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Archive for March 6, 2013

Roast Chicken and Kimchi Smashed Potatoes

Roast Chicken and Kimchi Smashed Potatoes


  • 1 1/2 pounds fingerling or baby Yukon Gold potatoes
  • 4 tablespoons vegetable oil, divided
  • Kosher salt, freshly ground pepper
  • 4 large skin-on, bone-in chicken thighs (about 1 1/2 pounds total)
  • 2 garlic cloves, grated
  • 1 16-ounce jar Napa cabbage kimchi, drained, 1/4 cup liquid reserved
  • 1 tablespoon unseasoned rice vinegar
  • 4 cups trimmed bitter greens (such as mustard, mizuna, or arugula)


  • Preheat oven to 450°. Toss potatoes and 1 tablespoon oil on a large rimmed baking sheet; season with salt and pepper. Roast, turning once, until browned in spots, 10-15 minutes.
  • Meanwhile, rub chicken with garlic and season with salt and pepper. Heat 1 tablespoon oil in a large skillet over medium-high heat. Cook chicken skin side down until golden brown and crisp, 8-10 minutes.
  • Arrange chicken skin side up on baking sheet among potatoes. Roast until chicken is cooked through and potatoes are tender, 15-20 minutes longer.
  • Using a large spoon, lightly smash potatoes. Scatter kimchi over; roast until kimchi is warm, about 5 minutes.
  • Meanwhile, whisk reserved kimchi liquid, vinegar, and 2 tablespoons oil in a small bowl.
  • Scatter greens over, drizzle with half of dressing, and toss gently. Divide among plates and drizzle with remaining dressing.

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Stafford Hospital nurse ‘refused to help lift patient’

Tracy White and Sharon Turner (left to right)
Tracy White (left) and Sharon Turner (right) are accused of altering hospital records

A senior nurse at Stafford Hospital refused to help lift a seriously ill elderly patient from a wheelchair on to a bed, a tribunal has heard.

The hearing was told sister Tracy White also called the woman, known as Patient B, “a naughty little monkey” for not taking her medication.

The patient died a day after being admitted to A&E in May 2007.

Ms White and another nurse, Sharon Turner deny a series of misconduct charges.

Former A&E staff nurse Helene Donnelly told the Nursing and Midwifery Council tribunal at the Old Bailey that Tracy White had refused to lift the patient from a wheelchair.

She also claimed Ms White then told a junior doctor to discharge Patient B because she was going to “breach waiting time targets.”

Patient B was taken to a nursing home but was readmitted the next day, when she died of a pulmonary oedema.

‘Victims of management’Helene Donnelly said Tracy White was not to blame for the patient’s death but she said the woman had been given “a very uncared-for and undignified last 24 hours.”

“I feel this is because of the pressure placed on nurses and junior doctors by the nurse in charge at the time, who was sister White,” she told the tribunal.

Also giving evidence, Katherine Kelly, a staff nurse and later sister in A&E, said the two nurses were “victims of hospital management,” which at the time had a “bullying culture”.

Helene Donnelly
Helene Donnelly told the hearing Tracy White had put pressure on doctors to discharge patients

“Nurses were punished by the trust if they spent more time with the patients, if that resulted in them breaching the four-hour target,” Ms Kelly said.

Ms Kelly told the tribunal that in October 2007 Ms Turner had advised nurse Donnelly to lie about a breach time.

The two senior sisters are accused of falsifying hospital data and instructing others to do the same.

They also face charges of making inappropriate comments about patients and staff, and transferring patients before they had been properly assessed.

Ms Kelly said Ms Turner had a dry sense of humour and comments could be “not politically correct,” but with no intended malice.

The pair both deny the allegations, which if upheld could lead to them being struck off.

The fitness-to-practise hearing is expected to last up to two weeks.


NHS competition rules to be changed

Doctor's equipment, a sphygmomanometer and stethoscope
Concerns have been voiced about the impact of the new rules

The government has agreed to re-write controversial rules on contracting out in the NHS in England.

The regulations were published three weeks ago to provide guidance on how the NHS reforms should be implemented.

But critics had argued they would open up many more services to competition from private companies and could disrupt services for patients.

Health Minister Norman Lamb told MPs the wording of the regulations had “inadvertently created confusion”.

He said there would be no privatisation of the NHS and that competition was only a means to improving services not an end in itself.

The regulations were drawn up as previous guidance on the issue was set to be rendered obsolete because it applied to organisations that were being scrapped on 1 April.

But after they were laid before parliament concerns were voiced that they broke previous assurances from ministers about the extent to which competition was going to be used.

