Medical trainees skipped protocols
Updated: Thursday, 13 May 2010, 6:18 PM MDT
Published : Thursday, 13 May 2010, 11:56 AM MDT
Reporter: Kaitlin McCarthy
Web Producer: Blair Shiff
ALBUQUERQUE (KRQE) - The wrong equipment, improper training and no paper trail has made for a potentially disastrous situation that could have exposed up to 33 people to HIV and hepatitis.
University of New Mexico graduate students in the physician assistant program thought they were doing a community service when they offered free diabetes testing at the Indian Pueblo Cultural Center in Albuquerque on Saturday, April 24. In all, about 55 people had their blood sugar tested.
“The device used to prick the finger to get the blood sample for testing was meant for single patient use and not for multiple patients,” Dr. Bob Bailey, the associate dean for clinical affairs at the UNM School of Medicine, explained.
By using that lancet on the 50-plus patients, some may have been exposed to serious diseases like HIV, hepatitis B and hepatitis C if a fresh needle wasn’t used. As many as 33 people may have been pricked by a used needle.
“Despite direct faculty supervision, three mistakes were made. They used the wrong device, they were not properly trained on how to use the device, and no record of people tested was kept,” Bailey said.
Once the people are tested for the diseases doctors will know if anyone was infected.
“At this time people who would have been infected at the event or potentially exposed [to the diseases], we would not expect them to have a positive HIV or hepatitis C test,” Dr. Susan Kellie with the med school said.
UNM will cover the costs of the recommended tests for those diseases.
“We want to work with those individuals to make it right by them,” Bailey said.
The debacle has already changed the way public testing is done. Bailey said those lancets will never be used again, those being tested will now be required to sign consent forms, and their contact information will be collected.
The testing mistake took place on April 24. Hospital officials are encouraging those who think they were affected to come forward. Call 1-888-899-6092 to ask for more details.
Thursday, May 13, 2010
7 Things to Stop Doing Now on Facebook
Using a Weak Password
Avoid simple names or words you can find in a dictionary, even with numbers tacked on the end. Instead, mix upper- and lower-case letters, numbers, and symbols. A password should have at least eight characters. One good technique is to insert numbers or symbols in the middle of a word, such as this variant on the word "houses": hO27usEs!
Leaving Your Full Birth Date in Your Profile
More from ConsumerReports.org:
• Millions of Users Exposing Personal Information
• Tested: 119 Laptops, Desktops, Netbooks and iPad
• Electronics Reviews
It's an ideal target for identity thieves, who could use it to obtain more information about you and potentially gain access to your bank or credit card account. If you've already entered a birth date, go to your profile page and click on the Info tab, then on Edit Information. Under the Basic Information section, choose to show only the month and day or no birthday at all.
Overlooking Useful Privacy Controls
For almost everything in your Facebook profile, you can limit access to only your friends, friends of friends, or yourself. Restrict access to photos, birth date, religious views, and family information, among other things. You can give only certain people or groups access to items such as photos, or block particular people from seeing them. Consider leaving out contact info, such as phone number and address, since you probably don't want anyone to have access to that information anyway.
Popular Stories on Yahoo!:
• 20 Best Cities to Ride Out the Recession
• Wealth Ranking: You're Richer Than You Think
• 7 Expenses You Can Ditch in Retirement
--------------------------------------------------------------------------------
More from Yahoo! Finance
Posting Your Child's Name in a Caption
Don't use a child's name in photo tags or captions. If someone else does, delete it by clicking on Remove Tag. If your child isn't on Facebook and someone includes his or her name in a caption, ask that person to remove the name.
Mentioning That You'll Be Away From Home
That's like putting a "no one's home" sign on your door. Wait until you get home to tell everyone how awesome your vacation was and be vague about the date of any trip.
Letting Search Engines Find You
To help prevent strangers from accessing your page, go to the Search section of Facebook's privacy controls and select Only Friends for Facebook search results. Be sure the box for public search results isn't checked.
Permitting Youngsters to Use Facebook Unsupervised
Facebook limits its members to ages 13 and over, but children younger than that do use it. If you have a young child or teenager on Facebook, the best way to provide oversight is to become one of their online friends. Use your e-mail address as the contact for their account so that you receive their notifications and monitor their activities. "What they think is nothing can actually be pretty serious," says Charles Pavelites, a supervisory special agent at the Internet Crime Complaint Center. For example, a child who posts the comment "Mom will be home soon, I need to do the dishes" every day at the same time is revealing too much about the parents' regular comings and goings.
Consumer Reports has no relationship with any advertisers on Yahoo!
Copyrighted 2009, Consumers Union of U.S., Inc. All Rights Reserved.
Avoid simple names or words you can find in a dictionary, even with numbers tacked on the end. Instead, mix upper- and lower-case letters, numbers, and symbols. A password should have at least eight characters. One good technique is to insert numbers or symbols in the middle of a word, such as this variant on the word "houses": hO27usEs!
Leaving Your Full Birth Date in Your Profile
More from ConsumerReports.org:
• Millions of Users Exposing Personal Information
• Tested: 119 Laptops, Desktops, Netbooks and iPad
• Electronics Reviews
It's an ideal target for identity thieves, who could use it to obtain more information about you and potentially gain access to your bank or credit card account. If you've already entered a birth date, go to your profile page and click on the Info tab, then on Edit Information. Under the Basic Information section, choose to show only the month and day or no birthday at all.
