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            "summary": "Viêm phổi là một trong những bệnh lý nghiêm trọng ảnh hưởng đến trẻ em, đặc biệt là ở những trẻ dưới 5 tuổi.",
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                    "value": "<p>Viêm phổi là một trong những bệnh lý nghiêm trọng ảnh hưởng đến trẻ em, đặc biệt là ở những trẻ dưới 5 tuổi. Việc nhận biết sớm các dấu hiệu và triệu chứng viêm phổi ở trẻ em là yếu tố quan trọng giúp cho việc điều trị được thực hiện kịp thời, từ đó giảm thiểu nguy cơ biến chứng và đảm bảo sức khỏe cho trẻ. Trong bài viết này, Phòng Khám Quốc tế Family Medical Practice (FMP), với đội ngũ bác sĩ quốc tế giàu kinh nghiệm, sẽ chia sẻ thông tin hữu ích về các dấu hiệu, triệu chứng của viêm phổi ở trẻ em, cùng lời khuyên về cách phòng tránh và điều trị hiệu quả bệnh này.</p><h2><b>Nhận Biết Dấu Hiệu Viêm Phổi ở Trẻ</b></h2><p>Viêm phổi ở trẻ em thường bắt đầu với các triệu chứng tương tự như cảm lạnh hoặc cúm, nhưng nhanh chóng chuyển biến nặng hơn. Dưới đây là một số dấu hiệu cảnh báo viêm phổi mà phụ huynh cần đặc biệt chú ý:</p><p>- Ho kéo dài: Ho là triệu chứng phổ biến nhất của viêm phổi, có thể kèm theo đờm hoặc không.</p><p>- Khó thở, thở nhanh: Trẻ em bị viêm phổi thường thở nhanh hơn bình thường, có thể kèm theo tiếng rít hoặc khó thở.</p><p>- Sốt cao: Sốt là phản ứng tự nhiên của cơ thể khi nhiễm trùng, và viêm phổi thường gây ra sốt cao ở trẻ.</p><p>- Đau ngực: Trẻ có thể cảm thấy đau hoặc khó chịu ở ngực, đặc biệt khi ho hoặc thở sâu.</p><p>- Tím tái: Do thiếu oxy, trẻ bị viêm phổi có thể có biểu hiện da và môi tím tái.</p><h2><b>Triệu Chứng Viêm Phổi ở Trẻ Em</b></h2><p>Bên cạnh các dấu hiệu trên, viêm phổi cũng có thể biểu hiện qua các triệu chứng như:</p><p>- Ức chế sự hoạt động: Trẻ em bị viêm phổi thường có sức đề kháng kém, dễ mệt mỏi và không muốn tham gia vào các hoạt động vui chơi như bình thường.</p><p>- Chán ăn: Do cảm thấy không thoải mái và mệt mỏi, trẻ có thể biểu hiện chán ăn hoặc từ chối ăn.</p><p>- Rối loạn giấc ngủ: Trẻ bị viêm phổi thường ngủ không sâu và thức dậy nhiều lần trong đêm do khó thở hoặc ho.</p><h2><b>Khám Viêm Phổi cho trẻ tại phòng khám Nhi FMP</b></h2><p>Phòng Khám Quốc tế Family Medical Practice là một trong những cơ sở y tế hàng đầu với đội ngũ bác sĩ quốc tế có kinh nghiệm lâu năm trong việc điều trị viêm phổi ở trẻ em. FMP cung cấp dịch vụ khám và điều trị 24/7, đảm bảo rằng trẻ em sẽ được chăm sóc kịp thời, ngay cả trong tình huống khẩn cấp.</p><p>Lời Khuyên Từ FMP Đối Với Việc Phòng Tránh Viêm Phổi ở trẻ</p><p>- Vệ sinh cá nhân: Dạy trẻ rửa tay thường xuyên và đúng cách để phòng tránh nhiễm khuẩn.</p><p>- Tiêm phòng: Đảm bảo trẻ em nhận đủ các liều vắc xin phòng bệnh, bao gồm cả vắc xin phòng viêm phổi.</p><p>- Chế độ ăn uống cân đối: Một chế độ ăn đầy đủ dưỡng chất giúp tăng cường hệ miễn dịch của trẻ.</p><p>- Tránh tiếp xúc với khói thuốc và ô nhiễm không khí**: Môi trường sống sạch sẽ có tác động tích cực đến sức khỏe của trẻ.</p><h2><b>Điều Trị Viêm Phổi ở Trẻ Em Tại FMP</b></h2><p>Khi nghi ngờ trẻ có các dấu hiệu của viêm phổi, việc đầu tiên là đưa trẻ đến gặp bác sĩ chuyên khoa tại FMP để được khám và tư vấn điều trị kịp thời. Tại FMP, trẻ sẽ được thăm khám bởi đội ngũ bác sĩ quốc tế giàu kinh nghiệm, sử dụng các phương pháp điều trị tiên tiến và theo dõi sát sao quá trình hồi phục của trẻ.</p><p>Để biết thêm thông tin chi tiết, đặt lịch khám, vui lòng liên hệ FMP theo các kênh dưới:</p><p>☎️ 024 3843 0748- 117/119 (24/7)</p><p>✉️hanoi@vietnammedicalpractice.com</p><p>🏥298 i Kim Mã, Ba Đình, Hanoi</p><p>#FMP #YourHealthOurCare #YourChildYourCare</p>"
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            "title": "Suy Dinh Dưỡng ở Trẻ Em – Nguyên nhân và cách điều trị",
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                    "value": "<h2>Suy dinh dưỡng ở trẻ nhỏ là gì?</h2><p>Suy dinh dưỡng là tình trạng cơ thể thiếu hụt về protein - năng lượng và các vi chất dinh dưỡng gây ra do giảm tiêu thụ thực phẩm hoặc do bệnh tật. Có 2 loại suy dinh dưỡng chính, bao gồm:</p><ul><li>Suy dinh dưỡng protein – năng lượng (PEM)</li><li>Thiếu vi chất dinh dưỡng (vitamin và khoáng chất)</li></ul><h2>Nguyên nhân suy dinh dưỡng ở trẻ nhỏ</h2><p>Suy duy dưỡng có thể xảy ra do thiếu cung cấp, tăng tiêu hao dưỡng chất hoặc cả hai.</p><p><b>Thiếu cung cấp:</b></p><ul><li>Không cung cấp đủ lương thực thực phẩm.</li><li>Trẻ biếng ăn, ăn không đủ nhu cầu.</li><li>Chế độ ăn nghèo nàn, cách chế biến không phù hợp, thiếu năng lượng và dưỡng chất.</li></ul><p><b>Tăng tiêu hao:</b></p><ul><li>Trẻ bệnh, nhất là bệnh kéo dài.</li><li>Rối loạn tiêu hóa - hấp thu.</li><li>Nhiễm ký sinh trùng đường ruột.</li><li>Thất thoát chất dinh dưỡng do bệnh lý.</li></ul><h2>Ảnh hưởng của suy dinh dưỡng đến trẻ nhỏ</h2><p><b>Suy yếu hệ miễn dịch, tăng nguy cơ bệnh nhiễm trùng:</b></p><ul><li>Hệ miễn dịch của trẻ yếu đi nên dễ mắc các bệnh nhiễm trùng, phải sử dụng kháng sinh thường xuyên, gây biếng ăn, tiêu hóa kém, không hấp thụ được dưỡng chất</li></ul><p><b>Rối loạn các chức năng cơ thể, gây ra nhiều vấn đề về sức khỏe:</b></p><ul><li>Tình trạng suy dinh dưỡng sẽ làm cho các cơ quan trong cơ thể bị rối loạn. Các cơ quan bị ảnh hưởng nặng nề nhất là gan, tim và thận có thể dẫn đến gan thoái hóa mỡ, suy tim, suy thận,</li><li>Thiếu vi chất cũng gây nhiều vấn đề sức khỏe. Ví dụ, thiếu vitamin A gây khô giác mạc, quáng gà, ảnh hưởng xấu đến thị giác của trẻ; thiếu sắt, đạm và một số vitamin nhóm B gây thiếu máu</li></ul><p><b>Chậm phát triển thể chất:</b></p><ul><li>Thiếu dinh dưỡng ảnh hưởng trên chức năng toàn bộ các hệ cơ quan của cơ thể, nhất là ở giai đoạn 1000 ngày đầu đời (giai đoạn bào thai và 2 năm đầu). Suy dinh dưỡng sớm và kéo dài làm cho trẻ phát triển còi cọc, khi trưởng thành có tầm vóc thấp, tăng nguy cơ béo phì về sau.</li></ul><p><b>Chậm phát triển tâm thần:</b></p><ul><li>Suy dinh dưỡng ảnh hưởng đến sự phát triển bình thường của não bộ trong giai đoạn trẻ dưới 6 tuổi do thiếu hụt các chất cần thiết cho sự phát triển não và trí tuệ của trẻ như chất béo, chất đường bột, sắt, iốt, DHA, Taurine,...</li><li>Trẻ bị suy dinh dưỡng cũng thường chậm chạp, gặp các vấn đề về ngôn ngữ, trí nhớ và giao tiếp xã hội kéo theo sự giảm khả năng chú ý, học tập, tiếp thu.</li></ul><h2>Điều trị phục hồi trẻ bị suy dinh dưỡng</h2><ul><li>Điều trị các tình trạng cấp: Mất nước hay phù toàn thân, rối loạn điện giải, suy tim cấp, nhiễm trùng, nhiễm ký sinh trùng, rối loạn tiêu hóa - hấp thu,...</li><li>Bổ sung các dưỡng chất thiếu hụt: vitamin A, sắt, canxi, vitamin D, axit folic, đa sinh tố,...</li><li>Nâng khẩu phần dinh dưỡng lên mức tối đa phù hợp với khả năng tiêu hoá hấp thu của trẻ.</li></ul><p><b>Phục hồi suy dinh dưỡng tại gia đình:</b></p><ul><li>Đảm bảo cung cấp đủ năng lượng, chất đạm và dưỡng chất đáp ứng nhu cầu phục hồi dinh dưỡng và phát triển cơ thể.</li><li>Tăng năng lượng khẩu phần cho bữa ăn hàng ngày nếu trẻ không thể ăn đủ theo nhu cầu bằng cách:<ul><li>Cho ăn nhiều món trong cùng một bữa.</li><li>Tăng số lần ăn trong ngày nếu trẻ không thể ăn nhiều trong một lần.</li><li>Cho ăn càng đặc càng tốt, sử dụng các loại bột mộng để làm lỏng thức ăn đặc nhưng vẫn đảm bảo độ đậm đặc của thức ăn.</li><li>Tăng thức ăn giàu năng lượng</li><li>Cho ăn tăng cường sau bệnh.</li><li>Cho bú mẹ kéo dài sau 12 tháng. Nếu không có sữa mẹ đủ, lựa chọn loại sữa thay thế phù hợp.</li></ul></li><li>Theo dõi định kỳ tình trạng dinh dưỡng và sức khoẻ của trẻ.</li></ul><h2>Phòng chống suy dinh dưỡng trẻ em ở cộng đồng</h2><ul><li>Cho trẻ bú mẹ ngay sau sinh, bú mẹ hoàn toàn trong 6 tháng đầu</li><li>Chăm sóc dinh dưỡng cho trẻ bằng bữa ăn hợp lý: Tập cho trẻ ăn dặm khi bắt đầu 6 tháng tuổi. Cho trẻ ăn đầy đủ 4 nhóm chất dinh dưỡng (bột đường, đạm, béo), không kiêng khem, và có thể duy trì sữa mẹ trong thời gian dưới 2 tuổi</li><li>Vệ sinh an toàn thực phẩm:</li><li>Vệ sinh môi trường- vệ sinh cá nhân cho trẻ và người chăm sóc trẻ.</li><li>Theo dõi biểu đồ tăng trưởng cho trẻ hàng tháng: Nhằm phát hiện sớm tình trạng suy dinh dưỡng hoặc các nguy cơ nếu có và can thiệp sớm.</li><li>Điều trị triệt để các bệnh lý nhiễm trùng hô hấp, tiêu chảy, chỉ dùng kháng sinh đúng chỉ định, đủ liều, đủ thời gian, chăm sóc dinh duỡng tích cực trong thời gian bệnh và phục hồi dinh dưỡng sau thời gian bệnh.</li><li>Xổ giun định kỳ mỗi 6 tháng cho trẻ từ 2 tuổi.</li><li>Khuyến khích bé tập thể dục thường xuyên. một số trò chơi vui nhộn hoặc đưa bé đi bơi, đạp.</li></ul><h2><b>Đặt hẹn khám dinh dưỡng cho trẻ tại FMP Hà Nội</b></h2><p>☎️ 024 3843 0748- 117/119 (24/7)</p><p>✉️hanoi@vietnammedicalpractice.com</p><p>🏥298 i Kim Mã, Ba Đình, Hanoi</p><p>#FMP #YourHealthOurCare #YourChildYourCare</p>"
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                    "value": "<p></p><ul><li><b>Family Medical Practice hosted the “Stroke &amp; First Aid” Health Talk at New World Sai Gon</b></li><li><b>The Health Talk’s purpose was to share knowledge regarding stroke and Hands-only CPR (Cardiopulmonary resuscitation), and First Aid awareness among participants.</b></li></ul><p><b>Ho Chi Minh City, March 1, 2024</b> - Family Medical Practice had the opportunity to host a comprehensive health talk focused on Stroke Awareness and Hands-only CPR from 14:30 to 16:00 at New World Saigon Hotel. The session aimed to educate employees about recognizing the signs of stroke and how to perform Hands-only CPR.</p><p>Sharing at the event was <b>Dr. Nguyen Hong Truong, our Emergency Medicine Doctor at Family Medical Practice and a well-known lecturer at Pham Ngoc Thach Medical University.</b> The attendees were New World Saigon Hotel’s staff members who were intrigued to learn more about First Aid preparation.</p><p></p><img src=\"https://media.fmp-data.bliss.build/original_images/DSC05436_1.jpg\" class=\"format-fullwidth\" /><p></p><h2><b>Call *9999 - Chest Compression - Wait For Help Arrival - Repeat</b></h2><p>Family Medical Practice recognizes that Hands-only CPR Training is imperative in a society where most individuals are ill-equipped when it comes to First Aid procedures. Dr. Truong gave an important sharing on how to best prepare during a situation where an immediate Hands-only CPR procedure is required to sustain someone’s life before help arrives.</p><p>“The objective is to save the HEARTS and the BRAINS of the people around us, so we can continue living and creating more memories. We only need to be a few seconds late for someone’s life to be gone forever,” Dr. Truong said.</p><p>Great instruction videos as well as Training equipment were present to ensure accurate and informative demonstrations for the audience. “After checking for response from the victim, we need to call *9999. Next, we need to perform CPR at 100-120 compressions per minute before help arrives. Do it to the beat of a famous song called Staying Alive by Bee Gees,” Dr Truong added.</p><p></p><img src=\"https://media.fmp-data.bliss.build/original_images/DSC05586_1.jpg\" class=\"format-fullwidth\" /><p></p><h2><b>Prepare For Any Stroke Situations</b></h2><p>Another big focus of the Health Talk revolves around stroke scenarios and how to appropriately deal with them. Many of us don’t even know that one in four people over age 25 will have a stroke in their lifetime, according to the World Stroke Organization in 2022. For the very same reason, it can be inferred that most will be inadequate to deal with scenarios involving a victim experiencing a stroke.</p><p>“To detect the symptoms of strokes, we must use the FAST test (Facial drooping, Arm weakness, Speech difficulties, and Time),” Dr Truong said. “In Vietnam, whenever we see someone is unconscious, we assume that any “shock” or “pain” trigger can help the individual to wake up again. Those are ineffective.” Dr. Truong explained that these methods, passed down from previous generations, have questionable legitimacy and that we need to learn the accurate 8 D&#x27;s of Stroke Care (detection, dispatch, delivery, door, data, decision, drug/device, and disposition). Dr. Truong emphasizes the urgency for timely treatment for stroke victims as the golden hour for stroke treatment following the onset of symptoms is the first 3 hours.“Time is brain”.</p><p>The Health Talk successfully equipped the audience with accurate information and hands-on practice. Family Medical Practice always makes an effort to prepare everybody with the right tools and knowledge to keep themselves and the people around them healthy.</p><p></p><img src=\"https://media.fmp-data.bliss.build/original_images/DSC05280_copy_1.jpg\" class=\"format-fullwidth\" /><p></p><h4><b>ABOUT FAMILY MEDICAL PRACTICE</b></h4><p>A foreign-operated multidisciplinary medical provider based in Vietnam, Family Medical Practice has consistently delivered international-standard medicine since 1997. With a diverse multinational team of physicians from all around the world, we offer extensive health care and emergency medical services nationwide to Vietnamese, expatriate, and corporate customers. Our practice has grown from its original base in Hanoi into an integrated network of medical centers throughout Vietnam including FMP Hanoi, FMP District 1, 2, 7, and Care1 - Health &amp; Wellness Screening Center in HCMC and FMP Da Nang.</p><p>Our ∗9999 ambulance response service is based on the same life-saving protocols followed by 911 in the US—helping families and individuals to get through medical emergencies with the best chances of survival.</p><p></p><h4><b>Your health.Our care</b></h4>"
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            "id": 1635,
            "title": "PCOS: a common yet often misunderstood condition",
            "slug": "pcos-common-yet-often-misunderstood-condition",
            "slug_en": "pcos-common-yet-often-misunderstood-condition",
            "slug_vi": "pcos-common-yet-often-misunderstood-condition",
            "slug_ko": null,
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                "id": 1652,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr._Olga_Uff8ix8.jpg",
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            "post_date": "2024-03-12",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
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                "name": "News",
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            "tags": "",
            "summary": "If you are a woman – have you ever experienced any of these symptoms?",
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                    "value": "<p>If you are a woman – have you ever experienced any of these symptoms?</p><ul><li>Heavy, long, irregular periods or absence of periods for an extended period of time.</li><li>Acne, particularly along the jawline, on the chest, or oily skin.</li><li>Excessive hair growth on the face or body, along with simultaneous head hair loss.</li><li>Depression or anxiety.</li><li>Weight gain, especially around the waistline, weight fluctuation, and difficulty losing weight.</li><li>Infertility or difficulty getting pregnant.</li></ul><p>As a gynecologist I have diagnosed many women experiencing one or several of these symptoms with polycystic ovary syndrome (PCOS), a common yet often misunderstood condition. The symptoms of PCOS can vary from woman to woman, making diagnosis somewhat challenging and the symptoms may also change over time and often occur without a clear trigger.</p><p>PCOS manifests in various types, each presents with a range of symptoms, making diagnosis and management complex. The common feature of PCOS is an excess production of male hormones (androgens) that disrupt ovulation, leading to infertility. It is the leading cause of infertility among women of childbearing age.</p><p>PCOS is a common hormonal condition that affects approximately 1 in 10 women of reproductive age. While it is a chronic condition without a cure, symptoms can be improved through lifestyle changes, medications, and fertility treatments. The exact cause of PCOS remains unknown, but women with a family history of PCOS, type 2 diabetes, or obesity/metabolic syndrome are at a higher risk.</p><p>The exact cause or causes of PCOS are still unknown, but several factors may contribute to its development. These factors include genetics, dysregulated insulin or blood sugar and environmental factors (processed foods, contraceptive pills, excessive caffeine or alcohol, chronic inflammation, and exposure to toxins).</p><p>Understanding the different subtypes of PCOS is crucial for selecting the most effective treatment approach. In Western medicine, all types of PCOS are often managed with the same treatments, even though these treatments may only work for some women some of the time. However, identifying the specific subtype of PCOS can make a significant difference in developing a tailored treatment protocol. It is important to note that not all women with polycystic ovaries have PCOS, and conversely, not all women with PCOS have polycystic ovaries. Polycystic ovaries can be found in approximately 25% of healthy women.</p><p>The four sub-types of PCOS are as follows:</p><ol><li>Insulin-Resistant PCOS: Common type, with high insulin levels affecting ovulation and causing symptoms like irregular cycles, weight gain, acne, and hair issues.</li><li>Inflammation-Based PCOS: Seen in non-overweight women without typical PCOS symptoms, caused by factors like food sensitivities, toxins, and poor diet.</li><li>Synthetic Hormone-Induced PCOS: Common in women using hormonal birth control long-term, as synthetic hormones disrupt communication between the pituitary gland and ovaries.</li><li>Adrenal PCOS: Elevated DHEAS levels (but normal testosterone and androstenedione) indicate this type, accounting for 10 per cent of PCOS cases, driven by abnormal stress response.</li></ol><p>It is important to note that it is possible to have a combination of these four types of PCOS, or for the root cause of PCOS to evolve overtime. Therefore, understanding the specific subtype and addressing the underlying cause(s) is key for developing an effective treatment strategy.</p><p>PCOS is often undiagnosed until women reach their 20s or 30s, despite developing it in their teens. Diagnosis is based on the Rotterdam Criteria, which require meeting two of the following criteria:</p><ol><li>Oligoovulation: Irregular ovulation leading to anovulatory cycles and irregular periods.</li><li>High androgen levels: Resulting in symptoms like acne, excess facial and body hair, male pattern hair loss, weight loss resistance, and abdominal weight gain.</li><li>Polycystic or enlarged ovaries: Typically detected through ultrasound or pelvic examination.</li></ol><p>In conclusion, Polycystic ovary syndrome (PCOS) is a complex condition that requires attention and regular check-ups. If you experience symptoms such as irregular periods, infertility, acne, excessive hair growth, or weight-related issues, it is important to consult with a gynecologist. You can receive personalised treatment options and guidance tailored to your specific needs. Early intervention and proactive management can lead to better outcomes and improved quality of life! FAMILY MEDICAL PRACTICE</p><p>*Dr. Olga Sambolska graduated from Lviv National Medical University in 1996 and commenced her medical career at the Volyn Regional Maternity Hospital in Ukraine. Since 1998 she has been a registered obstetrics and gynecology doctor, providing healthcare to women in relation to pregnancy, birth control, menopausal issues, contraception, menstrual cycle diseases and sexually transmitted diseases. She is fluent in Ukrainian, Russian, Polish and English.</p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I Kim Mã St., Kim Mã, Ba Đình. To book an appointment, please call us at (024).3843.0784, or contact us via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34 Lê Duẩn St., Bến Nghé, District 1, and 95 Thảo Điền St., District 2. Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
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            "id": 1631,
            "title": "The overuse of antibiotics and the rise of superbugs",
            "slug": "overuse-antibiotics-and-rise-superbugs",
            "slug_en": "overuse-antibiotics-and-rise-superbugs",
            "slug_vi": "overuse-antibiotics-and-rise-superbugs",
            "slug_ko": null,
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                "id": 1655,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Mattias_FGulQ3M.jpg",
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            },
            "post_date": "2024-03-06",
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                "name": "Blogs",
                "slug": "blogs"
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                "name": "News",
