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Dementia and Alzheimer

Published September 13, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30376140

Dementia and Alzheimer

Sep 12. 2019
227 Viewed

Tips for Alzheimer’s prevention and care

With Thailand’s population ageing rapidly, what are the best ways to tackle the certain rise that’s coming in dementia and Alzheimer’s disease?

 

Dr Thanatip, what is the medical definition of Alzheimer’s disease?

Generally speaking, dementia is the broad term for people suffering from declining cognitive ability. Alzheimer’s is one of the more specific ailments, accounting for 60-70 per cent of all patients with dementia.

Alzheimer’s is not a new disease –it’s been around for a long time. Symptoms include forgetfulness because it involves loss of short-term memory in the first stage. They might forget they already ate breakfast even though they just did. Or they might leave the house to buy something at a store around the corner and forget halfway there where they’re going. Or they might forget to take along an umbrella when it’s raining.

 

What is the average age at which Alzheimer’s appears in Thailand?

We’ve seen patients from age 60 onwards, with more cases among those in their 70s, 80s and 90s. Not many people were afflicted 30 years ago, when the life expectancy was 60 and death would occur before Alzheimer’s could take hold. Today the average lifespan is 75, so we’ve seen a growing number of people age 75-85 suffering from this illness.

Worldwide, Alzheimer’s suffers over 90 represent about 7 per cent of the senior population, meaning one in every 15. At 75, the ratio is 2-3 per cent. For the general population in Thailand, the ratio is 0.15 per 100.

 

What advice do you give people with a parent suffering from this illness?

First of all, daughters and sons and caregivers must understand that Alzheimer’s is not treatable, but we can mitigate the risks and increase the quality of life for patients.

Once diagnosed, patients on average live another 3-10 years while their cognitive ability gradually declines, to a point where they cannot be fed properly. In the first stage, they might become forgetful and lose short-term memory. In the middle stage, they will also lose long-term memory, perhaps forgetting the names of their own children or life-partner. Emotional disorders, apathy and aggressiveness are also common.

In the final stage, the muscles stop working properly due to cognitive impairment. They will find it difficult to eat or swallow. Even when fed by someone else, they can’t swallow the food.

Family members should help maintain the patient’s quality of life in the initial years, such as taking them on a long holiday while it’s still practical. Outdoor activities also help stimulate cognitive functions and slow memory loss.

In the middle stage, patients might need professional caregivers, since they should not be left alone due to the increasing impairment.

Patients might also need personal tracking devices to avoid getting lost or facing other danger due to their declining brain function.

The economic costs of Alzheimer’s are huge. Figures from the US show that as much as $100 billion is spent on patients annually.

 

Thailand’s baby-boom generation is now 50-70 years old. How do they fit in the picture?

According to research, 30 per cent of the factors involved in Alzheimer’s are known and manageable, such as education level – better-educated people tend to suffer less from cognitive impairment. Someone with hearing impairment might contract Alzheimer’s sooner than average due to the linkage nerves between the brain and auditory organs.

If a parent has a hearing problem, get them immediate treatment and a hearing aid to slow the progress of Alzheimer’s. Obesity, diabetes, alcohol consumption and smoking are other contributing factors, accounting for a combined 10 per cent of the known causes.

 

What’s your advice regarding diet?

According to Japanese research, two magic foods help prevent or slow the progress of Alzheimer’s. Kaeng kari, a yellow curry with turmeric and other herbs, is reported to have this quality, and citrus fruit such as oranges and lemons are beneficial.

The Mediterranean diet with lots of fresh vegetables, olive oil, fish and a small amount of carbohydrates is also good for Alzheimer’s patients.

Other Japanese research shows that the so-called “cogni-cise” – cognitive exercise – is helpful for senior citizens too as a means to prevent or slow the onset of Alzheimer’s.

Physical exercise such as walking is good, while playing board games with friends is another choice. You can see seniors’ groups walking or jogging in Bangkok’s Lumpini Park early each morning. Afterwards they enjoy playing chess or mah-jong or other board games. This is a good example of cognitive exercise, because the seniors are also benefiting from using their brain in calculations while interacting with friends.

Physical and cognitive exercises, plus regular human interaction, are crucial to maintaining good health in old age. Many in their 70s or 80s or even 90s can still enjoy a good quality of life when they maintain a favourable lifestyle. What we see at Lumpini in the early morning is consistent with the research findings from Japan. Such a lifestyle is an effective way to prevent or delay cognitive impairment.

If you’re near or over 50, you should start to take care of yourself and maintain brain function. If you have parents or other older close relatives, make sure they have a hearing check-up. Then manage the risks that might result from initial memory loss, which could lead to accidents and other untoward incidents. They may need caregivers. In more serious cases, they’ll have to stay in a specialist healthcare centre.

It’s a chronic disease needing long-term care, and relatives often worry about the patient’s wellbeing.

Children of parents with Alzheimer’s will find it most stressful as they enter the early stage since they quickly lose the ability to do common things.

Thailand’s life expectancy has risen to 75 on average, with females at 77 and males at 73. Based on current forecasts, my generation, now in their 50s, will live until 90. This Gen X population has a 7 per cent chance of contracting Alzheimer’s. The Gen Y population now 40 or younger may live until 100, but the probability of Alzheimer’s developing is not yet known for them.

They will pass through multiple stages. During their 50 and 60s, they might suffer from heart disease, which is quite manageable today. After 60, they might have some form of cancer, most of which are also more manageable today. Afterwards, they will probably face the final hurdle – cognitive impairment due to old age – which is not yet treatable. We have to live with it and improve the quality of life as much as possible.

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Now everybody can have that ‘glass skin’

Published September 3, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30375730

Now everybody can have that ‘glass skin’

Sep 02. 2019
Jung Saem Mool was lived demonstration on stage. // Nationphoto: Anant Chantarasoot

Jung Saem Mool was lived demonstration on stage. // Nationphoto: Anant Chantarasoot
By Kupluthai Pungkanon
The Nation

392 Viewed

Famous South Korean makeup artist Jung Seam Mool, whose name is synonymous with the translucent, fresh, dewy looks of K-stars, has made her tricks for a flawless complexion available everybody at Siam Centre, ground floor.