Overlooking Useful Privacy Controls
For almost everything in your Facebook profile, you can limit access to only your friends, friends of friends, or yourself. Restrict access to photos, birth date, religious views, and family information, among other things. You can give only certain people or groups access to items such as photos, or block particular people from seeing them. Consider leaving out contact info, such as phone number and address, since you probably don't want anyone to have access to that information anyway.
Popular Stories on Yahoo!:
• 20 Best Cities to Ride Out the Recession
• Wealth Ranking: You're Richer Than You Think
• 7 Expenses You Can Ditch in Retirement
--------------------------------------------------------------------------------
More from Yahoo! Finance
Posting Your Child's Name in a Caption
Don't use a child's name in photo tags or captions. If someone else does, delete it by clicking on Remove Tag. If your child isn't on Facebook and someone includes his or her name in a caption, ask that person to remove the name.
Mentioning That You'll Be Away From Home
That's like putting a "no one's home" sign on your door. Wait until you get home to tell everyone how awesome your vacation was and be vague about the date of any trip.
Letting Search Engines Find You
To help prevent strangers from accessing your page, go to the Search section of Facebook's privacy controls and select Only Friends for Facebook search results. Be sure the box for public search results isn't checked.
Permitting Youngsters to Use Facebook Unsupervised
Facebook limits its members to ages 13 and over, but children younger than that do use it. If you have a young child or teenager on Facebook, the best way to provide oversight is to become one of their online friends. Use your e-mail address as the contact for their account so that you receive their notifications and monitor their activities. "What they think is nothing can actually be pretty serious," says Charles Pavelites, a supervisory special agent at the Internet Crime Complaint Center. For example, a child who posts the comment "Mom will be home soon, I need to do the dishes" every day at the same time is revealing too much about the parents' regular comings and goings.
Consumer Reports has no relationship with any advertisers on Yahoo!
Copyrighted 2009, Consumers Union of U.S., Inc. All Rights Reserved.
Recipe to boost calories
Calorie Boosters
Add calorie-dense foods to dishes increase their caloric impact. Use the following suggestions to fortify foods and boost calories:
• Margarine or butter: Add to casseroles, hot cereals, vegetables, potatoes, noodles, soups, and puréed foods. Spread on bread, sandwiches, and muffins.
• Mayonnaise: Spread on bread and sandwiches and use as a garnish for appropriate puréed foods. Use in egg, chicken, tuna, and meat salads or their alternate ground or puréed foods.
• Peanut butter: Use as a snack on bread, pretzels, apples, and celery. Blend into cookies, brownies, and milk shakes. (Do not use peanut butter for mechanical soft diets or dysphagia diets. For puréed diets, use creamy peanut butter only if puréed into another recipe, such as puréed sandwiches, muffins, and cookies.)
• Sour cream: Use on mashed potatoes and noodles and as a dip.
• Half-and-half or cream: Add to milk shakes, hot chocolate, and other beverages; pour over cereals; and use in cream soups and puddings.
• Other calorie-dense foods: Casseroles with added calorie boosters, cheese, corn syrup*, cream cheese, evaporated milk, gravy, honey*, ice cream floats and sundaes*, jelly*, maple syrup*, oils, pudding*, salad dressings, soups (made with whole milk or half-and-half), syrup*, and whipped cream. (Foods marked with an asterisk are high in simple sugars and must be counted into the day’s total carbohydrate if on a carbohydrate-controlled diet.)
Protein Boosters
Add high-protein items such as powdered milk, cheese, eggs, and peanut butter to foods to boost their protein value. The following suggestions are intended to help boost protein intake for people who have difficulty eating high-protein foods:
• Skim milk powder: Mix 1 cup of skim milk powder into 1 qt of whole milk and use in recipes for creamed soups, hot cocoa, cooked cereals, cooked custard or pudding, casseroles, and mashed potatoes. Skim milk powder can also be added to scrambled eggs, soups, casseroles, meatloaf or meatballs, cookies and muffins, and puréed foods. If using dry milk powder, start by adding 1 T of skim milk powder per serving.
• Milk or half-and-half: Use instead of water for soups, cereals, and instant cocoa. Add to milk shakes, hot chocolate, and other beverages; pour over cereals; and use in cream soups and puddings.
• Cheese sauce: Add to casseroles and soups and pour over vegetables.
• Eggs (cooked only): Plain, in egg dishes, and added to mixed dishes.
• Peanut butter: Use as a snack on bread, pretzels, apples, and celery. Blend into cookies, brownies, and milk shakes. (Do not use peanut butter for mechanical soft or dysphagia diets. For puréed diets, use creamy peanut butter only if puréed into another recipe.)
• Other high-protein foods: Cottage cheese, yogurt, meat, fish, poultry, commercially prepared high-calorie/high-protein supplements such as beverages*, fortified or enhanced foods, juices, milk shakes*, and puddings*.
— Becky Dorner, RD, LD, is a speaker and an author who provides publications, presentations, and consulting services to enhance the quality of care for the nation’s older adults. Visit www.beckydorner.com for free articles, newsletters, and information.
Enhanced/Fortified Food Recipes
Fortified Oatmeal
Serves 10
Ingredients:
3 1⁄3 cups oatmeal
5 cups half-and-half
2 1⁄2 cups water
1 1⁄4 tsp salt
3 1⁄3 T margarine
10 T brown sugar
Directions:
Measure half-and-half, water, salt, and margarine into saucepan and bring to a boil. Add oatmeal and cook until thick. Serve with brown sugar on top. Hold at 135˚F or higher until service.
Cool any leftovers to less than 41˚F within 4 hours for storage. Reheat leftovers to 165˚F for a minimum of 15 seconds prior to serving (hold at 135˚F or higher for service).
