In addition to following a good diet and exercise program, taking an antioxidant supplement like coenzyme Q10 (CoQ10) is also a good practice to help maintain a healthy heart, according to Dr. Hemmi N. Bhagavan, director of the Department of Nutrition Science at Tishcon Corporation.

CoQ10 is a vital vitamin-like nutrient and an antioxidant found naturally in the body. Unfortunately, our bodies start producing less CoQ10 as we age. The main job of CoQ10 is to facilitate conversion of food into energy. CoQ10 is recognized for the following:

* Supporting heart and vascular health – The heart is one of the most important organs in the body, and therefore it’s a good idea to provide your heart with all the tools it needs, like CoQ10, to keep beating.

* CoQ10 can help maintain blood pressure levels already in the normal range – High blood pressure affects many Americans due to diet, genetics and/or lack of exercise, and can lead to heart disease or stroke. About one in three American’s suffer from high blood pressure, according to the Centers for Disease Control and Prevention. Keeping your blood pressure at a lower level helps to keep your heartbeat strong.

* Helps produce energy – CoQ10 helps your cells burn food, producing energy. Having more of this nutrient in your body can help boost your energy.

* Increasing antioxidants – Antioxidants fight off free radicals that can cause damage in your body

* Benefitting statin drug users – Statins can interfere with the production of CoQ10, because CoQ10 is synthesized in the same way the body produces cholesterol. Twenty-two percent of Americans over the age of 45 take a statin drug, according to the National Health and Nutrition Examination Survey in 2010.

“A heart-healthy supplement is highly-recommended for patients, especially patients who are taking statin drugs to help lower their cholesterol levels,” says Bhagavan. “A CoQ10 supplement like Qunol Ultra CoQ10 can help promote better heart health, and boost a patient’s energy levels at the same time. Qunol Ultra CoQ10 is both water and fat soluble, meaning its absorption is much higher (300 percent better) than traditional CoQ10 supplements that are solely fat soluble, providing the user with health benefits faster.”

Visit www.qunol.com to learn more about how a daily CoQ10 supplement can give you an energy boost while also protecting your heart health.

NJ Doctors

1. Shoes that suit the exercise

It’s important to select shoes that are designed to perform each specific workout activity; a running shoe may look similar to a tennis shoe, but they feel different. Consumers should go to a specialty store for a proper fitting and select a style that suits their specific needs; those with flat feet should choose motion-control shoes, while those with a high arch should opt for greater cushioning.

2. Low-impact resistance band

A resistance band provides an inexpensive way to perform a variety of low-impact yet effective exercises, particularly for smaller body parts that are harder to train using free weights. Bands come in several different tension levels to increase the workout’s difficulty, and their small size allows for easy storage and portability when on a trip.

3. Motivational MP3 player

Listening to music while exercising can help maximize each workout session, but finding the right music player can prove challenging. The Sansa Clip Zip MP3 player from SanDisk features a stopwatch for timing laps, an FM radio and a hands-free design that makes it easy to enjoy music while working out. The player is available for under $50 and is compatible with all major audio formats, including AAC (DRM-free iTunes) songs, audio books and podcasts.

4. Exercise ball for daily use

The exercise ball is popular in gyms across the country and even at many workplaces as a substitute for a desk chair. The ball is a great tool for building the core muscles such as abs, back and hips, which help promote overall stabilization of the body.

5. Comfortable yoga mat

Lying on the floor during a workout can feel uncomfortable, but a good mat can make all the difference. A good yoga mat can cushion the hard surface of a tile or wood floor and protect a carpet from extra wear and tear. Most mats are thin but offer excellent padding and grip; they won’t slide across the floor and fitness buffs won’t slide on the mats.

NJ Doctors

American Diabetes Association EXPOs are free and held in 11 major cities across the country. They have everything consumers need to know about diabetes, products, healthy eating and exercise.

One person who appreciates these EXPOs is Steve Shaffer of Denver, Colo. Shaffer has had type 1 diabetes for 33 years. “EXPO has been a great experience for me over the years I’ve attended, exposing me to a variety of useful information on diabetes and what’s going on in my community,” he said.

EXPOs include health screenings, cooking demonstrations, product and service exhibitors as well as leading experts talking about diabetes management and prevention. “I learned even more about diabetes from vendors, key speakers and professionals at EXPO,” Shaffer added. “It’s an educational event not just for individuals with diabetes, but also for those who help take care of a loved one with the disease.”

