Health Food Vitamin

Image courtesy of bfeedme.com Macadamia nuts included in a heart healthy diet reduced low-density cholesterol (bad cholesterol) and should be included among nuts with qualified health claims, according to researchers.

"We looked at macadamia nuts because they are not currently included in the health claim for tree nuts, while other tree nuts are currently recommended as part of a heart healthy diet," says Dr. Amy E. Griel, a recent Penn State Ph.D. recipient in nutrition and now senior nutrition scientist at The Hershey Company. "Macadamia nuts have higher levels of monosaturated fats, like those found in olive oil compared with other tree nuts".

Along with Brazil nuts and cashews, macadamia nuts are not included in the U.S. Food and Drug Administration's list of nuts with qualified health claims because the cut-off point is 4 grams of saturated fat per 50 grams of nuts. Macadamia nuts have 6 grams of saturated fat per 50 grams, cashew nuts have 4.6 grams and Brazil nuts have 7.6 grams of saturated fat per 50 grams of nuts.

"Epidemiological studies showed that people who are frequent nut consumers have decreased risk of heart disease," says Penny Kris-Etherton, co-author and distinguished professor of nutritional sciences.

The researchers used a controlled feeding study to compare a heart-healthy diet with 1.5 ounces a small handful of macadamia nuts to a standard American diet. The participants had slightly elevated cholesterol levels, normal blood pressure and were not taking lipid-lowering drugs. Researchers randomly assigned participants to either the macadamia nut diet or the standard American diet and provided all meals for the participants for five weeks. The participants then switched diets and continued eating only food provided by the researchers for another five weeks.

The Healthy Heart diet with macadamia nuts did reduce total cholesterol, low-density lipoprotein cholesterol and triglyceride levels compared with the standard American diet. The researchers reported in the current issue of the Journal of Nutrition, that the macadamia nuts reduced total cholesterol by 9.4 percent and low-density lipoprotein by 8.9 percent.

Individual calorie levels were used for each participant so that they did not gain or lose weight during the study. Both diets were matched for total fat, containing 33 percent calories from total fat. The Heart Healthy diet with macadamia nuts had 7 percent saturated fat, 18 percent monosaturated fat and 5 percent polyunsaturated fat. The standard American diet had 13 percent saturated fat, 11 percent monosaturated fat and 5 percent saturated fat.

"We found that the reduction in LDL or bad cholesterol we observed was greater than would be predicted by just the healthy fats in the nuts alone," says Griel. "This indicates that there is something else in the nuts that helps lower cholesterol".

The macadamia nut diet included macadamia nuts as a snack, mixed into meals, as a salad topping and in cookies and muffins. The total fat was the same in both diets. Macadamia nuts were substituted for other sources of fat and protein in the diet. Switching skim milk for 2 percent milk and adding some macadamia nuts kept fat levels even.

"I think the bottom line is that Macadamia nuts probably should be included in the list of nuts to have a qualified health claim," says Kris-Etherton.


Posted by: Evelyn    Source

A couple of years ago we noticed that although we’d had a great year as far as new patients were concerned, our return visits seemed to have flattened out. Patients seemed pleased with the service, success rates were high, but it still felt like we were gaining new patients but not growing.

The problem, of course, was in the scheduling.

If your office is reasonably busy, a great booking strategy can increase your profitability almost overnight. If you’re not-so-busy, there’s good news here as well: Effective booking drives return visits like nothing else.

Here’s how we worked with our staff to create a more effective appointment strategy.

Strike While The Iron’s Hot
There will never be a better time to book the patient in question than right now. Whether they’re on the phone, or standing at your front desk, do it now. The patient who doesn’t book now is going to come back fewer times. Or never. It’s that simple.

Tell, Don’t Ask
You need to approach booking from a place of confidence. Adopt the attitude of assuming patients will book/rebook. Why? because your inner confidence is reflected in how you speak, in subtle ways that shift the likelihood of success.

• Wrong: “Did you want to schedule a follow up?”
• Right: “Let’s schedule your follow up.”

Small difference in words. Big difference in outcome.

Leverage Our Love of Routine
Humans tend to be creatures of habit. We like consistency. Giving your patients recurring appointments in the same time slot makes it easy for them, and gives them a sense of ownership in the process.

• Wrong: “When would you like to come back?”
• Right: “If this time slot is convenient, I can get you in at the same time on Wednesday at 10:30.”

If you can’t offer the same time, offer the same time of day: “We can get you in again on Wednesday morning next week.”

Narrow the Options
While you’re at it, consider offering just two options for any appointment. It’s easier for everyone. There’s some surprising research that shows that people buy more when their choices are not overwhelming.

