Friday 5 October 2012

Here's Your Fill of Foodie Pretensions



You're getting ready to go to dinner at a nice restaurant. Not a take - out - a - second - mortgage indulgence, but still, you're expecting a memorable feed. One last check before you close the front door. Keys? Reading glasses? Pocket French translator? Advanced culinary -techniques glossary?

Huh? Certainly, without the keys, the car won't start. Ans without the glasses, you won't be able to read the menu. But sadly, without the last two, you may not have a clue what you're ordering.

We've come a long way since the days when veggies meant overcooked carrot and a lump of stodgy potato. Its a great treat to have the breadth of food choices we enjoy nowadays. But the pretentious language that' built up dinning is enough to make me grind my teeth so hard that whatever I choose to eat will soon need to consumed through a straw.

Celebrity chefs need to take a large share of the blame. Who cares if, back in the kitchen ( preferably a closed kitchen, out of eye line and earshot of the dining tables), they call the meaty component of the dish "the protein"?
Thanks to the  legions of the professional cooks fleeing the kitchen to bask in the glow of TV studios, we've all heard the jargon. But when suburban cooks start talking about "balancing the protein," something's gone awry. By all the means, chef, ask your apprentice to "check the protein on the grille," if you must: by the time it makes it ti eh table, I want to hear it described as a chop.

If ostentatiously basic terms are annoying, the absurdly florid ones are positively infuriating. When is a sauce not sauce? When it's a "coulis" or a "jus" (pronounced coolie and zoo, naturellement). Or a "drizzle." When is a selection of cold not recognizably that? When it's an "assiette." Even fast food chains aren't above trying co- opt the English language to confer prestige upon themselves: the staff who prepare the food at Subway are officially called "Sandwich Artists." It's time for the return to reality.

Here, then, is our essential recipe and the restaurant survival guide to get you through you next meal.

Molecular gastronomy: All the cooking relies on the change that heat produces in molecules, so "molecular gastronomy" (MG) is technically a redundancy. But that hasn't stopped it being taken up by the chefs and around the world, who use it as an umbrella tern to mean "cooking," but not as you and I would recognize it. 
Employing equipment from a science lab, rather than  the second drawer down, adherents such as British chef Heston Blumenthal rely on pressure probes, blowtorches and dehydration machines. For the record, Blumenthal says he now dislikes the term:
"Molecular makes it sound complicated. And gastronomy makes it sound elitist."

Sous vide: Beloved of MG enthusiasts, this is long, super- slow cooking in a low temperature water bath. And for a mere $900, a home version of the equipment could be yours. Requisite vacuum packer for the food not included. (Elitist, moi?

Haute barnyard: Not satire, nor a criticism, but a term coined by New York magazine's Adam platt to describe basic, good quality, seasonal ingredients served up at hugely inflated prices in high -end restaurants.

Deconstructed: Translation: if you didn't know what it is was want to be, you'd never recognize it. A salade Nicoise, say, commonly mixes core ingredients such as tuna, green beans, olives and boiled egg. Ina deconstructed version, the egg might be infused with tuna, the beans might be mere smear of sauce (sorry, drizzle) on the palte, and the olives might be served separately, possibly to neighbouring table.

Mouthfeel: A highly technical and self- important way of describing the way food feels. In your mouth.

EVOO: Short for "extra - virgin olive oil." Believe it or not, this word has actually made it into at least one dictionary. It's also the most pricey version of OO - prompting the new "extra virgin coconut oil" (more cash in the palms).

Compote: You've probably been eating compote since you were a child, you didn't know it. It's fruit stewed in sugar syrup. Yes, just like mother used to make, but at price she'd assume was a misprint.

Wilted: This used to be a bad thing who would want to eat wilted veggies? Now it describes:
a) greens that have been lightly cooked; and
b)diners who have to admitted defeat in the face of the chef's pretensions.

Muddled: Cocktail ingredients, such as fresh lime or mint, which have been bashed about a bit with pestle rather than chopped or blended. See also b) above


Two more pets hates: "Chef's special sauce" (what are all the others - ready mix in a jar?), and "pan- fried." (As oposed to waiting for pavement outside to get hot enough, perhaps?)

The worst part of it all is that this overdone approach is unnecessary  something the truly great chef's know.

As acclaimed British restaurateur Alastair Little once put it, "You don't want to read that your swash blossoms were hand- picked underwater by Panamanian virgins. All you need is the primary ingredients, the main method of cooking and perhaps where the food has come from."

