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An Endocrine Handbook
by Henry R. HarrowerTHIS ENDOCRINE HANDBOOK is an attempt to inform our friends of the trends of progress in endocrine therapy, particularly those everyday phases of the subject upon which our work is based. It is not intended to be a review of glandular physiology or pathology, nor is it a treatise on the clinical aspects of endocrine or near-endocrine disorders.The reader will be able quickly to find much practical information that can be utilized in his work. While the manuscript for this book was being prepared, it occurred to the author that pointed excerpts from current medical literature might be given as more direct evidence of the validity of many views that are outlined here. These “Clinical Excerpts,” which follow each chapter, constitute an exceptionally valuable review of the subjects considered, and the index makes this therapeutic information much more accessible.
The Endurance Diet: Discover the 5 Core Habits of the World's Greatest Athletes to Look, Feel, and Perform Better
by Matt FitzgeraldSports Nutritionist Matt Fitzgerald has spent nearly twenty years studying the diets of top professional endurance athletes, who are among the fittest and healthiest people in the world. As a result, he has identified five core habits-most of which are contrary to what popular diets advise-that are essential to maximizing workout benefits. The Endurance Diet shares key strategies for optimal health and performance: eat everything, eat quality, eat carbohydrate, eat enough, and eat individually. Whether you want to lose weight, win a race, or look a little more like an elite athlete, this plan is for you."I am always amazed at how much I learn from Matt Fitzgerald's books."-Shalane Flanagan, Olympic bronze medalist
The Endurance Training Diet & Cookbook: The How, When, and What for Fueling Runners and Triathletes to Improve Performance
by Jesse KropelnickiReach your peak performance with the best training and fueling plan. Achieve your goals in endurance racing with the detailed training advice and perfectly tailored recipes in this new must-have manual and cookbook. Fueling your body is just as important as training it, but different phases of training and racing require different combinations of nutrients. Written by one of the world’s leading triathlon coaches, The Endurance Training Diet & Cookbook includes in-depth advice to boost your performance and seventy recipes that will help you reach your personal best. Inside, you’ll find: • the best nutrition information to support your body when exercising at intense levels whether you’re a distance runner, cyclist, or triathloner• guidelines for fueling during preworkout, postworkout, and recovery windows• a game plan for what to eat and drink during workouts and on race day• delicious, nutrient-rich recipes made with fresh, whole foods for every meal of the day The Endurance Training Diet & Cookbook has everything you need to help you break through in your racing.
Enemy Pie
by Derek MunsonIt was the perfect summer. That is, until Jeremy Ross moved into the house down the street and became neighborhood enemy number one. Luckily Dad had a surefire way to get rid of enemies: Enemy Pie. But part of the secret recipe is spending an entire day playing with the enemy! In this funny yet endearing story, one little boy learns an effective recipe for turning your best enemy into your best friend. Enemy Pie serves up a sweet lesson in the difficulties and ultimate rewards of making new friends.
The Enemy You Gnocchi (Italian Chef Mysteries #3)
by Catherine BrunsA delicious new holiday mystery from USA Today bestselling author Catherine Bruns! It's Christmas time in Harvest Park, so grab your cocoa and sleuthing snow boots for a Christmas cozy mystery sure to sleigh!It's the deadliest thyme of the year...With snow dusting the ground and sauce sizzling on the stove, local chef Tessa Esposito is ready to serve up some holiday cheer. And with the annual Festival of Lights underway, it seems nothing can dim her spirits. Not even Mario Russo, the newest scrooge in town whose espresso bar has been quickly disrupting businesses and stealing customers from Harvest Park's favorite coffeehouse.But when Mario is discovered at the festival's opening, face down in a Santa suit, Tessa realizes the bah humbug runs deeper than she could have imagined. And when one of her dearest friends is implicated in the crime, she must make a list of Mario's enemies, check them twice, and discover the cold-blooded killer. Especially before they can sleigh again.
