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Thursday 4 June 2015

Insulin Resistance Predicts a Variety of Age-related Diseases

Posted by Admin
In the last post, I reviewed a study by Gerald Reaven's group showing that insulin resistance strongly predicts the risk of cardiovascular disease over a 5-year period.  In 2001, Reaven's group published an even more striking follow-up result from the same cohort (1).  This study shows that not only does insulin resistance predict cardiovascular disease risk, it also predicts a variety of age-related diseases, including hypertension, coronary heart disease, stroke, cancer, type 2 diabetes, and even overall mortality risk.

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Friday 29 May 2015

Insulin Resistance Strongly Predicts Cardiovascular Disease Risk

Posted by Admin
I recently came across a very interesting paper by the research team of Gerald Reaven, an endocrinologist at Stanford.  He has long been one of the leading researchers studying insulin resistance, the metabolic syndrome, and their association with obesity.  Reaven's research, and that of many others, suggests that insulin resistance is a central part of the constellation of metabolic disturbances that are so common in affluent nations*.  We also have good reason to believe that it contributes to cardiovascular risk.

All the way back in 1998, Reaven's group published a paper that should raise the eyebrows of anyone interested in cardiovascular health (1).

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Friday 15 May 2015

Food Reward Friday

Posted by Admin
This week's lucky "winner"... Hardee's Most American Thickburger!!



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Wednesday 13 May 2015

Recent Interviews

Posted by Admin
Here are two recent interviews I'd like to share with readers:

Danny Lennon of Sigma Nutrition

Danny Lennon is an evidence-based nutrition coach who publishes a podcast called Sigma Nutriton Radio.  We had a nice conversation about why we overeat, including energy homeostasis and the personal economics of food choice.  The podcast has a high production value.  You can listen to the interview here.

Angelo Coppola of Latest in Paleo

Angelo Coppola and I hit it off recently due to our mutual interests in gardening and self-reliance.  We recently had a nice conversation about hunter-gatherer dietary patterns, the personal economics of food choice, US diet history, legumes and the Paleo diet, and how much meat we should eat.  You also get to hear a personal story about the only existing video of me as a child (that I'm aware of).  This one also has a high production value.  You can listen to it here.

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Monday 27 April 2015

New Study Strengthens the Case that LDL Causes Heart Disease

Posted by Admin
There is little remaining doubt in the scientific/medical community that high levels of LDL, so-called "bad cholesterol", cause heart disease.  Yet in some alternative health circles, the debate continues.  A new study adds substantially to the evidence that LDL plays a causal role in heart disease.

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Wednesday 22 April 2015

Do Slower-digesting Carbohydrates Make Us Feel More Full?

Posted by Admin
One of the most common pieces of advice in the health-nutrition world is that we should focus our carbohydrate intake on slowly-digesting carbohydrates, because they make us feel more full than rapidly-digesting carbohydrates.  Rapidly-digesting carbohydrates, such as potatoes, stand accused of causing us to overeat, resulting in obesity, diabetes, and many other chronic ailments.  Is this true?
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Friday 17 April 2015

Food Reward Friday

Posted by Admin
This week's "lucky" winner... bacon fried Oreos!!


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Tuesday 7 April 2015

OMG! CANCER PREVENTION DIET FOR CHILDREN, ADULT, AND NURSING MOTHERS

Posted by Admin
Whether you have a history of cancer in your family, or are currently battling the disease, lifestyle factors, including your diet, can make a huge difference in helping you fight off cancer. Some foods actually increase your risk of cancer, while others support your body and strengthen your immune system. By making smart food choices, you can protect your health, feel better, and boost your ability fight off cancer and other diseases.

The link between cancer and diet

Not all health problems are avoidable, but you have more control over your health than you may think. Research shows that a large percentage of cancer-related deaths are directly linked to lifestyle choices such as smoking, drinking, a lack of exercise, and an unhealthy diet. Avoiding cigarettes, limiting alcohol, reaching a healthy weight, and getting regular exercise are a great start to preventing cancer. But to best support your health, you also need to look at your eating habits.

What you eat—and don’t eat—has a powerful effect on your health, including your risk of cancer. Without knowing it, you may be eating many foods that fuel cancer, while neglecting the powerful foods and nutrients that can protect you. For example, a daily serving of red or processed meat increases your risk of colorectal cancer by 21 percent, whereas eating whole soy foods such as tofu or edamame can help reduce your risk of breast cancer. Every 35 grams of dairy protein you consume each day can increase your risk of prostate cancer by 32 percent, while eating more fruits and vegetables can lower your risk for a variety of common cancers. By making small changes to your diet and behaviors, you can lower your risk of disease and possibly even stop cancer in its tracks.

The controversy over GMOs, pesticides and the risk of cancer

Genetically Modified Organisms (GMOs) are plants or animals whose DNA has been altered in ways that cannot occur in nature or in traditional crossbreeding, most commonly in order to be resistant to pesticides or produce an insecticide. While the U.S. Food and Drug Administration (FDA) and the biotech companies that engineer GMOs insist they are safe, many food safety advocates point out that these products have undergone only short-term testing to determine their effects on humans.

Some animal studies have indicated that consuming GMOs may cause certain types of cancer. Since most GMOs are engineered for herbicide tolerance, the use of toxic herbicides like Roundup has substantially increased since GMOs were introduced. Some studies have indicated that the use of pesticides even at low doses can increase the risk of certain cancers, such as leukemia, lymphoma, brain tumors, breast cancer, and prostate cancer. However, research into the link between GMOs, pesticides, and cancer remains inconclusive.

