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Dr K K Aggarwal

Quitting at any time reduces one’s fear of getting or dying of heart disease and lung cancer. It also reduces chances of getting osteoporosis. Quitting smoking can also help the smoker look younger and improves appearance in both men and women.

The five steps involved can be remembered with the word START where ‘S’ means setting a quitting date, ‘T’ means telling family members, friends and people around you that you plan to quit, ‘A’ means anticipating the tough time one may face while quitting smoking nicotine withdrawal and weight gain, ‘R’ stands for removing all forms of tobacco products from within our reach which includes home, car and workplace and ‘T’ stands for taking help from your doctor in terms of behavior, counseling and drugs.

Counseling helps in identifying tricks of smoking cessation and provides you alternatives. It also helps overcome craving and helps you understand what went wrong when you wanted to quit smoking.

These steps are well mentioned in Indian Mythology.

Cigarette is a lust which in Ramayana is symbolized with Kekai initially and later on withBali. When lust is controlled, the ten senses (Dashrath) has to die and Rama, Sita and Lakshman (Soul, Body and Mind) have to lose control.

Later in Ramayana, lust is symbolized with Baliwho can only be killed by Rama (consciousness) and not Lakshman (mind). Intellect (Sugriva) cannot  kill lust (Bali). Lust (Bali) can only be killed from behind and not from front which is based on the principle of Pratyarhara in Yoga Sutra of Patanjali under 8 limbs of Yoga (5th limb) which is creating a spiritual atmosphere free of lust for a spiritual living. Removing tobacco products from the environment we live in is based on the above principle mentioned in Ramayana and in Patanajli Yoga.

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Heart patients considered “chronically distressed” (Type D personality) are at a higher risk of recurrent cardiac events.

Type D personality is associated with higher risk of future psychological problems such as depression or anxiety in heart patients.
Heart patients with the distressed (Type D) personality profile may face a higher risk of future cardiovascular problems, according to a summary article published in the American Heart Association journal Circulation: Cardiovascular Quality and Outcomes. An analysis of previous reports involving more than 6,000 patients found an association between the Type D personality and future cardiovascular issues among heart patients.

Type D is a personality marked by chronic negative emotions, pessimism and social inhibition. There is a 3–fold increase for Type D heart patients in risk of future cardiovascular issues such as peripheral artery disease, angioplasty or bypass procedures, heart failure, heart transplantation, heart attack or death. A Type D profile was also linked to a 3–fold increase in long–term risk of psychological conditions including clinical depression, anxiety or poor mental health. Type D patients appear to respond differently to cardiovascular stress. Type D is associated with differences in cortisol, a stress hormone that can temporarily increase blood pressure. It also may be related to elevated levels of inflammation. In addition, heart patients with Type D personality may be less likely to get regular medical checkups or communicate effectively with their physicians.

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Low self esteem is opposite of ego. Supportive psychotherapy is often used to treat depression by improving self esteem.

Low self-esteem always occurs when one compares one’s skill or knowledge with somebody else. We often forget that for passing marks, we only need 50%. One who passes with 50% is a good student.

But the same person when compares himself or herself with a student who has got 90%, he or she feels that his education was inferior as he is not as competent as others.

One should remember that one is required to possess average degree of knowledge and skill and not the maximum degree of skill and knowledge. In the society, one needs to possess only average degree of skill and knowledge.

For example, if a person has passed MBBS with 50% marks, he or she is allowed to practice medicine with full powers and respect. There may be chances when a person who is 90 percentile may be able to take some better decisions but the same does not make him a superior doctor.

The fundamental principle in self-esteem is to make a person proud of his personal knowledge and skills and also to bring out his or her uniqueness.

Passion and profession are two different things. We should judge an individual from is passion and not profession.

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Its wrong to say eat less fat; the real message should be eat more fresh fruits and vegetables.

White advocating low–fat diets it is easier for patients to understand advice given in terms of foods e.g, “eat more fresh fruit” rather than nutrients e.g, “reduce your intake of fat to less than 30 percent of your total energy intake”.

The message to reduce fat has been translated by food manufacturers and consumers into a potentially harmful set of food choices.

Instead of replacing high–fat foods with naturally low–fat foods with other benefits, such as fruits, vegetables, legumes, and whole grain foods, consumers have often increased their consumption of low–fat or “fat–free” varieties of naturally high–fat foods, such as fat–free snack or junk foods.

