 4M May 8, 5M May 20, 6M May 30, 7M June 7, 8M June 15, 9M June 22, 10M June 29th, 11M July 4, 12M July 8, 13M July 13, 14M July 17, 15M July 23, 16M July 25, 17M July 29, 18M August 1, 19M August 6, 20M August 10, 21M August 16, 22M August 19, 23M August 21, 24M August 27, 25M August 30, 26M September 3, 27M September 7, 28M September 10, 29M September 14, 30M September 18, 31M September 21, 32M September 23, 33M September 28, 34M October 1, 35M October 4 Ground Zero: Wuhan - in live animal market or cafeteria for animal pathogens: 10th January; Total cases are based on RT PCR, 67% sensitivity Coronavirus Cases: 35,389,672,Deaths: 1,041,543,Recovered: 26,614,877,ACTIVE CASES 7,733,252 ....read more

Spiritual Prescriptions - Controlling the Inner Noise

Yoga Sutras of Patanjali define yoga as restraint of the mental states (Chapter 1.2). In the state of total restraint, the mind is devoid of any external object and is in its true self or the consciousness. To control the mind, many Vedic scholars have given their own formulae. Being in touch with one’s own consciousness requires restraining of the mind, intellect and ego on one hand and the triad of rajas, tamas and satwa on the other hand. Every action leads to a memory, which in turn leads to a desire and with this, a vicious cycle starts. The mental turmoil of thoughts can be equated to the internal noise and the external desires and objects to an external noise. ....read more

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India gives 3,000 vials of Remdesivir to friendly Myanmar to help fight Covid-19

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NAYPYITAW: As part of Indias contribution to help "friendly neighbour" Myanmar in its fight against Covid-19, Army chief Gen. M M Naravane and Foreign Secretary Harsh Vardhan Shringla on Monday handed over 3,000 vials of Remdesivir to State Counsellor Aung San Suu Kyi. Gen. Naravane and Shringla are here on a two-day visit from Sunday to Myanmar with an aim to further expand ties in a range of areas including connectivity, defence and security. The Indian Army chief and the Foreign Secretary along with Ambassador of India to Myanmar, Saurabh Kumar, called on Suu Kyi at Naypyitaw on Monday during which they discussed important bilateral issues, the Indian embassy tweeted.

Younger and female doctors adopted telemedicine more during Covid in India, study says

ThePrint

New Delhi: More of the younger and female doctors adopted telemedicine or online consultations as a practice in India compared to male and older doctors in the June-July period this year, reveals a new study. A joint study by India-based healthcare research organisation Strategic Marketing Solutions & Research Centre (SMSRC) and Purdue University’s Krannert School of Management in the US found that 50 per cent younger doctors took up telemedicine in India, while only 44 per cent of their older counterparts did so. Furthermore, at 58 per cent, female doctors opted for online consultations more than male doctors (44 per cent).

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