If you read the 12 pages of regulations 257 governing NHS procurement, the first thing that strikes you is the contradictory nature of the clauses.On the one hand the document talks about contracts only being awarded without competition for reasons of “extreme urgency” and treating all providers equally particularly on the “basis of ownership”.

Yet it also makes it clear that any changes need to ensure services are being provided in an integrated way and not against the best interests of patients.

It is hardly surprising this has caused confusion and concern. In less than a month’s time arguably the biggest overhaul in the history of the NHS will go live.

Ministers claim it is more cock-up than conspiracy. If that is so it begs the question how the regulations managed to make it to parliament drafted in the way they were given the controversy over the reforms as a whole.

‘Utter chaos’

Last week more than 1,000 doctors have written to the Daily Telegraph claiming the legislation makes “virtually every part” of the NHS open to private firms.

Then over the weekend the Academy of Royal Medical Colleges said it could cause “dangerous” fragmentation of health services.

Labour had also managed to secure a debate on the issue in the Lords. It was due to take place later in the month.

Mr Lamb acknowledged the concerns, but said it was a matter of the regulations being badly drafted rather than an intention to ramp up the use of competition.

He added: “I have listened to people’s concerns and my department is acting quickly to improve the drafting so that there can be no doubt that the regulations go no further than the previous set of principles and rules inherited from the previous Labour government.”

But shadow health secretary Andy Burnham said the changing of the regulations represented a “humiliating retreat”.

“In less than four weeks’ time new GP commissioners take control and yet today there is complete confusion about the job they are being asked to do.

“Coalition policy on competition in the NHS is in utter chaos.”


Analysis: A cure for HIV?


A baby girl has been “functionally cured” of HIV in the US. The difference it will make to her life could be huge – avoiding a lifetime of medication, social stigma and worries about whether to tell friends and family.

But beyond the personal story, there is a huge question – does this bring us any closer to an HIV cure?

There are very special circumstances involved in the US case. Doctors were able to hit the virus hard and early. This is not possible in adults, who will acquire HIV months if not years before they find out.

Even in the UK, where at-risk groups are offered free regular testing – one in four people with HIV is unaware they have the virus. By the time they find out, it will be fully established – hiding away in reservoirs in the immune system that no therapy around can touch.

A cure is something we can no longer write off as impossible”

Dr John Frater University of Oxford

It is also unclear how a newborn’s immune system, babies still get much of their protection from their mother through breast milk, may affect treatment.

One thing is certain – this approach is not going to provide a cure for the vast majority of people with HIV.

So what about about somebody who has been living with HIV for a decade? Any hope of a cure for them?

The first thing to note is that HIV is not the killer it used to be.

It first emerged in Africa in the early 20th Century and became a global health problem by the 1980s. In the early days, there was no treatment, never mind talk of a cure.

The virus claimed the lives of more than 25 million people in the past three decades, according to the World Health Organization.

Then, good antiretroviral therapies emerged in the mid-1990s and the impact it had on the number of deaths was dramatic.

Aids deaths

People infected with HIV should have a near normal lifespan if they have access to treatment. Of course this is a big “if”. Nearly 70% of people living with HIV are in sub-Saharan Africa, where access to drugs is relatively poor.

How HIV kills


HIV stands for human immunodeficiency virus and on its own it does not kill you.

The virus can survive and grow only by infecting, and destroying, the immune system.

This continual assault on the immune system makes it weaker and weaker until it is no longer able to fight off infections.

Without treatment, it takes about 10 years from infection to the development of Aids – acquired immune deficiency syndrome.

It is then that “opportunistic infections”, ones a healthy immune system could fight off, become deadly.

People can die from pneumonias, brain infections, diarrhoeal illnesses as well as certain tumours such as lymphoma and cervical cancer.

BBC Health: HIV and Aids

‘Weak spot’

The hunt is on for a cure.

“We had always assumed that it was impossible, but we’ve started to discover things we didn’t know before and it’s opening up a chink in the armour,” Dr John Frater, from the University of Oxford, told the BBC.

“A cure is something we can no longer write off as impossible.”

After HIV first infects the patient, the virus spreads rapidly, infecting cells all over the body.

Then, the virus hides inside DNA where it is untouchable.

But there are now experimental cancer drugs that might be able to flush the virus out and make it vulnerable.

Dr Frater said: “It turns on a virus inside a cell and it becomes visible to the immune system and we can target it with a vaccine.”

There is no consensus and no clear way forward”

Prof Jonathan Weber Imperial College London

However, this approach requires drugs to make the virus active and a vaccine to train the immune system to finish it off – this is not just round the corner.

“We are a long, long way away, in truth,” said Dr Frater.

There is another route being considered – involving a rare mutation that leaves people resistant to HIV infection.

