Mar 17 2010

salad

Published by jonathantyler1959 under غير مصنف

Sourse:Greek Salad Recipe

Consumer Reports' latest tests of packaged leafy greens found bacteria that are common indicators of poor sanitation and fecal contamination, in some cases, at rather high levels. The story appears in the March 2010 issue of Consumer Reports and is also available free online. Consumers Union today also issued a report urging the U.S. Food and Drug Administration (FDA) to set safety standards for greens. FDA food safety legislation pending in the Senate, and passed last summer by the House of Representatives, would require the FDA to create just such safety standards.

The tests, which were conducted with financial support from the Pew Health Group, assessed for several types of bacteria, including total coliforms and Enterococcus–”indicator organisms” found in the human digestive tract and in the ambient environment that can signal inadequate sanitation and the potential for the presence of disease-causing organisms. While there are no existing federal standards for indicator bacteria in salad greens, there are standards for these bacteria in milk, beef, and drinking water. Several industry consultants suggest that an unacceptable level in leafy greens would be 10,000 or more colony forming units per gram (CFU/g).

Consumer Reports found that 39 percent of samples exceeded this level for total coliform, and 23 percent for Enterococcus. The tests did not find E. coli O157:H7, Listeria monocytogenes or Salmonella–sometimes deadly pathogens which can be found in greens, although it was not expected given the small sample size. According to Consumers Union, the goal was to investigate other markers of poor sanitation that should be used in the food safety management of produce.

“Although these 'indicator' bacteria generally do not make healthy people sick, the tests show not enough is being done to assure the safety or cleanliness of leafy greens,” said Dr. Michael Hansen, senior scientist at Consumers Unions, nonprofit publisher of Consumer Reports. “Levels of bacteria varied widely, even among different samples of the same brand. More research and effort is needed within the industry to better protect the public. In the meantime, consumers should buy packages of greens that are as far from the use-by date as possible.”

For its latest analysis, Consumer Reports had an outside lab test 208 containers of 16 brands of salad greens, sold in plastic clamshells or bags, bought last summer from stores in Connecticut, New Jersey, and New York. Among the findings:

  • 39 percent of samples exceeded 10,000 CFUs (or another similar measure) per gram for total coliforms and 23 percent for Enterococcus, the levels industry consultants deemed unacceptable.
  • 2 percent of samples exceeded French and 5 percent Brazilian standards for fecal coliform bacteria.
  • Many packages containing spinach, and packages which were one to five days from their use-by date, had higher bacterial levels. Packages six to eight days from their use-by date generally fared better.
  • Whether the greens came in a clamshell or bag, included “baby” greens, or were organic made no difference in bacteria levels.
  • Brands for which there were more than four samples, including national brands Dole, Earthbound Farm Organic, and Fresh Express, plus regional and store brands, had at least one package with relatively high levels of total coliforms or Enterococcus.

CU is calling on the Senate to pass pending FDA food safety reform legislation that requires the agency to set performance standards as well as develop safety standards for the growing or processing of fresh produce. It's also asking that FDA formally declare certain pathogenic bacteria–such as E. coli O157:H7, Salmonella, and Listeria–be considered adulterants when found in salad greens.

Until packaged salad becomes cleaner, consumers' best line of defense involves following these procedures in stores and kitchens:

  • Buy packages far from their use-by date.
  • Wash the greens even if the packages say “prewashed” or “triplewashed.” Rinsing won't remove all bacteria but may remove residual soil.
  • Prevent cross contamination of greens by keeping them away from raw meat and poultry.

Originally posted on CivilEats.com

On a bright, mild winter day, I find myself eating a Signature Salad at Cosi®, a chain of casual restaurants which puts a little emblem next to its name to note that it has a legal lock on this completely ordinary Italian word. I'm the only customer, which doesn't bother me at all, because I have a copy of Walden, by Henry David Thoreau, open on the table in front of me. This is a book that assures me solitude is a desirable condition.

I'm in Cosi® because I've just moved and I'm wandering the new neighborhood searching for likely a likely place to get a haircut. I'm reading Thoreau because I want to hear what the agricultural counter-culture sounded like in the middle of the 19th century.

Walden is vaguely familiar from high school and a pleasure to reread, now that I'm more attuned to Thoreau's irony as he riffs on the marginal profits of growing beans. What is distracting, though, is my salad, a menu standard that is offered in every Cosi® restaurant, every day of the year. It is, as they say, their Signature dish. And it consists of ingredients that, until very recently, could never ever have been found in the same time and the same place.

The Signature Salad embodies the triumph of global food supply. Baby lettuce, the first sign of spring, is embellished with fresh grapes and pears, fruits that don't ripen until fall. Dried cranberries, North America's bog-bound contribution to the fruits of the world, are paired with pistachio nuts, a crop that requires a hot, semi-arid climate where cranberries could never grow. As for the Gorgonzola cheese, it probably comes from California or Wisconsin, not from the Italian town that claims to have invented the cheese over a thousand years ago–which means its presence here on my plate represents another aspect of the globalization of modern food production.

Did Thoreau ever eat a pistachio nut or taste a wedge of blue-veined Gorgonzola cheese? It's possible. His reclusive pose was a bit of a charade, after all, and Boston, which is not very far from Walden Pond, was a center of international shipping in the middle of the 19th century.