                "slug": "news"
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            "tags": "",
            "summary": "Child mortality in Việt Nam decreased from about 200 of 1000 children under the age of five in the middle of the last century to 20 today, which would not have been possible without antibiotics, vaccination, improved hygiene and nutrition.",
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                    "value": "<p>The other day I had a two-year-old patient coming in for an examination with a respiratory tract infection.</p><p>The mother said that the child had started kindergarten in the autumn and had been almost constantly sick. They had visited several small clinics and big hospitals where they received antibiotics every time.</p><p>On average, the child had taken antibiotics twice monthly for the last six months. The mother expressed concern that the child had been treated with antibiotics too much, but it was hard for her to question the doctors, so she followed the prescribed treatment.</p><p>When I examined the child, I found he had a common cold and did not need antibiotics.</p><p>I first came to Việt Nam in 1997 and did my PhD on antibiotic use and resistance. In 1999 we did a study to assess respiratory bacteria among children in Hà Nội’s Ba Vì District. The vast majority, 75 per cent, of the children had used antibiotics in the month before the study, most caretakers had self-medicated their children with antibiotics bought from pharmacies.</p><p>Upper respiratory tract infection is the most common reason children visit primary care. Preschool-aged children have an average of 6–10 respiratory tract infections per year that can last for one or two weeks.</p><p>Respiratory tract infections are almost exclusively caused by viruses and are most common during the cooler months. However, antibiotics are often prescribed, although they do not affect viral infections. When treated with antibiotics, the normal intestinal bacterial flora is affected, which can cause diarrhoea and poor digestion.</p><p>So why are so many antibiotics prescribed, dispensed and used when unnecessary? The main reason is the lack of diagnostics. Instead of thoroughly examining and taking appropriate tests, antibiotics are prescribed “in case there is a more severe infection”.</p><p>There is also a common belief that antibiotics are necessary for any infection. Whenever people visit the doctor, they get antibiotics prescribed, which has become something that patients expect. Patients even get displeased when not receiving a prescription for antibiotics, so sometimes doctors prescribe them to meet those expectations – a vicious circle.</p><p>But as well as diarrhoea and poor digestion, there is a severe danger of overusing antibiotics.</p><p>When bacteria are exposed to antibiotics, some mutate and can inactivate the antibiotics! Those resistant bacteria survive and thrive, and, as a survival strategy, they start replicating resistance genes and share these with other bacteria, just like computer programmes.</p><p>“If you give me a shield, I give you another one, and we both are better protected”.</p><p>The main problem is that antibiotics are necessary for the healthcare system to work properly.</p><p>Child mortality in Việt Nam decreased from about 200 of 1000 children under the age of five in the middle of the last century to 20 today, which would not have been possible without antibiotics, vaccination, improved hygiene and nutrition.</p><p>Also, advanced medical care, such as transplantation and cancer treatment, would not be possible without functional antibiotics.</p><p>The tragedy of the commons is when a common asset is overused and destroyed, a situation in which individual users, who have open access to a resource act independently according to their own self-interest and, contrary to the common good of all users, cause depletion of the resource.</p><p>The most prevalent analogy is shared grazing of common land where the land is depleted. Antibiotics are such a common resource. While working with and in Việt Nam, I have seen this depletion of antibiotic effectiveness play out in Việt Nam and globally, but more rapidly in settings with high levels of unindicated antibiotic use.</p><p>I have been working with Vietnamese hospitals to assess hospital-acquired infections (HAI), infections patients acquire during their hospital stay. Some of these HAI are caused by “superbugs” that have become very difficult to treat with antibiotics. It is estimated that more than 50,000 persons in Europe die each year from “superbug” infections – while they are much less prevalent and not as resistant compared to Việt Nam.</p><p>Can we do anything about the overuse of antibiotics and the spread of “superbugs” in the community? Some evidence-based methods are: antibiotics by prescription only, following international evidence-based research and guidelines, applying simple diagnostics such as full blood count and CRP that can differentiate between viral and bacterial infections, refraining from using antibiotics for simple cold and otitis and implementing training and empowerment of health and pharmacy staff.</p><p>And what can you, as a private person, do? Make sure to go to healthcare facilities that can correctly diagnose diseases and do not prescribe unnecessary medication – there is no need for antibiotics for viral infections. Be constructively critical and ask about diagnosis and treatment. Do not self-medicate, especially not with antibiotics. When in hospitals, check for infection control measures such as alcoholic hand rub and tend to your own hygiene. <b>Family Medical Practice</b></p><p><i>*Dr. Mattias Larsson is a pediatric doctor at Family Medical Practice and associate professor at Karolinska Institutet and has a long experience in researching infectious diseases, especially antibiotic resistance and hospital-acquired infections, as well as HIV with many articles in peer-reviewed publications and mainstream media appearances. He has worked with the Oxford University Clinical Research Unit, USAID, the Clinton Foundation, and the Ministry of Health</i> <i>of Việt Nam. He is fluent in English, Swedish, Vietnamese, German and some Spanish.</i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I P. Kim Mã, Kim Mã, Ba Đình. To book an appointment, please call us at (024).3843.0784, or contact us via Whatsapp, Viber or Zalo on +84.944.43.1919 or email hanoi@vietnammedicalpractice.com</i></p><p><i>FMP’s downtown location in Hồ Chí Minh is in Diamond Plaza, 34 Đ. Lê Duẩn, Bến Nghé, district 1, Thành phố and 95 Đ. Thảo Điền, district 2. Tel. (028) 3822 7848 or email hcmc@vietnammedicalpractice.com</i></p>"
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        {
            "id": 1633,
            "title": "Putting the brakes on the 'motorbike disease'",
            "slug": "putting-brakes-motorbike-disease",
            "slug_en": "putting-brakes-motorbike-disease",
            "slug_vi": "putting-brakes-motorbike-disease",
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            "post_date": "2024-03-06",
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                "name": "Media & Press",
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                    "value": "<p>Ngãi, four years old and a usually vigorous boy, fell ill with a fever up to 39.8°C, sore throat, runny nose and bilaterally red eyes. His mother Hiền gave him paracetamol which gave some temporary improvement, but the fever returned fast. Ngãi developed fatigue and an increasing rash and eruptions on the lips. After three days of fever, his mother Hiền decided to take him to the local doctor who diagnosed throat infection and gave amoxicillin antibiotic treatment. However, after three more days, Ngãi still has a high fever. He also developed a rash on the hands and feet, peeling skin on the fingers and toes, increased rash and swelling of the lips, mouth, tongue and throat as well as diarrhea and had no appetite.</p><p>Hiền then decides to take Ngãi to the Family Medical Practice. The paediatrician examined and found a rash on the roof and back of the mouth and swollen red lips. On the left side of his neck, he had several lymph nodes, tender and freely displaceable. Both eardrums appeared slightly red, but there were no signs of bulging. The heart has a regular rhythm and frequency. Blood tests showed slight anemia, increased white blood cell count and high CRP in the blood, indicating an inflammation.</p><p>The paediatrician explained that Ngãi met the criteria for Kawasaki disease with fever for more than four days, strawberry tongue, rash on the lips, swollen lymph nodes and rash. Hiền had a Kawasaki motorbike and asked if it was related to the fact that she often drove him on the bike. The paediatrician said most likely not, although the cause of this disease is not fully known, and further explained that Kawasaki disease is a rare heart condition that develops suddenly and causes a high fever and inflammation of the blood vessels. It usually affects children under the age of five years. Infections may cause the immune system to develop antibodies that attack blood vessels, such as the coronary arteries which carry blood to the heart muscle, which become inflamed and swollen. Boys are slightly more likely than girls to develop Kawasaki disease. Kawasaki disease is more common in people of Asian descent. It is not contagious, so it cannot spread from person to person.</p><p>The doctor also explained that echocardiography should be done as Kawasaki disease is associated with coronary artery dilatation and development of aneurysm (an abnormal bulge in blood vessels that can burst). Other potential complications may include abnormal heart rhythm, blood clots which can lead to heart attacks, inflammation of the coronary arteries, heart valve problems and inflammation of heart muscle.</p><p>The doctor also said that treatment with intravenous immunoglobulins (IVIG) should be started as soon as possible to reduce the risk of coronary artery disease. IVIG is a product derived from plasma (the liquid portion of blood) that contains antibodies that help prevent heart damage. No examinations are needed before starting treatment. High-dose acetylsalicylic acid (ASA) therapy controls fever and prevents blood clots.</p><p>The echocardiography showed normal heart size and coronary vessels. Chest X-ray and EKG was also normal.</p><p>Soon after receiving IVIG and starting treatment with ASA Ngai improves, the fever and rash almost completely disappears. His mother asked if there are any risks with the motorcycle disease (Kawasaki disease) and what if any follow up is needed.</p><p>The doctor explained that Ngãi will continue with ASA treatment. Follow-up with ultrasound after two and then eight weeks, if these are normal the treatment is terminated and no follow-up is needed. If the ultrasound shows coronary artery involvement or an aneurysm, follow-up and treatment must continue with extended ASA course and new ECG and ultrasound at 6-12 month intervals. If there are large aneurysms &gt;8 mm or stenoses continued ASA must be given and regular checks of EKG/UKG up.</p><p></p><p>The doctor explained that prompt treatment of Kawasaki disease can greatly reduce the risk of heart damage and other complications, as it seemed Ngãi had not developed any complications. Hiền thought it was luck that she had gone to FMP before Ngãi developed a more severe disease. <b>Family Medical Practice</b></p><p><i>*Dr Mattias Larsson is a paediatric doctor at Family Medical Practice and associate professor at Karolinska Institutet and has a long experience in research on infectious diseases. He has worked with the Oxford University Clinical Research Unit and the Ministry of Health of Vietnam. He is fluent in English, Swedish, Vietnamese, German and some Spanish.</i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I P. Kim Mã, Kim Mã Ward, Ba Đình Dist. </i></p><p><i>To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo on +84.944.43.1919 or email </i>hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34 Lê Duẩn St, Bến Nghé Ward, District 1, and 95 Thảo Điền St, District 2. Tel. (028) 3822 7848 or email </i>hcmc@vietnammedicalpractice.com.</p>"
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            "id": 1629,
            "title": "Helping a child suffering from thalassemia",
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            "post_date": "2024-02-27",
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            "summary": "Globally about 7 per cent carry thalassemia genes. In Việt Nam, the prevalence of Alpha thalassemia is 11 per cent and beta-thalassemia 2 per cent.",
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                    "value": "<p>Hiền is an energetic one-year old child. However, in the last few weeks, she has been tired and pale and has eaten less. The parents went to the local doctor who examined her, diagnosed an ear infection, and gave antibiotic treatment. After several days it was however clear that the treatment did not have the intended effect, she was still tired and pale, and she also developed diarrhea.</p><p>Thủy, Hiền’s mother had heard that Family Medical Practice had good paediatric care. When arriving they met the paediatrician, who examined her and found that she was pale but alert otherwise normal findings. The complete blood count showed that Hiền had severe anemia with a hemoglobin (Hb) of only 57 g/L and small red blood cells.</p><p>The parents asked what could have caused the anemia. The doctor explained that common causes are: Decreased production of red blood cells, consumption, or hemolysis, and bleeding. The paediatrician explained that as Hiền was not more affected the severe anemia had probably existed for a long time.</p><p>To understand if there is some hereditary condition the pediatrician asked about the family history. Both the mother and an older sister have had anemia but not severe, so they didn’t think much more about it. The doctor asked if they had heard about thalassemia, which they recognised as the name of the condition they had been diagnosed with.</p><p>The paediatrician explained that thalassemia is one of the most common hereditary diseases. It is caused by mutation of genes responsible for hemoglobin synthesis. The most common mutations are alpha-thalassemia and beta-thalassemia. The severity depends on the number of mutations. The alpha chain of hemoglobin is encoded by two pairs of genes, while the beta chain has only one pair. The genes can be inherited from one parent or two.</p><p>To diagnose the thalassemia, the doctor ordered Hemoglobin electrophoresis and iron in the blood. To prepare for blood transfusion the blood group was checked. The parents wanted to know more, about what kind of thalassemia Hiền has and what treatment would be recommended. The doctor further explained:</p><p>Alpha-thalassemia who have the gene from one parent (heterozygotes) usually don’t have anemia. Those who have genes from both parents (homozygotes), with defects in 2 genes, develop alpha thalassemia minor with mild anemia but seldom need treatment. Those with defects in three genes develop hemoglobin H disease with severe anemia and an enlarged spleen. A defect in all four genes often causes foetal death.</p><p>Beta-thalassemia minor occurs in those with genes from one parent (heterozygotes), with mild to moderate anemia. Beta-thalassemia is major in those with two beta-thalassemia genes from both parents (homozygous), which cause severe anemia and affect the physical development, need for regular blood transfusions and complications in several organs.</p><p>Globally about 7 per cent carry thalassemia genes. Alpha-thalassemia occurs mainly in populations from Southeast Asia, while beta-thalassemia is most common in the Mediterranean region, Arab countries and India. In Việt Nam, the prevalence of Alpha thalassemia is 11 per cent and beta-thalassemia 2 per cent.</p><p>When the tests were done it showed that Hiền had beta-thalassemia major. She was planned to come for a blood transfusion every three weeks to maintain an Hb &gt;95 g/L and treatment to control the blood iron levels. The doctor explained that with adequate treatment and good compliance, the expected lifespan is normal.</p><p>The parents asked if there was any treatment that could cure the beta-thalassemia major. The doctor said that stem cell transplantation could be a cure, however, the treatment had potentially serious side effects and a matching donor had to be found.</p><p>Thủy asked if there was a risk that if they had more children, that they might also have thalassemia. The doctor explained that thalassemia is a preventable disease if couples screen, or if already pregnant the fetus may be screened. The parents said that they didn’t know this before they married and had children. Also, if they had known they are not sure that it would have changed much as they love each other and the kids. But if they became pregnant again, they would certainly consider screening. <b>Family Medical Practice</b></p><p><i>*Dr Mattias Larsson is a paediatric doctor at Family Medical Practice and associate professor at Karolinska Institutet and has a long experience in research on infectious diseases. He has worked with the Oxford University Clinical Research Unit and the Ministry of Health of Việt Nam. He is fluent in English, Swedish, Vietnamese, German, and some Spanish.</i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I Kim Mã Street, Kim Mã Ward, Ba Đình District.</i></p><p><i>To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34 Lê Duẩn Street, Bến Nghé Ward, District 1, and 95 Thảo Điền Street, District 2. Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
                }
            ],
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        },
        {
            "id": 1628,
            "title": "Cow milk protein allergy in infant",
            "slug": "cow-milk-protein-allergy-infant",
            "slug_en": "cow-milk-protein-allergy-infant",
            "slug_vi": "cow-milk-protein-allergy-infant",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1655,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Mattias_FGulQ3M.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr.Mattias_FGulQ3M.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2024-02-05",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "The allergy causes injury to the stomach and intestines, blood in the stool, poor nutrition uptake in the intestinalis that can cause poor growth and failure to thrive. The doctor also explained that the cow milk is used by the body to produce mothers milk including the cow milk proteins that trigger the intolerance and allergic reaction.",
            "related_pages_title": null,
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            "locations": [
                1382
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                {
                    "type": "text",