Jung Saem Mool is known for launching new trends, such as the mysterious pink Jeon Ji Hyun wore on her lips in “My Sassy Girl”, Lee Seung Yeon’s nude makeup in the film “Love in Your Arms”, figure skater Kim Yuna’s smoky eyes, lux styles for the band members of Kara, BoA and Girl Generation to name a few.

The makeup artist’s signature is the flawless, translucent, “glass skin” look, and last week, she showed just how we can achieve it by mixing concealer and foundation and applying it in a particular manner so it highlights the bone structure and also gives you that dewy look. For the non-professionals among us, her new product line is easy to use and promises to give us all a natural glow.

Jung said her make-up brand was created with more than 30 years of know-how and her commitment to the concept: “Beauty starts from you. Just believe.”

She said this concept gave rise to three main ideas that have been applied to all her products – natural, trendy and professional.

“The most important thing is to create a flawlessly beautiful skin texture, which has made the ‘glass skin’ theory famous worldwide. The glass skin concept is a naturally light and smooth makeup style that makes the skin look hydrated and luminous. Our products carry ingredients that help moisturise the skin and are also light. This should help everybody create their everyday look like it’s been done by a professional makeup artist.”

Jung Saem Mool uses seven key techniques in her art. The first is “thin and thick”, in which she contours the face with a three-dimensional effect, making thick parts of the face look closer and thin parts farther; the “warm and cool” technique to create a youthful look; “wet and dry” technique that keeps the make up on the face for longer; “lost and found” which makes the eyes and lips look bigger; “focal point” that focuses on the highlight of the face; and her “simple and complex” and “old and new” techniques in which she uses the latest colours to match each individual’s personal style.

The brand’s light-textured products that help conceal imperfections and give your skin her signature luminosity come in four groups: base makeup, makeup, skincare and makeup tools.

Visit Jungsaemmoolthailand on Facebook and JSMbeauty_th on Instagram for more information.

Bumrungrad Hospital introduces innovative ophthalmic surgical technology

Published September 3, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30375709

Bumrungrad Hospital introduces innovative ophthalmic surgical technology

Sep 02. 2019
ReLEx SMILE, which uses a femtosecond laser to correct nearsightedness and astigmatism.

ReLEx SMILE, which uses a femtosecond laser to correct nearsightedness and astigmatism.
By The Nation

495 Viewed

According to a national survey conducted in 2013, blindness affected 0.6 per cent of the population (360,000 people).

In its “WHO Vision 2020 Right to Sight” initiative, the World Health Organisation set as a goal to reduce the incidence of blindness to 0.5 per cent of population and to ultimately eliminate avoidable blindness.

Thailand is now an ageing society and more older people are having eye problems. Old-age is one of the main factors contributing to eye problems like cataracts, glaucoma, and age-related macular degeneration (AMD). These three conditions are the most common causes of blindness or blurred vision. In fact, eye problems can happen to anyone.

In children, the onset of nearsightedness may start early and worsen every year. The Ministry of Public Health reports that 30 per cent of children below 15 years of age are nearsighted. A major cause is spending a lot of time on a computer or a mobile screen. People over the age of 40 and people who have eye problems should have their eyes checked regularly so that ophthalmologists can give prompt treatment.

“Bumrungrad is well aware that the incidence of eye problems increases every year. We have upgraded our Eye Centre to provide comprehensive care for all eye health problems. The centre uses innovative diagnostic and treatment technology, conducts research into novel eye treatments to give better treatments and services and both organises and participates in academic conferences to share and exchange knowledge and experience,” says Associate Professor Dr Sudarat Yaisawang, ophthalmologist, and head of the Eye Centre.

“Each year Bumrungrad acquires new innovative equipment for minimally invasive surgery. We also use laser technology to treat our patients, reducing pain and recovery time. Laser technology is more accurate, quicker to perform, and causes fewer complications. Since patients are treated on an outpatient basis, their costs are reduced too,” she adds.

The centre is staffed by 49 ophthalmologists who work together to treat eye problems such as cataracts, glaucoma, retina, uveitis, cornea and refractive surgery, oculoplastics and reconstructive surgery, paediatric eye problems, and neuro-ophthalmology disorders.

“Cataracts cannot be cured by medicine alone – surgery is required. There have been improvements in surgical technology, as more than 40 years ago, when Intracapsular Cataract Extraction (ICCE) was introduced to treat cataracts, the whole lens including the lens capsule was removed, leaving the patient without a lens. The surgery was performed at the upper edge of the iris—cutting open 12-15 millimetres of eye tissue and forcing patients to wear lenticular lenses post-operation, distorting their peripheral vision,” explains Dr Sombat Srisuwanporn. Extracapsular Lens Extraction (ECCE) is another type of cataract surgery in which the lens is removed, but the lens capsule is left partially attached to allow the implantation of an intraocular lens (IOL). The surgery requires only 5-7 stitches. Today, neither ICCE nor ECCE are common practice.”

 Dr Sombat Srisuwanporn, Ophthalmologist of Bumrungrad Hospital.

Dr Sombat Srisuwanporn, Ophthalmologist of Bumrungrad Hospital.

The latest technology for cataract treatment is Phacoemulsification, commonly referred to as ‘phacoe’. The part of the lens that is damaged is emulsified and aspirated from the eye. It requires an incision of 2-4 millimeters, so it is minimally invasive. An intraocular lens implant (IOL), is placed into the remaining lens capsule. The IOL will last as long as the patient’s lifetime, so there is no need for additional surgery to replace it. Soon after the operation, the patient is able to see better. “We also use Femtosecond laser technology (‘femto’ for short). It is more precise and safer outcome because Optical Coherence Tomography is used to generate high-resolution 3D images of the eye. Femto is laser-based and minimally invasive because it allows ophthalmic surgeons to minimize the size of capsulorhexis. The femtosecond laser then is used to break cataracts into small pieces. Lastly, ultrasound is used to remove the lens. A precise and well-centered capsulorhexis enables the accurate positioning of the IOL, thus increasing its efficacy,” he adds.