Energy Balls: Improve Your Physical Performance, Mental Focus, Sleep, Mood, and More!
by Christal SczebelVegan, no-bake, gluten-free, bite-sized eats for breakfast, lunch, and anytime you need a brain or body boost—or even a relaxing bedtime snack. This little cookbook packs a big punch with 100 delicious recipes for no-bake energy balls designed to deliver a targeted blast of energy for different activities at any hour. Crafted with whole ingredients, superfoods, and all-natural proteins, each vegan and gluten-free bite-size treat offers the perfect nutritional boost. Extra protein, nuts, and seeds give athletes a high-energy hit; dark chocolate and green tea help students concentrate and focus; ginger lets the overstressed wind down at the end of a long day. And, kids will love them tucked into their lunch boxes. They are as easy to make as they are good to eat—good-bye processed and packaged sports bars!
Energy Bites: High-Protein Recipes for Increased Vitality and Wellness
by DK15 flavorful recipes for high-protein, bite-sized balls of balanced nutrition to increase vitality and wellness.Keep your blood sugar steady and your energy levels high with the ultimate snack for active lifestyles: protein balls.Energy Bites features 15 bake and no-bake vegetarian recipes for sweet and savory bite-sized balls to feed your need for a healthy treat. A core of protein-rich ingredients combine with low-GI carbohydrates and healthy fats in frozen avocado balls, yellow lentil seed balls, kale and seaweed balls, and more. Step-by-step photography, explanations of cooking techniques, and a special infographic feature will have you building and creating your own recipes in no time.Whether you are looking for a post-workout refuel, an intense immunity boost, a healthy midday pick-me-up, or a nutritious on-the-go treat for kids, Energy Bites has a super snack that will help you achieve your goal without having to compromise on flavor.
Energy Breakthrough
by The Ferguson SarahWhy am I so tired all the time? Where do exercise and good eating habits fit into my hectic schedule? How can I have more energy every day? In Energy Breakthrough, Sarah, The Dutchess of York gives you the keys to attaining a healthier, more energized lifestyle, even in the midst of our overstressed, overscheduled lives. Working with Weight Watchers and drawing on her experiences of coping with life's demands without sacrificing her inner and outward health, The Dutchess helps you lose weight (and keep it off) while raising your energy levels to an all-time high. She begins with a baisc equation for success -- nutritious eating, effective exercise, and a positive outlook -- and helps you to practically incorporate all three into your everyday life. From there, the sky's the limit as you discover how to tap into nine ways to get instant energy fuel your energy with more than 75 easy, delicious recipes and menus all based on the popular Weight Watchers Winning Points® weight-loss plan that includes Points® values fight fatigue with the Ten Commandments of eating for optimum energy recharge your batteries with exercise combat stress, sleep deprivation, and emotional energy drainers give yourself an energy makeover -- with simple lifestyle changes for increased calm and productivity feel satisfied after every meal or snack while still eating healthfully make rest and relaxation a vital part of your busy life ... and much more! Jump-start your weight loss with Energy Breakthrough -- and reap the rewards of a healthier and more fulfilled life.