                    "value": "<p>Thuận is a happy mother who gave birth to her first child, Tâm, a month ago. The delivery was ordinary, Tâm was born full-term after 40 weeks pregnancy, 3,4kg birth weight, vaginal delivery. Tâm initially had some jaundice that did not need phototherapy. Thuận’s milk production enabled her to exclusively breastfeed Tâm, and after just one week Tâm had successfully gained above birth weight.</p><p>However, with the rapid increase in milk production Thuận developed pain and rash in one breast as well as fever. She went to the gynecologist who diagnosed milk stocking, was prescribed antibiotics, and advised to stop breastfeeding until the infection subsided.</p><p>During the time she fed Tâm with formula milk, initially he seemed to tolerate that well, but after about one week he became grumpier, vomited more, and had loose stools. When Thuận reintroduced breast-feeding Tâm’s symptoms subsided.</p><p>When Tâm was six weeks old he started to get a bit grumpy after breastfeeding, vomited and cried more and more frequently with stools with large amounts of mucus. When this had been ongoing for one week she also could see that Tâm decreased breastfeeding and she took Tâm to the local doctor.</p><p>The doctor did an investigation and took a stool sample that showed an increase of white blood cells in the stool, concluded infection and prescribed antibiotic treatment.</p><p>However, the symptoms did not improve but got worse, Tâm vomited more, had more frequent diarrhea and even some blood in the stool, he was constantly grumpy and reluctant to breastfeed. As he also started to lose weight Thuận became really worried. She had heard that Family Medical Practice had good international pediatric doctors, so she decided to go there.</p><p>When she met the paediatrician she explained the problems, the doctor found that he reacted with discomfort when examining the abdomen, ordered an ultrasound and a stool examination. The results showed that Tâm had white blood cells in the stool and the ultrasound found gas in the abdomen. Thuận wanted to do blood tests (CBC and CRP) that showed no infection but inflammation, low hemoglobin , hence anemia, small red blood cells and no other deficiencies.     </p><p>The paediatrician asked about Thuận&#x27;s diet and especially if she used dairy products. Thuận said that she usually drinks one glass of milk per day and eats some yogurt, had heard that that is good for milk production. The doctor explained that Tâm most likely suffered from cow’s milk protein intolerance, difficulty digesting cow&#x27;s protein milk that then accumulated in the intestinalis and triggered an immune reaction, cow’s milk protein allergy.</p><p>The allergy causes injury to the stomach and intestines, blood in the stool, poor nutrition uptake in the intestinalis that can cause poor growth and failure to thrive. The doctor also explained that the cow milk is used by the body to produce mothers milk including the cow milk proteins that trigger the intolerance and allergic reaction.</p><p>Symptoms will usually develop within the first week of starting formula based or or cow milk in the mothers diet, hence might have started when Tâm used formula milk. The antibiotic treatment was most likely based on misdiagnosis and might have worsened the diarrhea and killed the good bacteria, in Vietnamese <i>lợi khuẩn</i>, that is important for digestion and decreased nutrition uptake.</p><p>The paediatrician recommended continuing breastfeeding and to eliminate all dairy products from the diet. Breastmilk has several advantages; it is not only food but also protects Tâm from infections as antibodies are transferred with the breastmilk, also has probiotic properties including <i>lợi khuẩn</i> to help digestion and is adapted to need of the child and facilitates brain development.</p><p>In case the breastmilk is not enough, Tâm might add hydrolysed formula milk, formula with broken down cow milk proteins is recommended, as Nutramigen. Other types of milk such as soy milk / goat&#x27;s milk / sheep&#x27;s milk are not appropriate alternatives for most children. Thuận asked if this was related to  lactose intolerance, as the father had that, the  doctor emphasised that it is not the same.</p><p>The paediatrician also explained that Thuận needs to stay on a dairy free diet, if not sufficient  use hydrolysed formula, until about 12 months of age. At that point, Tâm can be challenged with cow’s milk as most kids will outgrow cow milk protein intolerance by one to three years of age. For the anemia, most likely due to the cow milk protein induced malnutrition, the doctor gave iron drops and recommended follow up in one month.</p><p>After one month Thuận came back with Tâm, now he was breastfeeding well, not vomiting, no diarrhea, CBC did not show any anemia and the iron drops could be abrupted, he had grown fast and was a happy child, Tâm was satisfied although he still longed to drink some milk. <b>Family Medical Practice</b></p><p><i>*Dr Mattias Larsson is a paediatric doctor at Family Medical Practice and associate professor at Karolinska Institutet and has a long experience in research on infectious diseases. He has worked with the Oxford University Clinical Research Unit and the Ministry of Health of Việt Nam. He is fluent in English, Swedish, Vietnamese, German and some Spanish.  </i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I Kim Mã Street, Kim Mã Ward, Ba Đình District. </i></p><p><i>To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo on +84.944.43.1919 or email </i>hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34 Lê Duẩn Street, Bến Nghé Ward, District 1, and 95 Thảo Điền Street, District 2. Tel. (028) 3822 7848 or email </i>hcmc@vietnammedicalpractice.com.</p>"
                }
            ],
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        },
        {
            "id": 1626,
            "title": "Dealing with a child who suffers from whooping cough",
            "slug": "dealing-child-who-suffers-whooping-cough",
            "slug_en": "dealing-child-who-suffers-whooping-cough",
            "slug_vi": "dealing-child-who-suffers-whooping-cough",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1655,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Mattias_FGulQ3M.jpg",
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            },
            "post_date": "2024-01-29",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "Infants are particularly prone to complications such as pneumonia, convulsions, and hypotension. The incidence of pertussis varied across seasons, with the highest number of cases occurring in the summer.",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1381
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p>Huyền, a content mother, had given birth to her daughter, Ngọc, who was now three months old. Ngọc was born full-term, weighing 3.5kg, and had no complications apart from some mild jaundice that did not require phototherapy. Ngọc had already received the initial vaccinations for Hepatitis B and BCG (Tuberculosis).</p><p>When it came time for the six-in-one vaccination, which included Diphtheria, Tetanus, Pertussis (DTP), Polio, Haemophilus Influenzae, as well as the Pneumococcal vaccine and Rota virus, Ngọc developed a low-grade fever below 38.5°C. Also, Huyền herself had been ill at the time. Due to these circumstances, Huyền made the decision to delay Ngọc&#x27;s vaccination for the time being.</p><p>A few days after attending a family gathering where everyone wanted to greet Ngọc, she began experiencing symptoms including a runny nose, mild cough, and a mild fever. Concerned about her well-being, Huyền took Ngọc to a local doctor who suspected it to be a viral infection but still prescribed amoxicillin antibiotics.</p><p>However, despite taking the prescribed medication, Ngọc&#x27;s symptoms persisted and even worsened after ten days. Her cough became more severe and rapid, accompanied by a distinct &quot;whoop&quot; sound, vomiting, and exhaustion. Ngọc&#x27;s condition took a concerning turn when she experienced a brief pause in breathing and her lips turned blue, causing her mother to become extremely worried.</p><p>Seeking further medical assistance, Huyền took Ngọc to Family Medical Practice, where they met with a pediatrician. Huyền explained the symptoms, duration of illness, and mentioned that Ngọc had not received the DTP (diphtheria, tetanus, and pertussis) vaccination. After examining Ngọc, the pediatrician concluded that it was likely to be a case of whooping cough and initiated treatment with macrolide antibiotics.</p><p>Ngọc&#x27;s PCR test revealed a positive result for pertussis, commonly known as whooping cough, which is a highly contagious and hazardous respiratory disease. It typically affects around 80-90 per cent of individuals who are exposed to it and have not been vaccinated. The disease can be transmitted through coughing and sneezing, so it is crucial to avoid close contact until at least five days of treatment have been completed.</p><p>The doctor further explained that pertussis is caused by a bacteria known as bordetella pertussis and can be prevented through vaccination. Antibiotics are the recommended treatment, although the previously administered ones may not be effective. Administering antibiotics early in the course of the infection can potentially reduce the duration of symptoms and lower the risk of transmission.</p><p>The paediatrician, actively involved in pertussis research, provided insights from their work at the Vietnam National Children&#x27;s Hospital. Over the course of three years (2015-2018), the hospital encountered over 1,000 laboratory-confirmed cases of pertussis. Among these cases, 40 per cent affected infants under two months of age, and 23 per cent experienced severe symptoms.</p><p>Infants are particularly prone to complications such as pneumonia, convulsions, and hypotension. The incidence of pertussis varied across seasons, with the highest number of cases occurring in the summer. However, the winter season witnessed a higher proportion of severe cases and fatalities.</p><p>Comparing non-vaccinated children to those who received the DPT (diphtheria, pertussis, and tetanus) vaccine, the study revealed significant differences. Non-vaccinated children exhibited more severe symptoms, required hospitalisation for a longer duration and substantially higher medical costs. In contrast, DPT vaccination provided protection against pertussis infection and, in the event of an infection, reduced the severity of symptoms.</p><p>The doctor stressed the significance of vaccination in preventing Pertussis and other childhood diseases. It was emphasised that individuals of all age groups, including infants as young as six weeks old, pre-teens, and adults, should receive the Pertussis vaccine. Pregnant women, in particular, were highlighted as a group that should prioritise vaccination. Studies have shown that the protective effects of immunisation diminish over time, typically lasting between four to 12 years.</p><p>The doctor also explained that pregnant women who receive the Pertussis vaccine can provide protection to their newborns. This occurs through the transfer of antibodies from the mother to the baby via the blood exchange in the placenta and through breastfeeding. Huyền expressed her regret, stating that if she had been aware of this information earlier, she would have chosen to get vaccinated for Pertussis during her pregnancy. <b>Family Medical Practice</b></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I Kim Mã Street, Ba Đình District. </i></p><p><i>To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34 Lê Duẩn Street, Bến Nghé Ward, District 1, and 95 Thảo Điền Street, District 2. Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
                }
            ],
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            "social_description": "",
            "social_image": null
        },
        {
            "id": 1625,
            "title": "Multiple simultaneous infections detected by PCR in a girl with respiratory disease.",
            "slug": "multiple-simultaneous-infections-detected-pcr-girl-respiratory-disease",
            "slug_en": "multiple-simultaneous-infections-detected-pcr-girl-respiratory-disease",
            "slug_vi": "multiple-simultaneous-infections-detected-pcr-girl-respiratory-disease",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1655,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Mattias_FGulQ3M.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr.Mattias_FGulQ3M.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2024-01-22",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "The paediatrician found that she had high fever, rapid breathing, and fatigue. He checked the prior results and ordered blood tests (CBC and CRP) which showed that she had a severe infection, however most likely viral. For more accurate diagnosis the pediatrician suggested a new test, nasopharynx PCR, that could test more than 20 different pathogens at one time and takes only two hours to get the result.",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1380
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p>Hương is a lively nine-year-old girl, good in school and sports. She had however been coughing for about two weeks, especially during the night, which deprived her from sleep. One morning she woke up with a high fever, headache, and sore throat.</p><p>When the fever approached 40 degrees Celsius the parents took her to a clinic where they tested for Influenza A, dengue and COVID but it was all negative. As she had a sore throat the doctor diagnosed throat infection and treated with antibiotics, Augmentin. However, after five days of treatment her condition worsened, and she also had developed diarrhea. The parents then took her to Family Medical Practice for examination.</p><p>The paediatrician found that she had high fever, rapid breathing, and fatigue. He checked the prior results and ordered blood tests (CBC and CRP) which showed that she had a severe infection, however most likely viral. For more accurate diagnosis the pediatrician suggested a new test, nasopharynx PCR, that could test more than 20 different pathogens at one time and takes only two hours to get the result.</p><p>The test results showed she had three different pathogens: Rhinovirus, Respiratory syncytial virus (RSV) and Mycoplasma pneumoniae. The doctor explained that since FMP started PCR diagnostics, they have observed a significant number of patients with multiple concurrent infections. This suggests that when a person is already infected, their immune system becomes preoccupied, thereby increasing the risk of acquiring additional infections.</p><p>The parents were interested and asked a bit more about how common it was with multiple infections and what infections are the most common. The paediatrician explained that about one third of the PCR results had several pathogens at the same time, mostly two but sometimes three or even more infections. In the last months there had been many patients with high fever, respiratory symptoms, sore throat, headache, and fatigue.</p><p>When analysing the recent results, the most common cause was influenza A that can be diagnosed with rapid test or PCR. Streptococcal tonsillitis was the second most common, which presents with sore throat and pain when swallowing, is diagnosed with Strep A rapid test, and can be treated with antibiotics. The third most common detected with PCR is bronchitis with RSV and Rhinovirus, in half of the cases these are mixed infection with both viruses which cause more severe infection.</p><p>COVID was the fifth most common but often not that severe in kids. Adenovirus, Human Metapneumovirus, Parainfluenza virus and Influenza B and are also detected. The treatment for these viruses is symptomatic with fever medication, expectorant and if needed nebuliser. Mycoplasma pneumoniae can cause long term cough, low fever, headache, and fatigue, in addition also affect the immune system with higher risk for secondary viral infections, as for Hương. It can be treated with antibiotics for intracellular bacteria as macrolides, however, some resistance has been detected, so sometimes stronger antibiotic is needed.</p><p>Respiratory bacteria such as Streptococcus pneumoniae, Haemophilus influenzae and Moraxella catarrhalis causing pneumonia and sinusitis can also be diagnosed with PCR. It is however important to take a representative sample of sputum as these bacteria may colonize the nasopharynx without causing disease. Dengue is common during the rainy season/ autumn and can be detected with blood tests.</p><p>PCR can also be used to rapidly diagnose other diseases such as gastrointestinal infections where bacteria, viruses and other pathogens causing diarrhea can be detected in stool, enabling that the correct treatment can be provided timely.</p><p>After some days of treatment Hương improved, the cough decreased and fever disappeared, she could breathe normally and could go back to school. The parents were satisfied with the result and Hương recovered.</p><p>In complicated cases where the symptoms develop and change the patient might be infected with several different pathogens. In some cases, PCR may be needed to find the cause and treat it correctly. At Family Medical Practice we have the capacity for PCR diagnostics of multiple concurrent infections. Family Medical Practice</p><p><i>*Dr Mattias Larsson is a paediatric doctor at Family Medical Practice and associate professor at Karolinska Institutet and has a long experience in research on infectious diseases. He has worked with the Oxford University Clinical Research Unit and the Ministry of Health of Vietnam. He is fluent in English, Swedish, Vietnamese, German and some Spanish.</i></p><p><i> Visit Family Medical Practice Hanoi 24/7 at 298I P. Kim Mã, Kim Mã Ward, Ba Đình Dist. </i></p><p><i>To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34 Lê Duẩn Str, Bến Nghé Ward, District 1, and 95 Thảo Điền Str, District 2. Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
                }
            ],
            "meta_title": "",
            "meta_description": "",
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            "social_description": "",
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        },
        {
            "id": 1622,
            "title": "Girl with Rickettsial infection",
            "slug": "girl-rickettsial-infection",
            "slug_en": "girl-rickettsial-infection",
            "slug_vi": "girl-rickettsial-infection",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1655,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Mattias_FGulQ3M.jpg",
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            },
            "post_date": "2024-01-09",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "One day after being out camping with some friends she developed a high fever and headache, she also felt nausea with stomach pain and vomited a few times. The parents first gave her some paracetamol and hoped the symptoms would improve. However, the fever continued, and she also developed shortness of breath and rash.",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1379
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p>Ngọc is an energetic 13-year-old girl who likes to be outdoors and play with friends, as she lives in the countryside in a province near Hà Nội and she has nice woods and mountain areas she can venture in. Her parents are academics working in education but also have a small-scale farm for house needs with vegetables, fruits and some pigs and chickens. She likes to help with the farm work when not busy studying or out with friends.</p><p>One day after being out camping with some friends she developed a high fever and headache, she also felt nausea with stomach pain and vomited a few times. The parents first gave her some paracetamol and hoped the symptoms would improve. However, the fever continued, and she also developed shortness of breath and rash.</p><p>As the parents grew more anxious, they took her to the local clinic where they examined her, said it was a bacterial infection and prescribed an antibiotic, Augmentin, and steroids. After some days of treatment, she had not improved, but the symptoms became even more pronounced. She developed a generalised swelling. The appetite was gone, she did not want to eat. The parents then took her to the provincial pediatric hospital where they could do some diagnostics, they took tests for dengue, influenza A, COVID all negative, the CRP was high and CBC indicated a severe infection. She was admitted and given IV antibiotics and other medication. After some days she felt better and could eat and drink. But when she was discharged the condition rapidly deteriorated, and the symptoms returned.</p><p>The parents then took her to Hà Nội, first to one of the big national hospitals, but as they had no referral letter, they could not use the health insurance, also there were a lot of patients and long waiting times of several hours. The parents had heard that Family Medical Practice has good competence and diagnostic capacity. When they arrived, they registered quickly and could just after a few minutes see the pediatrician who asked about the symptoms and earlier diagnostics. They said she had now been sick with fever, headache, nausea, stomach pain, vomiting, rash and increased swelling, they told her about earlier healthcare contact and showed the tests and medical reports including the treatments. As no one else in the surroundings had similar symptoms it was not an obvious person-to-person transmission. </p><p>The doctor examined her and in addition to the mentioned symptoms also found enlarged liver and lymph nodes. When asked if she except for the rash had any other marks or lesions on the skin she said she had one that had developed as she got the symptoms in the groin, she had been reluctant to show that as it was in a private area. When examined the pediatrician found a black circular mark, an eschar (a lesion after a mite bite). In addition to conventional infection tests as CBC and CRP he also ordered a Rickettsia PCR test, the tests showed severe infection and the PCR confirmed the diagnosis Rickettsia.</p><p>The pediatrician explained that rickettsial infections are often underdiagnosed because of similar symptoms to many other infections, that Scrub typhus is the most common rickettsial disease, and that they are mostly transmitted in the countryside. Rickettsial diseases are caused by infection with intracellular bacteria transmitted to humans by mites, ticks, fleas and lice. The clinical symptoms vary widely, ranging from mild to life-threatening illness depending upon the rickettsial species or strain, underlying diseases, and delay in time to appropriate medical care. As it is an intracellular bacterium it does not respond to the most common antibiotics as Augmentin but more targeted antibacterial treatment is needed.</p><p>The right antibiotic treatment to treat rickettsial infections was prescribed as well. After some days the fever symptoms subsided, Ngọc was well again.</p><p>Rickettsial diseases are widely distributed in all regions of Việt Nam. The symptoms are often nonspecific and easy to be misdiagnosed with other febrile infections such as dengue fever and influenza A. If you or your child has symptoms with high fever, headache, rash or abdominal pain it’s important to go to a health facility with competence for differential diagnosis to get the right diagnosis and treatment. <b>Family Medical Practice</b></p><p>*Dr Mattias Larsson is a paediatric doctor at Family Medical Practice and associate professor at Karolinska Institutet and has a long experience in research on infectious diseases, especially antibiotic resistance and hospital-acquired infections as well as HIV, with many articles in peer-reviewed publications and mainstream media appearances.</p><p>He has worked with the Oxford University Clinical Research Unit, USAID, the Clinton Foundation, and the Ministry of Health of Việt Nam. He is fluent in English, Swedish, Vietnamese, German and some Spanish.</p><p>Visit Family Medical Practice Hanoi 24/7 at 298 I Kim Mã St, Kim Mã Ward, Ba Đình Dist.</p><p>To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo on +84.944.43.1919 or email <i>hanoi@vietnammedicalpractice.com</i>.</p><p>FMP’s downtown Hồ Chí Minh City location is in Diamond Plaza, 34 Lê Duẩn St, Bến Nghé Ward, District 1, and 95 Thảo Điền St, District 2. Tel. (028) 3822 7848 or email <i>~hcmc@vietnammedicalpractice.com.</i></p>"
