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Archive for January 1, 2013

The BA Burger Deluxe

The BA Burger Deluxe

INGREDIENTS

  • 1 1/2 pounds ground beef chuck (20% fat)
  • 1 1/4 teaspoons kosher salt
  • 1/2 teaspoon freshly ground black pepper
  • 4 slices American cheese
  • 4 potato rolls (such as Martin’s or Oroweat)

PREPARATION

  • Divide meat into 4 equal portions (about 6 oz. each). Place 1 portion on a work surface. Cup your hands around the meat and begin to gently shape it into a rounded mound. (Use light pressure as you shape so you don’t pack the meat too tightly.) Lightly press down on the top of the meat with your palm to gently flatten it. Continue rotating and cupping the meat, patting the top of it occasionally, until you’ve formed a 4″-diameter, 3/4″-thick patty. Using your thumb, make a small indentation in the center to help keep the burger flat as it cooks. Transfer to a plate. Repeat with remaining portions.
  • Build a medium-hot fire in a charcoal grill, or heat a gas grill to high. Season one side of patties with salt and pepper; place on grill, seasoned side down. Grill until lightly charred on bottom, about 4 minutes. Season other side, turn, and top with cheese. Grill to desired doneness, about 4 minutes longer for medium. Transfer burgers to buns and let stand for 3 minutes before serving.

HARD-PRESSED NO MORE

Spatulas were made for flipping, not pressing on the patty. Hear that hissing sound when you do? That’s all the flavorful juices dripping on the coals—they belong in the burger.

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Tighter restrictions on cosmetic surgery urged

Liposuction treatment

Cosmetic procedures should not be sold aggressively, the report said
Responses to a public consultation on cosmetic surgery have shown strong support for a ban on cut-price deals and aggressive selling.

A summary of responses from patients, the public and industry has been published as part of the review set up after the PIP breast implant scandal.

A final report, by Sir Bruce Keogh, the NHS medical director leading the English review, is due in March 2013.

Cosmetic surgeons said procedures should not be sold as “a commodity”.

The health secretary asked Sir Bruce to look at the regulation and safety of products used in cosmetic surgery and the care given to patients both during and after their treatment.

The review came after concerns over health risks associated with Poly Implant Prothese (PIP) implants made by a French company surfaced last December. It is thought up to 40,000 British women have the silicone implants, mostly done privately rather than on the NHS.

‘Price over quality’

Writing in the foreword to the summary of responses, Sir Bruce said the responses “send a clear message that the current regulatory framework doesn’t do enough to support consumer rights or patient safety”.

Of the 180 responses to the consultation, the majority were in favour of tighter restrictions on the advertising of cosmetic surgery.

“The proliferation of advertising for cosmetic surgery and its use in TV make-over programmes was felt to trivialise surgery and its risks, while making excessive claims of its impact on people’s emotional wellbeing,” the summary said.


‘Once-in-a-lifetime chance’

Sabrina Elliott decided to have breast surgery 11 years ago, aged 23, following childbirth.

She says she feels the clinic she went to put “pressure” on her to sign up to the operation.

Ms Elliott says she was offered a “lifetime guarantee” at a consultation with a company secretary but was told the offer would expire within 48 hours.

She took up the offer after receiving a follow-up call on the same day telling her it was a “once-in-a-lifetime chance”.

However, the firm went into liquidation two years later.

The implants she had fitted were PIP – and she says she now experiences pain on a daily basis. The NHS is currently refusing to remove them, she says.

“It’s terrible. I’m a single mum now and a full-time student – sometimes it’s difficult to pick up my two-year-old daughter because of the pain I’m in,” she told BBC Radio 4’s Today Programme.

There was also “very strong support” for the banning of financial inducements or time-limited deals, it said.

It added that such practices were seen as “unethical, placing undue pressure on the patient and emphasising price rather than quality”.