The more interesting question is what Thoreau would have thought of my lunch, a salad that manages to transcend all boundaries of season and geography in a single bowl. I suspect he would not have approved. The author of Walden was quite vocal in his rejection of the culture of commerce, and probably they would have lost him at the trademark emblem. Thoreau was also convinced of the value of paying close attention to the different qualities of each passing day, and week, and season. But if every product of every region of the world is available everywhere, in every season, how is anything going to seem special enough to merit notice?

I put down my fork to consider what it would mean to take Walden as my culinary guide. The fact is, I don't really want to eat like Thoreau, dining on beans, fish, and the occasional woodchuck, and I doubt many other people want to, either. A limited diet is hardly a model for world nutrition. Complete self-sufficiency, apart from being impossible, is very bad for community spirit.

Perhaps what we should do instead is take the time to savor our food and demand that it be fresh and reasonably wholesome. I chose this salad, after all, over the more locally sourced hot dog available in the joint next door, and also over the huge and highly caloric artisanal cookies, each a meal in itself, that beckoned from the window of the bakery on the other side. At the time (15 minutes ago), it seemed like a wise decision. Was I so very wrong?

I need to give this some thought. And to do that, I should start by putting away my book. Thoreau will still be hoeing his bean field whenever I get back to him. But if we are ever to honor our food with the passionate awareness Thoreau inspires, we really shouldn't read while we eat.

Rocca salad ... part of "Healthy and Tasty" menu by RoOoNa

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Mar 13 2010

recipes

Published by jonathantyler1959 under غير مصنف

Sourse:Seafood Salad Recipe

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Winter squash is harvested very late into the fall, eaten in its mature fruit stage, and has a longer storage potential—all unlike its summer equivalent. In addition, all varieties of winter squash provide an irresistible variety of conventional nutrients. Winter squashes usually grow as vines and are designated as “weak-stemmed tender annual vines” with large cucumber-like leaves.

They also come in a dazzling array of sizes, shapes, and hues. Those of you seeking to vary your meals while maintaining good nutrition and honoring organic and local traditions (that just might be all of us) would be well-served to do some experimenting with these robust vegetables. So, the next time you feel a craving for something new, squash it.

8 Varieties of Winter Squash

1. Acorn Squash
Look for its ridged green skin with speckled orange patches and pale yellow-orange flesh–all in an acorn shape that tapers at one end. Sweet, nutty, and peppery at the same time, acorn squash is a good source of dietary fiber and potassium, as well as smaller amounts of vitamins C and B, magnesium, and manganese. Makes for a warming winter soup.

2. Banana Squash
It may be somewhat shaped like a banana usually with a bright yellowy (thick) skin but this winter squash is much, much bigger…reaching upwards of 70 pounds. Its moist and hearty flesh contains a very high water content and plenty of beta carotene. Delicious with a red onion sauté.

3. Butternut Squash

Imagine something that looks like a large pear with cream-colored skin while delivering a deep orange-colored flesh and sweet flavor and you'd have the popular butternut squash. A good source of fiber, vitamin C, manganese, magnesium, and potassium and an excellent source of vitamin A, butternut squash rocks with tofu, coconut milk, and toasted almonds.

4. Delicata Squash

Rich in vitamin A, the oblong delicata has creamy beige skin with dark green stripes. Its mild taste is ideal for a bisque.

Chocolate Balsamic Truffles Recipe - with inside shown by Coconut Recipes

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Mar 12 2010

muscle relaxer

Published by jonathantyler1959 under غير مصنف

Otc Muscle Relaxer

The following is from TMZ.com.

WWE Superstar Death—Vicodin and Valium

Former WWE Superstar Eddie Fatu aka Umaga —who died in December—was the victim of a bad combination of drugs, according to the Harris County Medical Examiner in Texas.

Dan Morgan, the supervisory forensic investigator for Harris County, blamed “acute toxicity”—claiming the combined effects of hydrocodone (aka Vicodin), carisoprodol (muscle relaxer), and diazepam (aka Valium) were responsible for the wrestler's death.

The death was ruled “accidental”—Fatu was 36.

According to the WWE, Fatu was released from his wrestling contract on June 11 for violating the WWE Wellness Program and for refusing to go to rehab.

Read more: http://www.tmz.com/#ixzz0gxWp1pgQ

Credit: TMZ.com

Over the last few days we have been hearing numerous stories about Gregory “Hurricane” Helms. As most have heard by now, both he and Chris Jericho were arrested a few days ago.

But why was Jericho allowed to compete at the Royal Rumble and Helms was pulled?

The reason is completely simple, Jericho wasn't the man who caused any issues. In fact, the police were called for Helms and his reckless behavior, and because Jericho stuck around (unlike Matt Hardy who was with both Helms and Jericho but ran when police arrived) he was arrested for being intoxicated in public.

Kinda reminds me of what a comedian said. “I was thrown out in public while being in a bar, I was caught by police and they wanted to arrest me for being drunk in public, I wasn't drunk in public, I was drunk in a bar. They threw me out in public.”

They both were apparently play wrestling and Jericho got hit, which is where the black eye you saw him sporting at The Royal Rumble came from. Helms was said to have done that, and allegedly struck a woman.

Helms and Jericho were arrested and then bailed out soon after, but the story doesn't stop there.

