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Stroke care and prevention

Published October 20, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30377536

Stroke care and prevention

Oct 21. 2019
89 Viewed
Welcome to the Health Talk programme of Thonburi Healthcare Group (THG). The Here is THG’s Jin Well Being County (a senior citizen’s condominium complex in Rangsit area of Bangkok).

Dr Tanatip, Medically, we call it a cerebrovascular disease, while people generally call it paralysis or hemiparesis and it can affect the face or legs. Sometimes, patients are bed-ridden. This disease is among the top killers in Thailand.

Statistics shows that there are an annual 400,000 fatalities in Thailand with cancer being the No 1 killer accounting for about 70,000 deaths, followed by cardiovascular and then cerebrovascular diseases, each accounting for about 35,000 deaths. Together, the number of deaths is about 70,000.

Then, road accidents lead to another 20,000-plus deaths.

All these factors account for nearly half of the total fatalities annually. In fact, both heart attack and then brain attack are caused by blood vessel problems. Both diseases have a high fatality rate. If you survived these two diseases, then there could still be challenges since your capacity could have been reduced from say 100 per cent to 70, 60 or 50 per cent. That means the quality of life will be affected, causing concerns among medical professionals as well as family members and relatives.

Who are among the high risk groups? Generally speaking, senior citizens with diabetes, high blood pressure and cholesterol etc are among the risky groups. Risk factors are similar to those of heart or renal diseases. However, we’ve started to see younger stroke patients as young as 45. Lack of exercise is another factor.

Please talk about F.A.S.T. This is a method to observe those who may have suffered from the cerebrovascular disease. The first F represents face or facial drooping. Some people will have facial drooping or facial numbness. A represents arm as they may have arm weakness or leg weakness or both. Then, S stands for speech as people suffering from stroke may have difficulty to talk as the disease affects a part of the brain that controls speech.

T stands for time. Worldwide, we have been campaigning for a fast track to treat stroke patients. The golden period for patients to get medication to address the blood clotting problem is within 4-5 hours. The sooner is the better. It will enhance the effectiveness of treating stroke patients. If the patient is  treated within the first 4-5 hours of suffering from the disease, the outcome can be as high as a 70 or 80  or even 100 per cent recovery.

Can you talk about caring for stroke patients?  Yes, that depends whether it’s ischemic stroke which is due to the lack of blood flow or it’s hemorrhagic which is due to bleeding , both of which resulting in parts of the brain not working properly.

In the former case, patients can be treated with injection of medicine to address the blood clotting problem. Regarding the hemorrhagic case, it’s more challenging, as patients may need a brain surgery. The acute care period is the first 4-5 days after treatment.

Afterwards, it is the rehabilitation process for a better recovery. Patients need physical therapy to regain their muscle strength after suffering from stroke since our muscles will lose strength if they are not used for two weeks or longer. Once the brain recovers, the patient can then return to use their arms and legs.

What is Jin Well Being’s service for patients needing rehabilitation? In fact, we’re planning to open a new hospital especially for this patient group as well as those with chronic illnesses (inside Jin Well Being County) to provide long-term care. The planned Thonburi Burana Hospital will have no surgery room as it is designed to mainly provide rehabilitation care and related services so patients may return to a normal lifestyle as soon as possible.

In addition, Jin Well Being has residential units with a friendly environment allowing the patients’ loved ones and relatives to visit with ease and comfort. Altogether, here is a place like your  home and a hospital, especially for patients who need long-term care. They don’t need to go to a big hospital with all state-of-the-art facilities since their medical condition is no longer critical. The big hospital is also very expensive, costing more than 10,000 per day. However, these patients cannot stay at home either, due to the need for professional healthcare.

We provide all medical and nursing services while family members and relatives can come here as often as they like and there is no restriction on visiting hours. We also have a lot of walking space with gardens and trees as well as fitness and other facilities.

More importantly, the patients will live in a community of those who have similar challenges so they will make friends and give one another moral support. Those who have seen improvements from the rehab process can also help cheer up newcomers. This is a very important and useful feature of staying here to recover and return to a normal lifestyle.

What’s your advice on stroke prevention in the first place, especially for younger age groups from 40-45 years onwards?

Generally speaking, you have to manage your diet and avoid being overweight, exercise regularly at least 3-4 days a week. If you have high cholesterol or high blood pressure, it is necessary to put it under control either by changing your lifestyle or medication. You may try to lose weight and do more exercises to manage these risk factors.

In the event that you have had a stroke and survived with a reduced physical capacity of, say, 60 or 70 per cent, you can still live another 20 or 30 years. Just don’t lose your will power.

Last but not least, what is the cerebral aneurysm? Is it related to stroke? Regarding cerebral aneurysm, there are many causes and in some cases the causes are unknown. An analogy is like a water hose for gardening (blood vessels in the brain) is somehow swollen, doctors may do a surgical clipping to isolate an aneurysm.

