Life Expectancy Rises Around World, Study Finds

A sharp decline in deaths from malnutrition and infectious diseases like measles and tuberculosis has caused a shift in global mortality patterns over the past 20 years, according to a report published on Thursday, with far more of the world’s population now living into old age and dying from diseases mostly associated with rich countries, like cancer and heart disease.

Tony Karumba/Agence France-Presse — Getty Images

Children in Nairobi, Kenya. Sub-Saharan Africa lagged in mortality gains, compared with Latin America, Asia and North Africa.

The shift reflects improvements in sanitation, medical services and access to food throughout the developing world, as well as the success of broad public health efforts like vaccine programs. The results are striking: infant mortality declined by more than half from 1990 to 2010, and malnutrition, the No. 1 risk factor for death and years of life lost in 1990, has fallen to No. 8.

At the same time, chronic diseases like cancer now account for about two out of every three deaths worldwide, up from just over half in 1990. Eight million people died of cancer in 2010, 38 percent more than in 1990. Diabetes claimed 1.3 million lives in 2010, double the number in 1990.

“The growth of these rich-country diseases, like heart disease, stroke, cancer and diabetes, is in a strange way good news,” said Ezekiel Emanuel, chairman of the department of medical ethics and health policy at the University of Pennsylvania. “It shows that many parts of the globe have largely overcome infectious and communicable diseases as a pervasive threat, and that people on average are living longer.”

In 2010, 43 percent of deaths in the world occurred at age 70 and older, compared with 33 percent of deaths in 1990, the report said. And fewer child deaths have brought up the mean age of death, which in Brazil and Paraguay jumped to 63 in 2010, up from 30 in 1970, the report said. The measure, an average of all deaths in a given year, is different from life expectancy, and is lower when large numbers of children die.

But while developing countries made big strides the United States stagnated. American women registered the smallest gains in life expectancy of all high-income countries’ female populations between 1990 and 2010. American women gained just under two years of life, compared with women in Cyprus, who lived 2.3 years longer and Canadian women who gained 2.4 years. The slow increase caused American women to fall to 36th place in the report’s global ranking of life expectancy, down from 22nd in 1990. Life expectancy for American women was 80.5 in 2010, up from 78.6 in 1990.

“It’s alarming just how little progress there has been for women in the United States,” said Christopher Murray, director of the Institute for Health Metrics and Evaluation, a health research organization financed by the Bill and Melinda Gates Foundation at the University of Washington that coordinated the report. Rising rates of obesity among American women and the legacy of smoking, a habit women formed later than men, are among the factors contributing to the stagnation, he said. American men gained in life expectancy, to 75.9 years from 71.7 in 1990.

Health experts from more than 300 institutions contributed to the report, which provided estimates of disease and mortality for populations in more than 180 countries. It was published in The Lancet, a British medical journal.

The World Health Organization issued a statement on Thursday saying that some of the estimates in the report differed substantially from those done by United Nations agencies, though others were similar. All comprehensive estimates of global mortality rely heavily on statistical modeling because only 34 countries — representing about 15 percent of the world’s population — produce quality cause-of-death data.

Sub-Saharan Africa was an exception to the trend. Infectious diseases, childhood illnesses and maternity-related causes of death still account for about 70 percent of the region’s disease burden, a measure of years of life lost due to premature death and to time lived in less than full health. In contrast, they account for just one-third in South Asia, and less than a fifth in all other regions. Sub-Saharan Africa also lagged in mortality gains, with the average age of death rising by fewer than 10 years from 1970 to 2010, compared with a more than 25-year increase in Latin America, Asia and North Africa.

Globally, AIDS was an exception to the shift of deaths from infectious to noncommunicable diseases. The epidemic is believed to have peaked, but still results in 1.5 million deaths each year.

Over all, the change means people are living longer, but it also raises troubling questions. Behavior affects people’s risks of developing cancer, heart disease and diabetes, and public health experts say it is far harder to get people to change their ways than to administer a vaccine that protects children from an infectious disease like measles.

“Adult mortality is a much harder task for the public health systems in the world,” said Colin Mathers, a senior scientist at the World Health Organization.

Tobacco use is a rising threat, especially in developing countries, and is responsible for almost six million deaths a year globally. Illnesses like diabetes are also spreading fast.

Donald G. McNeil Jr. contributed reporting.

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Life Expectancy Rises Around World, Study Finds

A sharp decline in deaths from malnutrition and infectious diseases like measles and tuberculosis has caused a shift in global mortality patterns over the past 20 years, according to a report published on Thursday, with far more of the world’s population now living into old age and dying from diseases mostly associated with rich countries, like cancer and heart disease.

Tony Karumba/Agence France-Presse — Getty Images

Children in Nairobi, Kenya. Sub-Saharan Africa lagged in mortality gains, compared with Latin America, Asia and North Africa.

The shift reflects improvements in sanitation, medical services and access to food throughout the developing world, as well as the success of broad public health efforts like vaccine programs. The results are striking: infant mortality declined by more than half from 1990 to 2010, and malnutrition, the No. 1 risk factor for death and years of life lost in 1990, has fallen to No. 8.

At the same time, chronic diseases like cancer now account for about two out of every three deaths worldwide, up from just over half in 1990. Eight million people died of cancer in 2010, 38 percent more than in 1990. Diabetes claimed 1.3 million lives in 2010, double the number in 1990.

“The growth of these rich-country diseases, like heart disease, stroke, cancer and diabetes, is in a strange way good news,” said Ezekiel Emanuel, chairman of the department of medical ethics and health policy at the University of Pennsylvania. “It shows that many parts of the globe have largely overcome infectious and communicable diseases as a pervasive threat, and that people on average are living longer.”

In 2010, 43 percent of deaths in the world occurred at age 70 and older, compared with 33 percent of deaths in 1990, the report said. And fewer child deaths have brought up the mean age of death, which in Brazil and Paraguay jumped to 63 in 2010, up from 30 in 1970, the report said. The measure, an average of all deaths in a given year, is different from life expectancy, and is lower when large numbers of children die.

