Video: How Chef Daniel Boulud Makes His Signature Abalone Dish

Watch Chef Daniel prepares the dish ormeau, a braised Kona abalone in puff pastry dish that has become a staple at his Two-Michelin-Starred Daniel.

Watch video at You Tube (13:29 minutes) . . . . .

Roasted Chicken with Broad Beans

Ingredients

1 medium lemon
3 cups fresh shelled broad (fafa) beans
2 tbsp olive oil
3 pounds chicken parts, bone-in, skin-on
4 green onion, cut into 1-1/2-inch lengths
4 cloves garlic, sliced thinly
8 sprigs fresh thyme
1-1/2 cups chicken stock
2 tbsp lemon juice
1/2 cup loosely packed mint leaves
2 tbsp capers, rinsed

Method

  1. 1 Preheat oven to 200ºC/400ºF.
  2. Using a vegetable peeler, peel four (2-3/4-inch) strips of rind from the lemon. Squeeze juice from the lemon; you need 2 tablespoons juice.
  3. Cook broad beans in a saucepan of boiling water for 2 minutes. Remove and drain. Refresh under cold running water and drain. Peel away skins then discard.
  4. Heat oil in a large casserole dish over high heat. Cook chicken pieces, in two batches, for 3 minutes each side or until browned. Remove and drain excess fat from dish.
  5. Add onion, garlic, thyme and rind strips to same dish. Cook for 2 minutes.
  6. Return chicken and any juices to the dish with stock. Bring to a boil. Transfer to the oven. Cok, uncovered, for 40 minutes or until chicken is cooked through.
  7. Stir in broad beans and cook for a further 5 minutes or until heated through.
  8. Serve chicken drizzled with lemon juice, topped with mint and capers.

Makes 4 servings.

Source: Every Day Power Foods

Amid Coronavirus Crisis, Exercise Caution When Exercising Outdoors

Even as government officials warn us to “stay home, stay safe” during the coronavirus pandemic, people are flocking to parks, trails and sidewalks to walk and bike away their cabin fever.

That might seem like a total contradiction. But according to health experts, it can be a healthy choice – as long as you exercise caution while exercising outdoors.

“Since most people don’t have a treadmill, outdoor exercise makes it a heck of a lot easier to meet the physical activity guidelines of 150 minutes a week of moderate activity, like walking, or 75 minutes a week of vigorous activity, like running,” said Dr. Jeffrey Harris, professor and chair of the University of Washington’s department of health services in the School of Public Health.

Many states and cities with shelter-in-place orders restricting people from unnecessary trips and travel make exceptions for exercise and dog-walking, placing them in the essential for health and safety category. But it’s important to know where to go – and how to behave when you are there.

“You just have to be rigorous about following the 6-feet distancing rule,” Harris said.

That’s easier said than done.

Some parks and hike-and-bike paths have grown so crowded that officials are urging people to stay away. In other cases, they’ve closed them altogether. Last week, Los Angeles County temporarily shut down its hiking trails and beaches after people kept breaking the 6-feet safe distancing recommendations. In Georgia, the governor has asked state wildlife officers to patrol and break up gatherings of 10 or more at parks and campgrounds and near lakes and rivers.

“Err on the side of caution,” said Russell Pate, professor in the department of exercise at the University of South Carolina. “We do not yet have evidence on the risk of transmission of the virus in outdoor recreational settings, but I’d still steer away from trails and byways that seem crowded.”

Harris, who lives in Seattle, said he’s been seeking out the road less traveled in recent weeks and walking off trail when the main path is filled with people.

“A practical tip is to wear older shoes or boots that you don’t mind getting a bit of mud on during this rainy, soggy time of year,” he said.

For urban dwellers, walking or jogging on sidewalks might be the best bet, but it poses its own challenges, Harris said.

“If you see your neighbors and you’re tempted to stop and talk, that’s fine. But be courteous to others using the sidewalk. Take your conversation to a place where you can maintain a 6-foot distance.”

Children need exercise, too. Just make sure they heed the “playground closed” signs. The last thing you want, Pate said, is your kid swinging on playground equipment some other kid sneezed on.

“I think it’s fine for parents and siblings to play soccer or shoot baskets or throw a Frisbee in the yard or the park,” he said. “But we do want to warn people against play dates and bringing different families together.”

