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Azithromycin should not be used to treat a throat or tonsil infection in a child younger than 2 years old. How should I take azithromycin? Follow all directions on your prescription label and read all medication guides or instruction sheets.
Use the medicine exactly as directed. Azithromycin oral is taken by mouth. Azithromycin injection is given as an infusion into a vein, usually for 2 days before you switch to azithromycin oral.
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Store at room temperature away from moisture and heat. Throw away any unused liquid medicine after 10 days. What happens if I miss a dose? Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at What should I avoid while taking azithromycin?
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If you get severe or watery diarrhea, do not treat yourself. Call your prescriber or health care professional for advice. Antacids can stop azithromycin from working. If you get an upset stomach and want to take an antacid, make sure there is an interval of at least 2 hours since you last took azithromycin, or 4 hours before your next dose. If you are going to have surgery, tell your prescriber or health care professional that you are taking azithromycin. Zithromax cost walmart Zithromax cvs How to where can i buy azithromycin zithromax cite zithromax cvs this article:Singh OP.
Psychiatry research in India. Closing the zithromax cvs research gap. Indian J Psychiatry ;Research is an important aspect of the growth and development of medical science. Research in India in general and medical zithromax cvs research in particular is always being criticized for lack of innovation and originality required for the delivery of health services suitable to Indian conditions. Even the Indian Council of Medical Research ICMR which is a centrally funded frontier organization for conducting medical research couldn't avert criticism.
It has been criticized heavily for not producing quality research papers which are pioneering, ground breaking, or pragmatic solutions for health issues plaguing India. In the words of a leading daily, The ICMR could not even list one practical application of its hundreds of research papers published in various national and international research journals which helped cure any disease, or diagnose it with better accuracy or in less time, or even one new basic, applied or clinical research or innovation that opened a new frontier of scientific knowledge.
According to the 12th Plan Report, the country contributes to a fifth of the world's share of diseases. The research conducted elsewhere may not be generalized to the Indian population owing to differences in zithromax cvs biology, health-care systems, health practices, culture, and socioeconomic standards. Questions which are pertinent and specific to the Indian context may not be answered and will remain understudied. One of the vital elements in improving this situation is the need for relevant research base that would equip policymakers to take informed health policy decisions.
While ICMR has a budget of zithromax cvs million dollars per year on health research, it is zilch in comparison to the annual budget expenditure of the National Institute of Health, USA, on biomedical research which is 32 billion dollars.
The lacuna of quality research is not merely due to lack of funds. There are other important issues which need to be considered and sorted out to end the status quo. Majority of the biomedical research in India are conducted in medical institutions. The majority of these are done as thesis submission for fulfillment of the requirement of PG degree.
From onward, publication of papers had been zithromax cvs made an obligatory requirement for promotion of faculty to higher posts. Although it offered a unique opportunity for training of residents and stimulus for research, it failed to translate into production of quality research work as thesis was limited by time and it had to be done with other clinical and academic duties.
CMC, Vellore zithromax cvs. And SGIMS, Lucknow are among the top ten medical institutions in terms of publication in peer-reviewed journals, around While all these areas of work are important in providing proper care and treatment, there is overabundance of research in these areas.
The Government of India is aggressively looking forward to enhancing the quality of research and is embarking on an ambitious project of purchasing all major journals and providing free access to universities across the country. The India Genome Project started in January, , is a good example of collaboration. While all these actions are laudable, a lot more needs to be done. Following are some measures which will reduce the gap:Research proposals at the level of protocol can be guided and mentored by institutes.
Academic committees of different zones and journals can help in this endeavorBreaking the cubicles by establishing a collaboration between medical colleges and various institutes. While there is a lack of resources available in individual departments, there are universities and institutes with excellent infrastructure. They are not aware of the requirements of the field of psychiatry and research questions. Creation of an alliance will enhance the quality of research work.
And National Institute of Biomedical Genomics, KalyaniInitiation and establishment of interactive and stable relationships between basic scientists and clinical and technological experts will enhance the quality of research work and will lead to translation of basic biomedical research into real-time applications.