The Energy Fix: Five Steps to Feeling Less Tired
by Karina AntramFeeling tired but don't know why? This is the book anyone battling low energy needs to read.'It's a cracking book, a cracking, cracking book' Chris Evans, Virgin Radio The Energy Fix is a nutritional science book that will help you to understand why your energy levels are so low and equip you with easy, practical, everyday strategies for boosting it. Drawing on scientific research and the author’s nutritional expertise, this simple five-step approach shows how to reinvigorate and stabilise your energy levels for good: 1. Fuel your body 2. Nourish your gut 3. Supercharge your sleep and exercise 4. Power up with supplements 5. Harness the power of your mindWith The Energy Fix you can learn how to listen and respond to your body so that you never feel tired again.'This practical five-step guide to tackling tiredness combines coaching-based methodologies, useful reflections, tips and lifestyle changes' Your Healthy Living'Simple tips to boost your energy levels' The Times*Previously published as Fix Your Fatigue*
The Energy Paradox: What to Do When Your Get-Up-and-Go Has Got Up and Gone (The Plant Paradox #6)
by Dr. Steven R Gundry, MDThe author of the bestselling Plant Paradox series takes a fresh look at one of the top health issues plaguing Americans—fatigue—and offers a revolutionary plan for boosting energy and revitalizing mental and physical stamina.In his bestselling books, The Plant Paradox and The Longevity Paradox, Dr. Steven R. Gundry offered game-changing perspectives on our wellbeing. In The Energy Paradox, Dr. Gundry expands upon his previous discussions of gut, microbiome, and mitochondrial health, linking immune malfunction to the mental and physical symptoms of fatigue—including exhaustion, brain fog, depression, anxiety, and low metabolism.As Dr. Gundry explains, feeling tired, moody, and zapped of energy is not normal, no matter your workload or age. Fatigue is an SOS flare from the body, one that is intended to alert us that something is wrong. In his clinical work, Dr. Gundry has found that his patients who complain of feeling sick and tired all the time almost always have something in common: the inflammation markers of a leaky gut.In The Energy Paradox, Dr. Gundry will offer readers the information and tools necessary to quiet the autoimmune battle raging within—a battle that depletes precious energy reserves, leaving you drained and prone to mood disorders and weight gain. With new guidelines on how to increase mitochondrial energy production and nourish the microbiome; 30 new Plant Paradox-approved recipes; and lists of energy-boosting foods to consume and energy-depleting foods to avoid, The Energy Paradox will help readers take back their lives, giving them the energy they need to feel, look, and be their best.
Energy Use in Global Food Production
by Meera VermaThis Brief examines the sustainability of energy use in global food production and processing. The nexus between food, water, and energy are explored against a background of climate change. Current efforts to reduce the energy intensity of food and increase sustainability are explored. Food waste and its impact on energy is covered, including regional variations and nutrient recycling methods. Energy Use in Global Food Production uses case studies to illustrate how food production and processing is a significant contributor to anthropogenic climate change. Modern industrial agriculture uses fossil fuel to grow crops and produce fertilizers, pesticides and farm machinery. Additional energy is used to transport and process food at a primary and secondary level. With the median forecast for global population at more than 9 billion by 2030, a 30% increase over the current population, energy efficient food processing will be of increasing importance. This Brief provides an overview of current energy efficient food processing methods looks at the way forward as demands continue to increase.
The Engagement Arrangement: An accidentally-in-love rom-com sure to warm your heart - 'a lovely summer read' (Boots and Bouquets)
by Jaci BurtonIf you love Holly Martin, Sarah Morgan and Jill Shalvis, you'll love Jaci Burton!What readers are saying about The Engagement Arrangement!'What a lovely summer read! The vineyard setting was so idyllic and romantic'Don't miss The Best Man Plan - out now! A 'sweet and hot friends-to-lovers story' set in a gorgeous vineyard!'Always sexy, romantic and charming' Jill Shalvis 'The characters leap off the page and the romance sparkles' Romantic TimesWhat do you do when you develop feelings for your fake fiancé? Jaci Burton's next Boots and Bouquets novel is an accidentally-in-love romance sure to warm your heart.Brenna Bellini is never going to get married again. She's thrilled to be her friend's bridesmaid though - that is, until she realizes who else is in the wedding party. Brenna's going to have to spend four days in the company of not only her ex-husband, but also her high school nemesis. There's no way she'll let the fact she's single be rubbed in her face all weekend. She's going to find herself a fake fiancé. Finn Nolan has had it bad for Brenna ever since he came from Ireland to work at the Bellini family vineyard. After falling for Brenna from afar, this Irish cowboy is determined to take the chance to show the woman of his dreams that he is her Mr Right. So what does a confirmed never-getting-married-again woman do when the man of her dreams unexpectedly lands right in front of her? Because for the first time, she might not be able to walk away. This time it might be forever.Want more fun romance? Look out for more cowboys and weddings in the Boots and Bouquets series and check out Jaci's gorgeously romantic Hope series beginning with Hope Flames. Or, to turn up the heat, look out for Jaci's sizzling Brotherhood by Fire and Play-By-Play series which began with The Perfect Play.
