CLOSE
Health

by -
0 1145
Pixabay photo
The list of fiber’s health benefits is growing

By David Dunaief, M.D.

Dr. David Dunaief

According to the most recent USDA survey data, Americans are woefully deficient in fiber, consuming between 10 and 15 grams per day. Breaking it down further into fiber subgroups, consumption levels for legumes and dark green vegetables are the lowest in comparison to suggested levels (1). This has pretty significant implications for our overall health and weight.

Still, many people worry about getting enough protein. Most of us — except perhaps professional athletes or long-distance runners — get enough protein in our diets. Protein has not prevented or helped treat diseases to the degree that studies illustrate with fiber.

So, how much fiber is enough? USDA guidelines stratify their recommendations based on gender and age. For adult women, they recommend between 22 and 28 grams per day, and for adult men, the targets are between 28 and 35 grams (1). Some argue that even these recommendations are on the low end of the scale for optimal health.

In order to increase our daily intake, several myths need to be dispelled. First, fiber does more than improve bowel movements. Also, fiber doesn’t have to be unpleasant. 

The attitude has long been that to get enough fiber, one needs to eat a cardboard box. With certain sugary cereals, you may be better off eating the box, but on the whole, this is not true. Though fiber comes in supplement form, most of your daily intake should be from diet. It is actually relatively painless to get enough fiber; you just have to become aware of which foods are fiber-rich.

All fiber is not equal

Does the type of fiber make a difference? One of the complexities is that there are a number of different classifications of fiber, from soluble to viscous to fermentable. Within each of the types, there are subtypes of fiber. Not all fiber sources are equal. Some are more effective in preventing or treating certain diseases. 

Take, for instance, one irritable bowel syndrome (IBS) study (2). It was a meta-analysis of 17 randomized controlled trials with results showing that soluble psyllium improved symptoms in patients significantly more than insoluble bran.

Reducing disease risk and mortality

Fiber has very powerful effects on our overall health. A very large prospective cohort study showed that fiber may increase longevity by decreasing mortality from cardiovascular disease, respiratory diseases and other infectious diseases (3). Over a nine-year period, those who ate the most fiber, in the highest quintile group, were 22 percent less likely to die than those in lowest group.

Patients who consumed the most fiber also saw a significant decrease in mortality from cardiovascular disease, respiratory diseases and infectious diseases. The authors of the study believe that it may be the anti-inflammatory and antioxidant effects of whole grains that are responsible for the positive results.

A study published in 2019 that performed systematic reviews and meta-analyses on data from 185 prospective studies and 58 clinical trials found that higher intakes of dietary fiber and whole grains provided the greatest benefits in protecting participants from cardiovascular diseases, type 2 diabetes, and colorectal and breast cancers, along with a 15-30 percent decrease in all-cause mortality for those with the highest fiber intakes, compared to those with the lowest (4).

We also see benefit with prevention of chronic obstructive pulmonary disease (COPD) with fiber in a relatively large epidemiologic analysis of the Atherosclerosis Risk in Communities study (5). The specific source of fiber was important. Fruit had the most significant effect on preventing COPD, with a 28 percent reduction in risk. Cereal fiber also had a substantial effect but not as great.

Fiber also has powerful effects on breast cancer treatment. In a study published in the American Journal of Clinical Nutrition, soluble fiber had a significant impact on breast cancer risk reduction in estrogen negative women (6). Most beneficial studies for breast cancer have shown results in estrogen receptor positive women. This is one of the few studies that has illustrated significant results in estrogen receptor negative women. 

The list of chronic diseases and disorders that fiber prevents and/or treats is continually expanding.

Where is the fiber?

Foods that are high in fiber are part of a plant-rich diet. They are whole grains, fruits, vegetables, beans, legumes, nuts and seeds. Overall, beans, as a group, have the highest amount of fiber. Animal products don’t have fiber. These days, it’s easy to increase your fiber by choosing bean-based pastas. Personally, I prefer those based on lentils. Read the labels, though; you want those that are solely made from lentils without rice added.

If you have a chronic disease, the best fiber sources are most likely disease-dependent. However, if you are trying to prevent chronic diseases in general, I recommend getting fiber from a wide array of sources. Make sure to eat meals that contain substantial amounts of fiber, which has several advantages: it helps you avoid processed foods, reduces your risk of chronic disease, and increases your satiety and energy levels.

Certainly, while protein is important, each time you sit down at a meal, rather than asking how much protein is in it, you now know to ask how much fiber is in it. 

References: 

(1) USDA.gov. (2) Aliment Pharmacology and Therapeutics 2004;19(3):245-251. (3) Arch Intern Med. 2011;171(12):1061-1068. (4) Lancet. 2019 Feb 2;393(10170):434-445. (5) Amer J Epidemiology 2008;167(5):570-578. (6) Amer J Clinical Nutrition 2009;90(3):664–671. 

