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Dr K K Aggarwal

Diagnosis of hypertension in childhood calls for repeated BP measurements

By Dr K K Aggarwal
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The diagnosis of hypertension should be confirmed on the basis of three blood pressure measurements at separate clinicvisits.

Normative BP percentiles are based on data on gender, age, height, and blood pressure measurements from the National Health and Nutrition Examination Survey and other population-based studies.

In a study, initial BP measurement was normal (below the 90th percentile), pre-hypertensive (systolic or diastolic BP between the 90th and 95th percentile) and hypertensive (systolic or diastolic BP =95th percentile) in 82%, 13%, and 5% of children, respectively.

At follow-up, subsequent hypertensive levels were observed in 4% of the 10,848 children with initial hypertensive values. The overall prevalence of hypertension in the cohort was found to be 0.3%.

Why do we place our hands over the flame?

By Dr K K Aggarwal
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Flame refers to the flame of true knowledge. At the end of any aarti, we place our hands over the flame and then touch our eyes and the top of the head with those hands. It means – “May the light that illuminated the Lord light up my vision; May my vision be divine and my thoughts noble and beautiful.”

The metaphysical implication of aarti extends beyond this. The sun, moon, stars, lightning and fire are all natural sources of light. However, the Lord is the source of all these universal phenomena. It is due to the Lord that everything exists.

When we try to light up the Lord with the flame of the aarti, we divert our attention to the source of all light, which symbolizes knowledge and life. Also, the Sun is the deity of the intellect, the moon, that of the mind, and fire, that of speech. The Lord is the supreme consciousness that illuminates all of them. Without the Lord, the intellect cannot think, the mind cannot feel and the tongue cannot speak. The Lord therefore, is beyond the mind, intellect and speech.

So, how do we intend to illuminate the Lord with these finite entities? Therefore, as we perform the aartiwe chant:

Na tatra suryo bhaati na chandra taarakam, Nemaa vidyuto bhaanti kutoyamagnib

Tameva bhaantam anubhaati sarvam, Tasya bhasa sarvam idam vibhaati

This means -“He is there where the sun does not shine, nor the moon, stars and lightning. Then what to talk of this small flame (in my hand), Everything (in the universe) shines only after the Lord, and by His light alone are we all illumined.”

In our spiritual journey, we should be willing to sacrifice ourselves and all we have, in order to spread the fragrance of love to all.

We often wait for long to see the illuminated Lord but as the aarti is performed, our eyes close on their own, as if to look within. This signifies that each of us is a temple of the Lord.

(Excerpts from NHSF)

Some tips to avoid dyspepsia from HCFI

By Dr K K Aggarwal
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Identify the triggers. For some individuals, the triggers could be dairy products. It is important to identify the foods that trigger the symptoms and avoid them.

Opt for less gassy foods. It is advisable to avoid beans, cabbage, and cauliflower; these can cause gas. Consume more of foods which have high omega-3 fatty acid content.

Eat smaller meals. This will help the digestive system adjust better to the condition.

Keep yourself hydrated. Drink plenty of water and other fluids. However, limit the consumption of caffeine and alcohol.

Positive Attitudes

By Dr K K Aggarwal
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People who feel that they are at their wits end and can’t figure out how things don’t ever work out, can now relax and dwell on all those failures that they have seen in life and turn failure into success.

  • Failure doesn’t mean you are a failure. It means you are yet to succeed.
  • Failure doesn’t mean you have accomplished nothing. It means you have learned something.
  • Failure doesn’t mean you have been foolish. It means you had faith.
  • Failure doesn’t mean you’ve been discouraged. It means you were willing to try.
  • Failure doesn’t mean you don’t to do. It means you have to do it in a different way.
  • Failure doesn’t mean you are inferior. It means you are not perfect.
  • Failure doesn’t mean you have wasted your life. It means you have to start afresh.
  • Failure doesn’t mean you should give up. It means you should try harder.
  • Failure doesn’t mean you’ll never make it. It means it may take a little longer.
  • Failure doesn’t mean God has abandoned you. It means God has a better idea.

(Disclaimer: The views expressed in this write up are my own).