If you're in doubt about GMOs and pesticides, buy organic or local foods
In most countries, organic crops contain no GMOs and organic meat comes from animals raised on organic, GMO-free feed. Locally grown produce is less likely to have been treated with chemicals to prevent spoilage.

For more, read Are Organic Foods Right for You?


Cancer prevention diet tip #1: Focus on cancer-fighting fruits and vegetables

Why fruits and vegetables are cancer-fighting powerhouses
It comes down to this: Fruit and vegetables have less fat, more fiber, and more cancer-fighting nutrients. These three elements work together to support your immune system and help your body fight off cancer.  Currently, most people are falling short of the recommended daily minimum of five servings of fruit and vegetables. In fact, most of us need to double the amount we currently eat to stay healthy and help prevent or fight cancer.

While there’s no single food you can eat to prevent or fight cancer on its own, a balanced plant-based diet filled with a variety of vegetables, fruits, soy, nuts, whole grains, and beans can help lower your risk for many types of cancer. Eating a colorful variety gives you the best protection. Plant-based foods are rich in nutrients that boost your immune system and help protect against cancer cells. Fruits and vegetables are the best sources of antioxidants such as beta-carotene, vitamin C, vitamin E, and selenium. These powerful vitamins can protect against cancer and help the cells in your body function optimally.

There is also evidence that plant-based foods may be effective at preventing specific cancers. For example:

Diets high in fruit may lower the risk of stomach and lung cancer.
Eating vegetables containing carotenoids, such as carrots, Brussels sprouts, and squash, may reduce the risk of lung, mouth, pharynx, and larynx cancers.
Diets high in non-starchy vegetables, such as broccoli, spinach, and beans, may help protect against stomach and esophageal cancer.
Eating oranges, berries, peas, bell peppers, dark leafy greens and other foods high in vitamin C may also protect against esophageal cancer.
Foods high in lycopene, such as tomatoes, guava, and watermelon, may lower the risk of prostate cancer.
The less processed these plant-based foods are—the less they’ve been cooked, peeled, mixed with other ingredients, stripped of their nutrients, or otherwise altered from the way they came out of the ground—the better.

How to add more cancer-fighting fruits and veggies to your diet

There are many ways to add plant-based foods to your diet. A nice visual reminder is to aim for a plate of food that is filled at least two-thirds with whole grains, vegetables, beans, or fruit. Dairy products, fish, and meat should take up no more than a third of the plate.

Keep in mind that you don’t need to go completely vegetarian. Instead, focus on adding “whole” foods, which are foods close to their original form. Just as important, try to minimize or reduce the amount of processed foods you eat. Eat an apple instead of drinking a glass of apple juice, for example. Or enjoy a bowl of oatmeal with raisins instead of an oatmeal raisin cookie.

Breakfast: Add fruit and a few seeds or nuts to your whole grain breakfast cereal (such as oatmeal).
Lunch: Eat a big salad filled with your favorite beans and peas or other combo of veggies. Always order lettuce and tomato (plus any other veggies you can) on your sandwiches, which should be made with whole grain bread. Have a side of veggies like cut up carrots, sauerkraut, or a piece of fruit.
Snacks: Fresh fruit and vegetables. Grab an apple or banana on your way out the door. Raw veggies such as carrots, celery, cucumbers, jicama, peppers, etc. are great with a low-fat dip such as hummus. Keep trail mix made with nuts, seeds, and a little dried fruit on hand.
Dinner: Add fresh or frozen veggies to your favorite pasta sauce or rice dish. Top a baked potato with broccoli and yogurt, sautéed veggies, or with salsa. Replace creamy pasta sauces with sautéed vegetables or tomato sauce made with healthy olive oil. Try replacing meat with beans or soy products.
Dessert: Choose fruit instead of a richer dessert. Or a single square of dark chocolate.
Cancer prevention diet tip #2: Fight cancer with fiber

Another benefit of eating plant-based foods is that it will also increase your fiber intake. Fiber, also called roughage or bulk, is the part of plants (grains, fruits, and vegetables) that your body can’t digest. Fiber plays a key role in keeping your digestive system clean and healthy. It helps keep food moving through your digestive tract, and it also moves cancer-causing compounds out before they can create harm. Eating a diet high in fiber may help prevent colorectal cancer and other common digestive system cancers, including stomach, mouth, and pharynx.

Fiber is found in fruits, vegetables, and whole grains. In general, the more natural and unprocessed the food, the higher it is in fiber. There is no fiber in meat, dairy, sugar, or “white” foods like white bread, white rice, and pastries.

Tips for adding more cancer-fighting fiber to your diet:

Use brown rice instead of white rice
Substitute whole-grain bread for white bread
Choose a bran muffin over a croissant or pastry
Snack on popcorn instead of potato chips
Eat fresh fruit such as a pear, a banana, or an apple (with the skin)
Have a baked potato, including the skin, instead of mashed potatoes
Enjoy fresh carrots, celery, or bell peppers with a hummus or salsa, instead of chips and a sour cream dip
Use beans instead of ground meat in chili, casseroles, tacos, and even burgers (bean burgers can taste great)
Drink plenty of water. Fiber absorbs water so the more fiber you add to your diet, the more fluids you should drink. Water is also essential for fighting cancer. It stimulates the immune system, removes waste and toxins, and transports nutrients to all of your organs.
Cancer prevention diet tip #3: Cut down on meat

Research shows that vegetarians are about fifty percent less likely to develop cancer than those who eat meat. So what’s the link between meat and cancer risk? First, meat lacks fiber and other nutrients that have been shown to have cancer-protective properties. What it does have in abundance, however, is fat—often very high levels of saturated fat. High-fat diets have been linked to higher rates of cancer.  In the U.S., non-organic meat and poultry may also contain antibiotics and hormones and the animals may have been raised on feed containing GMOs. Finally, depending on how it is prepared, meat can develop carcinogenic compounds.

