Category Archives: Hospital Services

Northern Westchester Hospital provides services for everybody’s health need.

Posted on: January 28, 2015

Healthful Eating: The Plant-based Diet

By Jill Ashbey-Pejoves

As a dietitian I am often asked what I consider to be the healthiest diet. This is an easy question to answer because the research is fairly clear that a plant-based diet is best for farmers market 2overall health. You may be wondering exactly what a plant-based diet is. Well the definition ranges from one in which no animal products are consumed, a vegan diet, to one in which some animal products are consumed and not others, a vegetarian diet, to one in which all foods are consumed, but plant foods comprise the majority, a flexitarian or Mediterranean diet. A well balanced plant-based diet provides all the essential amino acids necessary for adequate protein and is high in fiber.

Here are just a few of the many benefits of a plant-based diet:
• Improved weight control – most plant-based foods are high in nutrients and low in calories by volume.
• Improved blood pressure, cholesterol, and blood sugar control.
• Decreased risk of cardiovascular disease and numerous cancers.
• It is cost effective. Vegetables, grains and legumes are less expensive than meat and dairy products.
• It’s good for the planet. It takes less environmental resources to sustain a plant-based diet than a meat-based one. Plants produce oxygen, not CO2.

“Eat food. Mostly plants. Not too much.”  
– Michael Pollan, In Defense of Food

Ways to incorporate more fruits, vegetable, beans, legumes and whole grains into your diet?
• Replace 1-2 meals per week with a vegetarian option. Think meatless Monday!
• Replace refined grains with whole grains such as brown rice, millet, bulgur, wheat berries.
• Get sneaky; add beans to soups, salads, and stews.
• Drink your greens, blend spinach or kale into your fruit smoothie.
• Aim for 3-5 servings of non-starchy vegetables and 2-4 servings of fruits every day.
• For convenience, keep canned beans on-hand; just remember to rinse them to remove the excess salt.
• Join a co-op or CSA (community supported agriculture) to always have a variety of seasonal, local or organic vegetable and fruits available.

If you, or someone you love, are interested in changing your diet to improve a chronic health condition, a Registered Dietitian can help.

For more information on plant-based diets, visit www.Oldwayspt.org and www.vrg.org.

To learn more about co-ops, CSAs and to find one in your area, visit http://www.ecolife.com/health-food/eating-local/food-coops-csa.html

 RECIPES

Sweet Potato & Black Bean Burritos
Courtesy of Moosewood Restaurant & Recipes

Ingredients
6 cups peeled and cubed sweet potatoes (about 21⁄2 pounds)
2 cups chopped onions
3 garlic cloves, minced or pressed
1 fresh hot pepper, minced (for a milder “hot,” seeded first)
1 tsp salt
2 Tbsp vegetable or olive oil
1 Tbsp ground cumin
1 Tbsp ground coriander
2 15-ounce cans of black beans, drained (3 cups)
1 Tbsp lemon juice
1⁄2 cup chopped cilantro
salt to taste
6 10-inch flour tortillas

Preparation
1. In a covered saucepan, bring the sweet potatoes to a boil in salted water to cover
2. Simmer until tender, about 15 minutes.
3. Drain and mash. Set aside.
4. While the sweet potatoes are cooking, in a covered saucepan on low heat, cook the on-ions, garlic, hot peppers, and salt in the oil until the onions are soft, about 10 minutes.
5. When the onions have softened, stir in the cumin and coriander and cook for another minute or two.
6. Preheat the oven to 350°. Oil a large baking pan or sheet.
7. Combine the mashed sweet potatoes, the onion-spice mixture, and the black beans.
8. Stir in the lemon juice and cilantro; add salt to taste.
9. Place about a 1 cup of filling on the bottom half of each tortilla and roll up.
10. Lightly brush the tops of the burritos with oil and cover with foil.
11. Bake for 25 to 30 minutes, until hot.
Try these Variations: Add a diced bell pepper to the onions as they cook. Replace the fresh hot pepper with 1⁄4 teaspoon cayenne or 1⁄2 teaspoon red pepper flakes. For a smoky flavor, use a minced canned chipotle pepper with a spoonful of adobo sauce. Stir a cup of corn kernels into the filling. Use corn tortillas instead of flour for a gluten-free alternative.
Per Serving:
312 Calories;  1.9g Fat;  0.0mg Cholesterol;  423mg Sodium;   62g Carbohydrates;  12g Fiber;  12g Protein

Recipe by Moosewood Restaurant & Recipes | Ithaca, NY at http://www.moosewoodcooks.com/2014/07/black-bean-sweet-potato- burritos/

Spiced Chickpea “Nuts”
Courtesy of Eatingwell.com

When roasted in a hot oven, chickpeas become super crunchy. They’re a great low-fat substitute for nuts when salty cravings hit.