For ideas to stay active, stir-crazed families also can look to organizations such as GirlTrek, which has a “30-Day Jumpstart” walking challenge, and the American Heart Association’s “Kicking Cabin Fever to the Curb” virtual experience.

Exercise has been shown to improve poor sleep habits and reduce stress, anxiety and depression – all of which rise during times of trouble, according to research. Where you exercise may matter. Moving your body outdoors may be better than doing it indoors, Harris said.

“There’s evidence that being out in nature is good for us psychologically,” he said. “There’s something about humans and nature that go well together.”

Some people also may now have more free time to exercise. Americans spend an average of 53 minutes each day commuting to and from work – time they can now potentially use to walk, dance or do yardwork.

“The number one reason why people report not being as physically active as they’d like to be is a lack of time,” Pate said.

If you’ve never exercised regularly or have fallen out of practice, don’t overdo it right away.

“Listen to your body and catch up safely – maybe walk five minutes at first, then 10 minutes, then 20, increasing until you hit your target,” Harris said.

But no matter how long you walk, it’s better than staying cooped up all day watching TV or scrolling through social media.

And even if you can’t get outside, turn those electronic devices into a force for good exercise; a host of free content online is available to get you moving in your living room.

“Some people think if you don’t hit the target right away, you might as well not start. But research shows that’s not true,” Harris said. “When it comes to physical activity, anything is better than nothing.”

Source: American Heart Association

Study: Face Masks Can Be Safely Reused by Pandemic Medical Workers

Medical face masks, which have fallen into short supply during the COVID-19 pandemic, endangering both frontline health care workers and their patients, may be safely reused after sterilization, according to initial results from urgent research conducted this week by a University of Massachusetts Amherst environmental health scientist.

Richard Peltier, a School of Public Health and Health Sciences professor, partnered with Dr. Brian Hollenbeck, chief of infectious disease at New England Baptist Hospital in Boston, to test in his lab whether used N95 face masks were still effective at blocking infectious particles after sterilization.

This critical research aimed to address the worldwide shortage of N95 masks caused by the COVID-19 pandemic. “As environmental health scientists, we are always looking for opportunities to improve public health,” Peltier says. “These results show that there is no real difference in filtration between a new mask and one that has been sterilized.”

N95 face masks are worn over the mouth and nose, and capture particulates in the air. They are designed to be worn once and then discarded. When new, they are very effective at protecting a person from particulates, including droplets that carry infectious agents like COVID-19.

“While these are ordinarily disposable protective devices for medical workers, these are not ordinary times,” Peltier says, “and this science shows that sterilized face masks will protect our health care providers who are working under extraordinary conditions.”

Peltier used state-of-the-art pollution instruments and a mannequin head wearing a face mask to measure whether microscopic particles can pass through the mask after it’s sterilized.

Peltier carried out the testing in a small chamber, in which he affixed the masks to a mannequin that had a small pipe extending from its mouth. The chamber was flooded with pollution, and air was collected through the mask as if the mannequin were breathing inside a room filled with pollutants.

The air was delivered to analyzers that used lasers to both count and estimate the size of millions of microscopic particles. Peltier switched between measuring the air from the chamber and the air from behind the mask to calculate how many particles passed through each mask type. He tested both a new mask, as well as one that had been sterilized with hydrogen peroxide.

While there was concern that sterilization might substantially degrade the filter material, causing it to function improperly, this turned out not to be the case. “They work just as well after sterilization,” Peltier says.

Ordinarily, Peltier would repeat the test dozens of times, but the hospital in Boston could not spare additional masks, which, once tested, were unusable. “We are no longer under ordinary circumstances and we have to improvise as best we can,” Peltier says.

Because the particulates blocked by the face mask are retained by the mask, they must be sterilized if not thrown away. “A used mask could have COVID-19 on it, so reusing it without sterilization poses a danger to the wearer or to another patient,” Peltier explains.

Source: University of Massachusetts Amherst

Major Study Casts Doubt on Routine Use of Stents, Bypass

Dennis Thompson wrote . . . . . . . . .

Folks with clogged arteries do as well with medication and lifestyle changes as they do after undergoing invasive procedures to reopen their blood vessels, a major new clinical trial reports.

Bypass surgery, balloon angioplasty and stenting are no better than drugs, eating right and exercising at reducing the risk of heart attack and death in people with stable ischemic heart disease, a condition where there’s been no heart attack but the heart is under strain from clogged arteries, trial results show.