Making healthier meat and protein choices

You don’t need to cut out meat completely and become a vegetarian. But most people consume far more meat than is healthy. You can cut down your cancer risk substantially by reducing the amount of animal-based products you eat and by choosing healthier meats.

Keep meat to a minimum. Try to keep the total amount of meat in your diet to no more than fifteen percent of your total calories. Ten percent is even better.
Eat red meat only occasionally. Red meat is high in saturated fat, so eat it sparingly.
Reduce the portion size of meat in each meal. The portion should be able to fit in the palm of your hand.
Use meat as a flavoring or a side, not the main focus of a meal. You can use a little bit of meat to add flavor or texture to your food, rather than using it as the main element.
Add beans and other plant-based protein sources to your meals.
Choose leaner meats, such as fish, chicken, or turkey.
Avoid processed meats such as hotdogs, sausage, deli meats, and salami.
Select organic meat. Organic livestock must have access to the outdoors and be given organic feed, free of GMOs. They may not be given antibiotics, growth hormones, or any animal-by-products.
See Good Ways to Get Quality Protein for more healthy meat and protein choices.

Cancer prevention diet tip #4: Choose your fats wisely

A major benefit of cutting down on the amount of meat you eat is that you will automatically cut out a lot of unhealthy fat. Eating a diet high in fat increases your risk for many types of cancer. But cutting out fat entirely isn’t the answer, either. In fact, some types of fat may actually protect against cancer. The trick is to choose your fats wisely and eat them in moderation.

Fats that increase cancer risk – The two most damaging fats are saturated fats and trans fats. Saturated fats are found mainly in animal products such as red meat, whole milk dairy products, and eggs. Trans fats, also called partially hydrogenated oils, are created by adding hydrogen to liquid vegetable oils to make them more solid and less likely to spoil—which is very good for food manufacturers, and very bad for you.
Fats that decrease cancer risk – The best fats are unsaturated fats, which come from plant sources and are liquid at room temperature. Primary sources include olive oil, canola oil, nuts, and avocados. Also focus on omega-3 fatty acids, which fight inflammation and support brain and heart health. Good sources include salmon, tuna, and flaxseeds.
Tips for choosing cancer-fighting fats and avoiding the bad

Reduce your consumption of red meat, whole milk, butter, and other foods high in saturated fats.
Cook with olive oil instead of regular vegetable oil. Canola oil is another good choice, especially for baking.
Check the ingredient list on food labels and avoid anything with hydrogenated or partially hydrogenated oils, which are usually found in stick margarines, shortenings, salad dressings, and other packaged foods.
Trim the fat off of meat when you do eat it, and avoid eating the skin on poultry.
Choose nonfat dairy products and eggs that have been fortified with omega-3 fatty acids.
Add nuts and seeds to cereal, salads, soups, or other dishes. Good choices include walnuts, almonds, pumpkin seeds, hazelnuts, pecans, and sesame seeds.
Use flaxseed oil in smoothies, salad dressings, or mixed in snacks such as applesauce. But do not cook with flaxseed oil, as it loses its protective properties when heated.
Limit fast food, fried foods, and packaged foods, which tend to be high in trans fats. This includes foods like potato chips, cookies, crackers, French fries, and doughnuts.
Eat fish once or twice a week. Good choices include wild salmon, sardines, herring, and black cod. But be conscious of mercury, a contaminant found in many types of fish.
Cancer prevention diet tip #5: Prepare your food in healthy ways

Choosing healthy food is not the only important factor. It also matters how you prepare and store your food. The way you cook your food can either help or hurt your anti-cancer efforts.

Boosting the cancer-fighting benefits of food

Here are a few tips that will help you get the most benefits from eating all those great cancer-fighting foods, such as fruit and vegetables:

Eat at least some raw fruits and vegetables. These have the highest amounts of vitamins and minerals, although cooking some vegetables can make the vitamins more available for our body to use.
When cooking vegetables, steam until just tender using a small amount of water. This preserves more of the vitamins. Overcooking vegetables removes many of the vitamins and minerals. If you do boil vegetables, use the cooking water in a soup or another dish to ensure you’re getting all the vitamins.
Wash all fruits and vegetables. Use a vegetable brush for washing. Washing does not eliminate all pesticide residue, but will reduce it. Choose organic produce if possible, grown without the use of pesticides or GMOs.
Flavor food with immune-boosting herbs and spices. Garlic, ginger, and curry powder not only add flavor, but they add a cancer-fighting punch of valuable nutrients. Other good choices include turmeric, basil, rosemary, and coriander. Use them in soups, salads, casseroles, or any other dish.
Tips for avoiding carcinogens

Carcinogens are cancer-causing substances found in food. Carcinogens can form during the cooking or preserving process—mostly in relation to meat—and as foods start to spoil. Examples of foods that have carcinogens are cured, dried, and preserved meats (e.g. bacon, sausage, beef jerky); burned or charred meats; smoked foods; and foods that have become moldy. Here are some ways reduce your exposure to carcinogens:

Do not cook oils on high heat. Low-heat cooking or baking (less than 240 degrees) prevents oils or fats from turning carcinogenic. Instead of deep-frying, pan-frying, and sautéing, opt for healthier methods such as baking, boiling, steaming, or broiling.
Go easy on the barbecue. Burning or charring meats creates carcinogenic substances. If you do choose to barbecue, don’t overcook the meat and be sure to cook at the proper temperature (not too hot).
Store oils in a cool dark place in airtight containers, as they quickly become rancid when exposed to heat, light, and air.
Choose fresh meats instead of cured, dried, preserved, or smoked meats.
Avoid foods that look or smell moldy, as they likely contain aflatoxin, a strong carcinogen. Aflatoxin is most commonly found on moldy peanuts. Nuts will stay fresh longer if kept in the refrigerator or freezer.
Be careful what you put in the microwave. Use waxed paper rather than plastic wrap to cover your food in the microwave. And always use microwave-safe containers.
Cancer prevention: The bottom line

Research shows that about a third of the most common cancers are preventable through changes in diet and lifestyle.

