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“Say cheese,” the photographer says, and the subject can’t help but smile. Indeed, both the word and the food itself are something to smile about. As an appetizer, sandwich entrée, or dessert with fruit, cheese is delicious, healthy, and generally a rather low-risk food as far as pathogens go. However, some cheeses can be a threat to pregnant women and those with weakened immune systems due to illness, old age, or medical treatment.  But consumers can protect themselves if, before consuming or purchasing cheese, they pay attention to the type of cheese and the way it was processed. Soft cheeses are more likely than hard ones to carry a possibly deadly bacterium, but that doesn’t mean that all soft cheeses are taboo for people in the high-risk categories.

 

The villain in this story is a bacterium called Listeria monocytogenes, which can cause an infection (listeriosis). Most healthy people will not be sickened or will develop only mild flu-like symptoms—such as fever, headaches, stiffness, nausea, abdominal pain, and diarrhea–after consuming food with sufficient quantities of this pathogen. However, listeria can be life-threatening to a fetus (particularly in the early stages of pregnancy or to the mother (in the later stages of the pregnancy). Thankfully, Listeria is relatively rare, affecting about 2,500 people in the U.S. annually. However, pregnant women are 20 times more likely than other healthy adults to contract it..

 

What kinds of cheeses are most risky to consume? Although there was a recent recall of a hard cheese containing listeria, the pathogen is much more commonly found in soft cheeses because they have more moisture and less acidity. Feta, Brie, Camembert, blue-veined cheese, and Mexican-style cheese (such as “queso blanco fresco” and queso fresco) are common examples of soft cheeses. (Note: For information on a recent recall of queso fresco cheese, click here: http://www.fda.gov/Safety/Recalls/ucm224712.htm)

 

Other types of soft cheeses—cream cheese, cottage cheese, processed (e.g.American) cheese–and the hard cheeses (such as cheddar and Parmesan) are considered safe because they’ve been pasteurized or  otherwise processed in ways that inhibit bacterial growth.

 

So what should the consumer look for on the label to avoid listeria?  If the cheese is pasteurized or sufficiently aged, it should be safe. According to food scientist Dr. Clair Hicks, cheese sold in the U.S. must be pasteurized or, if it is made with raw milk, aged for a least 60 days. Currently, recommendations are being considered to extend the food code from 60 to 90 days or more, Hicks told us. Therefore, Hicks recommends that, if the cheese is imported and not labeled pasteurized, the consumer should age it (in the refrigerator) for at least 90 days. Why 90 days? After 90-plus days of storage, the normal flora of bacteria in the cheese will overwhelm the Listeria, and their numbers will fall to the point where they cannot be detected.”

 

“I would never recommend that a person, pregnant or otherwise, eat a fresh  non-domestic, non-pasteurized soft cheese that had been aged less than 90 days. The risk is just too high,” says Hicks. But here’s the catch:he adds, “The 90-day aging would eliminate the consumption of many soft cheeses because they don’t hold up for that many days of storage.”

 

However, domestic cheeses made from raw milk and then aged for 6, 9, 12 months get Hicks’ approval: “These can be a fantastic eating experience, and I would recommend these cheeses for anybody.” It’s the soft Hispanic cheeses that slip into the market and are not labeled correctly that Hicks warns consumers about.

 

Listeria is widely present in the environment, often originating from unclean water sources. It’s not  just found in cheeses but also in cured meat products, such as hot dogs and bologna, for these reasons: 1) it can grow (though slowly) in the refrigerator; 2) it tolerates the sodium nitrate used to “cure” meat; and 3) it likes a very small amount of oxygen, so it thrives in the vacuum-packaging of many cured meat products.

 

In addition to the warnings about unpasteurized cheeses already discussed in this article, the FDA offers the following suggestions regarding ways to prevent contracting listeriosis:

– Don’t eat hot dogs or luncheon meats unless they’re reheated until steaming hot (at least 165ºF).

– Don’t eat pates or meat spreads.

– Don’t eat smoked seafood  unless it’s in a cooked dish, such as a casserole. (This includes various types of smoked fish labeled nova-style, lox, kippered, smoked, or jerky.)

– Don’t drink raw (unpasteurized milk or foods that contain unpasteurized milk.

– Observe use-by dates on packaged ready-to-eat foods and consume them as soon as possible.