Shaffer is also an avid cyclist; he learned about the Association’s Tour de Cure cycling event at an EXPO and has been a volunteer for the cause ever since.

Type 2 diabetes can be prevented if you maintain a healthy diet, increase physical activity and maintain a healthy weight. If not controlled, diabetes can lead to complications such as blindness, amputations, and heart and kidney disease.

There are currently nearly 26 million people living in the U.S. with diabetes, 7 million of whom are undiagnosed. Visiting an EXPO event is one way you can become part of movement to Stop Diabetes.

For more information about diabetes or to find an EXPO in your area, call (800) DIABETES (800-342-2383) or visit www.diabetes.org/expo.

NJ Doctors

The presence of the common causes of spring allergies – pollen and mold – can fluctuate depending on a number of weather-related factors. Here are some of the conditions that can affect pollen counts, according to the experts at the American College of Allergy, Asthma and Immunology (ACAAI).

* Length of the growing season. Longer growing seasons might be a good thing for farmers and gardeners, but it can mean increased misery for allergy sufferers, as it increases the time pollen and mold are present as well.

* Erratic weather.  A warmer-than-usual winter season, as experienced this year, makes trees pollinate earlier. If spring weather fluctuates greatly between warm and cold spells, it can result in more intense periods of pollen release during the warm spells, when plants take the cue to grow and release pollen.

* Rainfall. Rain can be either a good thing or a bad thing for allergy sufferers, depending on when it happens. The worst allergy seasons are often preceded by a wet spring, which promotes rapid plant growth later on. But rain can also provide a much-needed respite for those with allergies, as a heavy rainfall can help clear the air of pollen.

* Wind.  Dry and windy weather is not kind to people with allergies, as the wind spreads pollen and mold.

Since so many factors contribute to high pollen counts, it’s all but impossible to predict how intense an allergy season will be. However, in addition to taking steps to limit your exposure to allergens that affect you, seeing an allergist before the season starts can also help ensure you find relief.

Why see an allergist?

Allergists are not only trained to treat your systems, but can identify the source of your allergies and develop a treatment plan to address your symptoms. A doctor who is also a certified allergist can teach you how to avoid potential triggers for your allergies, and recommend treatment options that may go beyond over-the-counter medications.

An allergist may also recommend allergy shots, also known as immunotherapy, which can alter the progression of allergies, providing more than just symptom relief. Even if an allergy shot might not be for you, an allergist can recommend both prescription and over-the-counter medications that can best treat your symptoms.

“You can waste a lot of time, money and energy treating yourself instead of seeing an allergist,” says Dr. James Sublett, an allergist and chair of the ACAAI Public Relations Committee.

In fact, studies suggest immunotherapy, when used on the appropriate patients, can result in health care cost savings of up to 41 percent. To learn more about allergy symptoms and treatment, or to find an allergist, visit www.allergyandasthmarelief.org.

NJ Doctors

(ARA) – If there is one thing that the recent health care debate made clear, it is that Americans are unwilling to trade quality for economy when it comes to their health. But with the growing shortage of primary care physicians in the United States and an aging population, one trend born in underserved areas of the country may have the ability to cut costs without sacrificing quality: the use of non-physician professionals, such as physician assistants and nurse practitioners, in primary care facilities.

Physician assistants and nurse practitioners can provide clear benefits for the financial side of the health care industry. When patients see a physician assistant or nurse practitioner instead of a physician, medical practices are able to serve more patients for a lower cost while receiving the same amount in reimbursement for many procedures. This is because the non-physician professionals are paid less than physicians, yet many services are reimbursed the same, regardless of which practitioner provides the care.

“Using non-physician professionals can increase the effectiveness of the clinic’s providers by allowing the physician assistant or nurse practitioner to take care of less complicated patient issues and leaving the physician to treat the more complex cases,” Marta E. Urdaneta, Ph.D., chair of the healthcare management program at the Savannah, Ga., campus of South University.

Urdaneta says that in rural and other under-served areas, non-physician professionals have been providing care for years, but the pattern is increasing even in more dense and affluent areas.