Nutrient Analysis: 1/2 cup portion = 331 calories, 6.6 g protein, 38 g carbohydrate, 18 g total fat, 44 mg cholesterol, 397 mg sodium, 3 g dietary fiber
Note: Oatmeal must be puréed for level 1 puréed diets.
Super Soup
Serves 10
Ingredients:
Three 10 3/4-oz cans condensed cream soup (cream of celery, chicken, mushroom, potato, or onion)
Three 10 3/4-oz cans half-and-half
Directions:
Measure ingredients into an appropriate-sized pan and whisk together (use soup can to measure the half-and-half). Heat to boiling, stirring constantly. Maintain temperature at 135˚F or higher for holding and service.
Cool any leftovers to less than 41˚F within four hours for storage. Reheat leftovers to 165˚F for a minimum of 15 seconds prior to serving (hold at 135˚F or higher for service).
Nutrient Analysis: 3/4 cup (6 oz) portion = 217 calories, 5.3 g protein, 11.4 g carbohydrate, 17 g total fat, 44 mg cholesterol, 703 mg sodium, (dietary fiber depends on the type of soup but is negligible)
Power Potatoes
Serves 10
Ingredients:
3 1/3 cups mashed potato flakes
1 1/4 cups water
3 1/3 cups half-and-half cream
5 T margarine
1 1/2 tsp salt
Directions:
Heat water, half-and-half cream, margarine, and salt in a saucepan just to boiling. Do not overheat or cream will curdle. Remove from heat. Stir in mashed potato flakes until moistened. Let stand 30 seconds or until liquid is absorbed. Whip with spoon until fluffy. Add additional hot liquid if potatoes are too stiff. Serve with margarine or gravy to moisten. Hold at 135˚F or higher for service.
Cool any leftovers to less than 41˚F within 4 hours for storage. Reheat leftovers to 165˚F for a minimum of 15 seconds prior to serving (hold at 135˚F or higher for service).
Nutrient Analysis: 1/2 cup portion = 226 calories, 4 g protein, 19.7 g carbohydrate, 15 g total fat, 29 mg cholesterol, 475 mg sodium, 13 g dietary fiber
Variations:
• Sour Cream: Serve with 1 to 2 T sour cream per serving.
• Cheesy: Mix in 1 T grated cheddar cheese per serving.
• Garlic: Substitute garlic salt for salt in the recipe.
For additional recipes, visit www.beckydorner.com/membersonly. (Free membership required to access full document.)
Add calorie-dense foods to dishes increase their caloric impact. Use the following suggestions to fortify foods and boost calories:
• Margarine or butter: Add to casseroles, hot cereals, vegetables, potatoes, noodles, soups, and puréed foods. Spread on bread, sandwiches, and muffins.
• Mayonnaise: Spread on bread and sandwiches and use as a garnish for appropriate puréed foods. Use in egg, chicken, tuna, and meat salads or their alternate ground or puréed foods.
• Peanut butter: Use as a snack on bread, pretzels, apples, and celery. Blend into cookies, brownies, and milk shakes. (Do not use peanut butter for mechanical soft diets or dysphagia diets. For puréed diets, use creamy peanut butter only if puréed into another recipe, such as puréed sandwiches, muffins, and cookies.)
• Sour cream: Use on mashed potatoes and noodles and as a dip.
• Half-and-half or cream: Add to milk shakes, hot chocolate, and other beverages; pour over cereals; and use in cream soups and puddings.
• Other calorie-dense foods: Casseroles with added calorie boosters, cheese, corn syrup*, cream cheese, evaporated milk, gravy, honey*, ice cream floats and sundaes*, jelly*, maple syrup*, oils, pudding*, salad dressings, soups (made with whole milk or half-and-half), syrup*, and whipped cream. (Foods marked with an asterisk are high in simple sugars and must be counted into the day’s total carbohydrate if on a carbohydrate-controlled diet.)
Protein Boosters
Add high-protein items such as powdered milk, cheese, eggs, and peanut butter to foods to boost their protein value. The following suggestions are intended to help boost protein intake for people who have difficulty eating high-protein foods:
• Skim milk powder: Mix 1 cup of skim milk powder into 1 qt of whole milk and use in recipes for creamed soups, hot cocoa, cooked cereals, cooked custard or pudding, casseroles, and mashed potatoes. Skim milk powder can also be added to scrambled eggs, soups, casseroles, meatloaf or meatballs, cookies and muffins, and puréed foods. If using dry milk powder, start by adding 1 T of skim milk powder per serving.
• Milk or half-and-half: Use instead of water for soups, cereals, and instant cocoa. Add to milk shakes, hot chocolate, and other beverages; pour over cereals; and use in cream soups and puddings.
• Cheese sauce: Add to casseroles and soups and pour over vegetables.
• Eggs (cooked only): Plain, in egg dishes, and added to mixed dishes.
• Peanut butter: Use as a snack on bread, pretzels, apples, and celery. Blend into cookies, brownies, and milk shakes. (Do not use peanut butter for mechanical soft or dysphagia diets. For puréed diets, use creamy peanut butter only if puréed into another recipe.)
• Other high-protein foods: Cottage cheese, yogurt, meat, fish, poultry, commercially prepared high-calorie/high-protein supplements such as beverages*, fortified or enhanced foods, juices, milk shakes*, and puddings*.
— Becky Dorner, RD, LD, is a speaker and an author who provides publications, presentations, and consulting services to enhance the quality of care for the nation’s older adults. Visit www.beckydorner.com for free articles, newsletters, and information.
