BEAUTY

All posts tagged BEAUTY

Thailand sees first case of pneumonia from e-cigarettes

Published December 8, 2019 by SoClaimon

#ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30379200?utm_source=category&utm_medium=internal_referral

Thailand sees first case of pneumonia from e-cigarettes

Dec 08. 2019
By The Nation

77 Viewed

E-cigarettes have been blamed for breathing problems in a 48-year-old male patient admitted to a private hospital, Dr Asadang Ruaycharin, deputy director-general and a spokesman for the Department of Disease Control, said yesterday (December 7).

The man told doctors he had started to smoke e-cigarettes containing marijuana on November 3 and soon developed shortness of breath, fatigue, fever and chest pain. On November 15, he was admitted to a private hospital then transferred to another private hospital on November 18 after lab tests revealed no lung infection but symptoms consistent with pneumonia from electric cigarette use, according to the criteria set by the US Centres for Disease Control and Prevention. He was treated with intravenous steroid therapy and has now been sent home.

What is Jin Wellness?

Published December 2, 2019 by SoClaimon

#ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30378957?utm_source=category&utm_medium=internal_referral

What is Jin Wellness?

Dec 02. 2019
By Thonburi healthcare group.
The Nation
898 Viewed
We are at the Thonburi Bamrungmuang Hospital, the flagship of Thonburi healthcare group.

How is it different from other hospitals in the network.

Dr.Thanatip: In our health group, we have 8-9 hospitals. However, this new hospital is especially designed for medical tourism. There are many centres of excellence. Today, we are taking you for a tour of Jin Wellness

And now we are at Jin Wellness clinic. There is another doctor here who will provide us with information.

What is Jin Wellness?

Dr Om: the Jin Wellness was founded to promote health and solve health problem of patients who wants to have a well-being life. A short definition is ‘The best of what you are’. For example, if you had a chronic disease and have reviewed your life that you have to change your diet, sleep behaviour, etc, you need help, please come to us. We will provide care and advice for you by finding the best approach to help you recover.

That’s great. Who should come to wellness clinic?

Dr.Om: I would like to say everybody.

Dr.Om: everybody with a mindset for a well-being life. When I ask people to raise their hand if they see themselves as a strong person. There were many people, even when they were not sick, felt their health wasn’t that good …

Well if I were one of them, I would too.

Dr.Om: Some had chronic fatigue syndrome. Some had a negative result in blood lab test or imbalance health problem. All of these problems could be solved through wellness. This help maintains their life quality during recovery and making life better.

It means whether you were sick or still strong, you can come to this clinic

Dr Om: even when you are not sick, you can come for a health check-up. We have a six-step health analysis which is one of our wellness programmes and the highlight. Before any analysis, we have to understand the patient’s lifestyle, mental health and diet portion which would affect the blood test. We found that it took many visits before the patient is familiar with their doctor and tell the truth which helps in the analysis. Sometimes it took hours before they started to open up. This programme is a short-cut for understanding patients deeply and truly in order to solve the problems.

Like getting doctor and patient to know each other and find the same tune.

Dr Om: Yes. They have to understand each other first. Patients should tell their intention. Some want to improve their performance such as pilot or athletic who are already in good condition but want a better record. They want to enhance their ability.

Dr Thanatip : Some want to climb mountains. Some want to visit the north pole.

Dr Om: Do you believe that a senior person, aged 70, still want to go hiking more. Then, we have to design a nutrition programme including IV Nutrition and nutrition calculation, like daily proteins consumption or sleep hours to enhance their ability. Next group is people who are sick. They felt blue or sad, we will use the ‘enlight’ method. Enlighten the best of what you are. Some patients suffer from dementia and depression. Sometime, a caregiver could not find a way to help people, such as grandmother and grandfather, to have a well being or at least sleep enough at night, we will enlight them.

They will continue to get better slowly but we will help with they could do. Like a support team. After entering six analysis programmes to know their status and performance, they can step further to the wellness check-up programme. We also have a programme to take care of the brain such as brain health check-up. Since our main strategic focus is on the hospital, We’re going to teach our staff on how to properly eat and workout to change their lifestyle. More, you can invite your relatives here for a better understanding of their health problems. Another programme is the Wellness heart programme. We will coordinate with cardiologists to study heart performance since we have to be highly concerned about it. Many have sudden death syndrome even at a young age. Our patients mainly want to check for sure. Next is the Wellness check-up programme for immune system. Nobody wants to have cancer. Buy some already got one but don’t know how to deal with. We have a programme to find out White blood cells’ performance which can eliminate cancer cells. Also there is the programme we designed for allergy and intestine check-up for people allergic to something or have poor digest systems. It is designed for kids who grow slow and elderly persons who have digestion problems. This is a programme specially designed for intestine care.

So there are four health check-up packages.

Dr Om: Yes. Four health check-up packages that we have already launched. According to my experience in the field for more than 10 years, these are major care that could help many patients. Whatever package you should, it will help you to have a well being for life.

You did mention IV Nutrition. What is it?

Dr Om: IV Nutrition is the process of administering nutrients into a vein directly into the bloodstream. The one we use in the programme is verified through research and very safe. It will increase whatever is lacking in the patient such as vitamins. Some need inflammation treatment. Some need to balance their digestion systems. We use this to increase the effectiveness of treatment .

This is one of the service provided here?

Dr.Om: Yes. One of them.

