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Dr K K Aggarwal

Cultivating Positive Thoughts

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Darkness present in a room cannot be removed physically. It can only be removed by switching on the light. Darkness therefore can be defined as absence of light.

In the same way negative thoughts can be defined as absence of positive thoughts. It is very difficult to remove negative thoughts but it is very easy to cultivate positive thoughts. Persistent negative thoughts creates sympathetic over activity and leads to lifestyle disorders like blood pressure, acidity, depression, diabetes and heart blockages.

Many Vedic scriptures have talked about modalities of living a positive life and cultivating positive thoughts.  The ritual Navratra observed twice in a year involves three phases of three days each, the first phase where one tries not to do negative things willfully (worshipping the Kali), the second phase of three days where one willfully performs positive activities (worshipping the Laxmi) and finally the last three days where one reads about positive lifestyle (worshipping the Saraswati).

 Yoga Sutras of Patanjali in one of the sutras talks about removal of negativity by cultivating opposite thoughts. For example the thoughts of theft can be removed by bringing the thoughts of charity in mind. Patanjali wrote (2.32, 2.33) “that to counteract destructive attitudes one should cultivate thoughts of the opposite kind. These destructive attitudes, as for example thoughts of violence, whether they are done, caused to be done, or merely approved of; whether motivated by greed, anger, or preceded by ignorance; and whether mild, moderate, or extreme will result in infinite suffering and ignorance. Therefore one should cultivate thoughts of the opposite kind”.

 Lord Buddha in his teachings has given another formula by which one does not have to cultivate opposite thought to cultivate any positive thought. Buddha said that hatred couldn’t be removed by hatred; it can only be removed by bringing the love back. It is a fact that one cannot hate an unknown individual. One can hate only a person to whom he or she loved once. Generalized positive behaviour involves promoting smile, appreciating and passing on compliments to others.

 Adi Shankaracharya in his teachings propagated the third way of negating the negative thoughts. He said that every thought has multiple perspectives and one should think differently for every situation. Giving an example he said that if one happens to face a situation of a young beautiful girl with bare chest, instead of feeling shy or closing the eyes one can look at those breasts and think in the mind that these are very breasts from where I drank milk in my childhood. The feeling of physical desire will immediately change to the feeling of motherhood.

 Cultivation of positive thoughts, opposite thoughts or changing the perception of the thoughts, can be all in the mind, may remain silent or end up with an action. Even giving a silent blessing to some one without his or her knowledge is considered as a positive thought.

 Satwik thoughts comes from satwik mind and satwik mind in turn comes from satwik food. The best way to remember a satwik food is that whatever is offered to God is satwik in nature. The food is fresh, seasonal, locally grown, with cooking done on Ayurvedic principles, usually naturally white and in most instances contained in the top part of the tree or the plant.

 The frame and state of mind also has to do with death and the rebirth. Both Buddha and Bhagwad Gita (chapter 8) describes it in great details. The state of mind at the time of death, determines the rebirth. If the mind is calm and peaceful and imbued with positive thoughts at the time of death, this will augur well for a happy rebirth. However, if the mind is in a state of anger or has strong desire or is fearful etc, this will predispose to an unhappy or lower type of rebirth.

The mind that arises at the time of death is usually the one that the person is most habituated to. People tend to die in character. So Buddha wrote that the time to prepare for death is “now”, because if we gain control over our mind now and create positive aura we will have a calm and controlled mind at the time of death and be free of fear.

Driving Fitness Awareness For Commercial Drivers In The Forthcoming Perfect Health Mela

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When appointing a driver, look for his medical fitness. Commercial vehicle driver should be completely medically fit as he they risk multiple lives while driving.

Patients suffering from diabetes on insulin should not be allowed to drive commercial vehicle. People who snore in the night should have a medical fitness before they can become commercial drivers.

People who snore and have more than five episodes of stopped breathing per hour of sleep are four times more likely to get road accident. People with 15 or more episodes of stopped breathing per hour of sleep are seven times more likely to get road accidents. People with uncontrolled blood pressure, preexisting heart diseases, visions disturbances and dementia should not drive commercial vehicles.

On 9th Navratri Enjoy The Spiritual Powers

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Siddhidatri is worshipped on the Ninth Day of Navratri. She gives all the eight siddhis – Anima, Mahima, Garima, Laghima, Prapti, Prakamya, Iishitva and Vashitva. She rides on a lion or on a lotus. She has four hands and looks pleased.