There are cases that such an operation is performed before bleeding, that’s an effective treatment. In other cases, it may be too late, patients may not survive or may suffer paralysis. After all, prevention is always better.

We thank Thonburi Healthcare Group and Jin Well Being for the venue. Please contact them for further information on the long-term care service.

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The benefits of sport science

Published October 14, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30377370

The benefits of sport science

Oct 14. 2019

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Dr. Tanatip, Sport science is basically about physical exercise as well as competitive sporting activities. This body of modern scientific knowledge can help people do better and have more fun in various sports, while reducing injuries. Sport science is also helpful in the rehabilitation of patients and has benefits for all age groups.

For children, it can help improve their physical health. This science also benefits adults and professional sports persons as well as senior citizens in terms of revitalizing their lifestyles. They just need appropriate exercises that fit their age and other conditions.

For those who have chronic illnesses, it is also useful. For example, a person’s physical capacity may have dropped from 100 to 80-90 (per cent) due to old age, sport scientists can design a programme to help prevent more illnesses or even reverse the course by improving the patient’s physical performance to, say, 91-92 (per cent). That’s rehabilitation. Next, we will show you the state-of-the-art fitness facilities and equipment at Jin Well Being County of Thonburi Healthcare Group. The facilities have sport scientists working regularly to advice you, covering all age groups from adults to senior citizens or those with chronic illnesses. We will go over there and have a look.

Now I am at Jin Well Being’s fitness centre (in Bangkok’s Rangsit area), with two sport scientists, Khun Bas and Khun Bank, who can give professional advice to the general public as well as sportsmen and senior citizens.

First of all, please talk about the various modes of physical exercise, duration, intensity, and frequency. Generally speaking, we exercise for the strength of body  muscles and for cardiovascular or heart fitness. For muscle strength, we focus on weight training, body weight or cross fit sessions for the benefits of body mass and muscles.

Another is the aerobic or cardio exercise to strengthen the heart and cardio-vascular system. Generally, we should exercise 3-5 days or a total of 150 minutes per week to stay healthy. Each session may vary from 30 minutes to an hour to achieve the total of 150 minutes per week.

Mainly, there are two major types of exercise, one for muscle strength and the other for cardio strength. Right here, what’s the benefit of this machine?

This machine is good for the aerobic exercise or the cardio or heart fitness.

For the general public, what’s your advice on a suitable exercise programme? Basically, there are no special precautions (unless you have some medical conditions). For senior citizens, we need to check if they have chronic diseases and other conditions so that we can recommend a suitable exercise programme covering the appropriate mode, duration and intensity.

Generally, we will go for light and medium exercises for senior citizens such as Tai chi (Chinese-styled exercise)  or an aerobic exercise in the swimming pool. For cardio-exercises on a machine, the intensity is important so they should stay within Zone 2 or Zone 3, meaning their heart rate should range from 120 to 140 per minute. We can also calculate based on age like the formula mentioned by Dr Tanatip.

So we start with the maximum heart rate of 220 per minute, then minus by your age. If you are 50, that’s 170, then we aim to achieve 80 per cent of the max heart rate or about 150 per minute in this case. The machine has sensors to measure the heart while you work out.

If we aim for muscle strength, what’s your advice? First, if you’re already familiar with physical exercise, you can continue as you did before, but if you are a newcomer you need to have a physical therapist or a trainer to guide you. For those with heart disease, diabetes, or high blood pressure, what is your advice?

They will have to consult their physicians before starting an exercise programme.

Afterwards, the doctors will forward cases to sport scientists to help design an suitable exercise programme. We also need to do some tests before we start. For the rehabilitation purpose, we focus on helping senior citizens keep a good physical balance while preventing or minimizing joint and muscle problems. In some cases, we need to do a cardio exercise to strengthen the heart or prevent heart problem or improve the blood pressure.

For senior citizens with a loss of some bone and body mass, we may need some light weight training session.

Wine while you work out? Sounds like fun!

Published October 10, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30377245

Wine while you work out? Sounds like fun!

Oct 09. 2019
By The Nation

404 Viewed

There were celebrities and “fitness influencers” in the crowd that turned out last Sunday for “Wine Surfset”, at which Surfset Thailand gym trainers demonstrated how workouts might be more enjoyable over a glass of Australia’s Jacob’s Creek wine.

There were celebrities and “fitness influencers” in the crowd that turned out last Sunday for “Wine Surfset”, at which Surfset Thailand gym trainers demonstrated how workouts might be more enjoyable over a glass of Australia’s Jacob’s Creek wine.

The sweat session at Siri House on Bangkok’s Soi Somkid took the “beer and yoga” fad one step further with exercises done on a surfboard and delectable wine at hand.

Jacob’s Creek has a new “Bring Your Australian” promotion based on Aussie pastimes such as surfing, giving people a chance to “hang ten” without having to trek to the beach.

