Zazika's take

while on a thoughtful wander

Monday, September 03, 2012

Why calories are not as simple as you think...

http://blogs.scientificamerican.com/guest-blog/2012/08/27/the-hidden-truths-about-calories/

The Hidden Truths about Calories

By Rob Dunn | August 27, 2012

Odds are you sometimes think about calories. They are among the most often counted things in the universe. When the calorie was originally conceived it was in the context of human work. More calories meant more capacity for work, more chemical fire with which to get the job done, coal in the human stove. Fat, it has been estimated, has nine calories per gram, whereas carbohydrates and proteins have just four; fiber is sometimes counted separately and gets awarded a piddling two. Every box of every food you have ever bought is labeled based on these estimates; too bad then that they are so often wrong.
A Food is Not a Food—Estimates of the number of calories in different kinds of foods measure the average number of calories we could get from those foods based only on the proportions of fat, carbohydrates, protein and sometimes fiber they contain (In essence, calories ingested minus calories egested). A variety of standard systems exist, all of which derive from the original developed by Wilbur Atwater more than a hundred years ago. They are all systems of averages. No food is average.
Differences exist even within a given kind of food. Take, for example, cooked vegetables. Cell walls in some plants are tougher to break down than those in others; nature, of course, varies in everything. If the plant material we eat has more of its cell walls broken down we can more of the calories from the goodies inside. In some plants, cooking ruptures most cell walls; in others, such as cassava, cell walls hold strong and hoard their precious calories in such a way that many of them pass through our bodies intact.
It is not just cooked vegetables though. Nuts flagrantly do their own thing, which might be expected given that nuts are really seeds whose mothers are invested in having them escape digestion. Peanuts, pistachios and almonds all seem to be less completely digested than their levels of protein, fat, carbohydrates and fiber would suggest. How much? Just this month, a new study by Janet Novotny and colleagues at the USDA found that when the “average” person eats almonds she receives just 128 calories per serving rather than the 170 calories “on the label.”

[Image 1. Some of the calories our bodies do not digest go to the dung beetles and flies whose empire rises around our inefficiencies. Photo of the species Garreta nitens by Piotr Naskrecki]
It is not totally clear why nuts such as almonds or pistachios yield fewer calories than they “should.” Tough cell walls? Maybe. But there are other options too, if not for the nuts themselves then for other foods.
For one, our bodies seem to expend different quantities of energy to deal with different kinds of food (the energy expended produces heat and so is referred to by scientists as “diet-induced thermogensis”); some foods require us to do more work than others. Proteins can require ten to twenty times as much heat-energy to digest as fats, but the loss of calories as heat energy is not accounted for at all on packaging.
For another, foods differ in how and where they are digested in our guts. Some foods such as honey are so readily used that our digestive system is really not even put to good use. They are absorbed in our small intestines; game mostly over. More complex foods, on the other hand, such as cassava or almonds, have to travel to the colon where they meet up with the largest concentrations of our little friends, the microbes. Digestion continues with the help of our trillions of microbes but nutrients are shared between us and them. The microbes help to break down many compounds our own bodies cannot and in doing so go on to produce a mix of more microbes, gases (such as methane) and then fatty acids. The accounting associated with this process of sharing with the microbes is not considered in calorie counting.
Finally, some foods require our immune system to get involved during digestion in order to deal with potential pathogens. No one has evaluated very seriously just how many calories this might involve, but it might be quite a few. A somewhat raw piece of meat can have lots of interesting species for our immune systems to deal with. Even if our immune system does not attack any of the species in our food it uses energy to take the first step of distinguishing good from bad.
So much is different between the fate of different foods that it is almost certainly rare that the estimate of the number of calories in a food and the true number correspond well. And we haven’t even gotten to the biggest way in which a calorie is not always a calorie, processing.
In a paper published recently in the Proceedings of the National Academy of the Sciences, Rachel Carmody and collaborators at Harvard University examined the effect of the two most ancient forms of food processing–cooking and grinding (technically in their study, pounding)–on the calories available in those same foods.
Carmody knew from her previous work that starches like those in sweet potatoes have more of their calories available to digestion the more they are cooked (at least to a point). As a result, no two sweet potatoes you cook will ever have the exact same number of calories because they grew differently and because you will have cooked them slightly differently. But what, Carmody wondered, about meat? Meat is relatively easily digested; its calories might be just as available in sushi as in a McDonald’s hamburger. Surely, meat is just meat, the one thing that our estimates of calories get right. Wrong.
Digestion is difficult to study. It is hard to make participants, even college students, eat, say, nothing but raw beef for several days. Carmody and her colleagues circumvented this problem by studying mice; they monitored the weight of mice fed different diets. The mice are secretive about their digestion too though so Carmody had to measure how the mice moved and how much weight they gained as an indication of the amount of energy that was not being lost through inefficiency as feces. All things equal, the bigger the mice got on a given diet, the more calories they were getting. Carmody fed adult, male mice organic sweet potatoes (to, in essence, retest what was already known) or organic, lean beef. These foods were served up raw and whole, raw and pounded, cooked and whole, or cooked and pounded. The standard system of calories, the one used to put the numbers on the food you buy in the store, assumes (and hence also predicts) these have no effect on calorie content; but would they? The mice were allowed to eat as much as they wanted and how much they consumed was closely monitored (Carmody had to pick each and every bit of uneaten food up from inside the cage).