His compatriot Fergus Henderson shows how it should be done, at the acclaimed St John Bar and Restaurant in London. Sample entries fro the bar menu: "Gull's Egg & Celery Salts"; "Cheese & Chutney Sandwich"; "Cured Beef, Beetroot & Red Cabbage."

Now, that's appetizing.

Wednesday 3 October 2012

A NEW WEPON AGAINST AN OLD SCOURGE

You should care about this while - you - wait tuberculosis test: it will rein in one of the biggest killers in the developing world (according to WHO, TB caused some 1.4 million deaths worldwide in 2012, more than a fifth of them in India).

Tuberculosis can be cured if its diagnosed and treated properly. But because the standard test is slow and unreliable, many people in countries across, many people in countries across the globe go undiagnosed - or are treated ineffectively, which makes it more likely that the bacteria will become impervious to medication. In a world where travel can speed an infected tourisr or immigrant to another place, multidrug - resistant TB threatens everyone. The new test is 99 percent accurate and gives results in 100 minutes - an amazing fast - forward compared with the three month's wait standard in some parts of the world.

A rapid test could help elicit more effective treatment - even the eventual elimination of the disease, said Peter Small, MD, head of TB programs at the Bill & Melinda Gates Foundation, which helped fund the research. "You can tell [patients] before they leave the office if they have TB and if's drug resistant," he told the Associated Press, "It's transformational."

Meanwhile, the Indian Council of the Medical Research has also come up with a loe- cost, rapid TB test kit which is expected to be launched soon.

SAVING THE BRAIN

Thanks to numerous studies - and heart breaking stories from onetime pro athletes - we know that concussions can cause immense, even life - altering, damage. Now sports teams have started to protect athletes by penalizing risky behavior and more carefully examining players after high - impact collisions.

That's having a trickle - down effect in youth teams at least in the USA, where kids are being taught to tackle using their hips and shoulders, not heads.

BETER PROTECTION AGAINST HIV


After years of disappointments and dead ends, HIV researchers reached a long - sought goal, finding a way for women to reduce their risk - even if their partner won't use a condom. "This is really a game changer," Harvard AIDS researchers Bruce Walker, MD, told the Washington Post. 

BETTER PROTECTION AGAINST HIV

The vaginal gel isn't ideal - it lessened the chance of catching HIV by up to 54 percent- and needs further study. But its giant success for researchers who spent over 15 years searching for a way to defend some of the worlds's most vulnerable people.

A DAILY PILL MAY PREVENT CANCER

A pill in your medicine cabinet might be a powerful cancer fighter. In an analysis of four large studies, people who took a daily low- dose aspirin cut their risk of dying of colon cancer by as much as  as 35 percent. And that's not the only common drug that might offer this bonus. A couple of preliminary trails suggested that diabetes drug metformin may protect against lung and colon cancers.

Both drug reduce inflammation, says Susan Love, MD - and inflammation egg on cancer growth, "We always think we have to kill every cancer cell," Dr Love says. "But if you can keep them asleep, who cares?"
It's too soon to start  pooping  either of these pills in hopes of preventing cancer, since both can have serious side effects. But if you're already taking them for other reasons, you may be doing yourself a lifesaving favour.

MORE CAUTION ABOUT TESTS

A CT scan is a terrific medical tool - just note its benefits for people with lung cancer ( A LIFESAVING TEST FOR LUNG CANCER is one the list ) - but there's now a long overdue fot its potential dangers. "A remarkable series of studies showed that CT scan are responsible for a huge number of cancers every year," says Robert Wachter, MD, a patient safety expert and chief of hospital medicine at the University of California, San Francisco. What's "huge"?

More than one in 300 women and one in 600 men who undergo a single cardiac CT scan will develop cancer because of the radiation exposure, one study showed.
Radiologists say, you should keep a record of your X-rays, CT scan, and other radiation tests and alert your doctors if you think they're requesting a test you've already had.

Tuesday 2 October 2012

TRAINING THE BODY TO FIGHT CANCER

What if you could dispense with chemo and radiation and use your immune system to destroy cancer cells. That's the principle behind Provenge, a vaccine used to treat prostate cancer, recently approved by [US] FDA. The men who used Provenge in studies so far (all of whom had advanced prostate cancer) lived an extra four -and -a -half months, on average - but some got an extra three years. Equally important, side effects were minimal. The results are imperfect and the cost high - more that $90,000 for a full round of treatment -but the Provenge is still a remarkable development, Len Lichtenfeld, MD, deputy chief medical officer for the American Cancer Society, said when the vaccine was approved.
 TRAINING THE BODY TO FIGHT CANCER
The reason: It provides evidence that the immune system can be stimulated to fight cancer. Already the FDA is considering a second cancer - treatment vaccine - this one aimed at a hard -to - treat form of lymphoma.

