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Posts Tagged ‘ Comment & features ’

How to make perfect potato salad

April 20, 2012

Felicitys perfect potato  008 How to make perfect potato salad

I love a good potato salad with everything….alond with a sandwich,chicken,with the barbecue, or just simply as a snack. Everyone has their own recipe and so do the supermarkets…my mom’s sister always made her special potato salad with apples everytime we came for a visit…so what are your waiting for? Start boiling those potatoes! 


poweredbyguardianREV How to make perfect potato saladThis article titled “How to make perfect potato salad” was written by Felicity Cloake, for The Guardian on Wednesday 18th April 2012 23.10 UTC

We British love a picnic. The first ray of sunshine carpets parks, verges and even kerbs with al fresco diners, happily cramming in scotch eggs and pork pies like they’re going out of fashion – because, although in theory you can decant anything you like on to your tartan rug, our climate dictates that the sustenance in question should be relatively hearty.

Quiches, sticky sausages, Dundee cake; perhaps a few carrot batons or cherry tomatoes as a concession to health, but in general, the British picnic on foodstuffs that, along with a fiery glug of ginger beer or a warming glass of cider, offer some protection against a “fresh” breeze or the occasional spot of rain.

Potato salad, then has some claim to being the supreme example, the appending of the word “salad” giving it a summery, if not particularly healthy air, and the hearty combination of carbohydrate and mayonnaise suggesting valuable insulating properties. It also happens to go very well with other picnic staples, like cold salmon or ham sandwiches. Yotam Ottolenghi may do a mean grilled courgette and fennel with saffron crumbs, but as my granny would have said, it won’t put hairs on your chest.

Waxy v floury

The eternal question with any potato recipe, this is one of the few dishes in which the British embrace the waxy potato with as much enthusiasm as our continental neighbours. Nigel Slater, writing in Tender, suggests that they aren’t the only option however: “The other approach is to use a floury King Edward-style potato, boiled till its edges fray, then cut into crumbling slices … it provides a salad of hearty rusticity”. I see what he means, but I don’t like the way the King Edwards fall apart when I toss them with the dressing, creating a mayonnaisey, potatoey mush instead of anything that could kindly be described as a salad, rustic or otherwise. Waxy it is – particularly given the quality of the new potatoes at this time of year.

Peel appeal

Most recipes call for one to peel the potatoes, generally after cooking but Nigel again offers a rare voice of dissent. “I like the rusticity of an unskinned potato salad,” he admits, “but there is also something very elegant about a salad made from skinned new potatoes”. Having burned my fingers trying to peel potatoes straight from the pan once too often, I struggle to see the elegance, but more importantly, I think that potato skins add both texture and flavour to the dish – without them, it could almost be anything lurking beneath the mayonnaise. If you do leave them on, however, it’s important to make sure there’s enough skinned surface area to absorb the dressing, which means choosing slightly larger potatoes, and cutting them into halves or quarters.

Dressing up, dressing down

Some of you may well think that, if one is stupid enough to try and peel hot potatoes, minor burns are no more than just desserts – in which case I refer you to Constance Spry’s observation, in her nigh legendary Cookery Book, that it is of prime importance that “the dressing should be poured over the cooked potatoes while these are still hot in order that it may penetrate into the slices”. This is certainly true: most of the vinaigrette added to cold cooked potatoes runs off, and ends up in the bottom of the bowl.

What kind of dressing to use, however, is less clear. Jane Grigson’s Vegetable Book suggests that it must be “well-flavoured”, suggesting white wine or vinaigrette. Constance Spry, the Riverford Farm Cook Book, and the Prawn Cocktail Years all plump for the latter, and I can see why – wine just isn’t acidic enough here: the bland, almost buttery flavour of a new potato needs something sharper. Riverford Farm uses a simple oil and vinegar mixture, but adding a little mustard, as Simon Hopkinson and Lindsey Bareham do, gives a nice little kick.

Mayonnaise

Some recipes, like that in the Prawn Cocktail Years, just stop there – allow the potatoes to cool in their dressing, garnish with a few herbs, and tuck in. (“Although it can be fine to use mayonnaise,” the authors admit, somewhat grudgingly, “its thickness smears rather than coats the potato”.) Most, however, add a second dressing, once the potatoes have cooled down. Jane Grigson suggests a simple mayonnaise, Riverford Farm use a combination of mayo, crème fraîche and Greek yoghurt, which I find a little too sour, and Constance Spry deploys what she calls a “coleslaw dressing”, which involves boiling together vinegar, mustard, salt, flour and sugar, beating in eggs and butter, and then finishing off with cream. The result reminds me, not entirely pleasurably, of supermarket coleslaw – sweet and vinegary and oddly cloying. A simple mayonnaise seems by far the best option. If it ain’t broke …

Some recipes skip the vinaigrette stage altogether, and head straight for the mayonnaise – both Sarah Raven and Signe Johansen allow their spuds to drain for 15 minutes, and then toss them in a thick dressing. The former uses mayonnaise, enlivened with garlic and mustard powder, the latter goes for an unholy marriage of sour cream and salad cream. Given the dish is billed, in Signe’s hitherto faultless Scandilicious book, as a “pepped-up version of a traditional Scandinavian dill, egg and potato salad”, I’m prepared to allow the salad cream as an ingredient whose charms have been lost in translation – because, even in such tiny quantities (1 tbsp to 200ml sour cream), it brings back hideous memories of wet, limp iceberg and other school dinner horrors. (The recipe also leaves me a bottle looking for a good home, if anyone’s interested?) In both cases however, I feel the lack of tangy vinaigrette – without it, the potatoes and dressing remain in two separate layers.

Additions: a fishy caper

Alliums are a popular addition to potato salads – as Jane Grigson notes, this is “not a ladylike dish: it should have a direct appeal, from the delicate earthiness that characterises good potatoes and the sweet fire of a good onion”. I find her raw Spanish onion too much of a good thing however (cuddling up for warmth loses some of its appeal when you have to keep apologising for your lunch choices), and the same goes for Sarah Raven’s thinly sliced red onion. Call me a wimp, but Signe’s spring onion and Simon and Lindsey’s chives suit my tastes far better, adding flavour without overpowering the other ingredients.

Constance Spry wisely observes that a good potato salad “should be garnished with some sharp ingredient such as capers, sliced gherkin or sliced pickled walnuts to relieve the somewhat cloying taste of potatoes”. Which you choose is largely up to you, but, never one to stint, I’ve thrown in both capers and gherkins, inspired by Signe’s recipe, and (and perhaps controversially), the anchovies suggested by Sarah Raven – they just go so beautifully with potato. A good dollop of wholegrain mustard, as in Signe’s dressing, adds both texture and flavour to the mayonnaise, but I’m leaving out the chopped hardboiled egg used in both the Riverford and Scandilicious recipes – with mayonnaise as well, I find the whole thing too rich.

You could just stick with chives, but I think another layer of herbs contributes a welcome freshness: Sarah Raven finishes her salad off with a cornucopia of dill, basil, thyme, coriander, parsley, fennel, chives and mint, but, as I don’t have a herb garden to raid, I’m confining myself to the pepperiness of parsley and a little cooling mint. (Interestingly The Prawn Cocktail Years recipe cooks the potatoes with a few sprigs of mint, but I’m unable to taste this in the finished dish, clever as it sounds). Best served at park temperature, with a hearty slab of ham, or a piece of poached fish, and a woolly blanket.

Perfect potato salad

Serves 4

600g waxy potatoes
½ tsp Dijon mustard
1 tbsp red wine vinegar
2 tbsp vegetable oil
1 tbsp extra virgin olive oil
115g good mayonnaise
1 tbsp wholegrain mustard
3 spring onions, thinly sliced
2 tbsp capers, chopped
2 anchovies, finely chopped
Small bunch of chives, finely chopped
Handful of parsley, finely chopped
Handful of mint, finely chopped

1. Boil the potatoes in well salted water for about 15 minutes until tender. Meanwhile, whisk together the mustard and vinegar with a pinch of salt, then whisk in the oils. Cut the cooked potatoes into halves, or quarters if large and toss with the dressing, then leave to cool.

2. Stir the remaining ingredients into the mayonnaise, keeping back a pinch of each of the herbs for garnish, then, when the potatoes are cool, drain off any remaining vinaigrette and toss them into the mayonnaise.

3. Garnish with herbs and serve.

Are you for mayo or vinaigrette when it comes to potato salad, or will anyone admit to a Scandinavian taste for salad cream? And what other dishes find their way into your picnic basket (OK, carrier bag) year after year – do any other salads travel quite as well in your experience?

 How to make perfect potato salad

guardian.co.uk © Guardian News & Media Limited 2010

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Dr Dillner’s health dilemmas: what is the normal length of labour?

April 9, 2012

Newborn baby 008 Dr Dillners health dilemmas: what is the normal length of labour?

Perhaps for many of us two hours longer labour pains is not so significant…at least for us males,but it is alerting us to an important fact. We are not as active as we were 50 years ago…leading to significant changes in our physiology. What will be the effect to our biology in another 50 years and what will be the leading cause of dead in the future…due to the lack of exercise? We don’t have to allow our health to succumb to the technological age…get out and get physical!

That’s my comment…pass it on,

Dr Anthony

Yepod.com

 http://www.yepod.com/?p=44371   


poweredbyguardianREV Dr Dillners health dilemmas: what is the normal length of labour?This article titled “Dr Dillner’s health dilemmas: what is the normal length of labour?” was written by Luisa Dillner, for The Guardian on Sunday 8th April 2012 20.00 UTC

Women are taking longer to give birth than they did 50 years ago, according to a paper in the American Journal of Obstetrics and Gynaecology. The research suggests that the length of labour has increased by 2.6 hours for first-time mothers and by two hours for women who have previously given birth. So should you believe this, and does it matter? If you are in labour and your midwife or obstetrician says you have fallen off the Friedman curve (a graph drawn by American obstetrician Emanuel Friedman showing the time it takes in an ideal labour for your cervix to fully open so you can push your baby out), should you admit defeat or wait because labour takes longer these days?

The solution

The first part of labour can take hours. During this time the cervix opens up slowly and painfully to 4cm. From then on the labour is considered “active”, which according to the Friedman curve, means the cervix is meant to open up by at least 1cm an hour.

If the cervix doesn’t progressively open after any two-hour period, then you have fallen off the Friedman curve and could be given oxytocin, a drug that makes contractions stronger and pushes labour along, or even a caesarean section if there are worries about the wellbeing of mother or baby. What this latest research says is that labour is taking longer than when Friedman drew his curve.

It is not completely clear why, because lots of things are different. “Women are older when they give birth, they weigh more and they are less active in labour – they stay in bed more instead of being more ambulatory as they were in the past,” says Katherine Laughon, an obstetrician and author of this latest paper. “It used to take women 3.9 hours to go from a cervix that was 4cm to one that was fully dilated. Now it takes 6.5 hours. Almost all women would give birth within 18.5, now most do so within 24 hours.”

Laughon’s study compared data from about 40,000 women from 1959-66 with data from 98,000 women from 2002-08. Many more women these days have epidurals – which Laughon says increases labour by 40-90 minutes – but since it stops labour hurting, who cares? But this didn’t explain all of the difference. She believes that proper active labour starts later, when the cervix is dilated to 6.5 to 7cm, and that doctors and midwives can wait longer before speeding things up.

In a previous paper, Laughon argued that caesarean section rates may be increasing because doctors leap in too early to diagnose a stalled labour (known medically as failure to progress), before it has even reached its active stage. There is no evidence that waiting is risky to the baby, but that may be because the studies are not large enough to detect a difference as bad outcomes are, thankfully, rare. So it is probably best to wait at least a little longer.

 Dr Dillners health dilemmas: what is the normal length of labour?

guardian.co.uk © Guardian News & Media Limited 2010

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A cardiac arrest and a heart attack: what’s the difference?

March 23, 2012

Fabrice Muamba had a card 007 A cardiac arrest and a heart attack: whats the difference?

This a a good article for my students….and everyone esle needing an explanation of how  a cardiac arrest differs from a heart attack. A heart attack is a common result from an unheathy lifestyle due to poor diet and lack of exercise. Cardiac arrest has been more common among atletes who push themselves physically into exhaustion and may have an underlying condition that was never uncovered under medical examination.

That’s my comment ..pass it on,

Dr Anthony

Yepod.com

http://www.yepod.com/?p=40475 


poweredbyguardianREV A cardiac arrest and a heart attack: whats the difference?This article titled “A cardiac arrest and a heart attack: what’s the difference?” was written by Patrick Barkham, for The Guardian on Monday 19th March 2012 20.00 UTC

Fabrice Muamba’s cardiac arrest on the football pitch has become the most visible example of a shocking statistic: at least 12 young people die suddenly every week in the UK because of abnormalities of the heart.

Like Muamba, who is still in a critical condition, many of these tragedies strike during exercise. Phidippides, the Greek messenger who inspired the modern marathon and collapsed after running well over 100 miles in two days, may be the earliest recorded incident of the shocking death of an athlete. But until recently many cardiac arrest fatalities were classified as “natural causes” rather than attributed to a recognisable condition – sudden death syndrome (SDS).

A heart attack is the constriction of blood to the heart muscle caused by blocked arteries, commonly linked to unhealthy lifestyles and old age. A cardiac arrest is totally different and can occur in the young and healthy if the heart goes into a dangerous rhythm, unable to pump blood around the body.

Sanjay Sharma, professor of cardiology at St George’s Hospital in south London, has screened 20,000 athletes since 1994 with the charity Cardiac Risk in the Young (CRY). According to Sharma, an electrocardiogram (recording the rhythm of your heart) and an echo-cardiogram (a sonogram of the heart) can pick up 70% of the conditions that cause SDS in athletes.

It has been reported that 23-year-old Muamba underwent cardiac testing four times in his career. But some serious conditions, such as cardiomyopathies, may be hidden by the natural enlargement of the heart from strenuous exercise. “It can be difficult to be certain where it’s ‘athlete’s heart’ or cardiomyopathy but in an expert setting we are very good at distinguishing between the two,” says Sharma. He would like every young person over 14 who plays sport to be screened. This is expensive but with experts donating their help for free, CRY can perform screenings for £35 per person.

Leicester midfielder Clive Clark was 27 when he suffered a cardiac arrest at half-time in 2007. He recovered, but has never played professionally again. “When a footballer has a cardiac arrest, we would tell them it’s too dangerous to continue playing,” says Sharma. “Not playing football is a small price to give someone back 60 years of life.”

 A cardiac arrest and a heart attack: whats the difference?

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Dr Dillner’s health dilemmas: is it safe to take sleeping pills?

March 11, 2012

Sleeping tablets 007 Dr Dillners health dilemmas: is it safe to take sleeping pills?

Certain medications are essential for some of us to achieve optimal health…for example glucobay and glucophage are medications recommended in controling diabetes. Sleeping pills have all too often been over-prescribed to patients, there are other options in achieving the necessary sleep…changes in eating,exercise,social,and even work can help bring about the rest we need…

That’s my comment…pass it on..

