(incorporating eIMA News)
14th March 2016
Editorial (Dr S S Agarwal, Dr K K Aggarwal)
Sleep Hygiene
  • Stick to a consistent sleep schedule and routine. Go to bed at the same time each night and wake up at the same time each morning. 
  • Use the bed only for sleep.
  • Cut down on caffeine. Some people may have a sleepless night with just one cup of coffee in the morning. Caffeine can also increase the need to urinate during the night.
  • Be physically active. With regular aerobic exercise, you will fall asleep faster, attain a higher percentage of restorative deep sleep and also awaken less often during the night.
  • Limit daytime naps. Too many daytime naps may prevent you from feeling tired enough to fall asleep.
  • Quit tobacco as nicotine makes it harder to fall asleep.
  • Use alcohol cautiously. Alcohol depresses the nervous system; hence, a nightcap may help some people fall asleep. But this effect wanes off after a few hours and may even keep you awake throughout the night. Alcohol can also worsen snoring.
  • Improve your sleep surroundings. Remove the television, telephone and any other devices from the bedroom. An ideal environment is quiet, dark, and relatively cool, with a comfortable bed and minimal clutter.
  • If you're still awake after about 20 minutes in bed, get up and read awhile to relax.
  • Try to avoid taking sleeping pills. 
(Source: Harvard Health Beat) 
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1. Clarify the patient's report by reviewing the patient's nonverbal behavior. 
2. Confronting the patient's denial of pain. 
3. Obtaining an order for pain medication. 
4. Supporting the patient's stoic behavior. 
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Press Release
Prevalence of worm infestation higher Indians: IMA
More than one billion people are infested with round worms worldwide. The prevalence is higher in India.​
New Delhi, March 13, 2016: Worm infestation occurs when worms live as parasitic adults in the human gastrointestinal tract. Worms that infect humans can be divided into three groups: Roundworms, whipworms, hookworms. 
A patient with a mild infection may not show any symptom. However, some may experience itching around the anal area especially at night when the female worm deposits eggs in the perianal region. Other symptoms include poor appetite which leads to weight loss, stomach discomfort, restless sleep and inability to concentrate. A worm passed with a stool may also be discovered by the patient. 

The most common route of transmission for worm infestation is the anus-to-mouth route. This is because eggs are often found under the fingernails of the infected person who has scratched the anal area. When the infected person uses the contaminated fingers to handle and ingest food, the eggs are transferred directly from the anus to the mouth.

Speaking about the same, Dr SS Agarwal - National President IMA and Padma Shri Awardee Dr KK Aggarwal - Honorary Secretary General IMA and President Heart Care Foundation of India said, "There are various ways in which worm infestation can be prevented. It is important that preventive awareness is raised to avoid disease and suffering in the future. One can prevent worm infestation by drinking safe and clean water, ensuring that food is cooked in a clean and hygienic fashion, washing hands regularly particularly after bowel movement and before eating and avoiding nail biting. Mass treatment with a single dose of deworming tablet every 2–3 months for school children is recommended."
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IMA Updates
IMA Polio Dates
  • April 1st: tOPV would not be available after this date.
  • April 11th: bOPV would be available in private market but it is not to be opened or used before 25th April.
  • April 25: IMA Polio Switch Day, when tOPV would be completely withdrawn and replaced by bOPV in both routine immunization and polio campaigns.
  • 9th May: IMA National Validation Day when India would be declared free of tOPV. 

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Next Webcast: 17th
 March 2016