The Doctor is In

Coloured transmission electron micrograph (TEM) of a SARS-CoV-2 coronavirus particle isolated from a UK case of the disease Covid-19. Every day, rapid testing is helping us find cases of COVID-19 that we wouldn’t otherwise know about, breaking chains of transmission and potentially saving lives. We know that rapid tests are effective in detecting people that are highly infectious and therefore pose the greatest risk to others, both with and without symptoms. They are an absolutely crucial way to help bring down infection rates and keep them low. The main rapid test we are using widely are Lateral Flow Devices – simple devices we can use in our own homes, in workplaces and community testing sites and which deliver a result in 30 minutes. As with any test, there are a number of factors that can impact results, such as how the sample is taken and also the accuracy of the test. The LFDs that we are using have a high specificity, that means the number of false positives are extremely low – ...

Why corona second wave ?? - A new double mutated strain of SARS CoV2 has been detected in second wave. This is in addition to Brazilian, South African and UK strain. This new mutated virus has the potential to skip the immunity and even vaccine. This is the reason for re-infection cases & cases among vaccinated people. - It is more infectious & affecting younger population of 18 to 45 years group and this group is “super spreader”. - By passing RT-PCR - new COVID cases may not be detected by routine RT-PCR test. - R- value is increasing. This is reproductive value which tells one positive person will infect how many others. - Public carelessness & lack of adherence to COVID appropriate behavior (mask, hand sanitization, social distancing & vaccination). - Pandemic Fatigue New corona Symptoms ? Last year symptoms : Dry cough, fever, weakness, breathing problems, loss of smell. Current symptoms : Apart from above symptoms, many new symptoms are indicating Covi...

Health Care System In India Health And Social Care Essay India is a pluralistic, multi-lingual and multi-ethnic nation which accounts one-sixth of the world’s population occupying less than 3% of the world’s area. In India, since the last 10 years considerable work has been undertaken related to health and hospital sector reforms, which has involved various government, worldwide multilateral agencies and other stakeholders. Delivering affordable health care to India’s billion plus people presents enormous challenges and oppturunities for the medical community. The practice of medicine is becoming increasingly complex and time consuming. Political ideologies play a major role in determining the health policies of the country through decisions on resources allocation, choice of technology, human resources policy and degree to which health services are to be made available to the population. No health care system in the world is stable. To start with health care sector has to ...

Cystic Fibrosis DEFINITION, ETIOLOGY, PATHOGENESIS Cystic fibrosis (CF) is a genetic disorder causing abnormal secretion of the exocrine glands, mainly affecting the respiratory and gastrointestinal (GI) systems. It is caused by mutations of the CFTR gene encoding CFTR (cystic fibrosis transmembrane conductance regulator; a cellular membrane protein that acts on chloride ion channels in epithelial cells). Synthesis of the defective protein affects the transmembrane transport of sodium and chloride, resulting in lumen dehydration and reduction in water content of exocrine secretions and mucus. High concentrations of sodium chloride inactivate the enzymes and proteins involved in local response to infection.Abnormalities of the respiratory system include increased mucus secretion and retention with secondary chronic infections (DNA released from dead neutrophils increases the mucus viscosity) leading to mucus plugging, segmental atelectasis, bronchiectasis, and cysts (subpleu...

What is Spinal Stenosis? Spinal stenosis is a disorder that is caused by a narrowing of the spinal canal. This narrowing happens as a result of the degeneration of both the facet joints and the intervertebral discs. In this condition, bone spurs (also called osteophytes) grow into the spinal canal. The facet joints also enlarge as they become arthritic, which contributes to a decrease in the space available for the nerve roots. This condition is known as facet arthropathy. The ligaments of the spinal column, especially the ligamentum flavum, become stiff, less flexible, and thicker with age, which also contributes to spinal stenosis. These processes narrow the spinal canal and may begin to impinge and put pressure on the nerve roots and spinal cord, creating the symptoms of spinal stenosis. Stenosis may occur in the central spinal canal (central stenosis) where the spinal cord or cauda equina are located, in the tract where the nerve root exits the central canal...

WHIPPLES DISEASE Whipple’s disease is a multi-system infectious bacterial disease that interferes with the body’s ability to metabolize fats. Caused by the bacterium  Tropheryma whipplei , the disorder can affect any system in the body, including the brain, eyes, heart, joints, and lungs, but usually occurs in the gastrointestinal system. Neurological symptoms occur in up to 40 percent of individuals and may include dementia, abnormalities of eye and facial muscle movements, headaches, seizures, loss of muscle control, memory loss, weakness, and vision problems. Gastrointestinal symptoms may include diarrhea, weight loss, fatigue, weakness, and abdominal bleeding and pain. Fever, cough, anemia, heart and lung damage, darkening of the skin, and joint soreness may also be present. The disease is more common in men and neurological symptoms are more common in individuals who have severe abdominal disease, Rarely, neurological symptoms may appear without gastrointestinal sy...