Dr Anthony

Yepod.com

http://www.yepod.com/?p=37910


poweredbyguardianREV Dr Dillners health dilemmas: is it safe to take sleeping pills?This article titled “Dr Dillner’s health dilemmas: is it safe to take sleeping pills?” was written by Luisa Dillner, for The Guardian on Sunday 4th March 2012 21.00 UTC

You have been lying awake for hours, or at least it feels like it. You are desperate for sleep, but it just won’t come. In the medicine cabinet are some sleeping tablets your doctor gave you, but the media has been full of warnings that they aren’t safe. A paper published last week in the journal BMJ Open looked at 10,500 people who had taken sleeping tablets and compared them to similar people who had not taken medication. It found that people who took pills twice a month or more are nearly four times as likely to die early as those who don’t. So should you bin the sleeping pills or take a couple to break the cycle of insomnia? After all, being sleep deprived makes you miserable, knackered and liable to crash the car.

The solution

The research paper showed an association with an increased risk of dying early even for people taking small numbers of sleeping tablets (fewer than 18 pills a year). Taking more than 132 pills a year was associated with increased risks of lymphoma, lung, colon and prostate cancer. However, an association only means that there may be a link – the paper doesn’t prove that sleeping tablets are the cause of people dying earlier. But sleeping pills do have side-effects, such as causing day-time sleepiness and affecting short-term memory.

Even so, some doctors will suggest that you try these medicines to help you break a cycle of insomnia. Taking them for three to five days is usually enough to get back into a habit of sleeping normally. You should not use them routinely because of the risk of addiction. There is also evidence that melatonin (a hormone that controls your body clock) helps you get to sleep and sleep longer, but you will need a prescription for it.

It is easy to get worked up about not sleeping, but often your body will sort it out over a few days. It can be normal to take up to 20 minutes to doze off, so you should be realistic and not get anxious if you don’t drop off immediately. Practice what doctors call “sleep hygiene”, which means avoiding stimulants such as caffeine, nicotine or alcohol in the late evening, or looking at a computer screen before you go to sleep. You should start winding down in the hour before bed and make sure your bedroom is quiet, dark and comfortable.

There is some evidence that cognitive behavioural therapy (CBT), which involves thinking positively instead of fretting about not going to sleep, is effective. There is no good evidence that herbal remedies such as valerian work. Although acupuncture may improve the quality of sleep, it doesn’t help you to nod off.

 Dr Dillners health dilemmas: is it safe to take sleeping pills?

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Autism: how computers can help

February 28, 2012

Gary McKinnon with his mo 005 Autism: how computers can help

A lot of the articles on autism is pretty much on the disadvantages and problems faced by those who are diagnosed with it. But there is some good news for those who have mild autism, especially individuals with skills that fall into the IT industry. New research suggests that the traits of autism can be found more frequently in people involved with computers.  So I am left comtemplating whether or not I possess the traits of autism myself?

http://www.yepod.com/?p=35881

That’s my comment…pass it on,

Dr Anthony

Yepod.com

logo smaller with star Autism: how computers can help 


poweredbyguardianREV Autism: how computers can helpThis article titled “Autism: how computers can help” was written by Giulia Rhodes, for The Guardian on Sunday 26th February 2012 20.00 UTC

In 2001, the technology magazine Wired coined the phrase “geek syndrome” to describe the threefold increase in autism diagnoses in California’s Silicon Valley over the space of a decade.

The rumour that Bill Gates himself, founder of Microsoft and figurehead of the world IT industry, displays the traits of Asperger’s syndrome, the high-functioning form of autism, spread like wildfire, across – appropriately – the internet.

More than a decade later Cambridge University’s Autism Research Centre is now running a study investigating the previously established link between parents working in hi-tech, scientific and mathematical industries and an increased incidence of children on the autism spectrum. The National Autistic Society reports in its latest member’s magazine that the number of software packages and apps designed specifically for people with autism is rocketing. IT companies in the UK and beyond are actively recruiting an autistic workforce for its highly technical and concentration skills.

The relationship between computers and autism is undisputed – and double-edged. Many autism experts agree with Temple Grandin, an author and professor at Colorado State University, herself autistic, who believes that without “the gifts of autism” there would probably be no Nasa or IT industry. Yet the high-profile cases of Gary McKinnon and Ryan Cleary, both of whom have Asperger’s syndrome, are just two examples of how that relationship can go wrong.

Last November a conference organised by Research Autism considered this apparent contradiction, asking are computers a blessing or a curse for people with autism? Richard Mills, director of research at the charity and chair of the conference, believes the answer is complicated: “The computer age totally changes the world of autism. Things are instant, and they are unregulated. We see tremendous advantages to this if it is properly managed – and huge pitfalls if it isn’t.”

The risks are not just for the small proportion who hit the headlines though. “We have so many parents concerned about their children’s computer use, and about the explosion of packages designed to help people with autism to communicate, which have not been properly evaluated. We must proceed with rather more caution and try to think through problems before they actually happen.”

The potential of computers to help a group that struggles to communicate and form relationships in real life is obvious. Professor Simon Baron Cohen, Director of the Autism Research Centre believes they outweigh the possible risks: “We can use computers to teach emotion recognition and to simplify communication by stripping out facial and vocal emotional expressions and slowing it down using email instead of face-to-face real-time modes.”

Research at Nottingham University and Carnegie Mellon University in Pittsburgh has found that people with autism value the increased control over their interactions that is afforded by the filter of a computer screen. They can observe interactions, choose when to be sociable and make contact with other people who have autism.

Presenting information visually in the precise and predictable computer format suits the autistic mind, says Baron Cohen, and can provide “a tool or platform for developing further skills”.

He also identifies the role of computers in making geeks fashionable: “The new technology is chic, so people who are talented at using technology acquire a certain kudos, thereby further reducing any stigma that is often associated with disability.”

One risk though is that the computer can itself become an obsession which, in extreme cases, leads the user into serious problems. The reports of Essex teenager Ryan Cleary, charged with a cyber-attack on the Serious Organised Crime Agency, leaving his computer only to use the bathroom, may be extreme but they are far from unique, says Mills: “We do need to think about the tendency in autism to become fixated on narrow activities. They may have the skills to use computers but not to know when to stop.”

In March it will be 10 years since Gary McKinnon’s arrest for allegedly hacking into a number of US military computers. High court judges last month set a July deadline for the home secretary to decide whether McKinnon will be extradited to face trial and a possible 60-year sentence. His mother, Janis Sharpe, is well aware of the dichotomy of computer use and autism. “When Gary was nine, we bought a primitive Atari,” she says. “He would beg me not to send him out to play so he could use it. We wanted him to mix more but we didn’t want to deny him the information, pleasure and security computers gave him. They were an outlet for him to be himself, and that boosted his self-esteem.”

She recalls accompanying her by-then-adult son to a Christmas party at the family home of a girlfriend. “Gary got his computer out. I told him he couldn’t use it at a party but he couldn’t understand.”

The relationship foundered, and McKinnon retreated further into his virtual world. “People with autism need space, and computers can offer that,” says Sharpe. “But we have to make sure they don’t take over and make other relationships, already difficult for people with autism, even harder.”

She advises parents to keep computers in communal spaces, limit their use and to help children learn to question what they read, guidelines which Mills supports. “This virtual world has to help people access the real world, not isolate them further. They must control it, not be controlled by it,” he says. “We have to reinforce the positives.”

For further information see researchautism.net and autism.org.uk

 

 Autism: how computers can help

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Iran’s female ninjas: fighting for sexual equality

February 21, 2012

Women ninjas in Karaj nor 007 Irans female ninjas: fighting for sexual equality

Oh no Iran is building a force of trained ninjas… assassins …should I be afraid? I don’t think they will make any impact for any war campaign…it’s nice to see the ladies getting out for a bit of fresh air…coming to a community near you!

That’s my comment…pass it on..

Dr Anthony


poweredbyguardianREV Irans female ninjas: fighting for sexual equalityThis article titled “Iran’s female ninjas: fighting for sexual equality” was written by Lucy Mangan, for The Guardian on Sunday 19th February 2012 20.00 UTC

For those times when Betty Friedan just isn’t enough … ninjutsu is here to help. Photographer Caren Firouz has been taking pictures of some of Iran’s estimated 3,500 female ninja-warriors-in-training. It turns out that when you’re denied basic human rights, restricted in your ability to dress how you want and mix with the people you choose, and when your legal testimony is officially recognised as being worth exactly half that of a man’s, you develop – if these images are anything to go by – a lot of rage.

For Iranian women, martial arts are an increasingly popular way of channelling it and ninjutsu one of the most popular choices within that. Purists argue that modern ninjutsu (which came to prominence in the 1970s) is not a martial art at all but a meaningless mishmash of moves and practices that have no connection with the covert arts of war practised by the true ninjas of ancient Japan. Of course, it’s a miracle that any of said purists made it through the Teenage Mutant You-Know-What years, so they should probably be left to mutter to themselves in peace.

For those of us less concerned with Japanese feudal history than with systematic depredations against the rights of women, the pictures seem to offer a more uplifting view of the situation in various parts of the Middle East than is offered in the traditional media narrative. Let’s hope they represent only the tip of an iceberg of resistance and refusal to be cowed by a regime that surely seeks to render women so subservient that even the possibility of hurling a throwing star at someone’s jugular ought to be unthinkable. More power to your shuriken-chucking elbows, ladies. More power to them.

 Irans female ninjas: fighting for sexual equality

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How to avoid running injuries

February 20, 2012

Marathon runners with mot 008 How to avoid running injuries

As we begin to say good-bye to the winter and hello to spring, many of us will be dusting off our running shoes to once more travel the wilderness back-roads. Our excitement sometimes cause over-sight in taking time to stretch and do the basic warm-up exercises to avoid running injuries. If you want to continue enjoying your sport, take the proper 15-20 minutes of warm-up exercises prior to any strenuous activity. See you at the finish line.

That’s my comment …pass it on..

Dr Anthony

Yepod.com

http://www.yepod.com/?p=34328   


poweredbyguardianREV How to avoid running injuriesThis article titled “How to avoid running injuries” was written by Sarah Phillips, for The Guardian on Sunday 19th February 2012 21.30 UTC

If, like me, you are training for your first marathon, or are one of the many people who have recently taken up running, you will be obsessing about injuries – or rather, how to avoid them. Faced with various aches and pains and with no idea how to address them, I asked a range of experts for their advice.

The physio

Paul Hobrough is a chartered physiotherapist and runs Physio&Therapy.

“My ethos has always been prehab rather than rehab. Coming in at an early stage is far better than when you are actually injured, but it’s not as good as seeing a physio straight away when you decide to run a marathon.

“Mainly what we see are chronic injuries that build up slowly over time. The most common are knee-related: runner’s knee, patellofemoral pain syndrome, and iliotibial band friction syndrome. They are usually down to the fact that people have an ankle instability, or they are not controlling the legs well with their hip muscles.

The second most common is shin splints or medial tibial stress syndrome. Then achilles tendinopathies and plantar fasciitis, on the under side of the foot.”You would struggle to get most people who didn’t want to run a marathon to balance for 20 seconds on one leg. They will almost certainly have an instability somewhere. If you get them to do something functionally close to running, such as a single leg squat, you will notice their knees deviating and hips swinging out laterally. These tests show me that this person isn’t running 26.2 miles without having a lower leg injury.My biggest bugbear is when people say they aren’t sure that they are going to take up running and use an old pair of running shoes they’ve had for years. And they get injured and wonder why. It’s so important to get that fitting done correctly. There is too much information out at the moment about barefoot running as opposed to supportive shoes. Fundamentally you need to get a good fitting somewhere that is well respected. If you want to take up barefoot running you should ideally have no history of injury, good mechanics and not be an overpronater.

“The minute that you feel a slight niggle, speak to somebody. Because if you’re thinking in eight weeks time I would like to enjoy running a marathon, being physically prepared and able to walk the week afterwards, then what are you waiting for? It makes no sense trying to run it off. There is no heroism involved.”

The elite runner

Liz Yelling is an Olympic marathon runner and Commonwealth Games medallist.

“I make sure that injury prevention is as much a part of my plan as the hard training. This includes a small amount of time spent stretching after each run, plus core stability and conditioning work, focusing on my personal weaknesses. I also have regular massage and physio checks to work on any tight areas that could cause a problem. This is supported by good nutrition and hydration, which help the body to recover faster.

“The biggest mistake people make is not listening to their body when they can feel an injury coming on. Pushing on regardless ends up with lost time and enforced rest when immediate action could have got runners back on track quicker. If I get an injury I rest immediately and seek my physio’s advice about the best action to take. This ensures that I am doing the right thing from day one and that I don’t waste time treating it incorrectly. It is only when I know what is wrong through accurate diagnosis that I can make a call on how long I will need to rest. If this is for a week or more I can then select the appropriate cross training to help sustain fitness while allowing the injury to recover.”

The coach

Phoebe Thomas coaches with Nick Anderson as Running With Us, official training partners of the Brighton Marathon.

“If there was just one muscle group I would encourage you to target, it is your glutes. This large set of muscles plays a huge role in stabilising each stride you take. They reduce rotation in the pelvic and hip area and assist in lower limb stability. The one-leg squat is an ideal exercise to strengthen the glutes: any overpronation will be reduced and you are less likely to suffer from the common running injuries that occur due to other muscles working in the wrong way.”

The podiatrist

Wayne Edwards, musculoskeletal podiatrist and director of operations of HFS Clinics.

“The vast majority of running injuries are due to poor foot function and poor muscle balance. When choosing a pair of running shoes ensure that they fit properly and feel comfortable. It is a myth that you need to go up a shoe size to ensure this comfort; half a size is adequate.People have a wide variety of foot shapes. Low-arched mobile feet need more support from the shoe – those available for this are often grouped as stability or motion control shoes. Average-arched feet can be accommodated in most neutral shoe designs. High-arched feet benefit from cushioning. We recommend that people go to a specialist running shop and have video gait analysis to work out the right shoe for them.”

The nutritionist

Mhairi Keil is a performance nutritionist for the English Institute of Sport

“Paying attention to the nutrients you are consuming is key for minimising injury. Correct nutrition will enhance muscular performance, optimise recovery, and support the immune system, helping to prevent illnesses and infections. Muscle damage caused during training will impact on subsequent sessions and failure to repair the tissue can accumulate, resulting in a greater muscle injury. Risk of injury is increased when muscles are fatigued, so pay attention to fuelling-up strategies and energy provision during long or intense runs.

“Nutrition can also play an essential role in the recovery of tissues should an injury occur. It is important to understand what the type of injury is, eg bone, muscular, tendon, as certain nutrients play a greater function depending on the tissue damaged. For example, nutrients essential for bone repair include calcium, vitamin D, protein, magnesium and copper. Muscle injuries would focus more on high quality proteins and antioxidants, along with vitamin C and zinc for cell replication. Tendon damage can be more difficult to support from a nutritional perspective, however factors that can help to control or reduce excessive inflammation such as the antioxidants found in green tea, omega 3s, polyphenols found in red kidney beans and berries, and resveratrol found in red grapes can play a role.”

