Central Jersey HealthWeek of June 24th 2016 1C

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Join Princeton HealthCare System and the Princeton Fitness and Wellness Center for our Five Mile Race and One Mile Fun Walk to benefit the Jim Craigie Center for Joint Replacement on September 10, 2016. Register today at www.princetonhealthinmotion.com.

Central Jersey Health2C Week of June 24th 2016 Central Jersey Health

Every day you use your hips and knees as you live your life: taking a walk, climbing the stairs, getting in and out of your car. If they’re not 100%, even little movements can cause you discomfort and pain. � e good news? Whether your pain is due to an injury or a condition such as arthritis, joint replacement surgery can provide a safe and e� ective remedy – and get you back on your feet faster than you imagined.

Jim Craigie Center for Joint ReplacementUniversity Medical Center of Princeton has been providing outstanding

orthopaedic care and joint replacement for decades and is proud to be home to the Jim Craigie Center for Joint Replacement. Led by a team of board certi� ed orthopaedic surgeons, a dedicated nurse navigator, specially trained nurses, skilled physical therapists and an outstanding sta� , it combines personalized, supportive care with the latest techniques in hip and knee replacement surgery and recovery. In fact, the expert surgeons at UMCP perform over 700 joint replacements each year!

We’re with you, every step of the way� e experts at the Jim Craigie Center for Joint Replacement have

created a comprehensive program to help eliminate your pain and restore your strength and mobility so you can reclaim your life as soon as possible. From pre-admission testing and education classes prior to surgery and rehabilitation and pain management a� erward, you will be informed about your care and actively involved with it at every step. You can even invite a family member or friend to play a very special role as your “Coach” as you prepare for surgery and recover from it. In most cases you’ll be on your feet walking – with very little or no pain – the very same day as surgery!

Nationally recognized care� e Jim Craigie Center for Joint Replacement has earned � e Joint

Commission’s Gold Seal of Approval® for its Total Hip Replacement Program and Total Knee Replacement Program.

Plus recently, UMCP was rated high performing in hip replacement and knee replacement as part of U.S. News & World Report’s Best Hospitals for Common Care ratings.

Reclaim your lifeDiscover how joint replacement can make a dramatic improvement in

your wellness and mobility. Talk to your doctor about joint replacement and then see one of our expert orthopaedic surgeons to learn more about what they can do to help you reclaim your life.

For more information about the Jim Craigie Center for Joint Replacement at UMCP or to � nd an orthopaedic surgeon on sta� at Princeton HealthCare System, call 1.888.PHCS4YOU (1.888.742.7496) or visit princetonhcs.org/jointreplacementcenter.

University Medical Center of Princeton is ensuring painful hips and knees won’t slow you down

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Diet and exercise needs change as men and women age

Maintaining a healthy weight is important at any age. But

avoiding being overweight or obese can be particularly crucial for seniors, considering many illnesses are tied to body weight. Maintaining a healthy immune system also can require eating a balanced, nutritionally sound diet.

The Geriatric Research, Education, and Clinical Center at Durham Medical Center in Virginia says people need to change how they eat for every decade they reach. Caloric intake should be reduced because individuals are generally moving around less, have less muscle and their metabolic rates decline. People who find that they are having trouble losing weight in their 50s and older may be basing weight-loss goals on calorie recommendations for younger people.

One challenging thing about eating less overall is supplementing with more nutrient-rich foods. Older bodies still require similar amounts of protein, vitamins and minerals as younger ones, but older men and women must balance that need with their need to consume fewer calories. Consuming more fruits, vegetables and lean protein sources, including beans, and choosing whole grains over refined starchy foods can be the key.

Watch what you drink, as well. Soft drinks and other sugary beverages may be packed with calories you don’t need. Choose unsweetened beverages and opt for water as much as possible. Protect yourself against dehydration, which can be harder to detect as you get older.

In addition to modifying food and beverage choices and reducing their calorie intake, seniors should continue to exercise. Healthy eating paired with moderate exercise remains one of the best

combinations for healthy weight loss or weight maintenance. The goal is to consume fewer calories and expend more energy. While cardiovascular exercises can be a good way to get the heart pumping and stimulate your metabolic rate, as you age you should perform strength-training and weight-bearing exercises as well. Muscle mass naturally diminishes with age, and according to the Mayo Clinic if you avoid strength exercises you can eventually lose muscle and increase the percentage of fat in your body. Strength training also helps you develop stronger bones, which can help prevent fractures. In addition, as you gain muscle, your body will begin to burn calories more efficiently, making your time in and out of the gym more productive.