DOING LESS FOR BREAST CANCER BENEFITING MORE



It has been clear for years that a women who has a lumpectomy to treat breast cancer must get a radiation too - otherwise, her risk of dying from the decease increases. But many women skip the treatment, partly because it's so inconvenient. So it was significant when researches finally got proof that a three -week regimen can work just as well for women with early -stage breast cancer as one that lasts five weeks.

Another study last year even suggested that some women might be able to get a single radiation treatment during surgery -and be done with it. "When it comes to cancer, we tend to think that more treatment is better," says Susan Love, MD, breast surgeon and founder of the Dr Susan Love Research Foundation, California. "But that's not what the science is showing."

KNOW MORE

PAIN RELIEF THAT HAS A STUNNING BONUS

When someone has a terminal illness, a doctor's emphasis may eventually shift from attempts at a cure to relieving pain managing symptoms. It's not surprising that a approach, called palliative care, improves quality of life. What was surprising in a recent study: Adding palliative care to standard treatment lengthened life for patients with terminal lung cancer. "They lived 12 months instead of nine - 25 percent longer." says Dr Komaroff. "For someone who's not suffering, those three months can be very precious."

PAIN RELIEF THAT HAS A STUNNING BONUS

The study should change people's idea of what palliative care is about, said one expert in a New York Times article. "It's not about killing Granny," said Diane E. Meier, MD, director of the center to Advance Palliative Care in New York. "It's about keeping Granny alive as long as possible - with the best quality of the life."

A LIFESAVING TEST FOR LUNG CANCER

If you're a heavy smoker - or used to be - getting screened with a low dose chest CT scan may cut your risk of dying of lung cancer by 20 percent, a major study reported in November 2012. "There's nothing short of stopping smoking, or never starting smoking,, that has that sort of impact on lung cancer- that's huge." says Ernest T.Hawk, MD, ice President for cancer prevention and population
sciences at MD Anderson Cancer Center.

 CT SCAN MAY CUT RISK OF LUNG CANCER BY 20 PERCENT

This doesn't mean everyone should line up for CT scan. The exam involves significant radiation and has serious downsides  including false alarms that can lead to unnecessary surgery. Still, says Dr Hawk, "we have very few options for lung cancer once it's established. This test will likely have profound implications."

Monday 1 October 2012

NEW HELP AGAINST THE DEADLIEST SKIN CANCER


Until last year, it had been 13 years since the [USA} FDA last approved a drug to treat advanced melanoma, a brutal skin cancer that can kill patients within sin months. But two new options - with jaw - droping results were approves last year. The sight of tumours shrinking in a matter of weeks in patients on the drug PLX4032 spurred "pinch me" moments for the researchers, the New York Times reported. Another drug, ipilimumab, produced equally impressive benifits.

THE SIGHT OF TUMOURS SHRINKING IN A MATTER OF WEEKS SPURRED "PINCH ME" MOMENTS FOR RESEARCHERS STUDYING TWO DRUGS.

PLX4032 zeroes in on a mutation found in many melanoma tumours, says Allan C. Halpern, MD, vice president of the Skin Cancer Foundation New York and chief of dermatology at Memorial Sloan - Kettering Cancer Center. In early tests, it shrank tumours in a whooping 81 percent of advanced melanoma (no more than 20 percent typically respond to current drugs). Ipilimumab uses a broader approach, taking the brakes off the body's own immune system so it van fight cancer more aggressively. In one study. ipilimumab nearly doubled the number of patients surviving one year.

HEART REPAIR WIHTH BARELY A CUT

Until now, there haven't been a lot of options for someone whose aortic valve (the one that lets blood go from the heart to the rest of the body) has got gummed up by calcium deposits. Surgeons had a crack open the sternum to get at the heart, or make do with less effective drug treatments if the patients was too sick or too old for aggressive measures. Now surgeons can help without so much as nicking a patients chest - by snaking a catheter up through the groin. (The technique is know as transcatheter aortic valve implantation, or TAVI.) The technique isn't just easier for these fragile patients; in he first studies, the incision - free approach helped them live longer than people getting standard treatments.

TTHE TECHNIQUE IS KNOW AS TRANSCATHETER AORTIC VALVE IMPLANTATION, OR TAVI

Doctors are making similar progress in using catheters to replace other kinds of heart valves - the late actress Elizabeth Taylor has her mitral valve repaired, then tweeted about it! - and cardiologists say that way they treat -0 valve disease may never be the same
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