[Image 2. A schematic of a human gut. Photo by Dflock at Wikimedia.]
The mice on the different diets got about the same amount of exercise. They all had a wheel to run on, and they did not differ one treatment to the next in terms of how inclined they were to take a jog. They did differ, however, in how much they weighed at the end of the study. As predicted, mice lost more than four grams of weight on raw sweet potatoes, but gained weight when given cooked sweet potatoes (whether or not they were pounded). But what about meat? Cooked meat was easier to digest. The mice lost 2 grams of body mass on raw meat but just 1 gram on cooked meat. In retrospect this does not seem surprising. Heat denatures proteins and makes them easier to digest. Heat also kills bacteria and might decrease the immune cost of eating meat by reducing the work the immune system has to do which allows the body to make, well, more body for a given number of calories.
In general, it seems that the more processed foods are the more they actually give us the number of calories we see on the box, bag or other sort of label. This applies not just to cooking and pounding but also to industrial processing. A recent study found that individual humans who ate, as part of an experiment, 600 or 800 calorie portions of whole wheat bread (with nuts and seeds on it) and cheddar cheese actually expended twice as much energy, yes twice, in digesting that food as did individuals who consumed the same quantity of white bread and “processed cheese product.” As a consequence, the net number of calories the whole food eaters received was ten percent less than the number received by the processed food eaters (because they spent some of their calories during digestion). Similar work in pythons has shown that cooked and/or ground up meat also requires less energy to digest (at least for pythons). If you want more calories, whether or not you are a snake, cook, pound and otherwise predigest your food.
A Body is Not a Body—Amazingly, there are more ways in which a calorie is not a calorie. Even if two people were to somehow eat the same sweet potato cooked the same way they would not get the same number of calories. Carmody and colleagues studied a single strain of heavily inbred lab mice such that their mice were as similar to each other as possible. Yet the mice still varied in terms of how much they grew or shrank on a given diet, thanks presumably to subtle differences in their behavior or bodies. Humans vary in nearly all traits, whether height, skin color, or our guts. Back when it was the craze to measure such variety European scientists discovered that Russian intestines are about five feet longer than those of, say, Italians. This means that those Russians eating the same amount of food as the Italians likely get more out of it. Just why the Russians had (or have) longer intestines is an open question. Surely other peoples differ in their intestines too; intestines need more study, though I am not going to volunteer to do the dirty work. We also vary in terms of how much of particular enzymes we produce; the descendents of peoples who consumed lots of starchy food tend to produce more amylase, the enzyme that breaks down starch. Then there is the enzyme our bodies use to digest the lactose in milk, lactase. Many (some say most) adults are lactose deficient; they do not produce lactase and so do not break down the lactose in milk. As a result, even if they drink milk they receive far fewer calories from doing so than do individuals who produce lactase. Each of us gets a different number of calories out of identical foods because of who we are and who our ancestors were.
A Microbe is Not a Microbe—Finally, a magically real new literature considers the microbes in and on human bodies. We have known for years that we are covered in microbes and they matter (a lot), but only recently has the study of these microbes become cool, thanks in part to new tools. Lynn Margulis was arguing in the late 1960s that organisms were nearly all engaged in symbioses that defined who they were. The broader biological literature has now caught on to her wild insight and renamed it, but that doesn’t mean studying human symbionts is easy. Margulis studied the symbionts of protists and termites (what we now call their microbiomes). She could look at the symbionts of the protists when they were still alive and she could cut open the termites (Which she did hundreds of times; it was one of her greatest joys.). With humans, studies of symbionts usually involve fecal samples, which is a bit like studying the center of the Earth by looking at lava, if, I guess, the lava were feces. Something of the grandeur is missed. The recent literature on human symbionts is wondrous but still groping at the edge of understanding. Scientists study the microbes in the feces from twelve white dudes from New Jersey and make an announcement about the entirety of humanity. One would be reasonable to be suspicious of anyone claiming to have understood the simple truths of the microbes in our guts.
Nonetheless, differences among individual humans in their symbionts do seem to make differences in how they digest food—individuals appear to differ in their metabolism depending on just which microbes they have. In addition, some microbes are found only in particular peoples where they appear to play a unique role. In some Japanese populations lives a gut microbe that has stolen genes from a marine bacterium; those genes help the bacterium to break down seaweed (such as that encountered in sushi rolls). How you digest food depends on which microbes you have and which microbes you have differs from one person to the next. Different foods can both affect and be affected by our microbes. Hunter-gatherer diets in the southwestern U.S. once abounded in compounds our bodies are unable to digest but that are readily digested by microbes. Conversely, many modern diets provide very little good food for microbes, very likely to our detriment. Microbes seem likely to suffer on a diet of cheese product and white bread because both are used up by the time they make it to the colon. Margulis would have predicted all of this forty years ago based on termites (We seem to more easily accept mice as models of our bodies than we do termites). But the point is that your microbes are different than mine which likely matters to digestion; we just can’t yet really clearly say how.
A Calorie is Not a Calorie—When all is said and done the good news is we have figured how to make and eat foods in which the calories are maximally available. We process them. We cook them. We ferment them. We cook them again until they actually give us as many calories as the box says. It has been plausibly argued (by quite a number of reasonable researchers at this point; see http://www.pnas.org/content/108/35/14555.short) that what made our early human diet unique was cooking and that cooking, in turn, allowed for some morphological changes in our bodies (bigger brains, relatively smaller guts) along with many societal changes. Our ancestors may have combined a preference for cooked food with the unique ability to make it on demand. The mice in Carmody’s study, interestingly, not only got more energy out of cooked meat, they also preferred it. But for as much as they like grilled steak, they will never invent cooking. We did. If this idea is right, what we inherit as our unique recent history is not the need for some specific amount of meat or fat but instead the preference for as many calories as we can get as quickly as we can get them so that we might have leisure time to invent, organize, and text each other.
It is a testament then to human ingenuity that we have now figured out how to provide as many calories as possible in our foods. We don’t even really need for our intestines to do much work, our bacteria either, or even our teeth for that matter. Our modern diets are a measure of our evolutionary success, or at least they would be from the perspective of our paleo ancestors who needed and wanted excess calories. They are not successes from our modern perspective. We now have too many calories and too many of those calories are of low quality. One in three Americans is now obese. Over the last thirty years the number of calories we eat has increased, but so has the number of those calories that come from highly processed foods. In this light, we would do well to eat fewer processed foods and more raw ones. This is not a novel insight (Such foods, after all, tend to have more nutrients such as B vitamins, phytonutrients and minerals and so are good for reasons having nothing to do with counting calories). But what might be novel is the realization that in eating such foods you could lose weight while keeping the precise tally of the calories you consume exactly the same. However, this realization comes hand in hand with another, namely that how much weight you lose depends on the biology of the plants and animals you choose to eat and who you and your microbes are in ways we are only beginning to understand.
Posted by Zazika at Monday, September 03, 2012 No comments:
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Labels: medicine

Saturday, August 25, 2012

NYT on burnout

http://well.blogs.nytimes.com/2012/08/23/the-widespread-problem-of-doctor-burnout/

DOCTOR AND PATIENT AUGUST 23, 2012, 3:50 PM198 Comments

The Widespread Problem of Doctor Burnout

By PAULINE W. CHEN, M.D.
The patient, a powerfully built middle-aged restaurant worker, had awakened one morning with a tight pain in his shoulders that traveled down his right arm. At work, he could barely shrug his shoulders or turn his head. “My fingers were so weak,” he recalled, “that I couldn’t even get a good grip around a glass of water.”

A senior doctor at a local clinic diagnosed a pinched nerve and prescribed a muscle relaxant. Two weeks later, only more incapacitated, the patient went to another clinic, where a younger doctor made the right diagnosis: A malignant tumor in his chest was pressing against a nerve to his arm.
“That first doctor couldn’t be bothered by what I was trying to say,” the patient said. He was now receiving chemotherapy and was hopeful his cancer had been caught early enough, but the near miss still haunted him. “He acted like he just didn’t want to be there with me. Or with any patient.”
After reading a study published this week in Archives of Internal Medicine, I’ve been thinking a lot about this patient’s experience. And I’ve come to two conclusions. First, the older doctor had classic symptoms of burnout.
Second, mistakes like his may only become more common.
Research over the last 10 years has shown that burnout – the particular constellation of emotional exhaustion, detachment and a low sense of accomplishment – is widespread among medical students and doctors-in-training. Nearly half of these aspiring doctors end up becoming burned out over the course of their schooling, quickly losing their sense of empathy for others and succumbing to unprofessional behavior like lying and cheating.
Now, in what is the first study of burnout among fully trained doctors from a wide range of specialties, it appears that the young are not the only ones who are vulnerable. Doctors who have been practicing anywhere from a year to several decades are just as susceptible to becoming burned out as students and trainees. And the implications of their burnout — unlike that of their younger counterparts, who are often under supervision — may be more devastating and immediate.
Analyzing questionnaires sent to more than 7,000 doctors, researchers found that almost half complained of being emotionally exhausted, feeling detached from their patients and work or suffering from a low sense of accomplishment. The researchers then compared the doctors’ responses with those of nearly 3,500 people working in other fields and found that even after adjusting for variables like gender, age, number of hours worked and amount of education, the doctors were still more likely to suffer from burnout.
“We’re not talking about a few individuals who are disorganized or not functioning well under pressure; we’re talking about one out of every two doctors who have already survived rigorous training,” said Dr. Tait D. Shanafelt, the lead author of the study and a professor of medicine at the Mayo Clinic in Rochester, Minn. “These numbers speak to bigger problems in the larger health care environment.”
The doctors’ burnout appeared to have little to do with hours worked or even the ability to balance personal life with work. Instead, the only factor predictive of a higher risk was practicing a specialty that offered front-line access to care. More than half of the doctors in family medicine, emergency medicine and general internal medicine experienced some form of burnout.
The study casts a grim light on what it is like to practice medicine in the current health care system. A significant proportion of doctors feel trapped, thwarted by the limited time they are allowed to spend with patients, stymied by the ever-changing rules set by insurers and other payers on what they can prescribe or offer as treatment and frustrated by the fact that any gains in efficiency offered by electronic medical records are so soon offset by numerous, newly devised administrative tasks that must also be completed on the computer.
In this setting, “doctors are losing their inspiration,” Dr. Shanafelt said, “and that is a very frightening thing.”
What patients must face in the examining room is no less alarming. Doctors who are suffering from burnout are more prone to errors, less empathetic and more likely to treat patients like diagnoses or objects. They are also more likely to quit practicing altogether, a trend that has serious repercussions in a system already facing a severe doctor shortage as it attempts to expand coverage to 30 million or more currently uninsured Americans.
“Doctors are coming to this expansion already pretty stretched and stressed out,” Dr. Shanafelt noted. “I don’t think there is going to be a lot of room to maneuver without some significant structural changes.”
Dr. Shanafelt and his colleagues are in the midst of studying the effects of workplace initiatives aimed at providing greater support for doctors while improving efficiency, which they believe is critical for doctors and patients as well as the large health care organizations that aim to serve us all. Without decreasing the total hours worked or the number of patients a doctor must see, a hospital system might, for example, restructure its clinics so that doctors could spend more time with patients and less time on the phone getting authorization from insurers or in front of a computer completing administrative tasks.
“If people work in an environment where they believe there is meaning, they will put up with a lot,” Dr. Shanafelt observed. “It goes beyond the significant personal consequences for an individual physician. It affects whom patients can see when they are sick, the quality of care they receive and their safety.”
Posted by Zazika at Saturday, August 25, 2012 No comments:
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Labels: cautionary tale, medicine

