Wednesday, November 17, 2010

Is Your Produce Losing Its Health Power? - MSN Health & Fitness - Nutrition

While we've been dutifully eating our fruits and vegetables all these years, a strange thing has been happening to our produce. It's losing its nutrients. That's right: Today's conventionally grown produce isn't as healthful as it was 30 years ago—and it's only getting worse. The decline in fruits and vegetables was first reported more than 10 years ago by English researcher Anne-Marie Mayer, Ph.D., who looked at the dwindling mineral concentrations of 20 UK-based crops from the 1930s to the 1980s.

It's happening to crops in the United States, too. In 2004, Donald Davis, Ph.D., a former researcher with the Biochemical Institute at the University of Texas, Austin, led a team that analyzed 43 fruits and vegetables from 1950 to 1999 and reported reductions in vitamins, minerals, and protein. Using USDA data, he found that broccoli, for example, had 130 mg of calcium in 1950. Today, that number is only 48 mg. What's going on? Davis believes it's due to the farming industry's desire to grow bigger vegetables faster. The very things that speed growth—selective breeding and synthetic fertilizers—decrease produce's ability to synthesize nutrients or absorb them from the soil.

A different story is playing out with organic produce. "By avoiding synthetic fertilizers, organic farmers put more stress on plants, and when plants experience stress, they protect themselves by producing phytochemicals," explains Alyson Mitchell, Ph.D., a professor of nutrition science at the University of California, Davis. Her 10-year study in the Journal of Agricultural and Food Chemistry showed that organic tomatoes can have as much as 30 percent more phytochemicals than conventional ones.

But even if organic is not in your budget, you can buck the trend. We polled the experts and found nine simple ways to put the nutrient punch back in your produce.

How to feed yourfamily for $100 a week.

Sleuth out strong colors

"Look for bold or brightly hued produce," says Sherry Tanumihardjo, Ph.D., an associate professor of nutritional sciences at the University of Wisconsin-Madison. A richly colored skin (think red leaf versus iceberg lettuce) indicates a higher count of healthy phytochemicals. Tanumihardjo recently published a study showing that darker orange carrots contain more beta-carotene.

Pair your produce

"When eaten together, some produce contains compounds that can affect how we absorb their nutrients," explains Steve Schwartz, Ph.D., a professor of food science at Ohio State University. His 2004 study of tomato-based salsa and avocado found this food pairing significantly upped the body's absorption of the tomato's cancer-fighting lycopene. For more examples: prevention.com/healthypowerpairs.

Buy smaller items

Bigger isn't better, so skip the huge tomatoes and giant peppers. "Plants have a finite amount of nutrients they can pass on to their fruit, so if the produce is smaller, then its level of nutrients will be more concentrated," says Davis.

Pay attention to cooking methods

Certain vegetables release more nutrients when cooked. Broccoli and carrots, for example, are more nutritious when steamed than when raw or boiled—the gentle heat softens cell walls, making nutrients more accessible. Tomatoes release more lycopene when lightly sauteed or roasted, says Johnny Bowden, Ph.D., nutritionist and author of The Healthiest Meals on Earth.

Eat within a week

"The nutrients in most fruits and vegetables start to diminish as soon as they're picked, so for optimal nutrition, eat all produce within one week of buying," says Preston Andrews, Ph.D., a plant researcher and associate professor of horticulture at Washington State University. "If you can, plan your meals in advance and buy only fresh ingredients you can use that week."

Keep produce whole

Precut produce and bagged salads are time-savers. But peeling and chopping carrots, for example, can sap nutrients. Plus, tossing peels deprives you of good-for-you compounds. If possible, prep produce just before eating, says Bowden: "When sliced and peeled or shredded, then shipped to stores, their nutrients are significantly reduced."

Save the earth (and your pocketbook): Go green, not broke.

