Archive for June, 2007

Sleep Hygiene

Saturday, June 30th, 2007

Dr. T. Jeetenkumar Singh
Department of Medicine,
Regional Institute of Medical Sciences,
Imphal, Manipur, India

Do’s:
1. Regular exercise (40 minutes daily) at least 3 – 4 hours before bed time
2. Take a hot bath 2 hours before bed time
3. Keep a regular time
i. for bed time
ii. wake up time
iii. do not deviate by > 1 hour
4. Increase exposure to bright light during the day
5. Restrict alcoholic beverage consumption after 7:00 pm (Alcohol can fragment sleep over the 2nd half of sleep)
6. Keep the clock free turned away
7. Review with doctor the medications that could be stimulating/sedating
8. Avoid strenuous exercise after 6 pm
9. Avoid heavy meals/spices in the evening
10. Keep the room dark, quiet, well ventilated and at comfortable temperature throughout night
11. Use bed time ritual reading before light out, it may be helpful if it is relaxing
12. Learn simple relaxing skills if wake up at night
13. Use stress management in day time
14. Set aside worries
15. Make sure mattress is not too soft or too firm and the pillow is of proper height and firmness
16. Use only bed room for sleeping

Don’t’s
1. Avoid naps except for a brief duration (30 minutes) during day (Check with doctors as some disorders can be benefited from short duration naps during day)
2. Avoid spending too much time awake in bed
3. Do not expose to bright light if you have to get up at night
4. Do not smoke after 7 pm
5. Do not eat/drink heavily 3 hours before sleep
6. Do not retire too hungry/too ful
7. Avoid unfamiliar sleep environment
8. Do not work/do other activity in bed room
9. Avoid activities that lead to prolonged arousal

GOOD SLEEP IS A SENSITIVE SIGN OF GOOD HEALTH AS MUCH AS IT IS AN IMPORTANT REQUISITE FOR A HEALTHY LIVING.
“ENJOY YOUR SLEEP”
&
WISH YOU A VERY GOOD NIGHT

Inhaled Insulin: A Novel Therapeutic Option for Diabetes Mellitus

Saturday, June 30th, 2007

Credit: Prof. Th. Premchand Singh, Professor, Department of Medicine, Regional Institute of Medical Sciences, Imphal, India.

Abstract:

Inhaled insulin is a novel therapeutic option among the insulin delivery devices in the management of diabetes mellitus. It may ultimately replace the need for multiple daily subcutaneous injections of insulin. Subcutaneous insulin in all forms either pen devices or Subcutaneous Insulin Infusion (Insulin pump) is painful, inconvenient and does not achieve the recommended glycaemic goal. Insulin delivery through pulmonary route is rapidly absorbed comparable to subcutaneous injection of two faster acting insulin analogues, insulin lispro and insulin aspart with a much longer duration of action lasting four to six hours. Studies have shown that availability of inhaled insulin as a potential treatment option increases patients’ willingness to add or change to insulin therapy.

(more…)

Teleclasses ………

Thursday, June 14th, 2007

Please download the slides from this link

Telemedicine in NE India

Wednesday, June 13th, 2007

The Telemedicine facility has been a boon to the North East Indian states. The geographical terrain of this area, very low doctors to patients ratio and low income of the people of this area have been always acting as hurdles in timely and effective treatment of diseases. The Telemedicine facility provided by ISRO (Indian Space Research Organization) and other private agents has really helped the people of this area. Consultations from various superspeciality hospitals can be sought. CMEs and seminars held at various places are participated which are really useful for students undergoing PG courses. Thanks to the support given by Institutions like SRMC Chennai, Tata Memorial Hospital Mumbai, Narayan Hrudalaya Banglore, AIMS Cochin, Trivandrum Medical College Trivandrum.

Free Medical Journals

Thursday, June 7th, 2007

Dear Students of RIMS, I am giving you some of the links of Free Medical Journals. You can Just click on the link and follow the address. Most of them are free after a certain period………….maybe six months upto a year.

Diabetes Care

Diabetes

British Medical Journal

NEJM

CME on Coronary Artery Disease

Thursday, June 7th, 2007

A CME is going to be held on Coronary Artery Disease on Friday, the 8th June, 2007 at Jubilee Hall, Regional Institute of Medical Sciences, Imphal, Manipur. Prof. KR Balakrishnan, HOD of CVTS, Sri Ram Chandran Medical College and Research Institute, Chennai will give a  Guest Lecture.

My dog betty…….

Sunday, June 3rd, 2007

my dog betty was run over by the car of the Chief Minister of Manipur, India………..

Chabungbam

Sunday, June 3rd, 2007

BBUGWelcome to the site of The Chabungbams. My name is Usharanjan Chabungbam and I’ll be the one maintaining this website. I am a Telemedicine technologist with varied interests.

For now, I am in the Telemedicine Network………I love to grow plants, herbs, shrubs, flowers and lots of other small trees. I love animals as much as I love trees and greens. I’ve few big and small to very small dogs.