Engendering Agricultural Development: Dimensions and Strategies
by Binoo P. Bonny K. P. Sudheer S. SmithaThis book is an attempt to comprehend and compile the history, present status, and future trends of the gender roles in agriculture. The book comprises of three divisions viz., Gender in agriculture development (Part I), Gender in allied sectors of agriculture (Part II) and Data, Tools and approaches in gender analysis (Part III), that explicates the prevalent gendered relegations. It provides insights on the gender dimensions in Indian agriculture, including initiatives, policy reforms and mends the literature gap in gender roles in the sector. The gender roles and impacts from different cultural and geographical horizons of agricultural and allied sectors in the emerging contexts of globalization, urbanization, climate change and the Covid19 pandemic are discussed in the book. It will be helpful to academics, researchers, students, and social workers who strive towards a gender-neutral world. Print and electronic editions not for sale in South Asia (India, Sri Lanka, Nepal, Bangladesh, Pakistan, Afghanistan and Bhutan).
The Engine 2 Cookbook: More than 130 Lip-Smacking, Rib-Sticking, Body-Slimming Recipes to Live Plant-Strong
by Rip Esselstyn Jane EsselstynThe highly anticipated cookbook companion to the runaway New York Times bestseller The Engine 2 Diet.The Engine 2 Diet has sold hundreds of thousands of copies and inspired a plant-based food revolution. Featuring endorsements from top medical experts and a food line in Whole Foods Market, Engine 2 is the most trusted name in plant-based eating. Now, readers can bring the Engine 2 program into their kitchens with this cookbook companion to the original diet program. Engine 2 started in a firehouse in Texas, and if Texas firefighters love to eat this food, readers nationwide will eat it up, too! THE ENGINE 2 COOKBOOK packs the life-saving promise of the Engine 2 program into more than 130 mouth-watering, crowd-pleasing recipes that are designed to help readers lose weight, lower cholesterol, and improve their health, one delicious bite at a time.
The Engine 2 Diet: The Texas Firefi ghter's 28-Day Save-Your-Life Plan That Lowers Cholesterol and Burns Away the Pounds
by Rip EsselstynAs a fireman Rip Esselstyn has helped people and saved lives, but with his ENGINE 2 DIET plan he will help save lives on a much larger scale. A world-class professional triathlete-turned-fireman, as well as the son, grandson and great-grandson of renowned physicians, Rip Esselstyn knows how to live a healthy lifestyle. So, when he learned that one of his fellow Engine 2 firefighter's cholesterol level was dangerously high, he immediately went into action. First, he created THE ENGINE 2 DIET, a 28-day health and weight loss program. Next, he enlisted not only his at-risk friend, but the entire firehouse to follow the plan. Everyone lost weight (some more than 20 pounds!), lowered their cholesterol and improved their overall health. Encouraged, Rip went on to further prove the effectiveness of his plan through a citywide study-and the results were even more amazing! In this easy-to-follow, 28-day program, readers are given a choice of two plans; the Fire Cadet Plan begins with a "flexitarian" approach to eating that includes a nutrient-rich, mostly plant-based diet featuring fresh fruit, vegetables, whole grains, legumes, nuts, seeds, some fish and chicken, and the other, the Firefighter Plan, is all plant-based. To ensure every reader's success, THE ENGINE 2 DIET also includes recipes, meal plans, grocery lists, cooking tips, and a firefighter-inspired exercise program to boost metabolism, build strength and endurance.
