2013年2月28日 星期四

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Are there whole-grain options that are gluten-free?
Feb 28th 2013, 06:00

  • Nutrition-wise blog

  • Feb. 28, 2013

    By Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.

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Whole grains are important for everyone. They're naturally high in fiber, low in fat and filling to eat. And, when eaten regularly, whole grains help reduce the risk of heart disease, diabetes and certain cancers.

The Dietary Guidelines for Americans recommend that at least half of your daily servings of grains be whole grain. This means three servings a day for most people. Seems simple? It's not. Fewer than 5 percent of Americans meet this recommendation.

The most common whole-grain foods (breads, baked goods, cereals, pasta and crackers) contain gluten. This makes getting enough whole grains even tougher for those with celiac disease because they must avoid wheat, rye and barley because of their gluten content.

So, here are five gluten-free whole grains, how to cook them and how to add them to your diet. Remember to aim for three servings of whole grains a day.

Amaranth: About the size of a poppy seed, this pseudo-grain has a light peppery taste. Use 3 to 6 parts water to 1 part amaranth. Boil water, add grain and gently boil for 15 to 20 minutes. As it cooks, amaranth softens from the inside, releases a lot of starch and thickens the cooking liquid. Rinse cooked amaranth and let it drain before using. Use amaranth to thicken soups and stews. Add milk, fruit and a bit of honey for a healthy breakfast. You can even "pop" dried amaranth and make it into a granola-type bar.

Millet: About the size of a small mustard seed, this grain has a mild flavor. Use 2 to 3 parts water to 1 part millet. Boil water, add grain and gently boil for 35 to 40 minutes. You may also "toast" millet in a hot pan before boiling to get a nuttier flavor. Top with cinnamon and peaches for breakfast. Or make a salad with halved grape tomatoes, radishes and chopped basil. Millet is also a great alternative to rice in casseroles, ground-meat dishes and stuffing.

Teff: This smallest of grains is nutty and earthy in flavor. Use 3 parts water to 1 part teff. Boil water, add grain and simmer for 15 to 20 minutes. Its texture is like cream of wheat. Add cooked teff to soups or use teff as the main ingredient for polenta instead of cornmeal. Teff flour can be used to make pancakes.

Buckwheat: Despite its name, buckwheat is not related to wheat. This-pseudo grain is pyramid shaped and known as kasha or buckwheat groats. To bring out its earthy flavor, cook 1 cup buckwheat with one egg in a large skillet over medium heat. Stir to keep from clumping until the mixture is dry and separated. Add 2 cups water or broth and cook uncovered over low heat for about 15 minutes. Mix cooked buckwheat with lentils, herbs and a bit of goat cheese. Or stuff peppers or acorn squash with cooked buckwheat. Buckwheat flour can be used to make pancakes.

Quinoa: This pseudo-grain must be rinsed well before cooking to remove bitter-tasting saponins. You can also buy it pre-rinsed. The flavor is squash-like. Quinoa cooks in just 15 minutes. Use 2 parts water to 1 part quinoa. Mix with chopped fruit and drizzle with honey for breakfast. Or use quinoa instead of bulgur to make tabbouleh. Quinoa is also a good substitute quinoa for rice in rice pudding.

Whether you are going gluten-free or not, these whole grains are good for you. Share your favorite ways of preparing these grains.

-Jennifer

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References
  1. Dietary Guidelines for Americans, 2010. U.S. Department of Health and Human Services. http://www.cnpp.usda.gov/DGAs2010-PolicyDocument.htm. Accessed Feb. 25, 2013.

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thumbnail VIDEO: Mid Staffs 'faces being dissolved'
Feb 28th 2013, 22:04

The scandal-hit Mid Staffordshire NHS Trust faces being dissolved after regulators announced the administration process was to begin.

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thumbnail AUDIO: PND mothers 'need more support'
Feb 28th 2013, 09:55

The search for a mother-of-three suffering with post-natal depression (PND) ended yesterday after police found a body. Bethany Reynolds, who had PND with her first son and antenatal with her second son, reflects on the disease and Rachel Dobson, who set up the charity Pandas Foundation that aims to help people with PND, outlines whether there is enough support for women with the disease and their families.

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2013年2月27日 星期三

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Diabetes: Drugs only work if you take them
Feb 27th 2013, 06:00

  • Living with diabetes blog

  • Feb. 27, 2013

    By Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.

