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September 2, 2015

Fruits and Veggies

The first leaves are turning yellow, orange, and red. The evenings are getting cooler. The sun is setting earlier. Yes, fall is coming and with it, the joy of autumn produce such as apples, squash, pumpkins, and cabbage. It is a perfect time to stock up and think about incorporating beneficial fruits and veggies into our diets. Fruits and vegetables keep our systems running by providing calories from complex carbohydrates, vitamins, minerals, and fiber. Evidence-based research suggests that fruits and vegetables help protect us from some kinds of cancer, heart disease, diabetes, and obesity. Sometimes, however, it is a little confusing. Am I supposed to eat three to five servings or a half-plateful? What is a serving? How big a plate? The Center for Disease Control and Prevention recommends three simple steps for deciphering the world of fruits and vegetables: 1) Learn how many fruits and vegetables are recommended based on your age and gender; 2) learn what a cup and a half cup look like; and 3) learn how to fit a few more fruits and vegetables into your everyday meals and snacks. When figuring out the optimal quantity of fruits and vegetables for the day, think more in terms of cups than servings or plates. For example, according to the CDC, women ages 19-50 should consume two and a half cups of vegetables and one and a half to two cups fruit per day. Men, ages 19-50, should aim for three cups of vegetables and two cups of fruit per day. For children, the amounts vary as the child grows. For example, a 2-3 year girl or boy should eat one cup each of fruit and veggies. By the time, they reach adolescence (ages 14-18); girls should be ingesting one and a half cups fruit and two and a half cups vegetables while boys should be taking in two cups fruit and three cups veggies. Guaranteed, most of us do not measure out our food in measuring cups on a daily basis. To train your eye, however, get out the measuring cups for a week or so. By doing so, you will have a much better idea of just how many green beans are in a cup. Here are a few examples to get you started - one large orange, one large ear of corn, or one large sweet potato equals one cup. Sixteen grapes, six baby carrots, or four large strawberries equal a half cup. The awesome thing about fruits and vegetables is that many of them can be eaten raw, served on the go, or easily integrated into our daily meals. The Academy of Nutrition and Dietetics recommends the following nutritious and delicious ways to get fruits and veggies onto your plate: Be Saucy with Fruit Puree berries, apples, peaches or pears for a thick, sweet sauce on grilled or broiled seafood or poultry, pancakes, French toast or waffles. Bake with Fruits and Vegetables Use pureed fruit such as applesauce, dried plums (prunes), bananas or peaches in place of about half the fat in recipes for homemade breads, muffins, pancakes and other baked goods. For flavor, texture and nutrients, blend in shredded zucchini, carrots or dried fruits. "Sandwich" in Fruits and Vegetables Add pizzazz to sandwiches by layering on sliced pineapple, apple, raisins, peppers, cucumbers, sprouts or tomatoes. Combine with Veggies or Fruit Make a quick stir-fry or combine pasta or rice with just about any vegetables, or add them to soup — great ways to use fresh vegetables before they spoil. Add apricots, pineapple, other fruit or fruit chutney to meat or poultry dishes. Experiment Substitute a new-to-you fruit or vegetable in a favorite recipe. Try broccoli rabe (broccoli variety with smaller heads, also called rapini) in stir-fries, fennel in salad, or yautia (a starchy vegetable) in stew. Take Fruit to Lunch Make a habit of tucking an apple, tangerine, two plums or kiwifruit, grapes, cherries or dried fruits into your briefcase, tote or lunch bag. Fruit is a great traveling snack. Stuff an Omelet with Veggies For a hearty meal, fill it with crisp, tasty vegetables such as broccoli, squash, carrots, peppers, tomatoes, spinach or onions. Toss a Vegetable Salad Add colorful vegetables, legumes and fruits (such as berries, kiwifruit or mandarin oranges). Even if you prefer iceberg lettuce, which delivers less nutrients than other greens, pair it with other veggies — sliced beets, shredded red cabbage, spinach leaves, baby carrots. For more fruit, vegetable and other nutritional information, log onto: www.fruitsandveggiesmorematters.org or www.eatright.org. Both sites have in-depth guidelines based on your age and gender as well as recipes and meal planning ideas. If you have specific questions, you can also call Noyes Health at (585) 335-6001 and ask for a dietician. Until next time, enjoy your veggies and be well! Lorraine Wichtowski is a community health educator at Noyes Health in Dansville. If you have questions or suggestions for future articles she can be reached at lwichtowski@noyeshealth.org or 585-335-4327. ... Read More