Dr. David Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com.

by -
0 562

The second in a two-part series, this article highlights the strain COVID-19 has placed on a mental health care system that was already resource-constrained. Mental health care workers, from social workers to psychologists, psychiatrists and emergency medical teams, have responded to the increasing need for their services, cutting back on vacation times and dealing with patients who threaten violence against themselves and others. During the pandemic, health care workers who focused on the emotional well-being of patients also sought balance in their own lives. To borrow from the TV show “Law & Order,” these are their stories.

For some, running half marathons, spending time with family, meditating and communing with nature helps. For others, staying connected and reaching out to the kinds of services they themselves provide also offsets the growing strains in their work.

Health care workers have shouldered the burden of the COVID-19 pandemic for more than two years, reaching out well beyond their job description to help patients amid a period of intense uncertainty that threatened their physical and emotional health.

The cost to health care workers, including those who work in behavioral or mental health, has been considerable, as time at the hospital and speaking with patients remotely cut into their personal lives and threatened their own sense of balance.

“It was very difficult to be a doctor through the storms of COVID,” said Dr. Stacy Eagle, director of Psychiatry at Port Jefferson-based St. Charles Hospital. Health care workers had to “deal with a lot of mental health issues” during the last few years.

Indeed, hospitals throughout the area offered varying levels of support while their staff were on-site, including meditation rooms and aroma therapy. They also suggested personal health checks and provided on-call services for employees who might be struggling amid concerns about their health and the well-being of family members and their patients.

While the general public has tried to push COVID into the back of their minds, attending sporting events and movies, going to restaurants and returning to patterns and activities that are reminiscent of life in 2019, health care workers have increasingly needed mental health support.

Employee Assistance

Over the last several months, Stony Brook University, which has an Employee Assistance Program, has seen a rise in the number of staff reaching out for help.

During the pandemic, Stony Brook launched an employee helpline for those who need mental health support, including psychotherapy and/or medication management. Compared to last year, Stony Brook is seeing a two-folded increase, or triple, the number of employees reaching out for services, according to Dr. Adam Gonzalez, director of Behavioral Health and associate professor of Psychiatry & Behavioral Health at Stony University Renaissance School of Medicine.

“There are high concerns about employee burnout, resignations and departures from health care,” Gonzalez wrote in an email. “Most concerning is the risk for suicide — the ultimate consequence of burnout.”

Stony Brook has an employee support team that implements wellness initiatives, including daily mindfulness meditation sessions, yoga and stretching, and confidential one-on-one support by a faculty and staff care team and employee assistance program.

Dr. Poonamdeep Gill, director of the Comprehensive Psychiatric Emergency Program at Stony Brook Hospital, said the mental health team is “seeing more patients who are sicker from a mental health standpoint. People are really struggling. It does take a toll on you.”

Gill said Stony Brook is proactive with staff, making sure they can access services. The university also encourages staff to check in with their leadership team if they are feeling burned out or struggling.

Dr. Michel Khlat, director of St. Catherine of Siena in Smithtown, said he has seen some of the same health care fatigue that has beset hospitals and other health care facilities throughout the country.

“Staff members have gotten overwhelmed with the volumes,” Khlat said. “Some are altering their occupations to see more outpatients. Some are reverting to part-time and per diem work.” He has had a few friends in Florida who are seeing the same phenomenon, with health care workers quitting or cutting back on hospital time and going into private practices.

Bounce forward

The Northwell Health System has been working on the support of all health care workers, including in mental health, said Dr. Vera Feuer, associate vice president in School Mental Health. Northwell has adopted a stress first aid response, peer support, and a resilience model to recover from stress and trauma.

The military developed stress first aid to deal with situations like the pandemic, in which there is ongoing stress with an uncertain ending. That, Feuer said, differs from a single event, like 9/11, where something traumatic occurs and survivors build back from it.

The pandemic has involved over two years of continuous stress and this feeling of uncertainty, she added.

Stress first aid teaches people to support each other in resilience and to “bounce forward,” Feuer said. “It is difficult to maintain in a busy, stressful environment.”

Finding balance

Doctors suggested they engaged in a wide range of activities to help with their own mental health.

A believer in the value of nutraceuticals and supplements, Dr. Jeffrey Wheeler, the director of the Emergency Room at St. Charles Hospital said he also works on focused breathing.

Eagle, his colleague at St. Charles, urges people to pursue some of their hobbies, such as reading or painting. She also recommends staying off of or limiting social media, particularly for younger children who might find the information and the reaction to postings unnerving.

Stony Brook’s Gill believes in physical activity and exercise. She ran a half marathon a few weeks ago on Long Island.

“I make sure I stay active,” she said. “We need to take care of ourselves before we can take care of other people.”

Stony Brook’s Gonzalez stays closely connected to family, friends and work colleagues.