Enhanced/Fortified Food Recipes
Fortified Oatmeal
Serves 10
Ingredients:
3 1⁄3 cups oatmeal
5 cups half-and-half
2 1⁄2 cups water
1 1⁄4 tsp salt
3 1⁄3 T margarine
10 T brown sugar
Directions:
Measure half-and-half, water, salt, and margarine into saucepan and bring to a boil. Add oatmeal and cook until thick. Serve with brown sugar on top. Hold at 135˚F or higher until service.
Cool any leftovers to less than 41˚F within 4 hours for storage. Reheat leftovers to 165˚F for a minimum of 15 seconds prior to serving (hold at 135˚F or higher for service).
Nutrient Analysis: 1/2 cup portion = 331 calories, 6.6 g protein, 38 g carbohydrate, 18 g total fat, 44 mg cholesterol, 397 mg sodium, 3 g dietary fiber
Note: Oatmeal must be puréed for level 1 puréed diets.
Super Soup
Serves 10
Ingredients:
Three 10 3/4-oz cans condensed cream soup (cream of celery, chicken, mushroom, potato, or onion)
Three 10 3/4-oz cans half-and-half
Directions:
Measure ingredients into an appropriate-sized pan and whisk together (use soup can to measure the half-and-half). Heat to boiling, stirring constantly. Maintain temperature at 135˚F or higher for holding and service.
Cool any leftovers to less than 41˚F within four hours for storage. Reheat leftovers to 165˚F for a minimum of 15 seconds prior to serving (hold at 135˚F or higher for service).
Nutrient Analysis: 3/4 cup (6 oz) portion = 217 calories, 5.3 g protein, 11.4 g carbohydrate, 17 g total fat, 44 mg cholesterol, 703 mg sodium, (dietary fiber depends on the type of soup but is negligible)
Power Potatoes
Serves 10
Ingredients:
3 1/3 cups mashed potato flakes
1 1/4 cups water
3 1/3 cups half-and-half cream
5 T margarine
1 1/2 tsp salt
Directions:
Heat water, half-and-half cream, margarine, and salt in a saucepan just to boiling. Do not overheat or cream will curdle. Remove from heat. Stir in mashed potato flakes until moistened. Let stand 30 seconds or until liquid is absorbed. Whip with spoon until fluffy. Add additional hot liquid if potatoes are too stiff. Serve with margarine or gravy to moisten. Hold at 135˚F or higher for service.
Cool any leftovers to less than 41˚F within 4 hours for storage. Reheat leftovers to 165˚F for a minimum of 15 seconds prior to serving (hold at 135˚F or higher for service).
Nutrient Analysis: 1/2 cup portion = 226 calories, 4 g protein, 19.7 g carbohydrate, 15 g total fat, 29 mg cholesterol, 475 mg sodium, 13 g dietary fiber
Variations:
• Sour Cream: Serve with 1 to 2 T sour cream per serving.
• Cheesy: Mix in 1 T grated cheddar cheese per serving.
• Garlic: Substitute garlic salt for salt in the recipe.
For additional recipes, visit www.beckydorner.com/membersonly. (Free membership required to access full document.)
White Bread vs. Wheat Bread
Simply switching from white to whole wheat bread can lower heart disease risk by 20 percent, according to research from the University of Washington reported in the April 2, 2003 issue of The Journal of the American Medical Association.
Lisa Barley
I know whole wheat bread and white bread are different, but how exactly?
There are two big differences: how they’re processed and how healthful they are. The flour
for both is made from wheat berries, which have three nutrient-rich parts: the bran (the outer layers), the germ (the innermost area) and the endosperm (the starchy part in between). Whole wheat is processed to include all three nutritious parts, but white flour uses only the endosperm. When put head-to-head with whole wheat bread, white is a nutritional lightweight. Whole wheat is much higher in fiber, vitamins B6 and E, magnesium, zinc, folic acid and chromium.
But of all these nutritional goodies, fiber is the star:
*In a 10-year Harvard study completed in 1994, men and women who ate high-fiber breads had fewer heart attacks and strokes than those whose tastes ran to bagels and baguettes.
*Simply switching from white to whole wheat bread can lower heart disease risk by 20 percent, according to research from the University of Washington reported in the April 2, 2003
issue of The Journal of the American Medical Association.
*Fiber has long been known to aid digestive health too.
*Fiber can help you lose or maintain weight because eating fiber-dense wheat bread helps you feel full.
But a lot of white bread is enriched. Doesn’t that take care of the nutrients lost during refining?
Nope. When flour is refined, it loses the most nutritious parts of the grain—the fiber, essential fatty acids, and most of the vitamins and minerals. In fact, about 30 nutrients are removed, but
by law only five must be added back (though others often are): iron, niacin, thiamin, riboflavin and folic acid. There’s so little fiber left after processing that you’d have to eat eight pieces of white bread to get the fiber in just one piece of whole wheat bread.
Other foods besides whole grains have fiber and nutrients. Can’t I just get what I need from them and still enjoy my dinner rolls?
Whole grains provide health benefits that other foods don’t. In a Harvard study of 75,000 nurses, those who ate at least three servings a day of whole grains cut their heart attack risk by 35 percent and were less likely to get into weight or bowel trouble. By contrast, those who ate more processed foods—such as white bread, white rice and sodas—were more than twice as likely to develop diabetes. “Science continues to support the key role of whole grains in reducing chronic illnesses,” says Len Marquart, professor of nutrition at the University of Minnesota and author of the first health claim for whole grains approved by the US Food and Drug Administration.
How can I tell if bread is really whole wheat?