                }
            ],
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            "social_description": "",
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        },
        {
            "id": 1621,
            "title": "Christmas disease",
            "slug": "christmas-disease",
            "slug_en": "christmas-disease",
            "slug_vi": "christmas-disease",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1655,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Mattias_FGulQ3M.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr.Mattias_FGulQ3M.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-12-27",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
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                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "Why is it called Christmas disease – is it because the profound bleeding makes everything red, rosy, and jolly…? Well – not really… The reason is simpler than that. The first to diagnose case Haemophilia B in a patient was Dr Stephen Christmas in 1952. However, the disease has been known much longer than that. It has also been called \"the royal disease\" due to its spread from Queen Victoria of Great Britain through royal marriages to the Spanish, German, and Russian royal families.",
            "related_pages_title": null,
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            "locations": [
                1378
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                    "type": "text",
                    "value": "<p>When Hoàng was an eight-year-old vibrant boy, he was active in sports at school. His parents were satisfied with his level of activity but thought that he was a bit clumsy. He always had large bruises after football and regularly got nose bleeding when playing rough with other kids. They had been to several doctors regarding his tendency for bruising and nose bleedings, but most examined him and laughed it off saying – boys are like that, play rough and get small injuries and bleedings. </p><p>One Christmas when the family was home and gave presents, Hoàng started to fight with his older brother over a present and as they punched each other he started to bleed from the nose, it was a profuse bleeding that did not stop, neither did Hoàng who continued to fight his brother. The already decorated house became even more red with blood everywhere Hoàng had roamed around. The parents tried to stop the fight and then the bleeding, but could not, so they rushed Hoàng to Family Medical Practice that they knew was open during Christmas. </p><p>When they met the paediatrician, they told him about the frequent nose bleeding and bruising. The paediatrician checked the nose, saw the site of bleeding, and tried to stop it but had some difficulties. He took some test including full blood count and coagulation test. The aPTT test was elevated showing that Hoàng had long bleeding time and low coagulation ability. </p><p>As there was a long history of brucites and bleeding as well as prolonged bleeding time the paediatrician did some more tests. After some days, he called back and asked them to come to the clinic. The test showed that Hoàng lacked factor IX in the coagulation cascade. </p><p>Hoàng was diagnosed with a bleeding disorder, Haemophilia B, also known as Christmas disease. The cause is a gene defect leading to inadequate production of factor IX either through inheritance from mother or a new mutation. This condition predominantly affects males, however the carrier females may also occasionally experience more significant bleeding symptoms. The prevalence of haemophilia B is 3.8 per 100,000 live males. The incidence is equal among all ethnic groups. </p><p>Clinical presentations of the disease vary in severity, and males affected by the severe form may have severe bleeding at birth. In contrast, individuals with milder cases usually experience easy bruising, nose bleedings and prolonged bleeding after trauma or surgery. </p><p>Hoàng received replacing factor IX treatment and the parents noticed that he could participate in sports without getting bruises, after some time they also noticed that the frequency and severity of nose bleedings decreased. The doctor explained that the treatment will prevent more severe conditions such as joint and muscle bleedings as well as possible brain haemorrhage in the future. </p><p>Why is it called Christmas disease – is it because the profound bleeding makes everything red, rosy, and jolly…? Well – not really… The reason is simpler than that. The first to diagnose case Haemophilia B in a patient was Dr Stephen Christmas in 1952. However, the disease has been known much longer than that. It has also been called &quot;the royal disease&quot; due to its spread from Queen Victoria of Great Britain through royal marriages to the Spanish, German, and Russian royal families.</p><p>There is now a cure through the new gene therapy Hemgenix that is approved by FDA and EU. However, the access to treatment is limited by the high price, one time treatment for about US$3.5 million. However, as with most treatments it might become cheaper and more accessible with time. </p><p>So, if you or your child experience frequent and severe bruising or bleeding it is recommended to check it up with a clinic that has access to haematological testing for causes of bleeding to get the right diagnosis and treatment before more severe complications occur. Family Medical Practice</p><p><i>*Dr Mattias Larsson is a paediatric doctor at Family Medical Practice and associate professor at Karolinska Institutet and has a long experience in research on infectious diseases. He has worked with the Oxford University Clinical Research Unit and the Ministry of Health of Việt Nam. He is fluent in English, Swedish, Vietnamese, German and some Spanish.  </i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I Kim Mã Street, Kim Mã Ward, Ba Đình District. </i></p><p><i>To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34 Lê Duẩn Street, Bến Nghé Ward, District 1, and 95 Thảo Điền Street, District 2. Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
                }
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        },
        {
            "id": 1619,
            "title": "Abdominal pain, vomit and diarrhea",
            "slug": "abdominal-pain-vomit-and-diarrhea",
            "slug_en": "abdominal-pain-vomit-and-diarrhea",
            "slug_vi": "dau-bung-non-mua-tieu-chay-o-tre",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1655,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Mattias_FGulQ3M.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr.Mattias_FGulQ3M.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-12-18",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "When you have vomiting and diarrhea the most important is to rehydrate, if possible, use oral rehydration fluid as oresol, if you also have abdominal pain and fever seek health care as soon as possible.",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1377
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                {
                    "type": "text",
                    "value": "<p>Ngọc is seven years old and is a lively child in second class. Like most children, she frequently gets infections, in many cases with abdominal pain. Her parents usually take her to the local physician who examines and commonly treats her with antibiotics.</p><p>On one occasion after they had been travelling in the countryside she developed abdominal pain, high fever, vomiting and diarrhea with frequent watery stools. They took her to the local doctor who examined her and prescribed amoxicillin, probiotic and smecta.</p><p>However, she did not improve and developed even more frequent diarrhea, high fever, increasing fatigue, stopped urinating and dry mouth. The parents were anxious, as they saw the energy and fluid drain from her.</p><p>The parents decided to take her to Family Medical Practice where they met a paediatrician who examined her. He could see that she was severely dehydrated. She was given a medicine against vomiting and oral rehydration, oresol, which she could consume without vomit. When examined she had pains in the lower right part of the abdomen.</p><p>The paediatrician explained that there might be several reasons for abdominal pain, vomiting and diarrhea. Food poisoning comes with sudden abdominal pain, nausea, vomit and usually no fever. It is caused by toxins released by bacteria as staphylococcus aureus contaminating food. Viral gastroenteritis causes abdominal pain, some vomit and diarrhea, sometimes fever. Common viruses include Adenoviruses, Astrovirus, Caliciviruses as Norovirus and Sapovirus.</p><p>Rotavirus was previously common in children under two but the vaccine has decreased the spread. Bacterial gastroenteritis commonly present with severe abdominal pain, fever, sometimes vomit but more diarrhea, sometimes with blood in stool. Common pathogens are Campylobacter, Salmonella and Shigella. The paediatrician asked if Ngoc had been vaccinated with Typhim, a vaccine to prevent Typhoid fever caused by salmonella. The parents answered that she had been fully vaccinated, however they could not remember all vaccines and did not have the vaccination book with them. </p><p>Gastroenteritis with amoeba as Giardia intestinalis often gives a bulky feeling, intermittent diarrhea, smelly faces and weight loss. If high fever, severe abdominal pain, appendicitis should be excluded although normally does not present with diarrhea.</p><p>The doctor asked what she had eaten. The parents answered that when in the countryside they had eaten together except for one meal when they bought some food specially for her. The transmission is usually fecal-oral through contaminated food and water. Person to person transmission is more common in viral gastroenteritis.</p><p>The abdominal ultrasound could exclude appendicitis. Full blood count and CRP showed that she had a severe infection. A PCR of the faces was done and after two hours the results showed shigella infection. A fecal culture was taken to assess resistance to different antibiotics, also a blood culture was taken as it was a severe infection to exclude blood stream infection.</p><p>She was given IV antibiotics and fluid. After two sessions of treatment she recovered, the temperature normalised, and the diarrhea subsided. The faces culture showed Shigella resistant to amoxycillin, hence no effect of the first treatment given, but susceptible to the IV treatment given and to another oral antibiotic that could be prescribed. The doctor explained that due to overuse of antibiotics in the community many bacteria develop resistance that make them difficult to treat with common antibiotics. The blood culture was negative, so they had arrived at FMP in time to prevent a severe blood stream infection.</p><p>When you have vomiting and diarrhea the most important is to rehydrate, if possible, use oral rehydration fluid as oresol, if you also have abdominal pain and fever seek health care as soon as possible. In most cases antibiotics are not needed, however, in some cases when there are severe bacterial infections it is indicated. If so, it is important to go to health facilities that have access to diagnostics as most of the gastrointestinal bacteria are resistant to many antibiotics. With good diagnostics as PCR and cultures the cause of the infection can be diagnosed, and the right medication given which has a good chance to promptly relieve the symptoms. <b>Family Medical Practice</b></p><p><i>*Dr Mattias Larsson is a paediatric doctor at Family Medical Practice and associate professor at Karolinska Institutet and has a long experience in research on infectious diseases. He has worked with the Oxford University Clinical Research Unit and the Ministry of Health of Vietnam. He is fluent in English, Swedish, Vietnamese, German and some Spanish.</i></p><p>Visit Family Medical Practice Hanoi 24/7 at 298I Kim Mã Street, Kim Mã Ward, Ba Đình District. </p><p>To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo on +84.944.43.1919 or email <i>hanoi@vietnammedicalpractice.com</i>.</p><p>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34 Lê Duẩn Street, Bến Nghé Ward, District 1 and 95 Thảo Điền Street, District 2. Tel. (028) 3822 7848 or email <i>hcmc@vietnammedicalpractice.com.</i></p>"
                }
            ],
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        },
        {
            "id": 1617,
            "title": "Understanding sexually transmitted diseases",
            "slug": "understanding-sexually-transmitted-diseases",
            "slug_en": "understanding-sexually-transmitted-diseases",
            "slug_vi": "understanding-sexually-transmitted-diseases",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1652,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr._Olga_Uff8ix8.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr._Olga_Uff8ix8.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-12-04",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "As a gynecologist working in Southeast Asia, I see there is a need for clear information regarding sexually transmitted diseases (STDs). Here is some more information on the most widespread diseases:",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1376
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                    "type": "text",
                    "value": "<p>As a gynecologist working in Southeast Asia, I see there is a need for clear information regarding sexually transmitted diseases (STDs). Here is some more information on the most widespread diseases:</p><ol><li>Syphilis: a bacterial infection (<i>Treponema pallidum</i>) that is transmitted through oral, vaginal or anal sexual contact. Symptoms appear a few weeks or even a few months after unprotected sex.  Symptoms include sores, rashes, fever and swollen lymph nodes.  Untreated syphilis can lead to serious health problems, including damage to the brain, nerves, and organs. Syphilis can also be transmitted during pregnancy from the mother to the baby or even at birth and can lead to miscarriage, stillbirth, preterm labour or congenital abnormalities in the baby. Timely detection and treatment are key. In Southeast Asia, syphilis rates are highest among men who have sex with men (MSM), but the infection is also common among heterosexual populations.  </li><li>Chlamydia: a bacterial infection that is spread through sexual contact. In many cases, this infection stays asymptomatic (no symptoms) for years, but this infection can lead to serious health problems like pelvic inflammatory disease (PID) and permanent damage of the reproductive system and infertility, or increased risk for HIV transmission. The main symptoms of this infection are painful urination or intercourse, vaginal bleeding after sex or between periods. Chlamydia rates are highest among young people aged 15-24 years old, who are more sexually active, all women under 25 should be tested for Chlamydia yearly. </li><li>Gonorrhea: a bacterial infection that is spread through sexual contact. Symptoms usually show up during the first two weeks after unprotected intercourse and depend on the type of sexual contact. It can be sore throat, abnormal vaginal discharge, pain during urination, and pelvic pain. But one in 10 infected men and half of infected women do not experience any symptoms. Just like for Chlamydia, young sexually active people under 25 should be tested for Gonorrhea annually. Untreated gonorrhea leads to PID or infertility in 10-20 per cent of cases. Gonococcal infection during pregnancy is linked to pregnancy complications and high risk for newborn neonates if left untreated.</li><li>Chancroid: Haemophilus Ducrei bacteria causes painful genital lesions just 4 to 10 days after transmission. Fever, chills, swollen or painful groin lymph nodes can be present at the same time. For women however, this infection is almost always asymptomatic.   Chancroid is a very contagious infection and major genital ulcer disease in Africa, Southeast Asia and Latin America. Treatment is very easy by short course of antibiotics.</li><li>Mycoplasma: Mycoplasma genitalium infection can cause symptomatic and asymptomatic urethritis (inflammation of the urethra) among men with chronic complications like prostatitis or epididymitis which can lead to infertility. Among women mycoplasma infection has been associated with cervicitis, spontaneous miscarriage, preterm delivery and chronic pelvic inflammatory disease (PID). Mycoplasma infection has become increasingly common during the last few decades in Southeast Asia, particularly among young people. According to a study published in the <i>Journal of Infection in Developing Countries</i>, the prevalence of mycoplasma genitalium infection among female sex workers in Southeast Asia ranged from 2.8 to 20.4 per cent.  </li></ol><p>In conclusion, STDs are a significant health issue in Southeast Asia, with syphilis, chlamydia, gonorrhea, chancroid, and mycoplasma being among the most common infections. These infections can have serious health consequences if left untreated, including infertility, PID, and an increased risk for HIV transmission. The good news is that they are mostly very treatable when detected early.  Regular health checks are in order, particularly if you are sexually active or have multiple partners. I would also encourage you to visit a doctor after possibly risky intercourse, or when you notice even small changes. You do not need to wait for strong symptoms like painful intercourse or high fever to go for a consultation.  </p><p>And of course, prevention is even better, using condoms during sexual activity is crucial to reduce the spread of these infections. <b>Family Medical Practice</b></p><p><i>*Dr Olga Sambolska graduated from Lviv National Medical University in 1996 and commenced her medical career at the Volyn Regional Maternity Hospital in Ukraine. Since 1998 she has been a registered obstetrics and gynecology doctor, providing healthcare to women in relation to pregnancy, birth control, menopausal issues, contraception, menstrual cycle diseases and sexually transmitted diseases. She is fluent in Ukrainian, Russian, Polish and English.  </i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I Kim Mã St, Ba Đình Dist. To book an appointment, please call us at (024).3843.0784, or contact us via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> <i>hanoi@vietnammedicalpractice.com.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34 Lê Duẩn St, Bến Nghé Ward, District 1, and 95 Thảo Điền St, District 2. Tel. (028) 3822 7848 or email</i> <i>hcmc@vietnammedicalpractice.com.</i></p>"