“Cataract surgery nowadays is becoming cataract refractive surgery. We target enhanced vision outcomes by improving precision in surgery and intraocular lens selections.” Current technology for cataract surgery employs Femtosecond laser and laser Wavefront Aberrometer to enhance the outcome of cataract with a computer-controlled and digital guidance system. Optical Coherence Tomography uses a 2-micron wavelength to scan the eye, generating a high-resolution 3D image. These are used to develop a detailed surgical treatment plan, resulting in a safer and more precise outcome,” Associate Professor Dr Prin Rojanapongpun, an ophthalmologist specializing in cataract treatment of Bumrungard Hospital explains.

Associate Professor Dr Prin Rojanapongpun, an ophthalmologist specializing in cataract treatment.

Associate Professor Dr Prin Rojanapongpun, an ophthalmologist specializing in cataract treatment.

The present treatment does not only aim at removing cataracts but ophthalmologists are also able to customize the lens to suit each patient’s lifestyle. For example, they consider both the distant, intermediate, and near vision to suit the patient’s needs. They discuss the amount of time per day (or night) each patient spends driving or other tasks like working in front of a screen. Some patients want to play particular sports as well. Therefore, ophthalmologists design and customise IOLs for each patient’s individual needs. Sometimes, the left and the right eyes may even have different requirements.

Bumrungrad recently has put the ORA system into place, allowing ophthalmologists to provide the most accuracy and precision possible for cataract patients. This uses laser wavefront aberrometry to assist intraocular lens measurement and selection. The technology also guides and verifies the best possible Toric lens placement to correct patients’ astigmatism. The ORA system measures the sphere and cylinder for an eye in real-time. It reduces the error implicit in standard measurement procedures, which significantly benefits patients who have had LASIK or corneal refractive surgeries before. The ORA system is accurate and suitable for all patients.

Before cataract surgery, ophthalmologists measure and customize lens implants for each patient. The ORA system is attached to the operating microscope. When an ophthalmologist removes the crystalline lens, the ORA system directs a beam of low-intensity laser light into the eye during the surgical procedure to determine cylindrical & spherical shape of the eye, the position of the lens implant, the arc of contact, and the size of the lens implant. When the lens implant is inserted, the ORA system analyzes if the lens is the most suitable so that the surgeon can customize the lens implant during the operation.

Dr Tharinee Kulkamthorn, an expert in lasik and refractive surgery.

Dr Tharinee Kulkamthorn, an expert in lasik and refractive surgery.

Dr Tharinee Kulkamthorn, an expert in lasik and refractive surgery of Bumrungrad Hospital, reveals, “Information technology is key these days. People spend more time on the computer screen, smartphones or tablets. Staring at a screen for a long time or looking at a dimly lit screen can cause eye problems, like pain, blurred vision, dry eyes, tired eyes, nearsightedness (in children), and other pediatric eye disorders. A suggestion for those spending a lot of time on a computer screen is the 20-20-20 rule. Every 20 minutes of looking at something near such as looking at a computer or mobile screen, or reading books, you should let your eyes rest by looking at something 20 feet away for 20 seconds. This way your eye muscles can rest and you can work upclose more efficiently.

Other treatment offered by the centre is ReLEx SMILE, which uses a femtosecond laser to correct nearsightedness and astigmatism. It is accurate and the corneal incision is only 2-4 millimeters long. Therefore, it affects the nerve cells in the cornea minimally. This incision technique also allows for faster healing time, while reducing dry eye and irritation. Post-surgery, the patient will have better vision, shorter recovery, and be able to quickly resume their normal active lifestyle.

During the ReLEx SMILE operation, a gentle femtosecond laser is directed onto the cornea, while the patient is relaxed and comfortable. After the operation, there are fewer complications because the incision is very small. The ReLEx SMILE operation is for patients who do not want to wear glasses or contact lenses. It also works well with the people who are -10.00 D myopic and -5.00 D astigmatic. The ophthalmologists work with patients to diagnose and discuss if the ReLEx SMILE is appropriate for them. There are many factors to consider, like the thickness of the cornea, and the presence of other eye conditions (such as dry eyes). Moreover, suitable candidates should be 20 years old or older, and have had stable eyesight for at least a year. Also, they must not have diabetes or have problems controlling their blood sugar levels. They must not be pregnant or lactating.

Micobiomes lead the way to youthful skin

Published August 30, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30375595

Micobiomes lead the way to youthful skin

Aug 30. 2019
Sririta “Rita” Jensen

Sririta “Rita” Jensen
By The Nation

122 Viewed

Microbiome technology is designed to activate the skin’s beauty and help strengthen its barrier function by giving it access to all the vital resources it needs.

Now leading French brand Lancome is adding to that breakthrough by introducing its new formula Advanced Genifique serum.

Speaking at the launch event held in a futuristic dome at Parc Paragon, Songsamorn Hattet, general manager of L’Oreal Luxe Thailand, said: “In 2009, Lancome created Advanced Genifique Serum, the first serum inspired by the field of gene science. It was widely praised and sold really well around the world. This year, Lancome is re-introducing the serum that thanks to 15 years of microbiome research, delivers more results. The New Advanced Genifique not only nourishes the skin but also provides a vital source of nutrients for microbiome bacteria, while the probiotics give overall skin health benefits.

Suquan Bulakul

Suquan Bulakul

“Over time, our microbiomes decrease due to our lifestyle, age and the environment we live in. Lancome is currently the only brand to offer a 100-per-cent solution for permanently youthful skin,” she adds.