Ingredients 
1 15-ounce can chickpeas, rinsed
1 Tbsp extra-virgin olive oil
2 tsp ground cumin
1 tsp dried marjoram
1/4 tsp ground allspice
1/4 tsp salt

Preparation
1. Position rack in upper third of oven; preheat to 450°F.
2. Blot chickpeas dry and toss in a bowl with oil, cumin, marjoram, allspice and salt. Spread on a rimmed baking sheet. Bake, stirring once or twice, until browned and crunchy, 25 to 30 minutes. Let cool on the baking sheet for 15 minutes.

Per serving :
103 Calories; 5 g Fat; 0 g Sat; 3 g Mono; 0 mg Cholesterol; 14 g Carbohydrates; 4 g Protein; 5 g Fiber; 303 mg Sodium; 2 mg Potassium

Make Ahead Tip: Cover and store at room temperature for up to 2 days.

http://www.eatingwell.com/recipes/spiced_chickpea_nuts.html

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Preventing Cervical Cancer

Posted on: January 23, 2015

Women – This Regular Screening Can Save Your Life

by Dr. Navid Mootabar

There’s important news for every woman in a recent report from the Centers for Disease Control and Prevention (CDC): Despite evidence that cervical cancer screening saves lives, iStock_27565368_Women_Coffee_HiRezabout eight million women, ages 21 to 65 years, have not been screened for cervical cancer in the past five years. In addition, more than half of new cervical cancer cases occur among women who have never or rarely been screened.  Here, I explain which tests you need, when to get screened, and demystify the protective HPV vaccine. I also offer women a silver lining: You rarely have to worry about advanced cervical cancer if you are regularly screened.

Did you know that cervical cancer was the leading cause of death among women 40 years ago?

The introduction of screening through the Pap smear has caused the disease to drop to the fourth cause of female mortality. But that incidence could be lowered even further if more women had the recommended Pap test. To understand this screening’s exceptional value, you need to know more about the primary cause of cervical cancer: Human Papillomavirus (HPV).

HPV causes approximately 90 percent of all cervical cancer cases.

This sexually transmitted virus is so common, most people will contract it at some point in their lives. There are many strains (types) of HPV. Certain HPV strains are responsible for changes on a woman’s cervix that can result in cervical cancer. Other strains may cause genital or skin warts.  Additional factors that contribute to an increased risk for cervical cancer include smoking, extended use of birth control, and having multiple sexual partners.

Most women who have cervical cancer will have no symptoms. However, infrequent symptoms may include unexplained vaginal bleeding, bleeding after intercourse and abnormal vaginal discharge. What’s more, the strains of HPV that may lead to cervical cancer are also asymptomatic.

Regular screening for cervical cancer has extraordinary life-saving potential.

The screening test — the Pap smear– involves brushing cells off the cervix, which are then examined for abnormalities. Our goal is to identify cervical cancer in a precancerous state, when it is highly curable. The impact of identifying the disease early through a Pap smear is evidenced by the fact that, from 2001 to 2010, the incidence of the disease decreased by almost two percent per year.

So when should you get screened? New guidelines recommend that women start at age 21. A Pap smear is recommended every three years, combined with an examination of the same cervical cells for HPV, until the age of 65, provided you have no risk factors or abnormal Pap smears. At 65, screenings can be discontinued if there have been no abnormal results in the previous 10 years, or no history prior to the past ten years of moderately pre-cancerous growth.

“Seeing your gynecologist annually is a vital
part of a woman’s comprehensive health care.”

The three-year guideline takes into account that for most women, cervical cancer doesn’t progress quickly. Very rarely does it advance from normal to cancer in one year. Therefore, if a woman is screened every three years, there is every likelihood the disease will be caught while still in the highly curable pre-cancerous stage.