Look for new colors

If you're used to munching on red tomatoes, try orange or yellow, or serve purple cauliflower along with your usual white. "Many of us buy the same kinds of fruits and vegetables each week," says Andrews. "But there are hundreds of varieties besides your usual mainstays—and their nutrient levels can differ dramatically. In general, the more varied your diet is, the more vitamins and minerals you'll get."

Opt for old-timers

Seek out heirloom varieties like Brandywine tomatoes, Early Jersey Wakefield cabbage, Golden Bantam corn, or Jenny Lind melon. Plants that were bred before World War II are naturally hardier because they were established—and thrived—before the development of modern fertilizers and pesticides.

Find a farmers market

Unlike prematurely picked supermarket produce, which typically travels hundreds of miles before landing on store shelves, a farmers market or pick-your-own venue offers local, freshly harvested, in-season fare that's had a chance to ripen naturally—a process that amplifies its amount of phytonutrients, says Andrews: "As a crop gets closer to full ripeness, it converts its phytonutrients to the most readily absorbable forms, so you'll get a higher concentration of healthful compounds."

11 Ways to be a budget organic.

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FDA expected to ban alcoholic energy drinks - Health - Addictions - msnbc.com

The Food and Drug Administration is poised to announce a virtual ban of alcoholic energy drinks on Wednesday, even as a leading manufacturer is pulling its products off the market.

The FDA is expected to say that caffeine is an unsafe food additive to alcoholic drinks, a move that would effectively ban them from sale. College students have been hospitalized after drinking the beverages, including the popular Four Loko, and four states have banned the drinks.

Phusion Projects, which manufactures Four Loko, announced late Tuesday that it would reformulate its drinks, removing caffeine. While there is little known medical evidence that the drinks are less safe than other alcoholic drinks, public health advocates say they can make people feel more alert and able to handle risky tasks like driving.

The company's statement said it was removing caffeine from the drinks after unsuccessfully trying to deal with "a difficult and politically-charged regulatory environment at both the state and federal levels."

"We have repeatedly contended — and still believe, as do many people throughout the country — that the combination of alcohol and caffeine is safe," said Chris Hunter, Jeff Wright and Jaisen Freeman, who identify themselves as Phusion's three co-founders and current managing partners.

The statement did not mention several recent incidents in which college students were hospitalized after drinking the beverage. In response to such incidents, four states — Washington, Michigan, Utah and Oklahoma — have banned the beverages. Other states are considering similar action.

Four Loko comes in several varieties, including fruit punch and blue raspberry. A 23.5-ounce can sells for about $2.50 and has an alcohol content of 12 percent, comparable to four beers, according to the company's website.

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Children's Hospital launches 'zero errors' initiative

Reeling from the deaths of two children due to medication errors, the staff of Seattle Children's Hospital devoted Saturday to special training designed to prevent a recurrence of the tragedies.

"It's so very important that we never forget that we harmed these children," said Pat Hagan, president of Children's Hospital. "We were all devastated by this when it happened. It struck us at our core."

Hagan said the patient deaths have been a "great, great tragedy for these families," and "a profound tragedy" for the hospital staff.

"We never want to forget how this feels. That feeling is going to be what drives us to continue to find ways to improve what we do here," he said.

Over 550 doctors, nurses, pharmacists and other staff members gathered at Children's for a special Patient Safety Day to address the medication errors that caused two deaths over the past 18 months.

More than 28 patient safety sessions were held, including 11 devoted to medication safety.

But first, participants gathered together in the morning to remember the two small patients who died.

"How we emerge from this situation today and over the coming months will be the real test of us as an organization," said Thomas Hansen, the hospital's CEO. "As I look around this room, I'm confident that we have the best and brightest people to rise to this challenge."

He told the staff "we must strive for zero errors, this must be our promise."

The day's sessions included topics such as decreasing verbal orders and increasing the safety of verbal orders when they are necessary, standardizing medications located on care units, ordering, dispensing and administration of high-risk medications, interruptions, provider-to-provider hand-offs and communication, ambulance transport and patient safety training using simulation.