The Engine 2 Seven-Day Rescue Diet: Eat Plants, Lose Weight, Save Your Health
by Rip EsselstynThe runaway New York Times bestselling diet that sparked a health revolution is simpler and easier to follow than ever!<P><P> The Engine 2 Diet has sold hundreds of thousands of copies and inspired a plant-based food revolution. Featuring endorsements from top medical experts and a food line in Whole Foods Market, Engine 2 is the most trusted name in plant-based eating. Now Esselstyn is presenting a powerful, accelerated new Engine 2 program that promises staggering results in record time. In just one week on THE ENGINE 2 SEVEN-DAY RESCUE DIET, readers can expect to: lose weight (up to 14 pounds), lower total cholesterol (by 32 points on average), drop LDL cholesterol (by 22 points on average), lower triglycerides (by 75 points on average), and lower blood pressure by an average of 10/5 points. THE ENGINE 2 SEVEN-DAY RESCUE DIET will bring the benefits of the Engine 2 program to a whole new audience of readers, by showing that all it takes is seven days to see incredible and motivating results!
Engineering Aspects of Food Quality and Safety (Food Engineering Series)
by H. Umesh Hebbar Richa Sharma Ram Saran Chaurasiya Shivendu Ranjan K. S. M. S. RaghavaraoEngineering Aspects of Food Quality and Safety aims to fill the knowledge gap in current technological advances and methods for food safety and quality, dedicating entire sections to analytical techniques from quality testing to packaging, post-harvest methods from product utilization to storage to chemical engineering principles and pre-harvest interventions from genetic engineering and mechanization to the links between pre-and-post harvest techniques. Throughout the book, global policy perspectives are taken into account. An introductory section is also included to cover the role of food processing and engineering in food quality and safety improvement. Encompassing all of the major applications and challenges involved in the engineering aspects of food safety and quality in one source, this work is incredibly valuable to a wide range of food engineers, scientists, and industry professionals involved in the engineering, processing and packaging of both novel and traditional foods. This text provides a detailed overview of the newest methods and advanced technologies used in the improvement of quality and safety in foods. The processes and methods described in this book are applicable to many areas of the food industry including pre-harvest and post-harvest technology, food machinery and product formulation. Featuring contributions from prominent food scientists and engineers across the globe, this work contains detailed coverage of the latest advances in genetic and chemical engineering, mechanization, thermal and non-thermal processing, automation, computational tools, packaging and waste management. The latest analytical techniques are also covered, including chapters dedicated to in-line monitoring, nanosensors, rapid testing kits and E-sensors. Maintaining a high standard of safety for consumers in foods is an interdisciplinary effort involving biologists, chemists, nutritionists, chemical engineers, mechanical engineers and genetic engineers among others. All of these experts will find this book to be a singular source encompassing all of the major current advances in food safety engineering and processing.
Engineering Foods for Bioactives Stability and Delivery
by Yrjö H. Roos Yoav D. LivneyThis book introduces recovery and stabilization of common bioactive materials in foods as well as materials science aspects of engineering stable bioactive delivery systems. The book also describes most typical unit operations and processes used in recovery and manufacturing of food ingredients and foods with stabilized bioactive components. The 15 chapters of the book discuss in detail substances that need to be protected and delivered via foods and beverages to achieve good stability, bioavailability and efficacy. Dedicated chapters present current and novel technologies used for stabilization and delivery of bioactive components. The material included covers formulation, stability, digestive release, bioaccessability and bioavailability. The text features a special emphasis on the materials science and technological aspects required for stabilization and successful production of foods with bioactive components. Consumer demand for healthier, yet satisfying food products is posing increasingly tough challenges for the food industry. Scientific research reveals new bioactive food components and new functionalities of known components. Food materials science has also developed to a stage where food materials can be designed and produced to protect sensitive components for their delivery in complex food products. Such delivery systems must meet high safety and efficacy requirements and regulations, as well as economic viability criteria and consumer acceptance.