Dr Om: Sure. We have a wellness check-up – the six steps analysis which is a programme to find health problems. We also have IV nutrition therapy, acupuncture, therapeutic massage, and health discussion with doctor. Sometimes we provide art and music therapy workshop.

Can we talk to Dr Om directly.

Dr Om: Sure. Let’s talk to find out what do you need. When you found the problem then we would design a personal life wellness programme for you.

Dr.Thanatip: Yes. The concept of a clinic is to diagnoses the symptom, a doctor might give you medicine and mostly talk about the problem. However, our clinic in Rangsit area, the Jin Wellness clinic, is a large facility and wellness centre. Like a big resort with many facilities. There is Hydrotherapy where the pool can change water temperature. It is large enough for a wheelchair. And cooking class, music therapy, and Fitness centre. The target group is people who want to slow down and enjoy life.

Well that is all information we need about Jin Wellness clinic. Thank you for Dr.Om and Dr.Thanatip.

Embracing state of the art technology

Published November 25, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30378693?utm_source=category&utm_medium=internal_referral

Embracing state of the art technology

Nov 25. 2019
By Thonburi Bamrungmuang Hospital
The Nation
1,078 Viewed

We are here at Thonburi Bamrungmuang Hospital. There are many people here and the hospital looks trendy. What is the concept behind this hospital?

Dr Thanatip: Our network, Thonburi Healthcare Group, has many hospitals. We operate a large hospital in Bangkok and medium-sized ones in upcountry provinces. We also have branches in foreign countries — in China and Myanmar. However, for medical centre tourism we see this as the flagship hospital to accommodate foreign patients. We have also opened disease specialist centres such as Digital Dental Center, Wellness Clinic, Diabetes wound treatment centre — which attract many foreigners — to treat diseases needing specialist attention. They are located in the Bamrungmuang area where many Thai-Chinese people living. Bamrungmuang, Sampeng, Yaowarat and Worachak are in a two-kilometre radius from Bangkok’s famous China Town. It is the main patient base for the Thonburi group as people cross the Memorial Bridge or Somdet Phra Pinklao Bridge can visit our hospital.

Vehicles can also easily access the hospital, right?

Dr Thanatip: The new location is huge with plenty of parking lots. The design is modern.

Talk about the number of patients — both Thais and foreigners?

Dr Thanatip: Our patients are mostly foreigners. They are from the Middle East, Western countries and some from China. Out Western patients come for dental treatments while Middle Eastern people come to treat diabetic wounds.

So, where are you going to take us to?

Dr Thanatip: I will take you the Digital Dental Center lab. We can see how digital technology helps in dental treatments, especially in cases considered very difficult, such as implant placement. For foreigners, it used to be painful — the expense and the long time it took time, about two weeks. However, with 3D printing getting better and more widely accepted, we bought this high technology equipment from Germany.

MC: Which means implant placement can be done in one day?

Dr Thanatip: Exactly.

Then let’s see what it looks like.

One-day dental care

by Dr Vorawee Laovoravit:

We are at the dental centre lab of Thonburi Bamrungmuang Hospital. What kind of treatments do you provide here?

Dr Vorawee: We provide all treatments — from cleaning, polishing, teeth fillings, tooth extraction to implant placement and root canal treatment. We offer the entire range of dental treatments.

What is the highlight of the services you provide here?

Dr Vorawee: Well, we have brought the latest technology to treat our customers better. We also have our own lab to create material for dentistry use. We cover everything from dental clinic to laboratory.

However, the most talked about feature is the one-day dental care. Could you please explain?

Dr Vorawee: In the past, when we needed to make a crown first, it took a really long time.

Many days.

Dr Vorawee: Yes. You had to meet the doctor many times to continue the treatment. However, with the newest technology, we have shortened the crown-making process to one day.

We can complete the process in one day? If you come in the morning, you will go home in the afternoon? Can you tell us about the process?

Dr Vorawee: We have high technology equipment such as a 3D cavity scanner. When we drill the teeth and prepare to install a crown, we will use this equipment to scan our patient’s cavity. Usually, when scanning is finished, we used to send the data to other dentistry labs but since we have our own lab, we can send it out to the lab instantly. The lab uses a computer for analysis and shapes in the dental piece, increasing accuracy.

Less procedure but more accuracy. This is the crown-making process. What about the implant placement process? I heard many patients come here for treatments, especially seniors. Could you give us more information?

Dr Vorawee: We have a one-day implant placement service but it is only available for simple cases or for patients who have lost the front teeth. When they have to participate in an important event, we can create new front teeth for them in a day.

This also can be done in a day if you come early in the morning. How about the root-canal treatment process? Is it complicated?

Dr Vorawee: We have to prepare for dental implant surgery. First, we have to check if the tooth has been completely extracted and then arrange the implant placement. The placement that replaces the natural tooth root is made of titanium. After the implant is placed in the jawbone, we can place an abutment and a permanent crown.

Can everyone go for implant placement or is it on a case by case basis?

Dr Vorawee: It is case by case. We have to check first if you have enough bone mass volume for implantation. In the case of insufficient bone volume, patients have to increase bone volume first.

As Dr Vorawee said before, this dental centre has brought many new technologies. Could you provide us an example?

Dr Vorawee: We have a 3D oral cavity scanner and 3D X-ray technology. The previous technology used to give us a 2D result, which did not help an examination in detail. The 2D result comes on paper with tooth images from each view while results in 3D can be rotated to see it from every angle.