But are patients comfortable with being treated by medical professionals without “MD” behind their names? Doris Parrish, RN, Ph.D., nursing program director at South University’s Savannah campus, says that Americans have a growing acceptance of care provided by non-physicians.

“Patients are not only becoming more used to receiving care from nurse practitioners and other non-physician providers, but they aren’t seeing any reduction in the quality of care,” says Parrish. “And, in fact, patient satisfaction scores are very good for both physician assistants and nurse practitioners.”

Recent studies, including ones published in the journals of the American Academy of Physician Assistants (2006) and the American Academy of Nurse Practitioners (2007), have found that in routine situations, patients trust the technical competence of physicians and non-physician providers alike.

But patient satisfaction is about communication as well as competence. And since physicians usually have responsibility for more patients than non-physician providers do, a nurse practitioner or physician assistant may have more time to talk to patients – and to listen to them.

Being able to navigate the complex diagnoses and treatment options in modern medicine is important. And since non-physician professionals work under the supervision of a physician, they can seek advice and confirmation of decisions when necessary.

That kind of teamwork is the key to quality care, says Urdaneta.

“As each member of the team focuses on an aspect of care from their professional perspective, it is vital that all work together in order to provide seamless, quality service without unnecessary costs or complications.”

As physician assistants and nurse practitioners become more common throughout the country, patients are beginning to embrace the idea of the team approach to health care and the notion that costs can be cut without a decrease in quality.

NJ Doctors

In addition to their concern, many parents also seem unaware of the proper ways to deal with their child’s fever. In fact, in the survey of more than 1,000 parents of children younger than 12, more than half said they have sent their child back to school or daycare less than 24 hours after a fever passed, and nearly a quarter admitted to giving their children an adult over-the-counter medication at an estimated lower dose to treat a fever.

“Even some of the most seasoned parents worry about fever,” says Dr. Alanna Levine, a nationally recognized pediatrician, mother of two and spokesperson for Children’s Advil. “It’s the most common reason I’m paged after office hours. I like to reassure parents with ‘fever phobia’ that fever is their friend.”

On its HealthyChildren.org website, the American Academy of Pediatrics (AAP) points out that fever is the body’s natural response to infection. The AAP also notes that a fever does not necessarily mean a child needs to go to the emergency room or even see a doctor.

Yet one third of pediatricians surveyed by Pfizer estimate that up to half of their patient’s parents have taken their child to the emergency room due to a fever before calling the doctor. And 94 percent of the doctors surveyed said they feel parents need more education on fever management.

Levine has partnered with Children’s Advil this cold and flu season to offer parents some helpful advice for proper management of their child’s fever:

* Stay cool. Remember that most fevers indicate that the body is fighting an underlying illness.

* Be prepared. Talk to your pediatrician about fever at the start of cold and flu season, and ask for information on proper fever management. Also, check your medicine cabinet to ensure that all medications have not expired or been recalled. Check recalls.gov to stay aware of any recalls.

* Watch for serious signs. Generally, you should call your pediatrician if your child is 3 months or younger and has a fever of 100 degrees or higher, if your child is older than 3 months and has a fever that exceeds 103 degrees, if your child has a fever and looks and acts very sick, or if the fever lasts for more than three days. As always, call your pediatrician with any concerns.

* Dose appropriately. More than a third of parents dose their children primarily based on age, rather than weight, according to the survey. Yet, weight is more accurate and the basis preferred by doctors. If weight is not known, dosing by age is acceptable.

* Do not give your child an adult medication. Nearly one in four parents surveyed admit to giving their children an adult over-the-counter fever medication at an estimated lower dose. Parents should always use a children’s medication and never give an adult product to a child, unless specifically recommended by your child’s physician.

* Medicate wisely. When choosing a fever medication, be sure to consider how long it will last. For example, Children’s Advil, which contains ibuprofen, provides up to eight hours of relief with just one dose.

* Let sleeping children rest. More than half of parents surveyed said they wake their child in the middle of the night just to give them fever medication, yet most pediatricians believe a sleeping child should not be awakened solely to be given fever medication. Parents should closely monitor their children, and if they have any concerns about treating the child’s fever, they should check with their pediatrician.

* Allow time to recover. The AAP recommends that parents keep their children home from school or daycare until the child is fever-free for at least 24 hours.

You can learn more about fevers and Children’s Advil at www.ChildrensAdvil.com or at Facebook.com/ChildrensAdvil.

