Friday, 15 August 2014

An excellent mixture for a salad - Garden Toss

Recipe contributed by Company Coming salads  by Jean Pare

Refreshing and crisp with a creamy. Contains an excellent mixture
Tiny frozen peas, thawed  1cup   250 ml
Chopped celery   2./3 cup 150 ml
Fined chopped onion  1/4 cup  50 ml
salad dressing (or mayonnaise)  1/2 cup  125 ml
Milk 3 tbsp.  50 ml
Prepared mustard   1/2 tsp.  2 ml
Granulated sugar   1/2 tsp. 2 ml
Salt 1/4 tsp.  1 ml
Pepper 1/16 tsp.  0.5 ml
Head lettuce, cut or torn, lightly packed 4 cups  1L
dark green, such as Romaine or spinach, cut or torn, lightly packed

Combined peas, celery and onion in a large bowl.
Mix next 6 ingredients in a small container. Add to celery mixture. Stir.
Cover and chill until before serving
Add lettuce, dark greens and bacons. Toss to coat. Serve 6.
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Thursday, 14 August 2014

Obesity Complication of Inguinal Hernia

By J=Kyle J. Norton

Obesity is defined as a medical condition of excess body fat accumulated overtime, while overweight is a condition of excess body weight relatively to the height. According to the Body Mass Index(BMI), a BMI between 25 to 29.9 is considered over weight, while a BMI of over 30 is an indication of obesity. According to the statistic, 68% of American population are either overweight or obese.

How do calculate your BMI index
BMI= weight (kg)/ height (m2)

 Inguinal hernia is defined as a condition of forming of a sac by the lining of the abdominal cavity (peritoneum) as a result of protrusion of abdominal-cavity contents through the inguinal canal. According to the statistics, the risk of Inguinal Hernia is higher in male, accounted for 27% and lower in female accounted for only 3% of the disease. If left untreated, it may be fatal to the host if the disease progress rapidly.

 How Obesity associates with Inguinal Hernia
1, In the study of "Effect of body mass index on groin hernia surgery" by Rosemar A, Angerås U, Rosengren A, Nordin P., posted in PubMed, researchers filed the result that Of the 49,094 patients, 3.5% had a BMI <20 kg/m2 and 5.2% were obese. Altogether, women constituted only 7.7% of the studied group, but among patients with BMI <20 kg/m2 that had surgical procedures for femoral hernia, 81.4% were women. The relation between BMI and postoperative complications was U-shaped and after adjustment for age, gender, and emergency procedure, patients with BMI <20 and >25 had a significant increased risk when compared with patients with BMI from 20 to 25. Reoperation for recurrence of groin hernia has an increased hazard ratio of 1.20 (95% confidence interval, 1.00-1.40) in overweight, which was particularly evident after open suture and preperitoneal mesh techniques.

2. According to the abstract of the study of "Risk factors for inguinal hernia among adults in the US population" by Ruhl CE, Everhart JE., posted in PubMed, researchers stated that among men in multivariate analysis, a higher incidence (p < 0.05) of inguinal hernia was associated with an age of 40-59 years (hazard ratio (HR) = 2.2, 95% confidence interval (CI): 1.7, 2.8), an age of 60-74 years (HR = 2.8, 95% CI: 2.2, 3.6), and hiatal hernia (HR = 1.8, 95% CI: 1.2, 2.7), while Black race (HR = 0.58, 95% CI: 0.42, 0.79), being overweight (HR = 0.79, 95% CI: 0.66, 0.95), and obesity (HR = 0.51, 95% CI: 0.36, 0.71) were associated with a lower incidence. Among women, older age, rural residence, greater height, chronic cough, and umbilical hernia were associated with inguinal hernia.

3. In abstract of the study of "Risk factors for inguinal hernia in women: a case-control study. The Coala Trial Group" by Liem MS, van der Graaf Y, Zwart RC, Geurts I, van Vroonhoven TJ., posted in PubMed, researchers indicated in a hospital-based case-control study of 89 female patients with an incident inguinal hernia and 176 age-matched female controls. Activity since birth with two validated questionnaires was measured and smoking habits, medical and operation history, Quetelet index (kg/m2), and history of pregnancies and deliveries were recorded. Response for cases was 81% and for controls 73%. Total physical activity was not associated with inguinal hernia (univariate odds ratio (OR) = 0.8, 95% confidence interval (CI) 0.6-1.1), but high present sports activities was associated with less inguinal hernia (multivariate OR = 0.2, 95% CI 0.1-0.7). Obesity (Quetelet index > 30) was also protective for inguinal hernia (OR = 0.2, 95% CI 0.04-1.0). Independent risk factors were positive family history (OR = 4.3, 95% CI 1.9-9.7) and obstipation (OR = 2.5, 95% CI 1.0-6.7).