Well worth reading...

http://well.blogs.nytimes.com/2012/08/09/life-interrupted-medical-bills-insurance-and-uncertainty/

from the blog 'Life, interrupted', from the New York Times

LIFE, INTERRUPTED AUGUST 9, 2012, 12:01 AM272 Comments

Life, Interrupted: Medical Bills, Insurance and Uncertainty


By SULEIKA JAOUAD


 


Like a lot of other young people, I never thought about health insurance until I got sick. I was 22, and my adult life was just beginning. But less than a year after walking across the stage at my college graduation, I received an unexpected diagnosis — acute myeloid leukemia — and with it came a flurry of consultations, tests and appointments. From early on, my doctors told me I would need chemotherapy and a bone marrow transplant.


 



But before the shock of the news could settle in — before I could consider where and how I would be treated — I did what most Americans must do when beset with a medical crisis: I called my insurance provider. 


 



 Before I made that first phone call, I confess I didn’t know exactly what the word “premium” meant. And “co-pay” sounded to me like what happens when friends split the bill at dinner. Certainly, the term “lifetime limit” had no meaning to me yet. The last time I could remember getting sick had been a two-day bout of food poisoning during my junior semester abroad in Egypt. Now, I was facing cancer — and I was beginning to get worried about coverage from an insurance plan I knew virtually nothing about.

If you have a chronic illness in America, there’s a good chance you also hold a degree in Health Insurance 101, whether you want to or not. The first thing I learned was how lucky I was to have health insurance at all. (An estimated 49 million Americans, and nearly one-third of Americans 18 to 24 years old, are uninsured.) I was on my parents’ insurance, a plan provided through my father’s employer. It’s a comprehensive plan that will cover me until age 26 — two years from now.
I’ve been fortunate to be treated by excellent doctors at world-class hospitals. In the last year alone, my insurance has covered over a million dollars in medical expenses, including a bone marrow transplant and 10 hospitalizations amounting to a combined five months of inpatient care. It all sounds straightforward when I explain it like that. But even if you have insurance, the cost of health care — in dollars as well as in time and stress — is incredibly high.

As health care was debated around the country leading up to the Supreme Court ruling on the Affordable Care Act in June, my bills kept coming in. Every time I see a doctor, get a CT scan, receive chemotherapy or pick up a prescription, insurance covers only part of the transaction — and there’s always a bill on top of it. For a cancer patient like me who visits the hospital on a weekly basis (and that’s when things are going well), every few days I owe another payment. Keeping track of how much I owe, and for what procedure, and why, can make my head spin. Just learning the ins and outs of my plan’s coverage takes sustained, persistent attention and energy, things that sick people have in short supply.
And no matter how closely I keep track of the bills, there are always surprises and unexpected charges. During a six-week hospitalization for intensive chemotherapy, teams of doctors trickled in and out of my hospital room every few hours: my primary oncologists, the palliative care unit, gastroenterologists, X-ray technicians, infectious disease specialists and on and on. Most of the time I was too tired, too nauseated or too looped on pain medicine to remember who was who or what they were doing in my room. But my insurance company kept track. Even though my hospitalization was covered, many of the doctors who visited me were not part of my health plan, which meant that for every time they set foot in my room I would receive a steep out-of-pocket bill. After all, what was I going to do: tell the doctor prescribing my anti-nausea medication to skip my room because he happened to be out of network?

Another cost of health insurance is time. Time is money, as the saying goes, but when it comes to cancer and health insurance, to save money takes up a whole lot of time. My mother graciously took on the task of disputing claims, keeping track of bills, requesting approval for a procedure or a drug, and spending countless hours on the phone with my provider. While it may be a labor of love for my mother, in practice, working out insurance questions is just a lot of labor. Between the long hours spent taking care of me and dealing with our insurance, my health care became my mother’s full-time job.
So far, the out-of-pocket costs associated with my cancer care — co-payments, out-of-network charges, the costs of moving to a new city for treatment, fertility treatments not covered by insurance — have reached tens of thousands of dollars. The financial burden of cancer has not yet meant that my parents will need to get second jobs, or that we will have to sell our house — though I know of fellow cancer patients with and without insurance who have had to consider such options. But my mother has had to take the last year off work, a financial and professional sacrifice that’s due in part to the time required to manage my health insurance. What do others do who don’t have full-time help from a caregiver? My mother would do anything for me, but I wish she would be able to spend less time with my bills and more time with me.
In two years, I’ll graduate from my parents’ insurance. What will I do about insurance then? Perhaps I’ll gain coverage through an employer — though holding a job seems like a tall task if I’m still in treatment. Isn’t it a contradiction that insurance is often tied to employment, but that the sick people who need it most are the ones who have the hardest time staying employed? If the Affordable Care Act remains in place, at least I won’t be denied coverage because of pre-existing conditions. That’s a huge victory, but what will the cost of that coverage be, and will I be able to afford it?
When I’m lying in bed at night, I often worry about how cancer may affect my future: my career, my relationships, my dreams. Sick people don’t plan on getting sick. We shouldn’t have the added worry that someday insurance coverage may not be there. Or that a medical crisis could become a financial one too.



Over the coming weeks, Well will explore the reasons behind our troubled health care system from the perspective of the patient. The series is part of a larger New York Times project called The Agenda, which focuses on critical issues facing the next president and Congress. Join the conversation at The Agenda
Suleika Jaouad (pronounced su-LAKE-uh ja-WAD) is a 24-year-old writer who lives in New York City. Her column, “Life, Interrupted,” chronicling her experiences as a young adult with cancer, appears weekly on Well. Follow @suleikajaouad on Twitter.
A version of this article appeared in print on 08/21/2012, on page D5 of the NewYork edition with the headline: The Agenda: A Reluctant Crash Course in Health Insurance 101.