Then we can see it at 360 degrees.

Dr Vorawee: Correct, 360 degrees. We also take each layer out to see what happens inside the tooth providing a more accurate examination.

There is another instrument called microscope.

Dr Vorawee: It is an instrument that used to observe small objects. We usually used it for root canal treatment. Patients with decayed tooth usually receive root canal treatment, which is for tooth that has decayed but cannot be filled, but at the same time does not need to be removed. Root canal treatment starts with the tooth opening to flushed out pulp and bacteria. Then it will be filled and sealed.

Microscope is like a magnifying glass, right?

Dr Vorawee: Yes. People usually think that tooth treatment is done in narrow areas with difficulty. Normally, we do them with our bare hands and eyes. With a microscope, the doctor can see the tooth area in more detail and make a better judgement.

What about the examination room?

Dr Vorawee: We have installed a system and located a server room. Every information and scanning result of our patients will be shared with every examination room. Patients can X-ray or have 3D scanned result in every room, and all the data will be uploaded to the server. The patient can 3D-scan in A room and see other doctors in every room.

If a patient returns for another treatment, the patient’s history and information is prepared in the server and is ready for use, right?

Dr Vorawee: Yes.

Today, Dr Vorawee will guide us to the highlighted area, the digital lab. What is its speciality?

Dr Vorawee: It offers high support to the dentist and dental technicians.

Interesting. let’s look inside then.

 

A 3D approach

Now we are inside the digital dental lab where some people are at work. What is this machine for?

Dr Vorawee: This is the 3D oral cavity scanner.

How does it work?

Dr Vorawee: It works like a camera and takes photos inside the cavity. It will take a small set of pictures then process them into a 3D model of the patient’s tooth.

What can we see?

Dr Vorawee: Everything. We can rotate the 3D model of the patient’s tooth. When we make a crown, we can retrieve information and scan the result from the server instead.

Can you provide overall information in this lab?

Dr Vorawee: Well, we have working space. After scanning the patient’s oral cavity, we will use the information to design the crown or plan the placement implantation by computer.

Another thing you mentioned is shaping the crown.

Dr Vorawee: Yes. The shaping station is in another room.

Can you explain the shaping process?

Dr Vorawee: We use cubed premixed material then put it into the machine that works like a grinder and lathe. It will slowly and accurately grind it into the tooth shape.

What are the placement and crown made of?

Dr Vorawee: The placement is made of titanium while the crown uses ceramic, which provides the yellowish-white colour like a natural tooth. We rarely use metal as a material.

You also mentioned the 3D printer in this lab.

Dr Vorawee: The 3D printer works like a normal printer but the outcome is 3D not 2D on the paper. After 3D scanning, the doctor who really needs to print out the result will bring the model of the teeth out.

Since the hospital owns the dental lab, it is much easier to work. How about the patient?

Dr Vorawee: They will receive faster service from examination to the dental price process since everything happens here. Secondly, the quality of the work is controlled by dentists as it was an internal work. Third, since the work is done by a computer, there is no scope for human error.

We have received much information from the dental centre at Thonburi Bamrungmuang Hospital. All technologies have been installed to give patients the best treatment. Our thanks to Dr Vorawee.

Obsessive Compulsive Disorder (OCD)

Published November 18, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30378388?utm_source=category&utm_medium=internal_referral

Obsessive Compulsive Disorder (OCD)

Nov 18. 2019

By Thonburi Healthcare Group

The Nation
967 Viewed

Welcome to Health Talk programme. We’re at Thonburi Hospital’s Pediatric Centre. Dr Tanatip, please talk about the Obsessive Compulsive Disorder (OCD) in children as well as adults. Generally, a classic OCD case is when someone happens to wash their hands countless times or maybe spend an hour doing so until their hands are hurt. In other words, we could say that if someone do something repeatedly in a compulsive manner that negatively affects the normal lifestyle or a person’s functionality. Th

However, some people may do things repeatedly, but their way of life is not significantly affected. For example, when I myself go to the airport for overseas business travel, I often touch my pocket to check if my passport is there. I could do it three times just to make sure I really have the passport with me. Doctors say that’s ok or sometimes people are worried if their cars are properly locked  because they may have something valuable inside or may have just purchased a new and expensive item left inside the car. So you want to make sure your vehicles are really secured.

In other words, you are alright if your behavior is not affecting your functionality. Many adults have some mild forms of compulsive behavior which are positive. However, if you keep doing these things repeatedly for hours or for days, then it’s OCD since you would not be able to do things properly.

In children, there are also cases of OCD caused by anxiety. There is a term, Tiger’s Mum, used to depict Asian mothers in the US following the Korean and Vietnam wars. These so-called Tiger’s Mums were very strict with their children (in terms of discipline on education) after they had emigrated to the US.  Later on, we should discuss OCD in children with the pediatrician.

Next, we will talk to Dr Chalermpol, who specializes in children’s OCD. Dr Chalermpol, what’s OCD in children?  OCD is quite common in Thailand. We have seen cases of patients who are excessively fearful of germs and diseases so they wash their hands very often. Some people use up a bar of soap in one day and their hands are hurt due to excessive washing.

Such a behavior is sometimes said to be a personal trait, but medically, it’s an OCD when someone spends more than one hour per day doing this kind of thing repeatedly, negatively affecting one self as well as other people. An OCD also includes some form of cognitive problem.