“No matter how you look at it, there’s no statistically significant difference overall,” said study chair Dr. Judith Hochman, senior associate dean for clinical sciences at the NYU Grossman School of Medicine.

These results indicate that tens of thousands of elective procedures to reopen clogged arteries are performed on people whose health won’t benefit from it, Hochman noted.

The best that can happen is people suffering daily or weekly chest pain from angina will feel some symptom relief if they receive a stent, the results indicate.

As much as $570 million a year could be saved if heart patients without any chest pain or other symptoms stopped receiving unnecessary stents, Hochman estimated.

Dr. John Osborne, director of cardiology for State of the Heart Cardiology in Dallas, said the clinical trial should cause doctors and patients to rethink whether stenting is really needed.

“All these mechanical procedures don’t actually treat heart disease. They treat the symptoms,” said Osborne, a spokesman for the American Heart Association. “They don’t make you live longer. They don’t prevent heart attacks.”

The trial results were published in the New England Journal of Medicine.

This clinical trial did not focus on people suffering from heart attacks. Stenting to reopen clogged arteries during a heart attack is a proven lifesaving treatment, Hochman stressed.

Instead, this study focused on the estimated 19 million Americans who suffer from stable ischemic heart disease, with clogged arteries that might cause chest pain or shortness of breath but pose no immediate threat to their lives, Hochman said.

Of those, more than 9 million have stable angina — occasional or regular chest pain or discomfort caused by poor blood flow to the heart.

As few as 45% of patients with stable angina are given a chance to control their symptoms through medication and lifestyle before their doctors turn to stenting or bypass surgery, Hochman said. The rest are wheeled into the catheterization lab as soon as possible.

When asked in a survey, a majority of doctors said it was “easier to accept the death of a patient getting an angioplasty than the death of a patient sent home without the procedure,” Hochman said.

Between August 2012 and January 2018, the study enrolled nearly 5,200 patients at 320 sites in 37 countries who had moderate to severely blocked arteries. Patients were 64 years old, on average, and 21% reported daily or weekly chest pain in the past.

“These are people who had severe disease. They had very abnormal stress tests. This is not the general population,” Hochman said of the participants.

Patients were randomly assigned to either receive conservative medical therapy alone unless their condition worsened, or to receive stenting or bypass surgery.

By the end of the trial, the death rates of the two groups were essentially the same.

The rate of heart-related events, including heart attack and stroke, also was mostly the same.

People who underwent invasive procedures had slightly more heart attacks and heart-related deaths within the first six months — about 2 in every 100 patients — but by four years out they had a slightly lower rate of heart attack and heart-related death that also amounted to 2 of every 100 patients.

Researchers are discussing whether to keep following these patients, to see if the seemingly small advantage of the invasive approach will grow larger over time, said Dr. Yves Rosenberg, study co-author and chief of the National Heart, Lung and Blood Institute’s Atherothrombosis and Coronary Artery Disease Branch.

“There’s still a possibility it takes more time to really observe the benefit of this invasive approach,” Rosenberg said. “You may need more time to observe a real clinically significant difference between these two groups.”

The only true benefit appeared in people who have stable heart disease but regularly suffer angina.

Within three months, about 45% of patients who had weekly chest pain from angina reported a reduction in their symptoms if they underwent stenting, compared with 15% of people treated with medicine and lifestyle changes, Hochman said.

“This was the first study that showed that stents had a durable beneficial effect on angina-related quality of life,” Hochman said.

The clinical trial team suggests that patients with regular chest pain talk with their doctor and make a shared decision about whether stenting would be best for them, Hochman said.

Cardiologist Dr. Hadley Wilson said the study “gives us a new perspective on how we should be treating our angina patients.” He is executive vice chair of Atrium Health’s Sanger Heart & Vascular Institute in Charlotte, N.C., and a member of the American College of Cardiology Board of Trustees.

“We need to come to grips with the reality that the invasive approach should be primarily for symptoms, for patients who are having significant symptoms of angina where it’s affecting their quality of life,” said Wilson.

Osborne noted that previous studies have found similar results to these, but that this is the highest-powered effort to date to compare invasive strategies against more conservative treatments when it comes to stable heart disease.

“Really what the study shows is that heart disease is a medical problem best treated medically, by treating blood pressure and cholesterol, not smoking, diet, lifestyle, taking care of diabetes,” Osborne said. “It’s not a surgical condition.”

Source: HealthDay


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