 

Soft cheese should be consumed by the expiration date. Pasteurization really only has a minor impact on shelf life. However,  pasteurized soft cheese probably has a longer shelf life than un-pasteurized cheese soft cheese. Soft cheeses have a lot of moisture in them, so their shelf life curve is a  rather narrow bell curve. High moisture cheeses (in the 50+% range) have the shortest shelf life of any cheeses.

 

Hicks provided the following advice on freezing soft cheeses: “Most high-moisture cheese can be frozen, so, if you can’t eat all of the soft cheese by the code date, just freeze it. As long as the cheese has a skin-tight package to prevent freezer burn, it can be frozen for more than a year.  Thaw the cheese in the refrigerator for a day or so, and it will retain its flavor attributes and most of its texture attributes.”

 

Clemson Cooperative Extension offers this warning: “Throw out soft cheeses that have been at room temperature for more than four hours.”

 

One final piece of advice: At a party, don’t eat soft cheese if you don’t know whether it’s been pasteurized or properly aged.

 

For more information about soft cheese on this site, click here: http://shelflifeadvice.com/dairy/cheese/soft-cheese

Source(s):

Clair Hicks, Ph.D., University of Kentucky, Dept. of Animal and Food Sciences

 

fda.gov Food “While You’re Pregnant—Listeria”
http://www.fda.gov/Food/ResourcesForYou/HealthEducators/ucm083320.htm

 

babycenter.com  “Is it safe to eat soft cheese when you’re pregnant?” by Amanda Leonard, registered dietitian
http://www.babycenter.com/404_is-it-safe-to-eat-soft-cheese-when-youre-pregnant_3175.bc

 

USDA  News and Events  Podcasts “Script: Let’s Talk About Listeria”
http://www.fsis.usda.gov/news/Script_Listeria/index.asp

 

Clemson Uiversity, Clemson Cooperative Extension

“Handling of Cheese for Safety and Quality”
http://www.clemson.edu/extension/hgic/food/food_safety/handling/hgic3506.html

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Have you ever thought about hiring a professional closet organizer?  If you don’t have the time, hiring a professional can be a great way to get organized.  Keep in mind that you will still need to be there with the professional to give opinions and make decisions.  A good closet organizer or designer will spend a lot of time with you making sure that you get exactly what you need.   Use these guidelines to decide if you would rather hire a designer or do it yourself.

1)  If you decide to hire a professional, there are some things that you can do before they arrive to save everyone some time.  Consider creating an inventory list for your professional.  Make a list of things that you definitely want to keep.  You could go ahead and pull everything out, separating clothing that you wish to keep from things that you are willing to sell or give away.  Categorize your belongings by style, color, use, or length.  You might decide to discuss it with your pro before you categorize.

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4)  After the best arrangement is agreed upon, invest a little in some nice clothes hangers.  Hangers can make or break the closet.  Specialty clothing hangers allow you to hang things like belts, scarves, delicates, and even swimwear.  Use wooden hangers for suits and coats.  You can choose between many different styles that suit your needs.  Velvet hangers are slim, save space, and don’t slip.  Metal chrome hangers are sturdier than wire hangers and can give your closet a contemporary feel.  Choose the style that best suits your needs and your closet will look great, stay organized, and be functional.

 

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Everything that you do in life from walking to driving to reading a book in the sunshine, you need to be able to see properly, or at least as best as you can, and so you need to take this very seriously.

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A lot of people still think that glasses are the only way to really improve your vision but this is not the case at all anymore. In fact, glasses are probably on the bottom of the totem pole when it comes to the different methods of improving your vision.

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What Causes Asthma?

 

In North America, one out of 15 has this respiratory illness. Fifteen million North Americans and one million Canadians who suffer from it make up 5% of all adults in these areas. It is believed that every sufferer has some type of bronchial hyperactivity. This ranges from mild symptoms to those who have severe and chronic problems.

Individuals who are allergic are common suffers of this condition. The bronchial tubes in their lungs have become swollen and constricted when exposed to certain irritants, such as pollen or tobacco smoke. There are a number of causes for this. Living environments containing smoke, dust mites, animal dander and allergens are some of the common environmental causes. Allergy to pollen grains, air pollutants from heavy traffic and strong smells also comes under this classification. There are also genetic reasons which result in it.