The ultramarathon runner

Dean Karnazes is author of Run! 26.2 Stories of Blisters & Bliss.

“Work on building strength in the muscles of your legs by doing squats, lunges and using the cross-trainer in the gym. Having strong leg muscles will support your joints and tendons, which take a pounding when training for a marathon. Being in good overall shape helps to support your stride and posture as the miles add up. Train hard one day then do a lighter training session the next to allow your body recovery.

“Don’t run in shoes that are overbuilt or have extensive motion control gimmicks built into them. An increasing volume of literature is pointing toward the benefits of ‘minimalist’ footwear.

“If there is time to work on your style, avoid landing on your heel and rolling to your toe. Shorten your stride and land midfoot with quicker foot turnover. Studies show that heel-to-toe rolling leads to overuse injuries.”

The doctor

Dr Rod Jaques is director of medical services at the English Institute of Sport and has attended four Olympics with the British team.

“I would advise a novice marathon runner to buy a good quality pair of running shoes, worth £60+. You should change these for every 300-400 miles of training.There is no golden recipe: it is very idiosyncratic and depends on your own training base. When you get up to a reasonable level of fitness you should periodise your training so that you have hard weeks followed by easy weeks. This provides an opportunity for your bone and soft tissues to recover.

“You have to do at least three runs in excess of 15 miles in the lead up to the marathon. This is to prepare yourself psychologically and physically that you can go over 15 miles. On the day you will do 26.2, but there is evidence that if you train between two-and-a-half to three-and-a-half hours, you’re going to be able to make four or four and a half hours. The crowd effect is very important and that helps to carry you through the last six miles of the race, which will be equivalent to the first 20 miles of the race, in terms of effort. People often describe it as being two races: one to 20 miles and from 20 to 26 miles.

“If you have a cold, feel fatigued or have an injury, have an easy day training or you don’t train at all. It’s not imperative to train every single day. What is important is to balance your training with your recovery. Taper training prior to the race then do not run for seven days beforehand to allow your glycogen stores to build up to maximum levels. Psychologically you are itching to get going but physically your fuel stores really do have to be absolutely topped up and you can’t drain them. There is no point entering the race with slight aches. You really need to be absolutely fresh because it’s going to be a very hard day.”

The Kenyan way

Adharanand Finn spent a year in Kenya training with elite runners. His book, Running with the Kenyans, is published by Faber & Faber on 5 April.

“The best thing that we can learn from Kenyans about preventing injuries is not to be afraid to skip a training session if you’re tired. Their mantra is ‘listen to your body’. Pushing things when you are over-tired is a common reason for injuries. One of the top coaches in Kenya told me that because it can be hard to get decent treatment for injuries they are more careful not to overdo things. ‘We ride close to the edge here,’ he says, ‘but, when we get too close, we have to pull back.’ It helps that Kenyans don’t count up their weekly mileage, which means they’re less inclined to feel bad about missing a session. Of course all of this could be easily misinterpreted by those inclined to feel lazy before a run. The reason Kenyans can take such a relaxed approached and still be successful (I’m generalising here, but it is widely true) is because they are so highly motivated to succeed that they wouldn’t skip a session unless they felt it was really necessary.”

The biomechanics expert

Dr Joanna Scurr is head of the biomechanics research group in the department of sport & exercise science at the University of Portsmouth

“We have been investigating appropriate breast support for sport, particularly running, for the past seven years. Our research has shown that sports bras can improve sporting performance, reduce breast pain and reduce the risk of breast sag. However, there is no such thing as the ultimate sports bra. Appropriate breast support is very individual and therefore we recommend that women try on the sports bra before purchasing; jump up and down in the changing room to determine how much support you think the bra will provide, move your arms and upper body around to determine whether the bra will stay in place.”

The gait specialist

Boris Bozhinov is a gait analysis specialist for Nike.

“Pretty much everyone who is training seriously overpronates. So you need support or cushioning to take the force when your feet hit the ground. I recommend training with several different shoes that provide a mixture of support, so you can improve your muscles. It won’t happen straight away but will build up in time and lessen your chance of getting injured.”

Share your own tips and experiences of running injuries below

 How to avoid running injuries

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Dr Dillner’s health dilemmas: should I use moisturiser?

February 13, 2012

Cream pot 008 Dr Dillners health dilemmas: should I use moisturiser?

Why not? I think using a moisturiser is a good idea for both men and women. You face gets hit daily by the sun,wind,pollution….just about everything imaginable comes into contact with your face…even your boss tries to get in some face time…yeah talk to the hand buddy…so you need to give your face a little love and tenderness…a good washing and a moisturiser done nightly before bed-time will do…

That’s my comment …pass it on…

Dr Anthony

Yepod.com

http://www.yepod.com/?p=32981    


poweredbyguardianREV Dr Dillners health dilemmas: should I use moisturiser?This article titled “Dr Dillner’s health dilemmas: should I use moisturiser?” was written by Luisa Dillner, for The Guardian on Sunday 12th February 2012 20.59 UTC

There’s so much hype around moisturisers that you have to wonder how good they really are. How can a potion revive skin that has been battered by cold winds and dried up from the central heating? As we get older our skin becomes more dry and wrinkly. So can a moisturiser rid your skin of the fine lines of ageing and plump it up to its teenage glory days? And does an expensive jar of exclusive cream do anything more than a cheap pot from the supermarket?

The solution

Moisturisers contain humectants (eg glycerine) that attract water and keep it in the skin. They also contain emollients and are usually blended with oils then emulsified into a cream, which acts as a barrier against external irritants.

Between the cells in the outer layer of skin are sebum and lipids that give the skin its fresh, plump look. As we get older we lose these and our skin looks dull and dry. Moisturisers, by rehydrating the skin, refill the cell space.

“By attracting water back into the epidermis your skin transmits light differently,” says Dr Jane McGregor, a consultant dermatologist at Barts and the London NHS Trust. “It will feel better, the texture of your skin will be improved and it will not be so dry or itchy. But you don’t need to buy expensive creams, a simple aqueous cream will do.” Soap, says McGregor, dries skin out, which is why most dermatologists don’t use it. Even water can cause chapping.

Simple moisturisers stay in the epidermis; they don’t regenerate cells or get rid of fine lines. But some more expensive products claim to do both. Retinoids were originally used to treat acne but have now been incorporated into cosmetic creams. “The exact way in which retinoids work is not fully understood,” says Dr Bav Shergill, spokesman for the British Association of Dermatologists. “There is some evidence to support their role in stimulating the production of collagen in the dermis, which may plump out fine lines. They also seem to increase the cell turnover in your skin, which smoothes the appearance of skin by exfoliation and improving skin tone. Retinoids are essentially a vitamin A derivative and in terms of concentration a dermatologist would prescribe something that was 0.025% concentrate.” This is considerably higher, says Shergill than the amount in cosmetic creams. “Retinoids do have their downsides – they can make skin red, sore, flaky and irritated.” They can also make your skin more sensitive to UV light and effects vary between people.

There are so many skin creams that make extravagant claims but few research papers to support them. As your skin continues to flake in this cold snap all you need is a cheap tub of moisturiser to make it glow again.

 Dr Dillners health dilemmas: should I use moisturiser?

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Why willpower matters – and how to get it

February 8, 2012

Roy Bauermeister 007 Why willpower matters – and how to get it

Temptations are everywhere you look…but you can learn to refrain from them…aren’t you tired of being beaten by your own weaknesses?  Commit yourself to accomplishing your goals…let the year of 2012… be the year of the new you…you have the willpower to overcome all obstacles…whether it is to get that promotion,lose ten pounds, be nicer to people,learn the piano,get more education…you have the willpower within you…for so man y years you have gone without…now it’s time to change your destiny…make a plan,find the willpower, and find success…And when you do succeed I will be the first to congratulate you…welcome to the top of your dreams.. 

That’s my comment..pass it on,

Dr Anthony

Yepod.com

http://www.yepod.com/?p=31831

me pic Dec 2 20111 150x150 Why willpower matters – and how to get it


poweredbyguardianREV Why willpower matters – and how to get itThis article titled “Why willpower matters – and how to get it” was written by Jon Henley, for The Guardian on Tuesday 7th February 2012 20.30 UTC

In the smart restaurant of a very smart hotel in the West End of London, Roy F Baumeister, eminent American social psychology professor, orders a lunch of fish and chips, and then decides not to eat the chips. “I won’t eat something that’s not good for me unless it’s absolutely perfect, and it’s going to give me real pleasure,” he says. “I’m afraid … Well, it just didn’t look like these were going to do either.”

What willpower, you might say. You’d be right; the chips looked pretty good. But Baumeister is also, coincidentally, a leading authority on that very subject, and has just published a smash-hit book on it with New York Times science writer John Tierney.

Willpower: Rediscovering Our Greatest Strength distills three decades of academic research (Baumeister’s contribution) into self-control and willpower, which the Florida State University social psychologist bluntly identifies as “the key to success and a happy life”.

The result is also (Tierney’s contribution) readable, accessible and practical. It’s an unusual self-help book, in fact, in that it offers not just advice, tips and insights to help develop, conserve and boost willpower, but grounds them in some science.

Willpower is, Baumeister argues over lunch, “what separates us from the animals. It’s the capacity to restrain our impulses, resist temptation – do what’s right and good for us in the long run, not what we want to do right now. It’s central, in fact, to civilisation.”

The disciplined and dutiful Victorians, all stiff upper lip and lashings of moral fibre, had willpower in spades; as, sadly, did the Nazis, who referred to their evil adventure as the “triumph of will”. In the 60s we thought otherwise: let it all hang out; if it feels good, do it; I’m OK, you’re OK.

But without willpower, it seems, we’re actually rarely OK. In the 60s a sociologist called Walter Mischel was interested in how young children resist instant gratification; he offered them the choice of a marshmallow now, or two if they could wait 15 minutes. Years later, he tracked some of the kids down, and made a startling discovery.

Mischel’s findings have recently been confirmed by a remarkable long-term study in New Zealand, concluded in 2010. For 32 years, starting at birth, a team of international researchers tracked 1,000 people, rating their observed and reported self-control and willpower in a different ways.

What they found was that, even taking into account differences of intelligence, race and social class, those with high self-control – those who, in Mischel’s experiment, held out for two marshmallows later – grew into healthier, happier and wealthier adults.

Those with low willpower, the study discovered, fared less well academically. They were more likely to be in low-paying jobs with few savings, to be overweight, to have drug or alcohol problems, and to have difficulty maintaining stable relationships (many were single parents). They were also nearly four times more likely to have a criminal conviction. “Willpower,” concludes Baumeister, “is one of the most important predictors of success in life.”

So how can we improve ours? Baumeister’s big idea, now borne out by hundreds of ingenious experiments in his and other social psychologists’ labs, is that willpower – the force by which we control and manage our thoughts, impulses and emotions and which helps us persevere with difficult tasks – is actually rather like a kind of moral muscle.

Like a muscle, it can get tired if you overuse it. Exercising willpower, but also making decisions and choices and taking initiatives, all seem to draw on the same well of energy, Baumeister has established. In experiments, he found that straight after accomplishing a task that required them to restrain their impulses (saying no to chocolate biscuits, suppressing their emotions while watching a three-tissue weepy), students were far more likely to underperform at other willpower-related jobs such as squeezing a handgrip or solving a difficult puzzle.

“The immune system also dips into the same pot, which is big, but finite,” says Baumeister, “and, we are pretty sure, so does women’s premenstrual syndrome. Having a cold tends to reduce your self-control, and PMS does the same. We get cranky and irritable, but it’s not that we have nastier impulses – it’s that our usual restraints have become weakened.”

So best avoid trying to do too many things involving mental effort at the same time, or if you’re ill. As with a muscle, though, you can train your willpower. Even small, day-to-day acts of willpower such as maintaining good posture, speaking in complete sentences or using a computer mouse with the other hand, can pay off by reinforcing longer-term self-control in completely unrelated activities, Baumeister has found. People previously told to sit or stand up straight whenever they remembered later performed much better in lab willpower tests.

The final way in which willpower resembles a mental “muscle” is that when its strength is depleted, it can be revived with glucose. Getting a decent night’s sleep and eating well – good, slow-burning fuel – is important in the exercise of willpower, but in times of dire need a quick shot of sugar can, according to Baumeister’s lab tests, make all the difference.

(This is, of course, something of a problem for crash dieters, who basically need to eat in order to summon up the willpower not to eat. Indeed some very strong impulses, such as the behaviour often exhibited by males in possession of an erect penis, can sometimes prove completely resistant to willpower, even after the ingestion of a can of Coca-Cola.)

Baumeister cites a “very impressive demonstration” of the glucose argument: in a study published last year, researchers found that Israeli judges making the difficult and sensitive decision of whether or not to grant parole opted to do so in roughly 65% of cases after lunch, and hardly ever just before.

Baumeister’s top willpower tips: Build up your self-control by exercising it regularly in small ways. Learn to recognise signs that your willpower may be waning. Don’t crash diet. Don’t try to do too much at once. Establish good habits and routines that will take the strain off your willpower. Learn how to draw up an effective to-do list.

Don’t put yourself in temptation’s way, or if you can’t avoid it, make it harder for yourself to succumb. Use your willpower actively: plan, commit, and do so (like members of religious communities) publicly. “People with low willpower,” Baumeister says, “use it to get themselves out of crises. People with high willpower use it not to get themselves into crises.”

Much of this, of course, is in the book. You may even learn how to say no to chips.

 Why willpower matters – and how to get it

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Is the iPad the new cookbook?

February 1, 2012

Following the Epicurious  007 Is the iPad the new cookbook?

Perhaps the iPad will find it’s way into the kitchen…for those looking for an alternative to bringing a traditional cookbook to the kitchen….still it can be a little sticky touching the iPad and working with ingredients for fudge…

http://www.yepod.com/?p=30851

Pass it on,

Dr Anthony

Yepod.com 


poweredbyguardianREV Is the iPad the new cookbook?This article titled “Is the iPad the new cookbook?” was written by Laura Barnett, for The Guardian on Wednesday 1st February 2012 20.00 UTC

My favourite cookbooks show the scars of countless mealtimes: the singed flyleaf from the time I panicked with a hot roasting tray; the dubious gravy stains; the dried fingerprints of flour from that ill-fated Victoria sponge.

So how practical is it to use recipes on cookery apps? Can a phone or iPad cope with the splatters of the kitchen? And how do you scroll to the next stage of a recipe when your hands are covered in flour or lemon juice or potato peelings?

First, I try out Epicurious, the app attached to the popular American foodie website. With more then 30,000 recipes, it’s much more comprehensive than the average book, and it’s free (though it costs £1.49 to sync the app with recipes you may have stored on the site). It’s easy to navigate: there’s an index featuring everything from “weekend brunch” to “bubbly cocktails”, and useful graded sections labelled “I can barely cook” and “I cook like a pro”. There’s also a nifty “shopping list” function: select a recipe, and the app imports the ingredients into a list, which you can then tick off as you go round a shop.