                }
            ],
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            "social_description": "",
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        },
        {
            "id": 1616,
            "title": "Mysterious skin disease in a child with frequent infections",
            "slug": "mysterious-skin-disease-child-frequent-infections",
            "slug_en": "mysterious-skin-disease-child-frequent-infections",
            "slug_vi": "mysterious-skin-disease-child-frequent-infections",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1655,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Mattias_FGulQ3M.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr.Mattias_FGulQ3M.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-11-27",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "Talaromycosis is a systemic mycosis caused by the fungus Talaromyces marneffei, that is only present in Southeast Asia, southern China and eastern India. It can affect the whole body.  Most people who get talaromycosis have a medical condition that weakens their immune system.",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1375
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p>Phương is an 8-year-old usually vibrant and active girl that likes to play with friends, she is good at sports like football and achieves well in school. However, she had been increasingly sick the last seven months. Her parents took her to many doctors and she was diagnosed with several episodes of respiratory infections as well as diarrhoea and consequently was treated with antibiotics several times. The last two weeks she had developed small black dots all over the body as well as weight loss, fatigue, fever, cough, difficulty breathing, abdominal pain and diarrhoea. She was admitted into the local paediatric hospital that diagnosed pneumonia and treated her with IV antibiotics which gave some temporary relief.  She was discharged but the symptoms still progressed.</p><p>Phượng’s parents grew increasingly desperate, as black skin dots spread across her face, her weakness intensified and she completely lost her appetite. They took her to Family Medical Practice where she was examined by a paediatrician, who detected also swollen lymph nodes and an enlargement of the liver and spleen. As the paediatrician had previously worked with immunosuppressed children he recognised the black dots as a very rare fungal infection, talaromycosis. Microscopic examination and fungal cultures from skin and blood confirmed the diagnosis.</p><p>Talaromycosis is a systemic mycosis caused by the fungus Talaromyces marneffei, that is only present in Southeast Asia, southern China and eastern India. It can affect the whole body.  Most people who get talaromycosis have a medical condition that weakens their immune system.</p><p>Phương tested positive for HIV. Her number of white blood cells CD4 was very low, indicating a severe immunodeficiency. She most likely had been infected for a long time. The viral load, the amount of HIV virus in the blood, was very high.</p><p>HIV is a viral infection that spreads through direct contact with infected blood. This can occur through sexual intercourse when there is blood contact due to small lesions, as well as through blood transfusion or transmission from an infected mother to her child during pregnancy or breastfeeding. The HIV virus infects CD4 cells, white blood cells defending the body against infections, and turns them into virus factories producing more virus particles. This cycle continues, infecting additional CD4 cells and progressively weakening the immune system. As a result, the ability to protect against infections decreases over time. After an average of about eight years the immune system is so weak that there is risk of opportunistic infections such as tuberculosis, pneumocystis pneumonia, cryptococcus meningitis and, as in Phuong’s case, talaromycosis. Globally there are about 40 million people living with HIV, of these about two million are children, the majority in sub-Saharan Africa. In Việt Nam about 215,000 are living with HIV, including about 5,000 children.</p><p>When the parents were informed, they told the doctor that Phương had been adopted when she was very young from a relative that suddenly died, most likely due to suicide covered up as an accident. They had never told Phương and did not have much information about any condition that the relative might have had.</p><p>Phương was referred to a paediatric HIV care and treatment centre where the  talaromycosis was treated with the fungal drug Amphotericin. She improved fast, the black dots in the skin disappeared and she gained weight. She was also promptly initiated on lifelong treatment with antiretroviral drugs, a combination of three drugs in one tablet once per day that suppress the viral replication. This helped her immune system recover fast.</p><p>HIV is currently not curable, but with good adherence to the antiretroviral treatment it can be regarded as a chronic disease where you can live a perfectly normal life, just like diabetes. Phương learned how to take her medication by herself every day, she continued school with good results and did not have more sick leave then her peers. She could continue to play football and play with her friends. The parents learned more about HIV so they could support her with the treatment and follow up. <b>Family Medical Practice</b></p><p><i>*Dr Mattias Larsson is a paediatric doctor at Family Medical Practice and associate professor at Karolinska Institutet and has a long experience in research on infectious diseases. He has worked with the Oxford University Clinical Research Unit and the Ministry of Health of Vietnam. He is fluent in English, Swedish, Vietnamese, German and some Spanish.</i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I P. Kim Mã, Kim Mã, Ba Đình. </i></p><p><i>To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh is in Diamond Plaza, 34 Đ. Lê Duẩn, Bến Nghé, District 1, Thành phố and 95 Thảo Điền, District 2.  Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
                }
            ],
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        },
        {
            "id": 1615,
            "title": "Collaborating for a future with effective antimicrobial treatments",
            "slug": "collaborating-future-effective-antimicrobial-treatments",
            "slug_en": "collaborating-future-effective-antimicrobial-treatments",
            "slug_vi": "collaborating-future-effective-antimicrobial-treatments",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1655,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Mattias_FGulQ3M.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr.Mattias_FGulQ3M.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-11-20",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "When seeking healthcare, go to a clinic that has good clinical and laboratory capacity. Don’t self-medicate with antibiotics. Think twice. Seek advice. Antibiotics aren't always the answer. Antimicrobial Resistance: no action today equals no cure tomorrow.",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1374
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p>Tuấn is a lively five-year-old boy that goes to kindergarten, he is however often sick with cough and fever. His mother Hiền usually takes him to the local doctor who diagnoses throat infection, otitis media (ear infection) and bronchitis and prescribes antibiotics such as amoxicillin and klacid, as well as some steroids, cough syrup and vitamin C. When Hiền doesn’t have time to bring him to the doctor, she goes a private pharmacy and brings an old prescription, they provide the antibiotics and other medication needed. Tuấn usually improves after some days, and Hiền is satisfied.</p><p>However, on one occasion Tuấn did not improve after five days but got worse with difficulty breathing and high fever, and the local doctor referred him to the provincial hospital. Tuấn was diagnosed with pneumonia and was treated with IV antibiotics. He improved after some days and was planned for discharge when he relapsed with fever and deteriorated fast needing breathing support. The X-ray and tests showed that he had severe pneumonia, he needed a higher level of care and was referred to the central paediatric hospital.</p><p>When arriving Tuấn was in bad shape, he had rapid breathing and difficulty getting enough oxygen. He was intubated and admitted to the intensive care unit (ICU). They took many tests including blood and sputum cultures. Although he was treated with stronger IV antibiotics the fever did not decrease. The cultures showed that he had blood stream infection with a superbug, Carbapenem Resistant Enterobacteriaceae (CRE). The doctor explained that this bacteria is resistant to almost all types of antibiotics, and that it spreads in hospitals causing severe infections.</p><p>During my time working in Việt Nam I have witnessed how the overuse of antibiotics has caused increasing antibiotic resistance, more severe illness and death. When I first came to Việt Nam in 1997 I did my PhD on antibiotic use and resistance. In a study outside Hà Nội we found that 75 per cent of the children had used antibiotics within the last month, mostly through self-medication purchased from private pharmacies, and the most common cause was for viral respiratory infections. With the use of antibiotics, vulnerable bacteria are killed while resistant bacteria survive. Extensive antibiotic use can result in the emergence of antibiotic-resistant bacterial strains. We repeated the study several times and found a slight decrease of antibiotic use but increase of resistance.</p><p>In another study in 16 hospitals we found a high rate of hospital acquired infections (HAI) with superbugs as CRE in ICU’s. In neonatal ICU more than half of infants with superbug infections died. Half of all patients screened in 12 hospitals were colonised with CRE superbugs, and after two weeks of in-hospital care it was 90 per cent, with a significant correlation between being CRE colonised, HAI and mortality. We also did studies for early detection of CRE colonisation through admission screening and found that isolation through cohort care among about 1,000 patients could decrease acquisition (becoming colonised during hospital care) from 90 per cent to 45 per cent.</p><p>If there is a high rate of CRE colonisation at discharge from hospitals, there is a risk that the bacteria spreads in households through transmission between family members and then to the community in schools and workplaces. The CRE bacteria is colonising the gastrointestinal tract and can spread through faeces that contaminates food and water. Hygiene is very important to prevent transmission.</p><p>Another less resistant superbug, ESBL, has already spread out. It causes urinary infections that are increasingly difficult to treat with oral antibiotics. If CRE is spread further, treatment will become even more difficult. We now have a project to assess if CRE transmission both in hospital and from CRE colonised children to household members can be decreased through better hygiene and less unindicated antibiotic use.</p><p>World AMR Awareness Week (November 18-24) is an annual global campaign to improve antibiotic awareness and encourage best practices among policymakers, health care staff and to reduce the further emergence and spread of AMR.</p><p>So, what can you do? When seeking healthcare, go to a clinic that has good clinical and laboratory capacity. Don’t self-medicate with antibiotics. Think twice. Seek advice. Antibiotics aren&#x27;t always the answer. Antimicrobial Resistance: no action today equals no cure tomorrow.</p><p>And what happened to Tuấn? As he came to a central hospital in time with a microbiological capacity that could culture CRE and assess the resistance pattern, the correct and effective treatment could be found. Three weeks later he was discharged and is now back in school and full of energy! <b>Family Medical Practice</b></p><p>*Dr Mattias Larsson is a paediatric doctor at Family Medical Practice and associate professor at Karolinska Institutet and has a long experience in research on infectious diseases, especially antibiotic resistance and hospital-acquired infections as well as HIV, with many articles in peer-reviewed publications and mainstream media appearances.</p><p>He has worked with the Oxford University Clinical Research Unit, USAID, the Clinton Foundation, and the Ministry of Health of Việt Nam. He is fluent in English, Swedish, Vietnamese, German and some Spanish.</p><p>Visit Family Medical Practice Hanoi 24/7 at 298 I Kim Mã St, Kim Mã Ward, Ba Đình Dist.</p><p>To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo on +84.944.43.1919 or email <i>hanoi@vietnammedicalpractice.com</i>.</p><p>FMP’s downtown Hồ Chí Minh City location is in Diamond Plaza, 34 Đ Lê Duẩn St, Bến Nghé Ward, District 1, and 95 Đ Thảo Điền, District 2. Tel. (028) 3822 7848 or email <i>hcmc@vietnammedicalpractice.com.</i></p>"
                }
            ],
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        },
        {
            "id": 1614,
            "title": "Melioidosis - the great mimicker",
            "slug": "melioidosis-great-mimicker",
            "slug_en": "melioidosis-great-mimicker",
            "slug_vi": "melioidosis-great-mimicker",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1655,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Mattias_FGulQ3M.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr.Mattias_FGulQ3M.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-11-14",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "The correct diagnosis of Melioidosis is tricky as it mimics many other conditions, hence also called “the great mimicker.”",
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            "locations": [
                1373
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                    "value": "<p>Thủy is a lively 12-year-old girl. She went on vacation to the countryside in central Việt Nam to help her grandmother on her farm. A few days after coming back home she developed fever, pain, headache, puffy eyelids, tenderness and swelling in the neck.</p><p>She was taken to a local clinic that diagnosed parotitis and treated her with an oral antibiotic and paracetamol. She got some temporary relief, but after some days the symptoms got worse.</p><p>The high fever persisted, and the neck pain and headache worsened. She also developed torticollis and overall muscle pain. She was unable to open her mouth and mostly lost her appetite. She also developed chest pain and cough.</p><p>The increasingly worried parents decided to take Thủy to Family Medical Practice. When examined the paediatrician noted swollen glands near the ears and enlarged lymph nodes in the neck. She was breathing rapidly, and their chest appeared to be sinking inwards. When listened to with a stethoscope, crackling sounds were heard. An ultrasound revealed inflammation in the salivary glands and an abscess in the back of the throat. Blood tests showed signs of a bacterial infection, anemia (low red blood cell count) due to Thalassemia (hereditary small red blood cells). Chest X-rays showed irregular spots and consolidation in the upper part of the lungs.</p><p>When asked about exposures, Thủy said that she had helped her grandmother in the rice fields wet soil and got some cuts on her feet and legs. The paediatrician knew that Burkholderia pseudomallei, a bacterium common in southeast Asian soil and surface water, can enter the body through small wounds, spread through the blood and cause Melioidosis (Whitmore’s disease) with abscess.  </p><p>However, the correct diagnosis of Melioidosis is tricky as it mimics many other conditions, hence also called “the great mimicker.”  The diagnosis was confirmed through blood and pus fluid cultures incubated for 48 hours that showed bacterial colonies with metallic shine that was positive for the “Three Antibiotic Disk Test” typical Burkholderia pseudomallei antibiotic resistance pattern.</p><p>Thủy was treated with an intensive treatment for two weeks including intravenous antibiotics. Her condition improved and she had no more fever. However, to eradicate the infection she had to use an oral antibiotic for another four months.</p><p>Melioidosis spreads through direct contact of contaminated soil dust or water droplets, ingestion of contaminated water, food or through skin abrasions. It is very rare for people to get the disease from another person. Persons with open skin wounds should avoid contact with soil and standing water. Farmers are recommended to wear boots to prevent exposure through the feet and lower legs.</p><p>Although healthy people may get melioidosis, underlying medical conditions that may increase the risk include diabetes, liver and kidney disease, cancer, chronic lung disease and, as for Thuy,  thalassemia.</p><p>There are several types of melioidosis infections, localised abscess, lung and blood infections, each with different symptoms but all including high fever. Children often present with parotitis, an inflammation of the salivary glands located near the ear. The incubation period can range from one day to many years, but generally symptoms appear two to four weeks after exposure.</p><p>Children under 16 years of age constitute 5–15 per cent of melioidosis cases and compared to adults have lower mortality rates, are less likely to be associated with underlying diseases and more likely to involve localized disease such as parotitis.</p><p>Melioidosis is underdiagnosed as few physicians know about the disease, hence limited number of clinical specimens are sent for bacterial cultures and if sent the 48-hour incubation of agar plates is not always performed correctly.  There is a new point of care test, the Active Melioidosis Detect™ (AMD) that hopefully will be available soon. Raising awareness for the disease amongst the public, physicians and laboratory staff as well as introducing a simple laboratory algorithm could increase the detection rate significantly. <b>Family Medical Practice</b></p><p><i>*Dr Mattias Larsson is a paediatric doctor at Family Medical Practice and associate professor at Karolinska Institutet and has a long experience in research on infectious diseases. He has worked with the Oxford University Clinical Research Unit and the Ministry of Health of Vietnam. He is fluent in English, Swedish, Vietnamese, German and some Spanish.</i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I P. Kim Mã, Kim Mã, Ba Đình. </i></p><p><i>To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh is in Diamond Plaza, 34 Đ. Lê Duẩn, Bến Nghé, district 1, Thành phố and 95 Đ. Thảo Điền, district 2.  Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
                }
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        },
        {
            "id": 1613,
            "title": "Understanding hair loss and exploring treatment options",
            "slug": "understanding-hair-loss-and-exploring-treatment-options",
            "slug_en": "understanding-hair-loss-and-exploring-treatment-options",
            "slug_vi": "tinh-trang-rung-toc-va-cach-dieu-tri",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1651,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr._Singh_2_envWA4o.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr._Singh_2_envWA4o.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-11-07",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "Knowing the root cause of your hair loss can guide you in choosing the best solution for hair growth that suits your needs.",
            "related_pages_title": null,
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            "locations": [
                1372
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                    "type": "text",