4. In a study of "The effect of tobacco consumption and body mass index on complications and hospital stay after inguinal hernia surgery" by Lindström D, Sadr Azodi O, Bellocco R, Wladis A, Linder S, Adami J., posted in PubMed, researchers found that smoking increases the risk of postoperative complications even in minor surgery such as inguinal hernia procedures. Obesity increases hospitalization after inguinal hernia surgery. The Swedish version of oral moist tobacco, snus, does not seem to affect the complication rate after hernia surgery at all.

5. According to the study of "Inguinal hernia recurrence: classification and approach" by Campanelli G, Pettinari D, Nicolosi FM, Cavalli M, Avesani EC., posted in PubMed, researchers found that following a simple anatomo-clinical classification into three types that could be used to orient surgical strategy, were: type R1--first recurrence of "high" oblique external reducible hernia with small (<2 cm) defect in non-obese patients after pure tissue or mesh repair; type R2--first recurrence of "low" direct reducible hernia with small (<2 cm) defect in non-obese patients after pure tissue or mesh repair; and type R3--all other recurrences, including femoral recurrences, recurrent groin hernia with large defect (inguinal eventration), multi-recurrent hernias, non-reducible contralateral primary or recurrent hernia, and situations compromised by aggravating factors (e.g. obesity) or otherwise not easily included in R1 or R2 after pure tissue or mesh repair.

6. Etc.


Treatments of Obesity and Inguinal Hernia
1. According to the study of "Local anesthetic hernia repair in overweight and obese patients" by Reid TD, Sanjay P, Woodward A, posted in PubMed, researchers found that Local anesthetic inguinal hernia repair in the obese is safe and well tolerated. Use of a large volume local anesthetic mixture is recommended in overweight and obese patients.

2.In the study of "Factors determining the doses of local anesthetic agents in unilateral inguinal hernia repair" by Kulacoglu H, Ozyaylali I, Yazicioglu D., popsted in PubMed, researchers indicated that again, the feasibility of local anesthesia in elective inguinal hernia repair in all patient groups with different characteristics. The mean and maximum doses of local anesthetic agents were well within safety limits, even in recurrent and large hernias. Younger age, large hernias, recurrent hernias, omental mass in the hernia sac, high BMI, and duration of operation might be the factors affecting local anesthetic doses. The significant independent parameters in the multivariate analysis were duration of operation, sac content, and BMI for lidocaine dose, whereas the duration of operation and sac content were determinative for the sum volume of lidocaine and bupivacaine.

3. Etc.

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The morale Booster; Sweet cereal Booster


 Contributed by diabetic cooking "Great tasting recipe for the entire Family" by Jean Pare, published by Company coming.

This's more like treat won't let you down when the going gets tough.

Light smooth peanut butter 1/2 cup  125ml
Corn syrup  1/4 cup  60ml
Miniature marshmallows  3 cups  750ml
vanilla  1/2tsp.  2ml
Corn flakes cereal  5 cups  1.25 L
melt peanut butter and corn syrup in a large saucepan on low. Stir marshmallows until just melted. Do not overcook. Remove from heat.
Stir in vanilla and cereal until coated. Press firmly into greases 9x9 inch (22x22 cm) pan. Cool to room temperature. Cut into 24 bars. Wrap individual bars in plastic wrap. Freeze. Make 24 bars.
1 bar: 84 calories, 2.3 g total fat (.4 g sat. .1 mg cholesterol, ); 96 mg sodium; 2g protein; 15 g carbohydrate; trade dietary fiber.
Choice 1/2 grain and starches; 1/2 other choice; 1/2 fats.
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The best tea 4 Immunity - Cinnamon, Fig and Ginger sun tea (Korea)

Recipe Contributed by Ani's Raw Food Asia by Ani Phyo, Published by Life Long Book. Asian Cuisine the Raw Food Way. You can visit her website at aniphyo.com

Make 4 serving
This is a sweet and spicy tea thought to help fight colds and reduce stress. it is typical make with dried persimmons, which can be hard to find, so I use Calimyrna fig instead. You can substitute with your favorite dried fig. Traditionally served chilled, but can also be enjoyed warm
3 cups of filtered water
4 tsp. fresh julienned ginger
1/4 tsp. ground cinnamon
2 tbsp. agave or brown rice syrup, or pinch of stevia
4 dried calimyrna figs
1 tbsp. pine nuts for garnish
Place all ingredients, except the pine nuts, into a large glass jar. Set in the Sun for a few hours to " brew" and for the figs to hydrate.
Serve chilled or warm. Pour into cups, placing one of the soaked figs into each. Top with pine nuts and serve immediately.