“The goal of treating the fever is really to make the child feel better,” Levine says. “During this cold and flu season, all parents should be armed with the proper facts about fevers and how to manage them.”

Pfizer Consumer Healthcare, the maker of Children’s Advil, sponsored this article.

NJ Doctors

Bipolar disorder, also known as manic depression, is a brain disorder that causes extreme shifts in mood, energy, and behavior. It is characterized by episodes of “highs” called bipolar mania and “lows” called bipolar depression. People with bipolar disorder spend approximately 70 percent of their time in a depressive episode when symptomatic. Bipolar disorder can be disruptive and may interfere with a person’s ability to handle everyday tasks, such as going to work or participating in family life.

“I tell my patients that a New Year’s resolution is a great opportunity to develop and implement a healthy management plan that includes mental health goals,” said Dr C. Brendan Montano, director of neuroscience research, Connecticut Clinical Trials. “I encourage patients to take a fresh look at how they currently manage the condition and consider discussing with their physician in the New Year.”

As you look at your 2012 New Year’s resolutions, think about the following tips as ways to help manage bipolar disorder.

• Take action – Work with your doctor to discuss a treatment plan, which may include medication.
• Set goals – Setting goals helps give you something specific to work toward. Think about where you want to be in a month and work toward that goal. It could be something as simple as attending one support group a week.
• Stay on track – Staying on track with your medication, doctor appointments and any support group meetings can be important components to managing bipolar disorder.
• Be open and honest – When talking to your doctor, be open and honest about your symptoms and concerns. Your doctor depends on you to let him or her know exactly how you are feeling and about any changes you may have experienced since your last visit. Your doctor might want to change or add medications to your treatment plan. One treatment option, which is approved to treat both the manic highs and depressive lows, is SEROQUEL XR® (quetiapine fumarate) extended-release tablets.
• Talk to others – Talking to other qualified health professionals may be a good way to share your successes and also learn about ways to help manage bipolar disorder.
• Seek support – Hearing from other people with bipolar disorder can provide you with a fresh perspective and perhaps additional ways to help manage bipolar disorder. Seek out local mental health support groups that you can join.

NJ Doctors

(ARA) – Each year, an estimated 71,000 children are treated in emergency rooms for accidental medication poisonings, many of which are caused by dosing mistakes. Thankfully, while health care professionals or poison control resources resolve most issues, extreme cases that go untreated can result in complications, particularly in very young children.

“Many well-intentioned caregivers can get mixed up when it comes to administering medication,” says Dr. Michael App, a pediatrician in Grand Rapids, Mich. “With so many factors playing a role in proper dosage, such as weight and age of the child, it is essential that caregivers closely follow the directions on the label to avoid potentially life-threatening mistakes.”

Several manufacturers of children’s medications are also making efforts to improve safety and reduce the likelihood of errors. Perrigo Company, the world’s largest manufacturer of over-the-counter pharmaceutical products for retailers’ store brands, has been investing in equipment to insert “flow restrictors” in the bottles of all of their pediatric acetaminophen products. Flow restrictors reduce the size of the bottle opening and limit access to the medicine inside the bottle. Perrigo has added flow restrictors to all of its infants’ products and began converting the packaging of all of its children’s products with flow restrictors in January 2012. Perrigo is also participating in the Centers for Disease Control and Consumer Healthcare Products Association PROTECT initiative, which is bringing together experts to create strategies to reduce unsupervised medication ingestion in children.

Experts remind caregivers to be diligent and avoid these common medicine mistakes:

Not paying attention to potential drug interactions

Caregivers should always check medication labels and take care to avoid administering multiple drugs at the same time, unless recommended or prescribed by a pediatrician. Also, before administering medicine, caregivers should always review the enclosed packaging materials and directions.

Overmedicating due to measuring errors

When administering medicine, caregivers should always use the dosing device provided by the pharmacist or manufacturer, and never attempt to “eyeball” the proper amount. That household teaspoon your mom used? According to a study in the International Journal of Clinical Practice, household spoons or similar objects can hold two to three times more liquid than standardized materials. Most pediatricians recommend using a syringe over any other dispensing device for the most accuracy.

