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Editorial (Dr K K Aggarwal)                                                                                                  (Dr RN Tandon)
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25th January 2017
New integrated guidelines for management of axial spondyloarthritis
 
The Assessment of SpondyloArthritis international Society (ASAS) and the European League Against Rheumatism (EULAR) have integrated guidelines for ankylosing spondylitis (AS) and axial spondylitis (axSpA), as well as for the use of tumor necrosis factor inhibitors (TNFi) into one set of recommendations. Published January 13, 2016 in the Annals of the Rheumatic Diseases, these guidelines have 13 recommendations.
  • Treatment should be individualized according to signs and symptoms of the disease including comorbidities and psychosocial factors. Similarly, the guidelines also recommend individualizing frequency of monitoring and predefined treatment target.
  • Patients should be educated about axSpA and encouraged to exercise regularly and stop smoking. 
  • An NSAID is recommended as the first-line drug for patient who complain of pain and stiffness, taking into consideration the associated risks and benefits.
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a. Orolabial herpes
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Press Release
IMA Lead-free Healthy Society Initiative
 
In growing children lead exposure can cause decline in IQ, hyperactivity, attention deficit, learning disorders and anemia.
 
New Delhi, Jan 24, 2017: About 50% of the worldwide burden of lead poisoning occurs in Southeast Asia. In 2004, 16% of all children in the world were estimated to have blood lead levels more than 10 mcg/dL (0.48 micromol/L) with 90% of the children with elevated levels living in low-income regions.
 
No level of lead exposure is safe for children. The US CDC is considering lowering its threshold for raised childhood (0-6 years) blood lead levels by 30%, from the current value of 5 to 3.5 micrograms per deciliter.
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IMA Updates