In 2007, Timothy Ray Brown became the first patient believed to have recovered from HIV. His immune system was destroyed as part of leukaemia treatment. It was then restored with a stem-cell transplant from a patient with the mutation.

A little bit of genetic engineering may also help to modify a patient’s own immune system so that it has the protective mutation. Once again this is a distant prospect.


Chairman of the UK-wide Aids vaccine programme Prof Jonathan Weber, from Imperial College, said: “For established infection we have some ideas, but it is all in the realms of experimental medicine.

“There is no consensus and no clear way forward.”

Is a world without Aids possible?

He added a cure would be very cost-effective, as giving people drugs every day of their life was expensive.

Prof Jane Anderson, consultant at Homerton hospital in London, expressed caution about expecting a cure after the case in the US.

“This is a very exciting moment, but it is not the answer in today’s world.

“I’m worried that we so desperately want a cure that we forget the cost-effective stuff that does make a difference.”

Nearly every case of mother-to-child transmission can be prevented by drugs, caesarean section and not breastfeeding. And in adults, most cases are as a result of unsafe sex.

HIV really is an infection where prevention is much easier than cure.


Stomach cancer ‘spotted by breath test’

Stomach cancer
Earlier diagnosis and treatment could save more lives
A quick and simple breath test can diagnose stomach cancer, study findings reveal.Scientists from Israel and China found the test was 90% accurate at detecting and distinguishing cancers from other stomach complaints in 130 patients.

The British Journal of Cancer says the test could revolutionise and speed up the way this cancer is diagnosed.

About 7,000 UK people develop stomach cancer each year and most have an advanced stage of the disease.

Two-fifths of patients survive for at least a year, but only a fifth are still alive after five years, despite treatment.

Currently doctors diagnose stomach cancer by taking a biopsy of the stomach lining using a probe and a flexible camera passed via mouth and down the gullet.

The new test looks for chemical profiles in exhaled breath that are unique to patients with stomach cancer.

Volatile organic compoundsCancer appears to give off a signature smell of volatile organic compounds that can be detected using the right technical medical kit – and perhaps even dogs.

The science behind the test itself is not new – many researchers have been working on the possibility of breath tests for a number of cancers, including lung.

Any test that could help diagnose stomach cancers earlier would make a difference to patients’ long-term survival”

Kate Law Cancer Research UK

But the work by Prof Hossam Haick, of the Israel Institute of Technology, suggests it is a good way to spot stomach cancer.

In the study, 37 of the patients had stomach cancer, 32 had stomach ulcers and 61 had other stomach complaints.

As well as accurately distinguishing between these conditions 90% of the time, the breath test could tell the difference between early and late-stage stomach cancers.

The team are now running a bigger study in more patients to validate their test.

Kate Law, director of clinical research at Cancer Research UK, said: “The results of this latest study are promising – although large scale trials will now be needed to confirm these findings.

“Only one in five people are able to have surgery as part of their treatment as most stomach cancers are diagnosed at stages that are too advanced for surgery. Any test that could help diagnose stomach cancers earlier would make a difference to patients’ long-term survival.”


膠原立體科技 改變皮膚老化基因

(健康醫療網/林宜慧報導)皮膚「老化」已成愛美人士的頭號公敵,但老化的基礎原因卻鮮少人清楚。根據2006年諾 貝爾生物醫學獎研究指出,存在於人體的RNAi干擾現象會破壞蛋白質合成,使基因表現被抑制,其中一個結果就是造成皮膚老化;而目前一項名為「A-F33 膠原立體科技」,可使蛋白質合成速度恢復到年輕的基因表現。









彭亨州蘇丹後哈嘉卡宋(Hajjah Kalsom)受邀前來為大會主持開幕儀式,並對大會的成功舉行,以及眾籌委的無吝付出給予嘉許。右起為大會主席蘇列士及癌症非營利機構大馬Cansurvive中心主席西比醫師。









另一名主講者為瑜伽導師兼阿育吠陀(Ayurveda)治療師米拉(Myra Lewin)。曾遭多種疾病侵襲的她,靠著瑜伽及阿育吠陀擊走病魔。她從中體會到:“在任何時候,我們都必須堅守信念,因為它能影響能量的流動以及生命的發展。"












































直到今天,西比仍很疑惑,除了教友及前同事,為何沒有一個親人來找她,詢問她的病情、存活及死 亡。不過在他每一天的禱告中,他永遠都記得這位安詳的克莉絲蒂娜,尤期是她對上帝的信仰,讓她獲得心靈扶持,即使一個人,她也能好好地走完這條路。(光明 日報/良醫‧報導:唐秀麗)-

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