But while developing countries made big strides the United States stagnated. American women registered the smallest gains in life expectancy of all high-income countries’ female populations between 1990 and 2010. American women gained just under two years of life, compared with women in Cyprus, who lived 2.3 years longer and Canadian women who gained 2.4 years. The slow increase caused American women to fall to 36th place in the report’s global ranking of life expectancy, down from 22nd in 1990. Life expectancy for American women was 80.5 in 2010, up from 78.6 in 1990.

“It’s alarming just how little progress there has been for women in the United States,” said Christopher Murray, director of the Institute for Health Metrics and Evaluation, a health research organization financed by the Bill and Melinda Gates Foundation at the University of Washington that coordinated the report. Rising rates of obesity among American women and the legacy of smoking, a habit women formed later than men, are among the factors contributing to the stagnation, he said. American men gained in life expectancy, to 75.9 years from 71.7 in 1990.

Health experts from more than 300 institutions contributed to the report, which provided estimates of disease and mortality for populations in more than 180 countries. It was published in The Lancet, a British medical journal.

The World Health Organization issued a statement on Thursday saying that some of the estimates in the report differed substantially from those done by United Nations agencies, though others were similar. All comprehensive estimates of global mortality rely heavily on statistical modeling because only 34 countries — representing about 15 percent of the world’s population — produce quality cause-of-death data.

Sub-Saharan Africa was an exception to the trend. Infectious diseases, childhood illnesses and maternity-related causes of death still account for about 70 percent of the region’s disease burden, a measure of years of life lost due to premature death and to time lived in less than full health. In contrast, they account for just one-third in South Asia, and less than a fifth in all other regions. Sub-Saharan Africa also lagged in mortality gains, with the average age of death rising by fewer than 10 years from 1970 to 2010, compared with a more than 25-year increase in Latin America, Asia and North Africa.

Globally, AIDS was an exception to the shift of deaths from infectious to noncommunicable diseases. The epidemic is believed to have peaked, but still results in 1.5 million deaths each year.

Over all, the change means people are living longer, but it also raises troubling questions. Behavior affects people’s risks of developing cancer, heart disease and diabetes, and public health experts say it is far harder to get people to change their ways than to administer a vaccine that protects children from an infectious disease like measles.

“Adult mortality is a much harder task for the public health systems in the world,” said Colin Mathers, a senior scientist at the World Health Organization.

Tobacco use is a rising threat, especially in developing countries, and is responsible for almost six million deaths a year globally. Illnesses like diabetes are also spreading fast.

Donald G. McNeil Jr. contributed reporting.

Read More..

Joe Allbritton, TV and Banking Titan, Dies at 87

Joe L. Allbritton, a Texas financier who at age 50 became a television and newspaper baron in Washington, then climbed the city’s social hierarchy as he transformed himself into the foremost banker to Embassy Row, died on Tuesday in Houston. He was 87.

The cause was a heart ailment, said Frederick J. Ryan Jr., the president of Allbritton Communications, which is based in Arlington, Va. Mr. Allbritton lived in Houston in his retirement.

After early success in the banking business in the Southwest, the diminutive Mr. Allbritton — he stood barely 5 feet tall — expanded in 1974 with the purchase of The Washington Star, the city’s feisty, conservative-leaning No. 2 paper after The Washington Post. The deal included the local ABC television affiliate.

His foray into the Washington publishing scene — he had never before stepped into a newspaper office — was short-lived. In 1978, he was forced to sell The Star after the Federal Communications Commission barred common ownership of broadcast and newspaper properties in the same market. (The buyer was Time Inc., which closed the paper in 1981.)

But keeping the TV station, WMAL, proved a bonanza. It became highly profitable as WJLA — he changed the call letters, using his initials — and it was the foundation of Allbritton Communications, which today has TV outlets in Harrisburg, Pa.; Little Rock, Ark.; and a half-dozen other cities, as well as other media properties.

His son, Robert, now heads the company and in 2007 founded Politico, the news Web site and newspaper devoted to politics.

Briefly retired after selling The Star, Mr. Allbritton found himself bored and decided to return to banking.

A friend invited him to invest in the venerable Riggs National Bank, Washington’s biggest financial institution and one with a rich history. It had provided financing for Samuel F. B. Morse’s telegraph and the gold used to purchase Alaska. Some two dozen presidential families had banked there. Mr. Allbritton wound up with a 40 percent controlling interest.

Riggs became his fief, its board larded with relatives and friends, and the vehicle for his frequent travels to exploit his top-level foreign connections, including a close one with Augusto Pinochet, the Chilean dictator.

He transformed Riggs from a traditional deposit-and-loan institution into a niche asset manager and private banker to the carriage trade. It boasted of being “the most important bank in the most important city in the world.”

Its fortunes waned, however, as competition increased and Riggs became enmeshed in money-laundering investigations. One resulted in a $25 million fine for what the authorities called “willful and systemic” violations of laws governing cash reporting. Federal regulators said the bank had failed to actively monitor transfers through Saudi Arabian and Equatorial Guinean accounts, which were considered possible conduits for terrorist funds or the proceeds of graft.

Mr. Allbritton refused numerous offers to buy Riggs, but under pressure from an investigation by the Securities and Exchange Commission involving oil money from Equatorial Guinea, he succumbed and sold the bank in 2005 to the PNC Corporation.

Besides his son, Robert, who at one time was chief executive of Riggs, Mr. Allbritton is survived by his wife, the former Barbara Jean Balfanz, whom he married in 1967, and two grandchildren.

Joe Lewis Allbritton was born in D’Lo, Miss., near Jackson, on Dec. 29, 1924, to Lewis A. Allbritton  and the former Ada Carpenter. As a youngster during the Depression he stirred orange juice for $1 a day at a local bottling plant. While in junior high school he moved with his parents to Houston, where he worked after school each day in the cafe opened by his father.

In high school he was a champion debater. He left Baylor University after a year to serve in the Navy from 1943 to 1946.

Mr. Allbritton returned to take a law degree at Baylor and opened a small office, but after a few years he discovered that he did not like what he called “the environment of practicing law” and gravitated toward business.