And the “total-body surfing workout” forms the basis for techniques used at Surfset Thailand gyms.

After Sunday’s workout, guests were invited to join in an Aqua Zumba class, which is a high-energy aquatic exercise set to music.

The wines being sipped included mellow Sparkling Chardonnay Pinot Noir, dry and fresh Le Petit Rosé and sweet Sparkling Moscato Rosé, which has a light hint of Moscato grapes, berries and lychees.

Curaprox shakes up premium tooth care market

Published October 10, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30377232

Curaprox shakes up premium tooth care market

Oct 09. 2019
By The Nation

376 Viewed

Curaprox, a Swiss oral care brand overseen by Curaden (Thailand) Ltd is aiming to increase its market share with a bold move targeted at affluent consumers.

The brand has seen a 300-per-cent year on year growth by emphasising the product’s distinction and positioning itself as true oral-care expert, according to a Wednesday release. Now it is launching new marketing activities, along with the Curaprox mobile application as a new touch point loaded with privileges to better serve health conscious consumers who looks for the best there is.

Ekasit Noncie, the managing director of Curaden (Thailand) Ltd, said the brand’s rise is due to Curaden envisioning a healthier world. “A world in which passionate dental professionals, clued-up consumers, and attractive, effective and safe products work hand in hand for the healthier individual.”

Curaprox operates under the Curaden AG umbrella, which was founded in 1954 in Switzerland. And Curprox has adopted this vision since 1972, in a stylish way. The company has been focusing on sharing personal care insights and promoting dentist-patient relationship in 75 countries around the world, including the past in the past two years in Thailand through an official distributor. Curaden AG has now moved forward with a joint venture deal that gives birth to Curaden (Thailand) Limited.

The main strategy is to market products by supporting consumers with facts as well as working with dentists, healthcare facilities and educational institutions nationwide. For 2020-2021, the emphasis will be on communicating the brand by fostering first-hand product experience. Those people who earnestly live their lives with quality can truly appreciate the product and its philosophy, said the release.

In retail, no direct competitor has yet existed in this market territory, but the company is adding more sales channels online that will match the lifestyle of affluent customers with special privileges and more personalised information.

The brand’s major emphasis is the toothbrush category, which comes in more than eight options differentiated by treatments, such as toothbrushes for braces, toothbrushes for primary teeth, toothbrushes for mixed dentition and toothbrushes for use after surgery or radiation treatment.

“The premium oral-care market in Thailand as a whole seems to be increasing continuously in value at least 15 per cent a year due to various contributing factors,” Ekasit said. “Advances in medical research and technology as well as manufacturing processes, increasing lifestyle-based sales channels and changing consumer behaviours prompt better responses to product innovation. Many brands are adding a wider range to their product line-up, and consumers can expect to see more products being marketed to them. So Curaprox moves forward with marketing to meet customers’ post-purchasing needs, facilitates an exchange of oral-care information and adds another convenient sales channel to our arsenal.”

ในภาพอาจจะมี หนึ่งคนขึ้นไป และผู้คนกำลังนั่ง

ในภาพอาจจะมี หนึ่งคนขึ้นไป และผู้คนกำลังนั่ง

From office to digital device syndrome

Published October 7, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30377118

From office to digital device syndrome

Oct 07. 2019
By (Recommended)

 

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Health Talk programme from Thonburi Healthcare Group. about the benefits of physical exercise and show you how to work out to address the office and digital device syndrome.

Many people spend 8-10 hours in front of computer screens, resulting in stiff muscles and body aching, especially on their shoulders, neck and upper arm. We have good solutions to tackle this problem. With me today are Dr Thanathip and Archan Surasak, who is a physical therapist. 

Dr Thanathip Originally, the so-called office syndrome meant people working long hours at office with writing instruments. About 20-30 years ago, we started to use desktop computers so our sitting posture is just like this. This position is not natural as we are not built to sit for a long time in this style. For Bangkok motorists, there is also another problematic sitting posture when you are caught in traffic jams for hours. You may spend two hours daily in this position, hurting your back, neck and shoulders. 

Archan Surasak, what is your recommendation? I would like to say that a decade ago we might talk about this problem purely as an office syndrome, but today it’s different everyone has a mobile phone using it anywhere in the office or while they are commuting on the Skytrin train etc. In public places, we can see many people are busy with their personal device. Their posture while using these gadgets is not healthy and when they sit they tend to slip and lie down on the chair, with the head also bowing down while using one or both hands touching or swiping on the touch screens. I can show such a posture. It’s like this. This causes neck and shoulder aching and pains. Many sufferers have sought treatment. Sometimes, they have not got proper help. This has nothing to do with kamma. It’s just the consequence of sitting improperly. 

