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Chhetri B, Gyeltshen D. Treatment of tardive dyskinesia with clonazepam: A case report. Clin Case Rep 2024; 12:e8951. [PMID: 38745734 PMCID: PMC11091010 DOI: 10.1002/ccr3.8951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2024] [Revised: 05/02/2024] [Accepted: 05/03/2024] [Indexed: 05/16/2024] Open
Abstract
Clonazepam has some evidence in the treatment of tardive dyskinesia. It can be used as an alternative treatment option in situations where vesicular monoamine transporter 2 inhibitors are not available or when it is not feasible to use them.
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Affiliation(s)
- Bikram Chhetri
- Department of PsychiatryJigme Dorji Wangchuck National Referral HospitalThimphuBhutan
| | - Dawa Gyeltshen
- Department of MedicineJigme Dorji Wangchuck National Referral HospitalThimphuBhutan
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2
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Jitanan M, Chirasatienpon T, Tiamjan R, Amnatsatsue K, Nguanjairak R, Miranda AV, Lin X, Gyeltshen D, Vicerra PMM, Kouwenhoven MBN. Can Thailand achieve COVID‐19 herd immunity? Public Health Challenges 2022. [PMID: 37520894 PMCID: PMC9347444 DOI: 10.1002/puh2.7] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
The COVID‐19 outbreak has had a great impact on the social, economic, and health systems of Thailand. A variety of measures to curb the spread of the disease were implemented since the beginning of the pandemic, including a strict national lockdown protocol. The Thai government aimed to achieve herd immunity through an efficient vaccination programme. Initially, vaccine supply shortage and a lack of vaccine options plagued the health system, but this has since been improved. Continuous monitoring of the situation through research is being carried out to assess the level of immunity among the population whereby the current general recommendation is presently a fourth booster dose for adults. Hurdles towards achieving herd immunity remain. One such issue is the low level of vaccine literacy among those that are unvaccinated or inadequately vaccinated. Another obstacle is the sizeable rate of hesitancy towards getting booster doses. Achieving herd immunity in the Thai population would require multilateral cooperation, improved health promotion to target population groups, such as older adults, and a developed distribution system for those with limited access, such as those in the rural areas.
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Affiliation(s)
- Manatee Jitanan
- Department of Physical Education Faculty of Education Kasetsart University Bangkok Thailand
| | | | - Rapeeporn Tiamjan
- Department of Public Health Faculty of Science and Technology Chiang Mai Rajabhat University Thailand
| | | | - Rachanon Nguanjairak
- Department of Community Public Health Faculty of Public Health Nakhon Ratchasima Rajabhat University Nakhon Ratchasima Thailand
| | | | - Xu Lin
- Department of Thoracic Surgery The First Affiliated Hospital School of Medicine Zhejiang University Hangzhou Zhejiang China
| | - Dawa Gyeltshen
- Department of Internal Medicine Jigme Dorji Wangchuck National Referral Hospital Thimphu Bhutan
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Musa SS, Gyeltshen D, Manirambona E, Ayuba D, Lucero-Prisno DE. The new COVID-19 omicron variant: Africa must watch its spread! Clin Epidemiol Glob Health 2022; 13:100961. [PMID: 35039799 PMCID: PMC8755411 DOI: 10.1016/j.cegh.2022.100961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Revised: 12/23/2021] [Accepted: 01/05/2022] [Indexed: 12/02/2022] Open
Affiliation(s)
- Shuaibu Saidu Musa
- Department of Nursing Science, Ahmadu Bello University Zaria, Nigeria.,Global Health Focus, Abuja, Nigeria
| | - Dawa Gyeltshen
- Eusa Hospital, Ministry of Health, WangduePhodrang, Bhutan
| | | | - Dauda Ayuba
- Department of Local Government and Development Studies, Ahmadu Bello University Zaria, Nigeria
| | - Don Eliseo Lucero-Prisno
- Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom.,Faculty of Management and Development Studies, University of the Philippines Open University, Los Baños, Laguna, Philippines
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Chhetri B, Gyeltshen D, Letho Z. Bipolar affective disorder in a patient with Fahr’s disease: The first recorded case in Bhutan. SAGE Open Med Case Rep 2022; 10:2050313X221125324. [PMID: 36147593 PMCID: PMC9486261 DOI: 10.1177/2050313x221125324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Accepted: 08/24/2022] [Indexed: 11/15/2022] Open
Abstract
Fahr’s disease is a rare neurological disease that typically presents with neurological manifestations such as movement disorders. In a first recorded patient with Fahr’s disease in Bhutan, psychiatric diagnosis of bipolar affective disorder with current episode of severe depression was made, which is also a known manifestation of Fahr’s disease. Diagnosing a first case of Fahr’s disease is important for Bhutan because, though, it is a rare disease and it emphasizes the importance of recognizing other rare causes of psychiatric illness to tailor the treatment to the individual.
