Wednesday, November 23, 2011

Thanksgiving Day Tips

With more than 45 million turkeys cooked every Thanksgiving, following the right food safety steps can keep a family feast from turning into a fiasco. According to the CDC, one in six Americans is stricken with food poisoning every year, resulting in 128,000 hospitalizations and 3,000 deaths. What’s more, poultry is a leading cause, including a recent outbreak of multi-drug resistant salmonella that sickened people in 26 states, leading to a recall of millions of pounds of Cargill ground turkey.

To stay safe as celebrate Thanksgiving, watch out for these common mistakes:

13 Worst Foodborne Illness Outbreaks in U.S. History.

1. Thawing a frozen turkey on the counter.
Food safety experts warn that improper thawing is the #1 blunder in preparing a holiday bird. Leaving frozen poultry (or meat) out to thaw is dangerous because the outer layer of the food reaches the “danger zone” of 40 to 140 °F — allowing food-borne germs to multiply rapidly, reports the USDA, which recommends 3 safe thawing methods:

•In the fridge: Plan ahead, because you need to allow 24 hours for each 4 to 5 pounds to thaw in a refrigeration set at 40 °F or below. A thawed turkey can safely remain in the refrigerator for 1 to 2 days before cooking.
•Cold water thawing: Place the turkey in a leak-proof plastic bag to avoid cross-contamination, then submerge the turkey in cold water. Change the water every half hour. Allow 30 minutes of thawing per pound.
•Microwave thawing: Follow the manufacturer’s instructions for defrosting turkey. Plan on cooking the bird immediately afterwards, the USDA cautions, because the bird may have developed warm areas that could be a breeding ground for bacteria.
2. Washing the turkey.
While rinsing the outside of your turkey in the sink before cooking may seem hygienic, the problem with this practice is that food-borne pathogens are often embedded in the bird’s skin. When water hits the turkey, the germ-laced vapor can splatter all over the kitchen—or you—causing cross contamination of food preparation surfaces. Additionally, washing isn’t necessary, since proper cooking will kill harmful bacteria.

3. Spreading germs as you “clean.”
Similarly, you may think you’re improving safety by wiping counters and cutting boards as you prepare your Thanksgiving favorites. However, you might be spreading salmonella or other pathogens from one surface to another. Many cooks don’t know that the kitchen sponge can be a germ magnet, particularly if it’s not sanitized regularly by microwaving it for 60 seconds or soaking it in a solution of water and bleach. Wash your hands often as you cook, for a minimum of 30 seconds with soap and warm water, and avoid using the same surfaces, cutting boards, utensils, or plates for raw turkey or meats as you do for cooked foods.

See the full article
http://health.yahoo.net/experts/dayinhealth/thanksgiving-food-safety-mistakes

Dr. Brooks
Chiropractor Fairfax, VA 22031

Tuesday, November 15, 2011

Fish You Shouldn't Eat | Yahoo! Health

Fish You Shouldn't Eat Yahoo! Health

you’re over the age of 12, you’ve probably had more than a few dearly held beliefs ruined by reality. Like when you discovered it was Mom and Dad, not Santa, who were orchestrating the magic of Christmas. Or when you spent hours watching “Kim’s Fairytale Wedding” over and over again, only to learn that keeping up with this Kardashian was a waste of time. As they say, reality bites.

Well, folks, I hate to do this to you, but . . .

Not all fish are good for you.

Last year, the USDA increased its seafood recommendation to 8 ounces per week, and that has led many to believe that all fish are equally smart choices. But some are so high in contaminants like mercury that their health benefits are outweighed by their health risks. Others are flown in from halfway around the world, but given labels that make you think they were caught fresh earlier that morning. And still others are raised in filthy, overcrowed pools and loaded up with chemicals to keep them alive.

So let me shed light on some very rough waters. Put these fish at the top of your don't-eat list and you'll avoid most of the troubles of the world's fishing industry.

#1: ATLANTIC BLUEFIN TUNA


Why It's Bad: A recent analysis by The New York Times found that Atlantic bluefin tuna has the highest levels of mercury of any type of tuna. To top it off, bluefin tuna are severely overharvested, to the point of reaching near-extinction levels, and are considered "critically endangered" by the International Union for Conservation of Nature. Rather than trying to navigate the ever-changing recommendations for which tuna is best, consider giving it up altogether. But if you can't . . .

Eat This Instead: Opt for American or Canadian (but not imported!) albacore tuna, which is caught while it's young and doesn't contain as high levels of mercury.

