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Archive for October, 2012

Grill-Roasted Turkey

Grill-Roasted Turkey
Grilling a turkey is one of the great dark arts of holiday cooking. It is an excellent choice for those who like to spend time outside, tending a fire and keeping away from family. It requires no skills beyond patience. The turkey ends up with a slightly more rustic flavor, smoky and rich. Two notes: First, use a brine to keep the bird moist, since opportunities for basting are hard to come by. Second, do not stuff the bird. Smoky turkey is excellent; smoky stuffing is not.

Ingredients

  • 1 12-14-lb. turkey, giblets and neck removed, brined (click for recipe), at room temperature for 1 hour
  • 1 apple, cored, quartered
  • 1 orange, quartered
  • 1 red onion, peeled, quartered
  • 2 tablespoons unsalted butter, room temperature
  • Kosher salt and freshly ground black pepper

Special Equipment

  • A charcoal chimney; 2 cups wood chips, soaked in water for at least 2 hours (optional)

Preparation

  • Place a large disposable aluminum pan in the bottom of a charcoal grill; add 2 cups water to pan. Fill a charcoal chimney with charcoal; light.
  • Pat turkey dry with paper towels. Place apple, orange, and onion in cavity. Tie legs with kitchen twine. Rub bird inside and out with butter. Season skin lightly with salt and pepper.
  • When coals are covered with ash, spread half on either side of disposable pan. Set top grate on grill. Place turkey on grate over pan (do not allow any part of turkey to sit over coals). Cover grill. Insert stem of an instant-read thermometer into hole in hood. Maintain temperature as close as possible to 350° by opening vents to increase temperature and closing vents to reduce it, lifting grate with turkey to replenish coals as needed using charcoal chimney. If using wood chips, scatter a handful of drained chips over charcoal every 30 minutes.
  • Cook turkey, rotating every hour for even browning (lift the grate with the turkey on it; rotate grate 180 degrees), until an instant-read thermometer inserted into thickest part of the thigh without touching bone registers 165° (juices should run clear when thermometer is removed), about 2 3/4 hours.
  • Transfer turkey to a platter. Tent with foil and let rest for 1 hour before carving.

Bonappetit

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iPad To-Do And Project Management App Beesy

Be A Busy Bee With iPad To-Do And Project Management App Beesy

In the eight months since its debut in the App Store, Beesy has certainly been busy with its updates. A total of 13 performance-enhancing updates have been pushed to the app, with the latest one released just a few hours ago.

Beesy is a to-do and project management app for iPad. Actually, it’s an all-in-one app geared toward the business-savvy types among us.

With its ability to sync with your calendars and contacts, Beesy offers a structured suit of functions that can help you handle your business activities.

Beesy enables you to do a lot of productive tasks. But to give an idea of how Beesy can work for you, watch the video , please click here.

As demoed in the video, a couple of the notable things you can accomplish with Beesy are the automation of your to-do list and the easy organization of meeting minutes.

As mentioned, Beesy has just received another update, and with it comes the following set of new features and enhancements:

  • All actions view/search/export
  • Calendar picker to select displayed calendar
  • Filter action per notes
  • Email an action
  • Open a note from an action
  • Add bullet points to your note
  • Actions summary
  • Enhanced Map itinerary + iOS 6 GPS driving directions
  • External keyboard settings
  • Enhanced rendering for private action
  • Enhanced rendering for action with a comment

The new version of Beesy is available now in the App Store as a free update or as a new $5.99 download. Get it now and get busy with it.

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appadvice

Breast screening advice updated amid controversy over tests

Christine Davidson: ”I went for screening because I thought if I had cancer it was better to discover early”

 

Women invited for breast cancer screening in the UK are to be given more information about the potential harm of being tested.

An independent review was set up to settle a fierce debate about whether the measure did more harm than good.

It showed that for every life saved, three women had treatment for a cancer which would never have been fatal.

The information will be included on leaflets to give women an “informed choice”, the government said.

Cancer charities said women should still take up the offer of screening.

Controversy

Screening has been a fixture in diagnosing breast cancer for more than two decades. Women aged between 50 and 70 are invited to have a mammogram every three years. It helps doctors catch cancer early so treatment can be given when it is more likely to save lives.