• Wrong: “What day is good for you?”
• Right: “We have an opening on Wednesday at 10:30 again, or Thursday at 2:15.”

Don’t Create Islands
When you’re offering up those two time slots, pick them carefully. Cluster your appointments back to back. You’ll work more effectively than if you schedule appointments haphazardly over the day, and you won’t end up with tiny windows that people who might need longer appointments, like new patients, can’t fit into. There’s nothing more frustrating than having a day full of holes, but not being able to see a new patient.

Create Scarcity
Many people (like me) don’t want to book a follow up if it’s too far in the future. Others just don’t want to commit ever. What gets me every time is the idea that if I don’t book, I might not get an appointment.

• Wrong: “Okay. Call us in three months.”
• Right: “The schedule tends to fill up quickly. We should book it now so that we can be sure to get you in.”

Remind People
I also don’t like to book too far out because I’m afraid I’ll forget. Reassure your patients by giving them an appointment card, and by telling them you’ll call a few days before the appointment to remind them.

Step On a Crack
We also have a monthly protocol for catching those stray patients that might fall through the cracks. Every month, we print a list of every patient whose birthday is in that month. That report shows the patient’s status (active, inactive, etc.) and when their next appointment is. Every active patient who doesn’t have a next appointment is examined to make sure we haven’t lost someone along the way.

If you know the annual value of a patient, it’s not hard to see that the few minutes it takes to scan through a few pages of names is well worth the time.

Protect the Schedule
All your best scheduling efforts are in vain if your patients don’t respect their appointments. Read our master list of tips for reducing no-shows, cancellations, and reschedules so that your booking strategy pays off.

Implementing most of these strategies is as simple as educating your staff. This list is essentially the blueprint that we used to write up a short booking policy for our front-line people. Use it if you find it helpful. What works even better is to use this list as a starting point for discussion - have your staff read it over, and then discuss any additional ideas and adjustments they might have.

Then, of course, let us all know in the comments!

Related posts:

1. No “Islands” – A Patient Booking Strategy for Your Alternative Health Practice
2. Reducing Cancellations and Reschedules
3. How to Reduce Cancellations, Reschedules and No-Shows: Our Strategy
4. Avoiding the Pitfalls of Advance Patient Scheduling
5. Charging for Missed Appointments

appointments • booking • scheduling

Your friend can eat whatever she wants and still fit into her prom dress, but you gain five pounds if you just look at that chocolate cake. Before you sign up for Weight Watchers and that gym membership, though, you may want to look at some recent research from Tel Aviv University and save yourself a few hundred dollars.

A womans waistline may have less to do with rigorous exercise and abstaining from sweets than it does with the genes of her parents, as per a new study by Prof. Gregory Livshits from the Sackler Faculty of Medicine at Tel Aviv University and his colleagues from Kings College in London. Dr. Livshits and colleagues have found a scientific link between the lean body mass of a woman and her genes. Theyve determined that thinness like your smile or the color of your eyes is an inheritable trait.


Bad News First, Then the Good
Prof. Livshits, whose findings were reported in the Journal of Clinical Endocrinology and Metabolism (2007), says, The bad news is that a number of of our physical features, including our weight, are dependent on our genes. The good news is that women still have an opportunity to go against their genetic constitution and do something about it.

Until now, researchers were not sure to what extent environmental influences and genetics played a role in a womans body size. When controlling for the variance of age, the differences in womens body sizes can be predicted in the genes more than 50 percent of the time, the scientists found.

Prof. Livshits conducted his study on more than 3,000 middle-aged women in the United Kingdom who belonged to either an identical or fraternal twin pair. He measured their total lean mass, one of the three major components of body weight, and compared it to markers in their genes.

A Slim Chance?
Additional collaborative research between the two teams, which builds on the past study, is would be reported in the next few months. It may help pave the way for a skinny gene test, which one day may help women trying to lose weight understand what kind of battle they can expect.

Those without the lean genes, however, will always find it harder to stay slim, predicts Prof. Livshits. But before your diet falls by the wayside, consider Prof. Livshits contention that genetics can be overcome.


Curb Your Enthusiasm
Its important to not have high expectations, he warns. Women need to know that what they can do about their body weight particularly when they age is relatively little, and they will do it only with much difficulty.

Very few studies to date have been able to associate a bodys lean mass with genetics. The topic is a specialty at the Tel Aviv University lab, one of the top labs in the world to study the genetics of aging of body composition. This area includes the study of bone, fat and lean mass as it develops in a person over time.

Research on body composition components their growth, degradation and genes is part of Prof. Livshits ongoing work on aging and health. Issues such as weight gain are complex, he says, particularly when age is factored in.

So dont get too jealous of your friends dress size. It may be mostly out of your hands and in your DNA.


Posted by: Evelyn    Source