 

Common Symptoms

 

Diagnosis of asthma is not difficult because of the tell-tale symptoms. The symptoms include wheezing, recurrent difficulty in breathing, tightness of chest, airway constriction, headache, short breath and coughing. These symptoms are greater at night and morning and subside in the day time. They tend to worsen when a person is in the vicinity of animals with fur, have viral infection, or doing heavy physical activities.

 

The Goals Of Medical Treatment

 

There are many prevalent medicines that are administered to relieve symptoms. Certain medications show a better result when given on a case to case basis. After a physical exam to identify severity of attacks and a medical history to list possible triggers, your doctor will plan a long-term treatment of medications. These will be taken on a daily basis to control symptoms.

 

Types Of Asthma Medications

 

Asthma medications are classified into a number of categories. The most prominent ones are those which give instant relief from the symptoms. They are called rescue drugs. Another category is one of preventative drugs which prevent symptoms from happening. In some cases, hospitalization becomes necessary and a patient need to be put on an artificial respiration. This is mainly when the lungs and airways are highly inflamed and voluntary inhalation becomes improbable.

 

Any individual suffering with this illness should look for relief from this uncomfortable condition. One should check with an experienced doctor for the available options. Medications must be closely supervised by a doctor. So tell your doctor about any good reactions or bad side effects as soon as it happens.

 

Possible Side Effects

 

There are hundreds of drugs related to treating asthma that are being dispersed every day. Anyone prescribed any kind of medication for this condition would be wise to check the Internet for side effects. Adrenaline, for example, is a medication that is still used on occasion but can result in rapid heart rate, nausea, vomiting, headache, restlessness and a sense of panic.

 

Special care should be taken with any asthma medication to be sure it is safe before using. Some people can take asthma medication with no ill effects. With others, a number of side effects have been reported. In addition to the above, other medicines are listed as causing seizures, heart failure, cirrhosis, high blood pressure, insomnia hives, bone fractures and too many others side effects to list. Many over the counter medicines also have side effects which are required by law to be listed in the package.  The best policy is to watch for side effects and tell your doctor if you have any new problems.

 

Overall, the goal of medical treatment is to control asthmatic symptoms as well as prevent any possible future episodes. When you have asthma, you need to be under the care of a doctor who can track the various changes of the disease, your reaction to medications, and treat accordingly.

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What Causes Asthma?

In North America, one out of 15 has this respiratory illness. Fifteen million North Americans and one million Canadians who suffer from it make up 5% of all adults in these areas. It is believed that every sufferer has some type of bronchial hyperactivity. This ranges from mild symptoms to those who have severe and chronic problems.

Individuals who are allergic are common suffers of this condition. Their bronchial tubes have become swollen and constricted when exposed to certain irritants, such as pollen or tobacco smoke. There are a number of causes for this. Living environments containing smoke, dust mites, animal dander and allergens are some of the common environmental causes. Allergy to pollen grains, air pollutants from heavy traffic and strong smells also comes under this classification. There are also genetic reasons which result in it.

Common Symptoms

Currently, the medical community has identified four major symptoms. They are tightness of the chest, shortness of breath at night or upon exertion, a wheezing sound when breathing, and severe coughing usually caused by exercise or exposure to dry, cold air. A person suffering from this disease often is misdiagnosed because of its similarity to other heart or respiratory problems.

The Goals Of Medical Treatment

It also should be understood that, at the present time, there is no cure for asthma. Medication can only hope to control inflammation and constriction of the bronchial tubes. After a physical exam to identify severity of  attacks and a medical history to list possible triggers, your doctor will plan a long-term treatment of medications. This will be taken on a daily basis to control symptoms. Treatment can be based on short-term rescue drugs to immediately relieve symptoms or long-term measures to prevent future attacks.

Types Of Asthma Medications

These medicines are categorized into bronchodilators for the dilation of muscles around the lungs and corticosteroids for the inflammation of the bronchial tubes. Physicians treating patients with this affliction often recommend medications that need to be inhaled.  They have immediate contact with the inflammation or constricted muscles and have less side effects. Medications must be closely supervised by your doctor. So tell your doctor about any good reactions or bad side effects as soon as they happen.

Asthma medications are delivered through inhalers and spacers. Dry powder inhalers are also popular for some cases asthma. Nebulizers are used to treat patients with moderate onset of asthma.