“I also try to stay active and explore nature,” Gonzalez said. “I regularly practice mindfulness [which is] tuning into the present moment in a nonjudgmental way.”

Gonzalez enjoys a good TV show or movie to disconnect and unwind as well.

Northwell’s Feuer said she’s worked harder than she ever had, but, at the same time, she feels fulfilled by the hope and meaning in her work.

For Feuer, the silver lining is the attention to mental health, which “we know has been a problem for a long time. I’m hoping the right resources and interventions” will help those who need it.

To read the first of this two-part series, “Mental health strain for Long Islanders,” visit tbrnewsmedia.com.

by -
0 392
File photo

Even as the newer omicron subvariant of COVID-19 continues to spread throughout Long Island, hospitalizations and infections have been lower.

Hospitalizations, which had risen to 490 in mid-May from about 130 in early April, have been “slowly declining for the past week or two,” according to Dr. Gregson Pigott, commissioner of the Suffolk County Department of Health Service.

Area health care professionals suggested that the severity of symptoms also had eased up.

“COVID hospitalization rates are lower than in prior COVID waves,” Dr. Adrian Popp, chair of infection control at Huntington Hospital, explained in an email. Most of the patients have mild to moderate illnesses, although Huntington Hospital still does have some severe cases and/or a COVID-related death.

The average number of positive tests per 100,000 people in Suffolk County has declined from recent peaks. As of June 3, the 7-day average number of positive PCR and rapid tests per 100,000 people was 33, which is down from 52 on May 27 and 67.7 on May 20, according to New York State Department of Health data.

“If anything, Suffolk County rates are dropping,” said Dr. Michel Khlat, chief medical officer at St. Catherine of Siena in Smithtown. “We’re seeing a drop in inpatient cases.”

Many of the cases St. Catherine is finding are incidental, as the hospital tests for the virus in connection with other procedures.

At this point, the newer subvariant of omicron, called BA 2.12.1, accounted for 78.1% of the positive samples collected between May 22 and May 28 in New York, which is up from 593% in the prior two weeks, according to figures from the New York State Department of Health.

“Preliminary data suggest that Omicron may cause more mild disease, although some people may still have severe disease, need hospitalization, and could die from the infection with this variant,” Pigott added in an email.

Khlat suggested that hospitals aren’t tracking the type of variant. Even if they did, it wouldn’t alter the way they treated patients.

“It doesn’t make a difference” whether someone has one or another subtype of omicron, Khlat said. The treatment is identical.

Area doctors and medical care professionals continue to recommend that residents over 50 receive a second booster, particularly if they are immunocompromised or have other health complications.

“People over 50 should get the booster — it decreases the severity of COVID,” explained Popp.

Like much of the rest of the country, some Long Islanders have also contracted COVID more than once. The reinfection rate per 100,000 is currently 7.3%, according to New York State Department of Health figures.

“We are certainly seeing symptomatic COVID infections in persons who report having COVID at the beginning of this year or last year,” Dr. Susan Donelan, medical director of the Healthcare Epidemiology Department at Stony Brook Medicine, explained in an email. 

Popp explained that natural immunity from a COVID infection generally lasts about two to three months. Vaccine-related immunity generally lasts twice that duration, for about four to six months.

Doctors continue to urge caution during larger, poorly-ventilated indoor gatherings.

“Close crowds without masks, in an indoor setting with poor air flow, would be one version of a scenario with potential super-spreader potential,” Donelan explained.

Donelan said Stony Brook encouraged staff and patients to consider receiving boosters when they are eligible.

Popp believes wearing masks indoors while in a large gathering is a “reasonable” measure. That includes theaters, airplanes, buses and trains.

At Huntington Hospital, meetings continue to take place online.

“We decided as an organization that the risk of transmission is high enough to continue these measures,” Popp wrote. “We cannot afford to lose team members to COVID since it can negatively impact our operation.”

by -
0 580
Nikhil Palekar, MD. Photo by Jeanne Neville/Stony Brook Medicine

Stony Brook Center of Excellence for Alzheimer’s Disease selected as the only recipient on Long Island, and one of only 10 NYSDOH-supported, hospital-based centers of its kind in New York State

Stony Brook Center of Excellence for Alzheimer’s Disease (CEAD) was awarded a new $2.35 million, state-funded grant over five years (2022-27 grant cycle) by the New York State Department of Health (NYSDOH) and renews on June 1. Of the 10 NYSDOH-supported, hospital-based centers in the state, Stony Brook Medicine is the only recipient of this competitive grant on Long Island and will continue to serve the growing needs of communities in both Nassau and Suffolk counties.

