The Indianapolis Endoscopy Center is a licensed surgery center dedicated to the diagnosis, treatment and follow-up of gastrointestinal disease. Founded in 1994, Indianapolis Endoscopy Center is committed to providing quality care to all patients.
From: PEDIATRICS (doi:10.1542/peds.2008-2449)
Recommendations have been expanded to include all children ages 6 months to 18 years of age. Household members and out-of-home care providers for all children at high risk, adolescents, and all children under 5 years of age should also be immunized. Also, as usual, health care professionals and pregnant women should receive the vaccination.
The number of vaccine doses is age dependent. Children over the age of 9 who have never received an influenza vaccine only need one dose in their first season of being immunized. Any child under 9 years of age, receiving an influenza vaccine for the first time, should receive a second dose, four weeks after later. Children under 9 who received only one dose in previous seasons should receive 2 doses in the following season. This only applies “to the influenza season that follows the first year that child younger than 9 years receives an influenza vaccine.”
Efforts to immunize patients should begin at the onset of flu season and continue through May 1st as there can be multiple peaks of activity in one season.
In accord with Community North Hospital’s desire to offer regular Pediatric Grand Rounds, another session is scheduled for November 5th, 2008. Our next speaker is Chris Belcher MD, with Infectious Disease of Indiana. Dr Belcher is a pediatric infectious disease specialist, who supports physicians in our area on childhood infectious disease matters. He will be providing a lecture titled “Vaccination Update 2008”.
Again, these sessions are provided monthly and are eligible for CME. We will provide these offerings on the 1st Wednesday of each month at 7:30 am, in the multi-service conference rooms on the 3rd floor of the professional building. Breakfast refreshments will be served.
If you have any questions about this, you can contact Dr Robert Lindeman at Community North’s pediatric unit 317-621-5474.
Community’s first eCycling event was a partnership involving the network’s green team, Computer Experts Inc., Keep Indianapolis Beautiful, Virtual Scavengers and 1-800-GOT-JUNK. A team of volunteers processed donations during the 10-hour event in the Community North parking lot.
The event sought old electronic products—such as used computers, VCRs, DVD players, cell phones and televisions. Disposing of such items through regular trash pickups is not considered safe, due to hazardous materials they may contain. Equally important, in many cases these used electronics still have some good life left in them.
Virtual Scavengers, for example, reconditions old PCs, printers and monitors—or disassembles them for parts—and helps provide low-income families with low-cost technology and training. Donated items that were determined to have no potential for reuse were taken away for safe disposal by partner 1-800-GOT-JUNK. The preliminary weight total of objects that were e-cycled at the September 5 e-Cycling event was 27,292 pounds.
“I want to tell you how wonderful the whole event was for us. You work with an incredible group of people. The volunteers worked long, hard hours with enthusiasm and humor. We were also deeply touched by the enthusiasm of your donors; they were obviously genuinely excited by the knowledge that their ‘babies’ were going to remain in use and benefit other families," says John Crooks, executive director of Virtual Scavengers.
To see a video of the day's events, click here.
Looking for something to add flavor -- and a little kick -- to your salads, sandwiches, and grilled chicken? Nilima Mondal, cook at Community Hospital East, shared her recipe for spicy tomato ginger chutney:
1 c + 2 T cider vinegar
1 c + 2 T sugar
¾ c red wine vinegar
¼ c fresh ginger root, peeled & minced
1 T whole mustard seed
2 tsp Kosher salt
¾ tsp black pepper
1 tsp crushed red pepper flakes
¼ tsp ground cloves
1 ½ pounds plum tomatoes, diced ½ inch
½ pound fresh red peppers (sweet), seeded & diced ½ inch
In a heavy bottom non-reactive pan over medium high heat, bring all ingredients except tomatoes and diced red peppers to a boil. Let boil 8 to 10 minutes. Add tomatoes and fresh red peppers. Bring back to a boil. Reduce heat. Simmer 45 minutes to 1 hour, stirring often until most of liquid is evaporated and sauce coats the back of a spoon. Cool. Store in refrigerator covered for up to 3 weeks. (Makes 2 cups)
The chutney is a nice complement to ham, turkey, grilled chicken, or grilled portobello mushrooms. To make a salad dressing, whisk some additional oil and vinegar into the finished chutney. Bon Appetit!