Controlling Your Diabetes

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"Patient compliance," "medication adherence," "medication non-adherence" — these are a few terms used to describe when people fail to follow their medication prescriptions. Medication non-compliance is the failure to take drugs on time in the dosages prescribed. It's a common problem. According to an April 2011 Mayo Clinic Proceedings article, only about half of those who are prescribed medication take it exactly as prescribed.

I've been told at continuing education conferences that there's no such thing as a "non-compliant" patient and to avoid the label. Such labeling is loaded with implications and stereotypes. Most of us want to follow our health care provider's advice so why are so many of us not taking our medications as prescribed?

As it turns out, there are many reasons you might not take your medication as prescribed. They include not understanding medical terms, not being involved in the medical decision making, poor communication on the part of your health care provider, your doctor having an incomplete medical history, limited finances or access to health care, complex medication regimens, cultural barriers, memory issues, health beliefs or misconceptions and many others. It's a complex issue with no single solution.

In a 2003 report on medication adherence, the World Health Organization stated, "Increasing the effectiveness of adherence interventions may have a far greater impact on the health of the population than any improvement in specific medical treatments."

Wow, so what can be done? Some possible interventions include:

  • Patient-education classes
  • Providing interpreters for foreign speaking individuals
  • Simplified medication programs
  • Empowering people to self-manage chronic diseases
  • Written instructions or pictures specific to a person's literacy level
  • Provider consideration of economic constraints
  • Appropriate follow-up care

These are considerations for your health care provider, but what can you do?

First, ask questions. You have the right to understand your own medical program. And consider inviting a family member or friend to your appointments, to assist with understanding instructions.

I also commonly hear: "I just keep forgetting to take my medication, and some times are harder to remember than others." Taking medication is a behavior, and all behaviors can be changed, although change isn't always easy. Consider tools designed to help — such as medication organizers, dispensers, pill box timers, alarms and written schedules or calendars — available in a range of prices.

How do you remember to take your medication? Please share your thoughts.

Have a great week,

Nancy

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thumbnail VIDEO: How much alcohol is too much?
Feb 27th 2013, 20:28

National guidelines say women should drink no more than 14 units a week, and men no more than 21 - but how much do we really drink?

thumbnail VIDEO: Prince Harry in Lesotho charity trip
Feb 27th 2013, 18:01

Prince Harry has been meeting unwell, disabled and disadvantaged children on a return trip to the southern African kingdom of Lesotho.

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thumbnail VIDEO: Excess drinking 'is under reported'
Feb 27th 2013, 10:07

The amount of alcohol consumed in England could be much higher than previously thought, a study suggests.

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thumbnail VIDEO: Court action over NI abortion advice
Feb 27th 2013, 09:55

The High Court in Belfast is being asked to order the Department of Health in Northern Ireland to publish abortion guidelines.

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2013年2月26日 星期二

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Tdap vaccine: Now recommended during pregnancy
Feb 26th 2013, 06:00

  • image.alt
  • With Mayo Clinic certified nurse-midwife

    Mary M. Murry, R.N., C.N.M.

    read biography
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  • Pregnancy and you blog

  • Feb. 26, 2013

    Tdap vaccine: Now recommended during pregnancy

    By Mary M. Murry, R.N., C.N.M.

What would you do for your child?

I know that I'd give any of my children a kidney. I come to their defense and I tell them when they're wrong. I love them bigger than the sky. Did I forget to mention give them money? We won't talk about that.

It was the same when I was pregnant. I changed many habits for the sake of my babies. I ate differently — and no more beer on a hot summer day!

Undoubtedly, you'll do these things and more. After all, you want to do everything in your power to ensure a healthy baby. For your baby's sake, please add the Tdap vaccine to your list.

The CDC recommends the Tdap vaccine — which offers protection from whooping cough (pertussis), tetanus and diphtheria — for all pregnant women, regardless of when you had your last Tdap or tetanus-diphtheria (Td) vaccine. Ideally, the vaccine should be given between 27 and 36 weeks of pregnancy.

Whooping cough can be especially dangerous — even life-threatening — for infants. Getting the Tdap vaccine during pregnancy can help protect you from the infection and might also help protect your baby after birth.

As you plan for the new person who'll soon be a part of your life, add the Tdap vaccine to your list.

blog index
References
  1. CDC Advisory Committee for Immunization Practices recommends Tdap immunization for pregnant women. Centers for Disease Control and Prevention. http://www.cdc.gov/media/releases/2012/a1024_Tdap_immunization.html. Accessed 2/5/13.
  2. Centers for Disease Control and Prevention, et al. Advisory Committee on Immunization Practices (ACIP) Recommended Immunization Schedules for Persons Aged 0 Through 18 years and Adults Aged 19 Years and Older — United States, 2013. MMWR. 2013;62:1. http://www.cdc.gov/mmwr/preview/mmwrhtml/su6201a3.htm. Accessed Feb. 5, 2013.