To qualify as a Center of Excellence for Alzheimer’s Disease, a hospital-based center must meet rigorous standards which are measured and reviewed annually. These include: high quality diagnostic and assessment services for people with Alzheimer’s or another type of dementia; patient management and care; referral of patients and their caregivers to community services; training and continuing education to medical professionals and students on the detection, diagnosis and treatment of Alzheimer’s and other forms of dementia.

With scientific strides being made in identifying potential new ways to diagnose, treat and prevent Alzheimer’s and other dementias, Stony Brook’s efforts during this five-year grant cycle will also include a continued focus on research.

“The renewal of this important NYSDOH grant comes at a time when there are a growing number of people with Alzheimer’s disease in our state, many of whom reside in underserved communities right here on Long Island,” said Harold Paz, MD, MS, Executive Vice President Health Sciences, Stony Brook University, and Chief Executive Officer, Stony Brook University Medicine. “It reinforces the strong reputation Stony Brook has built over the years, as an expert in diagnosis, care, training and resources, and as an institution committed to being at the forefront of research and clinical trials seeking effective treatments and a cure.”

A Growing Population of 65+

According to the DOH, 410,000 New Yorkers age 65 and older live with Alzheimer’s disease. By 2025, this number is expected to increase to 460,000 New Yorkers needing care for Alzheimer’s disease. Long Island has the second-highest age 65+ population in New York State after New York City. On Long Island’s East End, approximately 36 percent of homes have at least one person in the household who is over 65 years of age.

“We are honored once again to be recognized for all that our team and community partners have accomplished as we continue to serve this vulnerable population,” said Nikhil Palekar, MD, Director, Stony Brook Center of Excellence for Alzheimer’s Disease. Dr. Palekar, who joined Stony Brook in 2017, has been instrumental in developing the Center’s mission and services.

An expert in the treatment and research of cognitive and mood disorders in older adults with grant funding from National Institutes of Health (NIH), the Alzheimer’s Association and Alzheimer’s Foundation of America, Dr. Palekar encourages people who are having trouble remembering, learning new things, concentrating, or making decisions to get screened and diagnosed — the sooner the better. “When the brain is unable to function well, your entire health starts to suffer. If you’re having memory issues, you’re probably forgetting to take your medications for blood pressure, diabetes, high cholesterol, causing a worsening of chronic medical conditions,” he noted.

Cognitive Screenings, Clinical Trials, Federally Qualified Health Center Partnerships

The Stony Brook Center of Excellence for Alzheimer’s Disease, part of the Stony Brook Neurosciences Institute, now offers free cognitive screening clinics to the community at CEAD’s offices at Putnam Hall on the campus of Stony Brook University, as well as at Stony Brook’s Advanced Specialty Care location in Commack. The Stony Brook CEAD staff is also available to conduct free screenings in communities on Long Island upon request. Each individual screened will receive the screening results on the spot so that they can bring the results to their primary care physician for further assessment and treatment if needed.

The Stony Brook Center of Excellence for Alzheimer’s Disease also offers a variety of clinical trials in support of groundbreaking research studies on aging, memory, and dementia. Stony Brook has been selected as a study site for several clinical trials, including monoclonal antibody therapy trials that target amyloid plaque for the treatment of mild Alzheimer’s disease.

Another new initiative of the Stony Brook CEAD is the establishment of partnerships with several federally qualified health centers (FQHCs) on Long Island to help meet the needs of unserved and underserved people spanning communities from the east end to those bordering Queens. Stony Brook CEAD will provide free cognitive screening assessments, educational resources, training for physicians, and opportunities to participate in research studies and clinical trials, which will help improve early diagnosis and quality of life for people in these communities living with Alzheimer’s or other forms of dementia.

For more information about the Stony Brook Center of Excellence for Alzheimer’s Disease, visit ceadlongisland.org.

About the Stony Brook Neurosciences Institute:

Stony Brook Neurosciences Institute is the regional leader in diagnosing and treating a full range of brain, neurological and psychiatric disorders in adults and children. As a tertiary care center, we also serve as the “go-to” medical facility for community physicians and other specialists in the region who have complicated cases and seek advanced care for their patients. We bring the expertise of renowned specialists together with the use of sophisticated technology to deliver high-quality, disease-specific, comprehensive care for patients, while providing peace of mind to their families. This care includes access to various resources and therapies to assist with rehabilitation and reintegration into everyday living during and after treatment. The Institute features more than 15 specialty centers and programs — several that are unique to our region — and more than 70 research laboratories dedicated to the study of various neurological and psychiatric disorders and diseases. The Institute also provides challenging yet supportive educational experiences that prepare graduates to practice in a variety of clinical and academic settings. To learn more, visit www.neuro.stonybrookmedicine.edu.

by -
0 1102
Glass of wine. Pixabay photo
Family history and disease risk play big roles

By David Dunaief, M.D.

