Breastfeeding

  • Posted: October 26th, 2009 - 6:52am by Doug Powell

    The turkey has done what a supermodel never could: land the cover of dozens of magazines in a single month. The November covers of American food magazines are a turkey delight, with the burnished bird stuffed, garnished and splayed every which way.

    Dana Cowin, the editor in chief of Food & Wine, said,

    “I know it seems like, hey, what could be simpler than roasting a bird? But the perfect roast bird is a challenge. Turkey, as a model, is very much like a fashion magazine with fashion models. There are plump turkeys, and, I’m not kidding you, there’s skinny turkeys, there are chesty turkeys, breasty turkeys, there are flat-chested turkeys.”

    “We have enhanced the breasts of turkeys,” she admitted.
     

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  • Posted: October 6th, 2009 - 8:40pm by Doug Powell

    I figure the Chinese–funded U.S. bailout has at least been good for Denis Leary, Howie Long, and the dude who does dirtiest jobs cause they all got gigs selling American cars.

    What’s worse is that sustainably-minded Michael Pollan is stiffing students for $25,000 to come and share his menu planner.

    As reported in Feedstuffs today, Pollan spoke at the University of Wisconsin-Madison last week, some farmers and aggie types challenged Pollan’s, uh, views of agriculture, and that Pollan was paid  $25,000 to speak.

    Pollan has a university gig like me, although I’m not sure how he got it. My cv or resume is on-line and anyone can see it. Today I got two requests to speak: one with the Missouri public health folks, one with some food safety conference in Chicago. In both cases, I said, cover my expenses, cause otherwise I’m taking money away from undergraduate and graduate students, money that I have to raise. But no fees.

    Why anyone would waste $25,000 on Pollan is baffling.
     

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  • Posted: September 26th, 2009 - 6:16am by Doug Powell

    Chicago cab drivers are demanding that riders who throw up in their cabs get slapped with a $50 fee.

    The cabbies said Thursday they want to the city impose the penalty because of the work -- and hours lost -- that comes with cleaning a passenger's vomit.

    Mayor Richard Daley said his administration will listen to the drivers' request and review their recommendations.


     

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  • Posted: July 12th, 2009 - 2:15pm by Doug Powell

    “If only” is often how statements begin by food safety wannabes who are sure they have stumbled upon a vast conspiracy meant to subjugate society.

    If only Monsanto didn’t genetically-engineer seeds …

    If only products like milk were served raw and natural …

    If only cattle were fed grass, there would be no E. coli O157:H7.

    When someone makes such proclamations, or says they speak fact, usually with an air of authority, I immediately think that person is full of it. People who say “trust me” are immediately untrustworthy.

    Megan Jacob, Todd Callaway, and T.G. Nagaraja of Kansas State University write about the dietary interactions and interventions affecting Escherichia coli O157 colonization and shedding in cattle in an upcoming issue of Foodborne Pathogens and Disease. It’s not a movie, not a blog, not a pulp fiction, so they sorta have to get it right. And they do, when they write:

    “The specific mechanisms responsible for increased or decreased E. coli O157 shedding or survival are not known … results of studies are conflicting or not repeatable, which speaks to the complexity of the hindgut ecosystem, variation in animal feed utilization, and variation within feed products.”

    The complete abstract is below.

    Escherichia coli O157 is an important foodborne pathogen affecting human health and the beef cattle industry. Contamination of carcasses at slaughter is correlated to the prevalence of E. coli O157 in cattle feces. Many associations have been made between dietary factors and E. coli O157 prevalence in cattle feces. Preharvest interventions, such as diet management, could reduce the fecal prevalence and diminish the impact of this adulterant. Dietary influences, including grain type and processing method, forage quality, and distillers grains have all been associated with E. coli O157 prevalence. In addition, several plant compounds, including phenolic acids and essential oils, have been proposed as in-feed intervention strategies. The specific mechanisms responsible for increased or decreased E. coli O157 shedding or survival are not known but are often attributed to changes in hindgut ecology induced by diet types. Some interventions may have a direct bacterial effect. Frequently, results of studies are conflicting or not repeatable, which speaks to the complexity of the hindgut ecosystem, variation in animal feed utilization, and variation within feed products. Still, understanding specific mechanisms, driven by diet influences, responsible for E. coli O157 shedding will aid in the development and implementation of better and practical preharvest intervention strategies.

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  • Posted: January 7th, 2009 - 9:36pm by Amy Hubbell

    Doug, Sorenne and I are celebrating Sorenne’s one month birthday today with naps, laundry, and writing in every spare second. Yesterday we had a visit from the Healthy Start program representative which is part of the State of Kansas Health Department. Rachel weighed the baby who, with her clothes on, is now 11 lbs 15 oz. I have no concerns about her getting enough to eat. What does worry me, however, is how to keep track of the bottles of expressed breast milk in the refrigerator and whether temperature abuse is going to be an issue.