Posted by Zazika at Saturday, August 25, 2012 No comments:
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Labels: cautionary tale, economy, health delivery, informative, medicine

a warning...

http://www.nytimes.com/2012/08/25/opinion/jobless-and-invisible.html?ref=opinion
Letter

Jobless and Invisible

Published: August 24, 2012
To the Editor:
Re “Long-Term Jobless Regroup to Fight the Odds” (front page, Aug. 17):
One way or another, the older long-term unemployed become invisible. They stop looking for work and disappear from unemployment statistics. They lose their homes and blend into the shadows of shelters and streets. They eat poorly and irregularly, they can’t afford health care and their circumstances no doubt hasten their descent into the permanent invisibility of the grave.
A generation is disappearing, along with a decent middle-class standard of living. The older long-term unemployed are bewildered by their predicament, and the working public is stymied by the problem. From our business leaders and elected representatives we get shocking and inexcusable silence, apathy and inaction.
ARTHUR CHERTOWSKY
Brooklyn, Aug. 20, 2012 


Posted by Zazika at Saturday, August 25, 2012 No comments:
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Labels: cautionary tale, economy

The Daily Show visits Iran


Posted by Zazika at Saturday, August 25, 2012 No comments:
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Labels: random

Sunday, August 19, 2012

Cookies from The Cookie Monster! via the Kitchn

http://www.thekitchn.com/cookie-monsters-famous-cookie-dough-recipe-175725


Ingredients 3/4 cup unsalted butter or margarine, softened
1 cup sugar
2 eggs, slightly beaten
1 teaspoon vanilla
2 1/2 cups all-purpose flour
1 teaspoon baking flour
1 teaspoon salt
Equipment
Medium-sized mixing bowl
Measuring cup and spoons
A fork

Instructions

1. Put 3/4 cup of butter or margarine (that's a stick and a half) into your mixing bowl.
2. Measure 1 cup of sugar.
3. Pour sugar over butter.
4. With fork, squash butter and sugar together until they are blended.
5. Crack shells of two eggs and pour eggs over mixture in bowl.
6. Measure 1 teaspoon vanilla and pour over mixture.
7. With fork, blend everything in the bowl together.
8. Measure 2 1/2 cups all-purpose flour and pour over mixture in bowl.
9. Measure 1 teaspoon baking powder and sprinkle over flour.
10. Measure 1 teaspoon of salt and sprinkle over flour and baking powder.
11. Mix everything together either with the fork or with your hands.
12. Put dough in icebox to chill (at least one hour)
There are no instructions for baking from this print, but a quick search for others' experiences with the recipe and recommendations say to roll out cookies 1/4 inch thick, sprinkle with sugar, and bake at 400 degrees.
Posted by Zazika at Sunday, August 19, 2012 No comments:
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Labels: recipe's i'd like to try, sweets, tempted to try something new and intriguing

Sunday, August 12, 2012

Baha Mousa death: army doctor 'ignored cries of tortured men'


http://www.guardian.co.uk/world/2012/jun/13/baha-mousa-doctor-faces-tribunal

'Iraqi hotel owner who was detained with Mousa tells tribunal Dr Derek Keilloh
gave him no medication and is a 'criminal''

Helen Carter and agencies
guardian.co.uk, Wednesday 13 June 2012 17.59 BST

Baha Mousa death: army doctor 'ignored cries of tortured men'

Dr Derek Keilloh


'Dr Derek Keilloh faces allegations he helped cover up the mistreatment of
Iraqi detainees. Photograph: Dave Thompson/PA


A British army doctor present at the death of hotel worker Baha Mousa
was a criminalwho ignored the cries of men who were being tortured,
a tribunal has heard.

Dr Derek Keilloh is appearing before the medical practitioners
tribunal service in Manchester, the judicial arm of the General
Medical Council, accused of a cover-up over the death of Mousa,
who was beaten to death by British soldiers
 in September 2003.

Keilloh claimed he only saw dried blood around the nose of the
hotel receptionist, who had 93 separate injuries after being detained
by soldiers from the 1st Battalion Queen's Lancashire Regiment.

On Wednesday, the tribunal heard from Ahmed al-Matairi,
who waived his legal right to anonymity. Speaking through an
interpreter, he described how he and staff from the Basra hotel
he co-owned – including Baha Mousa – were detained and
tortured by British soldiers.

Matairi said he was taken to see Keilloh after he had undergone
days of beatings by soldiers who would kick him in the kidneys,
legs and in the location of a hernia. He was in a "bad state" and
"between life and death" when he was finally taken to the medical centre.

Naked from the waist down, he was handcuffed when Keilloh
examined him, he said. He claimed the doctor warned soldiers
not to hit him any more or he could die. "He just had a look at
my hernia, leg, kidney and said to them don't hit me. He is a
criminal. He should not be a doctor." He said the doctor's medical
centre was near where the detainees were being tortured.

Matairi added: "He heard our cries and he didn't do anything.
And he was not far from us for three days and he didn't do
anything … He should have fulfilled his role as a doctor."

Mousa, 26, was hooded, handcuffed and beaten before
he died, 36 hours after first being taken to the detention
centre in Basra. His injuries included fractured ribs and a broken nose.

Keilloh, 37, who is from Aberdeen, supervised a failed resuscitation
attempt of Mousa.

The tribunal has heard that a fellow medic, a corporal, remarked
"Look at the state of him!" after Mousa was taken to the medical
centre, but Keilloh – at the time a captain and battalion regimental
medical officer – always maintained he did not see the catalogue
of injuries.

Matairi said he had been suffering from kidney stones and
a small hernia before he was detained but that the soldiers
would "aim" kicks at his kidneys if they wanted him to fall to
his knees. He said after days of torture his hernia had swollen
to five or six inches and his leg, below the knee, had also
swollen up.

Matairi said despite his condition the doctor gave him no
medication. "He didn't give me anything," he said.

When the doctor finished the examination he was taken
back to the room where the other detainees were being
kept and tortured, the tribunal heard. Describing his state
before he went to see the doctor, he said: "I was finished.
I was between life and death."

The hotel owner also described hearing Baha Mousa's final
words. He said he was being kept in the room next door
and was being tortured. He heard him say: "I am innocent.
I am not a Baathist. My wife died six months ago. My
children are going to become orphans. I am going to die."

Asked by Rebecca Poulet QC, counsel for the GMC, what his last
words were, he responded: "Blood blood, I am going to die. My
children are going to become orphans."

Matairi also described how soldiers aimed "karate kicks" at
the prisoners and how they would laugh at them. He said the
soldiers were trying to "degrade" and "humiliate" them.

The tribunal, which is expected to last for four weeks, continues.'
Posted by Zazika at Sunday, August 12, 2012 No comments:
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Labels: history, informative, serious medical musings, serious non-medical

Saturday, August 11, 2012

'Hope after Hiroshima'