Dr. David Dunaief

Is drinking alcohol good for you or bad for you? It’s one of the most widely used over-the-counter drugs, and yet there is still confusion over whether it benefits or harms to your health. The short answer: it depends on your circumstances, including your family history and consideration of diseases you are at high risk of developing.

Several studies tout alcohol’s health benefits, while others warning of its risks. The diseases addressed by these studies include breast cancer, heart disease and stroke. Remember, context is the determining factor when evaluating alcohol consumption.

Weighing Breast Cancer Risk

In a meta-analysis of 113 studies, there was an increased risk of breast cancer with daily consumption of alcohol (1). The increase was a modest, but statistically significant, four percent, and the effect was seen at one drink or less a day. The authors warned that women who are at high risk of breast cancer should not drink alcohol or should drink it only occasionally.

Less is more when drinking alcohol. METRO photo

It was also shown in the Nurses’ Health Study that drinking three to six glasses a week increases the risk of breast cancer modestly over a 28-year period (2). This study involved over 100,000 women. Even a half-glass of alcohol was associated with a 15 percent elevated risk of invasive breast cancer. The risk was dose-dependent, with one to two drinks per day increasing risk to 22 percent, while those having three or more drinks per day had a 51 percent increased risk.

Alcohol’s impact on breast cancer risk is being actively studied, considering types of alcohol, as well as other mitigating factors that may increase or decrease risk. We still have much to learn.

Based on what we think we know, if you are going to drink, a drink several times a week may have the least impact on breast cancer. According to an accompanying editorial, alcohol may work by increasing the levels of sex hormones, including estrogen, and we don’t know if stopping diminishes the effect, although it might (3).

Effect on Stroke Risk

On the positive side, the Nurses’ Health Study demonstrated a decrease in the risk of both ischemic (caused by clots) and hemorrhagic (caused by bleeding) strokes with low to moderate amounts of alcohol (4). This analysis involved over 83,000 women. Those who drank less than a half-glass of alcohol daily were 17 percent less likely than nondrinkers to experience a stroke. Those who consumed one-half to one-and-a-half glasses a day had a 23 percent decreased risk of stroke, compared to nondrinkers. 

However, women who consumed more experienced a decline in benefits, and drinking three or more glasses daily resulted in a non-significant increased risk of stroke. The reasons for alcohol’s benefits in stroke have been postulated to involve an anti-platelet effect (preventing clots) and increasing HDL (“good”) cholesterol. Patients should not drink alcohol solely to get stroke protection benefits.

If you’re looking for another option to achieve the same benefits, an analysis of the Nurses’ Health Study recently showed that those who consumed more citrus fruits had approximately a 19 percent reduction in stroke risk (5).

The citrus fruits used most often in this study were oranges and grapefruits. Note that grapefruit may interfere with medications such as Plavix (clopidogrel), a commonly used antiplatelet medication used to prevent strokes (6).

Effect on Heart Attack Risk

In the Health Professionals follow-up study, there was a substantial decrease in the risk of death after a heart attack from any cause, including heart disease, in men who drank moderate amounts of alcohol compared to those who drank more or were non-drinkers (7). Those who drank less than one glass daily experienced a 22 percent risk reduction, while those who drank one-to-two glasses saw a 34 percent risk reduction. The authors mention that binge drinking negates any benefits. This study has a high durability spanning 20 years.

What’s the Answer?

Moderation is the key. It is important to remember that alcohol is a drug that does have side effects, including insomnia. The American Heart Association recommends that women drink up to one glass a day of alcohol. I would say that less is more. To get the stroke benefits and avoid the increased breast cancer risk, half a glass of alcohol per day may be the ideal amount for women. Moderate amounts of alcohol for men are up to two glasses daily, though one glass showed significant benefits. 

Remember, there are other ways of reducing your risks that don’t require alcohol. However, if you enjoy it, modest amounts may reap some health benefits.

References: 

(1) Alc and Alcoholism. 2012;47(3)3:204–212. (2) JAMA. 2011;306:1884-1890. (3) JAMA. 2011;306(17):1920-1921. (4) Stroke. 2012;43:939–945. (5) Stroke. 2012;43:946–951. (6) Medscape.com. (7) Eur Heart J. Published online March 28, 2012.

Dr. David Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com. 

by -
0 661
1 of 7
Mather Hospital employees took part in a surprise 'clap-out' for President Kenneth Roberts on May 24. Photo from Mather Hospital
Mather Hospital employees took part in a surprise 'clap-out' for President Kenneth Roberts on May 24. Photo from Mather Hospital
Mather Hospital employees took part in a surprise 'clap-out' for President Kenneth Roberts on May 24. Photo from Mather Hospital
Mather President Kenneth Roberts. Photo from Mather Hospital
Mather President Kenneth Roberts. Photo from Mather Hospital
Mather President Kenneth Roberts. Photo from Mather Hospital
Mather President Kenneth Roberts with his retirement cake. Photo from Mather Hospital

Kenneth Roberts, whose 40-year career at Mather Hospital in Port Jefferson include 36 years as president, was honored at a special ceremony at the hospital on May 24.