    Breastfeeding has been tricky on numerous levels. Fortunately, storing breast milk is one of the few areas where I’ve found really conflicting advice. The most helpful book I purchased, The Nursing Mother’s Companion by Kathleen Huggins, only briefly covers milk storage stating in a chart that the limit is 72 hours in the refrigerator (p. 189). She contradicts herself elsewhere saying, “You can keep your milk for 24 to 48 hours in the refrigerator or for up to three months in the freezer” (p. 104).

    Huggins explains that fresh refrigerated milk is somewhat better than frozen because it retains more antibodies, but if you do freeze milk, it should be labeled with the date. Furthermore, “Milk cannot be refrozen or refrigerated after it has been thawed or warmed; whatever is left over after the feeding must be thrown out” (p. 104).

    Huggins and multiple other sources discourage reheating milk in the microwave. While Huggins doesn’t explain, the U.S. Food and Drug Administration states that microwaves heat unevenly and may create dangerous hot spots that may burn the baby. In addition, Laura Jana and Jennifer Shu in Heading Home with Your Newborn say that the microwave destroys the protective antibodies found in breastmilk (p. 50).

    In a section entitled “Focusing on Food Safety” Jana and Shu also encourage thorough handwashing and drying before preparing formula.

    “Do not use prepared formula if it has been left unrefrigerated for more than 2 hours. Once you have fed your baby from a bottle, do not refrigerate the bottle in hopes of using it again later; bacteria from your baby’s mouth can multiply, even in the refrigerator. Be sure to discard any formula remaining in the bottle after 1 hour from the start of your baby’s feeding.” (p. 45)

    I am unsure what the authors advise for breastmilk.

    On the Lansinoh brand Breastmilk Storage Bags there is a chart indicating “How Long To Store Breastmilk”:

     

    Where                                                                    Temperature                  Time

    At Room Temperature                                            66-72 F (19-22 C)         10 hours
    In a Refrigerator                                                     32-39 F (0-4 C)              8 days
    In a Freezer Compartment inside a Refrigerator   Temperature varies        2 weeks
    In a Freezer Compartment with a Separate Door  Temperature varies        3-4 Months
    In a Separate Deep Freeze                                    0 F (-19 C)                     6 Months or longer

    FDA’s advice comes from “Breastfeeding Made Easier at Home and Work” at womenshealth.gov and is almost identical. womenshealth.gov, however, gives a detailed breakdown of milk storage times at room temperature:

        * At 60 degrees F for 24 hours
        * At 66-72 degrees F for 10 hours
        * At 79 degrees F for 4-6 hours
        * At 86-100 degrees F for 4 hours

    FDA also advises to make sure hands are clean and dry before handling milk, to store milk away from the door in the freezer “to avoid changes in temperature that may compromise the milk” and when you need to take the milk with you, “pack it in a cooler filled with ice. Do not leave the milk in a cooler for more than 24 hours.”

    Here’s to many more healthy milestones for Sorenne.

     

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  • Posted: September 30th, 2008 - 10:01am by Doug Powell

    A KFC manager hurled cooking oil, gravy and a metal chip drainer at a customer who complained after a server insisted he could only have two breasts and a leg in his meal, screaming,

    "You'll get what you're given” and calling the customer a "motherf***er."

    The Mirror reports that stunned families watched on in disbelief.

    Police were called and both men were arrested at the restaurant and given £80 fixed penalty fines.

    The customer said,

    "That was the most expensive fast food meal I ever had. I got a battering from the Colonel. I just can't believe how rude the KFC staff were. The manager was swearing at me and insulting my mum. When I swore back it became a free for all. I was no angel in all this and responded when sworn at. But I'm now pursuing KFC for compensation for my ruined clothing."

    The 26-year-old manager has been suspended while KFC bosses carry out an investigation into the incident at Ealing, West London.

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  • Posted: January 7th, 2008 - 5:27pm by Doug Powell

    The American Academy of Pediatrics now says in updated food allergy advice that breast-feeding helps prevent babies' allergies, but there's no good evidence for avoiding certain foods during pregnancy, using soy formula or delaying introduction of solid foods beyond six months.

    Associated Press reports that in August 2000, the doctors group advised mothers of infants with a family history of allergies to avoid cow's milk, eggs, fish, peanuts and tree nuts while breast-feeding.

    Dr. Scott Sicherer of the Mount Sinai School of Medicine's Jaffe Food Allergy Institute in New York, said,

    "They say, 'I shouldn't have had milk in my coffee. I've been saying, 'We don't really have evidence that it causes a problem. Don't be on a guilt trip about it.'"

    The new guidance report for pediatricians was published in the January issue of the journal Pediatrics and includes:

    • There is no convincing evidence that women who avoid peanuts or other foods during pregnancy or breast-feeding lower their child's risk of allergies.

    • For infants with a family history of allergies, exclusive breast-feeding for at least four months can lessen the risk of rashes and allergy to cow's milk.

    • Exclusive breast-feeding for at least three months protects against wheezing in babies, but whether it prevents asthma in older children is unclear.

    • There is no good evidence that soy-based formulas prevent allergies.

    • There is no convincing evidence that delaying the introduction of foods such as eggs, fish or peanut butter to children prevents allergies. Babies should not get solid food before 4 to 6 months of age, however.
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