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Unfortunately, there are often side effects from medications and this is no exception. Some people can take asthma medication with no ill effects. With others, a number of side effects have been reported. Among those listed are high blood pressure, bone fractures, seizures, heart failure, a sense of panic, nausea, and vomiting just to name a few.

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Lest we forget:

The CIA has a long, colorful history in the Middle East, characterized by often futile or disastrous attempts to further the interests of the United States.

Another colorful history is that of the Kurds. The Kurds are an ancient people, said to be descendants of the Medes, who fought with the Persians against Alexander the Great. They live in an area of the Middle East as big as France called Kurdistan. This region was parceled out among Iraq, Syria, Turkey and Iran by the Western Powers after WW1. All four powers have repressed and massacred them from time to time because their loyalty to whomever controlled them was always suspect. The British too, gassed and napalmed them in the 1920s, which delighted Winston Churchill. These pogroms have been blithely ignored in the media. The Kurds wanted a home land and we wanted access to oil. The Kurds were used by the CIA from time to time to harass our enemy of the moment. When events backfired, they became invisible.

In 1953, the CIA staged a coup to bring the Shah to power in Iran. The Shah lived in a fantasy world and spent millions attempting to restore the ancient Persian “Peacock Throne”. He also committed genocide against the Iranian Kurds. Entire tribes disappeared but he was our man. He was overthrown and sent into exile in 1979 when our embassy was overrun and 70 hostages spent 444 days in captivity. Iran went from a monarchy to an Islamic Republic.

In 1973, the CIA, at the behest of President Nixon and Secretary of State, Henry Kissinger, instigated an uprising of the Kurds in Northern Iraq against Saddam Hussein. The Kurds had been supporting Iran in an Iranian-Iraqi dispute. However, the Shah of Iran and Saddam settled their differences so we walked away. The Kurds were decimated by a vengeful Hussein.

On March 24, 1984, UPI reported from the UN that “Mustard gas laced with a nerve agent has been used on Iranian soldiers in the 43 month Persian Gulf War between Iran and Iraq, a team of U.N. experts has concluded…” On that day, Donald Rumsfeld was in Baghdad, meeting with then Iraqi foreign minister Tariq Aziz. Rumsfeld was there because, as the Washington Post reported on January 13, 1984, the defeat of Iraq in the 3 year old war with Iran would be “contrary to US interests”. Throughout this period, Rumsfeld was Reagan’s Middle East envoy and Saddam Hussein was on a shopping binge. He initially purchased 60 Hughes helicopters and trainers. A second purchase, in the summer of 1983, comprised 10 twin-engine Bell “Huey” helicopters. In 1984 Saddam purchased 45 Bell 214ST helicopters worth $ 200 million.

As the Iran-Iraq war wound down, Saddam turned his attention to the Kurds in Northern Iraq. During 1987 and 1988, up to 182, 000 Kurds died in an ethnic cleansing campaign. On “Bloody Friday”, March 16th, 1988, 5000 innocent civilians, 75% of whom were women and children, died in a gas attack in Halabja. The United States wanted to engage Saddam Hussein constructively, however, so denied any knowledge of genocide against the Iraqi Kurds.

After the Gulf war, when Iraq had withdrawn from Kuwait. President George H. W. Bush appealed to the Kurds in the North, as well as the Shiites in the South to rebel. They did. Saddam Hussein, however, still had his helicopters. Tens of thousands died as he suppressed the rebellion. We stood by and did nothing.

Now, due to CIA blundering, the United States occupies a region said to be embroiled in a civil war. A civil war however, is a war within a nation. It is doubtful that anyone cares about a nation called Iraq now. The murderous turmoil there splits along tribal, religious or ethnic lines. We are reaping what we have sown, hell on earth. This in a land once said to contain the Garden of Eden. Bombs now kill scores daily. Innocent strangers engaged in shopping or school or simply passing by become “collateral damage”. Anyone who can, with money or connections, has fled to a neighboring country. Only the poor remain. In the end, what was Iraq will have morphed into a greater Iran and Kurdistan.

Perhaps the only person with a hint of nobility, in a Shakespearean sense, in this entire sorry saga has been the murderous Saddam Hussein. As he stoically waited on the scaffold with a noose around his neck, his executioners taunted him.

“Is this manly?”, he asked.

They told him to go to hell.

“You are in hell”, he answered.

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