Providing patients with photos of expected bruising, as well as more detail on the risks associated with surgery should be standard procedure too, some respondents said.

There was a “strong sense” that consultations should be with the person performing the procedure – or at the very least a medical professional – rather than a sales adviser, the summary said. Some respondents believed there should be a ban on free consultations.

Sabrina Elliott says she was put under “pressure” to sign up to a breast implant operation within 48 hours, so as to be entitled to a “lifetime guarantee”.

Ms Elliott took up the offer but the company later went into liquidation and she says her PIP implants are causing a range of health complications, including a slow silicone bleed which means she is in pain on a daily basis.

“There was pressure. The pressure was to get that lifetime guarantee because it was really put to us that it was only with this company,” she told BBC Radio 4’s Today Programme.

She went on: “Unfortunately I paid nearly £4,000 to have harmful chemicals put in my body to which to date I am still suffering [from].”


It’s time to scrub up and take action to restore confidence in our sector”

Rajiv GroverPresident, British Association of Aesthetic Plastic Surgeons

Sally Taber, director of Independent Healthcare Advisory Services, a trade body for the independent healthcare sector, said aggressive sales techniques were “totally inappropriate” and “all NHS members have signed up to the fact that they don’t do that now”.

She agreed with the review panel that prospective cosmetic surgery patients should not have free consultations and the industry had “looked at policies and procedures to ensure this does not happen”.

Good medical practice clearly states that consultations should take place with a medical professional – and the industry has been told that, she said.

“It’s totally inappropriate to see someone that isn’t qualified and gives pressurised advice,” she said in an interview with the Today Programme.

She said there are some “rogue providers out there” but there are also “plenty of providers that do things correctly”.

‘Safer environment’

GP Dr Rosemary Leonard, the BBC Breakfast doctor and review committee member, said patients should always talk to a doctor first.

“It is wrong that the first consultation is with a sales person rather than a medical professional,” she said.

“Surgery – indeed any cosmetic intervention – is a serious step, and a patient must be told about the immediate side effects after surgery as well as any potential long term effects on their health.”

Rajiv Grover, president of the British Association of Aesthetic Plastic Surgeons (BAAPS) also welcomed the call to end the practice of sales people holding consultations.

Review panel member Vivienne Parry says “people are not made aware of the risks”

He said: “We’re pleased that the report – and public opinion – so strongly reflects our own views.

“We have made the comparison between cosmetic surgery being sold as a commodity, much as a washing machine or off-the-shelf beauty products, many times before.

“Medical procedures simply cannot continue to be promoted in this manner and although it is tragic that it has taken a crisis of the magnitude of PIP to make the world sit up and take notice, it seems we’re finally making headway towards a safer environment for patients.

“It’s time to scrub up and take action to restore confidence in our sector.”

Respondents to the consultation were asked a series of questions about the way the current regulatory system functions.

The review panel said they would be used to inform their final recommendations.

BBC

Norwich bus driver takes son to hospital in double-decker

Riley Cork’s father, Ross, said it had been a “scary experience”

A man had to drive his epileptic two-year-old son to hospital in his bus after an ambulance was delayed.

Bus driver Ross Cork was dropping passengers off in Norwich when he got a call his son Riley was having a fit.

After calling his manager at Konectbus, he drove to his father’s home where Riley was being treated by a paramedic.

Despite sending a rapid response vehicle, ambulance bosses confirmed an ambulance was not immediately available, as it was “extremely busy”.

Mr Cork, 27, was driving the double-decker number five bus linking Queen’s Hills, Costessey, with Norwich city centre when he received a call from his wife at about 10:30 GMT on Saturday.

She told him Riley, who was being looked after by his grandfather Brian, was having a fit and needed to get to hospital.


I did what most fathers would do. It just happened that I was in a double-decker bus”

Ross Cork

“There was only one passenger on my bus but she overheard my conversation and she knows me,” said Mr Cork.