Apart from diet and exercise, aging adults may need to consult with their doctors about nutritional

supplements. Your body may produce less stomach acid as you get older, making it more difficult to absorb vitamins from food, including vitamin B12 and vitamin D. Aging skin is less able to transform sunlight into the vitamin, which can affect the body’s ability to absorb calcium. Deficiencies in vitamins D and B12 and calcium can result in a number of health conditions. Routine blood work can help pinpoint whether you are deficient in key nutrients.

The body’s nutritional and fitness needs change as a person ages. Those uncertain about the lifestyle changes they will need to make should speak with their physicians.

Central Jersey Health Central Jersey HealthWeek of June 24th 2016 �C00229601.6.0x20.5.0624.ClareEstates.indd

he Clare Estate Assisted Living Community in Bordentown, New Jersey, is a truly unique and luxurious senior residential

community cloistered peacefully amid 10 acres of fully restored and modernized historic buildings, towering trees, natural spaces, and gardened lawns that offers a grand and historic estate setting found in few other senior communities. The Clare Estate blends the restored former monastery of the Sisters of Poor Clare, with newly constructed living units designed to harmonize with the historic architectural dignity of the expansive campus.

Spacious apartments offer a full complement of modern conveniences and services that accommodate both those with independent lifestyles and those who need assistance with daily living and personal care.

The Clare Estate respects that each resident brings a unique perspective and rich history of lifetime experiences. Our programming is focused on evoking positive memories, eliciting enthusiasm

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The Clare Estate Assisted Living Community

and encouraging interaction among the people in our community through a variety of ways, including art, poetry, music and more, helping even the most introverted resident find his or her voice.

Nestled within The Clare Estate is Anthony’s Walk, our secured memory care unit. On Anthony’s Walk, we create a home where new memories are created and shared, bringing joy to residents and their families. The unit is designed to encourage independence while allowing the resident to feel secure and empowered. The unit boasts lovely, bright sitting areas, a cozy dining room and a well-appointed interior garden for the residents to enjoy. When the weather is nice, residents enjoy the outdoors in a secure courtyard that includes walking paths, gardens and a sitting terrace. For Additional information contact:The Clare Estate, 201 Crosswicks StreetBordentown, NJ, NJ 08505 • 609-298-9960 email: info@theclareestate.com

Central Jersey Health4C Week of June 24th 2016 Central Jersey Health

ADVERTORIAL

“We take pride in providing state-of-the-art cardiac care with compassion to generations of patients in Central New Jersey.” said Dr. Rachana Kulkarni, Medicor’s Managing Partner. She added, “We have comprehensive cardiac care including non-invasive, invasive and interventional cardiology along with the complete spectrum of electrophysiology services.” The practice has recently expanded its electrophysiology department to include state-of-the-art ablations along with permanent pacemakers (PPM) and automatic implantable cardiac defibrillators (AICD).

Medicor’s team of eleven physicians and five Nurse Practitioners provide services in their offices conveniently located in Bridgewater and Hillsborough as well as at three of the area’s hospitals – RWJ Somerset, Morristown Medical Center and RWJ New Brunswick – and in several of the area’s sub-acute rehabilitation facilities. All of the practice’s cardiologists are board-certified and they demonstrate expertise within specialized areas of cardiology.

Medicor Cardiology’s two diagnostic testing facilities in their Hillsborough and Bridgewater offices include nuclear stress testing, echocardiography and vascular cardiology, and these facilities are accredited through the Inter-societal Accreditation Commission (IAC). The high ranking IAC accreditation recognizes Medicor’s fervent commitment to excellent care, provides a strong standard for patient care, and recognizes the process of quality imaging and diagnostic evaluations.

Medicor sponsors the Somerset County Walk With A Doc program, headed by Dr. Steven Georgeson. This healthy, entertaining and educational event occurs monthly in various locations depending on the season. More information can be found on the web at www.medicor.com or on Facebook (www.facebook.com/MedicorCardiology). Medicor’s offices may be reached at 908-698-0078 or at www.medicor.com.