August 27, 2015

Grand opening of the Baby Café and the benefits of Breast Feeding

On August 13th, women and their infants celebrated the grand opening of the Baby Café at the Genesee Community College campus on Clara Barton Street in Dansville. The café, now open every Thursday from 1 pm – 3 pm, is a social place for anyone interested in knowing more about breastfeeding support and education. The effort coordinated by the Livingston County Department of Health and Noyes Health is designed to help women breastfeed and understand the benefits to both mom and child. Two certified lactation consultants, experts in breastfeeding, are present at the Baby Café each week to assist moms and answer their questions. All of this is part of a New York State initiative to promote exclusive and sustained breastfeeding. The American Academy of Pediatrics, Centers for Disease Control, and the World Health Organization all recommend exclusive breastfeeding for the first six months of life and continued breastfeeding as other foods are introduced until at least 12 months. Breastfeeding or feeding expressed human milk provides optimal growth. It is the perfect mix for brain and body development and increases the bond between mom and child. In addition, it is scientifically well-established that breastfeeding has several other health benefits. Babies who breastfeed are at lower risk of: Gastroenteritis Respiratory infections Sudden infant death syndrome Obesity Type 1 and 2 diabetes Allergies (e.g. asthma, lactose intolerance) Moms also benefit from breastfeeding. In a study of almost 140,000 postmenopausal women in the U.S., those who breastfed for less than 12 months during their reproductive years had a higher risk for cardiovascular disease, diabetes, high cholesterol and high blood pressure than women who had lactated for more than a year in total. Additional studies show that women who breastfeed have a reduced risk of breast or cervical cancer. And finally, breastfeeding moms typically lose their pregnancy weight with greater ease. Breastfeeding also provides economic benefits. It is the most economical way to feed an infant. Except for the cost of added nutritional food for the mother and perhaps a breast pump, the cost is $0. Infant formulas range in price and also require bottles and sterilized water. Depending on the chosen formula, costs can range anywhere from approximately, $1500 to $3000 per year. The added health benefits also lower health care costs as much as $475 per infant during the first year of life. The budget, however, can get tricky when a woman returns to work. More than half of all women return to work or school with the first year of their infant’s life. Many return at 12 weeks, when the Family Medical Leave benefit ends. For those who return to work, continued feeding of breastmilk requires the use of a breast pump. The breast milk can then be fed to the child in a bottle by another caregiver while the mom is at work or school. Understanding the health benefits to mom and child as well as the economic benefits, New York State labor laws now include the “Right of Nursing Mothers to Express Breast Milk” provision. If you would like more information about New York State breastfeeding initiatives, laws, and resources, log onto: www.breastfeedingpartners.org. Livingston County resources include: Noyes Health OB nurses, the Baby Café, and breastfeeding classes. For more information, call either Noyes Health at 585-335-4249 or the Livingston County Department of Health at 585-243-7299. Lorraine Wichtowski is a community health educator at Noyes Health in Dansville. If you have questions or suggestions for future articles she can be reached at lwichtowski@noyeshealth.org or 585-335-4327. ... Read More

August 26, 2015

Five Diamond Status for the Noyes Health Kidney Disease and Dialysis Center in Geneseo!