At the time of the arrest, Helms had what police said was ”one white round pill.” Now, some could think this was claritan or something along those lines at first glance unless they were a pharmacist or another type of drug professional.

So the police asked Helms about it, and Helms told them it was Soma. The pill is a generic version of the muscle relaxer Carisoprodol and a schedule four narcotic. Many who have used it said it is a very good, I've never tried it so I'm going by online reports here.

Now Helms claimed that he had a prescription for it, but he was unable to prove it at the time of the arrest.

The police did not charge Helms for the single pill, but should he be unable to provide a prescription he will be in violation of the WWE Wellness Policy and Kentucky state law. I am not sure on what their policy is for possession of one Soma pill though.

A lot of wrestlers use pain killers or muscle relaxers, and many in places such as the WWE or TNA have prescriptions for them. There are times in which they do not, where they have some that have a prescription yet have others without one.

But it's mostly Indy wrestlers that don't have prescriptions for drugs nowadays.

In any case, Helms may be out the door quite soon.

And this was before the arrest by the way. According to my sources, Helms met with the WWE legal department early last month about a release from World Wrestling Entertainment.

It was believed that if he was going to be leaving the WWE, it would be after the Royal Rumble at some point.

Helms has a veteran's policy in his contract, which means his no compete clause when released is about 45 days, instead of the normal 90 most wrestlers see upon their release from the WWE.

If he is released from the WWE, it could be at some point this month. It's unlikely the WWE would use him at WrestleMania, and there is no storyline for him going into the Elimination Chamber PPV either.

So with that being said, Helms could be gone very soon. Especially with all the legal trouble he has been in.

While many would think that he is being released for the legal trouble, we should keep in mind that he allegedly asked for the release.

I say stay glued to WWE.com to see if he is gone. But for now this is all the news on Helms I can find and what I've heard from a few sources.

 

partial source for arrest news: TMZ

Drugs, man.  a.k.a. The Thrills of Pills by keysersozejr

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Mar 05 2010

seafood recipes

Published by jonathantyler1959 under غير مصنف

Sourse:Seafood Salad Recipe

It was a few years ago when I was introduced to the wonder that is the Pio Pio sauce. A Peruvian restaurant in New York City, Pio Pio serves juicy, affordable rotisserie chicken. But it was the vibrant green dipping sauce that I became addicted to.

I interrogated the waitstaff at almost every Pio Pio location to know the contents of this spicy sauce. The only consistent answer? That no answer was the same.

Jalapeños and mayo. No, no, aji chiles, cilantro and oil. I had to face the reality that either no one knew what was in the sauce, the ingredients were top-secret, or both.

Light green, medium-hot, creamy, salty, tangy and oh-so-addictive, it seems that every Peruvian restaurant has its own secret recipe for this mysterious condiment. An internet search for “Peruvian sauce” tells the story of dozens of people anxious to know how to make the sauce for themselves. Helpful bloggers post their recipes on message boards.

One says the secret is a head of lettuce, one swears the sauce cannot be made without evaporated milk, and several point to Peruvian black mint as the key ingredient.

I tried many, many recipes to come close to the magic of Pio Pio's sauce, none of which hit the mark. Finally, I brought a container from the restaurant into work, hoping someone else could reverse-engineer the ingredients. My obsession, along with my frustration, was building, and I needed a slight break from the sauce that taunted me.

Chile Pepper Editor-in-Chief Laura Dankowski took on the challenge, blending my scattered notes from past trials, along with her own hunch of what she tasted. We decided both jalapeños and aji paste (usually found in the Mexican section of grocery stores) were a must, and Laura hit on the addition of cheese, which added the necessary touch of saltiness. It's not exact—but pretty darn close.

At Pio Pio, the dip garnishes rotisserie chicken, crunchy-fried seafood platters and salchipapa, an unusual but delicious combination of deep-fried potatoes and sliced hot dogs. But I use the sauce for anything in the place of salsa, whether topping a burger, garnishing a breakfast burrito, or spreading on a piece of fish.

And I'm just glad I can finally stop harassing the Pio Pio employees for the recipe and make it on my own.

The Green Peruvian Dipping Sauce (aka Aji Amarillo Sauce) Recipe »

Additional writing by Laura Dankowski.

About the author: Andrea Lynn is senior editor for Chile Pepper magazine, where she not only creates a wide range of zesty recipes for readers, but also participates in numerous tastings for hot sauce, salsa, and other spice-laden products (even chocolate!). Her favorite chile? A tie between the mild yet flavorful poblano and the mighty, reliable fire of the serrano.


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Video: Making Vanilla Panna Cotta with Marea's Heather Bertinetti on 'The Dairy Show'

In the latest episode of The Dairy Show, host Michael Crupain visits the kitchen at Marea to see how executive pastry chef Heather Bertinetti makes vanilla panna cotta with local unhomogenized heavy cream from Battenkill Valley Creamery in Salem, New York. At the end of the video, Bertinetti also demonstrates how to shape an ice cream quenelle. Watch the video after the jump.

