Thursday 7 August 2014

Chinese recipe: Asparagus ginger sesame cream soup

 Recipe contributed by 125 Chinese recipes with Bill Jones and Stephen Wong

1 tbsp. vegetable oil
1 large onion, coarsely chopped
1 tbsp. minced ginger root
8 0z. asparagus trimmed and chopped
4 cups of chicken stock
1 cup of light(10%) cream
1 tbsp. lemon juice
1 tsp. sesame oil
salt and pepper to taste
2 tbsp. cornstarch dissolved in 4 tbsp. (610ml) water
Minced fresh herbs(chives, basil thyme, rosemary) to taste
1tbsp toasted sesame seeds
In a large saucepan, heat oil over medium-high heat for 30 seconds. Add onion and ginger root; cook until onion softens and begin to change color. Add asparagus and chicken stock; bring mixture to a boil. Reduce heat and simmer for 15 minutes or until the asparagus is cooked.
Removed saucepan from heat and allow to cool. Transfer mixture in batches to a blender or load processor and process until smooth
Pour soup through a strainer; pushing as much puree through the mesh as possible (use the back od a wooden spoon to squeeze out liquid). Return liquid to the saucepan, add cream and warm to a simmer. Add lemon juice, sesame oil, season with salt and pepper. Add dissolved cornstarch; bring soup top a boil, stirring constantly until thickened. garnish with herbs, asparagus cream (direction at below), if desired and toast sesame seeds.

For special finish garnish with asparagus cream. To make asparagus cream. Puree4 spears of cooked asparagus in food processor, then push through a strainer.  Measure the puree and mix an equal amount of sour cream. Place a spoon of mixture in the center of each serving and sprinkle with toast sesame seeds.
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The Chinese recipe of Steam rice with grainy mustard and orange peel

Recipe attributed to 125 best  Chinese recipes by Bill Jones and Stephen Wong, published by Robert Rose

2 cups long-grain rice  500mL
31/2 cups stock or water  875mL
1tsp. salt  5mL
2tbsp. grainy mustard  25mL
1 orange, juice and chopped zest
1. In a pot with a tight-fitting pod, combine rice, stock or water, salt, mustard, orange juice and zest. bring to boil; cook, uncovered, stirring occasionally.
2 Cover pot tightly. Reduce heat to low and cook for 15 minutes. Remove from heat and let sit, with lid on for an additional 10 minutes.
Serve 4- 6.

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Wednesday 6 August 2014

Obesity Complication of Gallbladder Disease

By Kyle J. Norton

Obesity is defined as a medical condition of excess body fats 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 to calculate your BMI index
BMI= weight (kg)/ height (m2)

Gallbladder is a small organ under the liver with a function of aiding the digestive system in fat metabolism with storing of the bile produced by the liver. Gallbladder Disease is defined as a condition of inflammation or gallstones of the Gallbladder. According to the statistic, approximate 20 millions of US population have some kinds of Gallbladder Disease.

 How Obesity associates with Gallbladder Disease
1. According to the study of "Triglycerides and gallstone formation" by Smelt AH., posted in PubMed, researcher stated that Changes in bile acid (BA) metabolism and gallbladder function are critical factors in the pathogenesis of gallstones. Patients with hypertriglyceridemia (HTG) - often overweight and insulin resistant - are at risk for gallstone disease......

2. In a study of "Gallstone prevalence and risk factors for gallstone disease in an urban population of children and adolescents" by Kratzer W, Walcher T, Arnold F, Akinli AS, Mason RA, Denzer C, Böhm B, Imhof A, Hänle MM., posted in PubMed, researchers found that Three adolescents (one girl, two boys), corresponding to a prevalence of 1.0 %, showed gallstones. One 14-year-old girl and one 17-year-old boy were overweight using Cole's classification. A positive family history and female gender could not be confirmed as risk factors and concluded that Obesity appears to be a risk factor in the development of gallstones in childhood and adolescence.

3. In the abstract of the study of "[Gender and obesity--what does "being fat" mean to boys and girls?] [Article in German]" by Wiegand S., posted in PubMed, researchers indicated that Despite great differences in sex hormones girls and boys are equally affected by overweight and obesity even during puberty. Comorbidity in general also has a similar prevalence. However, there are certain sex differences. Boys are more prone to steatohepatitis whereas girls more commonly develop gall stones and pseudotumor cerebri. Quality of life in respect to health is impaired in all children and adolescents with obesity.

4. In a study of "Epidemiology of gallstones" by Stinton LM, Myers RP, Shaffer EA., posted in PubMed, researchers found that certain risk factors for gallstones are immutable: female gender, increasing age, and ethnicity/family (genetic traits). Others are modifiable: obesity, the metabolic syndrome, rapid weight loss, certain diseases (cirrhosis and Crohn disease), gallbladder stasis (from spinal cord injury or drugs, such as somatostatin), and lifestyle.