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Wednesday, 13 August 2014

Obesity Complication of Osteoarthritis

By Kyle J. Norton

Obesity is defined as a medical condition of excess body fat accumulated overtime, while overweight is a condition of excess body weight relatively to the height. According to the Body Mass Index(BMI), a BMI between 25 to 29.9 is considered over weight, while a BMI of over 30 is an indication of obesity. According to the statistic, 68% of American population are either overweight or obese.

B. How do calculate your BMI index
BMI= weight (kg)/ height (m2)

Osteoarthritis (Degeneration Joint Disease) is  the most common joint disorder and defined as a condition of degeneration of joints, including non infectious progression of degeneration of articular cartilage and subchondral bone, leading to pain in the area.

How Obesity associates with Osteoarthritis
1. According to the study of "
Induction of osteoarthritis and metabolic inflammation by a very high fat diet in mice: Effects of short-term exercise" Griffin TM, Huebner JL, Kraus VB, Yan Z, Guilak F., posted in PubMed, researchers concluded that Obesity induced by a very high-fat diet causes osteoarthritis and systemic inflammation in proportion to body fat. Increased joint loading is not sufficient to explain the increased incidence of knee osteoarthritis with obesity as wheel running is protective rather than damaging. Exercise improves glucose tolerance and disrupts the co-expression of pro-inflammatory cytokines, suggesting that increased aerobic exercise may act independent of weight loss in promoting joint health.

2. In an abstract of the study of "Does obesity predict knee pain over fourteen years in women, independently of radiographic changes?" by Goulston LM, Kiran A, Javaid MK, Soni A, White KM, Hart DJ, Spector TD, Arden NK., posted in PubMed, researchers found that Over 14 years, a higher BMI predicts knee pain at Y15 in women, independently of radiographic knee OA. When adjusted, the association was significant in bilateral, not unilateral, knee pain, suggesting alternative pathologic mechanisms may exist. The longitudinal effect of BMI on knee pain at Y15 is equally important at any time point, which may assist reducing the population burden of knee pain.

3. In the study of "The association of BMI and knee pain among persons with radiographic knee osteoarthritis: a cross-sectional study" by Rogers MW, Wilder FV., posted in PubMed, researchers concluded that Among subjects with RKOA, those presenting with an elevated BMI had a greater likelihood of knee pain compared to subjects with a normal BMI, and this chance rose with each successive elevated BMI category. As BMI is a modifiable risk factor, longitudinal research is needed to confirm these findings and elucidate the mechanisms underlying this relationship.

4. According to the study of "Anthropometric measures, body composition, body fat distribution, and knee osteoarthritis in women" by Abbate LM, Stevens J, Schwartz TA, Renner JB, Helmick CG, Jordan JM., posted in PubMed, researchers indicated that This study confirms that BMI and weight are strongly associated with rKOA in women and suggests that precise measurements of body composition and measures of fat distribution may offer no advantage over the more simple measures of BMI or weight in assessment of risk of rKOA.

5. In the study of "Case-control study of knee osteoarthritis and lifestyle factors considering their interaction with physical workload" by Vrezas I, Elsner G, Bolm-Audorff U, Abolmaali N, Seidler, A., posted in PubMed, researchers found that In accordance with the literature, we find a strong association between BMI and knee osteoarthritis risk. Considering the relatively high prevalence of occupational manual materials handling, prevention of knee osteoarthritis should not only focus on body weight reduction, but should also take into account work organizational measures particularly aiming to reduce occupational lifting and carrying of loads.

6. According to the abstract of the study of "The relationship of obesity, fat distribution and osteoarthritis in women in the general population: the Chingford Study" by Hart DJ, Spector TD., posted in PubMed, researchers filed conclusion that Our results confirm that excess body weight is a powerful predictor of OA of the knee in middle aged women, and a modest predictor of DIP and CMC OA.