10 Ways to Reduce Your Cancer Risk
1. Be as lean as possible without becoming underweight. Weight gain, overweight and obesity increases the risk of a number of cancers, including bowel, breast, prostate, pancreatic, endometrial, kidney, gallbladder, oesophageal, and ovarian cancers.
2. Be physically active for at least 30 minutes every day. Physical activity decreases the risk of colon, endometrial, and postmenopausal breast cancer. As fitness improves, aim for 60 minutes or more of moderate, or for 30 minutes or more of vigorous, physical activity every day.
3. Avoid sugary drinks and limit consumption of energy-dense food. Foods that are high in fats, added sugars, and/or low in fiber, such as many fast and convenience foods, as well as sodas and energy drinks, promote weight gain that is associated with a higher cancer risk.
4. Eat more of a variety of vegetables, fruits, whole grains, and pulses such as beans.
5. Limit consumption of red meats (such as beef, pork and lamb) and avoid processed meats.
6. Limit alcoholic drinks. Limit consumption to no more than two drinks a day for men and one drink a day for women.
7. Limit consumption of salt and avoid moldy grains and cereals. Limit consumption of processed foods with added salt to ensure an intake of less than 2.4g sodium a day. Do not eat moldy cereals (grains) or pulses (legumes).
8. Where possible, aim to meet nutritional needs through diet alone, instead of using supplements to try to protect against cancer.
9. It is best for mothers to breastfeed exclusively for up to 6 months and then add other liquids and foods. Babies who are breastfed are less likely to be overweight as children or adults.
10. After treatment, cancer survivors should follow the recommendations for cancer prevention. Follow the recommendations for diet, healthy weight, and physical activity from your doctor or trained professional.
Source: World Cancer Research Fund International

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BEWARE : Bacteria resistant to antibiotics can not be killed

Posted by Admin
Antibiotic medications are used to kill bacteria, which can cause illness and disease. They have made a major contribution to human health. Many diseases that once killed people can now be treated effectively with antibiotics. However, some bacteria have become resistant to commonly used antibiotics.


Antibiotic resistant bacteria are bacteria that are not controlled or killed by antibiotics. They are able to survive and even multiply in the presence of an antibiotic. Most infection-causing bacteria can become resistant to at least some antibiotics. Bacteria that are resistant to many antibiotics are known as multi-resistant organisms.

Antibiotic resistance can cause serious disease and is an important public health problem. It can be prevented by minimising unnecessary prescribing and overprescribing of antibiotics, the correct use of prescribed antibiotics, and good hygiene and infection control.

Some bacteria are naturally resistant to some antibiotics. For example, benzyl penicillin has very little effect on most organisms found in the human digestive system (gut).

Bacteria resistant to antibiotics

Some bacteria have developed resistance to antibiotics that were once commonly used to treat them. For example, Staphylococcus aureus (‘golden staph’ or MRSA) and Neisseria gonorrhoeae (the cause of gonorrhoea) are now almost always resistant to benzyl penicillin. In the past, these infections were usually controlled by penicillin.

The most serious concern with antibiotic resistance is that some bacteria have become resistant to almost all of the easily available antibiotics. These bacteria are able to cause serious disease and this is a major public health problem. Important examples are methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococcus (VRE) and multi-drug-resistant Mycobacterium tuberculosis (MDR-TB).

Ways to prevent antibiotic resistance

The most important ways to prevent antibiotic resistance are:
Minimise unnecessary prescribing and overprescribing of antibiotics. This occurs when people expect doctors to prescribe antibiotics for a viral illness (antibiotics do not work against viruses) or when antibiotics are prescribed for conditions that do not require them.
Complete the entire course of any prescribed antibiotic so that it can be fully effective and not breed resistance.
Practise good hygiene and use appropriate infection control procedures.
Transmission of antibiotic resistant bacteria in hospitals

The common ways in which bacteria can be passed from person to person include:
contact with contaminated hands of hospital staff
contact with contaminated surfaces such as door handles, over-bed tables and call bells
contact with contaminated equipment, such as stethoscopes and blood pressure cuffs.
Standard precautions for healthcare facilities


Standard precautions in hospitals are work practices that provide a basic level of infection control for the care of all patients, regardless of their diagnosis or presumed infection status.

These precautions should be followed in all hospitals and healthcare facilities and include:
good personal hygiene, such as hand washing before and after patient contact and the appropriate use of alcohol-based hand rub solutions
the use of barrier equipment such as gloves, gowns, masks and goggles
appropriate handling and disposal of sharps (for example, needles) and clinical waste (waste generated during patient care)
aseptic techniques.
Implementing standard precautions minimises the risk of transmission of infection from person to person, even in high-risk situations.

Additional precautions with antibiotic resistant bacteria


Additional precautions are used when caring for patients who are known or suspected to be infected or colonised with highly infectious pathogens (micro-organisms that cause disease).