Color used to be a clue, but no more. Although white bread is white because it’s been bleached, some dark bread has just had caramel coloring added to it. Look for “whole grain” or “whole wheat” as the first ingredient on the label. If any other ingredient is first, put the loaf back and keep looking.
Is bread a vegan food?
Not usually. Many of the breads sold in grocery stores contain non-vegan ingredients, including milk, eggs, honey, shortening or whey—not to mention sodium stearyl lactylate, glycerides, emulsifiers, natural flavorings, artificial flavorings and lactase, all of which may be derived from animals. Vegans often have better luck at bakeries but still need to ask if the bread pans are greased with animal fat. If you like to bake, you can make your own bread. But if that doesn’t interest you, try Rudi’s Organic, Nature’s Path or Brownberry’s—they all produce vegan breads available nationwide.
Lisa Barley
I know whole wheat bread and white bread are different, but how exactly?
There are two big differences: how they’re processed and how healthful they are. The flour
for both is made from wheat berries, which have three nutrient-rich parts: the bran (the outer layers), the germ (the innermost area) and the endosperm (the starchy part in between). Whole wheat is processed to include all three nutritious parts, but white flour uses only the endosperm. When put head-to-head with whole wheat bread, white is a nutritional lightweight. Whole wheat is much higher in fiber, vitamins B6 and E, magnesium, zinc, folic acid and chromium.
But of all these nutritional goodies, fiber is the star:
*In a 10-year Harvard study completed in 1994, men and women who ate high-fiber breads had fewer heart attacks and strokes than those whose tastes ran to bagels and baguettes.
*Simply switching from white to whole wheat bread can lower heart disease risk by 20 percent, according to research from the University of Washington reported in the April 2, 2003
issue of The Journal of the American Medical Association.
*Fiber has long been known to aid digestive health too.
*Fiber can help you lose or maintain weight because eating fiber-dense wheat bread helps you feel full.
But a lot of white bread is enriched. Doesn’t that take care of the nutrients lost during refining?
Nope. When flour is refined, it loses the most nutritious parts of the grain—the fiber, essential fatty acids, and most of the vitamins and minerals. In fact, about 30 nutrients are removed, but
by law only five must be added back (though others often are): iron, niacin, thiamin, riboflavin and folic acid. There’s so little fiber left after processing that you’d have to eat eight pieces of white bread to get the fiber in just one piece of whole wheat bread.
Other foods besides whole grains have fiber and nutrients. Can’t I just get what I need from them and still enjoy my dinner rolls?
Whole grains provide health benefits that other foods don’t. In a Harvard study of 75,000 nurses, those who ate at least three servings a day of whole grains cut their heart attack risk by 35 percent and were less likely to get into weight or bowel trouble. By contrast, those who ate more processed foods—such as white bread, white rice and sodas—were more than twice as likely to develop diabetes. “Science continues to support the key role of whole grains in reducing chronic illnesses,” says Len Marquart, professor of nutrition at the University of Minnesota and author of the first health claim for whole grains approved by the US Food and Drug Administration.
How can I tell if bread is really whole wheat?
Color used to be a clue, but no more. Although white bread is white because it’s been bleached, some dark bread has just had caramel coloring added to it. Look for “whole grain” or “whole wheat” as the first ingredient on the label. If any other ingredient is first, put the loaf back and keep looking.
Is bread a vegan food?
Not usually. Many of the breads sold in grocery stores contain non-vegan ingredients, including milk, eggs, honey, shortening or whey—not to mention sodium stearyl lactylate, glycerides, emulsifiers, natural flavorings, artificial flavorings and lactase, all of which may be derived from animals. Vegans often have better luck at bakeries but still need to ask if the bread pans are greased with animal fat. If you like to bake, you can make your own bread. But if that doesn’t interest you, try Rudi’s Organic, Nature’s Path or Brownberry’s—they all produce vegan breads available nationwide.
Should a Dietician, Dietary or Restaurant Manager report an unlicensed place of work?
I had the pleasure of almost working for a Nursing home in the past without its nursing home license. They said during an interview for a CDM they wanted one for patients who were tube feeders or ambulatory residents for their facility. During my interview I asked many questions and to my shock the administrator at the time said to me that they were in a rush to open and that they were still waiting on a license 2 months away. I was personally shocked at finding out my state over looked this- as I relented it to my CDM friend Laura. After an investigation online and by word of mouth, what I found was appalling: several nursing home health facilities in my state of Illinois had no licenses and even more worst, no RD or CDM.
All managers today need to be Certified Dietary Managers. Last year Government in Illinois was working on a statute in which Hospital and Nursing Homes can no longer contract out the companies like Morrison or many others. In the end, because of my integrity I called this company back and decline there offer for employment due to my own personal policy of not working for an unlicensed faculty.
Illinois Gov. Pat Quinn has formed a state Nursing Home Safety Task Force that he says will improve safety at nursing homes and for nursing home residents.
Quinn announced the task force and named his senior health policy advisor, Michael Gelder, to head the panel. Six state agencies and departments will participate in the task force. According to the governor's office, the task force will examine nursing policies and procedures in addition to other duties.
Quinn says the task force will make sure nursing homes are "a safe haven for residents, many of whom are among our most vulnerable and needy." He says this will be done "with all deliberate speed."
I was so proud and happy to hear this and hope other managers think and learn about what they would do in the same situation.
All managers today need to be Certified Dietary Managers. Last year Government in Illinois was working on a statute in which Hospital and Nursing Homes can no longer contract out the companies like Morrison or many others. In the end, because of my integrity I called this company back and decline there offer for employment due to my own personal policy of not working for an unlicensed faculty.