There are many examples of OCD. For instance, there was a household which had never disposed their garbage. One day their neighbors reported the matter to police because the mountain of garbage had resulted in foul odor and a potential outbreak of diseases.

What’s about someone collecting a huge number of stuffs such as handbags. In that case, it’s rather different since the collector may be a collector and trader of those goods which are useful and the behavior hurts no one. Some people may be a toys’ collector. However, if you collect garbage, it hurts you and your neighbors due to the bad smell and lack of hygiene which could result in infectious diseases.

Other examples include those compulsively fearful of germs and disease contraction as happened in some people cleaning their personal belongings excessively or avoiding to eat something because they cannot be sure if they are perfectly clean. Some people are also compulsive in the sense that they want to adjust an object’s setting even though the things do not belong to them.

One patient wanted to move a picture frame in a public place just because it wasn’t placed exactly the way he liked it. That’s a problem. It’s kind of perfectionism even though it’s not your belongings.

What is the remedy for these people? First of all, we have to do tests to make sure if it’s an OCD case, not just some personality traits. Once diagnosed as an OCD case, it is believed that there is some form of cognitive problem regarding brain chemistry resulting in the repetitive pattern of thoughts. Normally, people when they are worried they may think about the same topic many times but after a while they tend to move to something else. But OCD patients cannot move to the next topic or it takes them a very long time to do so.

For those who like to double-check or triple-check their house’s lock before leaving, the border line is whether such a behavior is excessive or counter-productive. If you have to do it for hours and could not leave your home, then, it’s an OCD case, but if you do it for two minutes that’s not an OCD.

Some people have an obsession with bad and good omen in the form of certain colors or numbers so they could not function properly unless they are changed. For example, if you happen to get a hotel room with a certain room number you may not like, it could be a problem if the room could not be changed due to full occupancy.

OCD cases also have the heredity element. In some cases, the parents have some forms of OCD which could genetically affect their children. The condition is worse when there is stress and anxiety at home and school due to the environmental factor. In addition, there are brain chemistry and other problems. If a kid with OCD grow ups in a household very strict on cleanliness, the kid’s condition could worsen.

 

If there is some form of brain infection, it will also contribute to the existing condition. In terms of treatment, we have to diagnose first if it’s really an OCD and we also have to find out the underlying psychological factors behind the fears. Family and school also have to play their role in the treatment process involving various therapeutic measures. We also need medication to address the brain’s chemical imbalance.

Time is up. We thank Thonburi Hospital and Thonburi Healthcare Group for this programme. Good Bye and Sawasdee Krub.

How to make your neck look longer

Published November 18, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30378422?utm_source=category&utm_medium=internal_referral

How to make your neck look longer

Nov 17. 2019
By Thanisorn Thamlikitkul
Special to The Nation

1,481 Viewed

A V-shaped visage is coveted by many women, especially in Asia, because it is considered to impart a youthful appearance, while a slender, long neck is considered to be very elegant for woman and is much envied. It usually goes with a slimmer face shape and gives a feminine appearance. Although the neck plays an important role in facial beauty, treatment options for contouring and refining this area have been relatively limited. Thanks to the recent advanced technique of botulinum toxin injectio

The platysma and trapezius muscles found in the neck and shoulders can affect the appearance of the length of the neck. The platysma is a broad muscle that spreads from the chest up the neck to the jaw. Each of the muscles of the face perform a different function — some lift up and some pull down. Over time, the bands of platysma in the lower face can pull the skin downwards, which exaggerates a droopy and undefined jawline and neck. Botulinum toxin can be utilised to relax and reduce the downward pull of the platysma muscle band, resulting in the enhancement of the lower facial contour and neck envelope. A well-defined chin and jawline can create the look of a longer neck.

The trapezius is another thick and large band of muscles which supports our neck and shoulders. It is often considered to be desirable for bodybuilders. However, for women a fully developed trapezius can make the neckline shorter. Most recently, botulinum toxin injections have been proved to be effective in relaxing the fully developed trapezius muscles. This will eventually make them less conspicuous and reduce the muscle size for lean and feminine shoulder lines which, in turn, help to improve the neck length.

The combination of injecting botulinum toxin to the platysma and trapezius muscles, will thus allow the neck to appear longer. It is an easy, painless 20-minute procedure. Best of all, there is no recovery time, there are no scars, and no need for anaesthesia. After one to two months of treatment, good aesthetic results can be noticed. The result is temporary and lasts 4-5 months.

A proper selection of affected muscles and a dose of toxin are essential efficiency parameters. The toxin’s purity minimises the potential for allergic reactions and helps it work more effectively.

Festive treats at Spa Cenvaree

Published November 14, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30378324?utm_source=category&utm_medium=internal_referral

Festive treats at Spa Cenvaree

Nov 14. 2019
By The Nation

147 Viewed

This holiday season, Centara Grand Beach Resort & Villas Hua Hin invites you to visit Spa Cenvaree and create your own spa experience by customizing your spa package with its Spa Smorgasboard.

Promising to pamper you from head to toe, the latest treatment features some of Spa Cenvaree’s popular treatments which you can pick and mix to create your own 150 minutes of heaven.

A personalised treatment begins with a scrub session to detoxify your skin. Brown rice & Black sesame, Passion fruit & Lemongrass, or Matcha green tea are all on the natural scrub menu and are a good preparation for the next ultimate nourishment – a massage session. These include Traditional Thai, Aromatherapy, Balinese and more – each offered by experienced therapists. The blissful journey ends with a facial pampering session of either Anti-aging of Facial-Glow treatment.