Micro-organisms may be classed as ‘high risk’ if:
their transmission route makes them more contagious – they may be spread through contact or droplets, or may be airborne
they are caused by antibiotic resistant bacteria
they are resistant to standard sterilisation procedures.
Additional precautions are tailored to the particular pathogen and route of transmission. Additional precautions may include:
use of a single room with ensuite facilities or a dedicated toilet
dedicated patient-care equipment
restricted movement of patient and healthcare workers.
Transmission in the community

Antibiotic resistant bacteria can also be passed from person to person within the community. This is becoming more common.

Ways to prevent transmission of all organisms, including antibiotic resistant bacteria, are:
Wash hands before and after food handling, going to the toilet and changing nappies.
Cover your nose and mouth when coughing and sneezing.
Use tissues to blow or wipe your nose.
Dispose of tissues properly, either in the rubbish or toilet.
Do not spit.
Stay at home if you are unwell and cannot manage your normal requirements of the day.
Do not send children to child care, crèche or school if they are unwell.
If you are prescribed antibiotics, take the entire course – do not stop because you are feeling better.
If you continue to feel unwell, go back to the doctor.
Avoid use of products that advertise they contain antibiotics, or are antibacterial or antimicrobial, unless advised to do so by your health professional.
Where to get help
Your doctor
Pharmacist

Community health centre
Things to remember
Antibiotic resistance is a serious public health problem.
Some bacteria that are capable of causing serious disease are becoming resistant to most commonly available antibiotics.
Antibiotic resistant bacteria can spread from person to person in the community or from patient to patient in hospital.
Careful infection control procedures will minimise spread of these bacteria in hospitals.
Good personal hygiene will minimise spread of these bacteria in the community.
Careful prescribing of antibiotics will minimise the development of more antibiotic resistant strains of bacteria.
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Personal hygiene is the best prevention against all virus... Even ebola

Posted by Admin


Keeping yourself, or someone you are caring for, clean is essential for good health. Poor hygiene can cause skin complaints and infections, and be a source of discomfort and low self-esteem.
How to maintain daily hygiene

To maintain daily personal hygiene, you should make sure:
your hands are washed after you've used the toilet
your genitals and anal area are washed every day
your face is washed daily
you're fully bathed or showered at least twice a week
your teeth are brushed twice a day
It is also important that you have regular dental checks. Find out more about dental treatment for people with special needs.
Help with washing and bathing

For most people, washing is a very private activity. If you are helping someone else wash or bathe, be sensitive and try to maintain their dignity. You may feel awkward and embarrassed, especially at first.
To make bathing and washing as pleasant and comfortable as possible, you might consider:
using pleasant-smelling shampoo, bubble bath or soap
playing music the person you care for likes and is familiar with
if the person you're washing is confused, explaining what's happening as you go along
being sensitive to their mood

Carer's tip from Scope
"If you are caring for someone who won't wash, get involved with activities that are followed by showers – for example, swimming. It may help if they see other people showering. My son only started using the shower and wetting his head because he saw it in a film he was watching."
Maintaining dignity with hygiene

Be aware of the emotional state of the person you care for when helping them wash. For example, some people can be anxious about deep bath water. Adaptations, such as seats or recliners, can help with anxiety. Reassure the person that you won't let them be hurt.
Overhead showers can be frightening to some people. If you have no bath or there is a good reason for using a shower rather than a bath, use a handheld shower.
Ask the person how they would prefer to be helped and allow them as much independence as you think is safe. If they had a routine before you began caring for them, find out what it was and stick to it as much as you can. Find out which shampoo, shower gel or soap they prefer to make the experience more familiar to them.
Many people become self-conscious when undressed in front of others. Be sensitive to the situation and approach it in the way you think is most appropriate. The person you care for may feel isolated if you leave them alone. How you handle this depends on your relationship with them. Have clothes and towels with you so you don't have to leave them alone in the bathroom if they don't want you to.
Safety when washing or bathing

If you or the person you're looking after has limited mobility or problems balancing, make sure:
the floor is not slippery (dry it if necessary)
the room is a comfortable temperature
the water is comfortably warm – older people particularly feel the cold, so bear this in mind when adjusting the temperature
the locks are removed from the door – you or the person you care for may want privacy, but other people may need access in an emergency
If you are caring for someone, protect your own safety – for example, by getting advice on helping someone get in and out of the bath. See more on moving and handling.
Going to the toilet
Going to the toilet (toileting) is an important part of personal hygiene, regardless of whether you or the person you're looking after is able to control their bladder and bowels (continent) or not.
Incontinence can create feelings of shame or embarrassment for both the carer and the person being cared for. Sometimes people may be in denial about their incontinence or refuse to accept help. Reassure them it's not their fault and approach the issue in a calm, reassuring way.
Giving a bed bath
If the person you care for cannot move or has extremely limited mobility, you may need to give them a bed bath. You will need to be extra careful when moving or handling them. Specialist disposable baths are available for people who need a bath where you are put fully in the water.
Getting help with hygiene

If you're finding it difficult to cope with your own or someone else's toileting, washing or general hygiene, contact your local authority, a local carers' organisation, or call the Carers Direct helpline on 0300 123 1053.
The Alzheimer's Society has more tips on helping someone to wash.
Continence services