YOUR NEW SHOPPING LIST! There are more than 45,000 options in the average supermarket. Some will wreck your waistline; some will shrink it. The easiest way to choose: Go ahead and put anything from our newly updated list of the 125 Best Supermarket Foods in your shopping cart—and watch the pounds melt away! (And check out Cook This, Not That! Easy & Awesome 350-Calorie Meals to save time and money!)




#2: ATLANTIC SALMON (Both Wild-caught and Farmed)
Why It's Bad: It's actually illegal to capture wild Atlantic salmon because the fish stocks are so low, and they're low, in part, because of farmed salmon. Salmon farming is very polluting: Thousands of fish are crammed into pens, which leads to the growth of diseases and parasites that require antibiotics and pesticides. Often, the fish escape and compete with native fish for food, leading to declines in native populations.

Adding to our salmon woes, the U.S. Food and Drug Administration is moving forward with approving genetically engineered salmon to be sold, unlabeled, to unsuspecting seafood lovers. That salmon would be farmed off the coast of Panama, and it's unclear how it would be labeled. Currently, all fish labeled "Atlantic salmon" come from fish farms. And, as you know if you follow me on Twitter, they're fed pellets that contain pink dye—that's how they get their color. Gross!


Eat This Instead: Opt for Wild Alaskan salmon.




#3: ATLANTIC FLATFISH

Why It's Bad: This group of fish includes flounder, sole, and halibut that are caught off the Atlantic coast. They found their way onto the list because of heavy contamination and overfishing that dates back to the 1800s. According to Food and Water Watch, populations of these fish are as low as 1 percent of what's necessary to be considered sustainable for long-term fishing.

Eat This Instead: Pacific halibut seems to be doing well, but the group also recommends replacing these fish with other mild-flavored white-fleshed fish, such as domestically farmed catfish or tilapia.

CHANGE YOUR PLATE, LOSE WEIGHT: People using paper plates tend to eat more later because they consider those meals as just "snacks." For more of the nutrition and weight loss tips like this every day, sign up for the FREE Eat This, Not That! newsletter!



#4: IMPORTED KING CRAB


Why It's Bad: The biggest problem with imported crab is that most of it comes from Russia, where limits on fish harvests aren't strongly enforced. But this crab also suffers from something of an identity crisis: Imported king crab is often misnamed Alaskan king crab, because most people think that's the name of the crab. And supermarkets often add to the confusion by labeling imported king crab "Alaskan King Crab, Imported." But Alaskan king crab—crab that actually hails from the great state of Alaska—is a completely separate animal and is much more responsibly harvested than the imported stuff.

Eat This Instead: When you shop for king crab, whatever the label says, ask whether it comes from Alaska or if it's imported. Approximately 70 percent of the king crab sold in the U.S. is imported, so it's important to make that distinction and go domestic.



#5 IMPORTED SHRIMP
Why It's Bad: Imported shrimp actually holds the designation of being the dirtiest of all the seafood we looked at. (For our full list, check out 12 Fish You Should Never Eat.) Problem is, 90 percent of shrimp sold in the U.S. is imported. Imported farmed shrimp comes with a whole bevy of contaminants including antibiotics, residues from chemicals used to clean pens, E. coli, mouse hair, rat hair, and pieces of insects. Yum! Part of this has to do with the fact that less than 2 percent of all imported seafood (shrimp, crab, catfish, or others) gets inspected before its sold, which is why it's that much more important to buy domestic seafood.

Eat This Instead: Domestic shrimp. Seventy percent of domestic shrimp comes from the Gulf of Mexico, which relies heavily on shrimp for economic reasons. Pink shrimp from Oregon are another good choice; the fisheries there are certified under the stringent Marine Stewardship Council guidelines.

One of the best things about the brand-new Eat This, Not That! 2012 is that it helps you find fat-fighting food no matter where you are: movie theater, coffee shop, vending machine. We've also identified the most bloating beverages in gas stations, bars, smoothie counters, and coffee shops across America. Click through the Worst Drinks in America to see what drinks are safe to sip—and which you should skip.

Additional reporting by Emily Main


Tuesday, November 8, 2011

How has Magic survived HIV

Note: This article was updated at 12:00 p.m. on Tuesday, Nov. 8.

On Nov. 7, 1991, Los Angeles Lakers point guard Earvin "Magic" Johnson shocked the world when he announced that he had contracted HIV, the virus that causes AIDS. After the press conference, the perception was that Johnson had just pronounced his own death sentence.

Yet, 20 years later, the now-52-year-old Johnson is going as strong as ever in his roles as a sports analyst, businessman and HIV activist. In 1991, when most of what people knew about HIV/AIDS was that it lead to death at a young age, this outcome might have seemed impossible.

So why is Johnson still alive?