He made a killing in real estate selling land for a freeway between Houston and Galveston. He then organized and ran the San Jacinto Savings and Loan. Within 15 years he had acquired and merged his way to Texas banking eminence as the biggest shareholder in First International Bancshares of Dallas.

His reach extended as far as Los Angeles, where he acquired Pierce National Life Insurance and Pierce Brothers, a regional chain of 60 funeral homes, the largest in the area.

Having made a fortune and deciding that prospects for Texas banking were limited, Mr. Allbritton sold his shares and turned his attention in the early 1970s to Washington, where he found what he considered an undervalued TV property whose profits he figured could be used to support The Star.

“Opportunities in a community are rarely seen by the people who grew up there,” he later told Washingtonian magazine.

Mr. Allbritton also owned The Hudson Dispatch in New Jersey from 1977 to 1985; it was eventually merged into The Jersey Journal.

Mr. Allbritton’s chief avocation was racehorses. His Lazy Lane Farms in Upperville, Va., produced Hansel, winner of the 1991 Preakness and Belmont Stakes, the final two-thirds of thoroughbred racing’s Triple Crown.

But none from his stable ever won the Kentucky Derby, a goal he called “one great ambition yet unfulfilled.”

Daniel E. Slotnick contributed reporting.

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World Briefing | The Americas: Cuban Foreign Minister Named to Top Party Body

Cuba has elevated its foreign minister, Bruno Rodríguez, to the Communist Party’s Political Bureau, where he will join a handful of other senior leaders who are a generation younger than Fidel and Raúl Castro. Mr. Rodríguez, 54, is a former military officer, law professor and ambassador to the United Nations. He became the foreign minister in 2009. Known for his command of English and his loyalty to the Castros, he delivered a speech last month to the United Nations criticizing President Obama for failing to advance United States-Cuba relations despite the president’s promise to “launch a new chapter of engagement.”

The announcement about his rise to the Political Bureau in Granma, Cuba’s state-run newspaper, did not say whether he was replacing one of the 14 current members of the Political Bureau, nor did it signal whether Mr. Rodríguez was being considered as a successor to Raúl Castro, 81. But it did describe the move as part of a generational transition, and as a necessary break from what it called a “blockade of thinking that still persists when the time comes to select and prepare young leaders.”

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After Deportation, John McAfee Returns to U.S.

MIAMI (AP) — John McAfee, the antivirus software pioneer, arrived in the United States on Wednesday night after being deported from Guatemala, where he had sought to evade police questioning in the killing of a man in neighboring Belize.

Johan Ordonez/Agence France-Presse — Getty Images

John McAfee at the airport in Guatemala City. He was deported from that country and arrived in Miami on Wednesday night.

A commercial jet carrying Mr. McAfee landed in Miami shortly before 7 p.m. Wednesday, said Greg Chin, a spokesman for Miami International Airport.

A short time later, a posting on McAfee’s Web site announced that he was at a hotel in Miami’s South Beach neighborhood. Mr. McAfee has frequently communicated through the Web site.

“I have no phone, no money, no contact information,” the post says. Reached by telephone at the hotel, Mr. McAfee said that he could not talk because he was waiting for a call from his girlfriend.

Other passengers on the flight said that Mr. McAfee, 67, was escorted off the aircraft before everyone else.

Maria Claridge, a 36-year-old photographer from Fort Lauderdale, Fla., said, “He walked very peacefully, chin up. He didn’t seem stressed.”

She said he was well dressed, in a black suit and white shirt, and appeared to be traveling alone.

An F.B.I. spokesman in Miami, James Marshall, said in an e-mail that the agency was not involved with Mr. McAfee’s return to the United States. Authorities from Customs and Border Protection, Immigration and Customs Enforcement, the United States Marshals office and the United States attorney’s office did not immediately respond to questions about whether Mr. McAfee would be questioned or detained. They said there was no active arrest warrant for Mr. McAfee that would justify taking him into custody.His expulsion from Guatemala marked the last chapter in a strange, monthlong odyssey to avoid police questioning about the November killing of American expatriate Gregory Viant Faull, who lived a couple of houses down from McAfee’s compound on Ambergris Caye, off Belize’s Caribbean coast.

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Well: Life, Interrupted: My Mother's Cooking

Life, Interrupted

Suleika Jaouad writes about her experiences as a young adult with cancer.

For many of us, the holiday season triggers memories of food and family. That’s certainly the case for me. I can always tell when my mother, an artist who grew up in Switzerland, starts to feel nostalgic for home. It is the smell of the crispy apple tarts, the ginger cookies, and the creamy muesli full of nuts and fresh berries. The scent alone delivers a rush of childhood memories for me.

Food has always been an important part of my family. But since I was diagnosed with leukemia two years ago, food has taken on an especially central — and complicated — role in my life. My incredible doctors have been in charge of deciding which chemotherapy treatments and medications I will take. Their role has always been clear. But for my mother, who has always been in action to take care of me but often feels powerless against my mysterious disease, the prescription she draws upon is often a remedy from the kitchen.

My mother comes from a small village on the Lac de Neuchâtel where there is one bakery, one butcher and one grocery store. Even after decades in New York, she prefers home cooking to ordering in. So when I fell ill at the age of 22 and had to move back home with my parents, my mother tailored and amended the vaunted Swiss recipes from her childhood to make them as nutritious and immune system-boosting as possible. It wasn’t infrequent that a red lentil soup or zucchini stuffed with risotto was the highlight of a day otherwise spent in bed staring at my childhood bookshelves and pondering my future.

But my relationship with food has been complicated since my cancer diagnosis. Chemotherapy can wipe out the biggest appetite. It can render delectable food not only inedible, but downright unviewable, unsmellable, unthinkable. After my first hospitalization, a six-week stay in isolation, I quickly learned to be careful about which foods I chose to eat when I was in the depths of sickness. Some of my all-time favorites, like my mother’s rice pudding (extra cinnamon, with cardamon and grated almonds, plus my mom’s T.L.C.), no longer represented comfort food but triggered memories of nausea, the beeping of the I.V. machine and the fluorescent lights of the hospital room. Like other dishes, it has become a food casualty of chemo.

