New Summer Sweet at Blue Bottle Café in Tokyo, Japan

Shaved Ice with Coffee and Milk Cream

The new sweet incorporates coffee syrup, cream, salted caramel sauce, candied orange peel and nuts into shaved ice.

The price is 1,320 yen (tax included).

5 Ways to Keep Your Heart Safe in Extreme Heat

With many areas of the country facing triple digit temperatures and summer heat and humidity elsewhere, the American Heart Association, a global force for longer, healthier lives for all, is urging people to take extra steps to protect their hearts. Precautions are especially important for older adults and individuals with high blood pressure, obesity or a history of heart disease and stroke.

Temperatures over 100 or even temperatures in the 80s with high humidity can cause a dangerous heat index that can be hard on the heart. Recent research published in Circulation, the flagship journal of the American Heart Association, found that when temperatures reach extremes of an average daily temperature of 109 degrees Fahrenheit, the number of deaths from cardiovascular disease may double or triple. Another study, featured at the American Stroke Association’s International Stroke Conference, suggests that the more temperatures fluctuate during the summer, the more severe strokes may become.

In hot weather, the body tries to cool itself by shifting blood from major organs to underneath the skin. This shift causes the heart to pump more blood, putting it under significantly more stress.

“If you’re a heart patient, older than 50 or overweight, the American Heart Association suggests you take special precautions in the heat to protect your heart,” said Donald M. Lloyd-Jones, M.D., Sc.M., FAHA, the American Heart Association’s new volunteer president and chair of preventive medicine at Northwestern University Feinberg School of Medicine in Chicago.

“Some heart medications like angiotensin receptor blockers (ARBs), angiotensin-converting enzyme (ACE) inhibitors, beta blockers, calcium channel blockers and diuretics, which affect blood pressure responses or deplete the body of sodium, can exaggerate the body’s response to heat and cause you to feel ill in extreme heat,” added Lloyd-Jones, whose term as president began July 1. “But don’t stop taking your prescriptions. Learn how to keep cool and talk to your doctor about any concerns.”

Even if you aren’t taking medications for a heart condition, it is important to take precautions in the heat. While infants and the elderly are more vulnerable to problems from heat, extreme temperatures can cause health issues for anyone.

“Staying hydrated is key. It is easy to get dehydrated even if you don’t think you’re thirsty,” Lloyd-Jones said. “Drink water before, during and after going outside in hot weather. Don’t wait until you feel thirsty. And the best way to know if you are getting enough fluid is to monitor your urine output and make sure the urine color is pale, not dark or concentrated.”

Dehydration causes the heart to work harder, putting it at risk. Hydration helps the heart more easily pump blood through the blood vessels to the muscles. And it helps the muscles work efficiently.

The American Heart Association suggests that everyone follows these top 5 hot weather precautions:

  • Watch the clock: It’s best to avoid the outdoors in the early afternoon (about noon to 3 p.m.) because the sun is usually at its strongest, putting you at higher risk for heat-related illnesses.
  • Dress for the heat: Wear lightweight, light-colored clothing in breathable fabrics such as cotton, or a newer fabric that repels sweat. Add a hat and sunglasses. Before you get started, apply a water-resistant sunscreen with at least SPF 15, and reapply it every two hours.
  • Drink up: Stay hydrated by drinking a few cups of water before, during and after going outside or exercising. Avoid caffeinated or alcoholic beverages.
  • Take regular breaks: Find some shade or a cool place, stop for a few minutes, hydrate and start again
  • Follow the doctor’s orders: Continue to take all medications as prescribed.

It’s important to know the signs and symptoms when you may be experiencing too much heat.

Symptoms of heat exhaustion:

  • headaches
  • heavy sweating
  • cold, moist skin, chills
  • dizziness or fainting (syncope)
  • a weak and rapid pulse
  • muscle cramps
  • fast, shallow breathing
  • nausea, vomiting or both

If you experience these symptoms, move to a cooler place, stop exercising and cool down immediately by dousing yourself with cold water and re-hydrating. You may need to seek medical attention.

Symptoms of heat stroke:

  • warm, dry skin with no sweating
  • strong and rapid pulse
  • confusion and/or unconsciousness
  • high fever
  • throbbing headaches
  • nausea, vomiting or both

If you experience these symptoms, seek medical attention right away. Heat stroke is not the same as a stroke. Stroke happens when a blood vessel to the brain either bursts or is blocked by a clot, causing a decrease in oxygen flow to the brain.

Source : American Heart Association

In Pictures: Food of Octavium in Central, Hong Kong

Fine Dining Italian Cuisine

The Michelin 1-star Restaurant

How Much Should the Delta Variant Worry You?

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

The Delta variant (B.1.617) of COVID-19 is upending any return to normalcy in some parts of the United States, with locales like Los Angeles County urging vaccinated folks to once again don masks indoors.