My advice is you have to agree the problem is caused by your own behavior. You should change your style. For those working 8-10 hours at a desk, I suggest you take frequent breaks. My advice is to get up more often, maybe not every hour, as that might affect productivity, but you should make sure you get up one plus one in the morning as well as in the afternoon. This means you routinely get up and leave the desk twice in the morning and twice in the afternoon. Altogether, you should take four breaks per day. 

Another point is that you should test if you already have the tight neck and shoulder or back problem. The screening method is simple. We can do this together. Just stand up and raise both arms to the fullest extent. Make sure you can touch both ears comfortably without moving the head. Let’s me check Khun Nop. If you cannot do it with ease that means muscles around the shoulders and neck are tight. That’s a warning sign. One more time, we are going to show you how to test the condition of your neck, shoulder and back. 

At a close look, I can see that  Khun Nop could not fully touch both ears without moving the head. There’s a gap and that’s the problem caused by muscle tightness. To do a proper test, you need to raise the arms and keep you head straightforward. Once you have muscle tightness, I would suggest that you do some brief exercise to stretch. You can do this following workout in the office next to your desk or even inside the rest room if it’s convenient. This workout takes just a few minutes and no sweating. This is aimed at loosening the muscles around the shoulders. It’s preventive and I can show you how to do it. Most people are familiar with this simple exercise when they’re in school. You have both hands touch your shoulders and then make forward and backward circles. 

Just close your eyes and imagine to use the tip of your elbows just like a big pencil to make the biggest-possible circles around your shoulders. You should do it slowly with both arms. You will feel a movement of your shoulder muscles. Move your arms forwards three times and then backwards another three times by drawing the biggest possible circles. 

Previously, I didn’t do it properly. Now I could feel a big difference. It seems to have stretched my lower back, neck and shoulder all at the same time. It’s simple and very useful. You don’t have to do it a hundred of times. Just a few times when it is convenient and do it as often as possible. Maybe 10 or 20 times or less as long as it’s convenient. One more thing when you return to your desk, make sure you sit straight even though you may slip a bit later on. By getting up more often you have the chance to be aware of your sitting position and can make a correction. Combing with a brief exercise, that’s a perfect way to take care of yourself without having to pay for anything. 

Dr Thanathip and Archan Surasak, Have talked about the office and mobile syndrome as virtually everyone now uses smartphones and many users tend to have the posture problem when using these devices for an extended period. If they are sitting they are likely to gradually slip on the chair and almost lie down. What’s the issue here? Physically, our spine is shaped like the S alphabet. When you are not sitting straight up on the chair for a long time, your spine is affected and it may deform and become like the C shape, not S anymore. In this case, you risk having a deformed spine. That’s bad and unnatural. One solution is to test yourself by raising both arms to the fullest extent over your head and if you cannot touch the ears without moving the head, then you need to stretch regularly to prevent damaging the spine and reduce aching. 

Some people could not raise their arms over the head so that’s the problem. Archan Surasak, you have other suggestions? I think we also need to be inspired to be healthy. If you want good health, it’s not on sale, you have to work out yourself. This will improve the quality of life. So stretching regularly is vital. Our body is like the car’s engine. It needs to run idle regularly to be in good shape. If you don’t start your car regularly, the battery and other moving parts will be soon in trouble. 

For human beings, we need to have a lot of physical movements to stay healthy as a sedentary lifestyle is bad for your health. For people who use mobile phones many hours a day, they risk having the damaged spine due to sitting improperly. The spine shape shifts from S to C shape as explained earlier. 

This has affected not only adults, but also children as young as 8 years old. In the older days, I only had patients in advanced age. Now, younger people and kids are also sufferers. Maybe, some kids are addicted to mobile computer games and we have pictures to show in these cases. In one case, a kid’s spine is reshaped like the C alphabet due to long hours on digital devices from smartphones to tablets etc. There was no proper parental guidance when kids use these devices. 

It seems the office syndrome has shifted over the past decades to be the smartphone syndrome and now  the digital device syndrome to cover tablets, notebooks and other devices. Now, the new styled offices are called co-working space, which is designed to accommodate the new generation of workers with additional space for physical workouts and other activities. That’s helpful. Don’t be shy and become the trendsetters. With multiple and new-styled furniture and even standing desks, that’s good. So people can exercise inside their offices.

Myoma no more

Published October 6, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30377110

Myoma no more

Oct 05. 2019
By Parinyaporn Pajee
Special to the Nation

434 Viewed

A leading gynaecologist from Belgium drops into Bangkok to talk about the positive effects of a new medication for uterine fibroids

Non-cancerous growths of the uterus that mostly commonly occur during childbearing years, uterine fibroids are found in 25 to 40 per cent of Thai women. While not particularly painful, they do cause discomfort as well as heavy menstrual bleeding and, in some cases, lead to infertility.

“Treatment ranges from medication to surgery, though that is only recommended for between eight and nine per cent of patients. Surgery comes into play when the fibroids are larger than 12 cm,” says Dr Boonsaeng Wutthiphan, an obstetrician-gynecologist at Samitivej Sukhumvit Hospital.