In 2017 Medicor Cardiology will be celebrating their40th year of serving patients in Central New Jersey! How to treat and prevent

muscle cramps

Rare is the athlete who has not had the misfortune of suffering a muscle cramp. Muscle cramps can range from the relatively minor

nuisances that can be worked out in a matter of minutes to the more severe cramps that can sideline athletes for an indeterminate period of time.

According to the U.S. National Library of Medicine, muscle cramps are often the byproduct of an overused or injured muscle. When a muscle cramps, that muscle is involuntarily contracting , and that contraction can be very painful. Because athletes tend to repeat their motions when performing exercises, it’s not uncommon for athletes to cramp up from time to time. But even men and women who live sedentary lifestyles can suffer from muscle cramps, which the NLM notes could be triggered by alcoholism, hypothyroidism or kidney failure. Women may suffer muscle cramps when they are pregnant or menstruating.

Certain medications may also cause muscle cramps. Men and women concerned about muscle cramps should read the potential side effects of their medications carefully or speak directly with their physicians before taking any medicines that may cause muscle cramps. The online medical resource WebMD notes that medications such as Lasix, a diuretic used to remove fluid from the body, and Crestor, a statin prescribed to adults with high cholesterol, can cause muscle cramps.

While dehydration and electrolyte depletion has long been linked to exercise-associated muscle cramps, researchers have been questioning , if not disputing , that link for many years. A 2008 study from South African researchers published in the British Journal of Sports Medicine did not support a link between exercise-associated muscle cramps and dehydration or electrolyte depletion.

Muscle cramps tend to be painful and can occur in the legs, hands, arms, or abdomen or along the rib cage. When cramps occur below the waist, such as in the calf muscle, it can be difficult to stand up.

Muscle cramps require immediate treatment so sufferers can alleviate the pain and/or discomfort cramps can cause. Massaging the cramped muscle or applying ice or heat can alleviate the cramp and its associated pain.

Continued on page 6.

Central Jersey Health Central Jersey HealthWeek of June 24th 2016 �C

M orris Hall Meadows at Lawrenceville was

conceived and developed with innovative ideas about engaging the mind, body and spirit of our Elders. Morris Hall Meadows is an elder-centered model that places the maximum possible decision-making authority into the hands of the Elders or those closest to them.

Following The GREEN HOUSE® model developed by Dr. Bill Thomas, we emphasize three core values: a Meaningful Life, Empowered Staff and a Real Home. We focus on community, compassion and comfort for every individual, in an environment that provides outstanding physical and emotional support.

Morris Hall Meadows elders live in actual homes offering more privacy and comfort than traditional nursing home settings. Each of the thoughtfully designed single-level homes has ten private bed-and-bath suites overlooking our beautifully landscaped grounds.

At the center of each home is a spacious hearth room with a

fireplace facing a comfortable patio, a shared dining room, an open kitchen where meals are cooked on site and shared family style, as well as a spa area and a cozy library, which is accessible to elders and their families at all times.

Our goal is for each Morris Hall Meadows elder to have a meaningful life with as much autonomy over his or her activities as they choose. Morris Hall encourages elder directed care and empowered staff in a Real Home. Elders control their own daily routines and rhythms for waking, sleeping, meals, self-care and alone time. Each has direct involvement in his or her own care plan, and all elders enjoy formal and informal opportunities for engagement inside and outside of the home.

Each house at Morris Hall Meadows is staffed by a self-managed team of workers called Shahbazim who provide 24 hour skilled care and comfort of the elders. Each Shahbaz is carefully selected for her or his ability to provide compassionate care to each individual, and to thoughtfully monitor the elders’ well-being.

They work in concert with the clinical support team to constantly provide optimal care to each person in residence.

Morris Hall is the only Greenhouse skilled Nursing Facility in Central, South Jersey and Eastern Pennsylvania. Morris Hall Meadows will be a Medicare and Medicaid approved skilled nursing facility that has no entry fee. Elders will have access to a vast array of services, further complemented by the therapy resources of St. Lawrence Rehabilitation Center. Transportation, spiritual care, security and a stimulating array of daily activities, programs and trips that will help to make life at Morris Hall Meadows enjoyable and fulfilling.

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Central Jersey Health6C Week of June 24th 2016 Central Jersey Health

Continued from page 4.

Calf or hamstring cramps may be alleviated by putting weight on the affected leg and bending the knee slightly. Such cramps may also be treated by sitting or lying down with the affected leg straight out and pulling the foot toward the head.

