National Birth Defect Prevention Month

Posted on January 6, 2017 by Zakiya Hazel-Jemmott

January is Birth Defects Prevention Month. Among the most common birth defects is cleft lip. Cleft lip is a birth defect that occurs when a baby’s lip or mouth does not form properly in the womb. Collectively, these birth defects commonly are called “orofacial clefts”.

The lip forms between the fourth and seventh weeks of pregnancy. A cleft lip develops if the lip tissue does not join completely before birth, resulting in an opening of the upper lip. The opening in the lip varies in size from a small slit or a large opening that goes through the lip into the nose.

The causes of orofacial clefts among most infants are unknown. However, they are thought to be caused by a combination of genetics or other factors, such as things the mother comes in contact with in her environment, or what the mother eats or drinks, or certain medications she uses during pregnancy. Recently the Center for Disease Control reported findings from research studies about risk factors that increase the chance of infant orofacial cleft:

Smoking―Women who smoke during pregnancy are more likely to have a baby with an orofacial cleft than women who do not smoke
Diabetes―Women with diabetes diagnosed before pregnancy have an increased risk of having a child with a cleft lip with or without cleft palate, compared to women who did not have diabetes
Use of certain medicines―Women who used certain medicines to treat epilepsy during the first trimester (the first 3 months) of pregnancy are at greater risk

Orofacial clefts, especially cleft lip with or without cleft palate, can be diagnosed during pregnancy during a routine ultrasound. Services and treatment for children with orofacial clefts can vary depending on:

The severity of the cleft
The child’s age and needs
The presence of associated syndromes
Other birth defects

Surgery to repair a cleft lip usually occurs in the first few months of life and is recommended within the first 12 months of life. Children born with orofacial clefts might need other types of treatments and services, such as special dental or orthodontic care or speech therapy.

If you are an expecting mother in need of a doctor, Jamaica Hospital Medical Center’s Obstetrical Division practices family-centered care. The obstetrical unit is furnished with state-of-the-art equipment, including high tech monitors and sonographic equipment. For more information or to schedule an appointment, please call 718-206-6808.

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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.

November is Diabetes Awareness Month

Posted on November 10, 2016 by Andrew Rubin

The month of November has been designated American Diabetes Awareness Month by the American Diabetes Association (ADA). Diabetes affects nearly 30 million people in the United States which is ten percent of the total population. There are 86 million more people who have pre-diabetes and are at risk of developing type II diabetes during their lifetime.

There is no cure for diabetes but there are many ways for people who have been diagnosed with the disease to live long, healthy lives if it is controlled properly. Learning to live with diabetes is one of the most important components for managing the disease. Proper nutrition, regular physical activity, monitoring blood sugar daily and taking medication to control diabetes are some of the ways that complications can be prevented. Uncontrolled diabetes can lead to many complications. It is the leading cause of blindness, non traumatic amputations, kidney disease and also increases the risk for heart attacks.

During the month of November the ADA sponsors events around the country that serve to make people aware of the risk factors and the warning signs of diabetes. For more information on events taking place, please see the American Diabetes Association’s website at www.diabetes.org. It is important to have regular medical exams to manage diabetes successfully. To schedule an appointment with a physician at Jamaica Hospital please call 718-206-6742.

Jamaica Hospital Working to “Break the Chain of Infection”

Posted on October 18, 2016 by Michael Hinck

International Infection Prevention Week (IIPW), which takes place the third week of October each year, is intended to raise awareness about how infection prevention plays an important role in patient safety.

Established in 1986 by President Ronald Reagan, the Association of Professionals in Infection Control and Epidemiology (APIC) has spearheaded the annual effort to highlight the importance of infection prevention among healthcare professionals, administrators, legislators, and consumers.

Over the years, this week of recognition has vastly expanded to every corner of the globe, including Australia, the United Kingdom, the Middle East, and Southeast Asia. As the reach of IIPW widens, more patients benefit from safer healthcare practices and reduced threat of healthcare-associated infections.

This week gives an opportunity to infection control professionals to educate staff and the community about the importance of infection prevention and to promote the important work that is being done by infection control professionals in a visible and fun way.

The 2016 theme is “Break the Chain of Infection.” Infection Prevention Professionals want to spread the message about how the public and healthcare professionals can help “Break the Chain of Infection” in healthcare settings and in the community.

To help spread the word about Infection Prevention; Jamaica Hospital Medical Center’s Infection Control Department will be sharing information in the hospital’s main lobby on Wednesday, October 19. Join us to learn more about how you can break the chain of infection.

Learn How to Stay Safe During Eye Injury Prevention Month

Posted on October 14, 2016 by Michael Hinck

Nearly 2.5 million Americans suffer some form of eye injury every year and approximately 1 million of those injuries result in some degree of vision loss. While many employers have instituted safety measures to reduce the incidence of workplace-related accidents, there are no regulations in place to protect you from the place where nearly half of all eye injuries occur…your home.

October has been designated Eye Injury Prevention Month and Jamaica Hospital Medical Center would like to take this opportunity to educate the community on how to decrease the chances of sustaining an eye injury while working in, or around your house.