Keep in mind that the guideline represents the minimum number of screenings you need to be safe. However, some women require more frequent screenings. At each visit, your gynecologist will determine if it is appropriate to do a Pap smear, by assessing all risk factors.

There are two other forms of prevention for cervical cancer.

One is the condom. The other is the HPV vaccination, which protects women from several of the most common and aggressive strains of HPV that can lead to cervical cancer. However, it does not protect against all strains that can lead to the disease. The vaccine – a series of three injections over six months – is recommended any time from age 9 to 26. Because HPV is transmitted through intercourse, I often recommend to my patients that they wait until they are considering becoming sexually active. Many parents question if their daughter needs the vaccine at such an early age.  The decision as to when to receive the vaccine is very individual, and I believe it should be made in consultation with the patient’s gynecologist or pediatrician.  I want to stress that the vaccine does not replace regular Pap smears.

Treatment for cervical cancer in the pre-cancerous stage can be as simple as an office procedure called a LEEP (loop electrosurgical excision procedure) which involves a local anesthetic and removal of all pre-cancerous cells from the cervix. There is a low incidence of recurrence. If the disease advances to cancer, treatment depends on the stage and the woman’s wish to remain fertile.  It can involve a cone biopsy, in which the outer portion of the cervix is removed; a hysterectomy, involving removal of the uterus and cervix; or radiation therapy.

It is essential to understand that, although the recommendations call for a Pap smear every three years, seeing your gynecologist annually is a vital part of a woman’s comprehensive health care. Pelvic exams, Pap tests and cancer screenings can help prevent illness and detect problems at an early and potentially more treatable stage. All women need to be diligent about visiting their gynecologist each year.

Editor’s Note:
Dr. Navid Mootabar is a member of Westchester Health Associates in Mount Kisco, NY. He is the Chief of Obstetrics and Gynecology and a Director of the Institute for Robotic & Minimally Invasive Surgery at Northern Westchester Hospital. He received his medical degree from the Mount Sinai Medical School, where he also completed his residency in Obstetrics, Gynecology, and Reproductive Medicine. Dr. Mootabar completed his undergraduate courses at Columbia University and was named among “America’s Top Obstetricians and Gynecologists” from the Consumer Research Council of America. Dr. Mootabar has received advanced training in robot-assisted Single Incision Laparoscopic Surgery (SILS) and utilizes this approach for select gynecologic surgery procedures.

 

 

American Diabetes Association Publishes New Nutrition Guidelines

Posted on: November 19, 2014

Healthful Eating

By Jill Ashbey-Pejoves

Earlier this year, the American Diabetes Association published new nutrition guidelines for people with diabetes. The ADA reviewed the available research on nutrition in diabetes and found that, when it comes to diet and diabetes, one size does not fit all.

According to the guidelines, the goals of nutrition therapy for adults with diabetes are “to promote and support healthful eating patterns, emphasizing a variety of nutrient dense foods in ap-propriate portion sizes in order to improve overall health.” Here are some highlights of changes to the ADA guidelines:

1. For good health, carbohydrate intake should come from vegetables, fruits, whole grains, legumes and low-fat dairy products, rather than carbohydrate sources containing added fats, sugars or sodium.
2. There is no minimum amount of carbohydrate necessary, the amount of carbohydrate, protein and fat in the diet should be based on the nutritional, metabolic and weight con-siderations of the individual.
3. Sugar (sucrose) consumption should be kept to a minimum in order to allow for more nu-tritious foods.
4. Sugar-sweetened beverages should be avoided all together, and may be replaced with diet beverages if desired.
5. People with diabetes should follow the same recommendations for intake of saturated fat, cholesterol, trans fat, and sodium as the general public:

Saturated fat <10% of total calories
Cholesterol <300mg per day
Avoid trans fat
Sodium <2300mg per day

6. Individuals who are overweight or obese should aim for modest weight loss (greater than or equal to 7% of their starting weight).
7. Nutrition counseling, preferably provided by a Registered Dietitian familiar with the com-ponents of diabetes nutrition therapy, is an important tool to help people with diabetes achieve their treatment goals.

The needs of the individual and the importance of honoring personal tastes and cultural prefer-ences are influential in encouraging people with diabetes to follow a healthful diet and lifestyle.