Dr Jacques Donnez, a professor at the Catholic University of Louvain, Belgium and a highly respected gynaecologist, was in town recently to talk with Samitivej’s doctors and provide an update on the use of the new drug ulipristal acetate (UPA) for uterine fibroids.

Dr Boonsaeng Wutthiphan, left, an obstetrician-gynecologist at Samitivej Sukhumvit Hospital and  Dr Jacques Donnez, a professor at the Catholic University of Louvain, Belgium and a highly respected gynaecologist

Dr Boonsaeng Wutthiphan, left, an obstetrician-gynecologist at Samitivej Sukhumvit Hospital and Dr Jacques Donnez, a professor at the Catholic University of Louvain, Belgium and a highly respected gynaecologist

He began his presentation by reminding participants that the benign tumour is often found in women between the ages of 20 and 50, with age increasing the prevalence.  After menopause, the size of the myomas, as the fibroids are known in medical terms, decreases because they are hormone-dependent, with oestrogen and progesterone the major influencers of fibroid size.

The main symptom, the Belgian doctor noted, is heavy menstrual bleeding called menorrhagia which can affect quality of life.

“The second symptom, which is also important, is pressure on the bladder, which can lead to urine incontinence. And in younger women, the tumours might affect fertility,” Donnez said, adding that there are no significant differences between Europe and Asian women as the size and the localisation are more important than the symptoms. In fact, most women with uterine fibroids don’t experience any symptoms, particularly if the fibroids are small and are only detected by chance while the patient is undergoing an annual health checkup. Patients with large uterine fibroids, however, often have symptoms related to abnormal menstruation, such as heavy bleeding, irregular periods, pelvic pressure or pain, or chronic lower back pain. In some cases, fibroids growing and pressing on nearby organs can cause frequent urination or constipation. If the fibroid is particularly large and can be felt in the pelvic area, it may cause swelling of the abdomen, similar to pregnancy and, if left untreated, can make it harder for the woman to conceive or cause anaemia due to significant loss of blood. Additionally, if uterine fibroids occur during pregnancy, they may, in some cases, lead to premature birth or  miscarriage. They are not, however, life-threatening.

But while small and non-symptomatic fibroids do not require treatment, a new drug, Ulipristal Acetate, is an effective therapy for those with abnormally large myomas but do not want surgery or for whom surgery is not an option.

That’s a major step forward from even 10 years ago, when most gynaecologists would recommend a hysterectomy or, at the very least, a myomectomy to remove the tumours but not the womb. “The problem is that more and more women want to preserve the uterus

for a lot of reasons. It’s regarded as a very important part of the body because it’s responsible for pregnancy, and this has made many women reluctant to go under the knife,” he explained.

Uterine fibroids can range in size from as small as a mung bean to as large as a watermelon. You can have multiple fibroids or just one. They are fairly hard and dense in nature and can be found in almost every part of the uterus. Intramural fibroids are the most common and refer to uterine fibroids that grow within the muscular uterine wall.

They can distort the uterine cavity or uterine wall, leading to abnormalities. Subserosal fibroids are on the outside of the uterus and may project into the surrounding outer uterine tissue layer. This type of uterine fibroid is usually asymptomatic, other than perhaps

pressure on the bladder or rectum.

The last type is submucosal fibroids which are quite rare and are in such a position that, when they grow, they can push into the uterine cavity. They are usually found in the muscle beneath the inner lining of the wall and can result in the distortion of the uterine cavity, and often cause menstrual disorders.

The best option for diagnosing and monitoring the size of fibroids is high-frequency sound waves or ultrasound. This includes both lower abdominal ultrasound and transvaginal ultrasound, both of which provide accurate, precise results. There are also medications

available that provide effective treatment, allowing patients to avoid undergoing surgery.

Now, though, doctors have another weapon in their arsenal – Ulipristal Acetate, a drug in the Selective Progesterone Receptor Modulator (SPRM) class of medications with predominantly inhibitory effects on the progesterone receptor. It is currently available in 5-mg tablet form and has been approved for two main therapeutic indications: treatment of uterine fibroids prior to surgery and as a course of treatment for uterine fibroids in patients who are not eligible for surgery.

Donnez explained he prescribes two courses of UPA each lasting three months with a short break in between and that the results had been satisfactory.

“The heavy bleeding stopped, the pressure decreased and the tumour shrank. Of course, it is possible that some women will again experience heavy bleeding four or five years later, in which case we can start another course of treatment. We found that the tumour decreased around 30 per cent in volume after the first course and the second course can maximise the effect with 50 per cent decrease in volume. For the bleeding we found that it stops after six days medication,” Donnez said.

Treatment is carried out as a 12-week course. The first treatment course should start during the first week of menstruation. There should be a break of two menstrual cycles between the first course and the second retreatment course. Retreatment courses should start at the earliest time during the first week of the second menstruation following completion of the previous treatment course.