Having cancer changed the way I ate and thought about food. My symptoms dictated my eating habits. The sores in my mouth and the bouts of nausea, for instance, stole the pleasure of eating and made it an ordeal. At some points in my treatment, eating wasn’t even an option. During my bone marrow transplant last April, my only food came in the form of yellow-green liquid hanging from an I.V. pouch. It was the first time I considered how the physicality of eating — the cutting with a knife or slurping with a spoon or chewing of tender meat — was a big part of what I enjoyed about food. In the transplant unit, I remember wanting, more than anything, to bite into a stick of celery. I dreamt about the “crunch.”

Now, more than a year and a half since my first chemotherapy treatment, I’ve come up with a plan to preserve the memory and delight of my mother’s favorite recipes. I only eat the very best of her cooking when I am in-between chemotherapy treatments. I try to make sure not to mix nausea and my favorite foods — because I have found that it confuses not only the taste buds, but also the emotion and memory of eating itself.

As I continue to cope with the effects of cancer and treatment, I am determined to preserve one of my favorite things in life — my mother’s cooking and the many childhood memories that go with it. As a result, I have to refuse her cooking once in a while, saving her food for only my best days. I hope there are a lot of those ahead.

---

Birchermuesli

The original “muesli” was invented by Dr. Maximilian Oskar Bircher-Benner (1867-1939), a Swiss physician who fed his patients a small portion of this dish before each meal in his health clinic near Zürich. Derided by his colleagues for his belief in the importance of fresh food for health, he is now considered the guru of the raw food movement. The original recipe has been adapted by muesli lovers all over the world, who have swapped in seasonally available and ripe fruit where appropriate. For individuals with dietary restrictions, oats can be replaced with spelt flakes, millet flakes or other grains. In Switzerland, muesli is simply called “bircher,” after its inventor, and many Swiss eat bircher every day for breakfast or as a light meal. Muesli, a word from the Swiss German dialect which means “little purée,” and mostly known today in its commercialized version, is very different from this homemade recipe. Use whatever fresh ripe fruit you like and is seasonally available to you.

1 cup rolled oats, soaked overnight or for several hours
1 1/2 cups whole, almond, soy or other milk, or orange or apple juice
1/4 cup dried fruit, such as raisins or diced dates
1/4 to 1/2 cup hazelnuts, walnuts or almonds, finely chopped
1 large apple, grated
1 banana, sliced
1/2 cup plain yogurt, plus additional to taste
1 tablespoon fresh lemon juice or more
Finely grated zest of organic lemon, to taste (optional)
1/4 cup fresh grapes, halved
1/2 cup raspberries, blackberries, blueberries or chopped strawberries, plus a few additional berries to garnish
1/2 orange or peach, chopped
1 apricot or kiwi, chopped
Brown sugar or stevia, to taste (optional)
1 tablespoon flaxseed oil (optional)

1. Soak the oats in milk overnight or for a few hours. In the morning, add the dried fruit, nuts, apple, banana, yogurt, lemon juice and zest, if using, and mix to combine. Add the grapes, berries, the remaining fresh fruit, brown sugar and flaxseed oil, if using, and gently fold the fresh fruit into the mixture. Garnish with a few fresh berries and serve.

Bircher, a raw food recipe, makes a great breakfast or snack, and will keep refrigerated for up to two days, and a day-old bircher is even better.

Yield: 4 to 6 servings

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Croûte Aux Champignons (Mushrooms on Toasts)

These mushrooms on toasts are delicious and work with any mix of mushrooms, but if you can find a mix of wild mushrooms, it makes the toasts particularly wonderful. Try serving them with a simple green salad or the “Carrot and Celery Root Salad,” below.

4 to 5 slices country or whole wheat bread, preferably day-old, or more slices from a baguette
2 to 3 tablespoons unsalted butter or olive oil
1/2 medium onion or 1 large shallot, thinly sliced
1 pound mixed mushrooms, sliced
1 cup white wine or stock
Fine sea salt, to taste
Freshly ground black pepper, to taste
1 cup heavy cream (optional)
Finely chopped flat-leaf parsley, for garnish
1/4 cup grated cheese, optional (see below)

1. In a large skillet set over medium high heat, melt the butter until foaming or warm the oil until shimmering. Add the onion or shallot, and cook, stirring, until transparent, about 4 minutes. Add the mushrooms, and cook until the mushrooms have released their liquid and the pan is dry, about 3 minutes. Add the wine or stock and cook until the liquid reduces by half, about 5 to 10 minutes. Season to taste with salt and pepper. Add the cream and cook, stirring, until the mixture thickens, about 5 minutes.

2. While the mushrooms cook, lightly toast the bread in the toaster. Spoon the mushrooms on toasted bread. Sprinkle with parsley and serve.

Optional: Heat the oven to 400 degrees with the rack positioned in the middle. Place the mushroom toasts on a shallow baking sheet and sprinkle with the grated cheese. Bake for 8 to 10 minutes, or until the cheese has melted and lightly browned. Garnish with more black pepper to taste, and serve immediately.

Variation: Replace mushrooms with spinach. Or use half spinach and half mushrooms, adding the spinach once mushrooms has softened. Cook until the spinach has wilted before adding wine or stock. Proceed with the rest of the recipe as written above.

Yield: 4 servings

 

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Carrot and Celery Root Salad

This crunchy and delicious salad makes for a great accompaniment to “Mushrooms on Toast.”

1 1/2 cups finely grated carrot (from about 8 ounces of carrots)
1 1/2 cups finely grated celery root (from about 8 ounces of celery root)
Fine sea salt, to taste
1 tablespoon apple cider vinegar
1 teaspoon mustard
3 tablespoons olive or toasted sesame oil
Freshly ground black pepper, to taste

Place the carrot and celery root in a large bowl and toss to combine. In a small bowl, add the salt to the vinegar and let sit for 1 minute for the salt to dissolve. Add the mustard and whisk to combine. Add the oil and black pepper, and whisk to combine. Pour the dressing over the vegetables and toss to combine. Serve immediately or refrigerate until ready.