The holiday pleasure doesn’t end there as Spa Cenvaree prepares a special gift for you to take home.

The Spa Smorgasboard is available every day until December 31 and costs Bt4,999 net.

Child obesity

Published November 11, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30378197?utm_source=category&utm_medium=internal_referral

Child obesity

Nov 11. 2019
By The Nation
879 Viewed
 Welcome to Health Talk programme of Thonburi Healthcare Group. Today our topic is child obesity.  Dr Tanatip, please talk about the latest development on child obesity. In my opinion, many people are worried by the current uptrend. Unlike when we’re kids 30-40 years ago, today’s issue is rather different. In the older days, malnutrition was a major problem and there were quite a number of skinny kids who needed medical attention.

Today, the problem is the other way around as more and more kids are overweight due to many factors, including heredity and the way they are brought up. The modern lifestyle and better economic well-being have led to convenient access to ready-to-eat food and snacks which are high in flours and sugar.

Child obesity is now a major issue because it negatively affects children’s development both physically and mentally. People who are overweight from a young age will have medical issues similar to those in adults such as diabetes and high blood pressure. We should talk to our pediatrician on child obesity for further details.

Dr Rottanart, what is the medical definition of obesity in children? We basically look at the weight and height ratio as well as their age. This ratio should not exceed 120 per cent. A ratio of 140-200 is obese, while over 200 is hyper obese with potential medical complications.

There are many factors contributing to child obesity such as genetic, environmental, upbringing and other factors. Worldwide, child obesity is on the uptrend, including in Thailand. Today’s lifestyle and mobile media have played a leading role in this uptrend as children tend to use less energy while consuming more fast foods, snacks, and sugary drinks, but less natural foods, especially fruits and vegetable.

For parents, what is your advice? Actually, we need to follow up on the obesity issue from child birth and monitor the weight/height ratio regularly when children have appointments for vaccination. We can take precautionary measures from a very young age with the help of parents and caregivers, especially in terms of food intakes and calories while adjusting their eating behavior to prevent the onset of obesity and its complications, including child diabetes.

What’s about the eating habit? Parents have a major role in this factor. We also found that kids who are breastfed by mothers are healthier with less obesity or no obesity problem. After 6 months, kids need proper nutrition covering all five major groups of food while they should avoid oily, fried and other unhealthy stuffs. When they are 2 or older, they should also turn to low-fat dairy products if obesity could be a problem.

Parents also need to be role models in the household in terms of eating behavior. Unhealthy snacks and sugary drinks, for example, should be out of sight. Parents should also lead the way in doing more physical activities to avoid a sedentary lifestyle or spending too many hours in front of mobile phones and other digital devices.

Basically, we need to restrict the inactive hours when little energy is used such as playing mobile games while watching TV and eating a lot of unhealthy snacks for hours.

When should kids start regular exercise? In fact, most  children are quite energetic so parents may introduce them to proper exercise suitable for their age. For example, biking, walking and other outdoor activities are good.

In Thailand, most obese kids have a weight-to-height ratio of 140-160 which are relatively mild. We have seen only a few who are 200 or more.

If teens aged from 10-15 are already obese, will they face a more serious problem afterwards?. Yes, teenagers are more independent and it will be more difficult for parents to manage their diets.

Besides, dietary control and physical exercise, there are other methods to tackle obesity in young adults when their cases are serious. Medication and surgery are among the other options.

Dr Rottanart, there is also a high probability that obese teens will become obese adults with diabetes, high blood pressure, high cholesterol and cardiovascular disease.

Genetically, we have discovered certain genes are responsible for obesity so this is also a factor. If both parents are overweight, there is a high chance that their children may also be overweight. The environmental factor is also crucial since kids in overweight households tend to over-eat.

10.28-12.22 —Overall, the best way to prevent child obesity is to promote breastfeeding for newborns. The less formula feeding is the better for obesity prevention. Afterwards, kids should be fed according to their age, with less sweet and fried foods as well as less sugary drinks, but more healthy food such as fish.

For school-age kids, it is recommended that parents restrict the number of hours for kids using mobile and other digital devices. For example, kids aged from 2 to 5 should not play smartphone games more than two hours per day, while older kids need to do more physical activities. Parents should be role models and do these activities together as a family.

For teens, they have to take care of themselves with proper diet and regular exercise. Three meals a day are necessary but they should avoid food and snacks with a lot of flour and sugar contents which leads to obesity.

ADHD and Nomo-phobia

Published November 4, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30377981?utm_source=category&utm_medium=internal_referral

ADHD and Nomo-phobia

Nov 04. 2019

By The Nation
Thonburi Healthcare Group
1,167 Viewed

Welcome to Health Talk programme of Thonburi Healthcare Group. Today, we will talk about pediatrics or medicine for children. Here is Dr. Tanatip at Thonburi Hospital’s pediatric center.

Dr.Tanatip, this centre has three major sections. The first section is for sick children, who need treatment for cold and coughing or diarrhea or any other acute illness. The second part of this centre is for well children who need vaccinations and other services. They are separate to prevent infection and other problems.

The third section is aimed at child development issues, which have become more important due to the rising number of medical issues affecting kids during their early years.