Many of the recipes sound exotically American (savoury pumpkin pie soup with cinnamon marshmallows, pepita streusel and whipped crème fraiche) or Hispanic (salmorejo; tacos al pastor). The measures, too, are all US-style – cups, 15-ounce cans – so when I do finally select a recipe (butternut squash and cannellini soup with bacon) and get cooking, I waste a good while frantically Googling the conversions.

I’ll blame this – as well as the fact that my phone keeps going to sleep, meaning I’m forever jabbing at the screen with squash-covered fingers – for the fact that I put in double the correct quantity of chicken stock, and the soup bubbles out all over the hob.

I fare better the next day with a British-designed app, Dishy (priced at £2.99). It has only 95 recipes, but you can search by course, ingredient, time or dietary requirements; there’s a shopping list tool; and the step-by-step guides are easy to follow. I make a rustic sausage casserole for dinner; not only is it delicious, but a built-in countdown timer ensures that I fry the sausages for exactly the right time. Best of all, the app somehow manages to override my phone’s sleep function, so I don’t keep having to rinse my hands to avoid slathering the screen with gunk.

Day three is the turn of Great British Chefs (also £2.49), a much-praised app featuring around 180 recipes devised by Michelin-starred chefs such as Marcus Wareing, Nuno Mendes and Tom Aikens. It looks fabulous – lots of sumptuous photography – but most of the recipes are pitched far above my basic skill level and budget (since when were cheese beignets and a burrata, pea, grapefruit, caviar and leek salad classed as “easy”?).

But Daniel Clifford’s cheese scones sound good, so I have a go; the method is easy enough, and there’s a handy voice-activation tool, so you can shout at your phone rather than cover it with sticky dough. The scones turn out almost perfect.

Last I try another British chef known for keeping things simple. Jamie Oliver has a number of apps out. I go for Jamie’s 20 Minute Meals. At £4.99, it’s pricey, but it’s well-designed and simple, and the videos are definitely pitched more at my level. The pea and prawn risotto recipe makes an easy and delicious weekday lunch (though it takes me a lot longer than 20 minutes). But there’s no voice activation, so I’m back to having to wash my hands every few minutes to scroll to the next stage.

 Is the iPad the new cookbook?

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How to tell if your olive oil is the real thing

January 10, 2012

VIRGIN OLIVE OIL FACTORY  007 How to tell if your olive oil is the real thing

My friend Donika Llace, a medical office administrator in Chicago is always telling me about the benefits of olive oil, She claims to taking two tablespoons of olive oil daily as a supplement to her regular daily diet. In fact, she is not alone in thinking that the benefits of olive oil go far beyond the kitchen. Many in Europe, as in Italy and Albania feel that olive oil can prevent cardiovascular disease,constipation,arthritis, or  many  of  the common ailments experience by patients. So why not give it a try? It’s a natural approach to natural living…Donika Llace suggests “talking to your family physician before taking any supplements”.

Pass it on,

Dr Anthony         


poweredbyguardianREV How to tell if your olive oil is the real thingThis article titled “How to tell if your olive oil is the real thing” was written by Jon Henley, for The Guardian on Wednesday 4th January 2012 19.59 UTC

Last month, the Olive Oil Times reported that two Spanish businessmen had been sentenced to two years in prison in Cordoba for selling hundreds of thousands of litres of supposedly extra virgin olive oil that was, in fact, a mixture of 70-80% sunflower oil and 20-30% olive.

In 2008, Italian police arrested over 60 people and closed more than 90 farms and processing plants across the south after uncovering substandard, non-Italian olive oil being passed off as Italian extra virgin, and chlorophyll and beta-carotene being added to sunflower and soybean oil with the same aim.

Most alarmingly, a study last year by researchers at the University of California, Davis and the Australian Oils Research Laboratory concluded that as much as 69% of imported European olive oil (and a far smaller proportion of native Californian) sold as extra virgin in the delicatessens and grocery stores on the US west coast wasn’t what it claimed to be.

In Britain, of course, it wasn’t so very long ago that the most likely place to find olive oil was the chemist. Today, thanks partly to the health claims made on its behalf and partly to the fact it tastes good, the oil Homer called “liquid gold” is in half of all UK homes and we get through 30m litres of olive oil every year – more than double than we did decade ago. We’re now, in fact, the world’s 10th biggest olive oil-consuming nation. So with a litre of supermarket extra virgin costing up to £4, and connoisseurs willing to pay 10 times that sum for a far smaller bottle of seasonal, first cold stone pressed, single estate, artisan-milled oil from Italy or Greece, can we be sure of getting what we’re paying for?

The answer, according to Tom Mueller in a book out this month, is very often not. In Extra Virginity: the Sublime and Scandalous World of Olive Oil, Mueller, an American who lives in Italy, lays bare the workings of an industry prey, he argues, to hi-tech, industrial-scale fraud. The problem, he says, is that good olive oil is difficult, time-consuming and expensive to make, but easy, quick and cheap to doctor.

Most commonly, it seems, extra virgin oil is mixed with a lower grade olive oil, often not from the same country. Sometimes, another vegetable oil such as colza or canola is used. The resulting blend is then chemically coloured, flavoured and deodorised, and sold as extra-virgin to a producer. Almost any brand can, in theory, be susceptible: major names such as Bertolli (owned by Unilever) have found themselves in court having to argue, successfully in this instance, that they had themselves been defrauded by their supplier.

Meanwhile, the chemical tests that should by law be performed by exporters of extra virgin oil before it can be labelled and sold as such can often fail to detect adulterated oil, particularly when it has been mixed with products such as deodorised, lower-grade olive oil in a sophisticated modern refinery. Nor do national food authorities appear particularly bothered as long as the oil isn’t actively harmful, which is rare. In Britain, says Judy Ridgeway, one of the UK’s leading olive oil experts, the Food Standards Agency has not done any checks on olive oil in five or six years. “And it only does chemical tests, not taste tests,” she adds.

The EU now also requires extra virgin oil to pass assorted taste and aroma tests, assessed by panels of experts: the oil has to be suitably fruity, bitter and peppery, and cannot display any of 16 different defects, including “grubbiness”, “mustiness” and “fustiness”. But bad stuff still gets through.

Ridgeway says it is “hard to say what percentage of faulty oil gets through” to Britain. “It will vary seasonally – there will be more at this time of year than in March or April, but it’s appreciable. They buy in good faith, but there are faulty oils on our supermarket shelves, without any argument.”

The olive, in more than 700 varieties or cultivars, has been grown for its oil in the Mediterranean since 3000 BC. Unlike most vegetable oils, which are extracted from seeds or nuts, good olive oil is made using a basic hydraulic press, or more modern centrifuge, so it is more a fruit juice than an industrial fat. It comes in several qualities, including lampante, or “lamp oil”, which is made from damaged or ground-gathered fruit and cannot be sold as food; virgin; and extra virgin, the highest grade. This has to be made by a physical (rather than chemical) process, and meet strict chemical requirements, including levels of oxidation and “free acidity” (a measure of decomposition).

Like any fresh product, olive oil deteriorates over time. “The trouble,” says Ridgeway, “is that it’s quite easy to clean up, say, an oil that doesn’t quite pass the acidity test, and to do it without leaving any chemical markers. It could even taste pretty good, for about three months. Then it will go horribly wrong.”

Michael North, an expert who runs a fresh seasonal olive oil club, says the problem is “huge. The public are just not aware of what’s going on. There’s plenty of oil out there that’s rubbish: last year’s oil or older. Or not even olive oil.”So how can consumers best ensure they’re not being ripped off? Ridgeway recommends paying a sensible price. Unfortunately, a 50cl bottle costing £15 is, on balance, “less likely to have problems” than one costing £2. North urges people never to buy olive oil in a clear bottle (“It oxidises and goes rancid far faster”), and to buy from somewhere you can taste it first.

Both he and Ridegway, though, stress the prime importance of buying young. “Look for a harvest date,” North says. “They’re starting to appear now, albeit on only a few bottles, and they’ll tell you how old the oil is. It’s not an absolute guarantee of quality, but half the battle.”

How to buy olive oil

• Find a seller who stores it in clean, temperature-controlled stainless steel containers topped with an inert gas such as nitrogen to keep oxygen at bay, and bottles it as they sell it. Ask to taste it before buying.

• Favour bottles or containers that protect against light, and buy a quantity that you’ll use up quickly.

• Don’t worry about colour. Good oils come in all shades, from green to gold to pale straw – but avoid flavours such as mouldy, cooked, greasy, meaty, metallic, and cardboard.

• Ensure that your oil is labelled “extra virgin,” since other categories—”pure” or “light” oil, “olive oil” and “olive pomace oil” – have undergone chemical refinement.

• Try to buy oils only from this year’s harvest – look for bottles with a date of harvest. Failing that, look at the “best by” date which should be two years after an oil was bottled.

• Though not always a guarantee of quality, PDO (protected designation of origin) and PGI (protected geographical indication) status should inspire some confidence.

• Some terms commonly used on olive oil labels are anachronistic, such as “first pressed” and “cold pressed”. Since most extra virgin oil nowadays is made with centrifuges, it isn’t “pressed” at all, and true extra virgin oil comes exclusively from the first processing of the olive paste.

For further information, see extravirginity.com. Extracted from Extra Virginity: The Sublime and Scandalous World of Olive Oil by Tom Mueller.

 How to tell if your olive oil is the real thing

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Make Your New Years Resolutions for 2012

December 31, 2011

me pic Dec 2 20111 233x300 Make Your New Years Resolutions for 2012  

Make Your New Year’s Resolutions for 2012 come True

Many of us are starting to make promises to ourselves or to love ones that 2012 will to the year that makes all the difference. We all start our with great intentions in adhering to a list of goals to accomplish for the new year. But as we dive into the new year…we sometimes lose sight of those goals. In order to be successful, start off with those goals  that can be reasonably accomplished in a short time. By knocking out the short term goals, you begin to have a feeling of accomplishment and pride.

A good tip to keeping resolutions for 2012 is to be clear on the goals you want to set for yourself. When I say make it clear, I mean to right down on paper exactly  what it is you want to accomplish. Serge Prengel, author of  “Resolutions that Work”, believes that adopting the techique of image visualization can prepare us and improve our ability to staying focus on our goals. Many successful athletes have used and continue to impliments techniques in image visualization to help improve their performance.

We can adopt these techniques in order to control our emotions and prepare us to achieve whatever we desire out of life. So enjoy the attached free ebook by Serge Prengel and make the year of 2012 the beginning of many productive years to come…Happy New Year from Yepod.com

Resolutions that Work

http://www.yepod.com/?p=25860

Pass it on,

Dr Anthony

Http://www.yepod.com


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Mapping the body: the ovaries

December 20, 2011

Normal uterus in the fema 007 Mapping the body: the ovaries

Another interesting article…this time talking about the ovaries…having a little understanding of your body helps avoid that confused look on your face when visiting your doctor. A little anotomical knowledge will surely insure better communication with your physician. So whether we are talking about ovaries or eustachian tubes…take the time to learn…

http://www.yepod.com/?p=24048

Pass it on,

Dr Anthony


poweredbyguardian Mapping the body: the ovariesThis article titled “Mapping the body: the ovaries” was written by Gabriel Weston, for The Guardian on Monday 19th December 2011 20.59 UTC

Ovaries are the female gonads. They produce eggs and secrete sex hormones, oestrogens and progesterone. They are suspended on each side of the uterus by a tough structure known as the ovarian ligament. They are also loosely clasped by frond-like structures called fimbriae, which guide an egg into the fallopian tube, and thence to the uterus, where fertilisation may take place.

A woman’s full quota of eggs is established before she is even born. At puberty, the hormones secreted by the ovary enable sexual maturation and allow the womb to accommodate and sustain the process of pregnancy.

Disorders of the ovary range from mild to severe. Mittelschmerz is a cramp that some women experience around the middle of their menstrual cycle as ovulation occurs. Ovarian cysts are fluid-filled sacs which usually affect women during their reproductive years. Most don’t need treatment, although some require surgery. Polycystic ovary syndrome is a condition in which multiple cysts form, often causing hairiness, acne and fertility difficulties.

Ovarian cancer is sometimes known as “the silent killer”. Because ovarian enlargement often produces no symptoms, these tumours are commonly advanced before diagnosis. Even when patients do feel discomfort, it tends to occur as a general sense of bloating or tummy-ache, which is easily confused with more benign illnesses. Surgery, chemo and radiotherapy form the mainstay of treatment, but the best hope for the future reduction of deaths from this disease lies in finding a way to pick it up much sooner.

Gabriel Weston is a surgeon and author of Direct Red: A Surgeon’s Story.

 Mapping the body: the ovaries

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Doctor, doctor, this sexist toy-selling is making me sick

December 16, 2011

Early Learning Centre doc 005 Doctor, doctor, this sexist toy selling is making me sick

Some toy companies are still living in the past…it is clear as a society we are past the gender gap…both men and women share the same opportunities in deciding what career paths to take ….your sex should not hinder your desire in becoming a doctor,lawyer,CEO,fire-fighter,police officer…careers that were once dominated by men have long since seen women occupy. Perhaps the toy companies need to come up with a new  way of identifying their inventory…what do you think of that ”Boss Man” or “Boss Lady”

http://www.yepod.com/?p=23438

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poweredbyguardian Doctor, doctor, this sexist toy selling is making me sickThis article titled “Doctor, doctor, this sexist toy-selling is making me sick” was written by Jane Martinson, for The Guardian on Tuesday 13th December 2011 13.34 UTC

Look at this picture (above) of a doctor’s coat, which comes with a “handy stethoscope and mask”. It could fit any wannabe medic, as long as they’re up to 116cm tall – which covers most children aged between about three and eight. Why, then, would this outfit be seen as suitable for a “boy”?

My smaller-than-average eight-year-old daughter has asked for a real skeleton and a book about bodies for Christmas because she wants to be a doctor. Hurrah. Yet for sex-appropriate dressing-up, I should of course turn to the nurse’s outfit. This is filed under “girl” on the same website, Ocado, as it happens, which, like other online grocers, seems to fall straight into gender traps when it comes to toys. Why?

At least the Early Learning Centre, which sells these outfits, has learned not to gender stereotype the future career choices of its clientele. Look, here’s a firefighter with long hair! Such gender neutrality comes after a long and, at times, bitter campaign by Pink Stinks, which urged the toy retailer for younger children to stop promoting all things pink and pretty for girls as far back as 2009. Yes, girls like dressing as fairies and even princesses, but not to the exclusion of all else – and maybe they wouldn’t at all if they weren’t led to believe that that’s what girls should want. My colleague Polly Curtis has written here about whether nature or nurture dictates our colour and toy preference.

The campaign website shows other examples of gender-specific retailers, such as Sainsbury’s. Given today’s news that Hamleys is giving up the action-figures-for-boys and nail-varnish-with-feather-boas-for-girls signposting in its flagship central-London store, is it time to name and shame the stores still doing this?