Basing the dose on age instead of weight

“Children grow at different rates, which makes it hard for parents and doctors to base dosage recommendations on age,” says App. “Since children metabolize medicine differently depending on how much they weigh, this is how most manufacturers label their dosage recommendations – not based on age. This is especially important for children who are over- or underweight.”

Forgetting vitamins

As with adults, doctors need to know every medication or vitamin that a child is taking, as certain vitamins can decrease the effectiveness of medicines or cause complications. Caregivers should always have a list of medicines on hand that lists the types and dosage amounts of every medication, vitamin and supplement that a child takes, as well as a list of allergies.

Not taking medicine as directed

Most prescriptions, especially antibiotics, are meant to be used in full. Even though a child may feel better, it is important to complete the dosage, or else the illness could recur. Furthermore, this practice can ultimately contribute to the development of antibiotic-resistant bacteria. In the same vein, caregivers should avoid giving leftover pills from a previous prescription for something they “self-diagnose” to be the same as a previous illness. It is also important to avoid giving medicine for any purpose other than that specified by the instructions.
Failing to adhere to expiration dates

Manufacturers list expiration dates on packaging for a reason, as these dates are generally based on internal testing that demonstrates the longest period a medicine is known to be effective. Using medicine left in the cabinet after it has expired can result in reduced effectiveness.

“Parents should always ask their pharmacist or pediatrician if there are any special precautions or directions with any drug – over-the-counter or prescription – their child is taking,” says App.

NJ Doctors

“I tell them you can take my blood pressure right now, or we can have a run around the block, and I guarantee you I’m in better shape than you,” said Meagher, 68, who now lives in Westport, Mass. “I’m fit, at least for my age, and I use salt every day in volume. Hasn’t done me a blind bit of harm, which is the way we put it from where I come from.”

Recent research quantifies Meagher’s experience. In 2011, half a dozen medical studies showed the health benefits of salt or revealed the significant risks of low-sodium diets — providing vindication for this essential nutrient and the people, like Meagher, who love it.

“The vindication of salt is probably the biggest health and nutrition story of the last year,” says Lori Roman, president of the Salt Institute. “Everyone knows salt tastes good, but the latest research published in leading medical journals confirms that salt is good for you, too. The medical studies underline what we have been saying for years: science is on salt’s side.”

The new data raises questions about the federal government’s effort to put Americans on a low-salt diet. The Food and Drug Administration is inviting online public comments about ways to reduce sodium consumption. In the past, such invitations have foreshadowed the rollout of new regulations.

The six peer-reviewed medical studies documented:

Type 1 Diabetes risk: In a study of patients with type 1 diabetes, low sodium intake was associated with renal disease and premature death.

Type 2 Diabetes risk: In an Australian study of type 2 diabetes patients, lower sodium was associated with increased risk of death from cardiovascular disease.

No benefit to salt reduction: A study published in the American Journal of Hypertension showed eating less salt will not prevent heart attacks, strokes or early death. On the contrary, low-sodium diets increase the likelihood of premature death.

Risk of death: A study published in the Journal of the American Medical Association concluded that lower salt intakes resulted in higher death rates.

Other negative effects of low-salt intakes: An analysis published in the American Journal of Hypertension showed individuals placed on the U.S. Dietary Guidelines-recommended salt levels experienced significant increases in cholesterol and other risk factors for diabetes and cardiovascular disease.

Risk with current U.S. Dietary Guidelines: An analysis published in the Journal of the American Medical Association showed that people who ate salt at the levels recommended by the U.S. government were at greater risk of cardiovascular events.

The research has prompted new scrutiny of the government’s attempts to put all Americans on a low-salt diet. Scientific American reviewed medical studies over several decades and concluded in a headline: “It’s time to end the war on salt.” The respected magazine also said, “The zealous drive by politicians to limit our salt intake has little basis in science.”

Meagher remembers when the federal government told him eggs could be bad for his health. He ignored that advice, too.

“I would rather the federal government stay well away from my kitchen altogether,” Meagher says. “I will continue to eat my boiled eggs from an egg cup, with an egg spoon, and with plenty of salt.”

NJ Doctor

NJ Top Dentists

Scotch Plains, NJ

Each February, the dental community, both public and private sectors, come together to guarantee the delivery of care to thousands of underprivileged children who otherwise may not be able to access dental care.  This year, the program will be held on Friday, February 3, 2012 at locations across New Jersey represented in every county in order to bring awareness to one of the most prominent childhood diseases: tooth decay.