Making Vanilla Panna Cotta with Marea's Heather Bertinetti on 'The Dairy Show'

Supporter Robin Vroegop &quot;In the Green Room&quot; with the Prepared Island Mullet Chowder Recipe by St.VincentVolunteers

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Feb 19 2010

General Ways to Be in Good Health

Published by jonathantyler1959 under غير مصنف

People gets sick once in a while. Itis waited. Therefore people have sick time at job. Therefore there are physician and insurance companies. However here are a lot of basic things to make sure you be in general perfect health. You should wash your hands. Sadly enough, not enough people do this. When using the lavatory. Studies have been done and a shockingly low %% of people wash their hands after taking the restroom or before meals.

Indiana Jones (adopted to a great home, photo not yet available) by gbaines11

I always tell you: Drink liquid. Water treat all ills. Dehydration is the guilty of many common indisposition such as headaches and plus bloating. Eight cups of liquid is the minimum so make sure you're consuming at least that much. Keep in mind that fruits and vegetable juices count towards your daily dose of hydrating beverages. Exercise. Physical activity doesn't have to mean hours on the treadmill sweating away to exhaustion. Sport can be as easy as walking across the parking lot to the grocery store or doing housework. That's right! Vacuuming get off calories intake! The more active in general you are the more exercise youare doing. Think getting a passometer. Pedometer's have shown that people who wear pedometer's are more effective than those who do not.

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Feb 10 2010

weight loss programs

Published by jonathantyler1959 under غير مصنف

For many, weight loss has become an unreachable goal that conjures bleak thoughts of misery and failure. Fitness and weight loss programs peddled on television are significant contributors to these thoughts and feelings because of the promises they make to transform us quickly and easily. Because the pervasive marketing of these programs have permeated into our psyche the idea that weight loss can be as easy as 1-2-3, many are unprepared mentally when they embark on an attempt to lose weight – with or without a program. The reality is that weight loss, like weight gain, takes time.

At the core of every unsuccessful attempt at weight loss is a mental hurdle that could not be overcome, and often, these are hurdles that could have been removed before a single calorie was counted, lap walked, or weight lifted. Remove the assertions of television marketing and get real. Weight loss occurs as a result of your body using more energy than it consumes, and the goal is to establish a harmonious relationship between the two that can be sustained. Think about that.

What do you do when driving on an interstate and realize you need to turn around? Do you simply start turning the wheel furiously without regard for the safety of yourself and others? Of course not. You consider a good exit, check your mirrors, slow down, and make several turns before finally heading in the right direction.

Before deciding to start making good on your New Year's resolution for this year to lose weight, do yourself a favor and develop a practical approach that isn't centered around starvation, physical exhaustion, or gimmicks. Take a couple weeks to plan. Keep a journal during that time to note your eating habits and thoughts. Read what has worked for others and consider what might work for you. Think long term, but develop a gradual approach that begins with immediate changes to your diet and lifestyle. With commitment, a practical approach, and realistic expectations, you will achieve healthy and sustainable weight loss on your own terms.

Grocery Store Excursion Nutritional Education Weight Loss Camp Lifestyle Change Fitness Retreat Vacation by Utah's Live-in Fitness Camp


As the New Year's Resolution crowd looks to lose weight once again, many people are combining it with another recession-inspired resolution: managing money better.

WalletPOP's Geoff Williams has been chronicling his efforts to lose weight while saving money, and I recently looked at how exercise videos can offer an affordable alternative to the gym for fitness newcomers. Today, The Wall Street Journal reports on (subscription required) a few other possibilities: walking around the mall in groups, participating in free or ultra low-cost yoga classes, and bike paths.

Time Magazine covered the rise of mall-walking way back in 1985, and About.com recommends checking with the information desk at your local mall to find out about mall walking programs. Alternatively, you could just go to the mall and walk around on your own without the structure and motivation of companions there to talk you out of ducking into the Godiva store for refreshments.

You could also go vintage and buy this Suzanne Somers Thighmaster on eBay — complete with the instructional VHS! Or you could go really vintage — as in practically antique — and work out with Jack Lalanne, who has uploaded some of his vintage exercise programs onto his website so you can watch them on your laptop while you work out. He's 95 years old, and he's in better shape than most 20-year-olds. So clearly he knows of what he speaks.

The bottom line is that lack of money is never an excuse for not getting in shape. There are tons of alternatives to gym memberships that cost little or nothing.

Losing weight and getting fit preoccupied Americans in 2009:

  • Nearly one out of two American women, including high school girls, were on a diet.
  • Over 40 billion was spent on branded diet plans.
  • Children as young as 9 to 11 years old were sometimes or very often dieting.

Yet an epidemic of obesity continues to affect more people than ever before:

  • Less than a third of adults enjoyed normal weight.
  • Children were two to three times more likely to be overweight today than they were 30 years ago.

Can we begin to reverse these worrisome trends in 2010?
We can if we update our old views with new ways to look at fitness in the coming year.

Old View: It's hopeless! Efforts to lose weight are inevitably doomed to fail. Even if a person manages to lose weight, he or she will eventually regain the weight and add back even more.

New View: You can do it! Strategies for making healthier choices involving diet, physical conditioning and improved self-care are available to you and can be learned. Championing this view is Kelly Brownell, Ph. D., who heads the LEARN Program for Weight Management at Yale University. And thanks to widespread access to the Internet, peer counseling in online communities is expanding. Internet support may include food and exercise diaries, weekly counseling, online weight-loss lessons and motivational phone calls.

Old View: Thin is in! Most individuals, especially women, seek to lose weight because they have internalized the media's ultrathin ideal.