Patients who should not take the UPA medication include those who are allergic to major components or excipients in the medication, women who are pregnant or lactating, patients experiencing vaginal bleeding for unknown causes or due to causes other than uterine fibroids, patients with uterine, cervical, ovarian or breast cancers and patients with abnormal liver function or liver disease.

Whoo dazzles with royal art, costumes from ancient Korea

Published October 5, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30377074

Whoo dazzles with royal art, costumes from ancient Korea

Oct 04. 2019
By The Nation

450 Viewed

South Korean skincare and makeup brand Whoo is hosting an exhibition of historic royal Korean art and accoutrements at Bangkok’s EmQuartier shopping mall today (October 4) through October 10.

It will also unveil Bichup Self-generating Anti-Ageing Essence and Bichup Jasaeng Essence Special Edition, inspired by the bedroom of a Korean empress at Changdokgung Palace in Seoul.

On view are royal art pieces and traditional costumes and ornaments of the royal court. These include a Jeokui worn by the empress at important rituals such as royal weddings and a Daesamjaknorigae that decorated a woman’s hanbok outfit with coral, white jade and amber.

A highlight of the show is “Holistic Heritage Sirivannavari x Whoo”, an art piece specially designed this year by Her Royal Highness Princess Sirivannavari Nariratana.

If you plan to attend, register before October 10 for a “Bichup gift set” at https://event.whoo.co.th.

‘Pink Bra’ campaign’s Bt1m covers free breast-cancer checks

Published October 3, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30376990

‘Pink Bra’ campaign’s Bt1m covers free breast-cancer checks

Oct 02. 2019
By The Nation

481 Viewed

Representatives of the “Wacoal Pink Bra Fights Breast Cancer” project on Wednesday presented the Thai National Cancer Institute with Bt1 million it raised to cover the cost of “Check-up Gold” mammograms and ultrasound scans being offered for free this month.

October is Breast Cancer Prevention Month and 460 women are registered to undergo the free check-ups throughout the month at the institute’s Damrong Niradura Building, director Dr Weerawut Imsamran said on accepting the donation.

Wacoal, a maker of women’s undergarments, has said it wants to encourage women, especially those in at-risk groups, to have their health checked annually.

Regular check-ups have been shown to vastly reduce mortality and increase the chances of a successful cure.

Get healthy with exercise and self-motivation

Published September 30, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30376840

Get healthy with exercise and self-motivation

Sep 30. 2019

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By The Nation969 Viewed

Drs Thanathip and Archan Surasak talk about physical exercise and its positive effects on every age group.

Dr Thanathip, how important is exercise in today’s internet age?

Exercise is essential for good health. Humans began as hunter-gatherers and still need a lot of physical movement on a daily basis. More people today live in air-conditioned buildings and we’re glued to our computers, maybe spending 10 hours a day in front of the screen. Our bodies have become stiff due to the long hours of sitting.

Basically, we need a lot of interval workouts to loosen stiff muscles in the neck, shoulders and other areas to stay healthy. We also need to do cardiovascular activities to keep the heart healthy, strengthen our muscles and maintain a good physical balance. We should be able to literally maintain our balance while standing on a log, but most of us lack this potential.

However, I have noticed something. When I was in medical school at Chulalongkorn University about 30 years ago, I would jog regularly in nearby Lumpini Park, and there were few other runners. Today, jogging and running are very popular, and we even see so-called “overuse injuries” resulting from excessive exercise.

On the other hand, there are more and more obese people due to improvements in oncome, the over-consumption of sugary foods and other factors. These are two extreme groups – obesity and over-exercising. There are fewer people on the middle path, so it’s like a pendulum swinging to the extreme left and right.

What do you mean by “overuse injuries”?

It means we are over-using our bodies. The people who love to exercise represent our main topic for today, those who over-excise and work out for too many hours. The other group don’t work out at all, and their overuse injuries come from working long hours in a chair, resulting in aching shoulders and upper arms. Some muscles are overused, some not at all. Overused muscles bring the risk of overuse injuries. If the injuries come from sports or too much working out, the muscle fibres will be damaged and you get aches and swelling.

Aching shoulders and upper arms are quite common and some people turn to traditional massage for relief. Is it a good solution?

In fact, we should look at the root cause. The aches could result from an inactive lifestyle. If you’re sedentary, you need more physical movement on a daily basis. That’s the real solution to the underlying problem. Professional massage might bring temporary relief, but it’s best to take frequent breaks from the computer to do brief sessions of simple exercise.

Thai traditional massage is regarded as a national treasure, but you need experts to do it properly. And massage only relieves the pain. To cure it, you need to get back to the basics – being physically active more.

Heat therapy has become popular in dealing with overuse injuries caused by improper exercise. What is your opinion?