                    "value": "<p><b>What causes hair loss?</b></p><p>Hair loss caused by a disturbance in the normal hair growth cycle can lead to balding at any stage of life. Many internal and external factors can disturb the cycle and contribute to excessive hair fall. Some of these causes can be reversed, while others require proper medical treatments to slow down the process. Some of the major hair loss factors are:</p><ul><li>Genetics</li><li>Hormonal imbalances</li><li>Physical or mental stress</li><li>Medicines &amp; Radiation</li><li>Incorrect hair care &amp; frequent styling</li><li>Improper diet &amp; lifestyle choices</li><li>Hard water</li></ul><p>Knowing the root cause of your hair loss can guide you in choosing the best solution for hair growth that suits your needs.</p><p><b>Natural remedies</b></p><ul><li>Aloe Vera and Coconut Oil mask tends to improve hair strength and makes them silk, soft and thick.</li><li>Essential oils like lavender, peppermint, cedarwood, rosemary, thyme, clary, lemongrass and tea tree oil boost hair growth and make hair stronger. Regular use can lead to thicker and healthier hair.</li><li>Onion Juice Mask can make your hair stronger from the roots.</li><li>Apple cider vinegar mask keeps the infections due to pH imbalances at bay and reduces hair fall.</li></ul><p><b>A healthy diet for hair growth</b></p><p>Incorporate foods rich in vitamins, minerals, and proteins to promote hair growth naturally. Leafy greens, eggs, and nuts are among the top choices.</p><p><b>The power of scalp massage</b></p><p>A simple yet effective hair growth solution is regular scalp massage. Massaging your scalp increases blood circulation, which can stimulate hair follicles and promote growth. You can use essential oils like lavender or rosemary for added benefits.</p><p><b>Quick tips to prevent damage from hard water</b></p><ul><li>Install shower Head Water Filters.</li><li>Try a clarifying shampoo once a week to help remove mineral build-up.</li><li>Apple cider vinegar/lime juice rinses.</li><li>Use a moisturising hair mask or leave-in conditioner once a week.</li><li>Give a final rinse with purified bottled water before you step out of the shower.</li></ul><p><b>Over-the-counter solutions</b></p><ul><li>The market is flooded with over-the-counter products claiming to be the best solution for hair growth. Shampoos, serums, and conditioners formulated with active hair growth ingredients can help combat hair loss. However, results may vary, so consistency is key.</li><li>Sometimes, the best solution for hair growth comes in the form of dietary supplements. Look for supplements that contain vitamins like Biotin (B7), Vitamin D, Vitamin B12, Omega-3, Zinc, Calcium and Iron, which are essential for healthy hair growth.</li></ul><p><b>Medical treatments</b></p><ol><li>Prescription medications: For individuals with more severe hair loss, prescription medications can be the best hair growth solution. These medications, such as finasteride or minoxidil, are approved by the FDA and have shown promising results in regrowing hair.</li><li>Platelet rich plasma therapy: It increases blood supply and increase the enzyme activity at the root level of hair. Increased blood supply provides more nutrition and growth factors to the follicles and promotes hair regrowth. The therapy increases the growth and thickness of the hair shaft.</li><li>Hair transplant surgery: It is the advised option to go for if you suffer from permanent hair loss. The restoration surgery can help you receive hair on bald spots.</li></ol><p><b>Lifestyle changes</b></p><ul><li>Do not starve your body by dieting; consume a proper diet. Sleep for 8 hours to relax your body.</li><li>Stress can contribute to hair loss. Practising stress management techniques such as yoga, meditation, or mindfulness can be a significant hair growth solution.</li><li>Your daily hair care routine can impact hair growth. Avoid excessive heat styling, tight hairstyles, and harsh chemicals. Choose gentle hair care products.</li></ul><p>In conclusion, the best hair growth solution for you depends on the cause of your hair loss, your preferences, and your commitment to the chosen treatment. Whether you opt for natural remedies, over-the-counter products, or medical treatments, consistency is key. If you have tried all remedies and followed all safety precautions but still suffer from hair loss, consult with a dermatologist to determine the best solution for hair growth tailored to your unique needs. Say goodbye to hair fall and hello to the beautiful, healthy hair you deserve. <b>Family Medical Practice</b></p><p><i>*Dr Snigdha Singh has a bachelor&#x27;s in medicine and surgery and a master&#x27;s in dermatology. She specialises in diagnosing and treating a wide variety of skin disorders for both adults and children. She can also advise on numerous skin cosmetic conditions and treating benign skin disorders by RF cautery, cryosurgery and minor surgery as indicated.</i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298 I Kim Mã St, Ba Đình Dist. To book an appointment, please call us at (024).3843.0784, or contact us via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> <i>hanoi@vietnammedicalpractice.com.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34 Đ Lê Duẩn St, Bến Nghé Ward, District 1, and 95 Đ Thảo Điền St, District 2. Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
                }
            ],
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        },
        {
            "id": 1612,
            "title": "Meniscus repair: the strategy for knee preservation",
            "slug": "meniscus-repair-strategy-knee-preservation",
            "slug_en": "meniscus-repair-strategy-knee-preservation",
            "slug_vi": "meniscus-repair-strategy-knee-preservation",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1645,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Sosa_MakMqn1.jpg",
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            },
            "post_date": "2023-10-30",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "One of the key strategies in protecting the knees is preserving the meniscus, a vital component of the knee structure.",
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            "locations": [
                1371
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            "content": [
                {
                    "type": "text",
                    "value": "<p>With increasing life expectancy, there is a growing interest in preserving the natural cartilage in our joints to delay the need for knee replacements. This applies not only to athletes but also to individuals who engage in recreational sports. Taking care of our joints is crucial for maintaining optimal performance and overall joint health. One of the key strategies in protecting the knees is preserving the meniscus, a vital component of the knee structure.</p><p>As a knee surgeon, my main objective is to assist my patients in preserving the integrity of their meniscus or repairing meniscal tears whenever feasible, rather than resorting to the complete removal of the meniscus through surgical excision, which was more common in the past.</p><p><b>What are the menisci?</b></p><p>The menisci are two annular soft structures situated within the knee joint, positioned between the femoral (thigh bone) and tibial (shin bone) articular surfaces. They play a crucial role in several essential biomechanical functions, including load transmission, shock absorption, stability and joint lubrication.</p><p>The menisci can be likened to the rubber ring found in a blender. Just as the ring prevents fluid from leaking out, the menisci serve a similar purpose within the knee joint. They ensure proper fluid distribution and prevent excessive friction. Due to the unique anatomy of the knee joint, where the curved surface of the femur interacts with the flatter tibial surface, the menisci play a crucial role. They act as adaptable structures that bridge the gap between these two surfaces with different shapes.</p><p>However, it&#x27;s important to note that the menisci are not rigid structures. During movements involving pivoting or full flexion of the knee, the menisci can become susceptible to compression, tears, or even detachment.</p><p>Following sports activities, the pressure within the knee often rises, and in the presence of a meniscal tear, this can lead to the leakage of joint fluid. As a result, the fluid may accumulate in nearby soft tissues, causing pain, knee effusion (swelling), and limited range of motion. This condition is commonly referred to as Baker&#x27;s cyst, and it is directly associated with meniscal tears.</p><p>While meniscal injuries are commonly associated with professional athletes, impact sports, and martial arts, smaller tears can also occur in runners, football players, tennis players, golfers, and yoga practitioners. These tears, even if small, can cause pain and knee effusion. It is not uncommon to find concomitant ligament injuries (such as Anterior or Posterior Cruciate Ligament) and meniscal injuries together.</p><p><b>“Cut it out” and the problem solved?</b></p><p>For decades, surgical excision was the go-to treatment for meniscal tears, providing temporary pain relief. However, removing the meniscus significantly increases the risk of developing knee osteoarthritis. Without the protective cushioning of the meniscus, the articular surfaces are exposed to daily friction and impacts, leading to degenerative changes.</p><p>Studies have shown that after meniscectomy, rapid chondrolysis (degenerative cartilage changes) occurs, particularly in athletes and patients who subject their knees to excessive loading. Meniscal removal increases shear stress on the knee&#x27;s articular surfaces by 200 per cent compared to meniscal repair.</p><p>Since 2016, there has been a significant shift towards meniscal preservation, prompted by a consensus celebrated at the FIFA-approved Rizzoli Orthopedic Institute in Bologna, Italy, known as &quot;Save the meniscus.&quot; Scientific research has demonstrated the relevance of meniscal repair in preserving knee performance and preventing osteoarthritis.</p><p><b>How do I manage meniscal tears?</b></p><p>Physical examination is a valuable tool, and an MRI can provide confirmation of a meniscal tear. X-rays and ultrasounds are equally important for assessing other structures and bone quality in the knee.</p><p>Rehabilitation following meniscal repair should prioritise the slow biological healing process of the meniscus, making physical therapy essential. Returning to sports activities should be delayed for approximately 2-4 months. However, a significant percentage (86 to 91 per cent) of patients can eventually resume playing.</p><p>It&#x27;s important for patients to understand that there is an 8-20 per cent risk of failure, re-rupture, and the need for re-operation, especially in athletes. Nonetheless, the long-term outcomes of meniscal repair are superior to meniscectomy due to the protective role of the meniscus in preserving the articular cartilage.</p><p>In conclusion, the current approach to treating meniscal tears is to prioritise repair whenever possible, avoiding meniscectomy whenever feasible. This principle applies to individuals of all ages, genders, and activity levels. <b>Family Medical Practice</b></p><p><i>*Dr. Andres Sosa joined FMP in 2018 and is responsible for all orthopaedic and trauma cases. He is also a sports nutrition expert from Major University (Chile) and is fluent in English, Italian, and Spanish.</i></p>"
                }
            ],
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        },
        {
            "id": 1610,
            "title": "The itchy truth about scabies and its impact on children’s health",
            "slug": "the-itchy-truth-about-scabies-and-its-impact-on-childrens-health",
            "slug_en": "the-itchy-truth-about-scabies-and-its-impact-on-childrens-health",
            "slug_vi": "the-itchy-truth-about-scabies-and-its-impact-on-childrens-health",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1655,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Mattias_FGulQ3M.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr.Mattias_FGulQ3M.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-10-23",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "Scabies is caused by the mite Sarcoptes scabiei burrowing into the epidermis and triggering an inflammatory response leading to intense itching and rash. The mites reproduce in the skin, laying eggs that hatch within a few days. Those larvae are spread over the body by scratching and then touching other parts of the body.",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1370
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p>Some time ago I had a couple of siblings, a four-year-old girl and six-year-old boy, visiting Family Medical Practice due to skin rash and itch. It started on the girl about two months ago.</p><p>When the rash was detected on their daughter’s trunk about two months earlier the parents took her to a local doctor who diagnosed allergic dermatitis and treated with steroid cream. The cream decreased the rash and itch for a while, but then the rash spread faster, and she scratched causing local infections with pus. The parents took her to a dermatologist who diagnosed eczema and skin infection. She got stronger steroid cream, antihistamine and topical antibiotic treatment. The treatment had some effect, but the area affected by the rash still expanded. When her brother also started to develop a rash, they used the same cream on him. Again, there was some temporary relief, but it didn’t stop spreading the rash. So the parents took both kids to a third doctor who diagnosed a fungal infection and treated both siblings with fungal cream and steroids.  Like before it only gave some temporary relief.</p><p>Quite desperate, the parents came to Family Medical Practice. The paediatrician listened carefully to the disease history and observed the kids constant scratching, indicating an intense itch. When examining the skin, a pimple-like skin rash with clear lines and pathways could be detected which, combined with the history, led to a clear diagnosis: Scabies.</p><p>Scabies is caused by the mite Sarcoptes scabiei burrowing into the epidermis and triggering an inflammatory response leading to intense itching and rash. The mites reproduce in the skin, laying eggs that hatch within a few days. Those larvae are spread over the body by scratching and then touching other parts of the body. The scabies mite spreads by direct skin-to-skin contact with a person who has scabies or contact with contaminated objects as sheets or clothes. The parents suspected that she might have been infected during a sleepover at a friend’s house. Scabies is found worldwide and affects people of all races and social classes.</p><p>The skin is the body&#x27;s largest organ with a complex structure comprising distinct layers that undergo a continuous cycle of renewal and regeneration. In infants, the skin renews every 14 days, while for teenagers it&#x27;s around 28 days. In middle age, it takes between 28-42 days, and for individuals over 50, it can take up to over 80 days. The skin is constantly reacting to external factors, where sometimes immune cells are activated, causing a rash.</p><p>It is often tricky to correctly diagnose rashes as the response to infections and allergies might be similar. Many child infections such as measles, rubella, roseola and hand foot and mouth disease come with rash. Also, contact dermatitis, allergic reactions and eczema are very common. Fungal infection might trigger allergic dermatitis and be misdiagnosed; also eczema makes the skin more susceptible to fungal infections. For eczema and allergic dermatitis, treatment with steroid creams are common as it decreases the immune response, and hence symptoms like rash and itch. That’s why the siblings initially improved with the steroid cream treatment. However, for infections such as fungal conditions and scabies, it might make it worse as the immune response is weakened.</p><p>The siblings were prescribed oral ivermectin, a potent antiparasitic medication effective against the scabies mite. One dose first, with a second after about a week  to eradicate new mites from hatched eggs. They were instructed to clean all sheets, clothes and other objects that could be contaminated at sixty degrees. The parents also wanted to have treatment in case they were infected, and that was arranged with instruction on how to use it in case of symptoms.</p><p>After the first round of treatment both siblings improved, the rash and itch disappeared. However, in the girl the rash and itch reappeared after some weeks, and the parents took her back to FMP. As the first line of treatment was successful but there was relapse a second treatment was added, Permethrin, a topical cream. She then could recover completely. <b>Family Medical Practice</b></p><p><i>*Dr Mattias Larsson is a paediatric doctor at Family Medical Practice and associate professor at Karolinska Institutet and has long experience in research on infectious diseases. He has worked with the Oxford University Clinical Research Unit and the Ministry of Health of Vietnam. He is fluent in English, Swedish, Vietnamese, German, and some Spanish.</i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I P. Kim Mã, Kim Mã, Ba Đình. </i></p><p><i>To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34Đ Lê Duẩn Street, Bến Nghé, District 1, and 95Đ Thảo Điền Street,</i> <i>District 2. Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com</p>"
                }
            ],
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        },
        {
            "id": 1608,
            "title": "Understanding the menstrual cycle",
            "slug": "understanding-menstrual-cycle",
            "slug_en": "understanding-menstrual-cycle",
            "slug_vi": "chu-ky-kinh-nguyet-dien-ra-nhu-the-nao",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1652,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr._Olga_Uff8ix8.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr._Olga_Uff8ix8.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-10-16",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "A typical menstrual cycle lasts around 28 days, but it can vary from 21 to 35 days. During the cycle, the woman experiences uterine bleeding for up to seven days.",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1369
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            "content": [
                {
                    "type": "text",