The result is an increase in refined carbohydrates which lower good HDL–cholesterol concentrations with a possible increase in the incidence of type 2 diabetes and obesity, and failure to gain the benefits of more.

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Power is the ability to influence others to get a work done the way you want it.

We have seen evolution in the way power works. There was a era when Brahmins ruled using the power of knowledge, then came an era of Kshatriya who ruled using the physical power. This was followed by an era of Vaishyas ruling the world with the power of money and a time will come when Shudras will rule with the power of their work.

In one of his lectures, Deepak Jain from Kellogg’s said that the world has seen eras of physical power, economical power and the time has come that it will now be ruled by the power of human resources.

Former Governor of Mizoram A R Kohli, in one of his talks, said that there are four types of powers which govern the universe and these are – physical power, economical power, the power of the chair (ego) and the power of the human resource which is based on consciousness.

Everyone has these four inherent powers. The physical power is based on fear, tamas and rajas. The economical and the power of chair are linked to one’s ego and rajas. It is the power  of human resource which is linked to the soul, consciousness and Satva.

The physical power is at the level of body, economic power is at the level of mind, the power of chair is at the level of intellect and ego and the power of human resources is  at the level of soul. It is the power of human resource which is based on Dharma and is universally accepted by all religions.

As per Mahabharata, the powers are the power of human resource (righteousness or Yudhisthir), power to remained focused (Arjun), power to fight injustice (Bheem), power to help others (Sahdev) and power to remain neutral during any adversity (Nakul).

In Vedic sciences, these powers are also defined as Ichhashakti (the power of desires to be with the consciousness), Kriyashakti (the power to do selfless work), gyanshakti (the power to learn about consciousness), chit shakti (the power to take conscious based decisions) and anand shakti (the power for inner happiness).

The power of human resources talks about cultivating relationships. It is not based on the principles of survival of the fittest which is an animal behavior. The power of human resource believes in training and developing everyone to survive and become the fittest of the fit.

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Ideal Sleep Time: Eight Hours

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People who sleep less than 7 hours or more than 9 hours a night, gain more weight over a period of time and become obese as compared to individuals who log 8 hours every night.

People who want to lose weight or prevent weight gain should not only exercise and eat well, but also sleep.

In a study by Dr. Angelo Tremblay, of LavalUniversityin Quebec City, published in the Journal Sleep, the researchers followed 276 men and women for 6 years. During that time, people who averaged 5 to 6 hours of shut eye a night gained 1.98 kgs more than those who slept 7 to 8 hours, while those who slept for 9 to 10 hours gained 1.58 kgs more than the average-length sleepers.

Short and long sleepers also showed greater gains in fat mass and waist circumference than average-length sleepers, and were significantly more likely to gain 5 kgs or more.

Getting too much or too little sleep somehow disrupts appetite control by causing a reduction in leptin, a hormone that dampens appetite, while increasing secretions of the appetite-stimulating hormone ghrelin.

Short and long sleepers were also more prone to hypoglycemia, or low blood sugar, than average sleepers, which could increase appetite as well.

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Training in any field requires gaining knowledge, skills and positive mental attitude towards the object of learning.

The knowledge is everything about what and why. In Yoga, it correlates with the Gyan (Gnana) Marg. The skill is all about how to do it and correlates with Karma Marg.

The positive mental attitude is linked to willingness to do any work or in other words one’s Astha in that action. In Yoga, it is synonymous with Bhakti Marg.

In Bhagwad Geeta, Lord Krishna talks about all the principles of management including how to train and develop an individual.

The development teaches and increases one’s intelligence quotient (IQ), physical quotient (PQ), emotional quotient (EQ) and moral quotient (MQ).

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These guidelines are consistent with the one published by the CDC, the Association for Professionals in Infection and Epidemiology, Inc (APIC), the ACIP, and infectious diseases experts.

The general approach is as follows:

  • All healthcare workers should be immune to measles, mumps, rubella, and varicella.
  • All healthcare workers with potential exposure to blood or body fluids should be immune to hepatitis B.
  • All healthcare workers should be offered annual immunization with influenza vaccine.
  • All healthcare workers should either be offered immunizations that are routinely recommended for adults, such as tetanus, diphtheria, and pneumococcal vaccine, or be referred to their primary care provider.
  • At risk healthcare workers and laboratory personnel should be offered the following vaccines: polio, meningococcal, BCG, rabies, plague, typhoid, and hepatitis A.


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