How to Make Boiled Egg Like A Pro

Step 1

Release the carbon dioxide gas in each egg by making a small hole in the bottom of the egg using a gadget shown below.

Step 2

Put the egg in a frying pan. Add water to a height of about 1 cm.

Step 3

Cover the pan with a lid. Bring to a boil over medium heat. Turn heat to low and simmer for 3 minutes. Gently move the pan often to rotate the eggs inside the pan.

Step 4

Turn off heat and let stand for 5 minutes.

Step 5

Remove the eggs from the pan and cool in cold water. Peel the shell off when the egg is still warm.

Appearance of Yolk in Soft to Hard Boiled Egg

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Character Bento

My Melody Charaben

My Melody (マイメロちゃん)

Study Finds Implanted Device Helps Patients With Central Sleep Apnea

A small implant being studied for the treatment of central sleep apnea is showing significant promise, according to study results presented by Dr. William Abraham, director of the Division of Cardiovascular Medicine at The Ohio State University Wexner Medical Center, during today’s Late Breaking Clinical Trials session of the Heart Failure Society of America’s Annual Scientific Meeting.

“Central sleep apnea affects more than a third of heart failure patients and is known to make the condition worse,” Abraham said. “Unfortunately, we don’t have good treatments available for this type of apnea. Currently, positive airway pressure devices are used, but many patients don’t tolerate it well.”

Unlike the more common obstructive sleep apnea, in which the airway gets blocked during sleep and causes pauses in breathing, central sleep apnea is more dangerous because the brain’s signals to tell the body to breathe get interrupted.

“One of the concerning features of central sleep apnea is that these patients don’t fit the usual profile of obstructive sleep apnea,” said Dr. Rami Khayat, a sleep medicine expert and director of Ohio State’s sleep heart program. “They generally don’t snore, so they’re tougher to diagnose, and the symptoms of sleepiness and fatigue overlap with symptoms associated with heart failure.”

Abraham and other cardiovascular researchers at 11centers around the world tested the feasibility, safety and efficacy of a new transvenous phrenic nerve stimulator made by Respicardia Inc. The device resembles a pacemaker in that it delivers a regular signal to stimulate the diaphragm to breathe during sleep.

In the pilot study, 47 patients were implanted with the device and evaluated for six months. The implant was placed below the collar bone and a transvenous stimulator lead was positioned near the phrenic nerve. After a one-month healing period, the device was turned on and programmed to the patient’s sleep habits.

Researchers saw significant results, including a 56 percent reduction in overall apnea events per hour and more than 80 percent reduction in central sleep apnea events.

“The device normalized breathing during sleep, it reduced apnea episodes and, in association with that, we saw improvements in sleepiness symptoms and patients’ quality of life,” Abraham said. “We also noted a reduction in blood pressure in patients with hypertension.”

Now researchers are comparing the device to current medical therapy for central sleep apnea in a larger randomized, controlled clinical trial. Ohio State’s Wexner Medical Center is again the first in the United States to enroll patients in this research. Once study participants receive the implant, half will have the device turned on soon after surgery, while the control group will wait six months to have their device turned on. Up to 25 centers are participating in this larger randomized trial. Patients will be followed up to five years.

“If these initial findings bear out in the larger studies, an implantable device could be a good option for central sleep apnea patients who cannot tolerate positive airway pressure therapy,” Khayat said.

Source: Ohio State University Wexner Medical Center

Read more ….

Central Sleep Apnea and Heart Failure …..

Gourmet Risotto of Lobster

Ingredients

1 cooked lobster, about 1 lb
2½ cups fish stock
1 tbsp olive oil
2 oz butter
1/2 onion, finely chopped
1 clove garlic, minced
1 tsp chopped fresh thyme leaves
3/4 cup risotto rice
2/3 cup sparkling white wine
1 tsp green peppercorn in brine, drained and coarsely chopped
1 tbsp chopped fresh parsley

Method

  1. Remove crawls of lobster. Crack using the back of a large knife and set aside. Split the body lengthwise. Remove and discard the intestinal vein, the stomach sac and the spongy gills. Remove the meat form the tail and coarsely chop. Set aside with the claws.
  2. Bring stock to a boil in a pan. Reduce heat and simmer over low heat while the risotto is cooked.
  3. Heat the oil with half the butter in a large pan over medium heat. Add onion and cook, stirring occasionally, for about 5 minutes, until softened. Add garlic and cook for 30 seconds. Stir in the thyme.
  4. Reduce heat and add rice. Mix to coat in butter and oil. Cook, stirring constantly, for 2 to 3 minutes, or until the grains are translucent.
  5. Stir in the wine and cook, stirring constantly, for 1 minute until reduced. Gradually add the hot stock, a ladle at a time. Stir constantly and add more liquid as the rice absorbs each addition. Increase the heat to medium so that the liquid bubbles. Cook for 20 minutes, or until all the liquid is absorbed and the rice is creamy.
  6. Five minutes before the end of cooking time, add the lobster meat and claws.
  7. Remove the pan from heat and stir in the peppercorns, remaining butter, and the parsley. Spoon onto warmed plates and serve.

Source: Risotto

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