For example, work on artificial intelligence for mental health. Development of Apps by IITs. Genome India Project by the Government of India, genomic institutes, and social science and economic institutes working in the field of various aspects of mental healthUtilization of underutilized, well-equipped biotechnological labs of nonmedical colleges for furthering biomedical researchMedical colleges should collaborate with various universities which have labs providing testing facilities such as spectroscopy, fluoroscopy, gamma camera, scintigraphy, positron emission tomography, single photon emission computed tomography, and photoacoustic imagingCreating an interactive, interdepartmental, intradepartmental, and interinstitutional partnershipBy developing a healthy and ethical partnership with industries for research and development of new drugs and interventions.
With the implementation of collaborative approach, we can not only enhance and improve the quality of our research but to an extent also mitigate the effects of resource crunch and come up as a leader in the field of biomedical research. References 1. Nagoba B, Davane M. Current status of medical research in India. Where are we?. Walawalkar Int Med J ; Updated science-wide author databases of standardized citation indicators.
PLoS Biol ;e Correspondence Address:Dr. None, Conflict of Interest. The burden of mental illness among the scheduled tribe ST population in India is not known clearly. The aim was to identify and appraise mental health research studies on ST population in India and collate such data to inform future research. Materials and Methods. Studies published between January and December on STs by following exclusion and inclusion criteria were selected for analysis. Quality of the included studies was assessed using an appraisal tool to assess the quality of cross-sectional studies and Critical Appraisal Checklist developed by Critical Appraisal Skills Programme.
Studies were summarized and reported descriptively. Thirty-two relevant studies were found and included in the review. Studies were categorized into the following three thematic areas. Alcohol and substance use disorders, common mental disorders and sociocultural aspects, and access to mental health-care services. Sociocultural factors play a major role in understanding and determining mental disorders. This study is the first of its kind to review research on mental health among the STs.
Mental health research conducted among STs in India is limited and is mostly of low-to-moderate quality. Determinants of poor mental health and interventions for addressing them need to be studied on an urgent basis. Mental health research on scheduled tribes in India. The distribution varies across the states and union territories of India, with the highest percentage in Lakshadweep They are populations with poorer health indicators and fewer health-care facilities compared to non-ST rural populations, even when within the same state, and often live in demarcated geographical areas known as ST areas.
Tribal mental health is an ignored and neglected area in the field of health-care services. Further, little data are available about the burden of mental disorders among the tribal communities. Health research on tribal populations is poor, globally. It is also found that the traditional livelihood system of the STs came into conflict with the forces of modernization, resulting not only in the loss of customary rights over the livelihood resources but also in subordination and further, developing low self-esteem, causing great psychological stress.
Hand search refers to searching through medical journals which are not indexed in the major electronic databases such as Embase, for instance, searching for Indian journals in IndMed database as most of these journals are not available in major databases. Physical search refers to searching the journals that were not available online or were not available online during the study years.
We used relevant Medical Subject Heading and key terms in our search strategy, as follows. Inclusion criteriaStudies published between January and December were included. Studies on mental disorders were included only when they focused on ST population. Both qualitative and quantitative studies on mental disorders of ST population only were included in the analysis. Exclusion criteriaStudies without any primary data and which are merely overviews and commentaries and those not focused on ST population were excluded from the analysis.
Data management and analysisTwo researchers SD and SK initially screened the title and abstract of each record to identify relevant papers and subsequently screened full text of those relevant papers. Any disagreements between the researchers were resolved by discussion or by consulting with an adjudicator PKM. From each study, data were extracted on objectives, study design, study population, study duration, interventions if applicable , outcomes, and results. A narrative description of the studies is provided in [Table 1] using some broad categories.
Results Search resultsOur search retrieved records which included hand-searched articles , of which after removing duplicates, title and abstracts of records were screened. Of these, studies were deemed as potentially relevant and were reviewed in detail. Finally, we excluded irrelevant studies and 32 studies were included in the review [Figure 1]. Quality of the included studiesSummary of quality assessment of the included studies is reported in [Table 2].
Overall, nine studies were of poor quality, twenty were of moderate quality, and three studies were of high quality. The CASP shows that out of the 32 studies, the sample size of 21 studies was not representative, sample size of 7 studies was not justified, risk factors were not identified in 28 studies, methods used were not sufficiently described to repeat them in 24 studies, and nonresponse reasons were not addressed in 24 studies.
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