Infectious disease experts said these places are acting with an abundance of appropriate caution, given that the Delta variant is more transmissible and potentially more dangerous.

But the danger to any one individual may rely on his or her vaccination status.

Delta doesn’t pose any significant risk of illness to people who are vaccinated, the experts stressed. But there’s a chance they could get a “breakthrough infection” and spread it to others, even if their own infection results only in the sniffles or no illness at all, the experts said.

The Delta variant, which originated in India, is 50 to 80 times more transmissible than the original Alpha strain of COVID-19, according to Dr. Tina Tan. She is a professor specializing in pediatric infectious diseases at Northwestern University’s Feinberg School of Medicine, in Chicago.

So, “even if you are vaccinated or if you had COVID in the past, you might still be able to get this particular infection and transmit it, but you yourself might not get that sick from it,” Tan said.

As for masks, “we know that masking works,” she said.

“It doesn’t matter which variant, we know that masking works, especially in an indoor setting. People need to realize the pandemic is not over,” Tan said. “They need to still continue to be cautious.”

The World Health Organization (WHO) recently reiterated that everyone should wear masks, and countries like Israel have reinstituted mask requirements as infections with the Delta variant increase. Some cities in Australia have initiated fresh lockdowns over the Delta variant, while countries like Malaysia have extended their stay-at-home orders.

The U.S. Centers for Disease Control and Prevention announced in May that fully vaccinated Americans could forgo masks in most settings, and earlier this week its director, Dr. Rochelle Walensky,, stood by that advice in multiple television appearances.

But Walensky also said that local policymakers need to have a free hand in protecting their communities.

“Those masking policies are not to protect the vaccinated — they are to protect the unvaccinated,” Walensky said on NBC’s “Today” show, noting that “everybody should consider their own situation if they would feel more comfortable wearing a mask.”

The evidence suggests that people vaccinated against COVID-19, particularly if they received the Pfizer or Moderna vaccines, will be protected against this new strain, experts said.

“I am not aware of any evidence that fully vaccinated individuals need to wear masks as protection against the Delta variant,” said Dr. Amesh Adalja, a senior scholar at the Johns Hopkins Center for Health Security, in Baltimore. “The data supports the notion that fully vaccinated people, especially those vaccinated with the mRNA vaccines, are highly protected against this variant.”

Dr. Vivek Cherian, of the University of Maryland’s St. Joseph Medical Center in Baltimore, agreed that “there’s a very, very low chance of getting breakthrough infections” from the Delta variant in fully vaccinated people.

“If you do, there’s also a very low chance you’re going to be symptomatic and almost zero chance of being hospitalized,” Cherian said.

But Delta’s high level of infectiousness means it poses a greater risk to unvaccinated people, particularly in parts of the United States where vaccination rates have lagged, he added.

Cherian said he’s also concerned about the risk to people who are only halfway through their COVID-19 shots.

“Some people have a sense of security when they’ve only received one of the two doses,” he said. “The coverage isn’t that great with that. There’s still a decent chance you can get infected.”

The muddled mask messaging is due in part to the fact that each individual public health agency is playing to a different audience, Cherian said.

“The WHO essentially has to address the entire world. Every country has different rates of vaccination. Even in the United States, every state and every county has different rates of vaccination,” Cherian said. “So it’s very hard to come out with an overarching recommendation, and if you do come out with one, it’s always best to err on the side of caution.”

Source: HealthDay

Veal Scallopine with Capers

Ingredients

1/2 cup all-purpose flour
1-1/4 teaspoons salt
3/4 teaspoon black pepper
1 pound thin veal scallopini (less than 1/4-inch thick)
3 tablespoons olive or vegetable oil
4 tablespoons (1/2 stick) unsalted butter, cut into pieces
1-1/2 tablespoons red-wine vinegar
1-1/2 tablespoons drained small capers
2 tablespoons chopped fresh flat-leaf parsley

Method

  1. Stir together flour, 1 teaspoon salt, and 1/2 teaspoon pepper, then pat veal dry and dredge in flour, knocking off excess. Arrange, as coated, in one layer on a sheet of wax paper.
  2. Heat a 12-inch heavy skillet (not nonstick) over high heat until hot, then add oil and heat until it shimmers.
  3. Cook veal in 2 batches, turning once, until browned and cooked through, 2 to 2-1/2 minutes per batch. Transfer to a plate.
  4. Discard oil from skillet, then add butter and cook over medium heat, shaking skillet frequently, until browned and fragrant, 1 to 2 minutes.
  5. Stir in vinegar, capers, and remaining 1/4 teaspoon each of salt and pepper.
  6. Return veal to skillet just to heat through, then sprinkle with parsley, and serve.

Makes 4 servings.

Source: Gourmet Italian


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