One of the longest serving hospital presidents in New York State and only the third chief executive in Mather Hospital’s more than 92-year history, Roberts retired at the end of May, according to a press release. 

“Detailing all of Ken’s accomplishments over four decades at Mather Hospital is an enormous task,” said Mather Board Chairman Leo Sternlicht. “Ken oversaw the growth of a community hospital into one of the most respected and highly ranked healthcare institutions on Long Island.”

Under his leadership, the community hospital grew into one of the most respected and highly ranked hospitals on Long Island. Roberts oversaw multiple hospital expansions, including the Frey Family Foundation Medical Arts Building which houses the Infusion Center and the Bariatric Center of Excellence; the Calace Pavilion, which houses the newest patient care unit 3 North, offices for the Internal Medicine Residency Program and the LIAP Conference Center; and the Cody Surgical Pavilion where surgical teams perform procedures in neurosurgery. 

During Roberts’ tenure, Mather was designated and redesignated as a Magnet® hospital for quality patient care, nursing excellence and innovations in professional nursing practice and was reaccredited in 2018; a teaching hospital with a growing Graduate Medical Education residency program; and multiple top “A” grades for patient safety from The Leapfrog Group; and earned top ratings for patient safety, to name just a few.

When changes in the healthcare industry made the hospital’s independent status increasingly untenable, he headed the search for a healthcare partner that led to the affiliation with Northwell Health. 

“When I sought the job of Executive Director at Mather Hospital, it was with the full knowledge that I would be following in the footsteps of a man who is so highly regarded and who has successfully guided this institution for decades,” said Executive Director Kevin McGeachy. “Ken made it a very easy transition for me by creating a culture where employees enjoy working and are encouraged to share their ideas and observations on how to do better every day.’

It was also Roberts’ leadership and vision that has guided the hospital to its largest, most transformational building project in its history, a 38,000-square-foot addition that will include a new 25,000-square-foot Emergency Department and an expanded surgical center. This new building, expected to open in 2024, will be located next to the Cody Surgical Pavilion.

“Mr. Roberts lasting impact was about more than bricks and mortar,” read the press release. “More than a dozen year’s ago, when patient satisfaction scores were not what he thought they should be, he undertook a cultural transformation program — our Voyage to Excellence — that engaged our employees and resulted in dramatically improved scores. His tenure also was marked by his management style. Whether sitting down with employees in the cafeteria or stopping them in the hallways to chat, Mr. Roberts had a very personal style that encouraged employees to think of themselves as a family. It is a culture under which it is not uncommon for employees to work at Mather for 30 or 40 years or more, and to encourage their family members join them here as employees.”

by -
0 680
West Meadow Beach at low tide. Photo by Beverly C. Tyler

West Meadow Beach in Stony Brook is closed to bathing due to the finding of bacteria at levels in excess of acceptable criteria. The announcement was made in a press release from the Suffolk County Department of Health Services on June 1.

According to Suffolk County Commissioner of Health Dr. Gregson Pigott, bathing in bacteria-contaminated water can result in gastrointestinal illness, as well as infections of the eyes, ears, nose, and throat.

The beach will reopen when further testing reveals that the bacteria have subsided to acceptable levels.

 For the latest information on affected beaches, call the Bathing Beach HOTLINE at 852-5822 or contact the Department’s Office of Ecology at 852-5760 during normal business hours.

Program information –

http://www.suffolkcountyny.gov/Departments/HealthServices/EnvironmentalQuality/Ecology/BeachMonitoringProgram.aspx

Interactive map of beach closures/advisories- https://ny.healthinspections.us/ny_beaches/

by -
0 992
Pixabay photo
Addressing issues affecting mobility are crucial to reducing risk

By David Dunaief, M.D.

Dr. David Dunaief

Heart disease still ranks as the number 1 cause of death in the U.S., with just under 700,000 deaths per year, which equates to just over 200 deaths per 100,000 people (1). Depending on your ethnicity, your risk might be higher or lower than the average.

While this is certainly better than it used to be, we have a long way to go to reduce the risk of heart disease. 

Some risk factors are obvious. Others are not. Obvious ones include age (men at least 45 years old and women at least 55 years old), family history, high cholesterol, high blood pressure, obesity, sedentary lifestyle, diabetes and smoking. Less obvious ones include gout, atrial fibrillation and osteoarthritis. 

The good news is that we have more control than we think. Most of these risks can be significantly reduced with lifestyle modifications.

Let’s look at the evidence.

Is obesity an independent risk factor?

Obesity continually gets play in discussions of disease risk. But how substantial a risk factor is it?