                    "value": "<p>The menstrual cycle is a natural process that occurs in the female body, and it plays a critical role in reproductive health. This cycle is regulated by hormones and involves the development of ovarian eggs and the preparation of the uterus for possible pregnancy. In one word, the menstrual cycle is a &quot;mirror&quot; of female fertility.</p><p>A typical menstrual cycle lasts around 28 days, but it can vary from 21 to 35 days. During the cycle, the woman experiences uterine bleeding for up to seven days. The amount of blood lost during this time is typically around 40-60ml. However, heavy or prolonged bleeding can lead to anemia and other related complications.</p><p>It is important for a woman to have a regular menstrual cycle, with the same bleeding patterns and number of days between periods. Irregular menstrual cycles can indicate underlying medical conditions such as Polycystic Ovary Syndrome (PCOS), thyroid dysfunction, premature ovarian failure, or pre-menopause. Stress, anxiety, night shift work, extreme dieting, or excessive exercise can also cause menstrual irregularities. Delayed periods can also be a sign of pregnancy.</p><p>Bleeding or spotting between periods, before or after periods, or after intercourse should be alarming, as they can indicate hormonal imbalances or the presence of medical conditions such as infections, cervical or endometrial polyps, endometriosis, cervical or uterine cancer, or even blood disorders. Any kind of bleeding during pregnancy is also not normal and it is essential to discuss any spotting with your healthcare provider to determine the cause and appropriate treatment.</p><p>Abnormal bleeding, including heavy or prolonged bleeding, is also a cause for concern. Menorrhagia is the medical term for heavy bleeding during menstruation. Unscheduled irregular uterine bleeding called metrorrhagia. In summary, if you have heavy menstrual bleeding, irregular bleeding or intermenstrual spotting or frequent menses you should seek a doctor&#x27;s advice.</p><p>In addition to abnormal bleeding, women may experience other symptoms during their menstrual cycle, such as mood changes, headaches, and breast tenderness. This condition is called premenstrual syndrome (PMS), and it is caused by hormonal fluctuations during the menstrual cycle. While these symptoms can be unpleasant, they are usually not a cause for concern. However, if they are severe or interfere with daily life, it is important to discuss them with a healthcare provider.</p><p>Premenstrual syndrome (PMS) affects up to 75 per cent of women during their reproductive years, with symptoms ranging from mild to severe. Common symptoms include mood swings, anxiety, irritability, depression, fatigue, bloating, breast tenderness and acne. While the exact cause of PMS is unknown, it is thought to be related to the fluctuation of hormones, particularly estrogen and progesterone, during the menstrual cycle.</p><p>Women can manage their menstrual cycle by maintaining a healthy lifestyle, such as eating a balanced diet, getting regular exercise, and managing stress levels. They can also track their menstrual cycle using a calendar or period-tracking app, which can help predict the next period, identify menstrual cycle abnormalities, and monitor ovulation for fertility purposes. Birth control pills and hormonal IUDs can also help regulate hormones and ensure a regular cycle.</p><p>It is important for women to discuss any concerns they have about their menstrual cycle with their healthcare provider. This includes changes in their cycle, abnormal bleeding, spotting or PMS symptoms. A healthcare provider can help diagnose any underlying medical conditions and provide appropriate treatment.</p><p>In conclusion, the menstrual cycle is a crucial aspect of reproductive health. Women who have concerns about their menstrual cycle should seek medical advice from their family doctor or gynecologist. By maintaining a healthy lifestyle and tracking their menstrual cycle, women can ensure their overall health and well-being. Early detection and treatment of menstrual cycle abnormalities can help prevent complications and ensure optimal reproductive health. <b>Family Medical Practice</b></p><p><i>*Dr. Olga Sambolska graduated from Lviv National Medical University in 1996 and commenced her medical career at the Volyn Regional Maternity Hospital in Ukraine. Since 1998 she has been a registered obstetrics and gynecology doctor, providing healthcare to women in relation to pregnancy, birth control, menopausal issues, contraception, menstrual cycle diseases and sexually transmitted diseases. She is fluent in Ukrainian, Russian, Polish and English.  </i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I Kim Mã St., Kim Mã, Ba Đình. To book an appointment, please call us at (024).3843.0784, or contact us via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34 Lê Duẩn St., Bến Nghé, District 1, and 95 Thảo Điền St., District 2. Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
                }
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            "id": 1606,
            "title": "FAMILY MEDICAL PRACTICE now providing Wound Care Management Services",
            "slug": "family-medical-practice-now-providing-wound-care-management-services",
            "slug_en": "family-medical-practice-now-providing-wound-care-management-services",
            "slug_vi": null,
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                "url": "https://media.fmp-data.bliss.build/original_images/Wound-Care-Unit.jpg",
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            },
            "post_date": "2023-10-11",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "Struggling with wounds?\r\nOur clinic specializes in wound care, including diabetic ulcers, non-healing surgical wounds, pressure and venous ulcers, bone infections, and more.\r\nOur team of professionals is certified by the UK NHS in advanced wound care management and tissue viability.",
            "related_pages_title": null,
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                    "value": "<p></p><p><b>Struggling with wounds?</b></p><p>Our clinic specializes in wound care, including diabetic ulcers, non-healing surgical wounds, pressure and venous ulcers, bone infections, and more.</p><p>Our team of professionals is certified by the UK NHS in advanced wound care management and tissue viability.</p><p><b>Services:</b></p><p>Infection control | Pain-reducing wound dressing</p><p>Wound debridement | Wound and edema management</p><p>Deep thermal burns</p><p></p><img src=\"https://media.fmp-data.bliss.build/original_images/Wound_Care_Unit_partnership.jpg\" class=\"format-fullwidth\" /><p><br/></p><p></p><p></p>"
                }
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        },
        {
            "id": 1604,
            "title": "Increasing recorded incidence of the “zombie disease” Rabies, in Việt Nam",
            "slug": "increasing-recorded-incidence-of-the-zombie-disease-rabies-in-việt-nam",
            "slug_en": "increasing-recorded-incidence-of-the-zombie-disease-rabies-in-việt-nam",
            "slug_vi": "increasing-recorded-incidence-of-the-zombie-disease-rabies-in-việt-nam",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1655,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Mattias_FGulQ3M.jpg",
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            },
            "post_date": "2023-10-09",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
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                "name": "News",
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                1367
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            "content": [
                {
                    "type": "text",
                    "value": "<p>Linh, a cheerful five-year-old girl, was playing near her home when a neighbourhood dog approached her with a wagging tail and innocent eyes. Not suspecting any danger, she extended her hand to pet the dog. In a moment of playfulness, the dog nipped her on the leg and then quickly ran off. Linh told her parents about what happened who considered it a harmless incident. They cleaned the small wound and applied a bandage. As days went by, the wound seemed to be healing well.</p><p>However, some days later a few houses away, the same dog had attacked another person, inflicting a severe bite on their neck. After a week that person developed fever, headache, fatigue, muscle aches and general malaise. Some days later he became anxious, agitated and confused, displaying hyperactive and erratic behaviour, and was taken to hospital. As he also had excessive salivation, hydrophobia (fear of water), and aerophobia (fear of drafts of air) the clinical diagnosis was rabies, confirmed by tests. Even if treatment was promptly administered it was too late.  When symptoms start showing, mortality is almost 100 per cent.</p><p>After Linh’s parents heard about this incident, they panicked and desperate to protect their daughter, rushing to Family Medical Practice (FMP). Linh promptly received a post-exposure prophylactic vaccine and immunoglobulins preventing the virus from taking hold in her young body.</p><p>Local health authorities acted. They located and terminated the dog to prevent further spread of the virus. They also assessed other dogs of whom some were already infected and had to be terminated.</p><p>Are there any real zombie viruses? Well, one can draw striking parallels between rabies-infected animals and the archetypal depiction of zombies which has most likely inspired the zombie movies. The rabies infected animals, notably dogs, become aggressive and bite, thereby facilitating the virus&#x27;s spread.</p><p>Rabies is a lethal viral disease that affects the central nervous system, causing severe neurological symptoms and, ultimately, death if left untreated. The virus predominantly resides in mammals and spreads primarily through the saliva of an infected animal, typically transmitted via bites.</p><p>The duration between exposure, infection, and onset of symptom depends on the site of the bite. Bites to the neck can lead to symptoms in a matter of days, whereas bites on extremities can allow for a longer incubation period. The incubation period is depending on the distance the virus travels along nerve pathways to reach the central nervous system. In adults, the incubation period tends to be longer, and the immune response may slow down the progression of the virus, ranging from a few weeks to several months. Children have a shorter incubation period due to developing immune systems and smaller body size that allows the virus to reach the central nervous system faster. Rabies is a highly unpredictable disease, and the incubation period can be influenced by various factors, including the amount of virus introduced during the exposure, the strain of the virus, the person&#x27;s overall health, and their immune response.</p><p>In Việt Nam, 61 deaths were recorded due to rabies in the first eight months of 2023, an increase from the previous year. Over the past five years 410 deaths have been attributed to rabies. The World Health Organization (WHO) states that the country typically records 70 to 100 rabies-related deaths annually. As this is recorded rabies deaths the actual number is likely to be higher as rabies is not always correctly diagnosed or if diagnosed, not always reported. Health authorities state that one significant reason for the high rabies mortality in Việt Nam is inadequate vaccination as well as lack of awareness regarding the importance of post-exposure vaccinations following animal bites.</p><p>So how can you protect yourself and your child from rabies? At FMP we provide both pre-exposure vaccination to strengthen long-term immunity and as well as post exposure vaccination and immunoglobulins, antibodies to neutralize the rabies virus. If you have a dog, cat, or other pet, it is important to ensure that they are rabies vaccinated. Do not let pets  roam freely and not play with unknown animals. When bitten by a dog, cat or other animal, you should seek care as soon as possible for assessment regarding the need for post exposure prophylaxis. <b>Family Medical Practice</b></p><p><i>*Dr Mattias Larsson is a paediatric doctor at Family Medical Practice and associate professor at Karolinska Institutet and has a long experience in research on infectious diseases. He has worked with the Oxford University Clinical Research Unit and the Ministry of Health of Vietnam. He is fluent in English, Swedish, Vietnamese, German and some Spanish.</i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I P. Kim Mã St, Ba Đình District. </i></p><p><i>To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34Đ. Lê Duẩn St, Bến Nghé Ward, District 1, and 95Đ. Thảo Điền Street, District 2.  Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com</p>"
                }
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        },
        {
            "id": 1603,
            "title": "Urinary tract infections in children",
            "slug": "urinary-tract-infections-children",
            "slug_en": "urinary-tract-infections-children",
            "slug_vi": "urinary-tract-infections-children",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1655,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Mattias_FGulQ3M.jpg",
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            },
            "post_date": "2023-10-02",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "UTI is to a high extent auto-infectious: we infect ourselves with our own stool. It is more common in women and children as they have shorter urethra nearer to the anus. E-coli is an opportunistic bacterium: sometimes it’s our ally, (in Vietnamese Lợi khuẩn), helping us with our digestion, but it can also be an enemy (Vi khuẩn), causing disease if in the wrong place of the body.",
            "related_pages_title": null,
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            "locations": [
                1366
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                    "type": "text",
                    "value": "<p>Linh, a vibrant and active five-year-old girl, began to notice she had to urinate more frequently.  At first, it was mild, but as time went on, she started experiencing increasing discomfort and pain while urinating. Her parents noticed she had a fever up to 39°C and took her to a local clinic where the doctor diagnosed her urinary tract infection (UTI). She was prescribed cotrimoxazole, a common oral antibiotic. Linh&#x27;s parents followed the prescribed treatment.</p><p>However, the treatment did not bring the anticipated symptom relief. Linh&#x27;s fever persisted and increased to 40°C and she began complaining of pain in her lower back. The antibiotic treatment did not seem to be effective. Alarmed, her parents decided to consult Family Medicine Practice (FMP) for a second opinion and a more comprehensive assessment of Linh&#x27;s condition.</p><p>At FMP, the pediatrician examined her and performed a urine dipstick test that showed high levels of leukocytes and nitrite in Linh&#x27;s urine, suggesting a urinary tract infection and so a urine culture test was performed. Blood tests including complete blood count (CBC), C-reactive protein (CRP) and creatinine showed that it was a severe infection also affecting the kidneys. There was also a risk for the infection to go into the bloodstream, a possibly lethal situation. Luckily, the ultrasound investigation showed that there was still no damage to the kidneys. It was decided to treat Linh with amikacin, an effective broad-spectrum antibiotic administered through intramuscular (IM) injections or intravenous (IV) once per day, enabling her to be treated as an outpatient and go home in between the daily injections. </p><p>The amikacin treatment showed good effect, Linh&#x27;s fever subsided already after one day of treatment, and the pain diminished, indicating progress in her recovery. The urine culture revealed the presence of ESBL-producing E. coli, an antibiotic-resistant strain of bacteria often causing UTI. It also showed that this strain of e-coli was susceptible to an oral antibiotic so after three days of IM amikacin injections she could start oral treatment with tablets as well as probiotics to support the intestinal microbiota and digestion. </p><p>UTI is to a high extent auto-infectious: we infect ourselves with our own stool. It is more common in women and children as they have shorter urethra nearer to the anus. E-coli is an opportunistic bacterium: sometimes it’s our ally, (in Vietnamese <i>Lợi khuẩn</i>), helping us with our digestion, but it can also be an enemy (<i>Vi khuẩn</i>), causing disease if in the wrong place of the body. We have more <i>Lợi khuẩn</i> bacteria in our body than human cells, and reside in our gastrointestinal tract. When we use antibiotics, we kill off a lot of these bacteria, however, some may become resistant to the antibiotics and survive. As there is a lot of unnecessary antibiotic overuse for viral infections we constantly select for antibiotic resistant bacteria, turning the <i>lợi khuẩn</i> in the gut into a pool of antibiotic resistant bacteria, such as ESBL-producing E. coli. These become dangerous when causing infections such as the UTI in Linh. In Việt Nam, we have found that there is a high rate of colonisation with multi resistant superbugs such as ESBL and the more resistant ESBL-carba causing severe infections, especially in hospitalised immunosuppressed patients.</p><p>Fortunately, new rapid tests are now becoming available that can detect antibiotic resistance mechanisms as ESBL which enables more timely diagnosis and selection of adequate treatment. </p><p>The story of Linh emphasises the importance of recognising the symptoms of UTIs, in small children the only symptom may be fever, in older children also discomfort and pain during urination, the significance of accurate diagnostics through urine testing and culture guiding the selection of appropriate medication. Most importantly the challenges posed by unnecessary antibiotic use and selection of antibiotic resistant “superbugs” with consequently increasing incidence of drug-resistant UTI that are difficult to treat with common oral antibiotics. </p><p>How can you avoid UTI? Good toilet hygiene, wipe from the urethra towards anus and most importantly – to avoid risk for infections with superbugs can be difficult to treat - do not self-medicate with antibiotics! When sick go to a health care provider with competence to do differential diagnostics between viral and bacterial infections and for symptoms of UTI also microbiological capacity. <b>Family Medical Practice</b></p><p></p><p><i>*Dr Mattias Larsson is a pediatric doctor at Family Medical Practice and associate professor at Karolinska Institutet and has a long experience in research on infectious diseases. He has worked with the Oxford University Clinical Research Unit and the Ministry of Health of Vietnam. He is fluent in English, Swedish, Vietnamese, German and some Spanish.</i></p><p>Visit Family Medical Practice Hanoi 24/7 at 298I P. Kim Mã, Kim Mã, Ba Đình. </p><p>To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo on +84.944.43.1919 or email <i>hanoi@vietnammedicalpractice.com</i>.</p><p>FMP’s downtown location in Hồ Chí Minh is in Diamond Plaza, 34 Đ. Lê Duẩn, Bến Nghé, District 1, Thành phố and 95 Đ. Thảo Điền, district 2. Tel. (028) 3822 7848 or email <i>hcmc@vietnammedicalpractice.com.</i></p>"
                }
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        {
            "id": 1602,
            "title": "Understanding cervical cancer and how to prevent it",
            "slug": "understanding-cervical-cancer-and-how-prevent-it",
            "slug_en": "understanding-cervical-cancer-and-how-prevent-it",
            "slug_vi": "understanding-cervical-cancer-and-how-prevent-it",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1652,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr._Olga_Uff8ix8.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr._Olga_Uff8ix8.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-09-25",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "Today, I want to talk about a topic that is near and dear to my heart: cervical cancer. Worldwide, cervical cancer is the fourth most frequent cancer in women.",
            "related_pages_title": null,
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            "locations": [
                1365
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                    "type": "text",
