Milk in Nepal and India: the difference!

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 I have observed that whenever milk ferments when I am in India, the paneer or cottage cheese does not come out easily. Even if I boil it and add lime juice to it, the cheese formed is quite little and more powdery than cheesy.  But when the same happens in Nepal, the cheese formation is immediate, dense and cheesy. I do not have to do more efforts to get cottage cheese out of the milk in Nepal. What is the reason? I checked internet and found some factors that can affect the quality and amount of cheese  1. Freedom from pathogenic bacteria - Good cheese forms of milk is free from pathogenic bacteria. Differences between Nepali vs Indian panipuri  2. Different milk quality with different amounts of fats and proteins  3. Ultra-pasteurization can destroy vital enzymes and bacteria that are required for cheese formation  4. If temperature of milk is less when it ferments, cheese formation will be less.  5. If milk is rancid, it means it's fats are also br...
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Coronavirus infection and skin rashes!

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The 3 most common symptoms of coronavirus affliction are fever, cough, and loss of smell. But there are a host of other symptoms that are observed during coronavirus infection. These include skin lesions of varying types and severity. 

Skin lesions and Covid-19

Coronavirus also causes skin lesions during the course of the disease. Lancet has reported that many patients had skin lesions as part of the disease. These occurred during the start of the disease or were spotted during the hospital stay. And the lesions did not correlate with disease severity. 

Skin rashes in coronavirus infection (Source: News Medical) 

The authors added that some of the patients with such lesions reported burning and/or itching at the site. These lesions were either as red rashes, or vesicles and blisters, or as urticaria or hives. In some, the researchers saw that the lesions began as erythematous-violaceous patches that later turned purpuric. They blistered and ulcerative to become necrotic and later healed. 

In another research, 21% of coronavirus patients had only skin rashes as the manifestos the disease.  17% of the patients had such skin lesions coming up first before the full-blown picture of coronavirus affliction in them. 

Types of skin lesions in coronavirus 

1. Erythematous rashes

2. Urticaria or hives. These are seen in all ages and associated with severe disease. They clear off in 10 days. 

3. Vesicles or blisters on body and also in some in oral cavity. Most occur in middle patients of coronavirus and are associated with medium severity. They resolve in 10 days. 

Acral lesions in coronavirus infection (Source: MDedge) 

4. Chilblains or Covid toes. This is common in children and adolescents and even occur with no or mild symptoms. The skin over the digits becomes discolored red or purple and is also painful and itchy. Massachusetts General Hospital (MGH) and Harvard Medical School (HMS), in collaboration with the American Academy of Dermatology and International League of Dermatologic Societies revealed that these occur more in cold air and when the skin is exposed to cold surfaces. 

5. Purpuric lesions

6. Ulcers with or without necrosis 

Skin lesions in children 

Hives in coronavirus infection (Source: First Post) 
Also, read on Latest about Astrazeneca Covid vaccine 

A study from Spain on 20 children showed that they had acral erythema (30%) dactylitis (20%), purpuric maculopapules (35%), and mixed pattern (15%). Some had lesions similar to pityriasis rosea and these were on the trunk, upper limbs, and peri umbilical regions. 

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