Also taking part at the launch were Lancome brand ambassador Suquan Bulakul, actress Sririta “Rita” Jensen, top make-up artist Vinij Boonchaisri and hair stylist Kong Krit Jirakiatwattana. VIP guests included Jarospan Svasti Na Ayudhya, Haruethai Jayant Na Ayudhaya, Kerika Chotivichit, Rinrata Inthamara, Nathasedh Poonsapmanee, Pailin Olsen, Vantita Lewchalermwongse, Melanie Yoovidhya, Ascha Charoenrasameekiat and Patsamon Piriyametha.

.Songsamorn Hattet

.Songsamorn Hattet

Angels of mercy

Published August 26, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30375333

Angels of mercy

Aug 26. 2019
 Myanmar interpreter at Bumrungrad HospitalKyawt Andra Swe (standing, right) is talking with two Myanmar women at the hospital.

Myanmar interpreter at Bumrungrad HospitalKyawt Andra Swe (standing, right) is talking with two Myanmar women at the hospital.
By Parinyaporn Pajee
The Nation

753 Viewed

Long a popular choice among those seeking medical treatment, Thailand currently sees more than a million foreign patients every year, a number that is likely to increase.

Many of these medical tourists speak little or no English or Thai and so many leading private hospitals provide interpreters to ensure that doctors, nurses and patients can communicate and thus avoid linguistic misunderstandings.

Referred to variously as cultural liaison officers or service centre staff, the interpreters provide invaluable services to patients and medical practitioners alike. An ability for patients and healthcare professionals to communicate is fundamentally important to the safety and comfort of the patient during care, so interpreters are on hand to assist patients at each step from admission, examination, consultation, treatment procedures, and more.

Top-ranked private hospitals like Bumrungrad, Bangkok Hospital and Samitivej, all of which are popular with foreign patients, provide interpreters in several languages including Arabic, Bengali, Myanmar, Khmer and Japanese. Their duties vary according to hospital policy and the management system but all are able to ensure direct communication between the provider and patient by interpreting each expressed concept thoroughly and accurately in the language of the listener.

Kyawt Andra Swe has been working as Myanmar interpreter at Bumrungrad Hospital since 2008. Now manager of Myanmar Patient Liaison, Andra says that 28 Myanmar interpreters are on hand to deal with an average of 380 cases per day. The high and ever-increasing demand for Myanmar interpreters is being met, in part, by the rise in Myanmar natives coming to study at Thai universities, especially those near the border like Mae Fah Luang University in Chiang Rai.

Bumrungrad currently provides interpreters in 17 languages, with Myanmar coming in second place after Arabic.

Andra, 41, enjoys the work but admits that the going can be tough, especially when it involves medical terms. She moved to Thailand with her family at the age of five so has no problem understanding the doctors but says it took a while to get up to speed with the medical terms used in the Myanmar language.

“It was arduous at first because I grew up in Thailand but I worked hard to widen my knowledge of the Myanmar tongue. Today, it’s fine and I love working here and am very happy to be able to help patients through their tough time in hospital,” says Andra, adding that she learned a lot from the workshops and courses for interpreters organised by the hospital for the staff.

“But we still don’t have enough people on our team. We deal on average with about 380 Myanmar patients and are forced to use the tele-translator to ease the burden. Even when we are off duty, we remain on call and are ready to receive calls from consultants and help them online too,” says Andra.

“We provide our service from the moment the patient walks into the hospital. Aside from accompanying them when they meet with the doctors, we also help them when they need to find a hotel to stay or when they go outside. The hospital provides an agency to accommodate them when they are in need,” says Andra.

At Bangkok Hospital, patients from Cambodia are also increasing even though the medical facility now has a hospital in Phnom Penh. Many Cambodian say they choose to come to Bangkok because they want to see the doctors whose names have become famous in their country.

 

Thai-Cambodian interpreter Nichdarintr Gaysorn works as Khmer interpreter at Bangkok Hospital.

Thai-Cambodian interpreter Nichdarintr Gaysorn works as Khmer interpreter at Bangkok Hospital.

started working as a translator at Bangkok Hospital in 2011 and says that while Cambodian patients are fewer in number than those from other countries, the doctors still see some 30 to 40 cases every day. There are now has eight interpreters on standby, though as some patients speak English, they don’t need a translator. “When we are on call, we assist them by providing interpretation,” says Nichadarintr. The hospital also provides an immigration counter and an interpreter to help them deal with embassies and hotels.Samitivej Hosptial Sukhumvit, meanwhile, is the main hospital for the Japanese. Located in an area that’s home to a large Japanese community and with long-time dealings with Japanese firms, the hospital introduced its Japanese language service in 1997 and recently opened a fully-fledged Japanese Hospital as part of its complex. This is now seeing some 200 babies born to Japanese parents every year and Samitivej is recognised as the biggest Japanese Hospital in Asia (outside Japan). It currently employs 30 full-time Japanese interpreters and 24 part-time staff. Thanks to its partnerships with hospitals in Japan, the hospital has also a small staff of Japanese doctors and nurses and currently handles between 300 and 400 cases per day.

The two assistant department managers of the Japanese Service Centre  at Samitvej Hospital Sukhumvit Siriporn Singhajindawong, right, and Piyawadee Artnonla.

The two assistant department managers of the Japanese Service Centre at Samitvej Hospital Sukhumvit Siriporn Singhajindawong, right, and Piyawadee Artnonla.

Siriporn Singhajindawong the assistant department manager of the Japanese Service Centre and her colleague Piyawadee Artnonla have been working with Japanese patients for years. Siriporn was a nurse at a public hospital before landing a one-year scholarship to study in Japan, where she perfected not just her language skills but also her understanding of the culture. “Interpreters also help provide a better understanding of a patient’s cultural background and how it may influence essential healthcare decisions. In Japanese culture, sometimes they don’t speak straightforwardly and thus sometimes Thai medical staff don’t understand what they are saying. We are careful not to interpret their intentions but focus on translating accurately and do not add our interpretation. We also tell the doctors that the (Japanese) patients want doctors to listen to them,” Siriporn explains.