Eye injuries can vary from deep puncture wounds requiring surgical treatment to minor surface scratches. Some of the most common types of eye injuries occur:

In the House: When using household chemicals, read the instructions carefully and make sure to point spray nozzles away from your face. Many chemicals are extremely hazardous and can permanently destroy the surface of the eyes, resulting in blindness.

In the Workshop: While working with power tools there is a high likelihood of wood, metal or other material fragments, fumes or dust particles flying through the air and getting into your eyes. Many of these objects can cause injury.
In the Garden: When operating a lawnmower, power trimmer or edger, be sure to check for rocks and stones, because they can become dangerous projectiles as they shoot from these machines.

In the Garage: Battery acid sparks and debris from damaged or improperly jump-started auto batteries can severely damage the eyes.

Protecting your eyes from injury while working around the house is one of the most basic and easiest things you can do to keep your vision healthy throughout your life. The best way to protect yourself from an eye injury is by wearing protective eyewear during home-based activities. Wearing safety goggles or other forms of protective eyewear can prevent 90% of all eye injuries, yet only 35 percent of respondents said they wear protective eyewear when performing home repairs or maintenance.

Jamaica Hospital urges everyone to avoid an unnecessary trip to the Emergency Department by practicing proper eye safety around the house.

National Falls Prevention Awareness Day

Posted on September 22, 2016 by Andrew Rubin

September 22nd is designated as National Falls Prevention Awareness Day. This observance serves to increase awareness and to educate the public about the risks of falls and how to prevent them from happening. According to the National Council on Aging, falls are the leading cause of fatal and nonfatal injuries for older Americans.
A fall, with or without serious injury, can impact a person’s quality of life. Older people have a significant fear of falling and will often limit their activities because of it. This can lead to physical decline, depression, social isolation and feeling helpless. However, if they exercise caution and follow these steps, they can reduce the risk of an accident and continue on with routine activities:
• Speak to a doctor about performing a risk of falling assessment
• Build up balance, strength and flexibility
• Have vision and hearing checked
• Remove tripping hazards in the home and make sure that there is adequate lighting
• Install grab bars in the bathroom
• Make sure that there are secure rails on all stairs
• Review medications to make sure they don’t affect balance
If you would like to schedule an appointment with a physician at Jamaica Hospital Medical Center to discuss fall risk prevention, please call 718-206-7001.

What is Sepsis? Jamaica Hospital Educates the Community During Sepsis Awareness Month

Posted on September 17, 2016 by Michael Hinck

September is Sepsis Awareness Month and Jamaica Hospital wants to educate the community about this very serious condition.

Sepsis is a potentially life-threatening complication that stems from an infection. Sepsis occurs when chemicals released into the bloodstream meant to fight an infection trigger inflammatory responses throughout the body. This inflammation can damage multiple organ systems, causing them to fail. If not identified and treated early, sepsis can progress to a condition known as septic shock, characterized by a dramatic drop in blood pressure, which may lead to death.

Sepsis is viewed by most doctors to be a three-stage syndrome, starting with sepsis, progressing through severe sepsis, and eventually into septic shock. The goal for healthcare providers is to look for the early symptoms of sepsis and administer antibiotics and IV fluids immediately before the condition becomes more dangerous.

Early symptoms include having a suspected or confirmed infection, plus a:

• Body temperature above 101.4 F
• Heart rate higher than 90 beats a minute
• Respiratory rate higher than 20 breaths a minute

Sepsis can affect anyone, but it is most common in older adults or those with a weakened immune system. The number of cases of sepsis in the United States appears be increasing. Some of the factors attributed to this rise include:

• A growing population of people over 65 years old. This group tends to have a weaker immune system.
• An increase in the amount of antibiotic-resistant bacteria. When these drugs used to treat infections do not work, it can lead to sepsis.
• More Americans are living with weakened immune systems, caused by HIV, cancer treatments or transplant drugs.

Since hospitals and nursing homes typically treat people who are either older or who’s immunity levels are compromised, sepsis can often occur in these settings.

Understanding the need to address the situation, Jamaica Hospital has taken a very proactive approach to combating sepsis. The hospital has initiated comprehensive protocols to both identify and treat sepsis. These efforts have led to steadily improving outcomes for our patients.

What to Expect After Your Celiac Disease Diagnosis

Posted on September 13, 2016 by Xavia Malcolm

If you have received a diagnosis from your doctor that confirms you have celiac disease; it is natural to wonder what comes next. Many doctors will offer guidelines which may include tips to live gluten-free. While these guidelines are essential, it is also very important that you truly understand your medical condition.

According to the Celiac Disease Foundation, celiac disease is defined as, “a genetic autoimmune disorder where the ingestion of gluten leads to damage in the small intestine.” It is estimated that the disease affects one in every one hundred people worldwide. If left untreated, celiac disease can cause long-term health conditions such as gall bladder malfunction, infertility or miscarriage, pancreatic insufficiency, early onset osteoporosis or osteopenia as well as vitamin and mineral deficiencies.

