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Banda Singh is known to have abolished or halted the Zamindari system in time he was active and gave the farmers proprietorship of their own land.[47] It seems that all classes of government officers were addicted to extortion and corruption and the whole system of regulatory and order was subverted.[48] Local tradition recalls that the people from the neighborhood of Sadaura came to Banda Singh complaining of the iniquities practices by their landlords. Banda Singh ordered Baj Singh to open fire on them. The people were astonished at the strange reply to their representation, and asked him what he meant. He told them that they deserved no better treatment when being thousands in number they still allowed themselves to be cowed down by a handful of Zamindars.[49]
In 1735, the rulers of Lahore attacked and repossessed the jagir (estate) given to the Sikhs only two years before[104] however Nawab Kapur Singh in reaction decided the whole Punjab should be taken over by the Sikhs.[105] This decision was taken against heavy odds but was endorsed by the Khalsa and all the Sikhs assured him of their full cooperation in his endeavor for self-rule. Zakariya Khan Bahadur sent roaming squads to hunt and kill the Sikhs. Orders were issued to all administrators down to the village level officials to seek Sikhs, murder them, get them arrested, or report their whereabouts to the governments. One year's wages were offered to anyone who would murder a Sikh and deliver his head to the police station.[103]Rewards were also promised to those who helped arrest Sikhs. Persons providing food or shelter to Sikhs or helping them in any way were severely punished.[106]
The Khalsa minted their coins in the name of Guru Nanak Dev. Sikhs, as rulers of the city, received full cooperation from the people. After becoming the Governor of Lahore, Punjab Jassa Singh Ahluwalia was given the title of Sultan-ul-Kaum (King of the Nation).[160]
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WHO welcomes the initial clinical trial results from the UK that show dexamethasone, a corticosteroid, can be lifesaving for patients who are critically ill with COVID-19. For patients on ventilators, the treatment was shown to reduce mortality by aboutone third, and for patients requiring only oxygen, mortality was cut by about one fifth, according to preliminary findings shared with WHO.
More than half (53%) of the countries surveyed have partially or completely disrupted services for hypertension treatment; 49% for treatment for diabetes and diabetes-related complications; 42% for cancer treatment, and 31% for cardiovascular emergencies.
Over thirty countries and multiple international partners and institutions have signed up to support the COVID-19 Technology Access Pool (C-TAP) an initiative aimed at making vaccines, tests, treatments and other health technologies to fight COVID-19accessible to all.
It contains new sections on: the COVID-19 care pathway, treatment of acute and chronic infections, management of neurological and mental manifestations, noncommunicable diseases, rehabilitation, palliative care, ethical principles, and reporting of death; while previous chapters have also been significantly expanded.
It is essential to characterize this syndrome and its risk factors, to understand causality, and describe treatment interventions. It is not yet clear the full spectrum of disease, and whether the geographical distribution in Europe and North Americareflects a true pattern, or if the condition has simply not been recognized elsewhere.
In concrete terms, it is critical that people living with mental health conditions have continued access to treatment. Many countries have changed their approach to the provision of this support in ways that are showing signs of success.
WHO urges researchers, scientists and the media to be cautious about amplifying unproven claims that tobacco or nicotine could reduce the risk of COVID-19. There is currently insufficient information to confirm any link between tobacco or nicotinein the prevention or treatment of COVID-19.
WHO and partners have developed guidance on the prevention of infection through vector control and chemoprevention, testing, treatment of cases, clinical services, supply chain and laboratory activities.
With a global shortage of supplies and equipment to fight the coronavirus pandemic, WHO and Basra University are successfully producing urgently needed laboratory items for testing suspected COVID-19 cases in Iraq.
No pharmaceutical products have yet been shown to be safe and effective for the treatment of COVID-19. However, a number of medicines have been suggested as potential investigational therapies, many of which are now being or will soon be studied in clinical trials, including the SOLIDARITY trial co-sponsored by WHO and participating countries.
It can be ethically appropriate to offer individual patients experimental interventions on an emergency basis outside clinical trials, provided that no proven effective treatment exists; it is not possible to initiate clinical studies immediately; the patient or his or her legal representative has given informed consent; and the emergency use of the intervention is monitored, and the results are documented and shared in a timely manner with the wider medical and scientific community.[1]
The decision to offer a patient an unproven or experimental treatment is between the doctor and the patient but must comply with national law. Where it is possible and feasible for the treatment to be given as part of a clinical trial, this should be done unless the patient declines to participate in the trial.
If it is not possible to give the treatment as part of a clinical trial, appropriate records of the use of the medicine must be kept, in compliance with national law, and outcomes for patients should be monitored and recorded.
If early results from an unproven or experimental treatment are promising, the treatment should be studied in the context of a formal clinical trial to establish its safety, efficacy, risks, and benefits.
WHO and partners are launching an international clinical trial that aims to generate robust data from around the world to find the most effective treatments for COVID-19. The SOLIDARITY trial provides simplified procedures to enable even overloadedhospitals to participate.
Every effort to contain the virus and slow the spread saves lives. These efforts give health systems and all of society much needed time to prepare, and researchers more time to identify effective treatments and develop vaccines.
The discussions focused on continued collaboration on containment measures in Wuhan, public health measures in other cities and provinces, conducting further studies on the severity and transmissibility of the virus, continuing to share data, and forChina to share biological material with WHO. These measures will advance scientific understanding of the virus and contribute to the development of medical countermeasures such as vaccines and treatments.
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One can define ventilatory mode as the process by which the mechanical ventilator determines, either partially or fully, when the mechanical breaths are to be provided to the patient, thus determining the breathing pattern of the patient during mechanical ventilation. For the purposes of classification, there is still a need for an international consensus or standardization as there remains non-standardized and confusing terminology. This is compounded by the adoption of different commercial brand names by manufacturers of mechanical ventilators, often for modes with similar functionality. In 2010, about 54 names of respiratory "modes" were available in 49 brands of mechanical ventilators. This scenario creates challenges in the adequate training of healthcare professionals, at times leading to the inappropriate management of the most common ventilation modes, and even endangering the lives of patients undergoing mechanical ventilation.
The A/C-VCV mode is normally chosen immediately after tracheal intubation when the patient is sedated or under a neuromuscular blocker. There are two advantages to beginning in this mode rather than A/C-PCV: it is easier to determine respiratory mechanics (refer to the corresponding chapter on this topic) and secondly, and perhaps more importantly, the alveolar pressure is under greater control since this is always determined by the relationship between the VT and the static compliance of the respiratory system. Above all, the use of a protective ventilation strategy, using low VTs in patients with Acute Respiratory Distress Syndrome (ARDS), can be done more easily and safely in A/C-VCV mode. Special attention to airway pressure variation pause in this ventilatory mode should be given. Therefore, the pressure alarm should be adjusted carefully.
The A/C-PCV mode can also be an excellent option for predominantly assisted ventilation when the patient exhibits respiratory muscle effort, for example, during a transition phase in the process of weaning from mechanical ventilation. Special attention, however, should be given to monitoring the VT in this ventilatory mode. The alarm for VT minimum and maximum should be carefully adjusted. 2b1af7f3a8