DANGERS OF INFANT WALKERS

Posted on October 17, 2018 by Joann Ariola

The American Association of Pediatrics’ (AAP), has recommended a ban on infant walkers as a result of a recent study that revealed over 230,000- children less than 15 months old were treated for infant walker related injuries in U.S. emergency departments from 1990 to 2014. The majority of injuries were to the head or neck noting that the injuries were sustained by falling down stairs in their infant walker.

states that most walker injuries happen while an adult is watching. Even the most attentive parent or caregiver cannot respond quickly enough to prevent a child from falling since a child in a walker can move more than 3 feet in 1 second. That is why walkers are never safe to use, even with an adult close by.

The AAP recommends that instead of infant walkers, parents choose:

Stationary activity centers – They resemble walkers without wheels. They often have seats that rotate, tip and bounce.
Play yards or playpens – These can be used as safety zones for children as they learn to sit, crawl or walk.
High chairs – As your child grows, they can enjoy sitting in a high chair to play with toys on the tray.

Before 1997, there weren’t any standards for baby walkers in place. These standards caused manufacturers to make the base of a walker wider so as to not fit through most door ways and having brakes that stop them at the edge of a step. Although necessary, these improvements cannot and have not prevented all injuries from walkers.

Research has shown that walkers do not provide any advantage to accelerating a child’s development. In fact, they may hinder development because they do not teach infants to walk. A better practice is to allow your baby the freedom in a safe environment that allows them the opportunity for pulling themselves up, creeping and crawling.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

EATING FOR ENERGY

Posted on October 10, 2018 by Joann Ariola

If you conducted a survey, most people will tell you that between the hours of 3:00PM and 4:00PM each day, a feeling of fatigue may set in which makes them feel less productive.

This is typically the time of day when they may reach for a less healthy choice of food or beverage to “perk-up.”

Many of their snack options are laden with sugar and fat and have no nutritional value. There are several healthy foods available that give us both a boost and essential nutrients.

Some healthy foods that have been proven to help raise energy levels are:

Bananas – Bananas contain carbohydrates, potassium and vitamin B6, all proven to boost energy levels in your body.

Sweet Potatoes – Sweet potatoes contain fiber and complex carbs, as well as manganese, which can help break down nutrients in order to produce energy.
Brown Rice – Brown Rice is less processed than white rice so it retains more fiber, vitamins and minerals. It also has a low glycemic index and could help regulate blood sugar levels to help maintain steady energy levels all day long.
Coffee – Coffee is rich in caffeine. Caffeine quickly passes from your bloodstream to your brain. The result is the production of epinephrine. Epinephrine is a hormone that stimulates the body and brain allowing you to keep more focused.
Eggs – Eggs are rich in protein and leucine. These are both known to stimulate energy.
Water – Not drinking enough water could cause dehydration which can cause your body functions to slow down and make you feel sluggish. It is a good habit to drink water throughout your day, even if you are not thirsty.
Dark Chocolate – Dark chocolate has a high content of cocoa. Cocoa has antioxidants that have proven health benefits, like increasing your blood flow. An increased blood flow helps deliver oxygen to the brain and muscles, improving their functions. Additionally, dark chocolate contains compounds such as caffeine, a known ingredient to enhance mental energy and mood.

If you’d like to speak with a Jamaica Hospital Medical Center licensed nutritionist, call 718-206-7001 to schedule an appointment.

For these and other healthy food and beverages that can give your day a boost, visit healthline.com.

When is the Best Time to Get a Flu Vaccine ?

Posted on October 2, 2018 by Andrew Rubin

Flu season can start in September and run until May. Even before the summer is over, pharmacies start advertising that the flu vaccine is available. While many people believe that the best time to get a flu vaccine is as soon as possible, getting it in October probably is the best option. Some research has shown that the effects of the vaccine start to wear off after six months so we want to make sure we are well protected when the height of the flu season is upon us.

Every year the flu vaccine is different, manufactured with the hope that it will be effective against the prevalent strain expected for that year. It is estimated that it takes approximately two weeks for the vaccine to become fully effective, so being covered early is important. Everyone who is going to be vaccinated wants to be prepared before the peak of the flu season which runs from December to late March. If you would to schedule an appointment for a flu vaccine in the Ambulatory Care Center please call 718-206-7001.