Spiritual mantra on the 9th Navratri

By the 9th day of spiritual detoxification one gets all spiritual powers.

Yash Chopra’s Death Should Not Cause Treatment Panic: Not All Dengue Are Serious

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The mortality of dengue is less than 1% and that too only in selected cases said Padmashri and  Dr B C Roy National Awardee Dr KK Aggarwal President Heart Care Foundation of India. Dr Aggarwal said that the forthcoming MTNL perfect health mela will focus on identification, prevention and treatment of severe dengue.

There are three groups of patients who needs attention in dengue

1. Coexisting medical conditions, such as pregnancy, infancy, old age, obesity, diabetes mellitus, renal failure, and chronic hemolytic diseases, may increase the risk of severe dengue and/or complicate management. Referral for hospitalization is recommended for such patients regardless of other findings. Hospitalization should also be considered for patients who may have difficulties with outpatient follow-up or with timely self-referral should complications develop (eg, patients who live alone or who live far from a health care facility without a reliable means of transport).

2. “Alarm signs” include severe abdominal pain or tenderness, persistent vomiting, abrupt change from fever to hypothermia, mucosal bleeding, liver enlargement on physical exam, or abnormal mental status, such as disorientation.

3. Blood pressure <90/60 mmHg or fall in blood pressure by 20, Hematocrit >50 percent or rise in hematocrit by more than 20, difference between upper and lower blood pressure less than 20, evidence of bleeding other than petechiae,  true platelet count less than 20000, rise in pulse by 20

Not all dengue are serious

1. Current strains 1 and 3 are not serious

2. First attack of dengue is usually not serious

3. Dengue is not serious if one cam maintain the difference between upper and lower blood pressure more than 40

4. Dengue is not serious if one cam maintain blood volume and avoid intra vascular dehydration

Facts about dengue

• Dengue is a febrile illness that is caused by any one of four serotypes of this flavivirus (DEN-1, DEN-2, DEN-3, and DEN-4).

• It is endemic in more than 100 countries in tropical and subtropical regions of the world and causes an estimated 50 million infections annually worldwide.

• The greatest risk factor for the development of dengue hemorrhagic fever (DHF) or dengue shock syndrome is secondary infection with a different dengue serotype from the original infecting virus. Thus, severe disease occurs primarily in patients who reside in hyperendemic areas where multiple serotypes circulate simultaneously.

• Mosquito control is the most effective approach to the prevention of dengue transmission. There is no licensed vaccine available for preventing dengue.

• Patients with dengue fever should be cautioned to maintain their fluid intake to avoid dehydration and to take paracetamol as needed for fevers and myalgias. Aspirin or nonsteroidal antiinflammatory agents should generally be avoided.

• It is important to manage plasma leakage in dengue hemorrhagic fever with aggressive intravascular volume repletion to prevent or reverse hypovolemic shock. Blood transfusion is appropriate only in patients with significant bleeding. The adequacy of fluid repletion should be assessed by serial determination of hematocrit, blood pressure, pulse, and urine output.

• Prophylactic platelets transfusion has no role

• Early identification of patients at higher risk for shock and other complications of dengue is important. Patients with suspected dengue who have none of the warning signs for more severe illness and can maintain their fluid intake can be managed as outpatients, but may need daily re-evaluation.

• Duration of illness – The period of maximum risk for shock is between the third and seventh day of illness. This tends to coincide with resolution of fever. Plasma leakage generally first becomes evident between 24 hours before and 24 hours after defervescence.

Insecticide spraying does not help

1. Insecticide spraying in response to dengue outbreaks, is not highly effective against A. aegypti mosquitoes, which frequently breed inside houses.

2. Community-based approaches involving education of the population in efforts to reduce breeding sites, such as discarded tires and other containers that accumulate standing water, have shown some promise.

Treatment

1. Exclude other treatable diagnoses. Patients at risk for dengue can acquire other diseases with similar clinical features, such as malaria, typhoid fever, and leptospirosis. Symptoms in patients with dengue virus infections resolve in five to seven days.

2. Patients with dengue fever should be cautioned to maintain their intake of oral fluid to avoid dehydration. Fever and myalgias can be managed as needed with paracetamol. Aspirin or nonsteroidal antiinflammatory agents should generally be avoided because of the risk of bleeding complications and in children because of the potential risk of Reye’s syndrome.

