Showing posts with label version. Show all posts
Showing posts with label version. Show all posts

Gulab Jamun Version 3 SNC Challenge

Monday, May 12, 2014

Gulab jamuns are spongy balls,a quite famous North Indian sweets prepared usually with khoya and maida ,later they are fried in oil and soaked in sugar syrup. Usually we South Indians prepare this spongy juicy jamuns with store bought jamun mix, which makes the life easier. But after becoming a food blogger, i crossed many easy breezy preparation of this jamun with household ingredients especially with milk powder or else with homemade khoya. For our this months South VS North India challenge, an event by Divya, two of our group members challenged with two beautiful dishes.

For Southern India team, Pallavi Purani of Cook Eat Burrrp shared gulab jamun for this months challenge while Yasodha of Yasodhas Kitchen challenged Northern India team with Adhirasam. As am a part of Southern team, i have to prepare gulab jamun. When i received the challenge mail,immediately i went through the mail and i found that Pallavi shared an another interesting version of gulab jamun with milkpowder. Since i had all the ingredients in my hand, i prepared immediately this morning and served these super spongy jamuns to everyone after their lunch as dessert. Thanks Pallavi, this gulab jamun recipe is definitely a keeper and my jamuns turned out utlimately super spongy,pect and absolutely delicious.Since i rolled my jamuns as tiny balls, they gets soaked quickly when compared to the medium sized balls, i got almost 40numbers of jamuns with the measurements Pallavi have given.


1cup Milk powder
3tbsp Maida
1+1/2tbsp Rava
3tbsp Cream
4tbsp Melted ghee
1pinch Baking powder
1cup Sugar
1cup Water
1tsp Rose water (optional)
Few pistachio nuts (chopped)
Dessicated coconut flakes (as per need)
Oil or ghee for frying

Sieve together the milkpowder,maida,rava and baking powder in a bowl.

Gradually add the cream and melted ghee and knead everything smoothly to form a dough.

Keep aside the dough covered with a towel for half an hour.

Meanwhile heat the water and sugar together in medium flame,boil it until the sugar gets dissolves and put off the stove. Keep aside and let it cool.

Now make small balls from the prepared dough, roll it well and these balls should have any cracks.

Heat the oil or ghee for deepfrying in medium flame.

Drop gently the rolled balls and fry in medium low flame until they turns golden brown, strain the excess of oil with a paper towel.

Add these fried balls to the already prepared sugar syrup and let them sit for an hour.

Serve gulab jamuns topped with chopped pistachios and dessicated coconut flakes.

Enjoy!
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The Provider Version of a Death Spiral

Saturday, April 26, 2014

The health care commentariat are all wee-weed up over the just-released Kaiser Family Foundation survey on employer health benefits.  The report, based on telephone interviews of a representative sample of more than 2000 employers, shows that the cost of employer-provided insurance has increased by a whopping 8-9% this year. 

Supporters of Mr. Obama and Affordable Care Act argue the increases have preceded the chief provisions of the ACA and are the best evidence to date that federally-led health orm is necessary.  In the meantime, foes of Obamacare are glomming onto the increases as proof that current and anticipated federal mandates are doing nothing about the underlying causes of cost inflation and are ruining any hope of slowing it down. 

And so the debate goes on and on.

Unlike the political class, the DMCB has never found that there is any "single" culprit or simple explantion when it comes to health care cost trends.  In this instance, the 8-9% increase is likely due to variations in the underwriting cycle and a combination of insurance and provider market forces. They include new (and expensive) technology, an aging workforce, continued reliance on fee-for-service mechanisms, grabbing some additional  rate before federal oversight increases, the cost of covering all those college students and other various mandates.

But the perceptive DMCB will offer up one more cause: the provider equivalent of the insurer "death spiral."   If insurers are having a bad year thanks to increased claims, they can be forced to increase their prices.  In response, persons who dont need insurance exit, leaving only the persons who must keep the insurance because they know they are a bad risk. That leads to another bad year, another price increase and more exits until the insurer is left with a small book of business that is unaffordable.

Thanks to 1) 9% unemployment leaving persons without health insurance, 2) high "under" employment also leaving persons without insurance and 3)  high out of pocket expenses for those who do have insurance, the DMCB suspects many more persons with a choice are electing to not go to the hospital or the doctor.  That leaves fewer persons, but theyre sicker, higher cost and unable to pay. Less margin, bad debt and fixed costs are forcing providers to increase their rates

While this a arguably a form of cost shifting, the DCMB doesnt believe that term adequately captures what is going on.  If its right, the lower frequency of claims with a much higher severity could point to a true spiral and next years increases will also be unexpectedly high.  In addition, once the economy improves and all that pent-up demand can be addressed, itll get worse.

Combined with everything else going on, this doesnt bode well.
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FDA Considers OTC Version of the Fat blocker Xenical

Sunday, April 13, 2014

Xenical® may become the first government-approved weight-loss drug available without a prescription.

In 1999, Roche Laboratories, Inc. received marketing approval for orlistat (brand name: Xenical®) and has sold it as a prescription drug since. This afternoon, an FDA advisory panel is considering making a lower-dose version (60 mg. capsules, prescription strength is 120 mg. capsules) available for sale over-the-counter (OTC), without a prescription.

Xenical works locally in the digestive tract to block absorption of about 25% to 30% of the fat in a meal. One of the FDAs concerns is that the drug would also block absorption of fat-soluble vitamins E, D, K, and beta-carotene.

The FDA lists the most common side effects of orlistat as:
  • Oily spotting
  • Gas with discharge
  • Fecal urgency
  • Fatty/oily stools
  • Frequent bowel movements
In 2004, GlaxoSmithKline (GSK) acquired the OTC marketing rights for orlistat from Roche. In 2005, Roche teamed with GSK to copromote Xenical in the US.

If approved, GSK will market the 60 mg. OTC version of orlistat as "Alli", pronounced ally - a erence to its use as an ally or helper in a total weight-loss program.

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For an FDA Fact Sheet on Xenical (open as a pdf file):
Xenical (orlistat)

For some news summaries:
FDA Mulling OTC Sale of Fat Blocking Pill
FDA Finds Risk in GlaxoSmithKline PLCs Xenical Diet Pill
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Update FDA Considers an OTC Version of the Fat blocker Xenical

Sunday, January 19, 2014

The FDA advisory committee voted 11 to 3 today to recommend the OTC version of orlistat* for final FDA approval.

The FDA usually follows the recommendation of its advisory committees. Full FDA approval could be months away.

* If you have diabetes, its advisable to consult with your doctor before taking non-prescription orlistat (Alli). Its use may necessitate changes to diabetes medications.

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GlaxoSmithKlines Press Release:
FDA Joint Advisory Committee Recommends Approval of Orlistat 60 MG Capsules for Over-the-counter Use


News summaries:
Diet Pill Gets Closer to Store Shelves
FDA Panel Recommends OTC Weight-Loss Pill
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