Illinois Gov. Pat Quinn has formed a state Nursing Home Safety Task Force that he says will improve safety at nursing homes and for nursing home residents.
Quinn announced the task force and named his senior health policy advisor, Michael Gelder, to head the panel. Six state agencies and departments will participate in the task force. According to the governor's office, the task force will examine nursing policies and procedures in addition to other duties.
Quinn says the task force will make sure nursing homes are "a safe haven for residents, many of whom are among our most vulnerable and needy." He says this will be done "with all deliberate speed."
I was so proud and happy to hear this and hope other managers think and learn about what they would do in the same situation.
Soy foods may curb hip fracture risk in older women
Soy beans are seen after being harvested in the outskirts of Gualeguaychu city, 230 km (143 miles) north …
By Joene Hendry Joene Hendry – Fri Oct 16, 1:29 pm ET
NEW YORK (Reuters Health) – Postmenopausal women may lessen their chances of fracturing a hip by adding soy-based foods to their diet, a study from Singapore hints.
Women in the study were 21 to 36 percent less likely to fracture a hip when they reported eating a moderate amount of soy, Dr. Woon-Puay Koh, at the National University of Singapore, and colleagues found.
In their study, daily moderate soy intake was at least 2.7 grams of soy protein, 5.8 milligrams of soy isoflavones per 1000 calories, or the equivalent of 49.4 grams of tofu.
This level of soy is consistently "higher than the low levels of consumption in the West," Koh told Reuters Health in an email.
Koh's team assessed dietary soy intake of more than 63,000 Chinese men and women who were 45 to 74 years old when, between 1993 and 1998, they enrolled in the Singapore Chinese Health Study.
Follow-up through the end of 2006 showed 276 men and 692 women had fractured a hip.
The men were about 71 years old and the women about 73 years old, on average, when they suffered the fracture, the investigators report in the American Journal of Epidemiology.
As mentioned, moderate soy intake was associated with a reduced risk of hip fracture among women, but not among men.
The current findings are consistent with those of a previous investigation in postmenopausal Chinese women in Shanghai who showed a 30 percent reduced risk for hip fracture among those consuming higher amounts of soy.
Koh and colleagues surmise that the bone-protective effects of soy isoflavones may play a critical role in the bone health of postmenopausal women.
They call for further investigations to confirm and clarify this association.
SOURCE: American Journal of Epidemiology, October 1, 2009
By Joene Hendry Joene Hendry – Fri Oct 16, 1:29 pm ET
NEW YORK (Reuters Health) – Postmenopausal women may lessen their chances of fracturing a hip by adding soy-based foods to their diet, a study from Singapore hints.
Women in the study were 21 to 36 percent less likely to fracture a hip when they reported eating a moderate amount of soy, Dr. Woon-Puay Koh, at the National University of Singapore, and colleagues found.
In their study, daily moderate soy intake was at least 2.7 grams of soy protein, 5.8 milligrams of soy isoflavones per 1000 calories, or the equivalent of 49.4 grams of tofu.
This level of soy is consistently "higher than the low levels of consumption in the West," Koh told Reuters Health in an email.
Koh's team assessed dietary soy intake of more than 63,000 Chinese men and women who were 45 to 74 years old when, between 1993 and 1998, they enrolled in the Singapore Chinese Health Study.
Follow-up through the end of 2006 showed 276 men and 692 women had fractured a hip.
The men were about 71 years old and the women about 73 years old, on average, when they suffered the fracture, the investigators report in the American Journal of Epidemiology.
As mentioned, moderate soy intake was associated with a reduced risk of hip fracture among women, but not among men.
The current findings are consistent with those of a previous investigation in postmenopausal Chinese women in Shanghai who showed a 30 percent reduced risk for hip fracture among those consuming higher amounts of soy.
Koh and colleagues surmise that the bone-protective effects of soy isoflavones may play a critical role in the bone health of postmenopausal women.
They call for further investigations to confirm and clarify this association.
SOURCE: American Journal of Epidemiology, October 1, 2009
How to calculate calories burned when walking
Write now Invite a writer™ Add to Favorites RSS Feed 1
of 9
by Art Vandelay
Calculating the exact number of calories a person has burned performing an activity is just about impossible without using some sophisticated equipment. Therefore, keep in mind that, for the most part, you are not going to be
read more
2
of 9
by Siew Cheng Hoe
You want to lose weight. You want to burn more calories than you consume in a day. You want to walk to lose weight. You want to know how much calories burned from an hour of walking. How do you calculate calories burned
read more
3
of 9
by Aldo Bonincontro
An empirical formula calculates the energy spent when you walk or run. Your body weight affects much the energy spent; the more you weight, the more energy you consume. This formula make the calculation for a date speed; if this
read more
4
of 9
by Susan Quilty
Walking is great exercise and there are many ways to calculate the calories burned while walking. There are devices that count calories for you as well as simple guidelines to let you calculate the calories burned yourself.
The
read more
5
of 9
by C. M. Erickson
Many exercisers know that walking is a phenomenal calorie burning exercise that has an exceptionally low injury rate and can be performed almost anywhere. Many people use walking as their favored fitness activity, and naturally
read more
6
of 9
by Can Tran
One formula I can think of is something that I used when playing Dance Dance Revolution. When you play Dance Dance Revolution, they have a formula worked out with one step burning off a certain amount of calories. However, your
read more
7
of 9
by K Bert
There is many calorie burning calculators widely available on the Internet today and while I find them quite funny and entertaining there is no way they can be reliable or accurate.