As many as one in three people have difficulty controlling their flow of urine. And while you may not have a problem controlling your bowel or bladder, a mobility problem can make successfully visiting the toilet difficult.
Continence problems can cause physical problems such as skin irritation and infection, as well as embarrassment and loss of confidence.
Your GP can advise you on NHS services that may help with your continence. They can provide support, advice and information, and may refer you to continence advisers or specialists, occupational therapists, physiotherapists and dietitians.
A continence adviser may be able to provide many small items and other equipment that can help with continence, including:
plastic or PVC covers to protect beds
disposable or washable continence pads
waterproof pants
Your social services department should be able to provide small aids and adaptations for the home, including:
hand rails
commodes
raised toilet seats
You can also buy continence equipment for yourself. The Bladder and Bowel Foundation provides an independent directory of incontinence products.
Laundry services

Some social services departments provide a laundry service for people who have incontinence or bowel and bladder problems. In addition, some local authorities provide laundry services for those who find it difficult to manage their laundry because it is too physically demanding.
You will need to ask your social services department if they provide this service. Your local authority will usually carry out an assessment of your situation to work out what is the best service for you. Some local authorities make a small charge for their laundry service or only launder large items such as bedding.
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We all have flu....... Do a quick check up today

Posted by Admin
                        Introduction

Flu is an infectious and common viral illness spread by coughs and sneezes.
It's not the same as the common cold. Flu is caused by a different group of viruses. Symptoms tend to be more severe and last longer.
You can catch flu – short for influenza – all year round, but it is especially common in winter, which is why it is also known as "seasonal flu".
Flu causes a sudden high temperature, headache and general aches and pains, tiredness and a sore throat. You can also lose your appetite, feel nauseous and have a cough.
Flu symptoms can make you feel so exhausted and unwell that you have to stay in bed and rest until you feel better.
When to see a doctor
If you are otherwise fit and healthy, there is usually no need to see a doctor if you have flu-like symptoms.
The best remedy is to rest at home, keep warm and drink plenty of water to avoid dehydration.
You can take paracetamol or ibuprofen to lower a high temperature and relieve aches.
You should see a doctor if you have flu-like symptoms and you:
are aged 65 or over
are pregnant
have a long-term medical condition such as diabetes, heart disease, lung disease, kidney disease or a neurological disease
have a weakened immune system
This is because flu can be more serious for you, and your doctor may want to prescribe antiviral medication.
Antiviral medicine can lessen the symptoms of flu and shorten its duration, but treatment needs to begin soon after flu symptoms start for it to be effective.
Antibiotics are of no use in the treatment of flu because it is caused by a virus and not by bacteria.

How long does flu last?
If you have flu, you generally start to feel ill within a few days of being infected.
Symptoms peak after two to three days and you should begin to feel much better after a week or so, although you may feel tired for much longer.
You are usually infectious – that is, able to pass flu on to others – a day before your symptoms start and for a further five or six days. Children and people with weaker immune systems, such as cancer patients, may remain infectious for longer.
Elderly people and anyone with certain long-term medical conditions are more likely to have a bad case of flu, and are also more likely to develop a serious complication such as a chest infection.
In the UK, about 600 people a year die from a complication of seasonal flu. This rises to around 13,000 during an epidemic.

Preventing the spread of flu
The flu virus is spread in small droplets of fluid coughed or sneezed into the air by an infected person. These droplets can travel a metre or so and infect anyone within range who breathes them in.
Flu can also spread if someone with the virus transfers it on their fingers. For example, if you have flu and you touch your nose or eyes and then touch someone else, you may pass the virus on to them.
Similarly, if you have flu and touch hard surfaces such as door handles with unwashed hands, other people who touch the surface after you can pick up the infection.

You can stop yourself catching flu or spreading it to others by being careful with your hygiene.
Always wash your hands regularly with soap and water, as well as:
regularly cleaning surfaces such as your computer keyboard, telephone and door handles to get rid of germs
using tissues to cover your mouth and nose when you cough or sneeze
putting used tissues in a bin as soon as possible
You can also help stop the spread of flu by avoiding all unnecessary contact with other people while you're infectious. You should stay off work until you are no longer infectious and you're feeling better.

The flu vaccine
A flu vaccine is available free on the NHS for:
anyone over the age of 65
pregnant women
children and adults with an underlying health condition (particularly long-term heart or respiratory disease)
children and adults with weakened immune systems
It is given as an annual injection to:
adults over the age of 18 at risk of flu (including everyone over 65)
children aged six months to two years at risk of flu
The flu vaccine is also given as an annual nasal spray to:
children aged two to 18 years at risk of flu
healthy children aged two, three and four years old
Despite popular belief, the flu vaccine cannot give you flu as it doesn't contain the active virus needed to do this.
The flu vaccine is available from October each year. If you think you need it, talk to your GP or practice nurse.
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How to prevent and cure ebola permanently

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There's currently no licensed treatment or vaccine for Ebola virus disease, although potential new vaccines and drug therapies are being developed and tested.
Any area affected by an outbreak should be immediately quarantined, and patients confirmed to have Ebola virus disease should be treated in isolation in intensive care.
Hospital care
Dehydration is common, so fluids may be given directly into a vein (intravenously). The patient's blood oxygen levels and blood pressure need to be maintained at the right level and body organs supported, while the patient's body fights the disease and any other infections are treated.
Healthcare workers need to avoid contact with the bodily fluids of their infected patients by taking strict precautions.
Cure
ZMapp
ZMapp is an experimental treatment that can be tried, although it has not yet been tested on humans for safety or effectiveness. The product is a combination of three different antibodies that bind to the protein of the Ebola virus.

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Wednesday 1 April 2015

My Buddy and Me

Posted by Admin
Warning -- Satire -- April Fools Post

I have a sheepish confession to make: until recently, I had a tapeworm, and that's why I'm lean.