Variation: Add 1 tablespoon grated hazelnuts or almonds, or 1 tablespoon or more of plain yogurt mixed with 1 teaspoon chopped chives.

Yield: 4 servings

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Lentil Soup With Tomato

1 cup red lentils, rinsed
1 dried bay leaf
1 tablespoon unsalted butter or olive oil
1 teaspoon ground coriander, plus additional to taste (see below)
1 teaspoon ground cumin or ginger
1/2 teaspoon curry powder
1 pinch cayenne pepper, plus more to taste
1 pinch sugar
1 pinch ground cloves
1 (7-ounce) can peeled tomatoes, chopped (or 2 fresh tomatoes, peeled and chopped)
Fine sea salt, to taste
1/2 cup sour cream (optional)
2 tablespoons finely chopped fresh flat-leaf parsley (optional)

1. Place the lentils in a medium pot set over medium-high heat, add 3 cups water and bay leaf, and bring to a simmer. Cook until the lentils are tender, about 10 minutes. Remove from heat and set aside.

2. In a large pot set over medium heat, add the butter or oil, coriander, cumin, curry, cayenne, sugar and cloves, and warm the mixture until the spices are fragrant, about 1 minute. Add the tomatoes, with their juices, and 1/2 cup water, and bring everything to a boil. Add the reserved lentils and their liquid, reduce the heat to low, and simmer about 5 minutes. Add salt to taste and purée the soup, in batches, in a blender, until smooth. If you prefer, you can thin the soup out with more water. If you like, mix the sour cream with parsley, and add ground coriander to taste. Serve the soup with a dollop of the herbed sour cream.

Yield: 4 servings

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Suleika Jaouad (pronounced su-LAKE-uh ja-WAD) is a 24-year-old writer who lives in New York City. Her column, “Life, Interrupted,” chronicling her experiences as a young adult with cancer, appears weekly on Well. Follow @suleikajaouad on Twitter.

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Well: Life, Interrupted: My Mother's Cooking

Life, Interrupted

Suleika Jaouad writes about her experiences as a young adult with cancer.

For many of us, the holiday season triggers memories of food and family. That’s certainly the case for me. I can always tell when my mother, an artist who grew up in Switzerland, starts to feel nostalgic for home. It is the smell of the crispy apple tarts, the ginger cookies, and the creamy muesli full of nuts and fresh berries. The scent alone delivers a rush of childhood memories for me.

Food has always been an important part of my family. But since I was diagnosed with leukemia two years ago, food has taken on an especially central — and complicated — role in my life. My incredible doctors have been in charge of deciding which chemotherapy treatments and medications I will take. Their role has always been clear. But for my mother, who has always been in action to take care of me but often feels powerless against my mysterious disease, the prescription she draws upon is often a remedy from the kitchen.

My mother comes from a small village on the Lac de Neuchâtel where there is one bakery, one butcher and one grocery store. Even after decades in New York, she prefers home cooking to ordering in. So when I fell ill at the age of 22 and had to move back home with my parents, my mother tailored and amended the vaunted Swiss recipes from her childhood to make them as nutritious and immune system-boosting as possible. It wasn’t infrequent that a red lentil soup or zucchini stuffed with risotto was the highlight of a day otherwise spent in bed staring at my childhood bookshelves and pondering my future.

But my relationship with food has been complicated since my cancer diagnosis. Chemotherapy can wipe out the biggest appetite. It can render delectable food not only inedible, but downright unviewable, unsmellable, unthinkable. After my first hospitalization, a six-week stay in isolation, I quickly learned to be careful about which foods I chose to eat when I was in the depths of sickness. Some of my all-time favorites, like my mother’s rice pudding (extra cinnamon, with cardamon and grated almonds, plus my mom’s T.L.C.), no longer represented comfort food but triggered memories of nausea, the beeping of the I.V. machine and the fluorescent lights of the hospital room. Like other dishes, it has become a food casualty of chemo.

Having cancer changed the way I ate and thought about food. My symptoms dictated my eating habits. The sores in my mouth and the bouts of nausea, for instance, stole the pleasure of eating and made it an ordeal. At some points in my treatment, eating wasn’t even an option. During my bone marrow transplant last April, my only food came in the form of yellow-green liquid hanging from an I.V. pouch. It was the first time I considered how the physicality of eating — the cutting with a knife or slurping with a spoon or chewing of tender meat — was a big part of what I enjoyed about food. In the transplant unit, I remember wanting, more than anything, to bite into a stick of celery. I dreamt about the “crunch.”

Now, more than a year and a half since my first chemotherapy treatment, I’ve come up with a plan to preserve the memory and delight of my mother’s favorite recipes. I only eat the very best of her cooking when I am in-between chemotherapy treatments. I try to make sure not to mix nausea and my favorite foods — because I have found that it confuses not only the taste buds, but also the emotion and memory of eating itself.

As I continue to cope with the effects of cancer and treatment, I am determined to preserve one of my favorite things in life — my mother’s cooking and the many childhood memories that go with it. As a result, I have to refuse her cooking once in a while, saving her food for only my best days. I hope there are a lot of those ahead.

---

Birchermuesli

The original “muesli” was invented by Dr. Maximilian Oskar Bircher-Benner (1867-1939), a Swiss physician who fed his patients a small portion of this dish before each meal in his health clinic near Zürich. Derided by his colleagues for his belief in the importance of fresh food for health, he is now considered the guru of the raw food movement. The original recipe has been adapted by muesli lovers all over the world, who have swapped in seasonally available and ripe fruit where appropriate. For individuals with dietary restrictions, oats can be replaced with spelt flakes, millet flakes or other grains. In Switzerland, muesli is simply called “bircher,” after its inventor, and many Swiss eat bircher every day for breakfast or as a light meal. Muesli, a word from the Swiss German dialect which means “little purée,” and mostly known today in its commercialized version, is very different from this homemade recipe. Use whatever fresh ripe fruit you like and is seasonally available to you.