Do you have more examples of sexist toy-selling? Does it matter? And if so, how do we get it to change?

 Doctor, doctor, this sexist toy selling is making me sick

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Mapping the body: hyoid

December 7, 2011

hyroid mapping the body 007 Mapping the body: hyoid

The hyoid is a horse-shaped bone in the thoart…existing alone and being anchored by muscles surrounding it.  It helps with swallowing and does serve some protection . Normally located at the level of cervicals 3 and 4…in front or anterior of the cervical vertebra…many times in a case of murder, a victim who was strangulated would show a hyoid bone that was broken due to pressure applied to it…During CSI episode 9 Season 10: “We found the bones of a male body buried in three feet of dirt.  The hyoid bone was broken,which indicates death by strangulation,so…” here’s the link   http://subs.tv/en/se9/ep10/Csi_Crime_Scene_Investigation/hhmt1i4u/

http://www.yepod.com/?p=21712

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poweredbyguardian Mapping the body: hyoidThis article titled “Mapping the body: hyoid” was written by Gabriel Weston, for The Guardian on Monday 5th December 2011 20.30 UTC

The hyoid is the only bone in the throat. It is also the single bone in the body that doesn’t connect directly with any others, being anchored instead by ligaments and muscles. It is composed of a central portion called the body, flanked on each side by the greater and lesser cornu. If you run your finger backwards from your chin to the point where your head meets your neck and press gently, you will be able to feel the resistance of your own hyoid bone.

One of its functions is to anchor the back of the tongue while the rest is free to move. For this reason, it plays a crucial role in speech and swallowing. The hyoid also protects the fragile tissues of the larynx and pharynx.

Although the hyoid doesn’t often get seriously injured, it may break after trauma to the neck. It is a macabre statistic that in a postmortem study of a group of people murdered by strangulation, one third of victims were found to have fractured hyoids.

But most head-and-neck surgeons come into contact with the hyoid bone while performing something known as a Sistrunk’s operation. During embryological development, the thyroid gland starts life at the back of the tongue before finding its correct position in the neck. In some people, there is an abnormal remnant of this early journey, known as a thyroglossal duct. Cysts may develop anywhere along its course and appear as a painless lump in the mid line of the neck. Surgical removal is the best treatment and, in order to prevent recurrence, it is necessary to cut out a core of tissue running from the base of the tongue to the thyroid, including the central portion of the hyoid bone.

Gabriel Weston is a surgeon and author of Direct Red: A Surgeon’s Story.

 Mapping the body: hyoid

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Mapping the body: fascia

November 30, 2011

fascia 007 Mapping the body: fascia

All kinds disease conditions can affect our bodies directly under the skin. Many of us, including myself have had the priviledge of dissecting cadavers for the sole purpose of education. It was an experience I will never forget and this opportunity gave me an enormous understanding of the human anatony! Dare to learn and continue learning. Map your body..

http://www.yepod.com/?p=20882

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Dr Anthony

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poweredbyguardian Mapping the body: fasciaThis article titled “Mapping the body: fascia” was written by Gabriel Weston, for The Guardian on Monday 28th November 2011 20.00 UTC

Fascia is a fibrous connective tissue which is distributed throughout the body. It is made from dense bundles of collagen, and looks rather like cling-film. It surrounds muscles, organs, bones, nerves and blood vessels and prevents friction, allowing different structures to glide over each other on movement. For surgeons, it is a gift. Dissecting along fascia, known in surgical parlance as “finding the right plane” is a smooth and almost bloodless business. When planes are hard to find, or have been altered by disease, the process of operating becomes messy.

Plantar fasciitis, experienced by one in 10 people, also known as “policeman’s heel” because it tends to affect those who walk a lot, occurs when the fascia running along the sole of the foot becomes inflamed. Treatment is with stretching and rest.

Eosinophilic fasciitis is a rare condition in which there is build-up of a type of white blood cell called an eosinophil in the fascia and muscles of the hands, arms, legs and feet causing discomfort, redness and warmth. It is treated with anti-inflammatories and steroids.

But by far the worst condition to involve this connective tissue is the infamous necrotising fasciitis. Infection spreads like wildfire along the fascial planes, and a person may become extremely unwell with significant deep tissue destruction before any dramatic signs appear on the surface of the skin. High-dose intravenous antibiotics are given to anyone suspected of having contracted this devastating infection but, ultimately, the only way of saving someone is with aggressive surgery, sometimes involving amputation.

 

 Mapping the body: fascia

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How to have a modern Thanksgiving

November 23, 2011

A family celebrates Thank 007 How to have a modern Thanksgiving

In my opinion, nothing can replace turkey on Thanksgiving Day…not even chicken! In many parts of the world, turkey is unavailable…simply can not be found ..and all those delicious side dishes…stuffing,cranberry sauce,sweet potato,salad,pumpkin pie,and the list goes on…from the bottom of my heart I would like to wish HAPPY THANKSGIVING DAY to all my students,friends, and family!

http://www.yepod.com/?p=20083

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poweredbyguardian How to have a modern ThanksgivingThis article titled “How to have a modern Thanksgiving” was written by Hadley Freeman, for The Guardian on Tuesday 22nd November 2011 21.00 UTC

As you read this, Americans around the world will be rolling up their sleeves, gearing up to push some readymade stuffing into a dried-out bird while a male relative stands to one side, arms at his waist, poised to make the traditional joke as inscribed in the constitution by the Founding Fathers: “Heh heh – most girls make me buy them dinner before I get to do that!” Heh heh.

Yes, it’s Thanksgiving time in America, that special holiday marking the Anglo-Saxon invasion of someone else’s country, which Americans celebrate by eating sweet potatoes and marshmallows. Mixed together, naturellement.

Pretty much every holiday has, if not downright creepy origins, then ones certainly far away from their Hallmark manifestations today. Most obviously, there’s the disconnect between a night that was once intended to mark the last chance for the dead to wreak revenge on the living before ascending to the next world and its current incarnation in which children dress up like Dora the Explorer and harass adults to give them candy before passing into the world of childhood obesity. OK, bad example.

Conversely, certain fringe elements of the British press fret, sporadically and erroneously, that Christmas will be mugged of its tinsel and sentimentality and reduced to “Winterval”.

Yet even by those standards, Thanksgiving is an interesting holiday. As an American who was born and continues to live in America, I am very happy that the pilgrims rocked up to these shores. Yet the man who should, by rights, be America’s poet laureate, the comedian Chris Rock, long ago summed up the Thanksgiving Problem in his 1999 standup show, Bigger and Blacker: “Nobody got it worse than the American Indian … I went to the Macy’s Thanksgiving Day Parade this year and they didn’t have enough Indians. They had three real Indians and the rest was a bunch of Puerto Ricans with feathers in their hair … That’s not Pocahontas, that’s Jennifer Lopez!”

But then, for a country notorious for heightened racial awareness, America has never spent too much time fretting about the feelings of the people who were, basically, robbed on the day Thanksgiving is ostensibly celebrating. Just ask any fan of the football team representing this country’s capital, the Washington Redskins.

Aside from that issue with Thanksgiving, there is another small awkwardness, brilliantly encapsulated in the cover of this week’s New Yorker. Thanksgiving celebrates the arrival of a group of people to a new land, a group of people who, I’m guessing, not only didn’t have any kind of visas but didn’t even have to suffer the routine humiliations and casual aggression that Homeland Security doles out to all visitors to America as soon as they’ve disembarked from their flight. To be honest, immigration is a bit of a touchy subject in this country these days. In fact, at least one presidential candidate has suggested that immigrants should be fried by an electric fence. Happy Thanksgiving!

So how best to celebrate Thanksgiving 2011 to reflect the modern era? Just as Christmas adverts are the staple warmup to that holiday in Britain, Thanksgiving is, predictably, marked by traditional televisual events. Here, women in autumnally coloured cashmere jumpers bedecked with the most extraordinary accessories present “Thanksgiving specials” on daytime TV, teaching the hyperactive studio audience how to do such nonsensical things as “Make a chocolate pilgrim centrepiece!” and “Have a stress-free family meal!”

So for this special holiday season, I shall don my finest tawny-coloured cashmere, affix a turkey brooch to my breast and present my guide to How to Have a Modern Thanksgiving, 2011. Happy Thanksgiving, everyone!

1. Forget turkey, eat pizza

It’s the national food, you know, what with it being a vegetable and the foodstuff behind the fortune of one of the most extraordinary presidential candidates this country has ever seen, and that really is saying something.

2. The Supercommittee Thanksgiving

This is named in honour of the Congressional so-called supercommittee that, on Monday, failed to come up with a plan to reduce the deficit. So, get your relatives who hate each other most to plan and cook the meal together. They will then, predictably, fall out with one another and produce absolutely nothing. Amazed at this outcome, you’ll end up eating bad Chinese takeaway.

3. Do the Reverse Pilgrim

This is when an American leaves his or her home country and goes to England for “a new start” and this is seen as quite an A-list, classy move. I fully expect to hear reports of Demi Moore “eyeing up properties in Primrose Hill” by Friday. Some people call this “Doing a Gwyneth” but I prefer “the Reverse Pilgrim”, although a friend recently pointed out that it sounds like something out of the Kama Sutra. The colonial version, presumably.

4. Eat nothing

Now things are so bad that Sesame Street has introduced a “Hungry Child” Muppet and one in three Americans are either in poverty or in what is evocatively called “the fretful zone” just above it, not eating at all seems a bit more, let’s say, now than a chocolate pilgrim table setting, let alone lewd jokes about stuffing turkeys.

 

 How to have a modern Thanksgiving

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Why women want to gain weights

November 18, 2011

Evelyn Stevenson powerlif 007 Why women want to gain weights

Weightlifting is an excellent way to maitain a fit and firmer body. I am not surprise that more women are finding that this form of exercise can be of great benefit. I myself workout 3 times a week with dumbbells in my apartment. Remember one rule…start slow and gradually increase the weights. Always consult with a doctor before taking on a new exercise routine.

http://www.yepod.com/?p=19311

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Dr Anthony


poweredbyguardian Why women want to gain weightsThis article titled “Why women want to gain weights” was written by Sarah Ditum, for The Guardian on Thursday 17th November 2011 21.00 UTC

Over the last 100 years or so, the pursuit of female physical perfection has included organ-crushing corsetry, starvation and the surgical insertion of synthetic implants. But finally, it seems, the healthy goal of becoming physically strong is gaining popularity.

You may think this is nothing new. But Evelyn Stevenson, model, personal trainer and British champion powerlifter (last weekend, she won silver at the World Championships), says she has only recently seen a change in her clients’ ambitions. “They used to say: ‘I want to tone up and lose weight.’ But weight isn’t the best indicator [of fitness],” she adds. “Recently, a new client said: ‘I really like the athletic build that Jennifer Aniston has.’”

This growing acceptance that strong physiques are not anti-feminine has been reinforced by the prominence given to female competitors in the run-up to the London Olympics – in mainstream media as well as on the sports pages. When Victoria Pendleton followed up her cycling gold medal in 2008 by turning FHM cover girl, it felt like something new: the world had decided women could be both sporty and sexy.

Nevertheless, Stevenson says she often has to reassure clients that weightlifting is not necessarily a path to a bulging body-builder’s physique. Low testosterone levels mean women are unlikely to bulk up, and a training programme focused on larger weights rather than lengthy sessions will lead to a toned, rather than ripped, appearance.

Perhaps the best thing about pursuing strength over slenderness is that it can transform your relationship with your body from one of criticism (why can’t I fit into those jeans?) to one of pride (look at the size of the weight I’m benchpressing). “Being fit is – I don’t want to say sexy, but empowering,” says Stevenson. “I know I can carry my bags home from Sainsbury’s.”

 

 Why women want to gain weights

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Mapping the body: the sigmoid colon

October 13, 2011

The large Intestine 007 Mapping the body: the sigmoid colon

 Many diseases and conditions can affect the bowels. Constipation is a serious condition commonly seen in adults over the age of 50. Usually a change in diet to include more fiber and water will resolve this problem. Oh my colon!

http://www.yepod.com/?p=14894

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Dr Anthony  


poweredbyguardian Mapping the body: the sigmoid colonThis article titled “Mapping the body: the sigmoid colon” was written by Gabriel Weston, for The Guardian on Monday 3rd October 2011 20.00 UTC

It is usually patients not doctors who balk at the sight of a medical instrument being unwrapped. But the flatus tube, used to treat a condition of the sigmoid colon, is one no surgeon relishes.

The sigmoid is an S-shaped stretch of large bowel, about 40cm long, which leads up to the rectum. Its main function is to store faeces until it is ready to enter the rectum and be expelled through the anus, and it is the site of a variety of problems.

Inflammatory bowel disease such as ulcerative colitis and Crohn’s disease may occur here. Diverticulitis, in which little outpouchings of bowel form and become inflamed, is more common in the sigmoid than any other part of the bowel. Small growths called polyps, as well as cancers, also favour this site.

The good thing about investigating sigmoid disease is that this part of the colon isn’t far from the outside world. It is easy to pass a rigid sigmoidoscope into the anus and get a decent view. For a more detailed look patients are sedated so that a flexible sigmoidoscope can be introduced, and biopsies can be taken through this. If necessary, it is possible to remove the entire part of the colon in a sigmoidectomy. Usually, the remaining colon can then be joined to the rectum.

But it is another condition that makes junior doctors quake in their surgical boots. Volvulus is when a part of the bowel twists on the tissue which attaches it to the abdominal wall, forming an obstruction and it is commoner here. Patients are usually over 50 and chronically constipated. In A&E, they describe abdominal pain and not having passed faeces or wind for days. Simple x-rays may show a sigmoid colon so distended that it extends all the way up to the chest-bone.

Although definitive treatment often involves surgery, it is the junior doctor’s job to deal with the acute situation with the help of the dreaded flatus tube. The patient lies on their side and a sigmoidoscope is inserted gently into the back passage. The junior then has to slowly manoeuvre the hollow flatus tube through the sigmoidoscope and into the obstructed loop. The key is to make sure the other end is directed over a bucket and not one’s shoes. The patient’s sense of enormous relief when fluid, flatus and faeces are expelled into the bucket is in inverse proportion to the doctor’s discomfort.

• Gabriel Weston is a surgeon and author of Direct Red: A Surgeon’s Story

 

 Mapping the body: the sigmoid colon

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Can a blood test really tell you when you’ll die?

October 12, 2011

a telomere 006 Can a blood test really tell you when youll die?

Telomere Science still has a lot of work ahead of itself…there are many factors that contribute to the aging process…so if a test can predict when I will die…perhaps in the future we can manipulate the strands of our DNA to extend our lives to 120 years of age. It sounds like science fiction ….but remember many ideas have started out as an impossibility…only to develop into a feasible application to enhance the quality of life.

http://www.yepod.com/?p=14786

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Dr Anthony  


poweredbyguardian Can a blood test really tell you when youll die?This article titled “Can a blood test really tell you when you’ll die?” was written by Giles Tremlett, for The Guardian on Tuesday 11th October 2011 19.00 UTC

As a taxi takes me across Madrid to the laboratories of Spain’s National Cancer Research Centre, I am fretting about the future. I am one of the first people in the world to provide a blood sample for a new test, which has been variously described as a predictor of how long I will live, a waste of time or a handy indicator of how well (or badly) my body is ageing. Today I get the results.