Try these healthy, delicious recipes:

Mini Crab Cakes with Dill Mayonnaise
Courtesy of Weight Watchers Simply Delicious

Ingredients
1 pound cooked jumbo lump crabmeat
1/4 c. plain dry bread crumbs
1/2 c. reduced-calorie mayonnaise
1/4 c. grated onion
4 tsp Dijon mustard
1 egg white
4 drops hot pepper sauce
1/2 c. cornflake crumbs
1/4 c. sweet pickle relish
2 Tbsp chopped dill
1 Tbsp canola oil

Method
1. Combine the crabmeat, bread crumbs, 1/4 cup of the mayonnaise, onion, 3 teaspoons of mustard, egg white, and hot pepper sauce in a bowl. Form into 14 patties.
2. Place the cornflake crumbs on wax paper. Dredge the patties in the crumbs, transfer to a plate, and refrigerate, covered, for 30 minutes
3. Combine remaining 1/4 cup mayonnaise, relish, dill and mustard in small bowl.
4. Heat oil in a large nonstick skillet. Add the patties a few at a time; cook until crisp and golden, about 3 minutes. Flip and cook 2-3 minutes more. Serve with the mayonnaise mixture.

Calories: 94; Fat: 5g; Sat Fat: 1g; Sodium: 252mg; Carbohydrate: 6g; Protein: 7g

Ginger-Spiced Pumpkin Pie
Courtesy of Diabetes Self-Management Magazine

Ingredients
1 c. finely crushed gingersnap cookies
1/4 c. margarine or butter, melted
2 large egg whites
3/4 c. packed light brown sugar
1 can (15 ounces) solid-pack pumpkin
1 c. canned evaporated skimmed milk
1 tsp vanilla
1 tsp ground ginger
1 tsp ground cinnamon
1/2 tsp salt

Method
1. Combine crushed cookies and margarine/butter in medium bowl; mix well. Press onto bot-tom and up sides of a 9-inch, deep-dish pie plate. Refrigerate 30 minutes.
2. Preheat oven to 350 degrees F. Beat egg whites and brown sugar in large bowl. Add pump-kin, milk, vanilla, cinnamon, ginger and salt; mix well. Pour into crust.
3. Bake 60-70 minutes or until center is set. Transfer pie to wire rack; cool 30 minutes. Serve warm or at room temperature.

Serves 8
Calories: 230, Fat: 7g, Sat Fat: 1g, Sodium: 355mg; Carbohydrate: 38g; Protein: 5g.

Editor’s Note: Jill Ashbey-Pejoves RD, CDE, CDN is a Registered Dietitian at Northern Westchester Hospital.

The Center for Diabetes at Northern Westchester Hospital is dedicated to providing a wide range of services and programs for people with diabetes. In addition to supporting the needs of inpatients, the Center offers a comprehensive outpatient education program that focuses on meeting the individual needs of persons living with diabetes and their families. The Center also sponsors a monthly diabetes support group for adult patients. For more information on any of our Diabetes programs, call 914.666.1861.

The National Diabetes Education Program (NDEP) and its partners want you to know that if you have diabetes, you are at greater risk for heart disease. Lower that risk by managing the diabetes ABCs: the A1C test, Blood Pressure, Cholesterol and Stop Smoking. Learn how to control the ABCs of Diabetes.

 

New York Labor and Delivery Nurse on the Helpful Aspects of Electronic Fetal Monitoring

Posted on: November 18, 2014

Why Electronic Fetal Monitoring is a Woman’s Friend

by Enid Nwosisi

What is Electronic Fetal Monitoring?
As a labor and delivery nurse, I find that the majority of expectant moms need electronic fetal monitoring (EFM) at least once during their pregnancy. In addition, during labor, all women need EFM, either intermittently or continuously.

By providing critical information about the medical status of fetus and mother during pregnancy and labor, EFM plays an essential role in helping to ensure a successful pregnancy and delivery. The test results either reassure the care provider and family that the pregnancy and delivery can continue safely, or indicate the need for intervention. Continue reading

Warm Up Before You Run

Posted on: October 30, 2014

GETTING READY FOR A RUN?

by Dennis McGovern

Running FeetWith the New York City Marathon upon us, lots of people will be inspired to start their own running program. I love the idea of setting ambitious fitness goals, but you’ll want to take some precautions to avoid injury. Continue reading