New View: Healthy is in! Health is replacing vanity as the primary reason for pursuing fitness and weight loss. In 2009, researchers reported that four healthy habits could reduce or eliminate 80 percent of major medical problems: eating a healthy diet, not smoking, exercising regularly and maintaining a normal body weight. This insight, combined with rising medical costs, is triggering a focus on fitness.

Old View: If you are fat, you are a bad person. Obesity is a personal problem caused by a lack of willpower.

New View: Obesity is a disease that is treatable. The cost of providing medical care per person has skyrocketed from $356 in 1970 to $8,160 in 2009. Moreover, in 2009, the cost of treating obesity-related medical problems reached $147 billion. Given these costs, obesity has become a public health concern requiring a multifaceted community-based approach. In response, community leaders in Albert Lea, Minnesota, implemented a comprehensive lifestyle program to improve the health and longevity of the city's residents. To increase employee productivity and reduce health insurance costs and absenteeism, corporate wellness programs are proliferating.

Old View: Low-fat diets are required to lose weight. Eating fat makes a person fat. To lose weight, a dieter needs to stick with low- or no-fat foods.

New View: Total calories actually determine weight. The total calories consumed by a person, whether from carbs, fats or proteins, determines weight. Since the goal is a balanced diet, the Mediterranean diet, which includes healthy fats, is recommended by the Mayo Clinic and the American Heart Association as a nutritionally sound and healthy eating plan. Nuts, which until recently were on dieters' “do not eat” lists, are making a comeback because of their health benefits, especially almonds, walnuts, cashews, pecans and macadamia nuts. Momentum is growing for mandating information on the caloric content of fast foods and food products.

Photo courtesy of everystockphoto.com

Old View: Medical intervention is needed. Weight-loss drugs or bariatric surgery can solve the problem of surplus pounds for many people, and advances in medicine can address obesity-related problems such as cardiovascular disease, diabetes, stroke and cancer.

New View: A healthy lifestyle is the best way. Prevention, rather than treatment of obesity-related medical problems, will move to the forefront because of the rising cost of medical insurance and healthcare. While the number of bariatric surgeries will continue to skyrocket, family physicians will increasingly write exercise prescriptions in lieu of drug prescriptions.

Old View: Ignore overweight children. Children who are overweight will outgrow their chubbiness, so kids' surplus pounds can be ignored.

New View: Help overweight children now! Dr. Robert Murray, chair of the American Academy of Pediatrics Council on School Health, is alarmed that nearly half of kids and teens are overweight or obese and, as a consequence, children's life expectancies are lower than their parents'. Treating childhood obesity is a serious medical problem that if ignored will place the child at risk for heart disease, diabetes and other serious medical conditions.

Old View: Don't ask, don't tell. Asking employees to modify their unhealthful behavior is an invasion of privacy and violates employees' right to choose their own lifestyle.

New View: Offer help, incentives and access to experts. In 2008, medical insurance premiums reached a record $15,609 for a family of four. Employers are proactively seeking to reduce costs (medical insurance, workers' compensation claims and absenteeism) by restructuring benefit programs. In increasing numbers, employees are being offered incentives to quit smoking or lose weight. They face penalties if they refuse to change habits that drive up the cost of healthcare.

Old View: Hard-core exercise one hour daily. Going to a gym daily for a 60-minute workout on a treadmill and resistance equipment is the best way to exercise.

New View: Diversity, fun and enjoyment. Thanks to popular television programs, dancing for fitness is back, particularly Zumba, a one-hour workout that fuses Latin rhythms with calorie-burning dance movements. Exergaming, such as Wii and Dance Dance Revolution, continues to grow in popularity with young and old alike. Michelle Obama has made the Hula-Hoop popular once again. The use of technologically sophisticated feedback gadgets, from pedometers to heart monitors, will expand. To attract members to the gym during tough economic times, more fitness centers will offer cardio cinema so members can watch a movie while exercising.

Will we continue to get fatter until 2018 when, according to research by Kenneth Thorpe, PhD, of Emory University, 40 percent of us will be obese (and another 33 percent overweight)?

If we are to succeed in reversing the obesity trends and mounting medical care costs, we'll have to find new approaches. And the more readily we learn from the past and update our understanding of the complex nature and causes of obesity, the more quickly we can successfully move into a healthy future.

No responses yet

Feb 09 2010

weight loss plan

Published by jonathantyler1959 under غير مصنف

Sources: weight loss diets

Losing weight and getting fit preoccupied Americans in 2009:

  • Nearly one out of two American women, including high school girls, were on a diet.
  • Over 40 billion was spent on branded diet plans.
  • Children as young as 9 to 11 years old were sometimes or very often dieting.

Yet an epidemic of obesity continues to affect more people than ever before:

  • Less than a third of adults enjoyed normal weight.
  • Children were two to three times more likely to be overweight today than they were 30 years ago.

Can we begin to reverse these worrisome trends in 2010?
We can if we update our old views with new ways to look at fitness in the coming year.

Old View: It's hopeless! Efforts to lose weight are inevitably doomed to fail. Even if a person manages to lose weight, he or she will eventually regain the weight and add back even more.