Hospital spokesperson Louise Maxwell said Children's also is fully cooperating with state investigations of the recent medication errors and has made a number of improvements to decrease the chance of errors.

The hospital has also initiated a re-evaluation of the entire medication delivery system and launched a detailed analysis to determine why usual safety processes failed in each of the medication error cases.

Hospital officals said Saturday's special training did not affect care for patients or others needing urgent or emergency services.

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Island Dialysis

What We Do

Freedom to travel. It’s the one element of your lifestyle that seemed out of reach. Just imagine a tropical vacation, with uncompromising dialysis care, delivered where the coean extends to the sky.

This world, a place of flowers, trees and birds, is where adventures and memories replace worries and needs.

This is your place in the sun!

Travel Today

Freedom to travel. It's within your reach right now. The tropical vacation that you have been thinking of is waiting for you. It's time to feel all right.

News

01-06-06 - News Title

Brief excpert of new story, just enough for the user to be able to skim and click if he/she wants more information...

“Since 1997, I have been attending dialysis when ever I am in Barbados...I am extremely pleased with the service I receive there. The staff are courteous, understanding and helpful.”

- Michael Clarke

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Culinary Kidney Cooks

Culinary Kidney Cooks published  "Cooking For David, A Culinary Dialysis Cookbook" for renal and renal diabetic dialysis patients and their caregivers in September 2000.  This modern and up-to-date dialysis cookbook is filled with helpful information on food composition, food trade-offs, cooking tips, favorite recipe modifications, portions and menus, as well as 160 culinary recipes to cook at home.  The recipes are simple to follow and were developed by Sara Colman, RD, CDE, Renal Dietitian, Nutrition Educator and Dorothy Gordon, BS, RN.

In April of 2003, Culinary Kidney Cooks launched its second successful product for the kidney disease community: our "Food Pyramid for Healthy Eating with Kidney Disease."  This two-sided color Food Pyramid is designed to be customized for each individual's particular diet needs by a Renal Dietitian in a dialysis clinic setting.  It is available in English and in Spanish.  Please click here for more information on this exciting new product to benefit the dialysis community! 

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Tuesday, November 16, 2010

Hospital care fatal for some Medicare patients - USATODAY.com

An estimated 15,000 Medicare patients die each month in part because of care they receive in the hospital, says a government study released today.

The study is the first of its kind aimed at understanding "adverse events" in hospitals — essentially, any medical care that causes harm to a patient, according to the Department of Health and Human Services' Office of Inspector General.

Patients in the study, a nationally representative sample that focused on 780 Medicare patients discharged from hospitals in October 2008, suffered such problems as bed sores, infections and excessive bleeding from blood-thinning drugs, the report found. The federal Agency for Healthcare Research and Quality called the results "alarming."

"Reducing the incidence of adverse events in hospitals is a critical component of efforts to improve patient safety and quality care" in the U.S., the inspector general wrote.

The findings "tell us exactly what some of us have been afraid of, that we have not made much progress," said Arthur Levin, director of the independent Center for Medical Consumers and a member of an Institute of Medicine committee that wrote a landmark 1999 report on medical errors. "What more do we have to do to make sure that sick people can rest assured that they're not going to be harmed by the care they're getting?"

Among the findings in the report obtained by USA TODAY:

•Of the 780 cases, 12 patients died as a result of hospital care. Five were related to blood-thinning medication.

Two other medication-related deaths involved inadequate insulin management resulting in hypoglycemic coma and respiratory failure resulting from oversedation.

•About one in seven Medicare hospital patients — or about 134,000 of the estimated 1 million discharged in October 2008 — were harmed from medical care.

•Another one in seven experienced temporary harm because the problem was caught in time and reversed.

About 47 million Americans are enrolled in Medicare, a government health insurance program for people 65 and older and those of any age with kidney failure.

The adverse events found in the study weren't necessarily due to medical mistakes, said Lee Adler, a University of Central Florida medical professor who was involved in the study. For example, he said, an allergic reaction to a penicillin injection is an adverse event, but it's a medical error only if the patient's allergy was known prior to the shot.

