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11th October, 2017
A Unique Permanent Registration Number for all registered doctors
Dr KK Aggarwal
Under its Digital Mission Mode Project, the Medical Council of India (MCI) is implementing a new Indian Medical Register (IMR) through UPRN (Unique Permanent Registration Number) generation for each registered doctor in India. The UPRN number will be generated for the existing records in IMR, which is approximately 10 lakh.
On implementation of the system, the existing registration numbers of the doctors shall be migrated to a standard system of UPRN. Doctors shall also apply online for additional qualification registration in IMR like post-graduation, super specialty etc. The system can be used to make online applications for services like issue of certificates etc. 
Here is how every registered doctor can covert IMR to UPRN. 
  • Register by Visiting and click on "Doctor Login". Enter basic information like Name and Contact details including email address. A User id and Password will be sent on the email address. 
  • Doctors need to use this user id & Password to login and enter all the requested details including Personal Details, Contact Details, Aadhar number, and Professional details and upload the latest qualification documents.
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Top News
Today is International Day of the Girl Child: "EmPOWER girls: Before, during and after conflict"
October 11 is marked every year as the International Day of the Girl Child. The day focuses attention on the need to address the challenges girls face and to promote girls' empowerment and the fulfilment of their human rights. The theme this year is "EmPOWER girls: Before, during and after conflict".
Adolescent girls have the right to a safe, educated, and healthy life, not only during these critical formative years, but also as they mature into women. If effectively supported during the adolescent years, girls have the potential to change the world - both as the empowered girls of today and as tomorrow's workers, mothers, entrepreneurs, mentors, household heads, and political leaders.

Today is World Obesity Day
World Obesity Day is observed globally on October 11 to help find practical solutions and support people to achieve and maintain a healthy weight, and to reverse the obesity crisis. The theme this year is "Investment in Obesity": To invest in treatment services to support people affected by obesity, invest in early intervention to improve the success of treatment and invest in prevention to reduce the need for treatment
Practice Updates
Adjunctive bright light therapy effective for bipolar depression 
In a study published online October 3, 2017 in the American Journal of Psychiatry, patients with bipolar depression treated with adjunctive bright white light showed a significantly higher remission rate as compared with the placebo light group; 68.2% vs 22.2% respectively at weeks 4-6 and significantly lower depression scores at the end of the study period.

ASCO releases comprehensive recommendations to broaden eligibility criteria for cancer clinical trials
The American Society of Clinical Oncology (ASCO) and Friends of Cancer Research (Friends) have released comprehensive recommendations to broaden eligibility criteria for cancer clinical trials to address eligibility criteria in five specific areas: minimum age requirements for trial enrollment, HIV/AIDS status, brain metastases, organ dysfunction, and prior and concurrent malignancies.

Ibuprofen better first-line option for post op pain relief following minor pediatric surgery
Compared with oral morphine, ibuprofen is a better first-line option for pain relief in children who have undergone minor orthopedic outpatient surgery, according to a study published October 3, 2017 in the Canadian Medical Association Journal. Although pain scores in both groups were similar, children receiving oral morphine reported more adverse effects, such as nausea, vomiting, drowsiness, dizziness and constipation.

ACR recommendations for managing liver lesions detected incidentally on CT scan
The American College of Radiology (ACR) Incidental Findings Committee has published recommendations for the management of liver lesions detected incidentally on CT scan published online September 16, 2017 in the Journal of the American College of Radiology. The key recommendations include: Forgo workup of incidental hepatic lesions less than 1 cm in low-risk patients; forgo workup of incidental hepatic lesions with distinctly benign features regardless of risk level and pursue workup of incidental hepatic lesions that are ≥1 cm and without distinctly benign features in high-risk patients.