New View: You can do it! Strategies for making healthier choices involving diet, physical conditioning and improved self-care are available to you and can be learned. Championing this view is Kelly Brownell, Ph. D., who heads the LEARN Program for Weight Management at Yale University. And thanks to widespread access to the Internet, peer counseling in online communities is expanding. Internet support may include food and exercise diaries, weekly counseling, online weight-loss lessons and motivational phone calls.

Old View: Thin is in! Most individuals, especially women, seek to lose weight because they have internalized the media's ultrathin ideal.

New View: Healthy is in! Health is replacing vanity as the primary reason for pursuing fitness and weight loss. In 2009, researchers reported that four healthy habits could reduce or eliminate 80 percent of major medical problems: eating a healthy diet, not smoking, exercising regularly and maintaining a normal body weight. This insight, combined with rising medical costs, is triggering a focus on fitness.

Old View: If you are fat, you are a bad person. Obesity is a personal problem caused by a lack of willpower.

New View: Obesity is a disease that is treatable. The cost of providing medical care per person has skyrocketed from $356 in 1970 to $8,160 in 2009. Moreover, in 2009, the cost of treating obesity-related medical problems reached $147 billion. Given these costs, obesity has become a public health concern requiring a multifaceted community-based approach. In response, community leaders in Albert Lea, Minnesota, implemented a comprehensive lifestyle program to improve the health and longevity of the city's residents. To increase employee productivity and reduce health insurance costs and absenteeism, corporate wellness programs are proliferating.

Old View: Low-fat diets are required to lose weight. Eating fat makes a person fat. To lose weight, a dieter needs to stick with low- or no-fat foods.

New View: Total calories actually determine weight. The total calories consumed by a person, whether from carbs, fats or proteins, determines weight. Since the goal is a balanced diet, the Mediterranean diet, which includes healthy fats, is recommended by the Mayo Clinic and the American Heart Association as a nutritionally sound and healthy eating plan. Nuts, which until recently were on dieters' “do not eat” lists, are making a comeback because of their health benefits, especially almonds, walnuts, cashews, pecans and macadamia nuts. Momentum is growing for mandating information on the caloric content of fast foods and food products.

Photo courtesy of everystockphoto.com

Old View: Medical intervention is needed. Weight-loss drugs or bariatric surgery can solve the problem of surplus pounds for many people, and advances in medicine can address obesity-related problems such as cardiovascular disease, diabetes, stroke and cancer.

New View: A healthy lifestyle is the best way. Prevention, rather than treatment of obesity-related medical problems, will move to the forefront because of the rising cost of medical insurance and healthcare. While the number of bariatric surgeries will continue to skyrocket, family physicians will increasingly write exercise prescriptions in lieu of drug prescriptions.

Old View: Ignore overweight children. Children who are overweight will outgrow their chubbiness, so kids' surplus pounds can be ignored.

New View: Help overweight children now! Dr. Robert Murray, chair of the American Academy of Pediatrics Council on School Health, is alarmed that nearly half of kids and teens are overweight or obese and, as a consequence, children's life expectancies are lower than their parents'. Treating childhood obesity is a serious medical problem that if ignored will place the child at risk for heart disease, diabetes and other serious medical conditions.

Old View: Don't ask, don't tell. Asking employees to modify their unhealthful behavior is an invasion of privacy and violates employees' right to choose their own lifestyle.

New View: Offer help, incentives and access to experts. In 2008, medical insurance premiums reached a record $15,609 for a family of four. Employers are proactively seeking to reduce costs (medical insurance, workers' compensation claims and absenteeism) by restructuring benefit programs. In increasing numbers, employees are being offered incentives to quit smoking or lose weight. They face penalties if they refuse to change habits that drive up the cost of healthcare.

Old View: Hard-core exercise one hour daily. Going to a gym daily for a 60-minute workout on a treadmill and resistance equipment is the best way to exercise.

New View: Diversity, fun and enjoyment. Thanks to popular television programs, dancing for fitness is back, particularly Zumba, a one-hour workout that fuses Latin rhythms with calorie-burning dance movements. Exergaming, such as Wii and Dance Dance Revolution, continues to grow in popularity with young and old alike. Michelle Obama has made the Hula-Hoop popular once again. The use of technologically sophisticated feedback gadgets, from pedometers to heart monitors, will expand. To attract members to the gym during tough economic times, more fitness centers will offer cardio cinema so members can watch a movie while exercising.

Will we continue to get fatter until 2018 when, according to research by Kenneth Thorpe, PhD, of Emory University, 40 percent of us will be obese (and another 33 percent overweight)?

If we are to succeed in reversing the obesity trends and mounting medical care costs, we'll have to find new approaches. And the more readily we learn from the past and update our understanding of the complex nature and causes of obesity, the more quickly we can successfully move into a healthy future.

Some dieters want to drop a few pounds to look better in a bathing suit. Others are trying to undo years of bad eating and exercise habits and are in need of education. Still others seek weight loss on a doctor’s orders to avoid serious illness, such as heart disease or diabetes.
 
All of these people may find things to like about “The Mayo Clinic Diet,” a new book from the respected medical institution. But those in the last two groups could find its program –- the first diet developed by Mayo Clinic — especially helpful.
 
There are no claims to magic fat-burning ingredients in this book, no nutritional supplements to buy. “The Mayo Clinic Diet” offers sound, health-focused information on how to eat better, move more and change ingrained habits that contribute to overweight and obesity.