Noyes Health Kidney Disease and Dialysis Center, located in Geneseo, New York, has recently been awarded “5 Diamond Status” by IPRO (Island Peer Review Organization) and the End Stage Renal Disease Network of New England. The End-Stage Renal Disease (ESRD) Network of New York (Network 2) is operated by IPRO, an independent, not-for-profit Corporation, and the Medicare Quality Improvement Organization (QIO) for New York State. Network 2 is the fifth largest Network in the ESRD Network Program, serving over 28,000 patients who are receiving treatment for ESRD. In Network 2, there are only nine other facilities who have achieved this status. The purpose of this program is to help dialysis facilities increase awareness of, promote, and build a culture of patient safety. Both staff and patients have participated in educational modules throughout the year to earn this status. “We are pleased to be recognized by our peers for the quality of our patient care and safety”, said Noyes Health Director of Dialysis, Prudence King. “All of us at the Center are proud to provide the much needed care right here in our community”. The Noyes Health Center for Kidney Disease and Dialysis provides approximately 10,000 treatments each year from Livingston and surrounding counties. Services and programs are available to anyone in need and you do not have to be a resident of Livingston County. For questions or to request a tour of the facility, please contact Prudence King at 585-991-5015 for information. ... Read More

August 21, 2015

Lice Facts and Treatment

Invasion of the Mutant Lice! It sounds like a bad sci-fi movie but it has been this week’s medical headline. Researchers at a meeting of the American Chemical Society in Boston reported they found lice in at least 25 states that have developed resistance to permethrin and pyrethrin, the active ingredients found in many over-the-counter remedies suggested by doctors and school nurses. This is not the first report of its kind. As early as the 1990s, there were reports of lice resistance. This latest study simply confirms that lice are developing gene mutations that may make them resistant to over-the-counter shampoos and rinses. It is important to note four things: 1) This study was partially funded by a pharmaceutical company that makes prescription treatments for lice, 2) the study has not been reviewed by other scientists yet, 3) there are still treatments and 4) this was expected. Indeed, this is not at all unusual. Especially in areas where over-the -counter lice shampoos and rinses have been used a great deal, we can expect genetic mutations. “When these insecticides are used a lot, the naturally resistant, probably rare, lice have a survival advantage. Just like how bacterial populations can become resistant to antibiotics, these lice take over the population,” says Richard Pollack, a public health entomologist at Harvard University. So what does this mean to the average parent out there? First of all, it is important to note that these “new” lice are basically harmless. They do not pose a significant health risk. Dr. Bernard Cohen, a professor of pediatrics and dermatology at the Johns Hopkins Children's Center in Baltimore, states, “No serious medical conditions are transmitted by the lice.” So bottom line while head lice are a great big nuisance, they are common, still treatable, and relatively harmless. Your child will not get sick from lice but you may get sick of treating and cleaning! According to the Center for Disease Control and Prevention, an estimated 6 -12 million lice infestations occur each year in the United States among children 3 to 11 years of age. If you think your child has head lice, don’t panic. First of all, realize head lice infestation has nothing to do with poor hygiene or lack of a clean house. Head lice infestation happens because these pesky critters are good at hopping a ride from person to person. Here are few ways, lice catch a ride: By contact with an already infested person. Contact is common during play at school and at home (slumber parties, sports activities, at camp, on a playground). By wearing and sharing infested clothing, such as hats, scarves, coats, sports uniforms, or headbands. By using infested combs, brushes, or towels. By lying on a bed, couch, pillow, carpet, or stuffed animal that has recently been in contact with an infested person. These wingless parasites live on the scalp, and require human blood to survive. They may hitch a ride on a pet, but contrary to common thought, they do not live on the family pet. Head lice are tiny, about the size of a sesame seed. They hatch from eggs attached (glued) to the shafts of hair about, ¼ inch up from the scalp. The eggs or nits as they are commonly referred as, take about 7 – 10 days to hatch, and at that time, the lice are colorless. Once they start feeding, the lice become reddish-brown in color. The lice are mature in 7 – 10 days, and start laying eggs. If you or your child has lice, the New York Statewide School Health Services Center recommends the following treatment plan: Step 1: Treat the infested person/any infested family members Consult your doctor and determine the best treatment. Some of these treatments are not recommended for certain weights, ages, or pre-existing health conditions. It is important to find out which treatment is best for you or your child. Follow the directions exactly and thoroughly. Pay attention to warnings such as eliminating hairdryer use. If repeat treatment is recommended, do so. All persons with active head lice in the household should be treated at the same time. Take the time to remove nits from the hair shafts. Special nit combs can be purchased for this purpose. Be sure to put any nits removed into a sealed plastic bag for disposal. Contact your school to find out your district’s lice/nit policy. Step 2: Treat the household To kill lice and nits, machine wash all washable clothing and bed linens that the infested person touched during the 2 days before treatment. Use the hot water cycle (130o F) to wash clothes. Dry laundry using the hot cycle for at least 20 minutes Store all other non-washable items such as stuffed animals or large comforters in sealed plastic bag for two weeks. Soak combs and brushes for 1 hour in rubbing alcohol, Lysol, or wash with soap and hot (130o F) water. Vacuum the floor and furniture. Dispose the vacuum bag immediately or empty the vacuum container into a sealed bag and dispose of it. Do not use fumigant sprays; they can be toxic if inhaled. To learn more about head lice and treatments, go to: http://www.schoolhealthservicesny.com , click on the A-Z index on the left side of the page, click on H for head lice or visit http://www.cdc.gov/parasites/lice/head/index.html. Lorraine Wichtowski is a community health educator at Noyes Health in Dansville. If you have questions or suggestions for future articles she can be reached at lwichtowski@noyeshealth.org or 585-335-4327. ... Read More