In some situations such as when they have to wait, Japanese patients are disciplined and punctual, she continues. They want to know how long they have to wait and will respond by waiting quietly. They do however become upset if they are kept waiting for too long and nobody explains to them what is happened. Myanmar and Cambodian nationals on the other hand, simply sit and wait.

In all cases though, overseas patients become upset at communication misunderstandings, both verbal and non-verbal. Getting it right on all these occasions is important.

All the interpreters find the medical terms tough at first but say they learn and improve over time. The other difficult situation they face is dealing with grieving patients after a loss. Rotation between departments and units helps enhance their understanding and knowledge and also relieves stress.

“The work is tough and the explanations given by doctors to patients and their families are unique to each case. We try to keep our staff fresh by not keeping them on each department for longer than two days,” Andra says.

Even the health problems tend to vary by country. Most Myanmar patients at Bumrungrad come to consult for liver problems including hepatitis B or C and cancers while Cambodians mainly come for a check-up. For the Japanese people, it’s gastrointestinal disease.

Friendships are formed too. Andra became close to a Myanmar couple who had been trying to have a baby. The wife finally became pregnant and the three now return regularly to see their doctor at Bumrungrad. “The child is now seven years old and they are like family now,” she says.

Piyawadee too formed a relationship with an elderly Japan couple living in Thailand who came to Samitivej after the husband suffered a fall. “He was conscious for a few hours then slipped into death,” she recalls. Piyawadee helped the wife deal with the paperwork both at the hospital and the embassy and stayed beside her the whole time to provide support.

“She came back later with some baked goods she had made herself,” she says with a fond smile.

Natural perfection from Provence

Published August 24, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30375238

Natural perfection from Provence

Aug 23. 2019
By The Nation

382 Viewed

French skincare-homecare brand Compagnie de Provence has made its debut in Thailand at EmQuartier’s Another Story and Another Man Store.

The firm was founded in 1990 by two friends from Marseille who were keen on decoration and design and turned their talents to the city’s famous natural soap, sold in cubes. The soap is made exclusively from vegetable oil and contains no artificial colouring or additives.

Compagnie de Provence began offering a liquid version of the soap made the traditional way in a cauldron using olive oil, sweet almond oil and grapeseed oil from local producers.

The scents are created in Grasse, which bills itself as “the fragrance capital of the world”.

The brand uses as many natural ingredients as possible and 90 per cent of its products contain 95 per cent ingredients of natural origin, contained in simple, 500ml lacquered-glass pump bottles that preserve quality and are reusable and recyclable.

Compagnie de Provence products include dermatologist-tested hand cream, body cream, scented candles and aroma diffusers.

Another Story carries three collections.

The Extra Pur Collection has travel-size Hand Cream with vegetable oils and honey oil, Liquid Marseille Soap, and lightly scented Body Cream in five scents – Sweet Almond, Wild Rose, Fresh Verbena, Cotton Flower and Olive Wood.

The Terra Collection of liquid soaps and hand creams come in seven fragrances emblematic of Provence – Green Olive, Lavender Field, Fig Leaf, Lemon Verbena, Linden Flower, Candied Orange and Rosewood. The hand cream is formulated with olive oil and free of paraben. And Linen Water can be sprayed directly over household linen or used on garments to make ironing easier, including delicate fabrics.

The Black and White Collection features an infusion of fragrant tea in soft and light Hand Cream with shea butter, olive oil and Vitamin E that’s non-greasy and quickly absorbed.

Project succeeds in developing healthy behaviours for pre-seniors, winds down

Published August 13, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30374629

Project succeeds in developing healthy behaviours for pre-seniors, winds down

Aug 12. 2019
By The Nation

274 Viewed

A three-year proactive health programme that aimed to encourage Thai people over age 45 to adopt health behaviours and so help ensure the country becomes a healthy ageing society has successfully concluded.

The “Pfizer Healthy Ageing Society”, programme successfully improved the physical and mental health of more than 90 per cent of the participants in Bangkok and Ubon Ratchathani and reduced risks associated with non-communicable diseases, according to a joint announcement from the Pfizer Thailand Foundation and Kenan Foundation Asia.

The programme also trained a workforce of 40 expertly trained 40 competent workforces or ‘change agents’ who went on to initiate 27 medium-sized development projects to benefit their communities.

The partners also announced their readiness to further collaborate with government agencies at the national level toward the adoption of the model project in order to build capacity and raise awareness on good health and financial security, reduce health-social-economic impacts, and promote sustainability toward entering a quality ageing society.

Piyabutr Cholvijarn, left, the president of Kenan Foundation Asia and Dr Nirutti Pradubyati, the medical director for Pfizer (Thailand) Limited.

Piyabutr Cholvijarn, left, the president of Kenan Foundation Asia and Dr Nirutti Pradubyati, the medical director for Pfizer (Thailand) Limited.

“After the project ends, we will work on the issue in other aspects by using the data from the project,” said Dr Nirutti Pradubyati, the medical director for Pfizer (Thailand) Limited.

Pfizer and Kenan worked together to develop the “Pfizer Healthy Aging Society”, a knowledge-based project aimed at developing a holistic healthcare approach for pre-senior and elderly citizens. The three-year project (2016–2019), was introduced under the concept “Good Physical Health, Strong Mental Health, and Adequate Savings”. It was rolled out in two key areas – Bangkok (Klong Toei district and Bang Khunthien district), and Ubon Ratchathani province (Muang district and Warin Chamrap district). The programme encompassed collaboration at the national and community levels, to enhance capabilities of pre-senior citizens (45-59 years old) in four primary target groups, including public health volunteers, teachers, public health professionals and officials at district offices.

The prime mission was to develop “change gents” through workshops and educational activities specifically designed to enhance knowledge and essential skills which related to physical health, mental health and financial security. The proactive programme had been driving a deep understanding of essential topics such as non-communicable diseases (NCDs), nutrition, mental health, financial literacy, a supportive environment for elderly citizens, welfare, and community analysis. In term of the outcome, the programme successfully promoted knowledge for 41 change agents, who became a competent workforce and constructively organised 27 development projects to promote sustainable health in their communities.