3. Gastrointestinal bleeding or menorrhagia in patients with DHF, and occasionally in patients with dengue fever as well, can be severe enough to require blood transfusion.

4. Platelet transfusions have not been shown to be effective at preventing or controlling hemorrhage, but may be warranted only in patients with severe thrombocytopenia (<10,000/mm3) and active bleeding.

5. Prophylactic platelet transfusions in patients with severe thrombocytopenia but without active bleeding are generally not recommended

6. Administration of intravenous vitamin K1 is recommended for patients with severe liver dysfunction or prolonged prothrombin time

7. Use of a histamine H2 receptor antagonist or proton pump inhibitor is reasonable in patients with gastrointestinal bleeding, although there is no evidence of benefit.

8. Plasma leakage in DHF is important to manage with aggressive intravascular volume repletion to prevent or reverse hypovolemic shock

9. In mild cases oral rehydration may be sufficient. However, in patients with established intravascular fluid loss, intravenous fluid administration is recommended. Blood transfusion is appropriate in patients with significant bleeding; subsequent hematocrit measurements must be interpreted with caution since it is also critical to assess the adequacy of fluid repletion.

10. For patients with hypotensive shock, an initial bolus of five percent dextrose in normal saline or Ringer’s lactate (20 mL per kg of body weight) infused over 15 minutes is recommended, followed by continuous infusion (10 to 20 mL/kg per hour depending on the clinical response) until vital signs and urine output normalize. For patients who improve, the infusion rate should then be gradually reduced until it matches plasma fluid losses.

11. The adequacy of fluid repletion should be assessed by serial determination of hematocrit, blood pressure, pulse, and urine output. Patients with shock on presentation should initially have vital signs measured at least every 30 minutes and hematocrit measured every two to four hours.

12. Narrowing of the pulse pressure is an indication of hypovolemia in children even with a normal systolic blood pressure.

13. Normalization of the hematocrit is an important goal of early fluid repletion

14. Patients can develop shock for one to two days after initial fluid resuscitation, which represents the period of increased vascular permeability in DHF.

15. Most patients who present for medical attention before profound shock develops and who receive appropriate fluid therapy will recover quickly.

16. Usually no more than 48 hours of intravenous fluid therapy are required.

17. Discharge from the hospital is appropriate when patients have been afebrile for at least 24 hours and have normal oral intake, urine output, and hematocrit.

Maha Gauri is worshipped on the Eight Day of Navratri. SHE looks as white as moon and jasmine. White means purity of mind. She has three Eyes and four hands. SHE is dressed in a white sari.

SHE holds a drum and a trident and is often depicted riding a bull (control over the desires). Her above left hand is in fearless pose and she holds ‘Trishul’ in her lower left hand. Her above right hand has tambourine and lower right hand is in blessing Mudra.

Spiritual mantra on the 8th Navratri

By the 8th day of spiritual; detoxification once gets purity of mind.

After about 11 years, the daily multivitamin use resulted in an 8% reduction in total cancer incidence in men according to the results of a very large randomized trial by John Michael Gaziano, MD, MPH from Harvard at the Annual American Association for Cancer Research (AACR) Frontiers in Cancer Prevention Research meeting and also published in JAMA. Cancer mortality also went in 12% reduction.

Previous studies have reported conflicting results. As reported by Medscape Medical News, two studies evaluating the association of multivitamins and breast cancer found opposite results — one study found an increased risk while the other found that multivitamins decreased the risk. Another study reported more neutral results, in that multivitamin use had no influence on the risk for common cancers, cardiovascular disease, or overall mortality.

On 7th Navratri Enjoy A Mind Devoid Of Inner Darkness

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Kalaratri is worshipped on the Seventh Day of Navratri. She is dark and black like night. Her hairs are unlocked. SHE has three eyes and four hands.

She holds a sharp Sword in her right hand and blesses her devotees with her lower hand. HER vahana is a donkey, destroyer of darkness and ignorance (or shava). She spills out fire from her nostrils. She has put on necklaces shining like lightening. In Yoga Shastra she represents the Sasahara Chakra

Spiritual mantra on the 7th Navratri

By the time chanting of Bija mantras LAM, VAM, RAM, YAM, HAM and AUM is over the inner darkness goes over.

SSRIs Linked to Stroke

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Use of SSRI conferred a small, but statistically significant risk of brain hemorrhage, according to an analysis of multiple epidemiologic studies. SSRI users had a 40% to 50% increase in the relative risk of intracranial and intracerebral hemorrhage compared with people who had never taken one of the drugs, according to Daniel G. Hackam, MD, PhD, and Marko Mrkobrada, MD, of the University of Western Ontario in Hamilton.