August 12, 2015

Backpack Tips

Hard to believe but school is only a few weeks away. Many school children will be off to the store with a loved one to buy a backpack. Backpacks are great for carrying everything from books and pencils to lunches and sports gear. As a result, many backpacks are too heavy for the student. In addition, many students do not wear their backpacks properly. This combo pack can potentially result in back pain and injury. In a 2011 study of over 1,400 students, 61.4% had backpacks exceeding 10% of their body weight. Those carrying the heaviest backpacks had a 50% higher risk of back pain. This and other studies show that girls and younger children are at greater risk for backpack related injuries because they are smaller and carry loads that are heavier in proportion to their body weight. Is your child leaning forward while walking, or do they start to fall backward from the weight when they stand up? These are two indicators that the backpack is too heavy and it is time to find out exactly how much is being carried. The recommendation from medical specialists is that a backpack should not exceed 10 – 15% of the child’s weight. So for example, if your child weighs 100 pounds, the backpack should not exceed 10-15 pounds. At this time there is no evidence that carrying a heavy backpack causes any permanent distortion or deformity of the spine. However, some physicians are concerned that it could cause chronic back and neck problems later in life. Here are some tips for buying and using a backpack: -Backpacks should be of lightweight material with wide padded shoulder straps and a padded back. -Consider purchasing a backpack with wheels. (nice option for smaller children) -The backpack should not be wider than the child’s torso. -The child should wear both straps and avoid slinging one strap over a shoulder. -When positioned correctly, the pack should hang just below the shoulders and rest on the hips. -A padded hip strap or waist belt will help distribute the weight. -Look for a backpack with multiple compartments to help distribute the load. -Heavier items should be packed closest to the center of back. -Peek inside your child’s backpack and suggest items that could be left at home or at school. -Weigh your child’s backpack once loaded with school gear. Whether your child walks to school or waits for the bus, one last piece of safety. Add a piece of reflective tape to the backpack. This will increase your child’s visibility to drivers on those dark mornings that are right around the corner. Until next week, be well. Lorraine Wichtowski is a community health educator at Noyes Health in Dansville. If you have questions or suggestions for future articles she can be reached at lwichtowski@noyeshealth.org or 585-335-4327. ... Read More

August 10, 2015

Noyes Welcomes Community Health & Wellness Educator

Noyes Health is pleased to welcome Lorraine Wichtowski BS, MA as our NEW Community Health & Wellness Educator! Lorraine’s experience includes public speaking, creating and delivering successful education programs, strategic planning and managing special events. Lorraine will assist with the continuous development of our Community Health & Wellness Education Programs, coordinate clinics and health fairs, coordinate WWF (employee health) activities, chair the hospital Wellness Committee and write the weekly newspaper wellness articles. Lorraine will be at Noyes Health in Dansville most Tuesdays, Wednesdays and Thursdays and her office is located next to the Patient Registration elevator. For more information on Noyes Health Community Health & Wellness Programs you can reach Lorraine by calling, 585-335-4327.... Read More