Some newspapers, to the dismay of the scientists involved, have gleefully announced that the test – which measures the telomeres (the protective caps) on the ends of my chromosomes – can predict when I will die. Am I about to find out that, at least statistically, my days are numbered? And, if so, might new telomere research suggesting we can turn back the hands of the body’s clock and make ourselves “biologically younger” come to my rescue?

The test is based on the idea that biological ageing grinds at your telomeres. And, although time ticks by uniformly, our bodies age at different rates. Genes, environment and our own personal habits all play a part in that process. A peek at your telomeres is an indicator of how you are doing. Essentially, they tell you whether you have become biologically younger or older than other people born at around the same time.

The key measure, explains María Blasco, a 45-year-old molecular biologist, head of Spain’s cancer research centre and one of the world’s leading telomere researchers, is the number of short telomeres. Blasco, who is also one of the co-founders of the Life Length company which is offering the tests, says that short telomeres do not just provide evidence of ageing. They also cause it. Often compared to the plastic caps on a shoelace, there is a critical level at which the fraying becomes irreversible and triggers cell death. “Short telomeres are causal of disease because when they are below a [certain] length they are damaging for the cells. The stem cells of our tissues do not regenerate and then we have ageing of the tissues,” she explains. That, in a cellular nutshell, is how ageing works. Eventually, so many of our telomeres are short that some key part of our body may stop working.

The research is still in its early days but extreme stress, for example, has been linked to telomere shortening. I think back to a recent working day that took in three countries, three news stories, two international flights, a public lecture and very little sleep. Reasonable behaviour, perhaps, for someone in their 30s – but I am closer to my 50s. Do days like that shorten my expected, or real, life-span?

People with similar worries – or, perhaps, just Woody Allen-style neuroses about their health – have begun to contact the company set up by Blasco. Requests have poured in from around the world since a headline writer at the Independent, perhaps misled by Life Length‘s ambiguous name, invited readers to find out about “The £400 test that tells you how long you’ll live.” The internet did the rest.

Originally set up to help researchers and the pharmaceutical, health food and cosmetics industries test the impact of their products on telomeres, the flood of individual requests has caught Blasco’s still tiny company by surprise. But the test is available, as of this month, via doctors in Spain and Portugal and there are plans to make it easier to carry out in the UK and the US as soon as possible. It sees a potential gold-mine in testing of what it calls people’s “biological age” – though it is by no means alone in the field. So what can Blasco tell me about my test?

“You actually have very good news,” she says, pointing at a chart that looks as if it has been blasted by shotgun pellets. My telomeres – especially the more dangerous, shortest ones – are in better shape than would be normal for my age. The pellet points are individual results from those people who have been tested and introduced into this database so far, and the red dot representing my blood sample is on the better side of the two graphs Blasco shows me. One graph shows median telomere length, while the other shows how many crucially short telomere endings I have. In each case, a line on the graph shows the average result against age. The test on some 100,000 of my telomeres, compared with the other results on the admittedly small database being used by Life Length when this test was done in the summer, give me a “biological age” six years below my real age. With only 90 other men on the chart so far, all with different lifestyles and genetic backgrounds to mine, I should avoid feeling smug. Eventually, when there are thousands or more on the database, I might get a better idea of what results people more like me should expect. I have a reasonably healthy lifestyle, after all, and previous generations on both sides of my family have been long-lived.

However, according to a New York Times interview with 2009 Nobel prize-winner Carol Greider – who Blasco trained under – individual telomere tests are not much use. “The science really isn’t there to tell us what the consequences are of your telomere length,” she said.

Blasco, obviously, disagrees. So does Elizabeth Blackburn, who shared the Nobel prize for telomere research with Greider and Jack Szostak, and has set up her own Telome Health company to start offering tests later this year.

Blasco compares the current state of telomere testing to the early days of cholesterol tests – and believes it should become common once the price drops and research is done to beef up databases, improve interpretation and create telomere-restoring treatments. “This is a different kind of marker. It is a new, molecular marker. Even though we measure telomere length in blood cells, it has been shown to be an indicator of the degree of telomere shortening in the whole organism,” she says. “And we think it is very powerful, based on what we know from hard science.” Even so, she is insistent that the test is not a magic measure of individual life length. “We don’t tell anyone how long they will live.

“It is the doctor – and we want to do this with doctors – who will tell you what is known about the meaning of this measurement and what you can do and what you cannot do,” says Blasco. In fact, the benefits of telomere science still lie mostly in the future. As with early cholesterol tests, a doctor is currently unable to tell you much about what those results mean – or what you can do about a bad result, beyond fairly obvious advice about looking after your health.

I notice that a few of the 90 men on my chart have apparently alarming results. Their telomeres indicate a “biological age” 20 years or more higher than their real age. This means that, at least statistically, they may be much closer to death than most people their age. One of these men comes from a family with a long history of early cancers, according to Life Length’s CEO Stephen Matlin. He has offered those with worryingly high results a free second test after three months, to see whether anything has changed. My report also warns, however, that results may reflect temporary illness or ongoing medical treatments – effectively skewing them. And some results on the chart look plain bizarre. One tester, for example, appears to have – at least statistically – a biological age of around 120. Two people aged above 60, together with a clutch of 30-year-olds, have an estimated biological age below zero – presumably because their telomeres are in better shape than might be expected of the average baby. Life Length said this reflected the fact that little research had been done on the telomeres of the very young.

Individual testing, then, is still in nappies. Far more exciting are the possible future advances to come from telomere research, says Blasco. “One is telomerase activation, because of its potential to reverse ageing. And proving which diseases can benefit from telomerase activation, in order for this to be something druggable.”

“Some of the new [research] papers appearing in top journals are to do with telomorase activation,” she says. “That is one aspect. The other is that we are seeing a lot of epidemiological studies showing correlations between telomere length and certain diseases, and which habits are good or bad for telomere length.”

She says the idea that telomeres can be “re-elongated” and, hence, that biological age can be reversed does not open the door to immortality – even if scientists have been able to extend a mouse’s age by up to 40%. “That’s a lot, but nobody has been able to make a mouse that is immortal,” she says.

It does, however, throw up philosophical and ethical dilemmas. The US Food and Drug Administration (FDA), for example, refuses to approve drugs that are simply designed to prevent ageing. “Although I – and many more scientists – believe ageing is the cause of diseases, this is not perceived like that yet by the FDA,” says Blasco. “But what is clear is that there are a number of diseases associated with ageing which are caused because our cells age.”

Activating telomerase to counter that, she says, might help prevent major illnesses and allow drugs to be approved by the FDA. If drugs are found to activate telomerase and prevent, say, Parkinson’s disease, Alzheimer’s disease or some cardiovascular problems then the inevitable result will be not just a healthier life, but also a longer one.

Blackburn agrees that the idea that the new tests can tell you your life length is silly, but she insists that the evidence connecting telomere length and disease risk is becoming clearer.

“We and other groups are seeing clear statistical links between telomere shortness and risk for a variety of diseases that are becoming very common, such as cardiovascular disease, diabetes and certain cancers,” she told the nature.com website in August. “We have also looked at chronic psychological stress, including depression and post-traumatic stress disorder, and more and more we see associations with telomere shortness. There are even links with education — in one study telomere shortness was related to not finishing school. We’re seeing the data unfolding in front of us. A lot of them are not published yet.”

So what has telomere testing done for me? Not a lot, frankly, though I might have reacted differently had I been dangerously off the chart. Nor am I a woman in her 30s, who might like to know how fast the biological clock that may eventually limit fertility is ticking.

I am tempted to repeat the test again, mainly out of a competitive desire to get better, but only if (as on this occasion, when Life Length waived the $500 fee) I can get it for free. Far more interesting, however, has been the glimpse of the future – when telomere testing, and popping pills to repair the tips of our chromosomes, may allow us to live both longer and healthier. I am persuaded, too, that the aim should be to make sure we live our years out in good health. So why all the rushing about? Time, perhaps, to take things more calmly.

 

 Can a blood test really tell you when youll die?

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Mapping the body: gastric pits

September 22, 2011

A close up of a gastric p 007 Mapping the body: gastric pits

The human stomach is a facinating organ responsible for the breakdown of food that will be absorbed into the body. Problems with the stomach is a source of hugh profits for the pharmaceutical companies. Individuals sometimes become dependent on laxatives,acid,or stomachache medications to relieve symptoms. If stomach symptoms do not subside within a week from onset, seek medical attention and allow a doctor to do a complete workup to determine the cause of your problems in your gastic pits .

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Dr Anthony   


poweredbyguardian Mapping the body: gastric pitsThis article titled “Mapping the body: gastric pits” was written by Gabriel Weston, for The Guardian on Monday 19th September 2011 20.30 UTC

There’s a funny kind of hierarchy that exists among the organs. You simply don’t hear bladder surgeons boasting about their art in quite the same way that heart and brain surgeons do. And yet, even the most humble body part has its own complex and fascinating physiology.

I realised this when learning about the structure and function of the stomach. Previously, I had thought of the tummy as a lowly place, a mere dumping ground for anything we might choose to stuff in our mouths. I couldn’t have been more mistaken, and my new-found respect for the stomach gained focus when I read about the gastric pit.

If you look inside a stomach when dissecting a cadaver, or during an operation, it appears like a bag whose surface is thrown into a series of visible folds. These are called rugae, and enable the stomach to increase dramatically in size when it fills with food. What you can’t see with the naked eye is that the lining of the stomach (the mucosa) is interrupted by multiple tiny openings, each of which leads to a tiny hormone-producing tunnel. These are the gastric pits and each one is lined with a number of different types of cell, producing a separate, important gastric secretion.

The cells at the top of the pits produce mucus, which protects the stomach lining against gastric acid. Deeper down are two other cell types. Parietal cells generate stomach acid as well as a substance called intrinsic factor, which enables a vitamin called B12 to be absorbed further along in the gut. The impressively named chief cells secrete pepsinogen which, when it mixes with stomach acid, becomes an enzyme called pepsin. This helps to break down the protein we eat into smaller units that can be absorbed.

The heart may be in charge of pumping blood around the whole body. The brain may be master of all we do. But, at the tissue level, wonders are also to be found in those organs that we may think of as being more ordinary.

Gabriel Weston is a surgeon and author of Direct Red: A Surgeon’s Story

 

 Mapping the body: gastric pits

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So your four-year-old can’t concentrate? He’s probably been watching SpongeBob

September 15, 2011

SpongeBob Squarepants 007 So your four year old cant concentrate? Hes probably been watching SpongeBob

Too much television is too much television..children need to learn how to concentrate…especially for young developing minds…adjusting to a fast changing world..children can somtimes get lost in the television world …we need to monitor the hours children are spending in front of the flat screen.  Children need to limit their television hours and exchange them for activities that will better prepare them for real life situations…give them real life lessons and leave SpongeBob on the shelf.  

Pass it on,

Dr Anthony


poweredbyguardian So your four year old cant concentrate? Hes probably been watching SpongeBobThis article titled “So your four-year-old can’t concentrate? He’s probably been watching SpongeBob” was written by Leo Hickman, for The Guardian on Monday 12th September 2011 19.30 UTC

SpongeBob SquarePants has long been a conductor for criticism. In recent years, he has been accused of promoting both homosexuality (a 2003 study in a US film journal concluded that SpongeBob and his best friend Patrick “are paired with arguably erotic intensity”) and global warming “propaganda”.

But now the criticism – or, at least, flag of concern – is coming for a paper published this week in the academic journal Pediatrics. Angeline Lillard, a psychology professor at the University of Virginia, found that “fast-paced, fantasy television programmes”, such as SpongeBob Square Pants, might compromise a young child’s “executive function” – their ability to pay attention, problem-solve and control their behaviour.

Lillard observed 60 four-year-olds just after they had watched nine minutes of SpongeBob, as well as after nine minutes of a “slower-paced, educational” cartoon from Canada called Caillou. The children were also observed after drawing for nine minutes. “There was little difference on the tests between the drawing group and the group that watched Caillou,” said Lillard. But the children’s executive function was found to have been negatively affected by SpongeBob.

“It is possible that the fast pacing, where characters are constantly in motion from one thing to the next, and extreme fantasy, where the characters do things that make no sense in the real world, may disrupt the child’s ability to concentrate immediately afterward,” said Lillard.

The findings have been championed by the American Academy of Pediatrics, which has long urged parents to restrict the amount of television their children watch. For example, it says children under two should not watch any television at all and older children should watch no more than two hours of supervised, “educational” TV a day.

Nickleodeon is having none of it, though. “Having 60 non-diverse kids, who are not part of the show’s targeted demographic, watch nine minutes of programming is questionable methodology and could not possibly provide the basis for any valid findings that parents could trust,” it said in a statement, pointing out that SpongeBob is targeted at kids aged between six and 11, while the study focused on four-year-olds.

 

 So your four year old cant concentrate? Hes probably been watching SpongeBob

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Mapping the body: achilles tendon

September 14, 2011

Heel 007 Mapping the body: achilles tendon

I have seen many injuries to the achilles tendon while treating patients over the years…most of them were strain/sprain injuries to the tendon or muscle. You must approach sport activity carefully, especially if you are now not as active ….due to family or occupation responsibilities keeping you from daily participation. Warming up and stretching muscles prior to physical activity will reduce your risk to injury.

Pass it on,

Dr Anthony

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poweredbyguardian Mapping the body: achilles tendonThis article titled “Mapping the body: achilles tendon” was written by Gabriel Weston, for The Guardian on Monday 12th September 2011 20.30 UTC

There is truth in the view that doctors make the worst patients. I have never seen a person obstruct their own recovery more than a surgical consultant who snapped his achilles tendon while playing tennis.

The achilles is a ropelike band of tissue, which connects the calf muscle to the heel on each side, and is crucial for walking, running and jumping. With time and disuse, the tendon can become weak and prone to rupture. So it’s no surprise that injuries to this part of the body tend to occur in middle-aged men enjoying a spurt of uncharacteristic activity, especially where leaping and pivoting are involved. Tripping or falling from a height are also mechanisms of injury.

When it ruptures, sufferers feel sudden severe pain in the ankle or calf, and may hear an audible “pop”. Diagnosis in an emergency department is usually made by a doctor asking their patient to lie prone, feet dangling off the end of the examining table. On squeezing the calf muscle, an intact achilles will cause the foot to point – the absence of this reaction suggests a rupture. Although competitive athletes may be put forward for surgical repair of their tendons, most patients have their leg immobilised in a cast for at least six weeks.