Screening in numbers

  • More than two million women are screened each year in the UK
  • Women between 50 and 70 are screened every three years.
  • 48,000 women are diagnosed each year.
  • One in eight women will develop breast cancer at some point in their lives.
  • More than 11,000 women die from breast cancer each year

However, the national cancer director Prof Sir Mike Richards said it had become “an area of high controversy”.

The debate centres around the concept of “overdiagnosis”, that is screening which correctly identifies a tumour, but one which would never have caused harm. It leads to women who would have lived full and healthy lives having treatments – such as surgery, hormone therapy, radiotherapy and chemotherapy – which have considerable side-effects.

There is no way of knowing which tumours will be deadly and which could have been left alone.

The review, published in the Lancet medical journal, showed that screening saved 1,307 lives every year in the UK, but led to 3,971 women having unnecessary treatment. From the point of view of a single patient they have a 1% chance of being overdiagnosed if they go for screening.

The independent review panel was led by Prof Michael Marmot, from University College London. He said screening had “contributed to reducing deaths” but also “resulted in some overdiagnosis”.

He said it was “vital” women were told about the potential harms and benefits before going for a mammogram.

Prof David Cameron: “In some cases treatment is essentially unnecessary”

Prof Richards said: “My view is that the screening programme should happen, we should invite women to be screened and give women the information to make their own choice.”

He said the leaflets on breast cancer screening sent to women would be updated in the “next few months” to “give the facts in a clear, unbiased way”.

Current advice does not highlight the scale of the risk.

To screen?

Cancer charities have unanimously argued that women should still choose to be screened.

Analysis: Debate over?

The national cancer director described the findings as the “best data” available on the issue. However, this is unlikely to be the final word on breast cancer screening.

One of the lead voices questioning screening, Prof Peter Gotzsche from the University of Copenhagen, has told the BBC he has “serious reservations” about the findings.

His previous research suggested 10 women were treated unnecessarily for every life saved and questioned whether screening had any overall benefit.

He said “the estimate of the balance [of benefit vs harm] is still too positive” in this study.

He criticised the independent panel for using old data and ignoring more recent studies showing no benefit of screening.

He will be publishing a response in a medical journal soon.

A joint statement by Breakthrough Breast Cancer, Breast Cancer Campaign and Breast Cancer Care said: “We encourage all women to attend their screening appointments.”

It said the review provided “much-needed clarity” that screening saves lives, but women must be given “clear and balanced information” to highlight the harms.

Cancer Research UK, which commissioned the review alongside the Department of Health, said that “on balance” it thought that women should go ahead with screening.

Its chief executive Dr Harpal Kumar said: “Because we can’t yet tell which cancers are harmful and which are not, we cannot predict what will happen in an individual woman’s case.

“Research is advancing at pace and we hope that in the future there will be a number of new techniques that we can use alongside the screening programme to make it more sophisticated and reduce the numbers of women having unnecessary treatment.”

Richard Winder, the deputy director of the NHS Cancer Screening Programmes, said: “This was a robust review and we appreciate the rigour and efforts of the panel in conducting it.

“We are pleased that the panel concluded the NHS Breast Cancer Screening Programme confers significant benefit and should continue.

“Where they have made recommendations, we will work with all partners to take these forward.”

BBC

Domestic abuse reports rise by 7% in a year in Scotland

Domestic abuse was most likely to happen to women aged between 22 and 25, the figures showed

The number of reported incidents of domestic abuse in Scotland has increased by 7% in a year, government figures have shown.

The chief statistician said police recorded 59,847 cases in 2011-2012, rising from 55,698 the previous year.

But there was a 4% drop in the number of domestic abuse incidents being recorded as a crime or offence.

The Scottish government said the figures showed too many women and men were still being subjected to abuse.

According to the figures, domestic abuse was most likely to happen in the home, where 87% of incidents took place in 2011-12.

The victim was most commonly a woman, with 81% of cases having a female victim and male perpetrator. And women were at most risk between the ages of 22 and 25, while men were most likely to be victims between 31 and 35 years old.

The number of cases with a male victim and female perpetrator stood at 17% in 2011-12, which is an annual increase of one percentage point. There has been an 8% rise in these cases since 2002-03.