The book leads off with "Lose It," a quick-start plan to help dieters drop 6 to 10 pounds in two weeks. In this phase they add five habits (such as eating a healthy breakfast), break five habits (eating in front of the TV) and adopt five bonus habits (keeping food and activity records). The second phase, "Live It," is a lifetime plan designed for weight loss of a pound or 2 a week until the desired weight is reached and can be maintained.
   
The book offers the usual good dieting and exercise advice, but it goes further. 

Mayo Clinic proposes its own healthy weight pyramid, making fruits and vegetables the foundation and putting exercise at the center. (Studies show that people who lose more than 30 pounds and keep it off for five years exercise an hour each day, mostly by walking, according to the book.) 

One chapter gives strategies for getting through weight-loss plateaus and relapses. Another is devoted to sticking to the diet when eating out and includes suggestions on how to eat at ethnic restaurants (avoid the fatty spareribs at Chinese restaurants; go for the hot and sour soup). A photo spread on portion control shows common foods eaten at breakfast, with pictures illustrating typical serving sizes compared with Mayo Clinic-suggested servings (8 ounces of orange juice versus 4).

There's an illustrated guide to reading nutrition labels and a checklist of warning signs for when to stop exercising (pain in an arm or the jaw, an irregular heartbeat). An endocrinology specialist, one of several Mayo Clinic professionals who contribute essays to the book, explains in easy-to-understand language some of the science behind nutrition and weight control. 

"The Mayo Clinic Diet" is written in a conversational, no-nonsense tone. It's colorful and graphically pleasing with lots of photos, sidebars and tips in bite-size chunks. Also available is "The Mayo Clinic Diet Journal," to use for tracking goals and progress.

– Anne Colby

Photo: “The Mayo Clinic Diet,” Mayo Clinic, Good Books, $25.99 hardcover. Not pictured: “The Mayo Clinic Diet Journal," Mayo Clinic, Good Books, $14.99 plastic comb binding.

RELATED POST

Book review: 'Denise's Daily Dozen' by Denise Austin

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Weight Loss Plan 560 by Buck Cash

I'm a certified personal trainer and know for a fact that how a person approaches his or her weight loss attack, can create stumbling blocks that will prevent him or her from ever achieving their goals. Here are four wrong ways to start a weight loss plan.

Thinking that wearing what looks like a space suit will help you lose weight faster. The only thing a George Jetson suit will do is make you lose water faster, by causing you to sweat. You'll end up thirsty and gain back the sweat weight by drinking water. These suits look very uncomfortable, and probably are; uncomfortable attire will inhibit your work output, and you'll end up burning fewer calories.

Plus, these “weight loss suits” make you hot and may restrict movement, impairing your ability to work your hardest or run or step your fastest. Wear light, loose workout clothes (a simple tee shirt and lightweight sweat pants), and focus on a rigorous workout, and drink plenty of water.

Thinking that just because your 100-pound weight gain took three years in the making, that it should take three years to lose. A person can gain weight for a variety of reasons, and major weight gains usually do take time. A change in eating and exercise habits, due to unimaginable stress, can still take a few years to result in a 100-pound weight gain.

But with a complete turnaround in eating habits and a renewed commitment to rigorous strength training and vigorous cardio, a person can lose excess body fat in far less time than it took to put it on. But if a person dilly-dallies about exercising, and only half-way makes the effort to improve eating habits, then progress will come very slowly.

Thinking it's not safe to lose more than 2 pounds per week. One pound of fat = 3,500 calories. Suppose an obese sedentary person normally eats 5,000 calories a day. He or she then decides to eat only 3,000 nutritious calories a day (”only” is a relative term here), plus work out for one hour every day. A caloric deficit of 2,000 calories will be created every day. 2,000 X seven days per week = 14,000 calories burned per week, excluding the ones burned from the added exercise. 14,000 divided by 3,500 = 4 pounds per week lost. If this person's exercise burns an extra 500 calories a day, that makes the weekly weight loss total 5 pounds.

To say this is unsafe is to say that it is unsafe to consume 3,000 calories a day and exercise one hour a day! However, if a person goes from 3,000 calories a day to 1,000, then yes, this is very unhealthy and will ultimately screw up metabolism and cause other problems.

Thinking that you should avoid nuts if you're trying to lose weight. Nuts have always gotten a bad rap from the dieting camp. But nuts are super-healthy and improve cholesterol profile. And here's another reason dieters should eat nuts-just two tablespoons' worth can kill appetite for hours! So if you're fighting the urge to dig into the ultra-high-calorie ice cream or finish off the last three slices of pizza, which can be hard to fill up on, instead go for the cashews, pecans, peanuts or walnuts. After two tablespoons, you won't even want to think of eating anything else.

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Feb 06 2010

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In a new study that will be published in the July 17th issue of the journal Circulation, Canadian researchers reveal that the erectile dysfunction drug Viagra (Sildenafil), may likely be effective in the treatment of patients with right-sided heart failure, principally because their study shows that only the hearts of these patients exhibit the target molecules that can be blocked by these types of drugs.

The study was led by Drs. Jayan Nagendran, a cardiac surgery resident and Evangelos Michelakis, professor in the Department of Surgery and the Department of Pharmacology at the University of Alberta in Canada.