1 cup rolled oats, soaked overnight or for several hours
1 1/2 cups whole, almond, soy or other milk, or orange or apple juice
1/4 cup dried fruit, such as raisins or diced dates
1/4 to 1/2 cup hazelnuts, walnuts or almonds, finely chopped
1 large apple, grated
1 banana, sliced
1/2 cup plain yogurt, plus additional to taste
1 tablespoon fresh lemon juice or more
Finely grated zest of organic lemon, to taste (optional)
1/4 cup fresh grapes, halved
1/2 cup raspberries, blackberries, blueberries or chopped strawberries, plus a few additional berries to garnish
1/2 orange or peach, chopped
1 apricot or kiwi, chopped
Brown sugar or stevia, to taste (optional)
1 tablespoon flaxseed oil (optional)

1. Soak the oats in milk overnight or for a few hours. In the morning, add the dried fruit, nuts, apple, banana, yogurt, lemon juice and zest, if using, and mix to combine. Add the grapes, berries, the remaining fresh fruit, brown sugar and flaxseed oil, if using, and gently fold the fresh fruit into the mixture. Garnish with a few fresh berries and serve.

Bircher, a raw food recipe, makes a great breakfast or snack, and will keep refrigerated for up to two days, and a day-old bircher is even better.

Yield: 4 to 6 servings

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Croûte Aux Champignons (Mushrooms on Toasts)

These mushrooms on toasts are delicious and work with any mix of mushrooms, but if you can find a mix of wild mushrooms, it makes the toasts particularly wonderful. Try serving them with a simple green salad or the “Carrot and Celery Root Salad,” below.

4 to 5 slices country or whole wheat bread, preferably day-old, or more slices from a baguette
2 to 3 tablespoons unsalted butter or olive oil
1/2 medium onion or 1 large shallot, thinly sliced
1 pound mixed mushrooms, sliced
1 cup white wine or stock
Fine sea salt, to taste
Freshly ground black pepper, to taste
1 cup heavy cream (optional)
Finely chopped flat-leaf parsley, for garnish
1/4 cup grated cheese, optional (see below)

1. In a large skillet set over medium high heat, melt the butter until foaming or warm the oil until shimmering. Add the onion or shallot, and cook, stirring, until transparent, about 4 minutes. Add the mushrooms, and cook until the mushrooms have released their liquid and the pan is dry, about 3 minutes. Add the wine or stock and cook until the liquid reduces by half, about 5 to 10 minutes. Season to taste with salt and pepper. Add the cream and cook, stirring, until the mixture thickens, about 5 minutes.

2. While the mushrooms cook, lightly toast the bread in the toaster. Spoon the mushrooms on toasted bread. Sprinkle with parsley and serve.

Optional: Heat the oven to 400 degrees with the rack positioned in the middle. Place the mushroom toasts on a shallow baking sheet and sprinkle with the grated cheese. Bake for 8 to 10 minutes, or until the cheese has melted and lightly browned. Garnish with more black pepper to taste, and serve immediately.

Variation: Replace mushrooms with spinach. Or use half spinach and half mushrooms, adding the spinach once mushrooms has softened. Cook until the spinach has wilted before adding wine or stock. Proceed with the rest of the recipe as written above.

Yield: 4 servings

 

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Carrot and Celery Root Salad

This crunchy and delicious salad makes for a great accompaniment to “Mushrooms on Toast.”

1 1/2 cups finely grated carrot (from about 8 ounces of carrots)
1 1/2 cups finely grated celery root (from about 8 ounces of celery root)
Fine sea salt, to taste
1 tablespoon apple cider vinegar
1 teaspoon mustard
3 tablespoons olive or toasted sesame oil
Freshly ground black pepper, to taste

Place the carrot and celery root in a large bowl and toss to combine. In a small bowl, add the salt to the vinegar and let sit for 1 minute for the salt to dissolve. Add the mustard and whisk to combine. Add the oil and black pepper, and whisk to combine. Pour the dressing over the vegetables and toss to combine. Serve immediately or refrigerate until ready.

Variation: Add 1 tablespoon grated hazelnuts or almonds, or 1 tablespoon or more of plain yogurt mixed with 1 teaspoon chopped chives.

Yield: 4 servings

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Lentil Soup With Tomato

1 cup red lentils, rinsed
1 dried bay leaf
1 tablespoon unsalted butter or olive oil
1 teaspoon ground coriander, plus additional to taste (see below)
1 teaspoon ground cumin or ginger
1/2 teaspoon curry powder
1 pinch cayenne pepper, plus more to taste
1 pinch sugar
1 pinch ground cloves
1 (7-ounce) can peeled tomatoes, chopped (or 2 fresh tomatoes, peeled and chopped)
Fine sea salt, to taste
1/2 cup sour cream (optional)
2 tablespoons finely chopped fresh flat-leaf parsley (optional)

1. Place the lentils in a medium pot set over medium-high heat, add 3 cups water and bay leaf, and bring to a simmer. Cook until the lentils are tender, about 10 minutes. Remove from heat and set aside.

2. In a large pot set over medium heat, add the butter or oil, coriander, cumin, curry, cayenne, sugar and cloves, and warm the mixture until the spices are fragrant, about 1 minute. Add the tomatoes, with their juices, and 1/2 cup water, and bring everything to a boil. Add the reserved lentils and their liquid, reduce the heat to low, and simmer about 5 minutes. Add salt to taste and purée the soup, in batches, in a blender, until smooth. If you prefer, you can thin the soup out with more water. If you like, mix the sour cream with parsley, and add ground coriander to taste. Serve the soup with a dollop of the herbed sour cream.

Yield: 4 servings

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Suleika Jaouad (pronounced su-LAKE-uh ja-WAD) is a 24-year-old writer who lives in New York City. Her column, “Life, Interrupted,” chronicling her experiences as a young adult with cancer, appears weekly on Well. Follow @suleikajaouad on Twitter.

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Cheick Modibo Diarra, Mali’s Prime Minister, Resigns After Arrest

BAMAKO, Mali — Soldiers carried out a late-night arrest of Mali’s prime minister at his home here, forcing his resignation early Tuesday and casting new doubt on plans to chase out radical Islamists who control much of this troubled West African nation.