A total of 62% of cases this year involved people who had also been a victim of domestic abuse in the past, compared to 55% in 2010-11.

Sex offences

Assault, which accounted for 44% of all incidents, was the most commonly recorded crime or offence, with threatening or abusive behaviour second most common, at 17%.

The categories which saw significant falls were breach of the peace – which fell from 8,034 last year to 3,281 in 2011-12 – and attempted murders and serious assaults, which dropped from 369 to 307 – the lowest level over the 10-year period.

We are concerned that so few reports are being recorded as a crime or offence, and would welcome further analysis as to why this is happening”

Dr Cheryl Stewart Scottish Women’s Aid

There was an increase in sex offences, from 185 in 2010-11 to 223 this year. In 2002-03 there were 79 reports of sexual offences so the current figure is nearly triple that of 10 years ago.

In 54% of cases, the domestic abuse incident was recorded as a crime or offence, compared to 58% the previous year.

The highest proportion of incidents to crimes was recorded by Grampian Police, at 69%, and the lowest was in the Lothian and Borders force area, at 33%.

And when an incident resulted in a crime or offence being recorded, a report was submitted to the procurator fiscal in 77% of cases in 2011-12, compared to 71.6% in 2010-11.

Dr Cheryl Stewart, from Scottish Women’s Aid, said: “That a report of domestic abuse is made every 10 minutes is alarming, and we remain committed to stopping domestic abuse in Scotland.

“However, we are cautiously hopeful that the most recent statistics represent a willingness in victims to come forward, as SWA’s members have also reported in increase in demand for their services.

“We are concerned that so few reports are being recorded as a crime or offence, and would welcome further analysis as to why this is happening.”

She added: “We want to see the police enabled to gather and build strong cases that bring perpetrators of domestic abuse to justice, and are particularly looking forward to working with Scotland’s new police force to improve practice and consistency in the handling of domestic abuse cases.

“The increase in crimes or offences reported to the Procurator Fiscal, however, is a positive step.

“Recent legislation around stalking and threatening or abusive behaviour is clearly being treated with appropriate seriousness – these are tactics commonly used by perpetrators to exert control over women and children, and we are pleased to see this recognised.”

‘Rigorous approach’

Health Secretary Alex Neil said: “The authorities take domestic abuse extremely seriously with police adopting a rigorous approach to tackling incidents since 2005 and I welcome the increase in reports submitted to the procurator fiscal to 77% from 59% in 2002-03.

“The Scottish government has committed £34m to tackling domestic abuse and other forms of violence against women over the next three years – more than double the investment made previously and we will continue to prioritise this work.

“Since 2007, funding for Violence Against Women work, including domestic abuse, has doubled and the Scottish government has demonstrated its commitment to maintaining spending in this crucial area of work.”

He added: “We will also continue to work closely with police, councils, health boards and the voluntary sector to ensure that perpetrators are held to account, and that victims and their children have the services they require.”

Lewis Macdonald, Labour’s justice spokesman, said: “To have such a high number of domestic abuse incidents is very concerning. While it may show that more victims are coming forward it also shows we need to do more to stop domestic abuse in the first place.

“The increase in repeat victims raises concerns about how victims are being supported when they first come forward to report abuse. It takes a tremendous amount of courage to make this step and we need to ensure that when it is made, victims are protected.

“We need to roll out dedicated domestic abuse courts across the country and the single police force must take forward the example of Strathclyde Police by bringing forward a Domestic Abuse Taskforce.”

BBC

Viewpoint: Weighing the pros and cons of breast screening

Mammograms
Some experts are concerned about “overdiagnosis”

The Independent Breast Screening Review Panel should be commended for the work that they have done.

In particular they have highlighted the fact that breast cancer screening is associated with both benefits and harms.

They also emphasised that women should be told about the benefits and the harms so that they can make an informed choice about whether breast screening is right for them.

What the evidence tells us is that breast cancer screening will reduce a woman’s chance of dying from breast cancer – from about 23 in 1,000 to 19 in 1,000 for a 50-year-old woman.

What is the price of that benefit?

For every breast cancer death that is prevented, three women will be diagnosed with a cancer that would never have become apparent in their lifetime.

These women will be treated unnecessarily for breast cancer and those treatments my result in harm.

