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Editorial (Dr SS Agarwal, Dr K K Aggarwal)
20th July 2016
 New revised guidelines on fibromyalgia​
The European League Against Rheumatism (EULAR) has released revised guidelines for the management of patients with fibromyalgia. These guidelines published online first July 4, 2016 in the Annals of Rheumatic Diseases have incorporated evidence-based recommendations in relation to pharmacological and non-pharmacological interventions, including complementary, and alternative medicines/therapies. 

A multidisciplinary working group, which included 18 members from 12 European countries, evaluated data from 107 systematic reviews and/or meta-analyses.

The only 'strong for' therapy-based recommendation in the guidelines was exercise. 

The guidelines recommend that initial management should involve patient education and focus on non-pharmacological therapies. If there is no response, then further therapies (all of which were evaluated as ‘weak for’ based on meta-analyses) should be tailored to the specific needs of the individual and may involve psychological therapies (for mood disorders and unhelpful coping strategies), pharmacotherapy (for severe pain or sleep disturbance) and/or a multimodal rehabilitation program (for severe disability).
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Practice Updates
Lybrate Question of the Day
A 20-year-old male from Hyderabad asked:
I am 20 years old and I cannot sleep easily at night times. Is there any medicine so that I get peaceful sleep every night?
 
Dr. Lalit Kumar Tripathy, General Physician, replied:
1. You may be having anxiety or stress. Avoid stress. 2. You need 7-8 hours of sound sleep to remain healthy. 3. Go for regular exercise, Take part in games and sports,.. read more
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IMA-Lybrate Initiative: An online clinic brings an end to your one-zone practice and spread your presence beyond your own location. Learn more http://lybr.at/open-online-clinic 
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1. Dohle bodies 
2. Hypersegmented neutrophils. 
3. Spherocytes. 
4. Howell-Jolly bodies. 
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Inspirational Story 1Happiness is a Voyage 
Inspirational Story 2Cure for Sorrow 
Press Release
Older people 'should exercise to build muscle even into their 80s'
 
New Delhi, July 19, 2016: "Older people should exercise to build their muscles even into their 80s, according to a review which suggests it will help them with everyday tasks," said Padma Shri Awardee Dr KK Aggarwal - President Heart Care Foundation of India (HCFI) and Honorary Secretary General IMA. 
 
Climbing the stairs, housework, walking, and even washing is made easier if elderly people worked out two or three times a weeks, study conducted at Indiana University.
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IMA Updates
Digital IMA
Webcast Topic - HIV-AIDS Update
 
Webcast Date  - 21st July 2016
 
Webcast Faculty - Dr Parveen Kumar, Additional Project Director, Delhi State AIDS Control Society