Among the problems identified in the report were Medicare patients who had excessive bleeding following surgery or a procedure. For example, one patient had excessive bleeding after his kidney dialysis needle was inadvertently removed, which resulted in circulatory shock and an emergency insertion of a tube to allow breathing.

When the tube was removed the next day, the patient inhaled foreign material into his lungs and needed lifesaving medical help, the report said.

Peter Pronovost of Johns Hopkins University, co-author of the book Safe Patients, Smart Hospitals, said medical mistakes are "an enormous public- health problem."

"We spend two pennies trying to deliver safe health care for every dollar we spent trying to develop new genes and new drugs," Pronovost said. "We have to invest in the science of health care delivery."

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The Renal Gourmet

Mardelle Peters, better known as the Renal Gourmet, has developed a delightful renal cookbook that is especially helpful for the new kidney patient. Since she felt that most renal cookbooks were too clinical, Mrs. Peters set out to write a cookbook that is not only nutritionally accurate, but fun to read as well. Having been on hemo-dialysis for over ten years, Mardy is able to share her feelings, frustrations and optimism with a light hearted look at life while on an artificial kidney machine.

 

The culinary recipes she has collected over the years are favorites among her family, friends and fellow dialysis patients. All of the recipes have been carefully calculated for nutritional values and have been reviewed and analyzed by three top professionals in the field of nephrology. Many of the recipes contained in The Renal Gourmet cookbook are named after friends and family.

    There are over two hundred and fifty delicious recipes which have low to medium amounts of potassium, phosphorus, and protein; all of which are included in the recipe. Everything from appetizers & desserts, to candy are included in this one hundred and ninety six page book.

    Mardelle shows us how to use herbs, spices, flavored vinegars, wine, and a variety of fruit to create wonderful meals without the use of salt. No need to cook separately for the kidney patient, because these recipes are definitely not diet-like.

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HOW TO: Turn Your Expertise Into Dollars Online - Yahoo! News

Darren Waddell is vice president of marketing at MerchantCircle.com. He can be found on the MerchantCircle blog and on Twitter.

Every time you search for a topic online these days, it seems a few webpages pop up with advice from "experts." Whether these websites are pages on Yahoo Answers, medical information sites or part of a community of small businesses like Yelp, they’ve become increasingly important sources of information for web searchers looking for answers to specific questions.

If you are an expert in something, you can offer your advice online -- and turn that expertise into dollars. Small business owners are especially good candidates to become online experts, because they know their industries inside and out. Millions of small business owners have turned to blogging, writing articles, sharing tips on Q&A sites, and participating in forums as a way to drive traffic to their websites and build business credibility.


Expertise Pays


Small business owners possess a wealth of knowledge about their industry or sector, and when they share this knowledge with Internet searchers, it lends credibility to their business and attracts new customers. Blogging is a key medium for sharing your expertise. The most recent Merchant Confidence Index, a survey of 10,000 small business owners conducted by my company found that nearly 30% are blogging and 35% plan to blog in the next three months. Those who are blogging have found that creating impactful content that people can find online is one of the best marketing tools available -- and it’s free. According to data published by Internet marketing firm HubSpot, companies that blogged realized 55% more visitors to their site, 97% more inbound links and 434% more indexed pages.

Michele Gorham, owner of the Andover, Mass.-based Cookie Central bakery, is one small business owner who has turned her expertise into dollars online. She has created hundreds of blog entries about how to build a business, run a bakery, and other helpful topics; and she continuously answers customers’ direct questions through various social media platforms, including Facebook, Twitter and Yelp. Because of Gorham’s rich content contributions, her listings on various sites are highly trafficked and regularly found by search engines -- generating more sales for her business.


Getting Started


So what’s the first step if you want to start creating expert content online? The first thing you need to do is think about the topics you want to write about. What advice can you offer that would be useful to your potential customers? What are you knowledgeable about? Make a list of the topics you’d like to write about.