http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2811%2961467-0/fulltext

William Summerskill

'The Hibakusha (literally, explosion-affected people) say simply “I have met with the A-bomb”; to recite further details is too painful and complex. Similarly, one is left utterly overwhelmed after a visit to Hiroshima's Peace Memorial Museum.
Hiroshima was a prosperous centre of learning with a population of 350 000; during World War 2 it became a garrison town. As bombing intensified elsewhere in Japan, school students tore down wooden buildings to create fire breaks. About 8400 children aged 12—13 years were thought to have been outside doing this in Hiroshima on the morning of Aug 6, 1945.
At 0815h—as several stopped, shattered, and partially melted watches remind one—the bomb containing 50 kg of uranium was detonated 600 m above Hiroshima. What happened next is portrayed in a harrowing set of images and objects, as the 1 000 000 °C explosion consumed the central kilometre of Hiroshima, burned skin as far away as 3·5 km, and indiscriminately irradiated the population. Tattered, charred, and blood-stained school uniforms and other objects tell individual stories of that August morning. For instance, the mother who was only able to identify her son's corpse because of his name etched into the metal lunch box he carried. The lunch box and its charred contents—the ground temperature reached 3000—4000°C—are on display. Other stories are told with a tricycle, a sandal, a school badge, partially melted marbles, among other items. These exhibits are so eye-wateringly intense that the sombre silence of shuffling visitors is punctuated by muffled sobs.
Click to toggle image size
Click to toggle image size
Full-size image (98K) Corbis
Hiroshima, Japan, in 1945; this photograph was taken 3 months after the atomic bomb
Not all 140 000 casualties died immediately. Many people were badly burned or exposed to lethal levels of radiation and died in the following days. Although the Red Cross hospital withstood the blast, it quickly ran out of medicines. A section of the hospital's concrete wall with embedded fragments of glass and pockmarked by debris is exhibited. There are few photos: a news photographer in the city at the time was so upset by what he saw that he only managed to take five images, explaining “my viewfinder filled with tears”.
Since the magnitude of the carnage is so great, a single person can provide focus. In this sense, Sadako Sasaki is the Anne Frank of Hiroshima. Aged 2 years she survived the blast, but as her mother led her away from the city, they were exposed to the black rain of atomic fallout. 10 years later, Sadako developed leukaemia. During her illness, she began folding origami paper cranes, in line with the proverb “fold 1000 cranes to make your wish come true”. She only managed to make 644 cranes before she died. The origami crane has become a symbol of Sadako's illness, the horror of nuclear war, and hope for the future. Tens of thousands of origami cranes, folded by children from around the world, surround the Children's Peace Monument in the adjacent park.
What message does this museum have for today? Visitors are educated in both the science and politics of the atom. The result is increased awareness of potential hazards: whether from damage to the Fukushima nuclear power plant or damage to efforts to advance nuclear non-proliferation. The horrors of any war are disturbing, but the scale of indiscriminate destruction from atomic weapons and their latent effects are especially chilling. As long as such weapons exist, civilian populations are under threat from thermonuclear attack. The citizens of Hiroshima are keen that the events experienced there and 3 days later in Nagasaki are never repeated. Since 1968, the successive mayors of Hiroshima have sent telegrams of protest to governments after each nuclear weapons test. Copies of all 597 telegrams are displayed. The most recent one is to the USA on July 20, 2011.'
a The Lancet, London NW1 7BY, UK
 

Posted by Zazika at Saturday, August 11, 2012 No comments:
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Labels: cautionary tale, history, illness experience, informative, medical history, medical humanities, medicine, serious medical musings, serious non-medical

Friday, July 20, 2012

The Paralympics are coming...

http://www.youtube.com/watch?v=tuAPPeRg3Nw&feature=g-logo-xit
Posted by Zazika at Friday, July 20, 2012 No comments:
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Tuesday, July 17, 2012

flatbreads

ROTI
Serves 4
Ingredients
300g wholewheat flour
4 tsp rapeseed oil (or clarified butter)
300ml water
Half a tsp of salt
Plain flour for rolling
Method
Carefully sift the flour into a bowl. Add the oil and salt. Pour in the water and mix to form a soft dough.
On a floured surface, knead the dough well for a few minutes. Keep aside for half an hour and then knead again for a minute or two. Divide the dough into 12 equal portions.
Sprinkle a work surface liberally with flour and roll each portion out into a 15cm-diameter thin circle. Remove any excess flour and put aside. Heat a cast-iron griddle on a medium flame and slap the rolled circle on to the griddle. Cook lightly for 10 seconds or until one side browns and then flip the roti and cook the other side. If you like your rotis crispy, then toast quickly on an open flame with tongs. Serve hot and for a decadent touch, brush with butter before serving.
NAAN BREAD
Ingredients to make 4 naans
250g plain flour
1 tsp baking powder
1 tsp sugar
Half a tsp salt
2 tbsp yoghurt
80ml whole milk
2 tbsp vegetable oil
Topping: caramelised onions, nigella seeds, fresh coriander or mint. (If you prefer you could even add fresh herbs, finely chopped, in the dough mix.)
Method
Sift the flour, baking powder, sugar and salt in a mixing bowl. In another bowl mix together the milk with the vegetable oil.
Add the yoghurt to the sifted flour followed by the milk and oil. Mix everything together to make a soft, pliable dough. Turn out on the work surface and knead for five minutes until smooth. Place the dough back in the bowl, cover with cling film and rest it for 20 minutes or so in a warm place.
Preheat your oven grill to medium and place a baking tray on the top shelf of the oven. Turn the dough out and divide into four portions. Roll out quite thinly to a teardrop shape. Top each naan with coriander leaves or your preferred choice of topping and pat lightly into the naan. Prick the naan with a fork to make sure it doesn't rise.
Remove the baking tray from the oven; place the bread on it and return to the oven to cook for three minutes or until speckled lightly brown. Smear with butter and serve warm.
Recipe by Maunika Gowardhan; for more Indian recipes go to cookinacurry.co.uk

http://www.independent.co.uk/life-style/food-and-drink/features/rise-and-rise-of-flat-bread-how-to-bake-the-indian-way-7939605.html
Posted by Zazika at Tuesday, July 17, 2012 No comments:
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Labels: food+drink, practical, recipe's i'd like to try, tempted to try something new and intriguing

'Britain is losing its sense of decency when it comes to the disabled'

Sharon Brennan
  • By Sharon Brennan
  • Tuesday, 17 July 2012 at 4:00 am
Worcestershire county council has just announced its proposal to shut away disabled people in care homes for the rest of their lives – openly admitting that it is a policy based on finances not necessarily on the individual’s health or care needs.
Called the Maximum Expenditure Policy, the council has stated home care will be capped at the level of what it would cost for that person to live in a residential care unit. The disabled person would then be forced to live in a care home, or find private funding for his or her additional care needs.
The council’s consultation on this proposal fails to declare how many people this might effect, what the financial cap might be or if private funding or charitable support is at all feasible for the people it will effect.  However a new report, Past Caring, published by the research team at the WeareSpartacus campaign group, has estimated that people who need over six hours care a day, or three hours from two carers simultaneously, will be faced with spending the rest of their lives shut away, isolated from families, friends and with the prospect of employment extremely low.
If this were to happen, there couldn’t be a clearer confirmation that disabled people are now seen as second class citizens, so irrelevant to society that local communities no longer have need for them.
With the number of disabled hate crimes reported to the police up by 14 per cent since 2010, it seems that the constant cry of “scroungers” and “benefit cheats” has now permanently affected the public’s view of disabled people. Before we are even able to have a fair discussion on what should be cut and by how much, campaigners have a battle to convince people that the genuinely disabled neighbour, work colleague or distant family member they know is not an aberration but the norm. Stats published by the Department of Work and pensions show that the combined fraud level for both Incapacity Benefit and Disability Living Allowance is just 0.8 per cent, yet the battle is almost lost – disabled people are regarded with suspicion, viewed with sceptical eyes as to whether their illness really is as bad as they say. And so the cuts keep coming – the politicians recognising an easy target when they see one.
Charity after charity has implored the Government to rethink the cumulative effects of its cuts, showing that they fall disproportionately on disabled people, pushing a group, a third of which already live in poverty, into dire financial circumstances and social isolation. But the Government refuses to listen.
Back in February the House of Lords passed several amendments to the Welfare Bill which included increasing the time people are allowed to claim contributory-based Employment and Support Allowance (the new Incapacity Benefit) from one year to two. But the Government used an archaic parliamentary process called Financial Privilege to overturn these changes, sticking stubbornly to its agenda by declaring they couldn’t afford to fund the amendments.
However, by May money was suddenly found by Osborne to alleviate the impact of a Child Benefit cut for higher rate tax payers – pushing back the earning threshold from £43,000 to £60,000 before this benefit is removed completely. And only last week in Prime Minister’s Questions Cameron reiterated his commitment to not means testing free bus passes and winter heating allowances for pensioners. Apparently this is a Government that will appease its core electorate even at the cost of what is fair.
As a country we cannot ignore this ethical crisis any longer. Bar bringing in euthanasia, these cuts to the disabled will be felt on the public purse. The cost of appeals alone against incorrect Employment and allowance benefit decisions are estimated to be running at £80 million and rising. The NHS is already seeing the effect of a crisis in community care as 66 per cent of NHS managers polled report a rise in demand for health services as a result of local authority funding cuts.
And what of the moral implications? Much has been said recently of rebalancing society away from the greed of chasing money at any cost. We cannot rebuild a fairer Britain, with a sense of what is decent at the heart of our communities, if we willingly allow some of the most vulnerable people to be pummelled by politicians with policies that turn the clock back thirty years and cleanse our streets of disabled people. These are normal, decent people – it is you and your family if misfortune came your way.
Instead of outlawing this local council’s suggested moves, the Cabinet actually approved plans for the council to consult on this appalling proposal. No wonder the Government quietly announced a delay on the publication of its disability strategy, as clearly all its practical policies fly in the face of its apparent desire to allow disabled people to live “fulfilling” lives. If Worcestershire council gets away with this then a precedent will be set: as other councils look to manage their budget they will have received a clear signal that disabled people are not on anyone’s political agenda – do with them what you will.