If you don't want to do the cooking yourself, you can enjoy Nilima's creations at the Community Hospital East cafeteria daily, 7 a.m. to 7 p.m.
Community Health Network will host a bike rodeo for kids ages 7 to 12.
Saturday, September 27
10 a.m. to noon
Community Hospital North
The rodeo will be held in the parking lot on the south side of the hospital campus, just east of Community Regional Cancer Center. Participants should bring their bicycle and a helmet, if they have one. The event will include a helmet fitting station to ensure riders are receiving maximum benefit from their safety gear. Kids will also have the chance to visit three skill stations that will teach them how to stay safe, while having fun, on their bike.
“We are offering this free event as a public service to our local community,” says Tom O’Daniel, bike patrol coordinator and field training officer. “Young cyclists are encouraged to join us, rain or shine.”
Community's quality data are compared against national hospital averages and are provided for all network hospitals: Community Hospitals North, East, South and Anderson, and The Indiana Heart Hospital.
More information, including national averages for hospital quality data, can be found at http://www.hospitalcompare.hhs.gov
The FDA has issued a Health Information Advisory urging U.S. consumers to avoid all infant formula from China, after several brands sold there may have been contaminated with melamine, a chemical used in plastics. Although sales of infant formulas from China are illegal in the U.S., FDA officials are concerned that some formula from China may be on sale at ethnic grocery stores here. The FDA stresses there is no risk of contamination to the U.S. Domestic supply of infant formula. Melamine is known to cause kidney stones and other serious kidney conditions.
For more information, please go to the FDA Web site.
Football season is upon us, and although concussions occur year round, this seems like an appropriate time to briefly discuss concussions. Athletes who suffer a concussion during the season are at increased risk of recurrence during the same year. Studies have demonstrated a decrease in cognitive function in association with repeated head trauma. There are also concerns regarding second impact syndrome, but because of the very small number of documented cases, the diagnosis is controversial.
Data is not readily available to guide decisions about the timing of return to sports after concussion. However, conservative recommendations reflect concern regarding second impact syndrome. Sideline evaluation generally includes tests of mental function and coordination and provocation of symptoms such as headache, dizziness or unsteadiness with exertion.
Review the AAP/AAFP practice parameter on Acute Evaluation of Concussion
Review the 1997 American Academy of Neurology Practice Parameter
From PEDIATRICS Vol. 121 No. 5 May 2008, pp. 1062-1068 doi:10.1542/peds.2008-0564
The AAP Committee on Nutrition has updated its 1998 statement on the use of soy protein–based formulas in infant feeding.
In term infants, the few indications for use of soy formula in place of cow milk-based formula are: (a) for infants with galactosemia and hereditary lactase deficiency (rare) and (b) in situations in which a vegetarian diet is preferred.
Note:
1) For infants with documented cow milk protein allergy, extensively hydrolyzed protein formula should be considered, because 10% to 14% of these infants will also have a soy protein allergy.
2) Most previously well infants with acute gastroenteritis can be managed after rehydration with continued use of human milk or standard dilutions of cow milk-based formulas. Isolated soy protein-based formulas may be indicated when secondary lactose intolerance occurs.
3)Isolated soy protein-based formula has no advantage over cow milk protein-based formula as a supplement for the breastfed infant, unless the infant has one of the indications noted previously.
4)Soy protein-based formulas are not designed for or recommended for preterm infants.
5)The routine use of isolated soy protein-based formula has no proven value in the prevention or management of infantile colic or fussiness.
6)Infants with documented cow milk protein-induced enteropathy or enterocolitis frequently are as sensitive to soy protein and should not be given isolated soy protein-based formula. They should be provided formula derived from hydrolyzed protein or synthetic amino acids.
7)The routine use of isolated soy protein-based formula has no proven value in the prevention of atopic disease in healthy or high-risk infants.
Community North hospital will be providing monthly Grand Rounds with CME on pediatric topics effective October 1,2008. We will provide these offerings on the 1st Wednesday of each month at 7:30 am, in the multi-service conference rooms on the 3rd floor of the professional building. Breakfast refreshments will be served.
Our first speaker will be Community’s new pediatric neurologist, Dr Deb O’Donnell, who will be speaking on the Epidemiology of Seizures. This will be a great opportunity to meet Dr O’Donnell and learn more about pediatric seizures. If you have any questions about this, you can contact Dr Robert Lindeman at Community North’s pediatric unit 317-621-5474.
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