7. Etc.

 Treatments of Obesity and Osteoarthritis
1. According to the Finnish study of "[Update on current care guidelines: management of adult obesity]" [Article in Finnish] by Suomalaisen Lääkäriseuran Duodecimin; Suomen Lihavuustutkijat RY:n Asettama Työryhmä., posted in PubMed, researchers indicated that The aim of treatment is to prevent and alleviate obesity comorbidities (e.g. type 2 diabetes, cardiovascular diseases, sleep apnoea and osteoarthritis) through a permanent weight reduction of at least 5%. The core element in management is lifestyle counselling on eating and exercise behaviours.

2. In the study of "Update in surgery for osteoarthritis of the knee" by Choong PF, Dowsey MM., posted in PubMed, researchers found that Obesity is a health priority in developed countries where it is overrepresented in patients presenting for joint replacement. Complications, poor patient satisfaction and joint function can be directly attributable to obesity. Efforts to address obesity should be considered as part of the approach to managing osteoarthritis.

3. In the abstract of the study of "What of guidelines for osteoarthritis?" by Lim AY, Doherty M., posted in PubMed, researchers indicated that guideline development groups vary in terms of process and structure of guideline production and in how much integration there is between research, expert and patient evidence. Nevertheless, guidelines on OA concur in recommending: holistic assessment of the patient and individualizing the management plan; patient information access; weight loss if overweight or obese, and prescription of exercise. Additional adjunctive non-pharmacological and pharmacological interventions, including surgery, may be added to this core set as required. However, when audited, it appears that management of OA is often suboptimal, with a major focus on oral analgesics, especially non-steroidal anti-inflammatory drugs. A number of barriers to implementation are evident and appropriate audit of care is necessary to improve delivery of service and to plan healthcare resources. For OA, the effect size of placebo in clinical trials is usually far greater than the additional specific effect of individual treatments, emphasizing the importance of contextual ('meaning') response in this chronic painful condition. This has important implications for clinical care in that optimization of the contextual response can lead to improvements in patient outcomes even in the absence of very effective treatments.

4. Etc.
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The Best of Nut and seed Mylk (India recipe)

Recipe Contributed by Ani's Raw Food Asia by Ani Phyo, Published by Life Long Book. Asian Cuisine the Raw Food Way. You can visit her website at aniphyo.com

Make 4 cups
Cashews are a sweet nut by nature, and when I make cashew mylk, I often leave out my sweetener. But if you like you mylk on sweeter side, sweeten with stevia, agave syrup or a whole fruit like dates. Sesame seeds make for a calcium packed mylk but can taste a bit bitter, so you may want to mix in some cashew or almond with it. Have fun exploring different nuts and mixes to make endless varieties of mylk.
1/2 cup of you favorite nuts/or seeds, soaked in filtered water (see soaking table on page 33) and rinsed well before using.
Pinch of stevia or 1/2 cup pitted dates or 3 tsp. agave syrup, brown rice, or maple syrup, optional.
Pinch of sea salt
5 cups of coconuts and/or filtered water.
Place all ingredients in the blender, adding a small amount of water first. Blend smooth. Then add remain water and blend. I love fiber in my mylk, but you can always strain it out using a nut mylk or filtered bag if preferred.
Will keep 4 days or longer.
Variation: Add cacao powder, vanilla bean, or strawberries to make different flavored mylk. The possibilities are truly endless.
 Soaking table
Almond, 1cup 8-10 hours, Pecans, Walnuts, Cashews, flax seeds,  sesame seeds 1 cup  4 -6  hours, Buckwheat, Oat groats, 1 cup, 6 hours, Pumpkin seeds 6 -8 hours, Sun flower seeds 1 cup 8 - 10 hours, Quinoa, 1 cup 2 -3 hours.

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4 Cheese and Cracker lovers: Blue Cheese Cut-Out Crackers

Recipe attributed to Quick and easy family favorites by Vickie and JoAnn

These delicate cheese wafers carry a touch of hot pepper... but you can season to your own taste.
1 c. all purpose flour
7 T. crumbled blue cheese
1 egg yolk
4 t. whipping cream
7 T. butter, softened
1/2 dried parsley
1/8 tsp. salt
cayenne pepper to taste
Mix all ingredients in a bowl; let rest for 80 minutes. Roll dough out to 1/8 inch thickness. Use your favorite cookie cutter shapes to cut out the crackers. bake on ungreased baking sheet at 400 degrees
for 8 to 10 minutes or just until golden. Carefully remove the delicate crackers when cool.
Make 11/2 to 2 dozen.
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