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Archive for March 6, 2013

Roast Chicken and Kimchi Smashed Potatoes

Roast Chicken and Kimchi Smashed Potatoes

Ingredients

  • 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)

Preparation

  • 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.

Read More http://www.bonappetit.com/recipes/quick-recipes/2013/03/roast-chicken-and-kimchi-smashed-potatoes#ixzz2Mj1Nohx8

 

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.

BBC – http://www.bbc.co.uk/news/uk-england-stoke-staffordshire-21669512#?utm_source=twitterfeed&utm_medium=twitter

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.”

BBC – http://www.bbc.co.uk/news/health-21672962#?utm_source=twitterfeed&utm_medium=twitter

Analysis: A cure for HIV?

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

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.

‘Uncertain’

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.

BBC – http://www.bbc.co.uk/news/health-21653463#?utm_source=twitterfeed&utm_medium=twitter

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.”

BBC – http://www.bbc.co.uk/news/health-21671455

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。

弘光科技大學化妝品科技研究所所長徐照程表示,該研究結果對未來治療人類癌症或老化性疾病非常重要,研究指出,皮膚老化的原因是人體DNA因為RNAi的干擾,使基因表現被RNAi抑制,皮膚進而會減少膠原蛋白增生,因此導致老化。

「A-F33膠原立體科技」的原理即是由上述研究發想而來。全球性化妝品集團副總裁暨首席科技官羅小純博士解釋,一般年輕健康的肌膚細胞,是「前膠原蛋白」與POLD2的酵素連結,進而組合形成緊實的結構;而老化細胞的前膠原蛋白則結構鬆散。

「A-F33膠原立體科技」則是從膠原蛋白生成的原料-胺基酸著手,強化POLD2酵素增加,並緊實原有與新生的膠原結構,使產生立體、強韌的膠原品質,可作用於深層皺紋與細紋。

羅小純強調,愛美人士希望撫平皮膚皺紋,關鍵不只從膠原蛋白的「數量」著手,重塑膠原蛋白立體、強韌的結構,才是解決的根本之道。

健康醫療網http://healthnews.com.tw更多健康資訊

資料來源:健康醫療網 http://www.healthnews.com.tw/readnews.php?id=8326

蕃新聞 http://n.yam.com/healthnews/healthy/20130305/20130305264112.html

改掉壞習慣‧培養好習慣‧癌症是考驗非終結

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。

(吉隆坡訊)癌症並不是生命的終結,而是對生命的考驗,這是第二屆癌症整體治療國際研討會所要傳達的訊息。大會以“微小改變,健康巨變",來鼓勵大家從今開始“改變",扔掉坏習慣,向好習慣邁進。

大會主席兼占星家蘇烈士(Suresh)相信,一個人的想法、情緒及行為都會影響到他們身處的環境及狀況。

“很多由腫瘤專科醫生展開的癌症研究顯示,大多數癌患在確診前6至8個月,長期承受著一定程度的壓力。"

讓生活充滿正能量

他解釋,壓力與個人心思及想法有關,整體治療有助於鬆開這些糾結,進而管理自己的想法。

“整體治療由全人生活開始,擁有正面的想法為第一步。譬如說,把嫉妒之心轉換成感恩之心,常保單純的意念及醒覺,讓生活充滿正能量。"

他更點出醫生和治療者(Healer)的差別,“醫生會問,你有甚麼毛病;治療者會問,你感覺如何?"

“醫者務必要讓癌患清楚知道,癌症並非世界末日,那只是一種失衡的現象如陰陽,只要陰陽平衡,癌症就會遠離我們。因此在這個疾病處處的年代,如何適度生活是很重要的。"

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。"

“改變是需要毅力、恆心、堅持及時間。我們內心所付出的努力,遠比表面功夫重要。"

她遵守“日出而作,日入而息"的生活教條,在太陽出來前起床,晚上10點就寢,每天練瑜伽並使用阿育吠陀草藥。

“請記得對自己微笑,學習謙卑之餘,向有經驗的人取經。此外,可嚐試在食物中放一點酥油,這有助於促進Ojas(生命能量源)的運行。"

整體治療兼顧生理心靈

這場大會由癌症非營利機構大馬Cansurvive中心主辦,中心主席兼主講人之一的西比(Siby)醫師,是一名高級阿育吠陀(Ayurveda)治療師。

這18年來,他以阿育吠陀治療了無數個患上慢性疾病的病患。

談起他的整體治療經驗,他一字一字娓娓述說他與已逝乳癌病患克莉絲蒂娜(Christina)的真實故事,道出生理治療及心靈扶持的重要性:“醫師,您還記得我嗎?"