In short, heat therapy is common among Thai people. Many people would just turn to medication and other heat methods to ease muscle and other pains. Heat therapy is common here, with many simply using balms or embrocation liquids, hot-water bags or heating pad to ease pain, but this is only superficial heat. My advice is to avoid heat therapy in the first day or two of feeling overuse injury because the heat increases blood flow to the affected area and worsens the injury. It’s better to use cold therapy initially, such as an ice bag, as long as the chill is not extreme.

On day three or four, you can use heat therapy to help the body repair damaged tissues by increasing blood circulation in the area. Some people think the more heat the better, but you have to be careful about inflammation, again by making sure the temperature is not extreme. People with chronic diseases such as diabetes must avoid extreme temperatures in coping with overuse injuries. Judge according to how you feel – If the heat becomes unbearable, just remove the source, then reapply, and so on.

Dr Thanathip, jogging and running have become quite popular in Thailand, with many running events and mini-marathons organised. Could we begin seeing more over-exercise?

Running is an aerobic exercise good for your heart, but regular runners should have a wearable gadget to measure heartbeat and other indicators to ensure a healthy session.

The rule of thumb is that maximum heart rate should be 220 minus your age. If you are 50, the max rate is 170, and you should achieve about 80 per cent of this rate during aerobic exercise. Anything higher is considered a hard-core endurance exercise while a lower range is mainly for fat burn, not for the cardio purpose.

Aerobic exercise is essential and you should do it on a regular basis, say, 3-4 times a week. If you stop, the effects will decrease in two weeks.

So we should consider our age and monitor heart rate through wearable gadgets or calculate the perfect rate by yourself. You have to pay a little for your health. Moreover, you have to work out regularly and monitor the heart rate as an indication for proper exercise level.

In terms of calories, you should burn at least 1,500 per week, or 400 calories per session if you exercise four times a week. You can burn around 400 if you run for nearly an hour.

I work on a running machine and lose 300 calories in around 30 minutes.

That means your body is fit.

However, it quite hard works out for me. If I do running outdoor, I have to adapt to the current condition. But the main subject is proper exercise.

What is your advice for avoiding overuse injuries?

Basically, you calculate the suitable duration and intensity of the exercise based on age and other factors. Sometimes you may want to achieve higher performance, but make sure you’re not going too fast or overdoing it. That’s a future topic – what to do if injured.

Dr Thanathip, can you say more about the sedentary lifestyle?

There are two major groups among the so-called Gen Y and Gen Z populations. The first are physically inactive and generally overweight or even obese. They prefer an easy-going lifestyle, eating and spending hours on digital devices. If they do exercise, it might be not enough. The others are quite strict in their diet, eating lots of veggies and low-fat foods.

Can you give advice on increasing motivation?

The first group might lack incentive to work out regularly. The most important factor is probably social. If you’re surrounded by friends who don’t exercise and enjoy eating, you’re not going to be motivated to do otherwise. Maybe you need a new environment.

Dr Surasak, what if someone isn’t motivated to exercise?

Some people need the inspiration to live longer for their loved ones, so this could be a powerful incentive for regular workouts. Some adults wish to stay healthy so they can take care of their parents in old age, while others want to exercise so that they live long enough to see their kids reach adulthood. Self-motivation is key to sustained regular exercise and helps people stick to it when they lose the will.

Many people can’t sustain their exercise habit even after they’ve spent money on equipment at home. After a brief period, the machine goes unused.

When I finished medical school at age 25, I weighed 82 kilograms. Twenty years later I was 93kg – 10kg overweight – even though I ran 2.5 kilometres every other day. It’s a challenge to keep the weight down.

Eight years ago, an in-law introduced me to biking and I spent Bt20,000 on a new bike. In the first month I did 2,000km every morning and evening and lost 7kg, the first time since med school my weight dropped. That was a big inspiration for me and I returned to running again. Today I weigh 84kg and can easily maintain it.

In short, inspiration and self-motivation are key to sustainable physical workouts.

Moves made to deal with rare diseases in Thailand

Published September 26, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30376738

Moves made to deal with rare diseases in Thailand

Sep 26. 2019
 Wanitcha Kaewya, centre, and her parents. Wanitchaya is a patient of Gaucher Disease - the rare condition and affect one in 100,000 people.

Wanitcha Kaewya, centre, and her parents. Wanitchaya is a patient of Gaucher Disease – the rare condition and affect one in 100,000 people.
By The Nation

571 Viewed

When Wanitcha Kaewya was about a year old, her mum felt something was wrong – the little girl had an irregularly large abdomen, she cried often and rarely ate or even learned to speak.

When the child appeared to have aching bones and trouble breathing, her parents took her to the doctor, who found that Wanitcha’s spleen was unusually large and removed it. For nearly 20 years, doctors had been treating Wanitcha for symptoms, because they had no idea what she was suffering from. It was not until Wanitcha turned 20 that a doctor at Maharaj Nakorn Chiang Mai Hospital eventually found that she was suffering from Gaucher Disease.