The researchers wanted to gain insight into the mechanism of how Viagra may benefit patients with pulmonary hypertension (high blood pressure in the lung vessels). This devastating condition usually leads to right-sided (right ventricle) heart failure.

In their study, the researchers evaluated heart specimens from 9 patients to assess their phosphodiesterase type-5 (PDE-5) activity and their response to specific type-5 PDE inhibitors such as Viagra.

PDE-5 is an enzyme that degrades the activity of cGMP, a chemical that relaxes smooth muscle cells. In the vasculature, relaxation of smooth muscle cells causes vessels to dilate thereby increasing blood flow.

PDE-5 is preponderant in the corpus cavernosum of the penis. When it's inhibited, it leads to higher cGMP levels and less dilation (more constriction) of the blood vessels that let blood escape from the corpus cavernosum and thereby leading to a sustained erection.

The researchers essentially found that PDE-5 was not expressed in heart samples from patients that were healthy. Conversely, they did discover that patients with enlarged right heart ventricles had marked increased PDE-5 activity.

When the research team used Viagra (the PDE-5 inhibitor) in their experiments, they found that it increased the activity of isolated cardiac cells and the strength of heart contractions only in unhealthy samples and patients and not in any of the healthy controls.

In the press release from the University of Alberta, Dr. Nagendran stated that “there are a number of medical conditions in both children and adults for which there is a need to boost the performance of the right ventricle, and this drug can be clinically and immediately relevant to help these patients”

Dr. Michelakis also added that “We have a number of drugs and therapies available to treat the left ventricle of the heart to prevent it from failing or to treat it after it has failed, bet we don't have anything for the right ventricle. The phosphodiesterase type-5 inhibtors, which include Viagra, Cialis, and Levitra, may offer some important benefits in this case.”

Viagra (Sildenafil) has been recently approved in the treatment of pulmonary hypertension.

Sources:

Medline/PubMed:

http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=ShowDetailView&TermToSearch=17606845&ordinalpos=2&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum

University of Alberta Express News: http://www.expressnews.ualberta.ca/article.cfm?id=8591

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Jan 31 2010

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What is GER?

Also known as indigestion or heartburn, GER (Gastroesophageal Reflux) is a condition characterized by acidic stomach contents regurgitating back into the esophagus. It can be quite painful, and difficult for parents to distinguish from other conditions, such as colic. It is more bothersome for some babies than others, but the effect is the same.

What are the Symptoms?

Symptoms vary in all babies, but many parents notice irritability, crying (truly painful, screaming kind), and squirming, especially when eating or lying down. The baby may wheeze, have a runny nose, cough, and have bad breath. When lying flat, the baby may arch their back and spitting up and vomiting are common. Of course, spitting up can be a symptom, but some babies do not, as the acid may only travel halfway up the esophagus and back down, causing pain but no spitting up or vomiting. Some babies will not eat very much due to the pain, causing weight gain problems. Others will overeat, getting relief from the breast milk or formula, causing weight gain problems of a different kind. If you suspect a problem, watch your child closely and see your pediatrician. If left untreated, GER can lead to GERD (Gastroesophageal Reflux Disease) and your child can be susceptible to weight and growth problems, damage to the esophagus, and possible respiratory problems.

What is the treatment?

Treatment varies based on the severity. For some babies, simple changes in feeding and sleeping are enough, such as sleeping on an incline, eating upright, in smaller amounts throughout the day, and frequent burping. When these changes don't work, medications can be effective. Prescription medications such as ranitidine can be helpful in neutralizing stomach acids, preventing pain (not spit-up). Of course, there are other things you can do to make life a little easier on you and baby. Here are a few tips:

Keep baby upright as much as possible. Gravity really helps to keep stomach contents down.

Breastfeed if possible. Studies show breastfed babies have less reflux, and breast milk digests quicker than formula, leaving the stomach sooner.

Burp often. Burping every few ounces or before switching breasts helps to keep food down.

Keep baby relaxed. Crying can make reflux worse. 

Under the advice of a doctor, thicken formula with cereal. Heavier foods tend to stay down in the stomach.

If breastfeeding, try eliminating dairy from your diet. In some babies, cow's milk protein can really aggravate reflux symptoms. Try going without dairy products for a week or so to see if it helps.

Will it ever get better?

It depends. Usually, GER starts to resolve itself around 7 months, as baby is upright more and eating solids. GER is usually gone by 1 year. However, in some children, reflux may be a lifelong problem, but treatable in a variety of ways. The best course of action, whether in young or older children, is to first see your pediatrician, who usually can treat your child's symptoms effectively. However, a pediatric gastroenterologist, a doctor who specializes in the treatment of children's digestive disorders, is the most definitive person on treating GER in children.
In conclusion, GER is quite common in infants, but somewhat uncommonly known to parents. Not all constant crying is colic. You know your baby; if you suspect reflux, see a doctor right away. If you know the signs to look for, you can spare your baby unnecessary pain by seeing a doctor and changing lifestyle habits sooner rather than later.

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Jan 24 2010

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Today you will have a night of love. It's good! You have prepared all necessary and of course stocked a tablet of Viagra. With the approach of the long-awaited moment an excitement is increasing. You start to worry. You are more worried about an erection. Such concerns is quite frequent among men. And it is typical for many ages.

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