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thumbnail AUDIO: Sally Roberts: Radiotherapy is torture
Feb 26th 2013, 12:13

Victoria Derbyshire speaks to Sally Roberts who has been fighting to stop her son's cancer treatment.

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thumbnail VIDEO: Rising number of dementia cases
Feb 26th 2013, 07:16

More than 320,000 of the 400,000 people living in care homes in England, Wales and Northern Ireland now have dementia or severe memory problems, according to charity estimates.

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2013年2月25日 星期一

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thumbnail VIDEO: Miscarriages 'often hard to talk about'
Feb 25th 2013, 11:09

The Miscarriage Association is launching an awareness campaign aimed at encouraging people to share their experiences of miscarriage.

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thumbnail AUDIO: Men 'need support' in relationships
Feb 25th 2013, 08:31

Relate's chief executive Ruth Sutherland, outlines the findings of a report published by Relate, in partnership with the Men's Health Forum, that states men are often in the dark about relationship difficulties.

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2013年2月24日 星期日

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Mayo Clinic patient app can make your life easier
Feb 23rd 2013, 17:41

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  • Living with cancer blog

  • Feb. 23, 2013

    Mayo Clinic patient app can make your life easier

    By Sheryl M. Ness, R.N.

Living With Cancer

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If you're on our blog, or checking out our Mayo Clinic Twitter and Facebook pages, you might be interested to know more about apps that can make your life easier as a cancer survivor.

Did you know that Mayo Clinic has a patient app? Check out the new free patient app that gives you access to Mayo Clinic wherever and whenever you like. The app provides you with:

  • Updates on health news and information from Mayo Clinic
  • Access to schedule and manage your appointments
  • Information on our education resources, classes and sessions
  • Access to your personal health information
  • Maps, lodging, restaurants, concierge services, shopping and events at all three of our Mayo Clinic sites in Minnesota, Florida and Arizona

Once you download the app, you can access your medical record, lab results, appointment schedule and more. The app includes a feature that helps you request an appointment, refill your prescriptions, and get health recommendations, notifications and alerts. It also allows secure messaging between you and your care team.

You can find the app at MayoClinic.org's patient care website. I have mine downloaded and ready to go.

Here are other free apps that provide great resources and information you might be interested in.

  • Cancer.net has a free app with guides on 120 different types of cancer.
  • For updated information on clinical trials, check out the National Institutes of Health database at iphoneclinicaltrials.com
  • CaringBridge also has a mobile app to keep you connected with your CaringBridge site on the go.

Please share other apps that have been helpful to you as a cancer survivor. I'd love to hear what's working well for you.

Follow me on Twitter at @SherylNess1. Join the discussion at #livingwithcancer.

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thumbnail VIDEO: English 'must be up to scratch'
Feb 24th 2013, 08:54

Foreign doctors wanting to treat NHS patients in England will have to prove they have the necessary English skills, the government has confirmed.

thumbnail VIDEO: GMC: Language rules welcome
Feb 24th 2013, 08:52

Foreign doctors wanting to treat NHS patients in England will have to prove they have the necessary English skills, the government has confirmed.

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thumbnail VIDEO: Foreign doctors 'must speak English'
Feb 24th 2013, 07:03

Foreign doctors wanting to treat NHS patients in England will have to prove they have the necessary English skills, the government has confirmed.

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2013年2月22日 星期五

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thumbnail AUDIO: Should children run marathons?
Feb 22nd 2013, 16:23

5 live asked if it was healthy for children to take part in marathons as a nine-year-old boy prepares to run his second.

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thumbnail VIDEO: First patients try new hospital food
Feb 22nd 2013, 09:47

More than £50m has been wasted on failed schemes to improve hospital food, according to a new report.

thumbnail VIDEO: Police kept children's body parts
Feb 22nd 2013, 07:27

The organs and limbs of 89 children and teenagers were among hundreds of body parts kept by police forces in England, Wales and Northern Ireland.

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2013年2月21日 星期四

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thumbnail VIDEO: Waiting list systems 'must improve'
Feb 21st 2013, 07:50

The Scottish government and NHS boards must improve the systems they use to manage waiting lists to ensure the "fair treatment of patients", the public sector watchdog has said.

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