“不……或許可能……"

“我是克莉絲蒂娜,曾於半年前致電給您,告訴您我的健康狀況,當時您拒絕看我,叫我去做化療及放療。"

“是,是。現在我記起來了。您好嗎?您看起來很累。您有否用藥?"

克莉絲蒂娜看著他,強作鎮定地說道:“我很好。只是有點累。"

“之前您做了甚麼……我如何能幫到你?為何您看起來這麼累?"

他開始測量她的脈搏,脈象很弱。於是,他開始從簡單的問診綱要如睡眠、胃口、腸道蠕動等著手。

“您乳房腫瘤如何了?我可以看看嗎?"

她毫無忸怩,輕輕解開衣鈕。他注意到她胸口上滲血的紗布。撕開紗布,一股異味迎鼻而來,他清楚看到那爬滿血水、形態如花椰菜的腫瘤。

“克莉絲蒂娜,看來情況真的很嚴重。您到底做了甚麼?"

“我接受了各式各樣的治療,其中包括心靈治療,大多數都無效,只有一些有短暫效果。"她一邊穿上衣服,一邊回答。

“那您瘦了多少公斤?"

“嗯,大概1年內瘦了15公斤。"

“那真的很多。為甚麼您不接受手術切除或化療?為甚麼您不給自己一個機會?"

“6個月前,他們告訴我,我的身體很弱了,無法再承受任何治療。他們還說,我最多只能活3個月,因為癌細胞已經擴散到骨頭、肺部及肝臟。"

他靜靜地注視著她,難以想像她這些日子受了多少的折騰,“唔,那您要我如何幫您?您知道嗎?這已經是太遲了,我不認為我還能做些甚麼。您最好去醫院或安寧療護中心接受治療或援助。"

“我明白您的意思,但我只想您讓我入住中心,盡您一切的方法來幫助我。"

他愣了愣,重複剛才的話:“克莉絲蒂娜,真的太遲了。我不認為我還能做些甚麼。"

“醫師,請您允許我住進來。我知道,您不是治癒者,您不會治癒我。祂才是治癒者!"她提高聲量,把手舉向天,“祂會治癒我。我的主耶穌會治癒我。"

他一時語塞,對她虔誠的宗教信仰感到驕傲,但是他知道情況並不樂觀,“誰陪您一起來?我需要向您的家人解釋清楚。"

“哦,我就只有一個人。我的雙親已去世,我所認識的親人都不在了。我沒有任何親人。"

“有朋友陪您過來嗎?"

“是,有一個。不過他帶我來這裡後,就離開了。"

“但是……"他不斷在搜尋辭彙,以讓她知難而退。

突然有一句話在他心中響起:“您不是治癒者,神才是她的治癒者,您到底還怕甚麼?"

“對了,我還怕甚麼。"

一語驚醒夢中人,於是他讓她填了入住表格,並吩咐職員準備房間,同時也開了一些藥物,準備就緒包紮她的傷口。

比預期多活18個月

接下來的日子,克莉絲蒂娜的健康陰晴不定,有時房內傳來歡愉的笑聲,那是喜慶祝福,中心上下職員與她共度了屠妖節及聖誕節,還有大家的生日會;有時房內傳來飲食爭執聲,因她最討厭低鹽及其他香料配製的素食。

不知不覺,她活了18個月,比預期中的還長。入住期間,她似乎面對著經濟問題,每次都無法繳清賬單,還好管理層開恩,但她承諾只要她成功向前雇主追討回醫藥費,她一定會悉數還清。

偶有前同事會前來探望她,而她的親人,真如她所言,一個也不在,因為直至她臨終那一天,也不曾看到有親人來過。她也有一些教會朋友,曾經一兩次,教友及牧師前來為她禱告。

當愈來愈多訪客,問題就相繼而生。他說,有者帶來了不健康的食物,並為她提供錯誤的意見,她聽信而大量食用這些食物,直至情況惡化。

西比一直都被蒙在鼓里,直至她病情惡化,她才坦然相告。但是一切太遲了,他真的無能為力。

信仰讓她獲心靈扶持

“醫師,您要幫幫克莉絲蒂娜,她再次呼吸困難。"入住部門來電相告。放下電話,西比一支箭地衝進克莉絲蒂娜的病房。

她看著他,眼睛似乎在說些甚麼,現場一片靜寂。他知道這一次她即將離開大家,於是他囑人電召救護車。但是克莉絲蒂娜曾說過,無論情況多麼糟糕,她都不要去醫院,她希望在救護車抵達前,她仍能在西比的照料下,與世界說再見。

就這樣,她握著他的手,冰冷且脆弱,帶著微笑及張開的雙眼,永遠地告別了這個世界。她去得很安詳,沒有哭鬧與不捨,大家按她的心願為她進行火葬。

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)- http://www.guangming.com.my/node/160515?tid=8

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