The programme also published 2,000 handbooks on the Pfizer Healthy Ageing Society to promote good practices for healthy living to ensure benefits for all ages. Also, the project conducted a policy recommendation process built on the data collected through interviews with thought leaders in the public and private sectors as well as civil society and academic organisations. The report provides recommendations touching upon key agendas, including a paradigm shift toward an active ageing society, career opportunities and the promotion of lifelong learning, financial literacy and skills development, promoting good health and changing the environment to facilitate life for all ages. The project aimed to achieve practical results in national policy toward the preparation for an ageing society encompassing health and socio-economic perspectives,” said Dr Nirutti.

Piyabutr Cholvijarn, the president of Kenan Foundation Asia, said the project was launched to encourage the change agents to adopt positive health and financial behaviours and become a holistic model for their communities. Primary objectives included building the capacity of the change agents to prepare for a quality ageing society, to drive positive attitude and behavioural shifts towards healthy ageing in order to reduce the risk of illness from NCDs in pre-elderly and elderly groups, and to create good practices for the preparation of an ageing society which are sustainable and adaptable to the context of Thai society.

The three-year project has been successful in building a strong network at the local and national levels with supports from 14 agencies whose staff have served as steering committees. Specialists and advisors from 21 local stakeholders and more than 12 academic institutions took part in the capacity-building programmes for the target participants. Meanwhile, a total of 181 participants have completed the training. Some of these participants have successfully become change agents and further created 27 development projects to benefit 5,000 residents in their communities. Good samples of the interesting projects include a yoga exercises programme by a group of health lovers who are from Klong Toei Community Flats 1-10, and a project by change agents who are teachers at Rattanakosin Somphot Bang Khunthien School that provides students advice on proper nutrition and encourages overweight students to keep physically active and exercising.

In the project monitoring and evaluation, the survey finds that on the topic of physical health, 90 per cent of the respondents said they have a basic understanding (knowledge) about exercising. They realise that an individual needs to exercise least three times a week, for 30 minutes each time. They also have a basic knowledge about NCDs such as high blood pressure. The participants have a good perception (attitude) towards health care, resulting in the shift of their behaviours (practice). For example, more than 86 per cent of the participants receive an annual physical check-up, while more than 80 per cent perform an easy exercise such as arm swinging during walking or keeping physically active with household chores. For their eating behaviours, the survey found a decline in consumption rates of sugar, fat and organ meats.

On the topic of mental health, participants were basically in good mental health. Evaluated by the Thai Mental Health Indicator (TMHI-15), the survey found that more than 60 per cent of the participants became mentally stronger. The result found no issues associated with depression, while participants have a good ability to control their emotions.

Also more than 80 per cent of the respondents said that they know about saving through banks, insurance and life insurance. They also have a good attitude or recognise the importance of financial planning, financial planning for healthcare, and monthly accounting. Around 60-75 per cent said they want to have an income and expense account and a household financial account. However, only 10-20 per cent of those respondents managed to obtain one. The survey also found that 35-50 per cent of the survey participants make an advance financial plan every month, 49 per cent have a retirement plan, while 25 per cent do not. Meanwhile, up to 61 per cent said they have debts. The change agents, therefore, need time to build awareness and encourage communities to create a good financial plan.

In other aspects, 60 per cent of the respondents were aware that elderly citizens stood at around 15 per cent of the population. Up to 75 per cent do not see elderly citizens as a burden. Meanwhile, 90 per cent are confident that they can manage time for community participation and are able to communicate and campaign encouraging behaviour shifts at the community level.

The working groups in Bangkok and Ubon Ratchathani, along with the change agents, should be developed into a collaboration network to support the social protection system for the elderly citizens, long-term care system for seniors, as well as an integrated system to prepare for an ageing society, the project concluded.

By unifying all efforts from networks at the provincial and district levels, the strategic move could lead to the development of a “collaborative ecosystem for ageing society district”, which could be further developed at the national level. Channelling through the government agencies, the Pfizer Healthy Ageing Society could be implemented as a model to encourage sustainability towards a shift of health behaviour.

The working committee is now aiming to reinforce the exchange of the guidelines over the adoption of a prototype project for the government agencies responsible for the national policies on the elderly. Those agencies include Department of Health under the Ministry of Public Health, Department of Older Persons under the Ministry of Social Development and Human Security, Department of Employment under the Ministry of Labour and Social Welfare, and Department of Local Administration under the Ministry of Interior.

Royal Project celebrates 50th anniversary with health-giving fair

Published August 8, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30374456

Royal Project celebrates 50th anniversary with health-giving fair

Aug 08. 2019
By The Nation

303 Viewed

Thailand’s Royal Project turns 50 this year and is joining up with Central Pattana to mark the occasion with the “Royal Project 50” event, which gets underway tomorrow (August 9) at CentralWorld’s Eden Zone.

The fair, which continues through August 18, will also pay tribute to His Majesty King Rama X, honour the memory of the late King Rama IX, the founder of the Royal Project, and celebrate the 87th birthday of Her Majesty Queen Sirikit, the Queen Mother on August 12.

It will also serve to publicise the work of the Royal Project Foundation throughout its 50 years and promote products from 20 royal family members’ projects and support units.

The event will be fully decorated with ‘Yellow Star’ flowers, their bright golden colour reflecting the peaceful golden land of Thailand. About 839 crops and products will be available at the event with seven of them under the spotlight for their health properties. One of these is the Peterson avocado, a yellow-green round avocado with a great taste, rich in vitamins and minerals as well as protein. It contains low sugar and unsaturated fats with no cholesterol, and is suitable for diabetics.

Highland Kai-Pa wild rice, known as the hilltribe Pakakayo’s rice, has a long and slender grain similar to Jasmine rice. It contains antioxidants and is high in potassium, which works with sodium to control the balance of water in the body and helps to normalise the heartbeat. The rice also contains vitamin B1, which helps to maintain a healthy nervous system and treat Beriberi.