SUGAR FREE LEMON POUND CAKE

Posted on October 1, 2018 by Joann Ariola

Being the wife of a diabetic, I see how difficult it is for my husband to pass up so many delicious, sugary desserts.

Below is a recipe that I have made myself and recommend highly. Although I am not the creator of the recipe, I thought it delicious enough to share.

-Joann Ariola, Director of Intergovernmental Affairs, MediSys Health Network

INGREDIENTS:

1	(18.25 Ounce) Package Sugar-free Yellow Cake Mix
1	(3.4 Ounce) Sugar-free Lemon Pudding Mix
1¾ cups	Water
3	Egg Whites
¾ cups	Reduced-fat Milk
½ tsp	Lemon Extract
1	(1 Ounce) Package Sugar-free Vanilla Pudding Mix
1	(ounce) Sugar-free
	Cooking Spray

DIRECTIONS:

Preheat oven to 350 degrees F and coat a 10×15-inch pan with cooking spray.

Combine yellow cake mix and lemon pudding mix in a large mixing bowl. Stir in water and egg whites. Beat mixture on low speed for 1 minute. Beat for an additional 4 minutes on high speed.

Place batter into prepared pan and bake for 30 minutes or until cooked through.

Meanwhile mix milk, lemon extract, and vanilla pudding mix in a large mixing bowl. Add in cool whip and mix well. Spread mixture over the cake once it has cooled.

Employee Spotlight Shines on Tracey Kunj-Ramen

Posted on September 27, 2018 by Andrew Rubin

This month Jamaica Hospital Medical Center shines its employee spotlight on one of our newest employees, Tracey Kunj-Ramen, the Certified Child Life Specialist for Pediatrics. Tracey joined our staff two weeks ago but is very familiar with Jamaica Hospital. She had been a volunteer on 2 South since 2007 while she was still a student. Tracey also spent some time doing an internship at Flushing Hospital Medical Center.

Tracey was born in Guyana, and grew up in Queens where she spent most of her life living, and continues to reside. She attended elementary, middle and began high school at Thomas Edison H.S. before moving for a short while to Connecticut. After she completed high school, she graduated from Hunter College with a BA in Psychology and received a Master’s of Science in Psychology from Southern New Hampshire University specializing in Child and Adolescent Development.

Tracey has two sons, ages five and two, who she loves spending time with. One of the things she and her husband enjoy doing is taking the boys on spontaneous road trips on the weekends. They enjoy discovering new places and having quality family time together. She also enjoys reading, dancing and eating Italian food whether at home or going out to her favorite restaurants.

Tracey enjoys working with the children who come to the hospital as patients. She understands how important it is to make not only the children feel comfortable and less anxious, but also how important it is to be reassuring to the parents. Tracey takes pride in her duties as a Child Life Specialist because she feels that people who have a positive experience at the hospital will feel confident about recommending their friends, family and neighbors.

We welcome Tracey to Jamaica Hospital and look forward to her contributions to our team of doctors, nurses, and other specialists who provide care to our youngest patients.

Power Napping

Posted on September 20, 2018 by Andrew Rubin

It has been proven that taking a power nap during the day has many benefits. A nap can lower blood pressure and also reduce the level of stress.

Research has shown that the benefits of a midday power nap are determined by the length of the time a person spends napping. A nap that lasts 20 minutes will help alertness and will also increase motor function. Naps that last 30 to 60 minutes will improve decision-making skills, and a nap that lasts 60 to 90 minutes will improve the ability to solve creative problems. Most people will only be able to take a short nap. A person who naps longer than 20 or 30 minutes runs the risk of waking up and feeling groggy.

If your typical day starts at 7:00 AM and you go to bed for the night around 11:00 PM, then napping between 1:30 and 3:00 PM is when you will benefit from a power nap the most.

If you are having difficulty getting a good night’s sleep, specialists at Jamaica Hospital’s Sleep Center can conduct sleep studies to help determine the causes of your sleep deprivation. To schedule an appointment for an evaluation, please call 718-206-5916

National Back Pack Safety Month

Posted on September 17, 2018 by Joann Ariola

September is National School Backpack Safety Month and Jamaica Hospital Medical Center is sharing information on how you can help your child avoid the pain and injury that is associated with carrying heavy backpacks. These simple tips can help protect your child from having chronic back pain throughout their lives.