5. According to the study of "Epidemiology and risk factors for gallstone disease: has the paradigm changed in the 21st century?" by Shaffer EA., posted in PubMed, researchers found that Our abundant access to food places us at the increased risk of obesity and cholelithiasis. The general rise in obesity in many countries raises the specter of heightened disease, best identified by epidemiologic studies.

6. Etc.

Treatments of Obesity and Gallbladder Disease
1. According to the abstract of the study of "Apply influence diagrams for utility analysis of paying the weight-reducing expenses: a case study in taiwan" by Wu F, Sun PR, Chang CC., posted in PubMed, researchers found that if Taiwan's NHI provides reasonable benefit for weight-loss outpatient services, not only the risk of people suffering from diabetes, hypertension, hyperlipidemia, cardiovascular disease, gallbladder disease, cancer, gout, arthritis, etc. will go down; but also the medical expenditure can be effectively reduced.

2. In a study of "Changes in gallbladder motility and gallstone formation following laparoscopic gastric banding for morbid obestity" by Al-Jiffry BO, Shaffer EA, Saccone GT, Downey P, Kow L, Toouli J., posted in PubMed, researchers found that rapid weight loss following laparoscopic gastric banding impairs gallbladder emptying and when pronounced, gallstones form by six weeks postoperatively. The accompanying reduction in gallbladder emptying, increased gallbladder residual volume and decreased refilling promote gallbladder stasis and hence stone formation.
3. In another study of "Prevention of gallstone formation in morbidly obese patients undergoing rapid weight loss: results of a randomized controlled pilot study" by Wudel LJ Jr, Wright JK, Debelak JP, Allos TM, Shyr Y, Chapman WC., posted in PubMed, researchers concluded that This pilot study confirms the high incidence of gallstone formation (71% of assessed patients) associated with rapid weight loss in patients undergoing gastric bypass. Despite active enrollment in a supervised prevention trial, the two therapies investigated to reduce gallstone formation were not efficacious, likely because compliance with medical therapy was poor. These findings highlight the significant risk of gallstone formation in this patient cohort even when prevention strategies are utilized.
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The best breakfast Orange Marmalade

Recipe attributed to Raw, Quick and delicious! 5 ingredient recipes in just 15 minutes by Douglas McNish, Published by Robert Rose. You can visit them at www.robertrose.ca

This marmalade is a great addition to raw breakfast bowls. Try it stirred into Cinnamon. Crunch Cereal, Almond Ginger Apple Hemp Cereal on Breakfast Porridge or spread it on Rise and Shine Bar.
Tips:
To soak the dates for this recipe, place in a bowl and add 2 cups (500 mL) hot water. Cover and set a side for 10 minutes, Drain, discarding soaking liquid.
2 tbsp. finely grated orange zest  30mL
2 cups chopped orange segments  500mL
1 cup chopped pitted dates, soaked
in a food processor fitted with the metal blade, process orange zest, orange segments and soaked dates until smooth, Transfer to a bowl. Serve immediately or cover and refrigerate for up to 3 days. make 2 cups (500mL)
Variation
Orange ginger marmalade
Add 1/4 cup (60mL) chopped peeled gingerroot to the mixture.

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The Carrot lovers recipe: Julie's White Carrot salad

Recipe attributed to Raw food, volume 2, Healthy, delicious vegetarian cuisine made with living foods  vt Lisa Montgonery, editor, hatherleigh

Contrbited by Antanas Vainius

 Prep. 10 minutes
2 tbsp. tarragon, crushed
1 lime juice
Bunch baby white carrots, sliced
2/3 cup medium daikon grated
3 tbsp. olive oil
Full spectrum salt to taste
Soak tarragon in lime juice for 5 minutes. Toss daikon and carrots and pour tarragon mixture on carrots/ daikon and olive oil, salt, toss and serve.
Serve on de-seeded tomatoes wedges.

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Tuesday 5 August 2014

Obesity Complication of Gastroesophageal Reflux Disease (Heart Burn)

By Kyle J. Norton

Obesity is defined as a medical condition of excess body fat has 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 to calculate your BMI index
BMI= weight (kg)/ height (m2)

 Gastroesophageal reflux disease (GERD), also known as gastro-oesophageal reflux disease (GORD), gastric reflux disease, or acid reflux disease, is defined as a chronic condition of liquid stomach acid refluxing back up from the stomach into the esophagus, causing heartburn. According to the study of "Updated guidelines for the diagnosis and treatment of gastroesophageal reflux disease." by DeVault KR, Castell DO; American College of Gastroenterology, GERD is defined as symptoms or mucosal damage produced by the abnormal reflux of gastric contents into the esophagus.

D. How Obesity associates with Gastroesophageal Reflux Disease (Heart Burn)
1. According to the study of "Prevalence and risk factors for gastroesophageal reflux disease in an impoverished minority population" by Friedenberg FK, Rai J, Vanar V, Bongiorno C, Nelson DB, Parepally M, Poonia A, Sharma A, Gohel S, Richter JE., posted in PubMed, researchers found that Increasing waist circumference, but not overall body mass index or waist-hip ratio, and smoking are risk factors for prevalent GERD. No association between reflux disease and lifestyle choices such as coffee drinking and fast food dining were found.