Highland Yellow wild rice or Pakakayo and Lawa rice has a short and slender grain. It is fragrant and very soft when cooked and contains Gamma Oryzanol, which helps reduce the risk of Alzheimer’s disease. It also has antioxidants and helps to reduce bad cholesterol and blood pressure. It is rich in potassium which helps to control the water balance in the body and is rich in iron. HaaoLeTin brown rice is a short and large grain Lawa rice that is rich in protein, calcium and sodium which helps to normalise the nervous system and muscle functions.

Quinoa is a superfood containing nine amino acids that our body cannot create. It is high in fibre, protein, gluten-free and rich in magnesium, vitamin B, vitamin E, iron, potassium, calcium and phosphorus and anti-oxidants; Perilla seeds are widely grown in northern Thailand and the oil in the seed helps to reduce fat in the blood and reduce cholesterol levels. Perilla seed oil contains both Omega 3 and 6, with 40 times more phosphorus and 20 times more calcium than other plants. It contains vitamin B and sesamol, which helps to prevent cancer and slow down the ageing process; Navy beans are rich in protein and fiber and contain phaseolamin, which has the ability to inhibit the activity of amylase enzymes by up to 66 per cent, preventing carbohydrate being ingested from absorption. It can be used in many different dishes: boiled and eaten as part of a salad, and used for navy bean milk.

Other recommended products include five-flavour tea from the Royal Project, Lingzhi and Jiaogulan mixed herbal tea, herbal toothpaste and exclusive premium gift sets including 380 sets of Royal Project Arabica Coffee Single Origin, 1,000 sets of Chamomile Vetiver and Chamomile Lavender, and 500 sets of Isaria Nourish Skin products.

Shoppers can also visit the exhibition, “Background and Progress of 50 Years”, which showcases the activities of the Royal Project from its first decade of pioneering research to today; an exhibition of the Royal Project Foundation’s new plant innovations at the Central Court area; cooking and handicraft demonstrations using crops and products from the Royal Project; and a wealth of handicrafts that make perfect gifts.

Doi Kham will introduce three new products, namely a Fingerroot extract drink with honey and lemon – which helps to nourish the body and balance the hormones, and is high in calcium thereby helping to prevent osteoporosis; Tri Pha La herbal drink – with the power of ‘three great Thai herbs’ comprising Indian gooseberry (high in vitamin C), Myrobalan (to improve intestinal microbial balance) and Belleric Myrobalan (to help boost the immune system); and low sodium tomato sauce sweetened with stevia instead of sugar.

Thailand faces up to ageing population with new Geriatric Centre

Published August 6, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30374332

Thailand faces up to ageing population with new Geriatric Centre

Aug 06. 2019

The National Academic Centre of Geriatric Medicine at Samut Sakhon by Siriraj Hospital

The National Academic Centre of Geriatric Medicine at Samut Sakhon by Siriraj Hospital
By Parinyarorn Pajee
The Nation
148 Viewed

Thailand faces up to ageing population with new Geriatric Centre

In 2020 – just three years away – Thailand will be classified as a full-blown ageing society with 20 per cent of total population over the age of 60. Among the institutes gearing up for this change is Siriraj Hospital, which has just launched The National Academic Centre of Geriatric Medicine. This will serve as the first knowledge centre for geriatric care as well as undertake research into how this can be improved.

Construction of the centre, which is located on 24-rai (9,600 sqm) of donated land in Samut Sakhon, is scheduled to start this year with an investment of Bt1.8 billion.

The centre is divided into two phases, with the first phase expected to be completed in 2020 and the second to be built between 2020 and 2021.

“The government has approved a budget of Bt600 million for the first phase so we need another Bt1.2 billion. We aim to raise funds to complete the project,” says Assoc Prof Dr Visit Vamvanij, the director of Siriraj Hospital.

The centre will comprise a research centre, an outpatient building, two inpatient buildings, a geriatric rehabilitation centre and related supportive buildings including staff dormitories.

“This facility will offer intermediate care (sub-acute care) not primary care. It is not a hospital where the elderly can come if they are ill. They should be treated at a general hospital like Siriraj or Samut Sakhon hospital first. When they recover but require more rehabilitation, they will be sent here before being discharged,” says Dr Visit.

Intermediate care or sub-acute care refers to the process of helping patients who are no longer sick enough to remain in hospital but too unstable to be treated at home. Training will be provided for caregivers or family members in how to take care of their elders at home and will also include the adjustments that need to be made to dwellings. The training service is designed to facilitate the transition from hospital to home, and from medical dependence to functional independence, where the objectives of care are not primarily medical.

This is seen as particularly important as all too often a spell in hospital will require adjustments to the home so the elderly can live more independently when they are discharged. Thailand has no system in place to advise on such adjustments and the care needed and hospitals are forced to discharge patients as quickly as possible to make room for new admissions. The centre is aiming to fill that gap and make life in a multi-generational family not just safer but also happier.

Dr Visit adds that the centre is totally designed for elderly care and will include special inpatient rooms for those suffering from dementia and will as the standard ramps and rails.

The OPD will provide services for those receiving medication from the hospital but are not yet ready to return home as they need more rehabilitation and preparation, and treatment will be geared to such geriatric syndromes as dementia, delirium, falling and depression. The centre will also have a Geriatric Day Clinic that provides daily rehabilitative care with patients able to return home in the evening. The principle is similar to a daycare centre for kids and allows caregivers to drop off the elderly when they are not available on certain days.

Dr Visit says that the first phase will include the outpatient building, inpatient building and staff dormitory and the research centre and rehab will be in the second stage.

“We will start operating right after its facility is ready. As soon as the outpatient is built, we will start operations. We won’t wait for the whole centre to be complete,” he adds.