US FDA approves injectable ascorbic acid for scurvy
The US Food and Drug Administration (FDA) has approved ascorbic acid (vitamin C) injection for the short-term (up to 1 week) treatment of scurvy in adults and children aged 5 months and older for whom oral administration is not possible, is insufficient, or is contraindicated. The injection is not meant to treat vitamin C deficiency that is not associated with signs and symptoms of scurvy.
eMedi Humor
Teacher: Billy, stop making ugly faces at other students!
Billy: Why, ma'am!
Teacher: Because when I was a child, my parents told me that if I kept making ugly faces my face would stay that way!
Billy: Well, I can see you didn't listen then!
Medicolegal Corner
What are the MCI guidelines regarding fees and other charges?
3.7 Fees and other charges:
3.7.1 A physician shall clearly display his fees and other charges on the board of his chamber and/or the hospitals he is visiting. Prescription should also make clear if the Physician himself dispensed any medicine.
eMedi Quiz
How many cups of fruit and vegetables should you eat daily? 
A. At least one cup of fruit or vegetables.
B. One cup of fruit and one cup of vegetables.
C. One cup of fruit and 1 1/2 cups of vegetables, for a total of 2 1/2 cups.
D. Two cups of fruit and two cups of vegetables.
E. Four to five cups of fruit and vegetables.
Lifestyle Updates
eWellness: 3 simple ways for a restful sleep
  1. Cut down on caffeine: Caffeine drinkers may find it harder to fall asleep. Even a single cup of coffee in the morning may lead to a sleepless night. Caffeine blocks the effects of adenosine, a neurotransmitter thought to promote sleep. Caffeine can also interrupt sleep by increasing the need to urinate during the night. Because caffeine withdrawal can cause headaches, irritability, and extreme fatigue, it may be easier to cut back gradually rather than to go cold turkey. Those who can't or don't want to give up caffeine should avoid it after 2 p.m., or noon if they are especially caffeine-sensitive.
  2. Stop smoking or chewing tobacco: Nicotine is a central nervous system stimulant that can cause insomnia. If you continue to use tobacco, avoid smoking or chewing it for at least one to two hours before bedtime.
  3. Limit alcohol intake: Alcohol depresses the nervous system, so a nightcap may seem to help some people fall asleep. Alcohol suppresses REM sleep, and the soporific effects disappear after a few hours. Alcohol also worsens snoring and other sleep breathing problems.

ESpiritual: Be Positive, Be Different and Be Persistent
You should be not only positive, different but also persistent. In ten incarnations of Lord Vishnu, the first is a fish, which indicates to be different in life. The second incarnation is the tortoise, which indicates that you should be different but learn to withdraw when the need arises. The third is a boar which indicates persistence.
The mantra of a successful life is to be positively different and persistent and yet learn to withdraw when the situation arises.
(Disclaimer: The views expressed in this write up are my own).
Inspirational: The Power of Good Words
A group of frogs were traveling through the woods, and two of them fell into a deep pit. All the other frogs gathered around the pit. When they saw how deep the pit was, they told the unfortunate frogs they would never get out. The two frogs ignored the comments and tried to jump up out of the pit.
The other frogs kept telling them to stop, that they were as good as dead. Finally, one of the frogs took heed to what the other frogs were saying and simply gave up. He fell down and died.
The other frog continued to jump as hard as he could. Once again, the crowd of frogs yelled at him to stop the pain and suffering and just die. He jumped even harder and finally made it out. When he got out, the other frogs asked him, "Why did you continue jumping? Didn't you hear us?" The frog explained to them that he was deaf. He thought they were encouraging him the entire time.
This story holds two lessons:
1. There is power of life and death in the tongue. An encouraging word to someone who is down can lift them up and help them make it through the day.
2. A destructive word to someone who is down can be what it takes to kill them. Be careful of what you say. Speak life to those who cross your path.
It is sometimes hard to understand that an encouraging word can go such a long way. Anyone can speak words that tend to rob another of the spirit to continue in difficult times.
Special is the individual who will take the time to encourage another.
Timely detection of amblyopia in children increases chances of successful treatment
Eye health in both children and adults should not be ignored
New Delhi, 10th October 2017: The prevalence of amblyopia or lazy eye is about 2% to 12% in various parts of India, according to statistics. Studies also indicate that amblyopia is one of the leading causes of visual impairment in children globally.(1)
Amblyopia, also known as lazy eye, is a condition that begins during infancy and early childhood. While it affects only one eye in most of the cases, both eyes can be affected, in some cases. It is a vision development disorder in which one eye fails to achieve normal visual acuity, even with prescription eyeglasses or contact lenses. The brain favors one eye and ignores the image from the affected eye, due to poor vision, which becomes weaker in due course of time, leading to amblyopia.
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