To treat quadriceps cramps (those that occur in the front of the thigh), hold onto to something steady and pull the foot of the affected leg back toward the buttock.

One of the most effective ways to prevent future cramps is to listen to your body when it’s sending you signals that it is fatigued. Overused muscles are vulnerable to cramps, so remember to include rest in your exercise regimen so muscles have time to recover. If your body feels overtaxed or fatigued before or during a workout, skip the workout or stop it immediately to reduce your risk of cramps or injury.

Deficiencies in certain vitamins can directly or indirectly lead to muscle cramps. While the reasons behind the link between thiamine, pantothenic acid and pyridoxine deficiencies and muscle cramps is unknown, speak with your physician about how to include these vitamins in your diet if you have been experiencing muscle cramps.

Cramps can be painful and derail athletes. Learning to prevent cramps can protect athletes and ensure they are not sidelined from their favorite activities.

Overexertion can cause muscle cramps in athletes, who should listen to their bodies to avoid hurting muscles that are fatigued.

Central Jersey Health Central Jersey HealthWeek of June 24th 2016 �C

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Calf or hamstring cramps may be alleviated by putting weight on the affected leg and bending the knee slightly. Such cramps may also be treated by sitting or lying down with the affected leg straight out and pulling the foot toward the head.

To treat quadriceps cramps (those that occur in the front of the thigh), hold onto to something steady and pull the foot of the affected leg back toward the buttock.

One of the most effective ways to prevent future cramps is to listen to your body when it’s sending you signals that it is fatigued. Overused muscles are vulnerable to cramps, so remember to include rest in your exercise regimen so muscles have time to recover. If your body feels overtaxed or fatigued before or during a workout, skip the workout or stop it immediately to reduce your risk of cramps or injury.

Deficiencies in certain vitamins can directly or indirectly lead to muscle cramps. While the reasons behind the link between thiamine, pantothenic acid and pyridoxine deficiencies and muscle cramps is unknown, speak with your physician about how to include these vitamins in your diet if you have been experiencing muscle cramps.

Cramps can be painful and derail athletes. Learning to prevent cramps can protect athletes and ensure they are not sidelined from their favorite activities.

Central Jersey Health�C Week of June 24th 2016

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� e waiting room is painted with bright, cheerful colors, and the furniture is so� and beck-oning. � e homey feeling is de-signed to ease the dread that some patients have about visit-ing the dentist and make them feel welcome. � e comfort factor also was built into the name of the practice, which is intended to

bring back the happiest childhood memories about dental care. Tooth Fairy leads a team of professionals, who provide the latest in technology and knowhow, with services that include everything from implants, root canals, orthodontics, and periodontics, to Invisalign, whitening, veneers, and oral cancer screening. � e services come with a personalized approach that treats patients of all ages like family. Researchers have found a relationship between bacteria in the mouth to stroke, heart disease, and diabetes. Dentists are also o� en the � rst to see signs of sleep apnea and recommend follow-up with other specialists. � e practice o� ers the latest technology, including digital x-ray, intraoral camera, rotary endodontic, electric hand-piece, and nitrous oxide. � e full range of services may be found online at our web site.

We are a full service dental o� ce that cares for patients of all ages. Some of the services we provide are; Invisalign, ,Lumineers (Veneers),Zoom Whitening, Im-plants, So� Tissue Management, and Oral Cancer Screening. We are your o� ce for all your general and cosmetic dental needs.

Dr. Habibian was trained at the New York University College of Dentistry and is a member of the Academy of General Dentistry. She leads a team of profession-als who provide the latest in technology and knowhow, with services that include everything from implants, root canals, orthodontics, and periodontics, to Invis-align, whitening, and veneers. � e services come with a personalized approach that treats patients of all ages like family. She also acknowledges that dentistry is a science, and points out that it is an art, a cra� that she takes very seriously. She also sees the connection between art and the people she sees every day, whether it is her own patients, or the people whose lives she touches outside her o� ce.

Dr. Marjan Habibian, graduated from New York University, College of Den-tistry in 1989 and is practicing at this facility since its inception, she is very active in community services and holds membership in the Academy of General den-tistry. She puts her clients at ease and she’s excellent in root canals.Dr. Marjan Ha-bibian is a preferred provider for invisalign. Also has completed Implant training course of AIC. She has a certi� cation from 3I Synergy Training Program. She has also completed Peer Practicum in Implant Dentistry. She is member of the rotary club, BNI. She has attained the � rst degree in the Reiki method of natural heal-ing.