There is so many things to consider before the
read more
8
of 9
by Sean Curtis
In general, you will walk about 2000 steps per mile and your body will burn about 100 calories per hour. With these simple estimates, it's easy to calculate how many calories you burn when you walk.
If you simply want a rough estimate
read more
9
of 9
by Anuradha Mishra
I think its quite simple the more you walk the more calories you will burn.
I also have a simple formula .....
Just walk more and eat less than your hunger. That will help you to count your calories easily or maybe you won't have
by Anuradha MishraI think its quite simple the more you walk the more calories you will burn.
I also have a simple formula .....
Just walk more and eat less than your hunger. That will help you to count your calories easily or maybe you won't have to count your calories because you are on the right track for reducing and staying fit.
'Counting calories' is in fact very essential while eating because we all know that some foods have more calories and some have less.
Free Calorie CounterKeep track of calories & carbs plus get meal and fitness planner Free!www.sparkpeople.comCaloriesFind out exactly how many calories burned for any activity or exercisewww.neversaydiet.comLose 18LBS in 4 DaysYes, You Have Read This Correctly! As Seen On ABC, NBC and FOXTheSlimDownSecret.comBut 'calculating calories burned while walking' is essential if you are walking less and maybe eating normal or more but when eating less than the amount of activity or 'walking; which can be easily done by eating just a little less than your hunger or just simply eating less fatty foods and more of healthy foods will automatically burn your calories and you may not need to count your calories.
The above program is for normal individual but if one is overweight and trying to reduce counting your 'calories' is absolutely essential to know where you stand. Here again I say to do as I said earlier exercise or 'walk' more and eat less.
Hence wish you happy walking while you burn your calories.
Remember to burn a little more calories by writing for HELIUM articles. I promise you its an excellent exercise ......? yes of course ! of brain just as 'walking for burning your calories'.
Learn more about this author, Anuradha Mishra.
of 9
by Art Vandelay
Calculating the exact number of calories a person has burned performing an activity is just about impossible without using some sophisticated equipment. Therefore, keep in mind that, for the most part, you are not going to be
read more
2
of 9
by Siew Cheng Hoe
You want to lose weight. You want to burn more calories than you consume in a day. You want to walk to lose weight. You want to know how much calories burned from an hour of walking. How do you calculate calories burned
read more
3
of 9
by Aldo Bonincontro
An empirical formula calculates the energy spent when you walk or run. Your body weight affects much the energy spent; the more you weight, the more energy you consume. This formula make the calculation for a date speed; if this
read more
4
of 9
by Susan Quilty
Walking is great exercise and there are many ways to calculate the calories burned while walking. There are devices that count calories for you as well as simple guidelines to let you calculate the calories burned yourself.
The
read more
5
of 9
by C. M. Erickson
Many exercisers know that walking is a phenomenal calorie burning exercise that has an exceptionally low injury rate and can be performed almost anywhere. Many people use walking as their favored fitness activity, and naturally
read more
6
of 9
by Can Tran
One formula I can think of is something that I used when playing Dance Dance Revolution. When you play Dance Dance Revolution, they have a formula worked out with one step burning off a certain amount of calories. However, your
read more
7
of 9
by K Bert
There is many calorie burning calculators widely available on the Internet today and while I find them quite funny and entertaining there is no way they can be reliable or accurate.
There is so many things to consider before the
read more
8
of 9
by Sean Curtis
In general, you will walk about 2000 steps per mile and your body will burn about 100 calories per hour. With these simple estimates, it's easy to calculate how many calories you burn when you walk.
If you simply want a rough estimate
read more
9
of 9
by Anuradha Mishra
I think its quite simple the more you walk the more calories you will burn.
I also have a simple formula .....
Just walk more and eat less than your hunger. That will help you to count your calories easily or maybe you won't have
by Anuradha MishraI think its quite simple the more you walk the more calories you will burn.
I also have a simple formula .....
Just walk more and eat less than your hunger. That will help you to count your calories easily or maybe you won't have to count your calories because you are on the right track for reducing and staying fit.
'Counting calories' is in fact very essential while eating because we all know that some foods have more calories and some have less.
Free Calorie CounterKeep track of calories & carbs plus get meal and fitness planner Free!www.sparkpeople.comCaloriesFind out exactly how many calories burned for any activity or exercisewww.neversaydiet.comLose 18LBS in 4 DaysYes, You Have Read This Correctly! As Seen On ABC, NBC and FOXTheSlimDownSecret.comBut 'calculating calories burned while walking' is essential if you are walking less and maybe eating normal or more but when eating less than the amount of activity or 'walking; which can be easily done by eating just a little less than your hunger or just simply eating less fatty foods and more of healthy foods will automatically burn your calories and you may not need to count your calories.
The above program is for normal individual but if one is overweight and trying to reduce counting your 'calories' is absolutely essential to know where you stand. Here again I say to do as I said earlier exercise or 'walk' more and eat less.
Hence wish you happy walking while you burn your calories.
Remember to burn a little more calories by writing for HELIUM articles. I promise you its an excellent exercise ......? yes of course ! of brain just as 'walking for burning your calories'.
Learn more about this author, Anuradha Mishra.
Dietician jobs
Jobs in Dietetics
Growth opportunity, Relocation Help Licensure fees paid. Search now!
www.RegisteredDietitianCareer.com
Nutrition Career
Earn up To $200 Per Hour After Graduation. Start Your Career Now!
IntegrativeNutrition.com?School
Dietician Registered
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To plan, organize, develop and direct the overall operation of the Dietary Department in accordance with current federal, state and local standards, guidelines and regulations governing our facility, and as may be directed by the...
