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Dr K K Aggarwal

Diabetics should take pneumonia vaccine

By Dr K K Aggarwal
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Diabetes is associated with a 25–75% increase in the relative risk of hospitalization due to pneumonia. Hence, patients with diabetes, especially those who have had diabetes for a longer duration should be given flu and pneumococcal vaccine. It is equally important to control diabetes adequately to prevent pneumonia-related hospitalization among diabetic patients.

In the study Dr. Jette B. Kornum from Aarhus University Hospital, Aalborg and colleagues identified 34,239 individuals with a pneumonia–related hospital admission and 342,390 individuals from the general population who served as a control group. The study showed that individuals with diabetes had a 26% higher risk of pneumonia–related hospitalization compared with those without diabetes. The risk of pneumonia–related hospitalization was increased by 4.4–fold in subjects with type 1 diabetes and by 1.2–fold in those with type 2 diabetes.

The maximum risk was related to longer duration of diabetes (more than 9 years) with poor glycemic control (A1c > 9%). The risk was 37% higher in diabetics of over 9 years duration and 60% higher when the A1c was over 9% as compared to 22% higher risk when the A1c was lower than 7%.

A1c is the measure of average blood sugar of the last three months and should be kept lower than 7%.

Sitting over 3 hours a day may reduce life expectancy

By Dr K K Aggarwal
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Sitting for three hours per day or longer may reduce an individual s life expectancy. A study calculated that limiting the time people spend sitting to 3 hours or fewer each day would increase the life expectancy of the population by two years. Cutting down TV watching to fewer than two hours each day would bump life expectancy up by another 1.4 years. When you are sitting your leg muscles are completely inactive which causes problems with how you handle your blood sugar and how you handle cholesterol.

Fits or Epilepsy

By Dr K K Aggarwal
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• Seizure is a sudden change in behavior that is the consequence of brain dysfunction.

• Approximately 0.5–1% of population has epilepsy.

• Some seizures are provoked i.e. that occur in the metabolic derangement, drug or alcohol withdrawal and in situations like acute paralysis or acute encephalitis. Such patients are not considered to have epilepsy because these seizures would not recur in the absence of the provocation.

• Less than 50% of epilepsy cases will have an identifiable cause such as head trauma, brain tumor, paralysis, infection, brain malformation etc.

• Having one seizure does not always mean that the patient would always get a seizure.

• One episode of seizure may not require treatment.

• Hospitalization is required in the first seizure only if it is associated with prolonged post seizure altered level of consciousness.

• Patients with unprovoked seizure may not be allowed to drive for some time.

• In children, seizure can occur with high grade fever.

• In adults, the first episode of seizure may be due to worms in the brain. In such a situation, it may be necessary to do an MRI test.

• A patient with seizure can get married, live a normal life and produce children.

• It is a misnomer that during a fit you need to make the person smell a shoe.

• During epilepsy, never put the fingers inside the mouth of the patient as you could be bitten. Use a spoon instead to prevent tongue bite.

• A patient with epilepsy fall will have stiffness in the body; on the contrary, patient with cardiac loss of consciousness will fall loose.

• A seizure that lasts for more than 5–10 minutes requires specialized attention.

Collective Consciousness

By Dr K K Aggarwal
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Consciousness is an energized field of information with powers to do everything in the universe. Collective consciousness is the internet of the collective souls of many people in a group.  Collective consciousness is the strongest superpower ever available in the universe. As per the Vedic texts, whatever is the intent of collective consciousness will become a reality. Scientifically collective consciousness is based on the principle of critical mass. The Vedic literature has shown it to be the 1% of the defined population under study.


The origin of the critical mass comes from 100th monkey phenomenon. The story goes as under: long ago in Japan a monkey called Emo used to eat dirty apples everyday picked up from the ground. One day by accident the apple fell down in a river, the dirt got washed off and he ate the washed apple. Obviously it tasted delicious. The monkey started washing the apple thereafter everyday before eating. His fellow monkey started following the same. The process of following went on. A time came when the 100th monkey washed the apple and ate. A strange phenomenon was noticed. All monkeys in and around that state started washing the apple before eating. The no. 100th was the critical mass.


Once this mass is crossed, the information will spread like a wild fire and the intent becomes a universal reality. Vedic literature has also shown if 1% of the public of any area meditates together the crime rate of that area goes down. It also talks about the role of critical mass in prayers in achieving miracles.


Thus the principle of critical mass is often used in designing and organizing an event. In a movie hall of 1000 people if 10 people clap sitting in different areas everybody will start clapping. The same is true for the hooting of a particular scene. Most politicians use this principle when they organize election rallies. For a gathering of 10000, they need 100 and for a gathering of 1000 people, they only need 10 supporters who are supposed to sit in different areas and shout or clap on given directions. The Mexican way of hooting or clapping in cricket grounds also follow the same principle. For a ground like Eden Gardens with a capacity of 75,000 people you only require 750 people to control the mood of the people. This is what happened in an incident when the Indian team was hooted out by the sentence “No Ganguli no play, No Dada no play”. If Greg Chappell or Jagmohan Dalmiya had anticipated they would have used the same strategy to produce opposite result. They could have posted 1500 people (2% of the population) in the stadium shouting pro-Dravid slogans and the end result of the match could have been different.


Most successful leaders used this technology to lead. Extremist organizations also follow the same principle. The classical examples are the public of Kashmir and Punjab. For an extremist organization the only thing required is to sensitize 1% of the population to believe that Khalistan or Kashmir liberty is the need of the day. The same will be true to counter it.