Backpacks are essential back-to- school items for kids. They come in different colors, sizes and shapes and most importantly they help children to carry their belongings. Backpacks are preferred by many in comparison to shoulder bags because when worn correctly, they evenly distribute weight across the body. However, if worn incorrectly they can cause back pain or injuries and eventually lead to poor posture.

To prevent problems associated with improper backpack use, parents should first purchase a backpack that has the following features:

Lightweight
Wide and padded straps
Multiple compartments
Padded back
Waist belt
Correct size (A backpack should never be wider or longer than your child’s torso).

Practicing these safety tips will further reduce the chance of back pain or injuries caused by backpacks:

When packing, heavier items should be placed to the back and center of the backpack. Lighter items should be in front. Sharp objects such as scissors or pencils should be kept away from your child’s back. Utilizing different compartments can help in distributing weight.
Do not over pack. Doctors recommend that children should not carry backpacks that weigh more than 10-15% of their body weight.
Ensure that children use both straps. Using a single strap can cause muscle strain.
Adjust the straps so that the backpack fits closely to your child’s back and sits two inches above the waist. This ensures comfort and proper weight distribution.
Encourage children to use their lockers or desks throughout the day to drop off heavy books.

The Pediatric Orthopedic Society of North America recommends that parents should always look for warning signs that indicate backpacks may be too heavy. If your child struggles to put on and take off the backpack, they are complaining of numbness or tingling or if there are red strap marks on their shoulders -It may be time for you to lighten their load.

National Suicide Prevention Week

Posted on September 12, 2018 by Joann Ariola

Suicide affects millions; over 800,000 people take their lives each year, and the number of people who attempt suicide is twenty five times that amount. In addition to the lives lost, suicide also affects the many friends and family members devastated by the loss of their loved one.

Suicide is largely preventable though. Through education and awareness, we can get those people who are contemplating suicide the help they need.

One of the best tools in preventing suicide is to know the risk factors. Over 90% of people who attempt suicide live with depression or another mental disorder. Alcohol or substance abuse is often a contributing factor. Adverse factions to traumatic events or stress can also lead to someone wanting to take their own life.Other risk factors for suicide include:

• Family history of mental disorder or substance abuse
• Family history of suicide
• Family violence
• Physical or sexual abuse
• Keeping firearms in the home
• Chronic physical illness, including chronic pain
• Exposure to the suicidal behavior of others

Someone who is considering suicide usually displays certain behaviors. Loved ones should look for the following warning signs:

Always talking or thinking about death
Trouble sleeping and eating — that gets worse over time
Displaying reckless behavior that could result in death, such as driving fast or running red lights
Losing interest in things one used to care about
Making comments about being hopeless, helpless, or worthless
Talking about suicide or killing one’s self
Visiting or calling people to say goodbye

If someone you know appears to be contemplating suicide, take the issue seriously. Let the person know that you care and understand and are listening and attempt to get them immediate help from a health care professional.

If your loved one appears to be in imminent danger of committing suicide, do not leave him or her alone. Remove any weapons or drugs he or she could use. Accompany him or her to the nearest emergency room or call 911.

The week of Sept. 10th has been designated World Suicide Prevention Week. Many organizations from around the world have joined this cause. Jamaica Hospital’s supports their efforts and the hospital’s Department of Psychiatry offers many inpatient and outpatient services to help those in need.

Information About Sickle Cell Disease

Posted on September 5, 2018 by Joann Ariola

Sickle cell disease is an inherited form of anemia – a condition in which red blood cells are unable to carry oxygen throughout the body. For most, red blood cells are round and can move easily through blood vessels, but the red blood cells in people with sickle cell disease are crescent, or half-moon shaped. These irregular shaped cells can get stuck in blood vessels, which can slow or block the flow of oxygen to certain parts of the body.

In addition to being irregular in shape, sickle cells are fragile and break apart easily. Normal red blood cells live an average of four months before they die and need to be replaced. Sickle-shaped cells however only live an average of 20 days. The result of this shortage of blood cells is a loss of energy and general sense of fatigue.
Other symptoms of sickle cell disease include:

• Hand-Foot Syndrome – Often the first sign of sickle cell disease. It is caused by a lack of blood flow to the hands and feet

• Episodes of Pain – Referred to as a “crisis”, these episodes of pain occur when blood flow is blocked to the chest, abdomen, and joints. The frequency and duration of the episodes vary from person to person, but in severe cases, they can result in hospitalization.