Dr. Habibian who owns the practice, “We invest in technology because it’s the best way to care for our patients. But we also spend time making sure patients know how to take care of their teeth.”

� e feeling of comfort starts the minute patients walk through the door of the white

house on Plainsboro Road.

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When It’s Time To See A Urologist:Take An Active Role In Your Healthcare

Men and women alike can benefit greatly from the expertise of a urologist. From common everyday health concerns to more complex needs, the urologists of Urology Care Alliance (UCA) are here to help and offer you the best treatment plan possible. But how do you know when you need to see a urologist? Here are few health issues and concerns that should be a sign it’s time to see a urologist:

Painful UrinationInfections can occur in any part of the urinary tract, and are most often caused by bacteria. A urologist can determine the cause and recommend targeted treatment.

Kidney AbnormalityIf your doctor detects anything unusual in your kidney on an X-ray, CAT scan, or other imaging study, you should be referred to a urologist.

Urinary IncontinenceIt’s time to see your urologist if the incontinence begins suddenly or if it interferes with your lifestyle. Urinary incontinence is fairly common and can be managed or treated to alleviate the inconvenience.

Frequent UrinationSeveral issues can cause a frequent need to empty your bladder. Frequent urination can indicate a number of different issues in both men and women and should be discussed with a urologist.

Blood in Your UrineEven if you experience blood in your urine off and on, it may be a signal that something could be wrong. Blood in the urine is never a normal occurrence and necessitates a trip to the urologist.

AdvErTorIAl

How to speed up metabolismWhen attempting to lose weight, men and women

can expect to hear or read a lot about their metabolism. The process by which the body converts the foods we eat and the beverages we drink into energy, metabolism is widely misunderstood.

Many people may have been told that a naturally slow metabolism might be to blame for their weight gain. But according to The Mayo Clinic, a slow metabolism is rarely to blame for excess weight gain, which can most often be attributed to both poor dietary choices and inactivity. Certain conditions that slow metabolism, such as Cushing’s syndrome or hypothyroidism, can cause excessive weight gain, and people who have been diagnosed with such conditions should consult their physicians for advice on dealing with their conditions. But those without conditions that affect their metabolisms may need to make certain lifestyle adjustments that can speed up their metabolisms and help them lose excess weight.

Start strength training. Muscle burns more calories than fat, even when the body is at rest. Building muscle is a great way to speed up metabolism. Each pound of muscle your

body has burns roughly six calories per day just to sustain itself. That’s three times the calories that each pound of fat burns. Add that disparity up over time, and a body with significant muscle is burning considerably more calories than one with excessive fat.

Stay hydrated. Dehydration takes its toll on the body in myriad ways, including affecting metabolism. Even mild dehydration can slow metabolism. When the body is dehydrated, its ability to use fat as fuel is compromised, slowing metabolism as a result. In addition, muscles need water to generate energy, so dehydrated muscles will not be burning as many calories as those that are fully hydrated. Make an effort to stay hydrated throughout the day, whether you’re sitting at your desk in the office or working up a sweat at the gym.

Snack, but snack healthy. Healthy meals benefit metabolism, but unhealthy snacks can derail your dieting efforts. Metabolism speeds up and burns calories each time the body eats, and many people adhere to the concept of “grazing” for that very reason. Grazing involves eating several small meals every three to four hours throughout

the day rather than the more traditional three full meals each day. Grazing devotees feel that the approach burns more calories than more traditional diets, but the difference in calories burned may actually be negligible. Still, healthy snacking can speed up metabolism and help men and women avoid overeating at breakfast, lunch and/or dinner. In lieu of snacking on potato chips or baked goods, opt for healthier fare such as Greek yogurt or a serving of fruits or vegetables.

Eat more protein. The thermic effect of food refers to the process by which the human body uses energy to absorb, digest and dispose of the food it ingests. Protein stimulates the thermic effect of food more significantly than foods that are high in fat or carbohydrates, so the body will burn more calories digesting dietary protein than it will other foods. In addition to speeding up your metabolism, dietary protein also helps people feel full longer, reducing their risk of overeating.

Understanding metabolism can help men and women as they attempt to lose weight and maintain healthy weights once those extra pounds have been shed.