For example, women who are screened are more likely to end up having a mastectomy than women who are not screened.

And some treatments, such as radiotherapy, will increase a woman’s chance of dying from something other than breast cancer.

Making a choice between these different harms and benefits is not easy.

Many women will decide that a small reduction in the chance of dying from breast cancer is worthwhile. Others may decide that the small benefit is not worth the inconvenience of going for mammography and the increased chance of having unnecessary treatment.

What is clear, is that either choice is a reasonable one.

Dr Paul Pharoah is professor of cancer epidemiology in the departments of oncology and public health and primary care at the University of Cambridge

BBC

Elderly people ‘staying at home for fear of falling’

elderly lady who has fallen
A third of adults over 65 will suffer a fall each year, but falls are not inevitable, says Age UK

A fear of falling is making many elderly people prisoners in their own homes, a survey has suggested.

More than one in five of the 500 people aged 75 and older, interviewed by the Women’s Royal Voluntary Service charity, lived in fear of falling.

And 5% are so fearful that they will not leave their homes unaccompanied, the report found.

A third of them had suffered falls in recent years and a fifth of these said they had lost confidence as a result.

Many said they were especially worried during winter months.

‘Bleak’ findings

A quarter said poor street conditions – poor lighting and uneven pavements – made them feel less confident about leaving the house.

 

Falls advice

  • Try not to panic if you have a fall. It is likely that you will feel shocked and a bit shaken, but staying calm will help you to gather your thoughts and remember what to do
  • Do not get up quickly. Roll onto your hands and knees and find a stable piece of furniture, such as a chair or bed, to support you as you slowly get up
  • Rest for a while before carrying on with your daily activities
  • If you are injured or cannot get up, call for help

David McCullough, chief executive of the WRVS, said: “These are bleak findings.

“With winter approaching, older people have little confidence to get out and about because they fear they will fall and, as this research shows, the psychological effects of worrying about a fall can be as debilitating and devastating as physical injuries.”

Every year in the UK nearly three-quarters of a million people aged over 60 end up in the local A&E department after a fall, and one in three of these will end up staying in hospital because of their injuries.

Figures show around a third of adults who are over 65 and living at home will experience at least one fall a year. This rises to half of adults over 80 who are either at home or in residential care.

‘Not inevitable’

In 2009 in England and Wales, there were 3,593 deaths as a result of falls.

Making small changes at home, such as using non-slip rugs and mats and ensuring that rooms are clutter-free and well lit, can help prevent falls.

Michelle Mitchell, of the charity Age UK, said: “At their worst falls can be the cause of death, but falls are not an inevitable part of ageing – many falls can be prevented and there is much that can be done to help people who have fallen not to fall again.”

BBC

与台湾高雄医大合作 甲仁爱医院素质提升

黄尚志在会上分享血管通路的知识。

(马六甲28日讯)仁爱医院临床医药总监莫泽明说,该院与台湾高雄医学大学签署合作备忘录,对于社区医疗与在大学修读医科的大马学生带来很大的帮助。

他说,备忘录中也包括医生、护士、牙科、专职医疗保健服务人员的实习计划,提供奖学金给我国学生到台湾高雄医药大学深造。

他说,这项合作备忘录是在今年7月签署,部分计划已开始进行中。

血管通路研讨会

莫泽明今日出席该院所主办及台湾高雄医学大学协办的“血管通路研讨会”上致词时,这么发表谈话。

研讨会主讲人共有三位,分别是台湾高雄医学大学内科部主任黄尚志、仁爱医院心脏内科医生陈孝栋、放射诊断科医生沙拉华南。

莫泽明说,他相信该备忘录有助提升该大学与仁爱医院的联系与交换医学心得,提升该院的服务素质,为病患提供更好的服务。

他鼓励该院的医学专业人员及职员,提升本身的知识基础及素质,把获取的新知识运用在工作上。

会上,黄尚志主讲的主题为“台湾血管通路”、陈孝栋主讲“肾功能衰竭患者的冠状动脉疾病”、沙拉华南则主讲“血管通路的困难”。

这项研讨会吸引逾百名洗肾中心医护人员到来,主要是提升他们在这方面的知识,也提升医护人员的水平。

南洋网

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