Next, you’ll need to develop a voice for your content. The most successful expert content is straightforward, informative, backed up with examples and research, and helpful to those who’ve searched for a specific term. Your articles should not be self serving. For example, if you're a mechanic, don't write an article that advises that the best way to fix a carburetor is to come into your shop and pay you to fix it. Instead, offer practical, step-by-step advice that can actually help someone with a problem. At the end of your article, you can add a gentle plug for your business and add your URL; don’t turn the article into an advertisement.

After you’ve written your article or blog post, you need to publish it online, and there are lots of options. Your goal should be to get the most exposure possible for your article, to drive traffic to your business website. You can publish your article on a personal, business or community blog, then add links to your article on your LinkedIn, Facebook and Twitter accounts. You can answer an open question on Q&A sites, or pose your own and then go back and answer it. Remember, though, that if consumers like your advice but can’t find you, your efforts are being wasted. So make sure to create a detailed listing on local business sites, some of which will let you answer customers’ questions directly or publish your expertise via a blog or newsletter, and make sure you have your own web site. Also, fully fill out all profile information on any sites you utilize.

Some sites, such as Associated Content or Demand Media, pay experts a small sum to write topical articles, then syndicate that content to online newspapers and other websites. Demand Media pays up to $15 for a 500 word article. Other “citizen journalism sites,” like Examiner, pay based on page views. You won’t make millions by creating content for these pay-to-write companies, but if you blog regularly, your content will show up more regularly in searches for related topics, and you’ll build credibility in your industry -- which is much more valuable than a few dollars.

In fact, most places where experts contribute their expertise online -- blogs, forums, Q&A sites, and business directories -- don’t pay contributors. But, as a small business owner, it’s still incredibly valuable to share your expert advice online, because your content builds exposure for your business, and that drives more people to your website and increases revenues long-term.


Making Sure your Content is Discovered


Wherever you decide to publish your articles, make sure the site is credible. The site should be populated by experts, such as small business owners or service providers with professional storefronts. Or if it’s your own blog, make it informative and professional -- a useful site that your target customers will turn to again and again for information. For example, if you are a real estate professional, you could create a blog with inside information about a particular neighborhood, detailing not just houses for sale, but information on local schools, city government initiatives, community events, local businesses, and other things of interest to people living in that area. Such a site not only builds your credibility as a real estate agent, but delivers a valuable service to your potential customers that keeps them coming back for more.

To get your content found, make sure the sites you post it on optimize content for search engines. Embed links in your articles, and link to your articles from other places on the web as much as possible. Add links to the article on your Facebook, Twitter, LinkedIn and other social networking sites, as well as on your online business directory listings pages.

The bottom line: the quality of the expert content you produce online is critical to how well it works to build your credibility and boost business leads in the real world. If your articles are helpful and informative, they’ll be read and passed along, and that will increase the visibility of your content and your business. Offer helpful advice, and you’ll see how quickly your expertise is rewarded with new business leads.


More Business Resources from Mashable:


- 5 Lessons Madison Avenue Can Learn From Startups
-
Why the Best Online Marketing May Be Headed Offline
-
HOW TO: Get the Most From a Small Business Social Media Presence
-
HOW TO: Run Location-Based Google Ads
-
What’s the Value in a Brand Name?

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Monday, November 15, 2010

Bernadette Evans - the best thing about being a Community Nurse

Bernadette explains how and why she became a nurse, the importance of working your way up in nursing, and what you should expect if you’re thinking of finding a job overseas as a nurse.

What is your current nursing job?
I work for a Cancer Charity Organisation. My job title is Senior Sister Community.


You’re an experienced nurse and healthcare professional. Tell us how you feel the industry has changed in your years in it.
The care industry seems to be more technical and geared towards documentation. Senior staff now appear to be less hands-on (and I prefer to be hands-on) and I feel that there are too many policies and not enough care direct. I think it's down to increasing legislation in the care sector.