Far worse than this, though, are fractures to the heel bone (or calcaneum). Such injuries tend to occur after a fall from a height or from severe twisting of the foot, and are known to be so painful that patients may be distracted from other injuries such as spinal or leg fractures, which often occur at the same time. Whether patients have surgery or not, it is usually not possible to start walking for at least three months after breaking your heel, and the incidence of lifelong disablility from chronic heel pain is high.

But after five weeks in a cast for his achilles tendon rupture, my boss decided he simply couldn’t bear to be hampered a day longer. He pulled off his own cast, and sprung out of the door, ready for another day at the hospital. He didn’t get as far as his car before he had ruptured his tendon all over again. Proving impatience is the surgeon’s true achilles heel.

Gabriel Weston is a surgeon and author of Direct Red: A Surgeon’s Story.

 

 Mapping the body: achilles tendon

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Annoying? Yoga? Surely not

September 7, 2011

Yoga 007 Annoying? Yoga? Surely not

I must agree…that yoga is not my first choice when it comes to maintaining a healthy life-style…yes some of the positions you find yourself in are quite silly…but most of my friends seem to benefit from yoga. They seem very focused,organized, and calm in their jobs and social gatherings. Perhaps yoga could be of some good…at least I can work on touching my toes…

Pass it on,

Dr Anthony 


poweredbyguardian Annoying? Yoga? Surely notThis article titled “Annoying? Yoga? Surely not” was written by Sarah Miller, for The Guardian on Tuesday 6th September 2011 20.00 UTC

In addition to being somewhat crazy – a shrink once diagnosed me with borderline personality disorder, which I thought was a bit of a stretch until I realised that, like everyone else, he just wanted to have sex with me – I am a yoga teacher. Should you, recoiling in horror as you read this, find yourself asking, “But how does someone like this become a yoga teacher?”, the short answer is that I gave a man with a beard and his hot wife $3,200. The long answer is … well, I’d like to say that it’s because if I hadn’t become obsessed with yoga I’d probably be dead, because that’s what people always say about things like this. But that would be, frankly, a little overdramatic. Let’s just say that if I didn’t do yoga everything bad about me would just be worse, and what is bad is already bad enough.

Now, because you can’t get something for nothing, there’s a problem: yoga can be extremely annoying. There’s no getting around it. Yoga has moments of such profound annoyingness that after I finished Eat, Pray, Love (I read the ashram section 100 times) all I could think was: “You wrote an entire book about yoga and meditation and you never mentioned, ‘Oh, by the way, sometimes you will want to punch these people in the face’.”

And this is where I perform my public service; in yoga we call that a seva (how annoying is that?). All the stuff Elizabeth Gilbert was too high on homemade pizza and Javier Bardem penis to mention, you need to know. Everyone’s always telling you how great yoga is, and that’s true, but then you go and maybe the studio smells like onions steamed in cat pee, and it might have been helpful to know about that beforehand.

You need to know exactly what will disturb you before you get there, so you can prepare; and you should also know that, even though everyone around you will seem perfectly unperturbed, someone feels your pain. Oh, and by the way, I want to underscore that what follows below is what bugs me about yoga; everything else is a glittering gift from Lord Shiva. Namaste!

People who just saw each other yesterday will hug like one of them was just rescued from a burning plane. I’ve always thought of a hug as a slightly protracted, lightly physical way of saying hello to people I know fairly well.

But regular practitioners of yoga see hugs as a great way to spend an afternoon. You will want to stare at them and wonder, “Are they really pressing their whole bodies together?” (yes); “are their eyes closed?” (they are); “do they really have dreamy looks on their faces?” (yes, yes, yes). But remember, while you’re staring you’re wasting valuable time in which you could be cultivating your “I am not the sort of person who likes to be hugged for long periods of time” vibe. This is easier said than done because you will sometimes see people at yoga – people you actually know – with whom you may wish to make brief, friendly physical contact. Engage in such exchanges as you wish, but realise that you are setting yourself up as a person who willingly receives hugs, and these people will not take the extra mental step to say, “Oh, but above-the-waist hugs”, or “Hugs that only last a second”.

Make no mistake: these people are looking to soul-blend. To avoid, arrive early. Lie down with closed eyes. Bring flip-flops – essential for a hasty exit.

During hard poses, women and gay men will remain silent and straight men will laugh self-deprecatingly. Imagine being at a gym. Men are lifting heavy weights. They strain, grit their teeth, sweat. But they don’t laugh. So why, here, as they sink into their thighs in Warrior Two or lift their chest skyward during Upward Facing Bow, do they feel the need to let out a little chuckle? You are witnessing an unconscious assertion of masculinity. That little laugh is their way of letting you know that hey, they’re not really embarrassed about being so bad at this, because they’re not even supposed to be here, they’re good at other things, like, for example, sitting in an airport bar working their way through a double scotch, a bowl of nuts and a Two and A Half Men re-run on the corner TV.

Of course, there is also the other type of straight guy in yoga, the guy who can wrap his arms around his ankles and turn himself into a perfect circle. Why, you ask, does this man wear his hair in a bun, on top of his head? There are some secrets that no amount of enlightenment will reveal. I will tell you this: these guys tend to get a lot of ass, so laugh as you will, but know that they’re getting the last one – upside-down.

There will be yoga overachievers. You will be doing Cat-Cow at a normal pace, and they will be bucking and heaving like mechanical bulls. You will be expending an amount of effort somewhere between “challenging yourself” and “able to retain sufficient muscle strength to remove shampoo bottle from shower caddy”. They will be straining, grunting, grimacing. Then, when class is over, and everyone does that weird little bow, the yoga overachiever will bow down for, roughly, an hour. Seriously. You will have put on your flip-flops (good job!), hightailed it away from the would-be hugger/soul-blenders, made and consumed a meal, masturbated to some violent pornography and be just about to crawl into bed, and they remain on the floor in the yoga studio, thanking God for making them, well, them.

There are teachers and students who think flexibility is some kind of indication of how good a person you are. While we certainly hold tension, trauma and rigidity in our limbs and joints and muscles, there is no reason to imagine there’s some absolutely direct correlation between how well we can move and how functional or healthy our mind is. I seriously doubt that Albert Einstein or Susan Sontag had less flexible minds than, I don’t know, Rodney Yee. My point is, some physical limitations can be aided through the practice of yoga and some can’t and no one needs the increased pressure of someone telling them, every time they strain to get their heels on the floor in Downward Facing Dog, that this is because their mind is all screwed up.

So if your teacher tells you that we hold a lot of stuff in our hips and hamstrings and as we begin to let this stuff go and become our authentic selves we will be able to wrap our arms around ourselves eight times, look around the room. You will probably see a guy who can do that, while smiling, and I’ll bet that you will eventually hear from someone in the class about the time he flew into a rage and broke a car window.

Teachers talk like Yoda’s mum. If you were to ask your yoga teacher, “Can my newly authentic hamstrings help the angry guy?” she might say something like, “That depends on whether they were coming from a space of pure intention.” The word “honour” is used a lot, as in “honouring yourself” or “honouring your practice”. Other popular words include “joy”, “integrity”, “space” (not as in outer space, as in “Go into a space of …”) and “place” (not as in “that place next to Shoe Pavilion”, as in “Let yourself come into a place of …”). When class is over, the teacher will say something like, “Bow to your inner wisdom”, or “Take a moment to thank yourself for committing to your practice”, which always makes me intone the prayer: “Please, God, make me less fat than I was an hour and a half ago.”

The worst part about yoga world vocabulary, of course, is how quickly you find yourself learning and using it. The hope is that because yoga has made you – I’m sorry, I mean, allowed you to open up a space to become – so much more self-aware and less narcissistic, you will only talk this way in front of other people who talk like that too. And now that you are friends with so many of them, because you have, after so thoroughly mocking this world basically joined it, that means practically everyone you speak to.

“How are you?” is not a simple question at yoga. No one at yoga is ever just fine. They’re “working through a lot of heavy stuff”, or “dealing with a lot of craziness”. That said, when people ask you how you are, don’t say anything bad. If you are broke, the universe is just trying to teach you a lesson about how much you already have. If someone dumped you, the universe removed that person from your life for a reason.The universe is very busy in the yoga world.

So yes, in the beginning it’s all about slipping the car keys inside the flip-flops so that all the tools of your escape are in a neat little package. But just keep showing up. In no time you will become sufficiently like all these people that they won’t bother you at all. And then some crazy asshole will make fun of you. Is the circle of eternity beautiful or what?

 

 Annoying? Yoga? Surely not Annoying? Yoga? Surely not

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Dr Dillner’s health dilemmas: should I give up fizzy drinks?

August 27, 2011

A glass of cola 007 Dr Dillners health dilemmas: should I give up fizzy drinks?

It is a challenge for newly diagnosed diabetics to make the necessary changes in their diets to manage their health. No one likes to be told what they should or shouldn’t eat, especially after years of indulging the finer foods of life. If you are beginning to limit colories in the hope of controlling your sugar levels, a good place to start is eliminating all pop drinks (I won’t mention the brand names here…)…drink water,milk,green tea ,etc . The battle on diabetes is won by making small adjustments and avoiding those foods with a high glucose index…live longer…live happier..health matters..

Pass it on,

Dr Anthony

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poweredbyguardian Dr Dillners health dilemmas: should I give up fizzy drinks?This article titled “Dr Dillner’s health dilemmas: should I give up fizzy drinks?” was written by Luisa Dillner, for The Guardian on Monday 22nd August 2011 20.00 UTC

The problem

On a hot day do you reach for a cool can of Coke or a glass of water, and does it matter? Obesity (the body doesn’t seem to regulate its appetite in response to calories in drinks so the sugary drinks are extra calories), dental caries and an increase in diabetes are uncontested risks of drinking sugary fizzy drinks. Fatty livers and pancreatic cancer have also more recently been linked to a hefty intake of sugary, fizzy drinks (up to four cans a day) by researchers, but the studies are not conclusive.

Those of us watching our weight, meanwhile, may have switched to diet drinks, which contain artificial sweeteners, some many hundreds of times sweeter than natural sugars, but without the calories. Coca-Cola’s website says Diet Coke, Coke Zero and Lilt Zero contain aspartame and acesulfame-K. Slimline drinks such as Schweppes slimline Canada Dry ginger ale contain a blend of aspartame and saccharin.

The dilemma

Aspartame has been dogged by controversy ever since it was approved as a food additive over 35 years ago. A report in the Daily Mail last week said that the European Food Safety Authority (EFSA) is being asked to bring forward a safety review of it by members of the European parliament following a Danish study showing an increase in premature births in mothers drinking diet drinks and research showing cancer growth in mice who were fed aspartame.

The EFSA will report in 2012 instead of 2020 but has already said these recent studies have not made them change their opinion on aspartame’s safety. Yet anti-aspartame activists have long claimed it causes brain tumours, multiple sclerosis, blindness, headaches, depression and birth defects. The cause, they say, may be that the body metabolises aspartame by breaking it down to toxic substances, namely methanol and then formaldehyde (which bodies are pickled in at medical school for dissection purposes) and formic acid. But the amounts of these metabolites are small. The US Food and Drug Administration (FDA) says you would need to drink 21 cans of diet sodas a day to approach the recommended safe limit for aspartame and its metabolites.

Aspartame has been cleared as safe in the US and Europe, but you may think there’s no smoke without fire. Some supermarkets stopped using aspartame in their own branded diet products a decade ago. If there is even a whisper of a health scare about a drink you don’t need shouldn’t you opt for a healthier, cheaper alternative such as tap water?

The solution

Don’t be scared by health scares, some of which are urban myths. We don’t absorb aspartame and, as a letter to the Lancet said in 1999, almost all the adverse reports across many websites are anecdotal. The letter pointed about that while a 330ml can of diet coke would provide 20mg of methanol, the same amount of fruit juice would yield 40mg. The FDA said that aspartame was “one of the most thoroughly tested and studied food additives the agency has ever approved”. The National Cancer Institute in the US says that there is no clear evidence that any of the artificial sweeteners commonly available are associated with an increased risk of cancers in humans.

But these drinks are not good for you. By drinking them you displace those with nutritional value such as milk (essential for healthy bones and teeth) and fruit juice. The UK Food Standards Agency has launched a pilot study to test individual sensitivity to aspartame. In the meantime you should avoid fizzy drinks with sugar because they have nothing to redeem them except their taste, and only drink diet ones on a limited basis.

 

 Dr Dillners health dilemmas: should I give up fizzy drinks? Dr Dillners health dilemmas: should I give up fizzy drinks?

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Dr Dillner’s health dilemmas: should I limit my child’s mobile phone use?

August 19, 2011

A girl using a mobile pho 007 Dr Dillners health dilemmas: should I limit my childs mobile phone use?

Limit your child’s use of the mobile phone,television, and other activities that don’t stimulate physical and mental improvement. Your child’s health depends on you as the parent.

Pass it on,

Dr Anthony 


poweredbyguardian Dr Dillners health dilemmas: should I limit my childs mobile phone use?This article titled “Dr Dillner’s health dilemmas: should I limit my child’s mobile phone use?” was written by Luisa Dillner, for The Guardian on Monday 15th August 2011 20.00 UTC

The problem

If you have a child of 10 years old or more, chances are they’ll have a mobile phone. Maybe you gave it to them to keep safe, so you would know where they are, but mobile phones are not without their own risks. Not only can your children waste an enormous amount of time texting their friends instead of doing their homework, but mobile phones emit radiofrequency energy – a form of non-ionising electromagnetic radiation that is absorbed by the brain. Last month the World Health Organisation said that mobile phones could “possibly” be carcinogenic, putting them in category 2b (with other substances that “possibly” cause cancer such as car exhaust fumes, lead and coffee). Children, who will not have finished developing and therefore have thinner skulls, could absorb more of this radiofrequency energy than adults and be at a greater risk of developing brain tumours. This radiation is non-ionising radiation, which unlike ionising radiation from radon and x-rays has not consistently been linked to causing cancer.

The dilemma

Should you rip your child’s BlackBerry from his or her hands, mid instant-message session? Or if the evidence is inconclusive and the WHO says it’s only likely to cause as much harm as coffee, maybe mobile phones are relatively safe.

The WHO spent a week reviewing the evidence from 14 countries. Very little research exists on the effects of mobile phones on children. The largest study, the Interphone study found no evidence that mobile use increased the risk for gliomas and meningiomas (types of brain tumours). However a small proportion of people in the study who spent the most time on mobile phones did have a small increase in gliomas, reporting them to be on the same side of their head as they used their phones. However this could have been due to reporting bias, ie people may have mistakenly remembered which side of the head they held their phone against. It may take decades for a brain tumour to develop, so memories of phone use from way back can be unreliable, and studies may not have long enough follow-up periods to detect when brain tumours develop.

A study by the Swiss Tropical and Public Health Institute of children aged between seven and 19 found no difference in brain tumours in those using mobile phones and those without. The study looked at more than 350 people with brain tumours and tracked their mobile phone use. It was funded in part by mobile phone manufacturers, and critics have cited this as a potential for bias, as well as the fact that tumours can take many years longer than the time period of the study to develop. So far the incidence of brain tumours has not increased during this time of proliferation of mobile phones.

