What’s for Dinner?

Chinese Home-cooked Dinner of Three Dishes and One Soup

The Menu

Braised Chicken with Chestnut

Taro Root Cooked with Vegetable

Fish Cooked in Seasoned Vinegar

Winter Melon and Dried Shrimp Soup

Food Art

Artworks Made with Vegetables

Elderly Benefit from Using Implantable Defibrillators

The elderly may benefit from implantable cardioverter defibrillators as much as younger people, according to new research in the American Heart Association journal Circulation.

An implantable cardioverter defibrillator (ICD) is a small battery-powered device placed under the skin of the chest which delivers electrical impulses to restore a normal heartbeat if it detects a dangerous abnormal rhythm.

Overall health — not age alone — should determine how well patients will do after getting an ICD and help guide decisions about who should receive one, researchers said.

“Whether elderly patients benefit from the devices has been controversial and research on the topic is lacking,” said Douglas S. Lee, M.D., Ph.D., lead author and scientist at the Institute for Clinical Evaluative Sciences and cardiologist at the Peter Munk Cardiac Centre in Toronto, Ontario, Canada. “The issue is important as the population ages and the number of elderly people living with heart disease grows.”

Researchers studied 5,399 patients who had ICDs implanted because of poor heart function due to a prior heart attack or heart failure, or after being resuscitated from cardiac arrest.

“Older patients were just as likely to experience an appropriate electrical shock from the device to treat a life-threatening heart rhythm. However, older patients experienced more non-cardiac and cardiovascular hospitalizations and higher associated rates of death overall,” said Lee, who is also associate professor of medicine at the University of Toronto.

Other study findings include:

  • Among those who received an ICD with heart failure or after heart attack, 38.5 percent were 70 years or older and 7 percent were 80 years or older.
  • Among those who received an ICD after surviving a cardiac arrest, 42.5 percent were 70 years or older and 10.9 percent were in their 80s.
  • Older age correlated with increased risk of death after ICD implantation in both groups. For example, among those undergoing ICD implantation for prevention of cardiac arrest, 2 in every 100 patients ages 18-49 died whereas 10 in 100 died among those 80 years and older.
  • Use of the devices was equally effective among younger and older patients in restoring heart rhythm after a serious life-threatening rhythm disorder occurred. Across all age groups, ICDs more often delivered appropriate electrical shocks when implanted after cardiac arrest than when used to prevent the first cardiac arrest.

Source: American Heart Association

An Appetizer with Chicken Breast

Ingredients

1 chicken breast
1 cup flour
1 cup bread crumbs
1 egg, beaten
grape and orange to garnish

Havarti bread

8 slices whole wheat bread
4 slices havarti cheese
butter

Method

  1. Cut chicken into bite-sized pieces. Season with salt.
  2. Arrange three bowls of flour, egg and bread crumbs on the workspace. Dip chicken in flour, then egg, then bread crumbs.
  3. Sauté chicken in a pan over medium heat until golden brown. Bake in 350ºF oven for 10 minutes. While cooling, place on skewers.
  4. Cut bread into egg shapes. Butter one side of each bread. Place a piece of cheese between the buttered sides of two pieces of bread. Fry in the pan on both sides.
  5. Cut orange into square pieces. Place orange and grapes on skewers to garnish.

Makes 2 servings.

Source: Ciao!

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