Engineering Solutions for Sustainable Food and Dairy Production: Innovations and Techniques in Food Processing and Dairy Engineering (Food Engineering Series)
by Sankar Chandra Deka C. Nickhil A. K. HaghiThis book offers a comprehensive exploration of food and dairy process engineering, catering to a diverse audience ranging from students and budding engineers to seasoned professionals in the food industry. It delves into a wide array of crucial topics, each meticulously crafted to provide valuable insights into the complex world of food and dairy processing. Engineering Solutions for Sustainable Food and Dairy Production begins by addressing the paramount concern of safety in the food industry, tackling challenges and opportunities in ensuring the quality and integrity of food products. The book promotes an understanding of the sources of dairy products and the practices involved in dairy farming, which are pivotal for producing high-quality dairy goods. Raw material management and quality control techniques are covered in full, as are fluid mechanics and heat transfer and pasteurization techniques. Fermentation processes are explored in-depth, showcasing their significance in the creation of various food products. Separation technologies such as filtration and centrifugation techniques are studied and evaporation and concentration techniques are discussed which enables the production of condensed and powdered items. A full chapter is dedicated to food and dairy freezing and cooling techniques, focusing on maintaining the correct temperature and various freezing and cooling methods. For researchers in search of the most updated technologies and techniques for sustainable food and dairy processing, this text functions as a singular source
The English Breakfast Murder (Tea Shop Mystery #4)
by Laura Childs[From the back Cover:] "Indigo Tea Shop owner Theodosia Browning is about to embark on her first turtle crawl--and her latest murder investigation... It is a truly exhilarating experience for Theo--helping Charleston's Sea Turtle Protection League shepherd hundreds of tiny green loggerheads safely into the sea. But just as she's about to celebrate all her hard work with some hearty Lung Ching tea and spicy gumbo, she spots a dead body bobbing in the waves. It turns out to be local art dealer Harper Fisk--a man with an eye for fine antiques. Could his death have anything to do with the sunken treasure and gold bullion rumored to be somewhere near Halliehurst Beach? Deep in her heart, Theo knows that murder is indeed brewing in Charleston--and it's up to her to get to the bottom of it before the culprit's greed stirs him to kill again... Includes mouthwatering recipes and easy-to-follow instructions for tea dyeing!" There are also tips for holding themed tea parties. Look for more books in the Tea Shop Mysteries series in the Bookshare collection.
The English Medieval Feast (Routledge Library Editions: The Medieval World #35)
by William Edward MeadOriginally published in 1931, The English Medieval Feast examines the act of feasting and food during the medieval period. The book provides a scholarly look at the human detail involved in the variety of medieval manners and customs which make up the medieval feast. The book introduces the scene of the feast and its service, providing explanations of the food, drink and preparation that comprised the act of the medieval feast. The book also describes in full, certain and notable feasts of the period. The book also includes some historical examination of medieval dietetics which will be of interest to the modern reader.
English Puddings: Sweet & Savoury
by Mary NorwakThe definitive guide to a classic British dish. Thanks to so many of today’s star chefs producing classic hearty meals as their signature dishes, we are all rediscovering the delights of our native puddings, both sweet and savory; Steak and Kidney Pudding, Pease Pudding, and Bread and Butter Pudding are all now appearing on the smartest restaurant menus—and rightly so. The culinary pendulum is swinging back to a style of eating consisting of simple, unfussy plates of delicious slow-cooked meats and gently stewed seasonal fruits, many of which virtually cook themselves, and allowing us to eat well without expensive, imported ingredients. As well as a wonderful collection of recipes which spans flummeries, syllabubs, fools, fritters, dumplings, pies and tarts, Mary Norwak also gives us a fascinating insight into the history of all these now popular dishes.
The Englishman's Food: Five Centuries of English Diet
by Anne Wilbraham J.C. DrummondMedieval gardens; cookshops; spices; ale, beer, wine and spirits; the food of peasants, labourers, townspeople, the wealthy, the poor and the country gentleman; fish, meat and game; the feeding of infants, children; dairy products; vitamins, proteins, fat and fibre; the adulteration of food; the four bottle man; bread; poaching; tea, coffee and chocolate; food in schools and institutions; sugar and sweetmeats; root crops; the agricultural revolution; the importance of 'white meats', the vegetarian diet; menus and recipes. . .The Englishman's Food was first published in 1939, fully revised in 1957 and now appears with a new updating introduction. A ground-breaking book, it is a fascinating and authoritative survey of food production, consumption, fashions and follies over a period of five hundred years. Reprinted with a new introduction by food editor Tom Jaine.