• Frequent Infections and Fever– Sickle Cell can cause damage to the spleen, an organ that fights infection, making those with sickle cell at greater risk of developing an infection and an accompanying fever.

• Changes in Skin – People with sickle cell disease can develop a yellow tint to their skin or the whites of their eyes. Skin and nail beds can often become pale.

• Delayed growth – By not receiving enough oxygen rich red blood cells, those with sickle cell disease may also not get the necessary nutrients essential for growth.

The risk of inheriting sickle cell disease is a genetic one. For a baby to be born with it, both parents must carry the sickle cell gene. Doctors can diagnose sickle cell disease before a child is born. Couples who are at risk for passing on this disease to their children may want to talk with a genetic counselor about prenatal testing. The sickle cell gene is more common in families that come from Africa, India, Carribbean islands, and Central and South America.

To determine if you have sickle cell disease, your doctor can order a test to check for hemoglobin S, the defective form of hemoglobin that underlies sickle cell anemia. Further tests can confirm the existence of one gene (carrying the sickle cell trait) or two genes (sickle cell anemia). For those who have sickle cell anemia, treatment is aimed at treating the symptoms and avoiding crisis. Regular check-ups to monitor your red blood cell count are important. Medications are available to reduce pain and prevent complications can be prescribed, and blood transfusions, supplemental oxygen and even bone marrow transplants may also be necessary.

Jamaica Hospital serves a culturally rich and diverse population. Many members of our community are from the parts of the world most often affected by sickle cell disease. We encourage anyone living with sickle cell disease to carefully manage their condition. The hospital also recommends all potential parents to be tested for the sickle cell trait.

Jamaica Hospital Opens the New Thomas Santucci Jr., MD Cardiovascular Interventional Suite

Posted on September 4, 2018 by Jamaica Hospital Medical Center

This summer, Jamaica Hospital Medical Center held a ribbon-cutting ceremony to commemorate the opening of the Thomas Santucci Jr., MD Cardiovascular Interventional Suite, named in honor of the late and beloved cardiologist and former Chairman of the Department of Medicine.

Cath Lab Jamaica Queens Joining the hospital for the occasion were special guests of honor: the family of Dr. Thomas Santucci Jr., Queens Borough President Melinda Katz, Senator Joseph Addabbo and members of Jamaica Hospital’s Board of Trustees. Over 100 guests and the media were also in attendance.

Jamaica Hospital President and CEO, Mr. Bruce J. Flanz welcomed everyone as they buzzed with excitement, to the new, state-of-the-art cardiovascular care facility.

The suite covers 6500 square feet of space and includes two interventional labs, a six-bed recovery unit, a preparation area, as well as viewing, treatment and examination rooms. The facility is also equipped with the latest and most advanced technologies in cardiac and stroke care. Both labs feature Siemens Artis Zee Ceiling- Mounted Systems which provide high patient-positioning flexibility, affording doctors easier and full-body access to patients.

Mr. Flanz explained to guests that all features and amenities of the Cardiovascular Interventional Suite were carefully selected by the Cardiology Department with the goal in mind of meeting the growing needs of patients.

“There is a significant prevalence of diabetes mellitus, hypertension, hyperlipidemia and obesity in our area, all of which contribute to the growing incidence of all types of cardiovascular disease, including heart attacks and strokes,” shared Dr. Robert Mendelson, Director of Cardiology and Chairman of the Department of Medicine. It is anticipated that admissions for cardiac disease to Jamaica Hospital will increase by 12% in the next five years and stroke admission by 11% during that period.

In addition to treating patients who live within the hospital’s service area, the Cardiovascular Interventional Suite will provide emergency cardiovascular care to the many travelers who fly through JFK Airport. Each year, approximately 2,500 people are transported to Jamaica Hospital from JFK and 10% of those emergency cases are the result of a cardiac issue or stroke.

“Given the high volume of cardiovascular and stroke cases received by the hospital, the new Thomas Santucci Jr., MD Cardiovascular Interventional Suite will certainly be of great benefit to a significant number of people,” said Mr. Flanz.