What made you want to leave your job in banking to become an auxilliary nurse in the early nineties?
I felt I had something to offer. But I didn’t want to commit myself to train to become a qualified nurse without knowing I was going to enjoy the profession. So I found a job as an auxilliary nurse first. A little like trying it out before signing up.


That makes sense to us. So, do you remember your first day at work in healthcare?
I do. Yes, I remember that I worked on a really good ward. They made me feel part of the team which was great. Whether you were the sister or the domestic we all felt important. I was told that the team on the ward consisted of domestic to ward manager and everyone had their say to make it safe and comfortable for the patient.


What’s the best thing about being a community nurse?
For me it’s simple: it’s the direct patient care, the one-to-one nursing care we can provide.


You’ve worked for a number of PCTs. What are the key differences between working for the NHS and then organisations outside of the public sector?
The main differences between public and private industry is that deadlines are tighter in private industry and, I must admit, more professional. The public industry is more 'laid back' probably as the organisation is so much bigger.


You’ve used your nursing skills to find work overseas. This is one of the advantages of this industry. How did you find your time working outside of the UK?
Working abroad as a nurse is very different to the UK. Of course it depends on where you are, but in some countries the standards are very low and care is not as passionate. Where I work, in Cyprus, the shortage of nurses doesn’t help the industry as nurses tend to dictate what they do and don't do. It has really opened my eyes. I’ll never run the NHS down again! It's far superior to anywhere else I’ve worked as a nurse overseas.


Is there such a thing as a typical day as a community nurse?
Yes, every day there are not enough hours to care for the amount of patients! I need to say though that it’s really enjoyable and rewarding knowing that you have helped or even just given patients some company and care for the day.


What would you say to someone who is wondering whether to become a nurse - what should they expect?
I think that all new staff should start at the bottom of the scale and see if they like the profession first. Being an Auxiliary Nurse opened the pathway to my career and I have never looked back. Starting at the bottom gave me insight into all aspects of the role of a nurse, and how nursing staff fit into the team.

It also gives you knowledge of who can do what and when. I also know all the scams and who does what! I don't think anyone should just 'become a nurse'. By that I mean you have to WANT to be a nurse, and work with passion.

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Doctors who order tests for their own financial gain-KevinMD.com

Doctors who order tests for their own financial gain

6 comments

in Physician practice

by Kohar Jones, MD

“What a shame,” said my eighty eight year old Armenian grandmother, shaking her head with sorrow, and I had to agree. “US officials charge 73 people, mostly Armenians, over a massive fraud against the country’s medical insurance system,” read the BBC headline.

A (mostly) Armenian crime syndicate set up 115 sham clinics in the United States, using real doctors’ names and real patient information, stolen from different systems, to generate false Medicare claims.

Dermatologists examined hearts.  ENT doctors performed pregnancy ultrasounds. (And Medicare beneficiaries, it must be noted, are usually past child-bearing age.)

At some point, $35 million later, someone noticed the discrepancies. How broken is our health care payment system that an interstate, international mafia could steal $35 million from US taxpayers via false Medicare claims? How broken is our health care payment systems than an upstart Armenian mafia would even decide that Medicare should become the new black market, filled with low-hanging fruitful ways to make an easy buck? Whatever gave them the idea?

Perhaps they learned from low-level not-quite-gangsters racketeering their way to easy profits—the real doctors in real storefront clinics seeing real patients, for example, who happen to have high blood pressure– performing EKGs every three months for no good medical reason. Should we call it a scam when real doctors refer real patients to the imaging sites down the road in which the doctors have partial ownership, to perform imaging studies for no strong medical indication? How might this contribute to a “massive fraud” of medical overutilization?

The Armenian Medicare Mafia brings shame to my ethnicity. Doctors who order for their own financial gain, I believe, bring shame to my profession.

Three cheers for shame-free doctoring! Let us give patients what patients need, no less and certainly no more.

Kohar Jones is a family physician who blogs at Progress Notes.

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856-415-9617, (fax) 415-9618

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