“She said, ‘Don’t worry about taking me to the next stop’ and got off.”

He arrived at his father’s home in Devonshire Street, eight minutes later.

Oxygen mask

“Luckily there was a parking space outside my dad’s, but it was a bit tight getting there,” he said.

“At one point I only had an inch or so either side of the bus.”

He found Riley on the floor of his father’s house, wearing an oxygen mask and being treated by a paramedic.

However, the paramedic could not take Riley to hospital because an ambulance had been delayed in Wymondham.

“He said, ‘Can we take your bus?'” said Mr Cork.

Number five bus
Ross Cork drove his son Riley to hospital in the number five bus

“The paramedic carried Riley, and my father, brother-in-law and sister helped carry all the equipment on the bus and my wife got on board.”

Mr Cork, then drove the three miles (5km) to the Norfolk and Norwich University Hospital.

“I did what most fathers would do. It just happened that I was in a double-decker bus,” said Mr Cork.

“Some people said I could have lost my job for what I did, but even if Konect hadn’t helped me I’d have still done exactly the same.

“Without that bus I don’t know what we’d have done.”

Riley, who has suffered from fits for the past 18 months, has now been diagnosed with epilepsy and is recovering at home.

‘Took the initiative’

Steve Royal, operations manager for Konectbus, said: “I’ve worked on buses for 24 years but I can’t recall anything like his.

“We’re a small company and we know our staff and their circumstances. We try to help them as best we can in any eventuality.

“We put cover in place and were able to make the best of a crisis.”

A spokeswoman for East of England Ambulance Service NHS Trust said the emergency call had been received during an extremely busy period.

“We immediately sent a paramedic in a rapid response vehicle who was with the family in two minutes, and because an ambulance wasn’t immediately available this dad did exactly the right thing by taking the initiative as he did,” she said.

“Our paramedic was on board to give assistance en-route should it have been necessary and to provide reassurance to the parents.

“It was good-hearted of the bus company to allow him to use the vehicle. We hope the little boy is making a good recovery.”

BBC

Obesity: NHS approach ‘extremely patchy’

obese man
The NHS has a “poorly developed” approach to tackling obesity, the college said
By Nick TriggleHealth correspondent, BBC News
Obesity services across the UK are “extremely patchy” and valuable opportunities to help obese patients are often lost, doctors say.

The Royal College of Physicians said hospitals in particular had “poorly developed” systems in place.

Its report said the problems meant services were often just dealing with the symptoms, such as heart disease or diabetes, rather than the cause.

There needed to be a rethink over how to approach the problem, it added.

The UK is now among the most obese nations in the world.

One in four adults are obese – a figure which is predicted to more than double by 2050.

Wide variations

The report recognised that attempts were being made to stem the tide of obesity through health promotion campaigns.

But it said that should not detract from the fact the NHS had to do more to deal with those patients who were already obese.

 

The only way we will ever tackle the problems caused by obesity is by everyone working together”

Professor Lindsey DaviesFaculty of Public Health

The report pointed out there were wide variations in the way obesity was treated across the UK – particularly in the frequency with which obesity surgery is performed.

It said there needed to be a much more “joined up” approach between hospitals and community services.

To help hospitals should also appoint a doctor to lead on obesity, it added.

Prof John Wass, from the RCP, said: “‘Britain is getting bigger and whilst we try to prevent the increase in obesity, we must also prepare the NHS for the influx of patients presenting with severe complex obesity.

“A patient may arrive at my hospital with coronary heart disease, but if the root cause of their condition is obesity, we must be equipped to deal with that root cause.”

Working together

Prof Lindsey Davies, president of the Faculty of Public Health, welcomed the recommendations and said she agreed greater coordination was needed.

“The only way we will ever tackle the problems caused by obesity is by everyone working together,” she added.

But she also urged the government to be more proactive by addressing some of the wider determinants of obesity.