In 2006, I took a trip to Mexico with a few friends.  We often traveled through rural areas, and of course sampled the local cuisine wherever we went.  In many parts of Mexico, pork is an important food.  Some of it may have been a bit undercooked.

At the time, my interest in food and health was growing, and I was making many changes to my diet.  I was glad to see the chubbiness around my neck and waist begin to disappear.  The diet was working!  Or so I thought...

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Thursday 26 March 2015

Is Meat Unhealthy? Consolidated links

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Several people have asked for a consolidated list of links to my series on meat and health.  Here it is!  This should make it easier to share.  

Is Meat Unhealthy?  Part I.  Introduction and ethical/environmental considerations.
Is Meat Unhealthy?  Part II.  Our evolutionary history with meat.
Is Meat Unhealthy?  Part III.  Meat and cardiovascular disease.
Is Meat Unhealthy?  Part IV.  Meat and obesity risk.
Is Meat Unhealthy?  Part V.  Meat and type 2 diabetes risk.
Is Meat Unhealthy?  Part VI.  Meat and cancer risk.
Is Meat Unhealthy?  Part VII.  Meat and total mortality.
Is Meat Unhealthy?  Part VIII.  Health vs. the absence of disease.
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Friday 13 March 2015

Food Reward Friday

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This week's lucky "winner"... a bacon hot dog donut, by Krispy Kreme!


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Friday 6 March 2015

Food Reward Friday

Posted by Admin
This week's lucky "winner"... donuts!!

Krispy Kreme donuts being made.  Hopefully this image isn't appetizing enough to make you want donuts.

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Tuesday 3 March 2015

Build Your Own Yogurt Maker, Sous-vide Cooker, and All-purpose Fermenter for $40

Posted by Admin
I make a half gallon of yogurt, twice a month.  I like making my own yogurt for many reasons, but it's a bit of a pain.  Since I make large batches, I can't use a standard yogurt maker.  I often get distracted and over-heat the milk, and the method I use to incubate the yogurt is wildly inefficient (my beloved Excalibur dehydrator).  I also need a constant warm temperature for various other fermentation projects, and that's often difficult to achieve with the tools I have.

I finally found a better solution: a temperature controller that accurately regulates the temperature of a slow cooker by turning an outlet on or off.  I simply set the temperature of the controller, place the temperature probe into the slow cooker, and plug the slow cooker into the temperature controller outlet.  The slow cooker then stays at whatever temperature I want.  Here's what the temperature controller looks like:


Once built, the temperature controller with or without the slow cooker can be used for a variety of other tasks (including regulating cooling devices).  Here are some ideas that come to mind:
  • Sous-vide cooker
  • High-capacity yogurt maker
  • Bread dough riser
  • All-purpose thermophilic fermenter (e.g., for tempeh, natto, koji)
  • Beer/cider/wine fermentation temperature controller
  • Kegerator controller
  • Freezer-to-fridge conversion
  • Egg incubator
  • Soil temperature controller for seed starting
Don't worry, I'm not turning into a food blogger.  But this sous-vide-cooked
chicken I made with my DIY temperature controller was pretty tasty.
I used this recipe from NomNom Paleo.
You can build the whole thing for about $40, including the slow cooker.

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Friday 27 February 2015

Is Meat Unhealthy? Part IX

Posted by Admin
Welcome to the last post in the series.  Time to summarize and wrap it up!

Respect

I respect each person's right to choose the diet they prefer.  This includes vegetarians and vegans, particularly because most of them make daily sacrifices to try to make the world a better place for all of us.  I'm an omnivore, but I sympathize with some of the philosophy and I often eat beans or lentils instead of meat*.

Our history with meat

Our ancestors have probably been eating some form of meat continuously for at least two hundred million years.  However, the quantity has waxed and waned.  The first mammals were probably largely carnivorous (insectivores).  Yet our primate ancestors went through a 60-million-year arboreal phase, during which we probably ate fruit, leaves, seeds, insects, and perhaps a little bit of vertebrate meat.  We only outgrew this phase in the last few million years, when we developed the tools and the brains to pursue prey more effectively.

During our 2.6 million-year stint as hominin hunter-gatherers, we ate an omnivorous diet, although we really have very little idea how much meat it contained (it probably varied by time and place).  Historical and contemporary hunter-gatherer cultures are all omnivorous, and typically eat significant to substantial quantities of meat, suggesting that our ancestors may have done the same.  Non-industrial agricultural populations eat as much meat as they can get, although they usually can't get as much as hunter-gatherers.

If there is such thing as a natural human diet, it is clearly omnivorous.

Meat, obesity, and chronic disease

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Monday 23 February 2015

We Do Science Interview

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I recently did an interview with Laurent Bannock, an expert in sport and exercise nutrition.  His podcast We Do Science has rapidly become quite popular, due to Laurent's credibility and the interesting guests he interviews.  We covered body composition, metabolically healthy obesity, the relationship between BMI and mortality, calorie counting, body fat regulation, and other related topics.

If you've already listened to several of my interviews and are starting to find them repetitive, you might enjoy this one because we cover some new ground.  Laurent was a gracious host.  Follow the link below to listen:

Neurobiology of Obesity, with Stephan Guyenet
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Friday 20 February 2015

Food Reward Friday

Posted by Admin
This week's lucky "winner"... the Cinnabon cinnamon roll!!!

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Monday 16 February 2015

Can High-Fiber Foods Fight the Metabolic Syndrome?