Hours after being taken to the main army camp outside the capital for a dressing-down by military officers, Prime Minister Cheick Modibo Diarra, a former NASA astrophysicist, appeared grim-faced on national television to announce that he was resigning, along with all of his ministers.

Mali’s interim president, Dioncounda Traoré, named Django Sissoko as prime minister. Mr. Sissoko, who had been Mali’s ombudsman, will be tasked with forming a new government, according to a presidential decree read on state television.

A spokesman for the soldiers who seized power in Mali this year — and later nominally relinquished it to Mr. Diarra — accused him of “playing a personal agenda” while the country faced a crisis in the north, which fell to the Islamists after a military coup d’état in March. “There was a paralysis in the executive,” said the spokesman, Bakary Mariko.

But diplomats, human rights activists and analysts said the military’s arrest of Mr. Diarra on Monday merely confirmed that the army junta continued to hold power, despite the window-dressing of the civilian government, whose presence it resented. That reality, they said, complicates planned military aid meant to help the army reconquer northern Mali, an area that now alarms Western governments as a large-scale stronghold for Qaeda-linked jihadists.

“You don’t need to be an Einstein to know that this will slow everything down,” a Western diplomat here said Tuesday, speaking on the condition of anonymity. The planned assistance to Mali “just has to be on ice,” he said. Power has shifted entirely to the junta, the diplomat said.

The prime minister’s forced resignation was greeted in Paris and Berlin with expressions of dismay Tuesday, and new uncertainty surrounds a planned United Nations Security Council resolution authorizing force to retake the north.

France has been pushing for early intervention there, although the United States has expressed skepticism about plans by the regional grouping of West African states to retake the region and wariness about providing aid to the shaky civilian government — reservations likely to be reinforced by the latest developments.

In Washington, the State Department sharply criticized Mr. Diarra’s forced resignation.  “We condemn this act by the military junta, and insist that it halt its continued interference in Malian political affairs and government,” Victoria Nuland, the State Department spokeswoman, told reporters on Tuesday.

With scorn for Mr. Diarra, the coup leader, Capt. Amadou Sanogo, said in an interview on state television Tuesday night, “Cheick Modibo Diarra has not given a thing, one single piece of equipment, to the Malian Army.”

Several soldiers and police officers guarded Mr. Diarra’s expansive villa at the edge of town here Tuesday. A request to see Mr. Diarra was turned down by soldiers, who said he was inside “resting.”

The prime minister’s fall from grace, via a military that had helped install him nine months ago, was as sudden as it was steep. He was appointed last spring as a caretaker prime minister until new elections, halted by the coup, could be organized.

Early Tuesday, after Mr. Diarra was hauled to the camp at Kati, outside the capital, Captain Sanogo, who led the coup in March, told him there was proof “against him that he was calling for subversion,” said Mr. Mariko, the military spokesman. “He had recorded cassettes that were going to be broadcast on ORTM,” the state broadcaster, Mr. Mariko said. “These cassettes called on the people of Mali to go into the street to oppose the army.”

But a more likely explanation was a growing and public clash about the best way of chasing the Islamists from the north.

Mr. Diarra, derided as an amateur politician by the well-entrenched political class here, has nonetheless been steadily raising his profile at the expense of Captain Sanogo. He has made the rounds of foreign capitals to push his view that reconquering the north required immediate international military assistance. Captain Sanogo has rebuffed suggestions that the Malian Army is incapable of handling the job on its own. Indeed, for weeks, the captain resisted the idea that troops from other African nations should even go near the capital.

Despite this, the Malian Army, defeated by Islamists and nomadic rebels last winter and spring, has been deemed seriously deficient by United Nations and Western military officials.

Captain Sanogo, trained in the United States, has depicted himself as a national savior, even comparing himself to Gen. Charles de Gaulle in an op-ed article in Le Monde several months ago. Meanwhile, Human Rights Watch has implicated him in serious violations involving rival soldiers who tried to roll back the coup in April.

The conflict between the two men was evident in the declarations of the military’s spokesman Tuesday. “Since he has been in power, he has been working simply to position his own family,” Mr. Mariko said.

Eric Schmitt contributed reporting from Washington.

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Well: Why Afternoon May Be the Best Time to Exercise

Phys Ed

Gretchen Reynolds on the science of fitness.

Does exercise influence the body’s internal clock? Few of us may be conscious of it, but our bodies, and in turn our health, are ruled by rhythms. “The heart, the liver, the brain — all are controlled by an endogenous circadian rhythm,” says Christopher Colwell, a professor of psychiatry at the University of California, Los Angeles’s Brain Research Institute, who led a series of new experiments on how exercise affects the body’s internal clock. The studies were conducted in mice, but the findings suggest that exercise does affect our circadian rhythms, and the effect may be most beneficial if the exercise is undertaken midday.

For the study, which appears in the December Journal of Physiology, the researchers gathered several types of mice. Most of the animals were young and healthy. But some had been bred to have a malfunctioning internal clock, or pacemaker, which involves, among other body parts, a cluster of cells inside the brain “whose job it is to tell the time of day,” Dr. Colwell says.

These pacemaker cells receive signals from light sources or darkness that set off a cascade of molecular effects. Certain genes fire, expressing proteins, which are released into the body, where they migrate to the heart, neurons, liver and elsewhere, choreographing those organs to pulse in tune with the rest of the body. We sleep, wake and function physiologically according to the dictates of our body’s internal clock.

But, Dr. Colwell says, that clock can become discombobulated. It is easily confused, for instance, by viewing artificial light in the evening, he says, when the internal clock expects darkness. Aging also worsens the clock’s functioning, he says. “By middle age, most of us start to have trouble falling asleep and staying asleep,” he says. “Then we have trouble staying awake the next day.”

The consequences of clock disruptions extend beyond sleepiness. Recent research has linked out-of-sync circadian rhythm in people to an increased risk for diabetes, obesity, certain types of cancer, memory loss and mood disorders, including depression.

“We believe there are serious potential health consequences” to problems with circadian rhythm, Dr. Colwell says. Which is why he and his colleagues set out to determine whether exercise, which is so potent physiologically, might “fix” a broken clock, and if so, whether exercising in the morning or later in the day is more effective in terms of regulating circadian rhythm.