The solution

There is no evidence that mobile phones cause brain tumours, but that doesn’t mean there might not be, one day. Given that using mobile phones excessively can cause problems for your child – sleeping, doing their homework and being a social human being in the house – it makes sense to try to limit their use.

To reduce your child’s exposure to radiofrequency energy get them to text rather than phone (which they’re probably doing already) and to use hands-free so the phone is not pressed against their ears.

The latest advice from the chief medical officer in the UK was that children under the age of 16 should keep calls short and use their mobiles only for “essential purposes”. More evidence on the effects of mobile phones is being gathered. Cosmos, a large international study of mobiles and long-term health effects has been launched, which will enrol about 250,000 mobile users (they will be 18 and over) and track them for 20 to 30 years. An international study looking at children called Mobi-Kids has also kicked off in Spain. So at least you’ll know what to do about your grandchildren.

 

 Dr Dillners health dilemmas: should I limit my childs mobile phone use? Dr Dillners health dilemmas: should I limit my childs mobile phone use?

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Dr Dillner’s health dilemmas: should I take antioxidant supplements?

August 12, 2011

Fruit is a good source of 007 Dr Dillners health dilemmas: should I take antioxidant supplements?

This controversy has been going on for years, whether or not supplements or antioxidants should be taken on a regular basis or simply allow our diets to be the sole determinant of our nutritional arsenal. There are many supporters and critics concerning the use and sell of nutritional supplements. Even the AMA would like to be able to control the entire vitamin industry and make the public believe that it’s solely to protect the consumer. The consumer has free will and sufficient access to research to make intelligent decisions about their health. So if you need a little extra vitamin C or D, take it knowing the safe doses.

Pass it on,

Dr Anthony

yepodcom2Logo1 150x150 Dr Dillners health dilemmas: should I take antioxidant supplements?    


poweredbyguardian Dr Dillners health dilemmas: should I take antioxidant supplements?This article titled “Dr Dillner’s health dilemmas: should I take antioxidant supplements?” was written by Luisa Dillner, for The Guardian on Monday 8th August 2011 20.00 UTC

Antioxidants are said by many to have almost magical powers – to reduce heart disease, strokes, cancers, arthritis, degeneration of the macula in the eye (causing loss of sight), Parkinson’s disease and Alzheimer’s disease. Last month, researchers from the Laboratory of Functional Foods in Madrid and the Linus Pauling Institute in America said antioxidants could even help people with fertility problems. But what are they? Oxidation – when a substance combines with oxygen – is a normal chemical process that occurs in our bodies, but as a byproduct it can produce free radicals – unstable molecules that can damage cells. Our bodies use antioxidants to limit the cell damage (called oxidative stress) that occurs, for example, when you’re digesting food, or exposed to smoke. Antioxidants include ascorbic acid (vitamin C), glutathione, lipoic acid, carotenes, vitamin E and coenzyme Q.

The dilemma: Antioxidants are found in a variety of fruit and vegetables (such as carrots, spinach, mushrooms, peppers, apples, oranges). But how can you be sure you’ve eaten enough, and that cooking hasn’t destroyed their ability to fight free radicals? Surely it’s better to take supplements that manufacturers say have the concentrated goodness of fruit and vegetables, without having to chew on the real things? Antioxidant supplements are taken by up to 10%of people in Europe and America, so how could they do any harm?

The solution: People who eat a fair bit of fruit and vegetables have reduced rates for heart disease and some cancers, but we don’t know for sure that it is actually the antioxidants in these foods that protect people. It would be great to be able to take a fruit or vegetable pill that reduced the risk of getting heart disease, diabetes and neurological diseases, but, of course, life is never that simple. In fact, you shouldn’t take supplements – because not only is there no good evidence they work, but there is some evidence they may be harmful.

This harm may be indirect – people who take supplements may see them as lucky charms and be cavalier with the rest of their lifestyle choices – or it may be that too many antioxidants are bad for you. The Cochrane Collaboration, an international group that sums up the evidence for health care interventions, says antioxidant supplements do more harm than good. Their review in 2007 looked at 68 trials, which included a total of over 232,000 people, looking at the effects of vitamins C, E, A or beta carotene. They found that people taking beta carotene or any of the vitamins were more likely to die during the study than those who did not.

Giving up smoking, reducing the amount of fried food you eat (frying produces free radicals that can damage cells) and regular exercise would all have more health benefits than popping supplements. But they all require effort and may be less palatable.

Laboratory research has been much more optimistic about the benefits of antioxidants than studies on real people. The researchers who said last month that antioxidants could help people with fertility studies admitted that studies on humans showed no such thing because they hadn’t been done. They had looked at animal and laboratory studies.

So rather than pay for pills, spend your money on a healthy diet that includes lots of fruit and vegetables – where there is good evidence for the health benefits.

 Dr Dillners health dilemmas: should I take antioxidant supplements? Dr Dillners health dilemmas: should I take antioxidant supplements?

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Mapping the body: pituitary gland

August 11, 2011

The pituitary gland circl 007 Mapping the body: pituitary gland

There’s a small gland located at the base of the brain,sitting in a small bone cavity that secretes hormones essential for hundreds of activities within the human body. When these hormones are released by the pituitary gland , they enter the blood directly. The field of medicine that deals with the disorders of glands and its treatment is called endocrinology. The pituitary gland is divided into a anterior lobe, intermediate lobe, and posterior lobe. The anterior lobe is responsible for releasing growth hormone,prolactin,ACTH,FSH,TSH, and LH. The intermediate lobe releases melanocyte-stimulating hormone that is important in determinating pigmentation of the skin. The posterior lobe releases ADH and oxytocin. The vocabulary above can be challenging for most of us but can be mastered in time, any questions should be directed to your family physician.

Pass it on,

Dr Anthony

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poweredbyguardian Mapping the body: pituitary glandThis article titled “Mapping the body: pituitary gland” was written by Gabriel Weston, for The Guardian on Monday 8th August 2011 20.00 UTC

Only once did I waver in my desire to become a surgeon; when I briefly flirted with training as an endocrinologist – a doctor specialising in hormone diseases, including those affecting the pituitary gland.

Often referred to as “the master gland” because of the crucial role it plays in regulating other hormone- producing centres, the pituitary is no bigger than a pea. It sits in a small, bony cave at the base of the skull and is connected to a part of the brain called the hypothalamus by the pituitary stalk.

During my first month as a medical student, I met a lady with a rare disease caused by a tumour of the pituitary gland, who sparked in me a temporary obsession with acromegaly. The James Bond villain Jaws has the classic symptoms of this disorder; in which too much growth hormone produces excessive growth of the body’s soft tissues.

Parts of the face enlarge and the hands and feet become giant. Such obvious deformities are matched by abnormalities of the internal organs, including the heart and bowel. Although acromegaly can, in some cases, be treated with medicine or radiotherapy, my patient ended up having her pituitary tumour removed.

The neurosurgeon worked via the nostril, gaining access to the bony cave by tunnelling through the sphenoid sinus (a bony cavity of the skull). The dangers are enormous because the gland sits among the optic nerves and the arteries supplying and draining blood from the brain; any slip of the hand could result in a patient’s immediate blindness or death.

 Mapping the body: pituitary gland Mapping the body: pituitary gland

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Dr Dillner’s health dilemmas: should I be screened for breast cancer?

August 5, 2011

BREAST CANCER SCREENING 007 Dr Dillners health dilemmas: should I be screened for breast cancer?

Everyone should take their annual check-ups or screenings seriously …it may be the difference of  surviving or dying. So pick up the phone right now and ask your doctor which tests or screening you should be doing for your age group. Fight breast cancer by screening today!

Pass it on,

Dr Anthony

 yepodcom2Logo 150x150 Dr Dillners health dilemmas: should I be screened for breast cancer?


poweredbyguardian Dr Dillners health dilemmas: should I be screened for breast cancer?This article titled “Dr Dillner’s health dilemmas: should I be screened for breast cancer?” was written by Luisa Dillner, for The Guardian on Monday 1st August 2011 20.00 UTC

The dilemma: You might think this is a no-brainer: of course it’s best to find out if you have breast cancer as soon as possible. Up to one in eight women get the disease, so surely you’d want to be tested, catch it early and get treatment to improve your chances of survival? But, in fact, while screening may catch the disease early, there’s no guarantee.

Screening for diseases before they become clinically apparent is only useful if you can improve the chances of survival (or improve quality of life). To do that you need to understand what the disease would do if you left it alone – and not all diseases progress. With a type of tumour called ductal carcinoma in situ, which makes up 20% of the cancers found in breast screening, the tumour is confined to the milk ducts and there is just a 50% of chance it could develop into a full-blown cancer.

A recent study from the Nordic Cochrane Centre found that a third of cancer diagnoses made as a result of screening were not cancers. And while the NHS claims that screening saves 1,347 lives a year, Dr Klim McPherson, an Oxford professor in public health epidemiology, said in a letter to the BMJ last week that research showed that the more likely number was 500 lives a year. McPherson added that to prevent one death you would need to screen 1,000 women over 10 years. To throw even more doubt on the subject of testing, a paper in this week’s BMJ says that screening hasn’t improved mortality rates. Instead, improvements in treatment and healthcare processes were responsible for falls in death rates for breast cancer, and countries experienced the same falls whether or not they had screening.

The solution: So how can you decide if screening is for you? You may feel that one life in 1,000 could be yours and that screening is worth it. Few doctors will suggest that women should not undergo the procedure. It is a common disease and any woman who gets it would naturally wonder if she should have been screened and treated earlier.

However, a letter in the Sunday Times this week from some of the greats in cancer research argues that if women knew what the clinical evidence was they might turn down the offer of screening. It is really up to you. The mammogram is uncomfortable, no one can really say it’s going to save your life if you’re found to have breast cancer, and it may cause you unnecessary worry. I know a few doctors who have refused screening for themselves. But if you feel that if you got breast cancer and hadn’t been screened you would reproach yourself, then you should take the offer.

 Dr Dillners health dilemmas: should I be screened for breast cancer? Dr Dillners health dilemmas: should I be screened for breast cancer?

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New York must pass the same-sex marriage bill

June 22, 2011

Same sex weddings 007 New York must pass the same sex marriage bill

Our world is still hesistant to change, but if enough people support and pursue an idea long enough, then change is inevitable. Same-sex marriages are getting their voices heard on capital hill. 

Pass it on,

Dr Anthony

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poweredbyguardianREV New York must pass the same sex marriage billThis article titled “New York must pass the same-sex marriage bill” was written by Hadley Freeman, for The Guardian on Tuesday 21st June 2011 19.00 UTC

Along with prizes for everyone and a determined lack of embarrassment that the mascot for an all-girls institution was a beaver, educational documentaries were a mainstay of my schooling in New York City. These documentaries were particularly favoured when we had reached those eternally popular subjects for history students, of school age and beyond: slavery and the Holocaust. They always featured the same ingredients: black-and-white news clips of American people and politicians voicing opinions that were par for the course in the day (“Negros should never own property”, “You can’t trust a Jew”, etc), included to make us, cosseted liberal schoolchildren that we were, gasp. Be grateful you were born now, and not in the unenlightened past, these documentaries cooed. Right?

But in 2011 America, it all too often feels like we are living in a history class documentary. One day, footage of American politicians – from George W Bush to Michele Bachmann – proudly stating their abhorrence of gay marriage as though bigotry was a qualification for political office will sound as shocking as Richard Nixon grouching that “Jews are disloyal”, as retro as the sexual harassment of secretaries in smoky meeting rooms in Mad Men. But that day, it hardly needs stating, is not yet here.

There are some subjects that should be discussed in shades of grey, with acknowledgement of subtleties and cultural differences. Same-sex marriage is not one of those. There is a right answer.

For the past 10 days, the question of whether same-sex marriages will, at last, be legally recognised in New York has been hotly debated. The New York state assembly approved the marriage equality bill, for the fourth time, last week and it is now up to the New York Senate. Two Republican senators, James S Alesi and Roy J McDonald, said that they would vote for the bill and McDonald’s explanation behind his vote proved that he is one hell of a Republican to have on side: “Well, fuck it. I don’t care what you think. I’m trying to do the right thing. I’m tired of Republican-Democrat politics. They can take the job and shove it.”

But, as of writing, it is still undecided, and New York governor Andrew Cuomo is having to negotiate with an intractable religious-tinged right and, as President Obama learned in the first years of his presidency, that is not a group of people willing to compromise.

New York Archbishop Timothy Dolan has been vociferous in his homophobia, claiming last week that gay marriage is “a violation of what we consider the natural law that’s embedded in every man and woman.” His breathtaking blindness to the thought that most people would consider the paedophilia that the Catholic church covered up for so long to be far more of “a violation of the natural law” than legally recognising two adults desiring to make a commitment to one another is indicative of many of the problems within that church. (Incidentally, last week US Roman Catholic bishops voted 187 to 5 to make only the most token of changes to the church’s current policies on the sexual abuse of children, claiming they are sufficiently “effective”, despite tragic evidence to the contrary.)

An idealist I may be but religion should be about providing a sense of inclusiveness and reassurance, not an easy excuse for bigotry, and for anyone in New York, of all places, to use religion as an excuse to cause others misery is unconscionable. The upcoming 10th anniversary of 9/11 should act as a clear reminder, were a reminder necessary.

Yes, the Bible does state that marriage should be between a man and a woman, but the Bible contains a lot of teachings, many of which have been notably cherry-picked out for reasons ranging from practicality to distaste. Polyester, for example, is biblically banned (“You shall not . . . wear a garment upon you of two kinds of material mixed together,” Leviticus 19:19), as are tattoos (“You shall not… make any tattoo marks on yourselves: I am the Lord,” Leviticus 19:28.) Now, I happen to agree with both of those edicts but the point is, much in the Bible turns out to be conveniently negotiable in the modern world.

Moreover, religion has been used in the past as justification for racism, sexism and antisemitism. It still is in some countries, but those are not countries that the US generally wishes to emulate. (In fact, we generally use that as an excuse to bomb them, but that’s another story.)

If New York passes this bill, it will be the sixth and most populated American state to recognise gay marriage. If it doesn’t, I will experience a similar trajectory of feeling to the one I had when George W Bush was re-elected: shock, anger, shame, disenfranchisement, bafflement at how a place that I thought represented one thing betrayed its values.

Progress is not just about what products Steve Jobs grandly unveils this year in California, or how many Twitter followers one has. It is about attaining mental and moral enlightenment.

Our grandparents saw, if not the end of antisemitism then at least an end of it being an acceptable part of mainstream discourse. Our parents saw the beginning of that same moral tide turn against racism and sexism. Now is the time for homophobic legislation and talk to be seen for what it is: as shocking as racism, as unforgivable as antisemitism. If a film director can be banned from Cannes for making a stupid joke about Hitler and a fashion designer can lose his job for drunkenly blathering about Nazism, then politicians and religious leaders who strive to ensure gay people live lives of inequality should face measures far more stringent.

There is no grey area here. This is a black and white documentary.

 New York must pass the same sex marriage bill

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