“Obesity is not only caused by how much we each eat or drink: if tackling it were as simple as telling people to eat less and move more, we would have solved it by now.

“Our chances of being obese are also affected by factors like whether we have easy access to affordable fruit, veg and other healthy foods, and if it safe to let our kids play outside.”

A Department of Health spokesman acknowledged the medical profession had a “key role to play”.

He added: “We are committed to tackling obesity and are taking action to help people keep a healthy weight and prevent them needing hospital care for obesity related conditions.”

BBC

Prostate cancer research ‘lagging’

Close-up of prostate cancer cells

Experts are working on better tests for prostate cancer

Prostate cancer is the poor relation when it comes to funding for research to find a cure, says a charity.

Though it is the most common male cancer, prostate cancer is 20th in the league table of research funding, says Prostate Cancer UK, which is launching a campaign to highlight the issue.

It has been said that the disease will be the UK’s most common cancer by 2030.

The Department of Health said prostate cancer was a key target of its efforts to improve cancer survival rates.

Comedian Bill Bailey will front the campaign being launched by Prostate Cancer UK.

Owen Sharp, the charity’s chief executive, said: “Prostate cancer is simply not on the radar in the UK. Even though it kills one man every hour – that’s 10,000 men each year – most men and women don’t know enough about it.


We fund the best science we can to make the greatest impact – we don’t have quotas for specific types of cancer”

Dr Julie SharpCancer Research UK

“We need to follow the lead of the successful female movement against breast cancer and create a real change for men.”

According to the charity, breast cancer – the most common female cancer, which has a similar death rate to prostate cancer – received more than double the annual research spend – £853 per breast cancer case diagnosed, compared to £417 for prostate cancer.

Leukaemia got the most research funding – £3,903 per case diagnosed – charitable and government funds data for 2009 and 2011 show.

Every year in the UK, over 40,000 men are diagnosed with prostate cancer. Although it is one of the more treatable types of cancer, particularly if diagnosed early, one man dies every hour from it, says Prostate Cancer UK.

Dr Julie Sharp of Cancer Research UK said: “We fund the best science we can to make the greatest impact – we don’t have quotas for specific types of cancer.

“Last year, Cancer Research UK spent £332 million on research into cancers that affect both men and women, including basic research that can help improve our understanding of all cancers, and we spent nearly £20 million of this specifically on prostate cancer research.

“We want to bring closer the day when all cancers are cured and it’s research that will help us to do this.”

Prostate cancer rates have been rising, partly because men are living longer (cancer risk increases with age) and also because more cancers are being detected through widespread use of PSA testing.

A Department of Health spokesperson said: “As part of our commitment to improving cancer survival, including ensuring better treatments for all patients, we have invested £104 million into cancer research over the past year.

“Improving outcomes for men with cancer will be essential in meeting this aim. That is why we are investing £35 million in the biggest publicly funded clinical trial ever to take place in this country to look at the effectiveness of treatments for prostate cancer.”

BBC

柬埔寨7萬愛滋病患

(柬埔寨‧金邊30日訊)據”2010至2020柬埔寨愛滋病”研討會報告,柬埔寨目前統計有7萬名愛滋病患者,其中約6千人為兒童,他們當中絕大部分都得到了藥物治療。

柬埔寨15歲至49歲感染愛滋病病毒的比例已從1998年的2.5%降至2012年的0.7%,估計2015年將下降至0.6%。

通過懷孕、分娩或哺乳將愛滋病毒傳染給嬰兒的機率已降至約8%。同時,柬埔寨也正努力邁向2020年前落實“零感染、零歧視、零死亡”目標。

國家抗愛滋病、皮膚病暨性病中心主任棉齊文表示,愛滋病不僅是社會問題,還會影響社會經濟的發展,因此愛滋病問題必須盡快解決,以阻止該病繼續蔓延及造成其他負面的影響。 (星洲網

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