30+ days ago from Golden Living
Dietician-Part Time Staff Hourly
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Genesis HealthCare?We're setting the standard for clinical excellence and responsiveness in meeting the unique needs of every resident and patient in our care. We??re focused on becoming the recognized leader in clinical quality and...
22 days ago from Genesis HealthCare
Registered Dietician
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To plan, organize, develop and direct the overall operation of the Dietary Department in accordance with current federal, state and local standards, guidelines and regulations governing our facility, and as may be directed by the...
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Dietician - CDM
360 Healthcare Staffing - Stockton, CA
Interim, Temp to Perm, and Direct Hire opportunity. Long Term Care Facility, located in Beautiful Stockton CA. Start date ASAP. Minimum 3 years experience required.Manage the operation of the Dietary Department to include staffing, food...
30+ days ago from 360 Healthcare Staffing
Registered Dietitian / Registered Dietician
Communicare - East Cleveland, OH
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30+ days ago from HealthCareerWeb.Com
FEE PAID / FULL TIME DIETICIAN
Aureus Medical Group - Kansas
lroad. With their rich western heritage and warm hospitality, this bustling community of approximately 30,000 is a great place to work and live. Our client is looking for a Clinical Dietician to cover a contract for at least 8 weeks in...
1 day ago from Aureus Medical Group
Registered Dietician
Associated Urological Specialists - Chicago Ridge, IL
Associated Urological Specialists, LLC is looking to add an experienced Registered Dietitian to provide nutritional guidance and wellness education to our patients being treated for Prostate Cancer. Job Description: Develop and implement...
9 days ago from ChicagoJobs.com
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care services is looking for a PART TIME/REGISTERED DIETICIAN to complete nutritional assessments, participate in care planning, meal rounding with patients, and work with a multidisciplinary team to achieve excellence in patient care. WE...
3 days ago from JobNewsUSA.com
Outpatient Dialysis Renal Dietician Job
Foundation Medical Staffing - Phoenix, AZ
Dialysis Renal Dietician Job in Eastern ArizonaRural location in need of a dietician in an outpatient ... schedule optionsCall today to find out moreRenal Dietician needed for a rural dialysis clinic in eastern...
30+ days ago from Hospital Jobs Online
Clinical Dietician
Medical Connections - Fort Dodge, KS
Clinical DieticianInpatient Facility Salary: $20/hr New Grad, $25/hr 3+ years of experience Area is proud to have one of the finest public school systems in Kansas. Whether you enjoy golf, tennis, hunting, fishing, bowling, camping,...
11 days ago from HealthCareerWeb.Com
Growth opportunity, Relocation Help Licensure fees paid. Search now!
www.RegisteredDietitianCareer.com
Nutrition Career
Earn up To $200 Per Hour After Graduation. Start Your Career Now!
IntegrativeNutrition.com?School
Dietician Registered
Golden Living - Middleborough Center, MA
To plan, organize, develop and direct the overall operation of the Dietary Department in accordance with current federal, state and local standards, guidelines and regulations governing our facility, and as may be directed by the...
30+ days ago from Golden Living
Dietician-Part Time Staff Hourly
Genesis Healthcare - Philadelphia, PA
Genesis HealthCare?We're setting the standard for clinical excellence and responsiveness in meeting the unique needs of every resident and patient in our care. We??re focused on becoming the recognized leader in clinical quality and...
22 days ago from Genesis HealthCare
Registered Dietician
Golden Living - Mount Airy, NC
To plan, organize, develop and direct the overall operation of the Dietary Department in accordance with current federal, state and local standards, guidelines and regulations governing our facility, and as may be directed by the...
7 hours ago from Golden Living
Dietician - CDM
360 Healthcare Staffing - Stockton, CA
Interim, Temp to Perm, and Direct Hire opportunity. Long Term Care Facility, located in Beautiful Stockton CA. Start date ASAP. Minimum 3 years experience required.Manage the operation of the Dietary Department to include staffing, food...
30+ days ago from 360 Healthcare Staffing
Registered Dietitian / Registered Dietician
Communicare - East Cleveland, OH
Dietician If you still have a little room in your heart for our residents, here's your chance to join a dynamic team of professionals as we care for the elderly with dignity! Candlewood Park Healthcare Center currently has a part time...
30+ days ago from HealthCareerWeb.Com
FEE PAID / FULL TIME DIETICIAN
Aureus Medical Group - Kansas
lroad. With their rich western heritage and warm hospitality, this bustling community of approximately 30,000 is a great place to work and live. Our client is looking for a Clinical Dietician to cover a contract for at least 8 weeks in...
1 day ago from Aureus Medical Group
Registered Dietician
Associated Urological Specialists - Chicago Ridge, IL
Associated Urological Specialists, LLC is looking to add an experienced Registered Dietitian to provide nutritional guidance and wellness education to our patients being treated for Prostate Cancer. Job Description: Develop and implement...
9 days ago from ChicagoJobs.com
Registered Dietician
NHC Healthcare - Memphis, TN
care services is looking for a PART TIME/REGISTERED DIETICIAN to complete nutritional assessments, participate in care planning, meal rounding with patients, and work with a multidisciplinary team to achieve excellence in patient care. WE...
3 days ago from JobNewsUSA.com
Outpatient Dialysis Renal Dietician Job
Foundation Medical Staffing - Phoenix, AZ
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30+ days ago from Hospital Jobs Online
Clinical Dietician
Medical Connections - Fort Dodge, KS
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11 days ago from HealthCareerWeb.Com
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