Enhancing Fertility through Functional Medicine: Using Nutrigenomics to Solve 'Unexplained' Infertility
by Jaclyn M. DownsEnhancing Fertility through Functional Medicine: Using Nutrigenomics to Solve 'Unexplained' Infertility provides cutting-edge information and solutions to help support the worldwide rise of fertility challenges. It addresses common, yet not commonly known, root causes of oxidative stress that are at the heart of reproductive issues (and all chronic health issues). These solutions can help enhance the outcomes of assisted reproductive technologies (ART) or support women to avoid them altogether. Enhancing Fertility through Functional Medicine: Using Nutrigenomics to Solve 'Unexplained' Infertility will show you how to improve cell health (including egg and sperm), lower inflammation, balance nervous system functioning, and optimize genetic expression, allowing the body to return to its naturally fertile state. It details information on numerous root causes of health-derailing inflammation and oxidative stress, while the appendices discuss the genetic and biochemical pathways related to these topics. Each chapter also provides easy “Action Steps” that can be implemented immediately. Chapter topics include iron dysregulation; oxalates; mold/mycotoxins; phase 2 liver detoxification pathways; fat utilization; introductory information on genetics, epigenetics, and nutrigenomics; everything one needs to know about histamine intolerance; and how these factors adversely affect metabolic and reproductive functions. Enhancing Fertility through Functional Medicine: Using Nutrigenomics to Solve 'Unexplained' Infertility is the handbook for people wanting to achieve and sustain a healthy pregnancy. It highlights lesser-known causes of fertility challenges the reader can learn how to investigate. This book also serves as a reference guide for practitioners, providing them with additional tools to add to their repertoires when other protocols have not been effective. It may also provide clarity as to why other protocols did not work and will enable the practitioner to custom-tailor protocols for each patient.
Enhancing Food Safety: The Role of the Food and Drug Administration
by Institute of Medicine National Research Council of the National AcademiesRecent outbreaks of illnesses traced to contaminated sprouts and lettuce illustrate the holes that exist in the system for monitoring problems and preventing foodborne diseases. Although it is not solely responsible for ensuring the safety of the nation's food supply, the U.S. Food and Drug Administration (FDA) oversees monitoring and intervention for 80 percent of the food supply. The U.S. Food and Drug Administration's abilities to discover potential threats to food safety and prevent outbreaks of foodborne illness are hampered by impediments to efficient use of its limited resources and a piecemeal approach to gathering and using information on risks. Enhancing Food Safety: The Role of the Food and Drug Administration, a new book from the Institute of Medicine and the National Research Council, responds to a congressional request for recommendations on how to close gaps in FDA's food safety systems. Enhancing Food Safety begins with a brief review of the Food Protection Plan (FPP), FDA's food safety philosophy developed in 2007. The lack of sufficient detail and specific strategies in the FPP renders it ineffectual. The book stresses the need for FPP to evolve and be supported by the type of strategic planning described in these pages. It also explores the development and implementation of a stronger, more effective food safety system built on a risk-based approach to food safety management. Conclusions and recommendations include adopting a risk-based decision-making approach to food safety; creating a data surveillance and research infrastructure; integrating federal, state, and local government food safety programs; enhancing efficiency of inspections; and more. Although food safety is the responsibility of everyone, from producers to consumers, the FDA and other regulatory agencies have an essential role. In many instances, the FDA must carry out this responsibility against a backdrop of multiple stakeholder interests, inadequate resources, and competing priorities. Of interest to the food production industry, consumer advocacy groups, health care professionals, and others, Enhancing Food Safety provides the FDA and Congress with a course of action that will enable the agency to become more efficient and effective in carrying out its food safety mission in a rapidly changing world.