August 7, 2015

Combination Snacks

In just a few weeks, the school busses will be rolling and children across the region will come home every day with homework and hungry bellies! School children often eat very early lunches at school, some as early as 10:30 in the morning. By the time those kiddos get home in the afternoon, they really are hungry and providing a good healthy snack is critical for sustained energy and concentration. The goal is to provide a combination snack packed with nutrition. Eating snack foods with little nutritional value such as potato chips does not provide the necessary energy for play, sports, and school. The chips also contribute to childhood obesity. A 2013 Cornell University study found that children consumed 72% fewer calories when eating a combination pack of cheese and vegetables compared with when they were served potato chips. In addition, children eating healthy combination snacks needed significantly fewer calories to feel full compared to those who ate potato chips. The outcome of eating combination snacks is feeling fuller longer. The key is combining a good carbohydrate such as fresh fruit with a protein such as Greek yogurt. So what can you serve for snack time? Here are a few combinations that taste great, are nutrient packed and won’t break the piggy bank: Make your own smoothie – In a blender or food processor, combine one cup of fresh or frozen fruit and six ounces of plain yogurt. (Buy yogurt in large containers as it is cheaper than individual containers.) One cup of assorted veggies such as carrots, peppers, celery, broccoli, zucchini, or sugar snap peas with 3-4 ounces real cheese. One cup assorted veggies with hummus, guacamole, or any yogurt-based dip. One cup fresh fruit such as apples or bananas with peanut butter or yogurt. Whole wheat bread or pita and turkey, cheese, tuna or peanut better/jelly. Whole wheat crackers and cheese or peanut butter. Mini Pizzas. Take whole wheat English muffins and top with marinara sauce, grated cheese and any topping (veggies/meat). Put in the toaster oven and voila a mini pizza. Cookies and milk. Some days you just want a cookie and that is OK. On occasion, make cookies with added raisins, nuts and oats. Serve with low-fat milk, soy milk, or almond milk. Remember that energy needs of children vary depending on their activity level and age. Children in sports or going through a growth spurt often need more calories. Overall, keep nutrition in perspective. Look at the big picture, that is, what snacks are being consumed most of the time and make adjustments accordingly. Until next week, be well and eat well! Lorraine Wichtowski is a community health educator at Noyes Health in Dansville. If you have questions or suggestions for future articles she can be reached at lwichtowski@noyeshealth.org or 585-335-4327. ... Read More