 Professor Prasert Assantachai

Professor Prasert Assantachai

“Families are happy when their senior members are healthy both physically and mentally. And nothing makes them happier than knowing that their offspring are taking care of them,” says Prof Dr Prasit Watanapa, dean of Faculty of Medicine, Siriraj Hospital, Mahidol University.

Dr Prasit adds that Siriraj Hospital has been working towards geriatric medicine for 25 years. The faculty started to produce geriatricians as well as medical professionals from nurses to physical therapists. The faculty has also worked with National Center for Geriatric and Gerontology, Japan in preparation for entering the complete aging society in 2022.

“Certainly we have to apply their knowledge to use in Thai context,” says Dr Prasit.

“Why do we have to have geriatric medicine? Because the illnesses of old people are different from patients at a younger age,” says Professor Prasert Assantachai, Deputy Dean and Head of Geriatric Medicine.

Deterioration in physical and mental health starts with the appearance of grey hair and can later develop into delirium, falls, incontinence and frailty. Many elderly are taking multiple medicines and the side effects must be controlled. Dementia will be one of the most prevalent diseases in Thai society in the near future because it is more common with increasing age.

“In the past, those symptoms were diagnosed as senility. The goal of geriatric medicine is to fill in knowledge about the specific needs of the elderly. If we are passive it will be a big problem. The difficulty is expertise in multidisciplinary care and Siriraj has been working on it for years,” says Dr Prasert.

Nearly 700,000 people around the world die every year due to drug-resistant infections.

Published July 31, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30373880

Nearly 700,000 people around the world die every year due to drug-resistant infections.

Jul 30. 2019
Pfizer Thailand and Southeast Asia One Health University Network (SEAOHUN), a regional consortium of 72 higher education institutions aiming to advance the One Health Workforce development, have joined up to address the growing threat of antimicrobial resistance (AMR) in Thailand.

Pfizer Thailand and Southeast Asia One Health University Network (SEAOHUN), a regional consortium of 72 higher education institutions aiming to advance the One Health Workforce development, have joined up to address the growing threat of antimicrobial resistance (AMR) in Thailand.
By Parinyaporn Pajee
The Nation

437 Viewed

Antimicrobial resistance (AMR) is a serious global health threat and Thailand is not being spared.

For this reason, Pfizer Thailand and Southeast Asia One Health University Network (SEAOHUN), a regional consortium of 72 higher education institutions aiming to advance the One Health Workforce development, have joined up to address the growing threat of antimicrobial resistance (AMR) in Thailand.

The joint initiative will implement a series of interventions ranging from AMR stewardship and conducting educational and training programmes, to creating awareness around responsible use of antibiotics for healthcare professionals and communities within Thailand and SEAOHUN country networks.

Antimicrobial resistance (AMR) is the ability of a microorganism (like bacteria, viruses and some parasites) to stop an antimicrobial (such as antibiotics, antivirals and antimalarials) from working against it. As a result, standard treatments become ineffective, infections persist and may spread to others.

According to the World Health Organisation, it’s estimated that if no proactive action is taken now to combat AMR, by 2050, 10 million people, many of them in Asia and Africa, could be facing devastating infections such as pneumonia and tuberculosis that have become impossible to treat, routine medical procedures could become too risky to perform and even minor injuries or infections could becoming life threatening.

In 2010, the burden of AMR in Thailand was estimated to result in 3.24 million days of hospitalisation and 30,481 deaths per annum, and to cost 0.6 per cent of national GDP.

AMR is a major emerging health problem in Thailand that needs comprehensive and systematic approaches. The Thai National Strategic Plan on Antimicrobial Resistance (2017–2021), which aims to reduce morbidity, mortality and the economic impact of AMR, was finalised and endorsed by the Cabinet in late 2016.

The plan sets targets for a 50-per-cent reduction in AMR morbidity, 20-per-cent and 30-per-cent reductions in antimicrobial use in human and animal respectively, and a 20-per-cent increase in public knowledge about AMR including awareness of appropriate use of antimicrobials. The collaboration is in line with Thailand’s National Strategic Plan on Antimicrobial Resistance and includes AMR surveillance and antimicrobial stewardship (AMS) in humans, animals and agriculture and regulation on antimicrobial distribution.

Susan Silbermann, the Pfizer global president for emerging markets

Susan Silbermann, the Pfizer global president for emerging markets

Susan Silbermann, the Pfizer global president for emerging markets, warned of the diseases that could become impossible to treat and the resultant loss of the quality of life, productivity, economic growth and wealth.

Rochelle Chaiken, the chief medical officer for emerging markets at Pfizer Biopharmaceuticals Group,

Rochelle Chaiken, the chief medical officer for emerging markets at Pfizer Biopharmaceuticals Group,

Rochelle Chaiken, the chief medical officer for emerging markets at Pfizer Biopharmaceuticals Group, added that vaccine programmes and surveillance were vital to reducing the threat of untreatable infections. She noted that Pfizer has an extensive surveillance programme that monitors bacteria resistance patterns data from 73 countries including Thailand. These data are freely accessible through a publicly available website and mobile application that offers an interactive platform to enable physicians to evaluate data and customised by pathogens and antibiotics. Equally important is stewardship in educating the health care providers including pharmacists and technicians in laboratories,

“While anybody can help treat an infection when it occurs, vaccines offer the potential to protect against life threatening infections and their associated consequences by helping to prevent infections in the first place. And the appropriate use of vaccines can reduce the need for antibiotic prescriptions, thereby preventing the potential overuse of common biotics, which may result in resistant strains,” Silbermann said.

“So we can no longer rely heavily on treating infections. We must take a comprehensive approach, such as trying to prevent them in the first place. We know that after clean water, vaccination has been noted to be the most effective public health measure,” she added.

“The partnership between SEAOHUN and Pfizer will further strengthen the capability of One Health professionals on AMR. We believe that a public-private partnership is a vital part of our mission to combat AMR in Thailand and the other Southeast Asian countries,” said Dr Vipat Kuruchittham, the executive director of SEAOHUN.

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