http://blogs.independent.co.uk/2012/07/17/britain-is-losing-its-sense-of-decency-when-it-comes-to-the-disabled/
Posted by Zazika at Tuesday, July 17, 2012 No comments:
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Labels: cautionary tale, comment, informative, serious non-medical

Articles on Islamophobia

We mustn't allow Muslims in public life to be silenced

Even in polite society, fear-mongering, negative stereotyping and abuse are now out of control – as I know from bitter experience
  • Mehdi Hasan
    • Mehdi Hasan
    • guardian.co.uk, Sunday 8 July 2012 21.00 BST
Muslims in Whitechapel, east London
'You can now say things about Muslims, in polite society and even among card-carrying liberal lefties, that you cannot say about any other group or minority.' Photograph: Sion Touhig/Corbis
Have you ever been called an Islamist? How about a jihadist or a terrorist? Extremist, maybe? Welcome to my world. It's pretty depressing. Every morning, I take a deep breath and then go online to discover what new insult or smear has been thrown in my direction. Whether it's tweets, blogposts or comment threads, the abuse is as relentless as it is vicious.
You might think I'd have become used to it by now. Well, I haven't. When I started writing for a living, I never imagined I'd be the victim of such personal, such Islamophobic, attacks, on a near-daily basis. On joining the New Statesman in 2009, I was promptly subjected to an online smear campaign, involving a series of selectively edited videos of speeches I'd delivered in front of groups of Muslim university students several years ago. I was accused of being a "secret" member of the extremist group Hizb ut-Tahrir, and a "dangerous Muslim shithead" in the "same genre" as the Nazis. The post that sticks in my mind is from the blogger who referred to me as a "moderate cockroach" whose Islamic faith was "no different from the Islam of Abu Hamza, Abu Qatada, Ayman al-Zawahiri, Anjem Choudary or any of the 'tiny minority' of Islamic terrorists who believe that Islam must dominate, no matter what the cost".
Three years later, as I leave the New Statesman to join the Huffington Post UK, little seems to have changed. "Huffington Post's new UK political director brings pro-Iran baggage," screamed the headline on the Fox News website back in late May. My "baggage"? I once publicly praised a fatwa from Iran's supreme leader, Ayatollah Ali Khamenei, forbidding the production of nuclear weapons. Shame on me! Another ultra-conservative US news website, the Washington Free Beacon, referred to me as the "HuffPo's house jihadi".
The mere mention of the words "Islam" or "Muslim" generates astonishing levels of hysteria and hate on the web. As one of only two Muslim columnists in the mainstream media – the other being the Independent's Yasmin Alibhai-Brown – I have the dubious distinction of being on the receiving end of much of it. In August 2011, for instance, I wrote a light-hearted column in the Guardian on Ramadan, examining how Muslim athletes cope with fasting while competing. The article provoked an astonishing 957 comments, the vast majority of which were malicious, belligerent or both. As one perplexed commenter observed: "There is much we might criticise Islam for … but to see the amount of hatred being spewed on this thread on an article about something as innocuous as fasting really makes one wonder." Indeed.
And it isn't just pieces about Muslims. A recent interview of mine with the shadow chancellor, Ed Balls, elicited the following response: "Get out of my country, goatfucker." How many other political columnists have to deal with such "feedback"? And how many of my fellow pundits in the British media get death threats in the post, warning them that "there will not be 1 live Muslim left in Europe when we have finished"?
From my perspective, the British commentariat can be divided into three groups. The first consists of a handful of journalists who regularly speak out against the rising tide of anti-Muslim bigotry – from the Telegraph's Peter Oborne to a bevy of Guardian columnists, including Jonathan Freedland, Seumas Milne and Gary Younge.
The second consists of those writers, such as the Mail's Melanie Phillips, the Telegraph's Charles Moore and the Spectator's Douglas Murray, who see Islam and Muslims as alien, hostile and threatening. Phillips has referred darkly to a "fifth column in our midst"; Murray has said "conditions for Muslims in Europe must be made harder across the board".
But it is the third, and perhaps biggest, group that concerns me most: those commentators who boast otherwise impeccable anti-racist credentials yet tend to be silent on the subject of Islamophobia; journalists who cannot bring themselves to recognise, let alone condemn, the growing prevalence of anti-Muslim feeling across Europe – or acknowledge the simple fact that the targeting of a powerless, brown-skinned minority is indeed a form of racism.
I'm a fan of robust debate and I'm not averse to engaging in the odd ad hominem attack myself. This isn't a case of special pleading, on behalf of Britain's Muslims, nor do I think my Islamic beliefs should be exempt from public criticism. But the fact is that you can now say things about Muslims, in polite society and even among card-carrying liberal lefties, that you cannot say about any other group or minority. Am I expected to shrug this off?
The truth is that the fear-mongering and negative stereotyping is out of control. I've lost count of the number of websites that try to "out" every Muslim in public life as an extremist or Islamist of some shape or form. The promotion of Sayeeda Warsi to the Conservative frontbench in 2007 provoked the influential ConservativeHome website to describe her appointment as "the wrong signal at a time when Britain is fighting a global war against Islamic terrorism and extremism". Labour's Sadiq Khan, the shadow justice secretary, was accused of holding "extremist" views after he called for a "more independent foreign policy" and was spuriously linked to Hizb ut-Tahrir. In April, Labour peer Lord Ahmed was suspended from the party after he was falsely accused of having put a £10m bounty on Barack Obama's head (the suspension has since been lifted).
If Muslims such as Warsi, Khan, Ahmed and me are all secret extremists, who are the moderates? That, of course, seems to be the implicit, insidious message: there aren't any. But if those of us who try to participate in public life and contribute to political debate are constantly painted with a broad brush of suspicion and distrust, then what hope is there for the thousands of young British Muslims who feel alienated and marginalised from the political process? I used to encourage Muslim students to get involved in the media or in politics, but I now find it much harder to do so. Why would I want anyone else to go through what I've gone through? Believe me, Muslims aren't endowed thicker skins than non-Muslims.
To say that I find the relentlessly hostile coverage of Islam, coupled with the personal abuse that I receive online, depressing is an understatement. There have been times – for instance, when I found my wife curled up on our couch, in tears, after having discovered some of the more monstrous and threatening comments on my New Statesman blog – when I've wondered whether it's all worth it. Perhaps, a voice at the back of my head suggests, I should throw in the towel and go find a less threatening, more civilised line of work. But that's what the trolls want. To silence Muslims; to deny a voice to a voiceless community. I shouldn't have to put up with this abuse. But I will. I have no plans to let the Islamophobes win. So, dare I ask: who's with me?

http://www.guardian.co.uk/commentisfree/2012/jul/08/muslims-public-life-abuse?commentpage=all#start-of-comments

Owen Jones: Islamophobia - for Muslims, read Jews. And be shocked

Imagine our alarm if nearly half the UK population said they believed that 'there are too many Jews'

Friday 13 July 2012 

To be a prominent Muslim means suffering a daily diet of bigotry and even outright hatred. This week, Mehdi Hasan – who, other than my colleague Yasmin Alibhai-Brown, is Britain's only prominent Muslim journalist – wrote of how, every day, he is attacked as a "jihadist" and a "terrorist". He has been described as a "dangerous Muslim shithead", a "moderate cockroach", and worse. The message from his critics is clear: Muslims have no legitimate place in public life.