August 2, 2015

Sleep and Children

As the new Noyes Health community educator, I now have the privilege of writing health articles for the local media. Before I start, however, I want to take time to thank my predecessor, Pam Maxson. Pam diligently researched and wrote health articles on a wide variety of topics over the years. Her time and commitment to Noyes Health wellness enhanced the lives of countless employees and community members. Pam recently resigned from Noyes Health and started a new adventure as a health and wellness coach. On behalf of the entire Noyes Health community, thank you Pam for your service. We wish you the very best. And now for this week’s article: The long daylight hours of summer are upon us. With sunlight lasting well into the evening, bedtimes may be delayed. When my kiddos were little, it was easy to let them stay up a little later than usual in the summer but then BAM, school would hit. A good sleep schedule was once again in order. A new school year is just around the corner so this seemed like a good opportunity to write about good sleep practices. Sleep is critical for physical, mental, and emotional health. A University of Pittsburgh study confirmed that inadequate sleep results in tiredness, difficulties with focused attention, irritability, easy frustration, and difficulty controlling impulses and emotions. Unfortunately, many children are not getting adequate sleep and this may be affecting their school performance, relationships, and health. A 2004 poll conducted by the National Sleep Foundation (NSF) found that 69% of children experience one or more sleep problems more than one night a week, and 14 % of school-aged children wake up at least once every night. They also found that school aged children with a TV in their bedroom lose more than 2 hours of sleep each week; and children between 3– 10 years of age who have at least one caffeinated beverage a day lose about 3 ½ hours of sleep a week. Each child’s sleep pattern is unique, but here are some basic sleep guidelines for all families: Know how much sleep is needed at each stage of childhood. The basic guidelines are: Newborns – up to 18 hours a day Toddlers (ages 1-2) – 11-14 hours/day Preschoolers (ages 3-5) – 11-13 hours/day School-age (ages 6-13) – 9-11 hours/day Teens – 8-11 hours/day Starting at an early age, have a consistent bedtime and bedtime routine including a wind-down period with perhaps soft music or story. (If the summer sleep schedule has been inconsistent, start working on a regular routine in August before school starts.) Consider screen time in a room other than the bedroom. Limit screen time in the hour leading up to bedtime. Offer only caffeine-free beverages. Parents and caregivers – be good sleep role models. Parents should watch for signs of sleep deprivation in children and teens. Signs include difficulty waking in the morning, late day irritability, falling asleep spontaneously during a quiet moment and needing extra sleep on weekends. With older children, discuss time commitments for extracurricular activities and jobs. Making sure your child is not overwhelmed and sleep deprived. Teens that fall asleep in class are often mistaken for being lazy or having bad habits. They may simply be sleep deprived or have a sleep disorder. To learn more about sleep and children, go to http://sleepforkids.org. This site is a service of the National Sleep Foundation and is a fun way for you and your child to learn about the importance of sleep. If you have further questions or believe your child may have a sleep disorder, contact your physician. Until next week, be well and sleep well! Lorraine Wichtowski is a community health educator at Noyes Health in Dansville. If you have questions or suggestions for future articles she can be reached at lwichtowski@noyeshealth.org or 585-335-4327. ... Read More

July 28, 2015

Noyes Health First in Western New York to Implement SafeChx System for Patient Registration!

Noyes Health is proud to announce a partnership with CrossChx, a leader in healthcare intelligence solutions. On August 4th and 5th CrossChx will install their SafeChx system at all hospital (Dansville Campus) registration points, offering patients advanced medical identity theft protection and efficient patient registration while improving health outcomes and reducing the risk of medical errors. This system is user friendly and is already in use at several other health care facilities around the country. “Noyes Health is pleased to be able to be the first in Western New York to offer this state-of-the-art medical system for our patients. SafeChx makes the patient registration experience quicker and more accurate, when accessing patient records”, said Noyes Health President and CEO, Amy Pollard. By scanning a patient’s finger, CrossChx instantly links the patient to their medical benefits so no one else can use them. Neither CrossChx nor Noyes Health will ever view, store or scan your fingerprints. Rather, CrossChx creates a unique ID, through biometrics, based on points on your finger to offer you protection and privacy which encrypts a patient’s personal mathematical equation, which is protected by HIPPA Guidelines. Using the system is voluntary, but it is the policy of Noyes Health to protect your medical identity and we encourage that all patients age five and above enroll in the system. Both CrossChx and Noyes Health are proud to announce this partnership and begin offering patients advanced medical identity theft protection. ... Read More

July 20, 2015

Noyes Health Holds Employee Western Themed BBQ!

Cowboy hats and boots were on as Noyes Health held their annual picnic on Thursday, July 16th to thank the amazing Noyes Health employees for their commitment to the organization and the health of the community. This year’s picnic was Western themed, pulled pork BBQ and employees were encouraged to dress the part! Foundation Board Chairman, Jon Shay filled plates with BBQ, and the Chef’s special sauce, as employees went through the line and President and CEO, Amy Pollard was on hand to pass out ice cream for dessert. Health and Wellness Educator, Lorraine Wichtowski created a, “Digging for Gold” game with prizes and country music played in the front garden where employees could eat, converse and enjoy the beautiful weather. Lifeline Office Coordinator, Ashley Derrenbacher created a slide show of the Noyes Health float in the Dogwood Parade that employees could enjoy while they waited in line for their lunch. Special thanks to Director of Environmental Services, Becky Bowen, Chef, Chris Kriner, Laurie Johnston, Laura Barndhart and everyone who helped make this year’s employee picnic a huge success!... Read More

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