In addition to having a better understanding of celiac disease, educating yourself about the changes to expect in your lifestyle, will prove helpful. Some of the changes include:

Discarding of any food that contains gluten. This means sticking to a strict diet that excludes wheat, barley, farina, oats, rye and other items that are known to have gluten.
Excluding certain items from your diet may deprive you of some nutrients; it is recommended that you speak to your doctor about which vitamins and dietary supplements you should take.
Evaluating the ingredients in medications; some may have small amounts of gluten.
Taking care of your body by exercising and implementing more fruits and fresh vegetables into your diet.
Following up with your physician or dietitian as recommended. This is important as it will help them to monitor your nutritional intake and check for deficiencies.

Finding resources that can help you transition or stick to new your lifestyle, such as your doctor, support groups, organizations such as the Celiac Disease Foundation or a local hospital can help make life after your celiac diagnosis a little easier.

The Nutritional Services Department at Jamaica Hospital Medical Center supports National Celiac Awareness Day. This observance falls on September 13 of each year and was created to help people learn more about celiac disease and how it impacts lives. Jamaica Hospital’s registered dietitians assist many patients, including those with celiac disease to grow their knowledge about nutrition, wellness and healthy eating. An appointment with a registered dietitian consists of a comprehensive nutrition assessment, nutrition education, behavior modification counseling and goal setting.

To schedule an appointment, please call 718-206-7001.

September 10th is World Suicide Prevention Day – JHMC Wants You to Know the Facts About Suicide Prevention

Posted on September 9, 2016 by Michael Hinck

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.

September 10 has been designated World Suicide Prevention Day. 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.

The “Eyes” Have It! Treating Pinkeye

Posted on August 19, 2016 by Zakiya Hazel-Jemmott

August is Children’s Eye Health and Safety Month, and Pinkeye, also known as conjunctivitis, affects children of all ages and at any time of the year. Symptoms include redness and swelling of the mucous membrane that line the lid and surface of the eye and discharge. Pinkeye can be caused by many things including, but not limited to, an infection, dry eyes from lack of tears or over exposure to wind and sun, chemicals, allergies and smoke.

Pinkeye is very common, is usually not serious, can be viral or bacterial, is highly contagious and can spread very easily. Therefore, preventing its spread is important.

There are home remedies for Pinkeye that will help reduce your pain and keep your eye free of drainage prior to seeing your doctor.

Some home remedies that have proven effective are – removing your contacts from infected eyes, applying cold or warm compresses to your eye (whichever feels best) to soothe any discomfort and reduce redness.

When treating your Pinkeye at home, remember to wipe your eye from the inside toward the outside and do not rub drainage back and forth between eyes. After wiping your eye, be sure to wash your hands to prevent pinkeye from spreading.

Symptoms usually last 5 to 7 days, but some cases can last for up to 3 weeks.

If symptoms persist and you would like to make an appointment to see one of our doctors, please call the Department of Ophthalmology at Jamaica Hospital Medical Center at 718-206-5900 for an appointment.

Psoriasis Awareness Month

Posted on August 15, 2016 by Zakiya Hazel-Jemmott

Psoriasis is a chronic, noncontagious, genetic disease that appears on the skin in red, scaly patches that itch, crack and bleed. This is the most common autoimmune disease in the country, affecting approximately 7.5 million Americans. It is a long-lasting disease of the immune system with symptoms ranging from mild to severe.

The exact cause of psoriasis is unknown but there are symptoms to look for:

Red patches of skin covered with silvery scales
Small scaling spots (commonly seen in children)
Dry, cracked skin that may bleed
Itching, burning or soreness
Thickened, pitted or ridged nails
Swollen and stiff joints

When your body has plaque psoriasis, your immune system is overactive, triggering skin inflammation and causing skin cells to be produced faster than normal. New skin cells are pushed to the skin’s surface in three to four days instead of the usual 28 to 30. So while new skin cells are being produced rapidly, the old skin cells are pushed to the surface, forming the thick, red, itchy, flaky patches known as plaques.

The exact cause of psoriasis isn’t fully understood, but scientists believe psoriasis is the result of several factors, including genetics, environmental factors, and the immune system.

If you have psoriasis, it’s possible that someone in your family may have had it too. One out of three people with psoriasis also have a relative with the disease. Environmental triggers vary from person to person, causing the disease to become active.

If you suspect that you may have psoriasis, see your doctor for an examination. Also, talk to your doctor if your psoriasis:

Progresses beyond the nuisance stage, causing you discomfort and pain
Makes performing routine tasks difficult
Causes you concern about the appearance of your skin
Leads to joint problems, such as pain, swelling or inability to perform daily tasks

August is Psoriasis Awareness Month. Although the skin condition is not contagious, awareness about it is. People commonly think of psoriasis as just a “skin condition” but there is more to understand about it. Researchers and doctors have not yet discovered a specific cause of psoriasis but the National Psoriasis Foundation has grown to be the world’s largest nonprofit patient advocacy organization serving people with psoriasis. Learn more about the NPF and its investment in cutting-edge research at www.psoriasis.org/research.