Gaucher is a rare condition and affects one in 100,000 people. It is estimated that some 600 people are suffering from this condition in Thailand, but so far, only 30 have been diagnosed and only 20 are being treated under state-provided healthcare benefits.

These figures do not just portray the challenges faced by the public health system in Thailand, but also illustrate the need for research and awareness of the disease among both the medical community and the general public.

An inherited disease, Gaucher is created by the mutation of the gene that is responsible for creating the glucocerebrosidase enzyme that the body needs to break down a particular kind of fat called glucocerebroside.

The early signs of this disease can be very alarming as the body starts getting disfigured due to a deficiency of this enzyme, as the body becomes incapable of eliminating certain fatty substances in the cells, causing an accumulation of the fat, which then disfigures the organs.

The first organs to be enlarged are the liver and spleen, before the patient starts showing signs of blood abnormalities. Affected people can develop anaemia, get easily bruised or start bleeding due to a low level of platelets. Some patients may also develop bone abnormalities, like pain, thinning or fractures. The condition can also cause slow development in certain patients. Gaucher Disease Type 2 and Type 3 present neurological disorders such as a slowdown in intellectual development and seizures.

In 2013, LSD Thailand Foundation notified Wanitcha’s mum that the disease can be treated via enzyme replacement therapy, and that it was included in the National List of Essential Medicines. The mother was finally able to see her daughter get better and happier.

Nevertheless, the family is still concerned about the expenses, because they have to travel almost 100 kilometres every two weeks for the treatment. They wish the government would also provide financial aid to cover all expenses related to the treatment.

Wanitcha is now 30, living a normal life, and is offering to advise anyone else fighting this rare disease.

Assoc Professor Dr Adisak Tantiworawit.

Assoc Professor Dr Adisak Tantiworawit.

Assoc Professor Adisak Tantiworawit, MD, a haematologist at Maharaj Nakorn Chiang Mai Hospital, affiliated to the Faculty of Medicine, Chiang Mai University, said: “The most important characteristic of Gaucher disease and other rare diseases is that they are rarely found. This is why most people, including healthcare personnel, are not aware of rare diseases, as we rarely experience them and the chance of anyone developing these diseases is very slim. The public also lacks an understanding of rare diseases. Also, there are very few specialists in Thailand, making it hard to properly diagnose and treat them. Moreover, there are only about 15 haematologists and geneticists in Thailand who are capable of diagnosing and treating Gaucher disease.

“Every October 1 is International Gaucher Day, and I want to raise awareness of the disease as it is rare and very few physicians understand the symptoms well enough to make an accurate diagnosis. Reports from other countries indicate that on average patients with Gaucher disease spend 10 years seeing seven different doctors before they finally meet one who can correctly diagnose their disease. The symptoms of Gaucher disease may appear at any age, though symptoms in adults are not as outstanding as in children. Also, different patients do not necessarily have the same symptoms. Moreover, the symptoms are usually similar to those of other haematological disorders such as thalassemia, leukaemia and lymphoma, which are so much more common than Gaucher. Therefore, Gaucher disease can be easily misdiagnosed,” Dr Adisak added.

In Thailand, there are 30 confirmed Gaucher Disease patients, 90 per cent of whom are children with most of them affected by Gaucher Type 3, which is characterised by brain complications. The incidence in Thailand is worth studying as it is contrary to the occurrence in other countries where more adults are affected than children. In addition, 90 per cent of patients in other countries have Gaucher Type 1, which does not affect the brain.

Dr Adisak said Maharaj Nakorn Chiang Mai Hospital has established a specific guideline called High-Risk Screening Project to screen patients and to provide them with quick diagnosis when they come to see a haematologist. Under this scheme, when doctors find patients displaying physical signs of Gaucher disease or whose lab results suggest they have the condition, such as an abnormally enlarged spleen or low levels of either red or white-blood cells, or particularly low levels of platelets, they will be tested for Gaucher Disease.

“Initially, we will draw blood from the fingertip of suspected patients. If test results point to Gaucher disease, the patients will have to undergo a test for genetic mutation to determine if they are actually affected by the disease. Confirmed patients will then register for treatment to be funded by the National Health Security Office under the Public Health Ministry. The patient will have to undergo enzyme replacement therapy every two weeks for the rest of their life. The other option is bone-marrow transplant, but this method is costly and there are many limitations at present.”

The Public Health Ministry recently introduced guidelines for the care for patients suffering rare disease under the National Health Security System. A task force to develop a caring system for patients with rare diseases will also be established to ensure fair access to treatment.

“Rare diseases are difficult to manage. The number of affected people is small while specialists on those diseases and service centres are also limited. There is an issue of inaccessibility to treatment and medication. Due to these factors, a proposal for the development of a concrete system for rare diseases treatment has been prepared,” Dr Adisak added.

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