In the Copenhagen General Population Study, results showed an increased heart attack risk in those who were overweight and in those who were obese with or without metabolic syndrome, which includes a trifecta of high blood pressure, high cholesterol and high sugar levels (2). “Obese” was defined as a body mass index (BMI) over 30 kg/m², while “overweight” included those with a BMI over 25 kg/m².

The risk of heart attack increased in direct proportion to weight. Specifically, there was a 26 percent increase in heart attack risk for those who were overweight and an 88 percent increase in risk for those who were obese without metabolic syndrome. This study had a follow-up of 3.6 years.

It is true that those with metabolic syndrome and obesity together had the highest risk. However, it is quite surprising that obesity, by itself, can increase heart attack risk when a person is “metabolically healthy.” Because this was an observational trial, the results represent an association between obesity and heart disease. Basically, it’s telling us that there may not be such a thing as a “metabolically healthy” obese patient. If you are obese, this is one of many reasons that it’s critical to lose weight.

Activity levels drive improvements

Let’s consider another lifestyle factor, the impact of being sedentary. An observational study found that activity levels had a surprisingly high impact on women’s heart disease risk (3). Of four key factors — weight, blood pressure, smoking and physical inactivity — age was the determinant as to which one had the most negative effect. Those under the age of 30 saw smoking as most negatively impactful. For those over the age of 30, lack of exercise became the most dominant risk factor for heart disease, including heart attacks.

For women over age 70, the study found that increasing physical activity may have a greater positive impact than addressing high blood pressure, losing weight, or even quitting smoking. However, since high blood pressure was self-reported, it may have been underestimated as a risk factor. Nonetheless, the researchers indicated that women should make sure they exercise on a regular basis to most significantly reduce heart disease risk.

How long do you suffer with osteoarthritis?

The prevailing thought with osteoarthritis is that it is best to suffer with hip or knee pain as long as possible before having surgery. But when do we cross the line and potentially need joint replacement? In a study, those with osteoarthritis of the hip or knee joints that caused difficulty walking on a flat surface were at substantially greater risk of cardiovascular events, including heart attack (4). Those who had surgery for the affected joint saw a substantially reduced heart attack risk. It is important to address the causes of osteoarthritis to improve mobility, whether with surgery or other treatments.

When does fiber matter most?

Studies show that fiber decreases the risk of heart attacks. However, does fiber still matter once someone has a heart attack? In a recent analysis using data from the Nurses’ Health Study and the Health Professional Follow-up Study, results showed that higher fiber plays an important role in reducing the risk of death after a heart attack (5).  

Those who consumed the most fiber, compared to the least, had a 25 percent reduction in post-heart attack mortality. Even more impressive is that those who increased their fiber after a cardiovascular event had a 31 percent reduction in mortality risk. The most intriguing part of the study was the dose response. For every 10-gram increase in fiber consumption, there was a 15 percent reduction in the risk of post-heart attack mortality.

Lifestyle modifications are so important. In the Nurses’ Health Study, which followed 120,000 women for 20 years, those who routinely exercised, ate a quality diet, did not smoke and were a healthy weight demonstrated a whopping 84 percent reduction in the risk of cardiovascular events such as heart attacks (6).

What have we learned? We can substantially reduce the risk of heart attacks and even potentially the risk of death after sustaining a heart attack with lifestyle modifications that include weight loss, physical activity and diet — with, in this case, a focus on fiber. While there are a number of diseases that contribute to heart attack risk, most of them are modifiable. With disabling osteoarthritis, addressing the causes of difficulty with mobility may also help reduce heart attack risk.

References: 

(1) cdc.gov. (2) JAMA Intern Med. 2014;174(1):15-22. (3) Br J Sports Med. 2014, May 8. (4) PLoS ONE. 2014, Mar 14, 2014. [https://doi.org/10.1371/journal.pone.0091286]. (5) BMJ. 2014;348:g2659. (6) N Engl J Med. 2000;343(1):16.

Dr. David Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com. 

by -
0 449
Patrick M. Lloyd, DDS, MS Photo provided by Ohio State University

Stony Brook University has named Patrick M. Lloyd, DDS, MS, as Dean of the School of Dental Medicine (SDM). Lloyd’s appointment, effective July 1, was announced by Hal Paz, MD, executive vice president of health sciences at Stony Brook University and chief executive officer, Stony Brook University Medicine. Lloyd joins Stony Brook after a decade spent as the dean of the College of Dentistry at Ohio State University.

Dr. Lloyd succeeds Margaret M. McGovern, MD, PhD, who was named Interim Dean of the School of Dental Medicine on Dec. 1, 2021. While at Ohio State some of Lloyd’s accomplishments included increasing college funding support for student research, forming a college-wide workgroup to identify priorities and develop strategies to improve the school’s environment, and initiating the CARE (Commitment to Access Resources and Education) program aimed at recruiting and supporting dental students from underserved communities in Ohio, and oversaw the planning, design, and fund raising for a ninety-five million dollar expansion and renovation of the college’s clinical and administrative facilities.