 

On 6th Navratri chant AUM

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Mata Katyayani is worshipped on the sixth day of Navratri. SHE has three eyes and four hands and rides on a Lion.

The top right hand is positioned in a gesture of providing courage and the other hand is positioned in a gesture of rendering a boon. The top left hand is holding a sword and the other holding a lotus.

In Yoga Shastra she represents the Ajna Chakra and AUM bija mantra.   AUM chanting helps attaining success in religion, wealth, passion and salvation and removing fear and sorrows.

Spiritual mantra on the 6th Navratri

AUM chanting is one of the most powerful chakra and should be done concentrating on the Ajna chakra.

Statins and Diabetes Risk

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Use of statins was associated with a slight increase in fasting glucose levels in patients at increased risk of type 2 diabetes in a new observational study published September 13, 2012, in BMJ by Dr Nina Rautio at Pirkanmaa Hospital, Tampere, Finland. The findings suggest statin use might have unfavorable effects on glucose metabolism and hamper beneficial effects of lifestyle in people at high risk of type 2 diabetes. Intensive Lifestyle Intervention therefore is the Key.

On 5th Navratri Learn Detached Attachment And To Control One’s Ego

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Skanda Mata is worshipped on the fifth Day of Navratri. SHE is holding her son ‘Skandaa or Kartikaya’ on her lap.

SHE has three eyes and four hands. Two hands hold lotuses while the other two hands respectively display defending and granting gestures.

She is the ocean of knowledge. She rides on a lion.

In Yoga Shastra she represents the Vishuddha chakra and HAM bija mantra. She also dignifies motherhood, fertility and mother child relationship.

Skandaa means the one with six heads corresponding to the five senses and the mind. Or the one who has a control over the six demonic vices: kaama (sex), krodha (anger), lobha (greed), moha (passion), mada (ego) and matsarya (jealousy).

Kartikeya carries on one hand a spear and his other hand is always blessing devotees. His vehicle is a peacock, a pious bird that grips with its feet a serpent, which symbolizes the ego and desires of people. The peacock represents the destroyer of harmful habits and the conqueror of sensual desires.

Spiritual mantra on the 5th Navratri

One should learn detached attachment as the main principle of spirituality.

Psoriasis Can Lead to Diabetes

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Psoriasis patients may be at an increased risk for type 2 diabetes, and the risk appears to be greatest among patients with severe psoriasis.

Compared with the general population, patients with mild psoriasis had a 49% increased risk of developing diabetes, and individuals with severe psoriasis had a 2.13-fold increased relative risk when compared with the general population, said Dr Ole Ahlehoff, post-doctoral fellow in cardiology at Copenhagen University Hospital Gentofte at the European Society of Cardiology meeting.

On 4th Navratri Be Happy In All Situations

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Kushmanda is worshipped on the fourth day of Navratri. SHE shines brightly with a laughing face.

 Out of eight hands (Ashtabhuja) in her four arms, she carries weapons like bow, arrow, discus and mace.

In other three hands, she holds a lotus, a beaded rosary and a Kamandalu. In remaining hand, she carries a jar of nectar.

SHE rides on Lion. Rosary represents her power to bless her devotees with Ashtasiddhi (eight types of studies or wisdom sources) and Navanidhi (nine types of wealth). In Ayurveda SHE represents the control over the air element.

In Yoga Shastra SHE represents the heart or Anhata Chakra with the Bija sound YAM.

Spiritual mantra on the 4th Navratri

One should continuously (beaded rosary) control the air (anahata plexus) within us by using our sharp intelligence (sword) and balancing the mind (Trishul) by focusing on one point (arrow and bow), practicing detached attachment (lotus), accepting things as they are (Kamandalu), keep smiling in both acceptable and difficult situations (smiling face) and killing the negative energies by using discus (power) when needed.

All cannot donate blood  Here is an updated list as to who cannot donate blood.

• People with coronary artery disease, valvular heart disease, arrhythmia, significant cerebrovascular disease, or heart failure.