Services provided include oral hygiene education, screenings, cleanings, x-rays, fillings, extractions, fluoride treatments, stainless steel crowns, and much more.  Volunteers work to guarantee the program is enjoyable and educational, while giving many children a brilliant first impression of visiting the dentist.

NJ Top Dentists would like to highlight three NJ Top Dentists whom are providers in this program, and are also featured on our site: KidZdent; Sam Romano, D.D.D.; and James J. Susack, D.M.D., P.C. Best of all, all procedures are done for free for those in need!  It is an honor to have some of our NJ Top Dentists participating in such a noble event.

KidZdent, a “Give Kids A Smile” participant located in Old Bridge, New Jersey, is dedicated to creating a lifetime of positive dental habits as well as guiding the development of the child’s dentition.  Infants, children, adolescents, as well as the handicapped, benefit from early preventive care and guidance. They are recognized for taking a young child, treating their teeth so they are free of disease, making their visits fun, guiding their teeth and jaws into proper alignment, and giving them something to really smile about.

“Statistics show that 40% of children have dental decay by the time they attend Kindergarten.  Underprivileged children have dental issues at a much higher rate than those who regularly visit a dentist. The ‘Give Kids A Smile’ program was created to provide access to dental care for those children in need.  As Chairman of the New Jersey ‘Give Kids A Smile’ program, I felt that if we offered a day of free dental care for children across our State, then we might be able to convert those children to become regular patients of a dentist who can care for them for life.  Sometimes opening a door is all that is needed to give people a chance to improve their oral health.  ‘Give Kids A Smile’ is my chance as a leader in the field of Pediatric Dentistry to help underprivileged children to travel the road toward a lifetime of beautiful, healthy smiles.”

-Cavan M. Brumsden, D.M.D.

For more information on KidZdent’s spectacular services, please visit their NJ Top Dentist profile at: http://www.njtopdocs.com/KidZdentPediatric

Dr. Sam Romano, who has been practicing in his home town of Madison, New Jersey for 26 years, wholeheartedly believes in providing his patients with a caring environment focused around their overall health. Dr. Romano has spent countless hours developing the skills to listen to his patients needs, understanding their problems, developing a plan to implement the treatment in a way that builds lifetime relationships for generations to come.

“I learned from my mother at a very young age that the greatest gift you can give is the gift of helping others.  For the past 26 years I have started every day in my practice with that simple idea. “Give Kids A Smile” provides a wonderful opportunity to give back to the underserved of your own community, making it a better place for everyone.” – Sam Romano, D.M.D.

For more information on Dr. Sam Romano’s outstanding practice, visit this NJ Top Dentist’s profile at: http://www.njtopdocs.com/DrSamuelRomano .

Dr. James Susack, who has been practicing dentistry for more than 20 years in Pennsville, New Jersey, will provide one day of free preventative and emergency dental care, and if necessary, make referrals for continuing treatment for children ages  12 and under as part of National Children’s Dental Health Month.  Children who come to Dr. Susack’s office on February 3, 2012 for the “Give Kids a Smile” event will receive a comprehensive dental exam, oral healthcare instruction, fluoride treatments, and dental hygiene materials including toothbrushes, floss and toothpaste.

“Once again, it is time for the annual  `Give Kids A Smile’ day. The office has been eagerly looking forward to this year’s events.  It is an opportunity for us to give back to the community, especially in these hard economic times. We meet a lot of great people and especially wonderful kids. As usual, we are expecting lots of kids, laughter, and great smiles!” – James L. Susack, D.M.D., P.C.

Please visit http://www.njtopdocs.com/DrSusack  for more information on the terrific ongoings happening at Dr. Susack’s office.

The “Give Kids A Smile” (GKAS) program in New Jersey is the culmination of the efforts of several different organizations under the direction of the New Jersey Dental Association.

It is our pleasure to recognize the outstanding and giving nature of all the dentists involved in such a worthy event and a privilege to call many, NJ Top Dentists!

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NJTopDocs.com is a comprehensive information resource of Top Doctors, Dentists and Hospitals. We are profiling over 900 Healthcare Providers and have made it convenient for you to find them.

NJTopDocs.com allows patients to “meet” these providers online before making their appointment.

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