Delhi LNJP Hospital set an example by treating 8,000 #COVID19 patients, the highest by any state-run facility in the country so far. Congratulations to the doctors, paramedics, State Health Ministry, & CM Shri @ArvindKejriwal. Thread on LNJP's contribution during COVID 19. (1/5)
Plasma bank & plasma therapy: Delhi’s second plasma bank for COVID-19 patients treated 114 patients with oxygen saturation level below 93% and it improved the oxygen levels from 85 to 95%. (2/5) ndtv.com/india-news/pla…
To ensure fulfillment of the need of wards, departments & patients, LNJP installed a new state-of-the-art Live Patient Monitoring System to support all the frontline healthcare warriors working at the dedicated COVID facility. (3/5) newindianexpress.com/cities/delhi/2…
To address the psychological need of the COVID 19 patients, LNJP was the first in the state to offer video call facilities to the patients to stay in touch with their family and friends. (4/5) livemint.com/news/india/kej…
LNJP opened a children-friendly COVID-19 ward with games, TV, toys, books, and several other amenities. 420 children won the war against COVID19 so far. (5/5) newindianexpress.com/cities/delhi/2…
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How does #VitaminD prevent complications in severely affected #COVID19 patients (approx. 20% of hospitalized patients develop serious symptoms) by managing the cytokine/bradykinin storm, ARDS, and organ damage? Thread
1. Cytokine Storm:
a. Vitamin D decreases the production of Th1 cells. Thus, it can suppress the progression of inflammation through reducing the generation of inflammatory cytokines such as IL-6, IL-8, IL-12, and IL-17. pubmed.ncbi.nlm.nih.gov/16142846/ pubmed.ncbi.nlm.nih.gov/21047796/
b. Vitamin D also decreases the generation of TNFα and nuclear factor-κB (NFκB). Moreover, 1,25(OH)2D, a biologically active form of vitamin D, directly inhibits gamma interferon (IFN-γ) and IL-2. pubmed.ncbi.nlm.nih.gov/18717824/ pubmed.ncbi.nlm.nih.gov/6427926/
1. New research by @universityofga in 128 individuals who rode 1 of 2 buses and attended a worship event in Eastern China supports growing evidence for airborne transmission of COVID-19 in enclosed spaces. jamanetwork.com/journals/jamai…
4. Report by @insights4ed stated there is no correlation between schools reopening and a surge in COVID cases, including data from 191 countries. It also notes that the pandemic has disrupted 300 billion working school days in total. education.org/news-and-resou…
1. Theme of WHD 2020 & bar diagram showing 2.63 mils. people have died due to heart diseases in 2017 2. Cholesterol levels - adults & children 3. High blood pressure stages & risk factors 4. Heart attacks & Atherosclerosis #worldheartday2020
Thread 2: Diet, and Physical activity
3. DASH diet for hypertension 4. Fats to choose 5. Protein and Sodium 6. Preventive food habits and physical activity.
Heart Healthy Recipe 1:
Spinach Salad: SPINACH, a powerhouse of Vit E, Vit C, flavonoids, carotenoids, fiber, iron, and other minerals. Spinach can be prepared into delicious salads by adding grilled chicken, egg, tofu, paneer, OR just nuts.
The brainchild of @MamataOfficial, the first in India, involving COVID survivors to provide psychological counseling to corona patients. The survivors are given a 15k honorarium, free food & lodging. (1/5) newindianexpress.com/nation/2020/ju…
The COVID warrior club started from Behrampore & during the 1st phase, 20 recovered patients voluntarily decided to join the club to provide counseling to Corona positive patients. Over a period of time, the number of club members increased to 500. (2/5) millenniumpost.in/kolkata/bengal…
Salient Features:
1. Monthly payment of 15000 to each COVID warriors 2. Food and lodging 3. State return migrant workers are recruited after 7 days of training 4. They have been given lessons on how to change oxygen cylinders, check blood pressure, body temperature, etc. (3/5)
'Mohalla Clinic' in #Delhi: A flagship project by Shri @ArvindKejriwal which are primary health centers across the city providing free OPD services. Currently, there are around 480 of such clinics. The project was hugely praised by former @UN secretary @BanKimoon_amdg. (1/4)
What are Mohalla Clinics?
A set up with OPD services; each clinic attends 140-150 patients/day. (2/4)
What do they offer?
A detailed paper by Dr. Chandrakant Lahariya, public health specialist explains not only the mohalla clinic but other health care services available in the capital city. (3/4) ncbi.nlm.nih.gov/pmc/articles/P…
Covid-19: Do many people have pre-existing immunity?
A THREAD compiling 6 major studies on T-Cell reactivity against #SARSCoV2 that provide strong evidence that measuring only antibodies is NOT enough to understand #COVID19 immunity. bmj.com/content/370/bm…
1. @Alba_Grifoni and colleagues have reported SARS-CoV-2-reactive CD4+ T cells in ∼40%-60% of unexposed individuals, suggesting cross-reactive T cell recognition between circulating "common cold" coronaviruses and SARS-CoV-2. pubmed.ncbi.nlm.nih.gov/32473127/
2. Using the FACS-based method, @KevinWNg and colleagues have demonstrated the presence of pre-existing humoral immunity in uninfected and unexposed humans to the new coronavirus. biorxiv.org/content/10.110…