2. In a study of "Does BMI affect the clinical efficacy of proton pump inhibitor therapy in GERD? The case for rabeprazole" by Pace F, Coudsy B, Delemos B, Sun Y, Xiang J, Lococo J, Casalini S, Li H, Pelosini I, Scarpignato C., posted in PubMed, researchers comcluded that Results of this study show that the clinical efficacy of rabeprazole is maintained in overweight/obese patients with gastroesophageal reflux disease and suggest that this subgroup of patients may derive, from rabeprazole, even greater benefit than lean patients.

3. In the abstract of the study of "Effects of environment and lifestyle on gastroesophageal reflux disease" by Sonnenberg A., posted in PubMed, researchers stated that Overweight and obesity contribute to the development of hiatal hernia, increase intra-abdominal pressure, and promote gastroesophageal reflux. Weight gain increases reflux symptoms, whereas weight loss decreases such symptoms. Other risk factors, such as smoking, alcohol, dietary fat, or drugs, play only a minor role in shaping the epidemiologic patterns of GERD. PROTECTION THROUGH HELICOBACTER PYLORI: On a population level, a high prevalence of H. pylori infection is likely to reduce levels of acid secretion and protect some carriers of the infection against reflux disease and its associated complications.

4. According to the study of "Gastroesophageal reflux disease and morbid obesity: is there a relation?" by Fisichella PM, Patti MG., posted in PubMed, researchers found that Although many advances have been made in the understanding of the pathophysiology of GERD, many aspects of the pathophysiology of this disease in morbidly obese patients remain unclear. The following review describes the current evidence linking esophageal reflux to obesity, covering the pathophysiology of the disease and the implications for treatment of GERD in the obese patient.

5. In the abstract of the study of "Obesity and gastroesophageal reflux: quantifying the association between body mass index, esophageal acid exposure, and lower esophageal sphincter status in a large series of patients with reflux symptoms" by Ayazi S, Hagen JA, Chan LS, DeMeester SR, Lin MW, Ayazi A, Leers JM, Oezcelik A, Banki F, Lipham JC, DeMeester TR, Crookes PF., posted in PubMed, researchers found that An increase in body mass index is associated with an increase in esophageal acid exposure, whether BMI was examined as a continuous or as a categorical variable; 13% of the variation in esophageal acid exposure may be attributable to variation in BMI.

6. Etc.


Treatments of Obesity and Gastroesophageal Reflux Disease (Heart Burn)
1. According to the study of "Gastroesophageal reflux disease is inversely related with glycemic control in morbidly obese patients" by Lauffer A, Forcelini CM, Ruas LO, Madalosso CA, Fornari F., posted in PubMed, researchers found that This study suggests an inverse relation between glycemic control and GERD in morbidly obese patients. This can be partially explained by a lower frequency of hiatal hernia in patients with very poor glycemic control.

2. In the study of "Gastroesophageal reflux disease and obesity. Pathophysiology and implications for treatment" by Herbella FA, Sweet MP, Tedesco P, Nipomnick I, Patti MG., posted in PubMed, researchers indicated that A linear regression model showed that BMI, LES pressure, LES abdominal length, and DEA were independently associated with the DeMeester score. These data showed that: (a) BMI was independently associated to the severity of GERD; and (b) in most morbidly obese patients with GERD, reflux occurred despite normal or hypertensive esophageal motility. These findings show that the pathophysiology of GERD in morbidly obese patients might differ from that of nonobese patients, suggesting the need for a different therapeutic approach.

3. Etc.

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The recipe for Spiced nuts and seeds lovers: Spiced chili nuts and seeds

Recipe attributed to Fresh and Easy Meals by Better Homes and Gardens

Pick your favorite nuts and seed for this snack recipe. Orange juice concentration spiked with piquant spices gives the mixture a burst of favor.

Prep. 10 minutes
Bake 15 minutes
Oven 300 degrees F
Make 16 (1/4 cup) serving

2 tsp. frozen orange juice concentrate thawed.
2 tsp. Worcestershire sauce
1 tsp. garlic powder
1 tsp. ground cumin
1 tsp. chili powder
1/2 tsp. cayenne pepper
1/4 tsp. salt
1/4 tsp. ground allspice
1.4 tsp. onion salt
2 cups unsalted peanuts, hazelnuts, and/or Brazil nuts
1 cup pecan halves
6 tsp. unsalted shelled sunflower seeds
2 tsp. sesame seeds
Non stick cooking tray

In a large bowl, combined orange juice concentrate, Worcestershire sauce, garlic powder, cumin, chili powder, cayenne pepper,salt, allspice, black pepper and onion salt. Stir in nuts and seeds; toss to coat.
Line a 15x10x1 inch baking pan with foil; slightly coat with nonstick cooking spray. Spread nuts and seed on foil. Bake in a300 degrees oven for 15 to 20 minutes or until toasted, stirring once. Cool. Store in an airtight container at room temperature for up to 1 week.
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