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Affiliation(s)
- Bikram Chhetri
- Department of Psychiatry, Jigme Dorji Wangchuck National Referral, Thimphu, Bhutan
| | - Dawa Gyeltshen
- Department of Medicine, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan
| | - Zimba Letho
- Medical Education and Research Unit, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan
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Dema T, Gyeltshen D. Provision of dental health services during nationwide COVID-19 lockdown in Bhutan. Popul Med 2021. [DOI: 10.18332/popmed/144621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Musa SS, Gyeltshen D, Manirambona E, Wada YH, Sani AF, Ullah I, Lucero-Prisno DE. Dual tension as Nigeria battles cholera during the COVID-19 pandemic. Clin Epidemiol Glob Health 2021; 12:100913. [PMID: 34849426 PMCID: PMC8619942 DOI: 10.1016/j.cegh.2021.100913] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Accepted: 11/15/2021] [Indexed: 11/17/2022] Open
Affiliation(s)
- Shuaibu Saidu Musa
- Department of Nursing Sciences, Ahmadu Bello University Zaria, Nigeria.,Global Health Focus, Abuja, Nigeria
| | - Dawa Gyeltshen
- Eusa Hospital, Ministry of Health, Wangdue Phodrang, Bhutan
| | | | - Yusuf Hassan Wada
- Faculty of Pharmaceutical Sciences, Usmanu Danfodiyo University, Sokoto, Nigeria
| | | | - Irfan Ullah
- Faculty of Medicine, Kabir Medical College, Gandhara University, Peshawar, Pakistan
| | - Don Eliseo Lucero-Prisno
- Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom
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Gyeltshen D, Lucero-Prisno DE. Repatriation of Bhutanese During COVID-19 Pandemic: The Unspoken Economic Burden of COVID-19 on the Bhutanese Government. Asia Pac J Public Health 2021; 34:123-124. [PMID: 34686065 DOI: 10.1177/10105395211053735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Protecting the citizens who are living abroad has been a challenge for many countries during the current COVID-19 pandemic. In Bhutan, since the start of the pandemic, it has repatriated its citizens living and working abroad and putting them into a 21-day state-sponsored quarantine. They were also tested for COVID-19 on reverse transcription polymerase chain reaction (RT-PCR) that was funded by the government. While this measure is a blessing for its people, for the government it is a huge economic challenge.
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Affiliation(s)
- Dawa Gyeltshen
- Eusa Hospital, Ministry of Health, Wangdue Phodrang, Bhutan
| | - Don Eliseo Lucero-Prisno
- Department of Global Health and Development, London School of Hygiene & Tropical Medicine, London, UK.,Faculty of Management and Development Studies, University of the Philippines Open University, Los Baños, Philippines
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Gyeltshen D, Dema T, Ahmadi A, Lucero-Prisno DE. Bhutan's COVID-19 Vaccination Efforts and the Evolution of COVID-19 Cases in the Aftermath. Asia Pac J Public Health 2021; 34:125-127. [PMID: 34670431 DOI: 10.1177/10105395211052178] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The COVID-19 pandemic is continuing to ravage countries across the world. It has displaced families and impacted economies around the world. Our fight against the pandemic is never ending, but COVID-19 vaccines offer unique promises and opportunities to win this war. As more and more vaccines are approved for use, many countries including Bhutan have started vaccinating their population against the SARS-CoV2 disease. Bhutan has fully vaccinated 61.5% of its people and 11.2% partially including children aged between 12 and 17 years. The country used many strategies to increase vaccine accessibility and availability such as government's exhaustive efforts to secure enough vaccine doses, careful preparations, use of international partners, and integration of its tradition and culture for wider vaccine acceptance. The protection from vaccines coupled with other public health measures has helped keep the number of COVID-19 cases to a manageable number without straining its health system too much. The success story is a "beacon of hope for the region" as the world looks to rebuild itself from this long exhausting fight against the COVID-19 pandemic.
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Affiliation(s)
- Dawa Gyeltshen
- Eusa Hospital, Ministry of Health, Wangdue Phodrang, Bhutan
| | - Tashi Dema
- Eusa Hospital, Ministry of Health, Wangdue Phodrang, Bhutan
| | | | - Don Eliseo Lucero-Prisno
- Department of Global Health and Development, London School of Hygiene & Tropical Medicine, London, UK.,Faculty of Management and Development Studies, University of the Philippines Open University, Los Baños, Philippines
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Gyeltshen D, Musa SS, Amesho JN, Ewelike SC, Bayoh AVS, Al-Sammour C, Camua AA, Lin X, Lowe M, Ahmadi A, Ntacyabukura B, Adebisi YA, Lucero-Prisno DE. COVID-19: A novel burden on the fragile health system of Angola. J Glob Health 2021; 11:03059. [PMID: 33828839 PMCID: PMC8021071 DOI: 10.7189/jogh.11.03059] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Dawa Gyeltshen
- Eusa Hospital, Ministry of Health, Wangdue Phodrang, Bhutan
| | | | | | | | | | | | - Angel Anthony Camua
- College of Education, University of the Philippines Diliman, Quezon City, Philippines
| | - Xu Lin
- Department of Thoracic Surgery, School of Medicine, Zhejiang University, Hangzhou, China
| | - Mat Lowe
- Society for the Study of Women's Health (SSWH), Kombo North District, The Gambia
| | | | | | | | - Don Eliseo Lucero-Prisno
- Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK.,Faculty of Management and Development Studies, University of the Philippines (Open University), Los Baños, Laguna, Philippines
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