Among the top issues are Attention Deficit Hyperactivity Disorder (ADHD), child obesity and Obsessive Compulsive Disorder, or Nomophobia (no mobile phone phobia) or computer game addiction or slow reading development.

What are the major changes over the past 30-40 years regarding medical issues among kids? In my opinion, there are two big changes. First, medical problems which were previously not widely recognized have become more apparent. For example, our generation  had some friends in school who probably suffered from the attention deficit and hyperactivity problem (30-40 years ago). There were neither diagnosis nor treatment back then.

However, we’re now better equipped to deal with this kind of problems. The class’s teacher would have reported to parents any kids who are suspected to have this problem. Parents are often advised to see the pediatrician.

Another change is that we have observed some relatively new medical issues such as child obesity or even obsessive compulsive disorder. In the older days, overweight kids, for example,  were rare as more kids had suffered from malnutrition. So back then we talked about better nourishment. Now, the opposite is true, over-eating as well as insufficient physical activity are the problems.

Medical issue among kids in Thailand when compared to those in other countries, are there any significant differences? Dr Tanatip, the world has become smaller due to technology advances. Developed and developing countries mostly have the same digital gadgets such as Internet and smart phones or Ipads or more ready-to-eat meals at convenient stores next door.

The current generation are less physically active and some stay in smaller places such as condominium units with no or little space for an active lifestyle, while both parents usually work so they have less time for kids.

Next, we will talk to specialist doctors covering each of the medical issues mentioned earlier. First is the Attention Deficit Hyperactivity Disorder (ADHD).

Here is Dr Chalermphol, the pediatrician, what’s the definition of this medical issue. Dr Chalermphol, parents usually tell me that their kids might be hyperactive from a very young age as they could play around non-stop without being exhausted.

In the older days, some people thought hyper-active kids were probably smart kids but some of these so-called smart kids were in fact suffering from the attention deficit problem.

Since they are hyperactive, they also disturb the class and teachers may not be able to handle them. Some also abuse their classmates.

Teachers should report such as a problem to parents so that they may see the doctors. Parents who have multiple children may notice that one of them is rather hyperactive compared to the rest or the teachers would in some cases ask the parents to see the doctors before having the kids back to the classroom.

What is the definition of ADHD and its diagnosis? Dr ChalermpholADHD in very young kids is obvious when kids have little or no self control largely due to a chemical imbalance in the brain where concentration is managed.

There are varying degrees of ADHD patients, starting from mildness to a serious level. Symptoms are consistent hyperactivity, restlessness, impulsiveness, lack of a focus. Some kids have problems at school in terms of inability to follow the lessons or play too hard with classmates.

In these cases, parents should bring their kids to specialists on child development. In serious cases, these kids could not act normally in class, or they have to walk around or they would just physically abuse other kids due to the lack of self-control.

Many of these kids also perform badly in class with low grades due to the inability to focus for an extended period. Their attention span is very short so learning is a big challenge for them. In short, kids who can focus for a reasonable amount of time can learn better.

What is the treatment plan for those diagnosed with ADHD? Dr Chaelermphol says parents should be cautious especially when their kids have problems at school.

In some cases, kids may have some inclinations such as they may like maths more than other lessons that need a lot of reciting or they may like some teacher characters and hate the others.

As a result, we have to find out if they are really ADHD sufferers or they are affected by other factors as mentioned. If the kids are confirmed to be ADHD, parents and teachers need to be involved in helping the kids. Basically, we try to help kids manage their weaknesses while strengthening their positive behaviors so they can adapt and lead a more normal lifestyle at home and at school.

In some cases, we also need medication to tackle the brain chemical imbalance.

What is the heredity factor? Dr Chalermphol, we could say that this is a major factor as we often learn that parents who are ADHD usually have a higher probability that one of their kids could also suffer from ADHD.

As a result, we often ask parents if they used to experience some forms of ADHD when they were young. However, the body of ADHD knowledge is quite new so we are still learning about this medical issue. Many parents told me that they faced a lot of difficulties at learning during their school years. Some said when they grow up they still have some of these symptoms or tend to make impulsive decisions.

Sometimes, they find it hard to stick to a long-term plan.

What is the timeline of ADHD from a young age to adulthood? Dr Chalermphon says we can expect the brain function to improve when kids get older as can observe from previous generations. When you get older, you tend to have less problems with ADHD.

For ADHD in adults, they are more obvious in terms of emotional rather than physical areas.

Besides heredity, ADHD has other causes. For example, kids who are born significantly prematurely could suffer from ADHD or kids who have brain damage.

In fact, brain function development started long before kids are born. As a result, a pregnant mother who smokes or drinks alcohol would hurt their unborn baby who will likely suffer from ADHD.

As a result, pregnant women are advised to refrain from smoking and alcoholic consumption while fathers are also advised to stop smoking since second-hand smoking has similar adverse effects on unborn babies.

What is the ratio of ADHD cases in Thailand? The findings show that over 10 per cent. The sooner we diagnose ADHD cases, the less severe consequences are found among kid patients. However, if left untreated for a long time, the consequences could be more serious.

Just imagine if ADHD kids are not treated, they could face psychological effects from their inability to focus such as punishment from adults. These are good kids but they don’t follow instructions due to the inability to focus and listen attentively.

So the kids are under constant pressure to conform leading to problematic relationship with their parents or teachers and later on emotional problems as well as aggression.

It’s the duty of parents to observe their kids’ behavior closely, especially when they start school or around kindergarten level 3. More serious ADHD cases could be seen at an even younger age.