Dr. Lloyd is an international lecturer on a variety of issues related to geriatric dentistry and has published widely on treatment strategies for the aged dental patient. His diverse clinical experience includes private practice in prosthodontics with an emphasis on care of the older adult and educating and training students in the area of special patient care.

Dr. Lloyd is a graduate of Marquette University School of Dentistry and earned his specialty certificate in prosthodontics from the V.A. Medical Center in Milwaukee, Wisconsin, as well as a master of science from the Graduate School of Marquette University. After completing his specialty training, Lloyd served as chief of dental geriatrics and directed a fellowship in geriatric dentistry at the Milwaukee V.A. Medical Center.

In 1985, he was appointed to serve as national coordinator for geriatric dental programs for the Department of Veterans Affairs. In 1992, he joined the faculty at Marquette University, where he was head of the Special Patient Care Clinic. He held that position for four years before being named executive officer of the Department of Family Dentistry at the University of Iowa College of Dentistry in 1996. In 2004, Dr. Lloyd was named dean at the University of Minnesota School of Dentistry before heading to Ohio State University, where he has been the dean of the College of Dentistry since 2011.

“Dr. Lloyd’s vision and extraordinary experience positions him well to lead the next era of Stony Brook’s School of Dental Medicine and build upon the School’s focus to advance its dental education, research, patient care, and service to the community,” said Dr. Paz. “He has the strategic acumen and leadership skills to ensure we meet the highest professional standards, provide the best education and training experiences to our students and residents, and high-quality care for our patients.”

 

by -
0 642
This visual presentation shows the words and phrases used on Facebook posts from individuals in the study considered either high- or low-risk for excessive drinking. Credit: Rupa Jose and Andrew Schwartz

Alcoholism can be a difficult condition to diagnose, especially in cases where individuals’ drinking habits are not noticed and physical symptoms have not yet manifested. In a new study, published in Alcoholism: Clinical & Experimental Research, co-author H. Andrew Schwartz, PhD, of the Department of Computer Science at Stony Brook University, and colleagues determined that the language people used in Facebook posts can identify those at risk for hazardous drinking habits and alcohol use disorders.

Collaborating with Schwartz working on The Data Science for Unhealthy Drinking Project is Stony Brook University doctoral candidate Matthew Matero, and Rupa Jose, PhD, lead author and Postdoctoral Researcher at the University of Pennsylvania.

Key to the research was the use of Facebook content analyzed with “contextual embeddings,” a new artificial intelligence application that interprets language in context. The contextual embedding model, say Schwartz, Jose and colleagues, had a 75 percent chance of correctly identifying individuals as high- or low-risk drinkers from their Facebook posts. This rate at identifying at risk people for excessive drinking is higher than other more traditional models that identify high-risk drinkers and those vulnerable to alcoholism.

“What people write on social media and online offers a window into psychological mechanisms that are difficult to capture in research or medicine otherwise,” says Schwartz, commenting on the unique aspect of the study.

“Our findings imply that drinking is not only an individually motivated behavior but a contextual one; with social activities and group membership helping set the tone when it comes to encouraging or discouraging drinking,” summarizes Jose.

Investigators used data from more than 3,600 adults recruited online — average age 43, mostly White — who consented to sharing their Facebook data. The participants filled out surveys on demographics, their drinking behaviors, and their own perceived stress  — a risk factor for problematic alcohol use. Researchers then used a diagnostic scale to organize participants — based on their self-reported alcohol use — into high-risk drinkers (27 percent) and low-risk drinkers (73 percent).

The Facebook language and topics associated with high-risk drinking included more frequent references to going out and/or drinking (e.g., “party,” “beer”), more swearing, more informality and slang (“lmao”), and more references to negative emotions (“miss,” “hate,” “lost,” and “hell”). These may reflect factors associated with high-risk drinking, including neighborhood access to bars, and personality traits such as impulsivity.

Low-risk drinking status was associated with religious language (“prayer,” “Jesus”), references to relationships (“family,” “those who”), and future-oriented verbs (“will,” “hope”). These may reflect meaningful support networks that encourage drinking moderation and the presence of future goals, both of which are protective against dangerous drinking.

Overall, the authors conclude that “social media data serves as a readily available, rich, and under-tapped resource to understand important public health problems, including excessive alcohol use…(The) study findings support the use of Facebook language to help identify probable alcohol vulnerable populations in need of follow-up assessments or interventions, and note multiple language markers that describe individuals in high/low alcohol risk groups.”

Prev1...666768...180Next Page 67 of 180
TBR News Media is your local news and entertainment website.
We provide you with the latest breaking news and information for your community.
Contact us: [email protected]

Most Viewed

©