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The metabolic syndrome (MetSyn) is a cluster of signs including abdominal obesity, insulin resistance, high blood pressure, and blood lipid disturbances.  MetSyn is the quintessential modern metabolic disorder, and it affects about one third of Americans.  Many MetSyn diets recommend eating high-fiber foods, and research on the role of the gut microbiota in body weight and health tends to support this recommendation.  Yet these diets are complex, so it's difficult to attribute positive effects to the high-fiber foods specifically, and some people have questioned the benefits of dietary fiber.  Do high-fiber foods really improve MetSyn and promote weight loss?

The study

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Friday 13 February 2015

Is Meat Unhealthy? Part VIII

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Health can be defined as the absence of disease, and that is the lens through which we've been examining meat so far.  However, most of us have a broader view of health that also includes optimal growth and development, physical and mental performance, well-being, fertility, immunity, robustness, and resilience.  What role does meat play in this broader view of health?

Non-industrial cultures

One of the things I keep coming back to in this series is the strong natural affinity that our species has for meat.  Every culture that does not prohibit meat consumption for religious reasons (e.g., Indian Hindus) seeks and eats meat avidly.

A key fact that stands out from my recent conversations with anthropologists is that hunter-gatherers and subsistence agriculturalists place a high value on meat, even if they already have regular access to it.  Here's an excerpt from a paper by Kim Hill, Magdalena Hurtado, and colleagues (1):
Observations of the exchange rate between other foragers and their agricultural neighbors indicate that meat is worth much more than carbohydrate calories (e.g., Hart 1978; Peterson 1981). Hart, in his study of exchanges of meat and casava between Pygmy foragers and neighboring agriculturalists, found that approximately four and one half times as many calories of casava were exchanged for each calorie of meat given. In addition, it appears that almost everywhere in the world meat calories from domestic animals are probably expensive to produce relative to plant calories, and yet subsistence farmers continue to use at least some of their "cheap" plant calories to produce "expensive" animal calories (see Harris 1985 for discussion)
Why do humans around the globe value meat so much?  This strongly suggests that we've evolved an affinity for meat because eating it provides a reproductive advantage.  In other words, meat may increase our "Darwinian fitness".

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Friday 30 January 2015

Food Reward Friday

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This week's lucky "winner"... the KFC Double Down Dog!!


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Tuesday 27 January 2015

Is Meat Unhealthy? Part VII

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Looking at individual diseases is informative, but it can cause us to become myopic, making broad health-related decisions based on narrow information.  It can cause us to miss the forest for the trees.  In this case, the "trees" are individual diseases and the "forest" is total mortality: the overall risk of dying from any cause.  Does eating meat increase total mortality, shortening our lifespans?

Non-industrial cultures

Traditionally-living cultures such as hunter-gatherers and non-industrial agriculturalists are not the best way to answer this question, because their mean lifespans tend to be short regardless of diet.  This is due to ~30 percent infant mortality, which drags down the average, as well as a high risk of death in adulthood from infectious disease, accidents, and homicide/warfare.  It can also be difficult to accurately measure the age of such people, although there are reasonably good methods available.

However, there are semi-industrialized cultures that can help us answer this question, because they feature a somewhat traditional diet and lifestyle, combined with modern medicine and the rule of law.  The so-called Blue Zones, areas of exceptional health and longevity, fall into this category.  These include Sardinia, Italy; Okinawa, Japan; Loma Linda, California; Nicoya Peninsula, Costa Rica; and Icaria, Greece.

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Friday 23 January 2015

Food Reward Friday

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This week's lucky "winner"... barbecue ribs!!


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Thursday 15 January 2015

Does high protein explain the low-carb "metabolic advantage"?

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In 2012, David Ludwig's group published a paper that caused quite a stir in the diet-nutrition world (1).  They reported that under strict metabolic ward conditions, weight-reduced people have a higher calorie expenditure when eating a very low carbohydrate diet (10% CHO) than when eating a high-carbohydrate diet (60% CHO)*.

In other words, the group eating the low-carb diet burned more calories just sitting around, and the effect was substantial-- about 250 Calories per day.  This is basically the equivalent of an hour of moderate-intensity exercise per day, as Dr. Ludwig noted in interviews (2).  The observation is consistent with the claims of certain low-carbohydrate diet advocates that this dietary pattern confers a "metabolic advantage", allowing people to lose weight without cutting calorie intake-- although the study didn't actually show differences in body fatness.

In Dr. Ludwig's study, calorie intake was the same for all groups.  However, the study had an important catch that many people missed: the low-carbohydrate group ate 50 percent more protein than the other two groups (30% of calories vs. 20% of calories).  We know that protein can influence calorie expenditure, but can it account for such a large difference between groups?

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Wednesday 7 January 2015

Is Meat Unhealthy? Part VI

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In this post, I'll examine the possible relationship between meat consumption and cancer risk.

Is cancer risk even modifiable?

Cancer is caused by the uncontrolled division of a population of rogue cells in the body.  These cells essentially evolve by natural selection to escape the body's multiple anti-cancer mechanisms.  

To a large extent, cancer appears to be a numbers game.  The human body contains about 37 trillion cells.  To get cancer, all you need is one cell that develops key mutations that allow it to shed its built-in restrictions on cell division.  The older you are, the more time you have to accumulate mutations, explaining why cancer risk rises sharply with age.

Unlike other common non-communicable diseases, we don't know to what extent cancer is caused by modifiable diet and lifestyle factors vs. bad luck that's completely outside our control.  Some cancers, such as lung cancer, are typically linked to lifestyle factors like cigarette smoking-- yet the majority of cancers aren't so easily understood.
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Friday 2 January 2015

Food Reward Friday

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This week's lucky "winner"... croissants!!


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