Digital technology has a significant impact on people’s lifestyle. Dr Chalermphol, please explain Nomo-phobia or the so-called no mobile phone phobia. This means people are anxious when their mobile phones are not around.

Due to the current lifestyle, you and me are often worried if personal smartphones are not handy. In many cases, people feel lonely when they do not have smartphones with them. In serious cases, they suffer from acute moodiness when there is no Internet connectivity or their phones are lost or batteries are out. Some also have headaches or stomach pain.

The suffering is obvious among those who use smartphones many hours a day. Teenagers are most vulnerable to this Nomo-phobia, aged 18-24. About 70 per cent of this age group are found to have suffered some degree of this Nomo-phobia.

Some adults also have suffered such as an anxiety. We think this stems from the lack of self-confidence when their smartphones are not around and usable.

Some people are worried that if they are in trouble they could not ask for help. Another factor is the rise of social media. People want to know what happens instantly or learn the latest about their friends or their communities so when they don’t have smartphones or connectivity they suffer.

They feel they are left out if unable to check Facebook or Instagram as often as they like.  That’s a new phenomenal.

Thais still crazy for bubble tea

Published November 1, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30377929

Thais still crazy for bubble tea

Oct 31. 2019
By The Nation

1,692 Viewed

One of the most popular beverages in Asia continues to make its presence felt in Thailand, with Thais knocking back 6 glasses per month on average, according to Taiwan-based bubble tea chain The Alley.

And bubble tea has now found its way to Europe and America – known as the Blue Ocean market –with The Alley opening 300 branches around the world and more planned for Germany and England.

Anol Thanesworakul, chairman of Millary, which owns the franchise in Thailand, said the global bubble tea market is expected to reach more than Bt100 billion in 2023 from Bt62 billion in 2018.

According to GrabFood statistics, the bubble tea market in Thailand enjoyed a 3,000-per-cent growth rate in 2017-2018 with 1,500 bubble tea brands and around 4,000 shops.

Thailand has seen a growth rate of at least 40 per cent in the last 3 years valued at Bt2.5-Bt3 billion. It is forecast to reach a value of Bt5 billion in the next few years. However, the market will turn into a ‘red ocean’ market and without any flagship product or new gimmicks, could drop by 20-25 per cent causing some brands to leave the market.

Middle-quality bubble tea prices are around Bt40-75 and hold 60 per cent of the market while the mass market price of Bt40 or less has 30 per cent.

According to The Alley record, the main customers are female (79 per cent) with males making up the remaining 21 per cent. Most consumers are young adults between the ages of 24 and 35 (50 per cent) and workers aged 35 to 44 years (25 per cent).

Anti-ageing medicine and wellness tips

Published October 28, 2019 by SoClaimon

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

https://www.nationthailand.com/lifestyle/30377750

Anti-ageing medicine and wellness tips

Oct 28. 2019

 

By The Nation
Thonburi Healthcare Group.
889 Viewed

Welcome to the Health Talk programme with Dr Tanatip of Thonburi Healthcare Group. The programme is online every Monday at 8 am on the websites of Nation Thailand and Bangkokbiznews. We discuss the latest healthcare trends in Thailand and other Asian countries.

Today, we’ll talk about anti-ageing medicine and wellness tips. Dr Tanatip, wellness has become a buzzword over the last decade, but I think I will focus on the quality of life (as you get older) rather than other aspects of the wellness definition. For instance, many people have the difficulty to touch their upper back with one of their hands when they are getting old.

Maybe a trivial thing for some, but this problem is not ordinary, especially when you occasionally have an itchy back. When you are younger you could touch and or scratch your upper back with ease. That’s not possible any longer due to the tightening shoulder muscles. But there is a solution to this problem. Senior citizens may need a physical therapist’s session over a period of six months or one year to loosen the muscles. In other words, wellness in this context is to extend the quality of life as you age.

Other issues faced by the ageing population include increased tiredness. You used to get upstairs a couple of floors with ease, then it’s no longer the case. Then there’s the generational factor. Your parents’ generation, those who are now in their late 70s or 80s, have a different frame of reference when it comes to the definition of wellness. Based on my clinical experience, they prefer to be left alone.

Then, there are those baby boomers aged from 55 to 70. They are well educated with a lot of savings and financial resources so they want to maintain the quality of life after retirement. They want to travel the world in good shape, even on their own, or can still drive with ease for 3-4 hours for a domestic holiday trip without having to depend on their children.

If the baby boomers want to achieve this goal, when they need to start the preparation? In my opinion, they may start as early as 35 or 40 years old. For females, there is also the child-bearing factor affecting their hormones, weight control and physical exercise. For males, many have had alcoholic drinks or smoked when they are younger so it’s time for more discipline.

Those who stop drinking and smoking when they reach 40, they may expect a big improvement in the general health. If they don’t, they will likely face a significant health issue in advanced age. So a decent lifestyle is a big deal post-40-years of age. It’s the turning point for you to start the anti-ageing effort before it’s too late.

What’s about diet? Yes, it’s another key factor and there have been many bad guys when it comes to food. However, the good guys in terms of food definitely include fresh fruits vegetables. Citrus and turmeric powders (in some Thai curries and other dishes) are among those backed by research which shows they have health-beneficial properties. They can help prevent Alzheimer’s disease, for example.