Mehdi Hasan was right to speak out, but it must not be left to Muslims alone to take on this bigotry. A tide of Islamophobia has swept Europe for many years, and – shamefully – all too few have taken a stand. Even many who regard themselves as "progressives" have either remained silent or even indulged anti-Muslim prejudice. It's time for Muslims and non-Muslims alike to join forces against the most widespread – and most acceptable – form of bigotry of our times.
Think I'm exaggerating? Consider that the far-right's main target of choice is no longer Jews or black people: it's Muslims. The BNP portrays itself as a crusade against the "Islamification" of Britain; in the 2010 election, it launched a "Campaign Against Islam". Its leader, Nick Griffin, describes Islam as "wicked" and a "cancer", and has blamed Muslims for problems such as drugs and rape. The English Defence League stages frequent – and often intimidating – street rallies protesting against Muslims.
But anti-Muslim prejudice isn't simply confined to the far-right fringes. I attended a Stockport sixth form with a large Muslim student population. The reality of their lives is all but airbrushed out of existence. When they appear at all, it's generally as fanatics, extremists or a community somehow "harbouring" dangerous extremists. (When do Britain's whites face the absurdity of being called on to crack down on far-right fanatics supposedly in their ranks?) One study took a selection of newspapers in a single week: 91 per cent of reports featuring Muslims were negative.
One of my Muslim fellow students was Dr Leon Moosavi, fast becoming a national authority on Islamophobia. He battles against the widespread denial that anti-Muslim prejudice is a problem. But consider that, in one poll conducted by the Friedrich Ebert Foundation, 45 per cent of Britons agreed that "there are too many Muslims" in Britain. Imagine if nearly half the population admitted to believing that "there are too many Jews" in Britain: how loud would our alarm be?
Of course, it is not just a British problem: the poison of Islamophobia has infected Europe's political mainstream. According to a Pew Research Center survey, nearly six out of 10 Europeans believe that Muslims were "fanatical", and half believed they were "violent". As here, the European far-right aims fire at Muslims above all other groups. In the Netherlands, an anti-Muslim party led by Geert Wilders is the third largest in parliament. Wilders compares the Koran to Mein Kampf, calls Islam a "Trojan Horse" in Europe and demands that the country's 850,000 Muslims be paid to leave the country. Wilders doesn't languish on the fringes: the current Dutch cabinet depended for two years on his party's support.
Or take sleepy Switzerland, where the Swiss People's Party (SVP) is the biggest party in the country's Federal Assembly. The SVP won a referendum on the banning of minarets, which the party's general secretary described as "symbols of Islamic power". During the vote, Geneva's mosque was repeatedly vandalised. Farhad Afshar, the president of the Coordination of Islamic Organisations, had no doubt what signal was sent by this vote: "that Muslims do not feel accepted as a religious community". But it gets even darker than that. In June, the Zurich-based SVP politician Alexander Müller was forced to stand down after tweeting: "Maybe we need another Kristallnacht… this time for mosques." The parallels with anti-Semitism could not be more overt.
In France – where recently 42 per cent polled for Le Monde believed that the presence of Muslims was a "threat" to their national identity – a record number voted for the anti-Muslim National Front in April's presidential elections. Denmark's third largest party is the People's Party, which rails against "Islamisation" and demands the end of all non-Western immigration. The anti-Muslim Vlaams Belang flourishes in Flemish Belgium. But those who take a stand against Islamophobia are often demanded to qualify it with a condemnation of extremism. When is this ever asked of other stands against prejudice? When we condemn anti-Semitic hate, must we criticise repressive Israeli policies in the same breath? It would be absurd – they are completely separate issues, and indeed millions of Jews across the world oppose the actions of Israel's government.
Anti-Muslim hate is a European pandemic. I'm proud to stand with Mehdi Hasan and other Muslims facing Islamophobia. But – I implore, I beg fellow non-Muslims – stand with them too, before this hatred spirals further out of control.

http://www.independent.co.uk/opinion/commentators/owen-jones-islamophobia--for-muslims-read-jews-and-be-shocked-7939392.html


Posted by Zazika at Tuesday, July 17, 2012 No comments:
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Labels: cautionary tale, comment, serious non-medical

Monday, July 09, 2012

how they make it look so tasty...

On a McDonalds photoshoot

 http://uk.lifestyle.yahoo.com/video/food-13177966/behind-the-scenes-at-a-mcdonald-s-photoshoot-29747557.html

  image over reality?
Posted by Zazika at Monday, July 09, 2012 No comments:
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Labels: cautionary tale, food+drink, informative

Tuesday, June 26, 2012

A letter in the Lancet...

... on the link between the dismantling of public pensions and the dismantling of the NHS, with the planned rise of the private sector.

http://download.thelancet.com/flatcontentassets/pdfs/S0140673612609957.pdf
Posted by Zazika at Tuesday, June 26, 2012 No comments:
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Labels: cautionary tale, economy, health delivery, informative, medicine, news

Friday, June 22, 2012

green and frugal living

http://down---to---earth.blogspot.co.uk/2007/08/various-recipes-for-green-cleaning.html

http://noimpactman.typepad.com/blog/2009/01/how-to-cut-out.html

http://frugalandthriving.com.au/2010/living-on-less-our-experience/
Posted by Zazika at Friday, June 22, 2012 No comments:
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Labels: random

Saturday, May 26, 2012

Joe Biden on dealing with loss

Posted by Zazika at Saturday, May 26, 2012 No comments:
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Labels: life, serious non-medical

Friday, May 18, 2012

Lockie Leonard

 A rather good series. If you like 'Everybody Hates Chris', or 'Malcolm in the middle', you will probably very much like this.

some recently shown episodes on the iplayer: http://www.bbc.co.uk/iplayer/search?q=lockie%20leonard.
Some episodes are up on youtube. Alternatively DVD's are available.

This review on amazon gives quite a good description.


'Best kids/tween drama I've seen in a long time 11 May 2012
By Michael Cater
I'm not anywhere near the target demographic for this (male, early 20s), but I've caught much of this show with younger relatives and it's easily one of the best 'kids' television shows I've ever seen. The scripting, acting and cinematography surpass that of most adult shows around today.

It has a ton of warmth, humour and great characters. Praise for the latter must go wholly to the actors; everyone in this is superb. Sean Keenan in the lead role is ridiculously likable and believable. Corey McKernan, who plays his brother, might be even better - he's the perfect support character, hilarious, with great facial expressions and fantastic comedic timing, also able to convey plenty of pathos. The parents are also superb - in so many dramas aimed at kids and teens the older characters are stereotyped and the actors have a tendency to overact. No so here, every adult has a distinct, multi-dimensional character that avoids cliche and are played believably. Without people to care about a show like this doesn't work, so the fact that everyone, despite their flaws, is engaging and sympathetic, leaves you watching on to see what happens to them.

Thematically, the show is wholesome without endlessly moralising; it tackles issues like the environment, friendship, family, depression, parents splitting up and religion, but it is always part of the plotline and not forced. The bright surfing locations and Australian scenery appeal to young audiences, as will the fact that the actors are at the right age; no twenty five year olds playing school children like in similar shows from the US. I imagine it's very relatable as a coming of age drama, and manages to be 'everyday' (i.e. no absurd plot twists or storylines) whilst still engrossing.

So all in all, this is one of the best series of the last few years, of any genre, and one that parents can watch with their kids without being bored senseless. It's simple enough for children but not juvenile by any stretch of the imagination - much of the comedy and general scripting is actually more sophisticated than most of what you'll find in primetime adult shows (certainly when you think of how intelligence insulting most UK television is, whether its the painfully cheesy and obvious narratives on the X-Factor to the latest Peter Andre show about nothing of consequence, this is like The Sopranos by comparison...).