•  People with any active lung disease impairing gas exchange.
•  Persons who have undergone recent surgery in the absence of blood transfusion until healing is complete and full activity has been resumed.
•  Pregnant women are deferred during pregnancy and for six weeks after delivery.
•  Persons with seizure disorders are acceptable provided that they have had no seizures within the past 12 months with or without medications.
• The minimal age for donation is generally 16 to 18. Most blood centers do not impose an upper age limit for donor eligibility.
• Blood is not collected from persons who are febrile at the time of donation, who state that they do not feel well, or who are taking systemic antibiotics.
• A donor with a history of a solid organ tumor should be deferred and will be eligible to donate only if he/she has been symptom-free and considered to be clinically cured for a defined time period.
• Persons with a history of blood cancer are permanently deferred.
• Some drugs may pose a risk due to their demonstrated cancer producing potential at low plasma concentrations. One should not donate blood for one month after taking isotretinoin and finasteride, six months for dutasteride, three years for acitretin and permanent for etretinate.
•       Persons should not donate if they have taken bovine insulin (risk of variant CJD transmission) or human growth hormone derived from pituitary glands (risk of iatrogenic CJD).
•       Persons who have received Hepatitis B immunoglobulin (HBIG) or an unlicensed vaccine are not allowed to donate for one year.
•       Most donors are also temporarily deferred if they are taking warfarin, heparin, or another anticoagulant.
•       Collections of platelets for pheresis should not occur from donors who ingested aspirin, aspirin-containing drugs, or feldene in the previous 48 hours or from donors who ingested clopidogrel or ticlopidine in the previous 14 days.
•       One should not donate blood if suffering from HIV, AIDS, for men having sex with men, IV drug users, commercial sex exchangers, receiving clotting factor concentrates for hemophilia or other clotting disorders.
•       One should not donate blood for one year if he/she has had sex in the past one year with a person who has HIV infection or AIDS; a prostitute; a person who currently or previously used intravenous drugs; for women: a man who has had sex with another man; a person receiving clotting factor concentrates.
•       Persons with a history of viral hepatitis after age 10 are permanently deferred.
•       Persons currently or previously testing positive for HBsAg are permanently deferred.
•       Persons with a history of close contact with someone who has viral hepatitis are deferred for 12 months following their last potential exposure.
•       Persons who have received a blood transfusion are deferred for 12 months.
•       Deferral is not required when the donor’s history is based solely on a positive serologic test result (i.e., anti-HBc or anti-HBs) that indicates past exposure to HBV.
•       Receiving a tattoo or body piercing within the last 12 months has also been included on the donor questionnaire, due to concerns about hepatitis transmission. Some blood centers will accept donors with body piercing, provided that the procedure was performed with sterile, single use equipment. Donors with tattoos or permanent makeup are deferred for 12 months after the exposure.
•  Donors with a history of malaria are deferred for three years after becoming asymptomatic.
•  Travelers to a malaria endemic area are deferred for one year (provided they have not had malarial symptoms).
•  Immigrants from or residents of malarial endemic countries, defined as living in that country for more than five years, are deferred for three years after their departure from the endemic country based upon the premise that such individuals may have partial tolerance to malarial parasites, thereby resulting in the delay of malarial symptoms beyond one year.

On 3rd Navratri Control Your Fire And Negative Energies

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Chadraghanta is worshipped on the third day of Navratri. SHE is shown with golden skin and riding a tiger. She is depicted with ten hands and 3 eyes with a crescent moon on the head.

Eight of HER hands display weapons. The rest two are in the mudras or gestures of boon giving and stopping harm (Varada and abhay mudra) indicating protection.

Out of eight hands five contains

1&2. Bow and arrow (to bend, focus, one point determination,  The bow and arrows also represent energy. Holding both the bow and arrows in one hand indicates control over both potential and kinetic energies)

  1. Trishul (balance)
  2. Sword (sharp intelligence)
  3. Cace (power to destroy the evil).

Rest three hands contains

  1. Rosary (tapas)
  2. Lotus (detached attachment)
  3. Kamandalu (acceptance).

In Ayurveda SHE represents the control over the fire element. In Yogashstra SHE represents the solar or Manipura Chakra with the Bija sound RAM.

Sound of her bell terrifies demons as well as all enemies. SHE represents protector and bravery.

Spiritual mantra on the 3rd Navratri

One should continuously (beaded rosary) control the fire (solar plexus) within by using our sharp intelligence (sword) and balancing the mind (Trishul) by focusing on one point (arrow and bow), practicing detached attachment (lotus), accepting things as they are (Kamandalu) and killing the negative energies by using gada (power) when needed.