On the other hand, sugary and salty foods are bad for health, with people in Southeast Asia, including Thailand, among heavy consumers of sweet and salty food. For oily and fatty food, it’s not yet a big problem in Thailand, but it may be a more obvious problem for Indian and Middle Eastern people.

Red meat and highly processed meat products are not good either so are liquid oil turned into artificial butter and other processed stuffs. However, there are both good and bad fats and oils so we have to differentiate.

More importantly, many Thai and Southeast Asian people have consumed too much starch and carbohydrates. (Due to the improved economic well-being and less manual work,) over-consumption leads to more bad fats and cholesterols, which can cause heart disease, stroke and diabetes etc.

There is an old saying that the less you eat the longer you may live. You can also use the body mass index (BMI) or a simple formula that you minus your height with 100 for male and with 110 for female. I am 182 cm tall so my ideal weight is 82 kg. I am currently 3 kg overweight. A proper ratio of height to  weight has a direct correlation to good health, especially as you age.

After diet, the next key factor for good health is physical exercise, especially when you’re 40 or older. Yes, it’s necessary to exercise at least every other day. You may start with the aerobic workout which is good for your heart and physical flexibility as well as balance. You should do aerobic for at least half an hour with a peak performance after 15 minutes, then slow and cool down. For me at 53, my heart rate should reach 130-140 beats per minute while doing the aerobic exercise to prevent an overloading. Good balance is also essential since it helps prevent injuries in old age.

In terms of the anti-aging medicine, what is the latest development? Dr Tanatip, there are now many new screening methods such as those to measure your cognitive capacity for the probability of Alzheimer’s disease. Or the genome tests for genetic probabilities of some diseases. However, only 180 genes are known in relation to some diseases so there is a limit at this stage.

The datasets are expanding with more people around the world taking more tests to help artificial intelligence (AI) software improve the capability to diagnose with predictive analytics. We can expect more accuracy in this technology over the next decade.

In anti-aging medicine, I also like to talk about the psychological factor or attitudes. When I see my patients, I often say there are two major groups of senior citizens, the active ones and the lazy ones. For example, my father in his 80s is still very active and he drives to see doctors twice a week by himself, one trip for the eye doctor another for prostate treatment. He follows the doctors’ instructions strictly.

On the other hand, my mother is in the opposite camp as she likes to lie down the whole day watching TV. She only gets up for meals and prefers a sedentary lifestyle. So we need to approach the two groups differently from the psychological perspective. In general, both groups, including the active group,  should not over-do and the middle way is probably better.

Regarding the Generation Y who are 40 or younger, they appear to be more in control of their lifestyle and forecasts show that this generation’s life expectancy will likely reach 100. Generation X or those who are now over 50 may live until 90. However, Gen Y are more health-conscious and better at diet management.

Overall, anti-aging medicine has become more tailor-made with specific targets and behavior therapies plus vitamins, supplements and lifestyle changes etc. For those who are 40 you should start to look after yourself.

Time is up for the Health Talk programme. Good Bye.  Episode 7–Anti-ageing medicine and wellness tips

Welcome to the Health Talk programme with Dr Tanatip of Thonburi Healthcare Group. The programme is online every Monday at 8 am on the websites of Nation Thailand and Bangkokbiznews. We discuss the latest healthcare trends in Thailand and other Asian countries.

Today, we’ll talk about anti-ageing medicine and wellness tips. Dr Tanatip, wellness has become a buzzword over the last decade, but I think I will focus on the quality of life (as you get older) rather than other aspects of the wellness definition. For instance, many people have the difficulty to touch their upper back with one of their hands when they are getting old.

Maybe a trivial thing for some, but this problem is not ordinary, especially when you occasionally have an itchy back. When you are younger you could touch and or scratch your upper back with ease. That’s not possible any longer due to the tightening shoulder muscles. But there is a solution to this problem. Senior citizens may need a physical therapist’s session over a period of six months or one year to loosen the muscles. In other words, wellness in this context is to extend the quality of life as you age.

Other issues faced by the ageing population include increased tiredness. You used to get upstairs a couple of floors with ease, then it’s no longer the case. Then there’s the generational factor. Your parents’ generation, those who are now in their late 70s or 80s, have a different frame of reference when it comes to the definition of wellness. Based on my clinical experience, they prefer to be left alone.

Then, there are those baby boomers aged from 55 to 70. They are well educated with a lot of savings and financial resources so they want to maintain the quality of life after retirement. They want to travel the world in good shape, even on their own, or can still drive with ease for 3-4 hours for a domestic holiday trip without having to depend on their children.

If the baby boomers want to achieve this goal, when they need to start the preparation? In my opinion, they may start as early as 35 or 40 years old. For females, there is also the child-bearing factor affecting their hormones, weight control and physical exercise. For males, many have had alcoholic drinks or smoked when they are younger so it’s time for more discipline.

Those who stop drinking and smoking when they reach 40, they may expect a big improvement in the general health. If they don’t, they will likely face a significant health issue in advanced age. So a decent lifestyle is a big deal post-40-years of age. It’s the turning point for you to start the anti-ageing effort before it’s too late.

What’s about diet? Yes, it’s another key factor and there have been many bad guys when it comes to food. However, the good guys in terms of food definitely include fresh fruits vegetables. Citrus and turmeric powders (in some Thai curries and other dishes) are among those backed by research which shows they have health-beneficial properties. They can help prevent Alzheimer’s disease, for example.

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