Your only gripe as a parent might be that some themes here are unsuitable for young children - while there's no swearing or sexual references, there is the usual 'coming of age' stuff like wet dreams, embarrassing bodies and bullying, although the latter is tame and done with a smile rather than too seriously. I'd say this is more for tweens than those under ten. Otherwise, I can't recommend this enough; it was so refreshing to find a show for young people that was both safe, ethical, cool and highly entertaining, but not patronising.'
Posted by Zazika at Friday, May 18, 2012 No comments:
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Labels: comic, education, film, fun

lack of consent, vulnerable patient populations, and private healthcare

From: http://boingboing.net/2012/05/17/private-equity-driven-dentists.html

Private-equity driven dentists accused of "dentally abusing" poor kids on Medicaid with painful, unnecessary procedures

By Cory Doctorow at 11:49 am Thursday, May 17

Hedge funds in America have backed several dental practices, and Medicaid and parents allege that this has led to a rash of "dental abuse" of poor children, who are seen by dentists at school, without parental consent, for invasive and painful (and expensive) procedures performed by dentists. Critics say the dentists have to meet quotas in order to attain the valuations set by the private equity funds who call the shots. A North Carolina bill aimed at fighting this practice is being fought by three funds (Leonard Green, Court Square Capital Partners, and Levine Leichtman Capital Partners) who've raised $1.1 million to kill it.
Sydney P. Freedberg writes in Bloomberg:
Isaac Gagnon stepped off the school bus sobbing last October and opened his mouth to show his mother where it hurt. She saw steel crowns on two of the 4-year-old’s back teeth. A dentist’s statement in his backpack showed he had received two pulpotomies, or baby root canals, along with the crowns and 10 X-rays -- all while he was at school. Isaac, who suffers from seizures from a brain injury in infancy, didn’t need the work, according to his mother, Stacey Gagnon...
In August 2010, Green’s lawyer appeared before the Arizona dental board to answer a complaint that ReachOut did unnecessary drilling on a Phoenix student’s teeth -- even after the student’s mother told the company she was seeing a family dentist and didn’t need any work...
There were two children with the same name at the school, and the work was done on the wrong Sabrina Martinez, Green’s lawyer, Jeff Tonner, told the dental board. Although the board agreed that work was done on the wrong child, it dismissed the case, noting Davila had complained about “the business entity,” not a dentist...
In San Diego, Tina Richardson’s third grader, Alexander Henry, came home in March with four baby teeth missing after a school session with a ReachOut-affiliated dentist that was so painful he “waved his arms frantically,” “pushed everyone off him” and “bled so badly that they had to send him to the nurse’s office,” according to her complaint with the state dental board. Among other things, Richardson said the consent process wasn’t valid.
Richardson said Alexander had seen a dentist nine days earlier who didn’t recommend any teeth pulling. Although she signed a consent form in September covering many procedures including extractions, she said she didn’t sign another one that came in November seeking permission to take out three teeth. No one from ReachOut called to discuss the proposed procedures, she said.
Posted by Zazika at Friday, May 18, 2012 No comments:
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Labels: cautionary tale, health delivery, medicine, serious medical musings

Wednesday, May 16, 2012

'Mladic Taunts Survivors At War Crimes Trial'


 http://uk.news.yahoo.com/butcher-bosnia-mladic-faces-war-crimes-trial-235756365.html

'Former Bosnian Serb army chief General Ratko Mladic, who is charged with masterminding some of the worst atrocities in Europe since the Second World War, has taunted survivors and relatives by running his hand across his throat in a gesture of defiance at the start of his trial.
Mladic, the military commander during the 1992-95 Bosnian war is accused of genocide, murder, acts of terror and other crimes against humanity.
He was in charge of the Bosnian Serb army when, over two nights in July 1995, its fighters shot 8,000 Muslim men and boys in and around the town of Srebrenica in eastern Bosnia, burying most in mass graves.
It was Europe's worst mass killing since the Holocaust and part of a war that left around 100,000 people dead.
Mladic, now 70, was seen clapping his hands and flashing a thumbs-up sign as he entered the courtroom at the Yugoslav war crimes tribunal at The Hague.
He later made eye contact with a woman in the public gallery and ran his hand across his throat, in a gesture that led presiding judge Alphons Orie to hold a brief recess and order an end to "inappropriate interactions."
Sky's foreign affairs correspondent Lisa Holland said: "Clearly he is a man who shows no contrition whatsoever for his years as a Bosnian Serb military leader.
"He denies any wrongdoing at all. And that simple act of defiance, that sense of him being there and absolutely having no empathy for those relatives in court, waving as his own supporters... clearly even after all these years, two decades after the start of the Bosnian War, he still sees himself as a saviour of Serb nationalism."
Prosecutor Dermot Groome told the judges at the court: "Ratko Mladic assumed the mantle of the criminal goal of ethnically cleansing Bosnia."
He began his opening statement by focusing on the plight of a 14-year-old boy whose father and uncle were among 150 men murdered by Bosnian Serb forces in November 1992.
"The world watched in disbelief that in neighborhoods and villages within Europe a genocide appeared to be in progress," he said.
"By the time Mladic and his troops murdered thousands in Srebrenica... they were well-rehearsed in the craft of murder," Groome told the court.
Judges were shown a video of the aftermath of a notorious shelling of a market in Markale, in the Bosnian capital Sarajevo, that killed dozens of people.
Mr Groome said all the attacks were part of an "overarching" plan to ethnically cleanse parts of Bosnia of non-Serbs.
Prosecutors will present evidence, including Mladic's own wartime diaries, that demonstrate, "beyond reasonable doubt the hand of Mr. Mladic in each of these crimes," he said.
The trial is expected to last three years with testimonies from some 400 witnesses, including 128 in person.
Outside the courtroom was a protest by around 25 members of the ' Mothers of Srebrenica ', an organistion representing widows and victims of the Srebrenica massacre.
"This is the biggest butcher of the Balkans and the world," said 65-year-old Munira Subasic, who watched the opening of the trial from the public gallery.
"I'll look into his eyes and ask him if he repents."
She lost 22 relatives to Bosnian Serb military forces when the enclave of Srebrenica was overrun in July 1995.

Kadefa Mujic, another member of the group, added: "Victims are afraid that Mladic could die, and that would be very disappointing for the victims in Bosnia.
"I want a verdict for Mladic so that the whole world will see that he is a war criminal and has committed the crimes in Bosnia."
For years after the war Mladic was an elusive fugitive and one of the world's most-wanted men.
His time on the run finally ended last year when Serbian forces arrested him near Belgrade and flew him to The Hague.
He has been held in the same jail as his former political leader, Radovan Karadzic, who was arrested in 2008 and is now at the midway point of his own trial on almost identical charges.
Chief prosecutor Serge Brammertz said: "I don't have to tell you how important it is that finally this trial can start 17 years after the first indictment was issued (against Mladic)."
Mr Brammertz said: "We would of course have preferred having both before the same judges, one being the political architect of the crimes allegedly committed, the other the military leader of this policy."
Both men are accused of overseeing atrocities that began with a brutal campaign of ethnic cleansing in 1992 and climaxed with the July 1995 Srebrenica massacre.
They also are charged with the deadly campaign of sniping and shelling during the 44-month siege of the capital, Sarajevo.
The man seen as the overall architect of the Balkan wars of the 1990s, former Yugoslav President Slobodan Milosevic, died in 2006 before tribunal judges could deliver verdicts in his trial.
Mladic has pleaded not guilty to the charges, calling them "obnoxious" and "monstrous". He claims he was only defending his country and his people.'
Posted by Zazika at Wednesday, May 16, 2012 No comments:
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Labels: history, news, serious non-medical
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