They began by letting healthy mice run, an activity the animals enjoy. Some of the mice ran whenever they wanted. Others were given access to running wheels only in the early portion of their waking time (mice are active at night) or in the later stages, the equivalent of the afternoon for us.

After several weeks of running, the exercising mice, no matter when they ran, were found to be producing more proteins in their internal-clock cells than the sedentary animals. But the difference was slight in these healthy animals, which all had normal circadian rhythms to start with.

So the scientists turned to mice unable to produce a critical internal clock protein. Signals from these animals’ internal clocks rarely reach the rest of the body.

But after several weeks of running, the animals’ internal clocks were sturdier. Messages now traveled to these animals’ hearts and livers far more frequently than in their sedentary counterparts.

The beneficial effect was especially pronounced in those animals that exercised in the afternoon (or mouse equivalent).

That finding, Dr. Colwell says, “was a pretty big surprise.” He and his colleagues had expected to see the greatest effects from morning exercise, a popular workout time for many athletes.

But the animals that ran later produced more clock proteins and pumped the protein more efficiently to the rest of the body than animals that ran early in their day.

What all of this means for people isn’t clear, Dr. Colwell says. “It is evident that exercise will help to regulate” our bodily clocks and circadian rhythms, he says, especially as we enter middle age.

But whether we should opt for an afternoon jog over one in the morning “is impossible to say yet,” he says.

Late-night exercise, meanwhile, is probably inadvisable, he continues. Unpublished results from his lab show that healthy mice running at the animal equivalent of 11 p.m. or so developed significant disruptions in their circadian rhythm. Among other effects, they slept poorly.

“What we know, right now,” he says, “is that exercise is a good idea” if you wish to sleep well and avoid the physical ailments associated with an aging or clumsy circadian rhythm. And it is possible, although not yet proven, that afternoon sessions may produce more robust results.

“But any exercise is likely to be better than none,” he concludes. “And if you like morning exercise, which I do, great. Keep it up.”

Read More..

Well: Why Afternoon May Be the Best Time to Exercise

Phys Ed

Gretchen Reynolds on the science of fitness.

Does exercise influence the body’s internal clock? Few of us may be conscious of it, but our bodies, and in turn our health, are ruled by rhythms. “The heart, the liver, the brain — all are controlled by an endogenous circadian rhythm,” says Christopher Colwell, a professor of psychiatry at the University of California, Los Angeles’s Brain Research Institute, who led a series of new experiments on how exercise affects the body’s internal clock. The studies were conducted in mice, but the findings suggest that exercise does affect our circadian rhythms, and the effect may be most beneficial if the exercise is undertaken midday.

For the study, which appears in the December Journal of Physiology, the researchers gathered several types of mice. Most of the animals were young and healthy. But some had been bred to have a malfunctioning internal clock, or pacemaker, which involves, among other body parts, a cluster of cells inside the brain “whose job it is to tell the time of day,” Dr. Colwell says.

These pacemaker cells receive signals from light sources or darkness that set off a cascade of molecular effects. Certain genes fire, expressing proteins, which are released into the body, where they migrate to the heart, neurons, liver and elsewhere, choreographing those organs to pulse in tune with the rest of the body. We sleep, wake and function physiologically according to the dictates of our body’s internal clock.

But, Dr. Colwell says, that clock can become discombobulated. It is easily confused, for instance, by viewing artificial light in the evening, he says, when the internal clock expects darkness. Aging also worsens the clock’s functioning, he says. “By middle age, most of us start to have trouble falling asleep and staying asleep,” he says. “Then we have trouble staying awake the next day.”

The consequences of clock disruptions extend beyond sleepiness. Recent research has linked out-of-sync circadian rhythm in people to an increased risk for diabetes, obesity, certain types of cancer, memory loss and mood disorders, including depression.

“We believe there are serious potential health consequences” to problems with circadian rhythm, Dr. Colwell says. Which is why he and his colleagues set out to determine whether exercise, which is so potent physiologically, might “fix” a broken clock, and if so, whether exercising in the morning or later in the day is more effective in terms of regulating circadian rhythm.

They began by letting healthy mice run, an activity the animals enjoy. Some of the mice ran whenever they wanted. Others were given access to running wheels only in the early portion of their waking time (mice are active at night) or in the later stages, the equivalent of the afternoon for us.

After several weeks of running, the exercising mice, no matter when they ran, were found to be producing more proteins in their internal-clock cells than the sedentary animals. But the difference was slight in these healthy animals, which all had normal circadian rhythms to start with.

So the scientists turned to mice unable to produce a critical internal clock protein. Signals from these animals’ internal clocks rarely reach the rest of the body.

But after several weeks of running, the animals’ internal clocks were sturdier. Messages now traveled to these animals’ hearts and livers far more frequently than in their sedentary counterparts.

The beneficial effect was especially pronounced in those animals that exercised in the afternoon (or mouse equivalent).

That finding, Dr. Colwell says, “was a pretty big surprise.” He and his colleagues had expected to see the greatest effects from morning exercise, a popular workout time for many athletes.

But the animals that ran later produced more clock proteins and pumped the protein more efficiently to the rest of the body than animals that ran early in their day.

What all of this means for people isn’t clear, Dr. Colwell says. “It is evident that exercise will help to regulate” our bodily clocks and circadian rhythms, he says, especially as we enter middle age.

But whether we should opt for an afternoon jog over one in the morning “is impossible to say yet,” he says.

Late-night exercise, meanwhile, is probably inadvisable, he continues. Unpublished results from his lab show that healthy mice running at the animal equivalent of 11 p.m. or so developed significant disruptions in their circadian rhythm. Among other effects, they slept poorly.

“What we know, right now,” he says, “is that exercise is a good idea” if you wish to sleep well and avoid the physical ailments associated with an aging or clumsy circadian rhythm. And it is possible, although not yet proven, that afternoon sessions may produce more robust results.

“But any exercise is likely to be better than none,” he concludes. “And if you like morning exercise, which I do, great. Keep it up.”

Read More..