The answer to Johnson's survival is far from "magic." According to reports, he takes the same kinds of drugs that are available to other HIV patients in the developed world, and increasingly in impoverished nations in Africa and Asia, where the disease still runs rampant. Many people have lived with HIV even longer than Johnson.

"There is nothing unique about Magic," said Spencer Lieb, senior epidemiologist and HIV/AIDS research coordinator for the Florida Consortium for HIV/AIDS Research. "There are still people alive and kicking and doing very well 20 and 30 years after infection." [Does Circumcision Prevent HIV?]

Lieb said that in the state of Florida alone, hundreds of patients have hung on since becoming infected with HIV in the early 1980s, when the first confirmed AIDS cases turned up in the United States. But Johnson and these people are still in the minority: According to research and estimates by Centers for Disease Control and Prevention, about 1.2 million Americans have HIV, and 20 percent of them are undiagnosed. Approximately 50,000 people become infected each year, and more than 18,000 die annually.

Stopping HIV in the back court

The key with Johnson and others has been preventing their incurable disease from progressing into full-blown AIDS.

Upon infection with human immunodeficiency virus (HIV), a person's immune system kills off nearly all of the virus and infected cells. But some small number remain, and over time, those HIV cells replicate, and replicate, and replicate. Then, usually 10 years after the initial infection, the viral load reaches a critical count, and the virus begins killing off the vital immune cells that protect us against infections.

At that critical count, a person is considered to have acquired immunodeficiency syndrome (AIDS); with the body’s immunological defenses destroyed, it's usually only a matter of months before a range of opportunistic infections and cancers complete their lethal work.

Researchers have developed a number of powerful drugs to help people like Johnson avoid this fate. The key weapon has been a regimen of three or four antiretroviral drugs, collectively known as highly active antiretroviral therapy, or HAART.

According to a Newsweek story from last spring, one of Johnson's doctors who helped pioneer the treatment placed him on the then-experimental drug cocktail in 1994, about a year and a half before it came into widespread use in 1996. [Top 10 Stigmatized Health Disorders]

"Magic got a jumpstart on experimental drugs before they were released to the general public," Lieb told Life's Little Mysteries, "but there were many people in clinical trials benefitting at the same time."

The meds that slam dunk HIV

HIV spreads by hijacking a subset of white blood cells called T cells, which are the body's first line of defense against foreign invaders, and using the cells' DNA to make copies of itself or replicate; in this process, these T cells get destroyed. The most common drugs in the HAART regimen target two of the enzymes that HIV uses to replicate itself.

The first enzyme, called reverse transcriptase, turns the virus' genetic instructions encoded in a single RNA strand into double-stranded DNA. (In scientific terms, this mode of replication classifies HIV as a retrovirus, hence "antiretroviral" drugs.)

The second enzyme, known as protease, creates new, functional HIV virus particles by cutting up the proteins cranked out by our hijacked cellular machinery.

Medication can disrupt these processes, and to that end, Johnson is currently taking reverse transcriptase inhibitor and protease inhibitor drugs, which are contained in the pharmaceuticals Trizivir and Kaletra, respectively, as reported by Newsweek.

Although these and other HIV-fighting drugs are "hideously expensive," Lieb noted, so are a substantial number of prescription drugs for much more everyday diseases.

Public and private medical insurance, as well as various assistance programs, make the medicines affordable and available to the vast majority of patients in the United States and other parts of the world. It is a "myth," said Lieb, that Johnson, who is wealthy, is buying himself special treatments.

Staying in the game

By taking the right regimen every day, most HIV patients can see the number of virus particles in a sample of their blood, or viral load, become undetectably low.

Not only does a low viral count stave off symptoms of HIV and AIDS, but it also slashes the odds of a randomly mutated copy of the virus emerging that can prove resistant to the therapy. Furthermore, a low viral load severely reduces the risk of transmitting the virus to others.

Yet even without modern drugs, in rare instances an HIV-positive person can manage on their own to keep AIDS at bay. These "long-term nonprogressors" or "elite controllers," estimated at as few as one in 500, have lived for decades with HIV, despite not being on antiretroviral therapy.

It is not known if Johnson is among this "scarce breed," as Lieb called them, but more than likely "without medications, he'd be progressing."

Researchers continue to study long-term nonprogressors for get insights on HIV resistance that could help the 33 million people battling the virus.

As Johnson has prominently shown, however, those with HIV can still live productive lives. Lieb has seen many such promising cases in person. "We have very buff-looking, healthy-looking HIV patients who have been infected for ages," Lieb said. "You can't tell the difference between them and you and me."

See the article here


Dr. Joshua Brooks
Chiropractor, Fairfax VA 22031