                    "value": "<p>Today, I want to talk about a topic that is near and dear to my heart: cervical cancer. Worldwide, cervical cancer is the fourth most frequent cancer in women.</p><p>Cervix uteri is the lower part of the uterus that connects the uterus and the vagina. Due to its anatomy and the function of cervical cells, it is very vulnerable to vaginal microbes and sexually transmitted infections.</p><p>Human papillomavirus (HPV), is a common sexually transmitted infection that can cause cervical cancer. The virus integrates into cervical cells DNA, damages the DNA and can provoke unregulated abnormal cell division and tumour growth.</p><p>It&#x27;s important to note that the HPV infection is not treatable and mostly remains asymptomatic before leading to cell abnormalities and pre-cancerogenous cervical changes. </p><p>While it can be a serious health issue, the good news is that cervical cancer is largely preventable by vaccination, practising safe sex and regular screening.</p><p>Cervical screening is essential in detecting cervical cancer early on. The pap smear, also known as the papanicolaou test, is a medical screening test designed to detect abnormal, potentially precancerous cells within the cervix. By identifying these cells early, we can remove them before they turn into cancer. Women should start getting Pap tests at the age of 21 and have them every three years until age 65. Women over the age of 30 may also choose to have an HPV test along with their Pap test, which can detect the presence of the HPV virus in the cervix. Women who have a history of abnormal Pap tests may need to have more frequent screening.</p><p>In addition to regular screening, getting vaccinated against HPV is another crucial step in preventing cervical cancer. The HPV vaccine is recommended for both boys and girls starting at age 11 or 12, although it can be given as early as age nine. This vaccine is most effective when given before a person becomes sexually active, as HPV is primarily spread through sexual contact. By getting vaccinated, you can avoid infection with the strains of HPV that are most likely to cause cervical cancer.</p><p>But that&#x27;s not all - practising safe sex is also key in reducing your risk of cervical cancer. Use condoms during sexual activity, and limit the number of sexual partners. Women who smoke are also at a higher risk for cervical cancer and should consider quitting to reduce their risk.</p><p>It&#x27;s important to be aware of potential signs of cervical cancer, such as abnormal vaginal bleeding, pain during sex, unusual vaginal discharge, and pelvic pain. If you experience any of these symptoms, it&#x27;s important to see a healthcare provider right away. While these symptoms may not necessarily be a sign of cervical cancer, they should still be evaluated to determine the cause and appropriate treatment.</p><p>In addition to regular screening, vaccination, and safe sex practices, maintaining a healthy lifestyle is also essential in reducing your risk of cervical cancer. This includes getting regular exercise, eating a healthy diet, and managing stress. Women who have a weakened immune system, such as those with HIV or who have had an organ transplant, may be at a higher risk for cervical cancer and should talk to their healthcare provider about additional screening and prevention measures.</p><p>The burden of cervical cancer remains high in many parts of the world, and in most countries, the incidence and mortality of the disease remain much higher than the threshold set by the WHO. This is why it&#x27;s so important to raise awareness about the importance of regular screening, vaccination, and safe sex practices.</p><p>I urge all women to take charge of their cervical health by getting regular screening, getting vaccinated against HPV, practising safe sex, and maintaining a healthy lifestyle. Cervical cancer is preventable, and with the right steps, we can reduce the incidence and mortality of this disease. Remember, your health is in your hands! <b>Family Medical Practice</b></p><p><i>*Dr Olga Sambolska graduated from Lviv National Medical University in 1996 and commenced her medical career at the Volyn Regional Maternity Hospital in Ukraine. Since 1998 she has been a registered obstetrics and gynecology doctor, providing healthcare to women in relation to pregnancy, birth control, menopausal issues, contraception, menstrual cycle diseases and sexually transmitted diseases. She is fluent in Ukrainian, Russian, Polish and English.  </i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I Kim Mã St, Ba Đình District. To book an appointment, please call us at (024).3843.0784, or contact us via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34 Lê Duẩn St, Bến Nghé Ward, District 1, and 95 Thảo Điền St, District 2. Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
                }
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        {
            "id": 1601,
            "title": "Cough in children – how to assess, diagnose and treat",
            "slug": "cough-in-children-how-to-assess-diagnose-and-treat",
            "slug_en": "cough-in-children-how-to-assess-diagnose-and-treat",
            "slug_vi": "cough-in-children-how-to-assess-diagnose-and-treat",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1655,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Mattias_FGulQ3M.jpg",
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            },
            "post_date": "2023-09-18",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "Coughing is one of the most common causes parents take their children to FMP. From the body’s point of view, coughing not a problem, but a solution!",
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            "related_pages": [],
            "locations": [
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                    "type": "text",
                    "value": "<p>Thủy, a usually vibrant seven-year-old girl, had a persistent dry cough for three weeks, was tired, had decreased appetite, headaches, and low fever of 38oC. Hằng, Thủy&#x27;s mother, had taken her to local physicians and she had been treated with both cough syrup and antibiotics without any apparent effect except for diarrhea. As the mother was concerned and wanted a clear diagnosis, she took Thủy to Family Medical Practice for consultation.</p><p>Coughing is one of the most common causes parents take their children to FMP. From the body’s point of view, coughing not a problem, but a solution! When irritants, such as mucus, foreign particles or pathogens enter the airways special receptors detect the irritant and a reflex response causes a forceful exhalation to expel the irritant, resulting in cough.</p><p>When examining Thủy, the doctor noticed that the respiratory rate was faster than expected for her age, and she had inward chest movements, indicating that the body had to struggle to get enough oxygen. In the base of the right lung there was a crackling sound, crepitations, indicating that it might be some infection.</p><p>When assessing symptoms you need to do a differential diagnosis between different causes. The first is to classify what kind of cough. Dry or productive with mucus? Force and frequency of coughing? Are there danger signs such as: High fever above 38,5oC? Difficulty or rapid breathing? In-drawings? Cyanosis with blue lips? Decreased appetite? Changes in consciousness?</p><p>What are the most common causes of coughing?</p><p>- Viral colds, the most common causes of childhood coughs, start with a runny nose that progresses to thicker mucus, possibly fever, usually resolves within a week with rest and symptomatic treatment.</p><p>- Bronchitis causes rapid breathing and chest in-drawings, is often viral, as RSV leading to high fever and respiratory distress in infants and young children. Treated with inhalation medication.</p><p>- Asthma causes airway restriction, cough, and difficulty breathing.</p><p>- Pneumonia presents with high fever, persistent cough and breathing problems, diagnosed with clinical evaluation, X-ray and blood tests, is often caused by bacteria that require antibiotics.</p><p>- COVID-19 causing cough, fever and respiratory symptoms, usually milder in kids than adults.</p><p>- Streptococcal Tonsillitis causes severe sore throat, pain when eating and drinking, cough and. Diagnosed with rapid strep-A test and treated with antibiotics.</p><p>- Allergic reactions trigger long-term coughing with transparent mucus, often also itchy eyes and runny nose. No fever. Managed by reducing exposure (pollen, mite, pollution,... ) and treated with antihistamine.</p><p>- Tuberculosis (TB), characterised by persistent cough, sometimes with blood, along with fever, weight loss and fatigue. Timely diagnosis and treatment is crucial.</p><p>- Whooping cough (Pertussis) causing severe coughing fits and often followed by a distinctive &quot;whooping&quot; sound during inhalation. Vaccination plays a vital role in prevention.</p><p>- Croup, presenting as a barking cough, hoarseness, and noisy breathing due to swelling of the upper airway. It is typically a viral infection and may require medical attention.</p><p>- Influenza A causes high fever, respiratory symptoms and body aches. Early diagnosis allows treatment with oseltamivir. Annual flu vaccination is recommended.</p><p>- Legionellosis, caused by the Legionella bacteria, starts with high fever, shivering, dry cough, breathing difficulties, chest pain, muscle aches and confusion, diagnosed with blood test, PCR. Treatment with antibiotics.</p><p>As Thủy had persistent coughing, rapid breathing and crepitations, an X-ray was performed that showed infection in the lung. Blood tests indicated a bacterial infection, and a few hours later a rapid PCR test identified the culprit: Mycoplasma pneumoniae. Consequently, the correct antibiotic treatment was prescribed.</p><p>But why did Thủy not respond to the prior antibiotic treatment? That’s because Mycoplasma pneumoniae is an intracellular bacterium that does not respond to the most common antibiotics.</p><p>A child&#x27;s cough can result from various causes, ranging from minor irritations to severe infections. Caregivers should be observant for danger signs such as rapid breathing, inward chest movements and persistent fever. Consulting a clinic with capacity for differential diagnostics is essential for an accurate diagnosis and appropriate treatment. <b>Family Medical Practice</b></p><p><i>*Dr Mattias Larsson is a paediatric doctor at Family Medical Practice and associate professor at Karolinska Institutet and has a long experience in research on infectious diseases. He has worked with the Oxford University Clinical Research Unit and the Ministry of Health of Vietnam. He is fluent in English, Swedish, Vietnamese, German, and some Spanish.</i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I P. Kim Mã St, Kim Mã Ward, Ba Đình Dist.</i></p><p><i>To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34 Đ Lê Duẩn St, Bến Nghé Ward, District 1, and 95 Đ Thảo Điền St, District 2. Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
                }
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        {
            "id": 1600,
            "title": "International Hospitals and International Medical Centers in Hanoi: A Beacon of Excellence",
            "slug": "international-hospitals-and-international-medical-centers-hanoi-beacon-excellence",
            "slug_en": "international-hospitals-and-international-medical-centers-hanoi-beacon-excellence",
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                "url": "https://media.fmp-data.bliss.build/original_images/International-hospital-international-medical-centers-hanoi.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/International-hospital-intern.format-jpeg.jpegquality-75.jpg"
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            "post_date": "2023-09-13",
            "category": {
                "id": 5,
                "name": "Blogs",
                "slug": "blogs"
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                "id": 1,
                "name": "News",
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            },
            "tags": "",
            "summary": "In the bustling metropolis of Hanoi, international medical centers and international hospitals serve as beacons of healthcare excellence, offering a diverse range of services to cater to the needs of both residents and visitors.",
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                    "type": "text",
                    "value": "<h2>International Hospitals and <b>International Medical Centers in Hanoi: Your Gateway to Quality Healthcare</b> </h2><p>In the bustling metropolis of Hanoi, international medical centers and international hospitals serve as beacons of healthcare excellence, offering a diverse range of services to cater to the needs of both residents and visitors. Let&#x27;s explore the essential role played by international medical centers in Hanoi&#x27;s healthcare landscape and the myriad benefits they bring to those seeking quality healthcare in the city.</p><ul><li><b>Multilingual Staff:</b> These hospitals employ multilingual medical professionals and support staff, ensuring effective communication with patients from diverse linguistic backgrounds.</li><li><b>Advanced Technology:</b> International hospitals are equipped with cutting-edge medical technology and facilities, enabling accurate diagnosis and innovative treatments.</li><li><b>Global Standards:</b> Adhering to global healthcare standards, these hospitals provide care that meets or exceeds international expectations, giving patients the confidence that they are receiving the highest quality treatment.</li><li><b>Cultural Sensitivity:</b> International hospitals understand and respect cultural differences, ensuring that patients receive care that aligns with their values and preferences.</li></ul><h2><b>Comprehensive Healthcare Services</b></h2><p>Family Medical Hanoi adopts a holistic approach to healthcare, prioritizing patient well-being and offering a range of services designed to address both physical and emotional needs. Whether it&#x27;s preventive care, specialized treatment, or wellness programs, these centers are committed to providing comprehensive healthcare solutions.</p><p>----------------------------------------------</p><p><b>Family Medical Practice Hanoi</b></p><p>Address: 298i Kim Ma - Van Phuc Diplomatic Compound, Ba Dinh District, Hanoi</p><p>Message us: <a href=\"http://m.me/FamilyMedicalPracticeHanoi\">m.me/FamilyMedicalPracticeHanoi</a></p><p>Hotline: 024 3843 0748</p><p>Zalo/Viber/Whatsapp: 094 443 1919</p>"
                }
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            "meta_title": "International Hospitals and International Medical Centers in Hanoi: A Beacon of Excellence",
            "meta_description": "In the bustling metropolis of Hanoi, international medical centers and international hospitals serve as beacons of healthcare excellence",
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            "social_description": "In the bustling metropolis of Hanoi, international medical centers and international hospitals serve as beacons of healthcare excellence, offering a diverse range of services to cater to the needs of both residents and visitors.",
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        {
            "id": 1599,
            "title": "Telehealth and Telemedicine service at Family Medical Practice Hanoi",
            "slug": "telehealth-and-telemedicine-service-family-medical-practice-hanoi",
            "slug_en": "telehealth-and-telemedicine-service-family-medical-practice-hanoi",
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            "overview_image": {
                "id": 1659,
                "url": "https://media.fmp-data.bliss.build/original_images/Telemedicine-telehealth-at-fmp-hanoi.jpg",
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            },
            "post_date": "2023-09-13",
            "category": {
                "id": 5,
                "name": "Blogs",
                "slug": "blogs"
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                "id": 1,
                "name": "News",
                "slug": "news"
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            "tags": "",
            "summary": "In Hanoi, the healthcare landscape is undergoing a remarkable transformation with the advent of telehealth, also known as telemedicine.",
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                    "value": "<p>In Hanoi, the healthcare landscape is undergoing a remarkable transformation with the advent of telehealth, also known as telemedicine. This innovative approach is changing how patients access medical care, making it more convenient and accessible than ever before. In this article, we&#x27;ll explore the burgeoning world of telehealth in Hanoi and how it&#x27;s reshaping the healthcare experience for residents and visitors alike.</p><h2><b>Telehealth and Telemedicine: A Game-Changer in Hanoi&#x27;s Healthcare Scene</b></h2><p>Telehealth has quickly become a game-changer in Hanoi&#x27;s healthcare scene. Here&#x27;s what you need to know:</p><ul><li><b>Convenient Access:</b> Telehealth allows patients to schedule virtual appointments with healthcare professionals from the comfort of their homes or workplaces. No need to commute or wait in crowded waiting rooms.</li><li><b>Specialized Care:</b> Patients can access a wide range of medical specialists through telehealth services, ensuring that even complex medical issues can be addressed promptly.</li><li><b>International Expertise:</b> Many telehealth providers in Hanoi collaborate with renowned international medical experts, offering residents access to world-class healthcare without the need for international travel.</li><li><b>Efficient Follow-Ups:</b> Telehealth is particularly beneficial for follow-up appointments and chronic disease management. Patients can easily check in with their healthcare providers without disrupting their daily routines.</li></ul><h2><b>The Convenience of Telehealth and Telemedicine</b></h2><p>Telehealth brings a new level of convenience to healthcare in Hanoi. Patients can book appointments at their convenience, eliminating the need for long wait times at clinics and hospitals. It&#x27;s especially valuable for those with busy schedules or mobility challenges. Telehealth also reduces the risk of exposure to infectious diseases, making it an excellent option during pandemics or health crises.</p><h2><b>Telehealth and Telemedicine service at Family Medical Practice Hanoi</b></h2><p>At FMP Hanoi, we are offering telehealth and telemedicine service. You can schedule appointment with our multinational doctor for a wide range of medical care. If you are seeking for for primary care or preventative care, consult online with our doctor. </p><p>----------------------------------------------</p><p><b>Family Medical Practice Hanoi</b></p><p>Address: 298i Kim Ma - Van Phuc Diplomatic Compound, Ba Dinh District, Hanoi</p><p>Message us: <a href=\"http://m.me/FamilyMedicalPracticeHanoi\">m.me/FamilyMedicalPracticeHanoi</a></p><p>Hotline: 024 3843 0748</p><p>Zalo/Viber/Whatsapp: 094 443 1919</p>"
                }
            ],
            "meta_title": "Telehealth and Telemedicine service at Family Medical Practice Hanoi",
            "meta_description": "In Hanoi, the healthcare landscape is undergoing a remarkable transformation with the advent of telehealth, also known as telemedicine.",
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            "social_description": "In Hanoi, the healthcare landscape is undergoing a remarkable transformation with the advent of telehealth, also known as telemedicine.",
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        },
        {
            "id": 1598,
            "title": "Vitamin D – a lifesaver for unborn children",
            "slug": "vitamin-d-a-lifesaver-for-unborn-children",
            "slug_en": "vitamin-d-a-lifesaver-for-unborn-children",
            "slug_vi": "vitamin-d-a-lifesaver-for-unborn-children",
            "slug_ko": null,
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            "overview_image": {
                "id": 1655,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Mattias_FGulQ3M.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr.Mattias_FGulQ3M.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-09-11",
            "category": {
                "id": 3,
                "name": "Media & Press",
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            },
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                "name": "News",
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            "summary": "In Việt Nam, the prevalence of Vitamin D deficiency (defined as serum 25(OH)D levels below 20 ng/mL), is alarmingly high, affecting 30 per cent of women and 16 per cent of men.  Women under 30 living in urban areas are most affected.",
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                    "value": "<p>Vitamin D deficiency has emerged as a significant concern, linked to several diseases including osteoporosis, cancer, autoimmune disorders, cardiovascular diseases, type II diabetes, increased overall mortality and even stillbirth. In Việt Nam, the prevalence of Vitamin D deficiency (defined as serum 25(OH)D levels below 20 ng/mL), is alarmingly high, affecting 30 per cent of women and 16 per cent of men.  Women under 30 living in urban areas are most affected.  One of the contributing factors may be limited exposure to sunlight due to cultural practices. Despite the abundance of sunlight in Việt Nam, individuals often seek shade and wear protective clothing to avoid sun exposure.  The contraceptive pill, in contrast, appears to protect against the deficiency.</p><p></p><p>The main symptoms of Việt Nam D deficiency are often quite vague or general but can come in different combinations, including fatigue, sleeping problems, bone pain or ache, depression or sadness, hair loss, muscle weakness, loss of appetite, decreased immune capacity with frequent infections.</p><p>Around 90 per cent of vitamin D synthesis occurs in the skin through sunlight exposure. Only a minor portion of vitamin D is obtained through food including fatty fish, seafood, mushrooms, egg yolks, spinach, orange, and bananas. This suggests that tropical regions with ample sunlight might have a lower risk of deficiency. However, recent studies from Hong Kong, Malaysia, and Singapore challenge this assumption, revealing prevalence rates similarly found in Western populations with less sunlight, especially during winter.</p><p></p><p>There is also new research indicating that the foetus is affected by D-vitamin deficiency. Two Swedish studies reported a two to four times increased risk of hypoxia (lack of oxygen) in newborns at low plasma vitamin D levels, one also showed an increased risk of stillbirth.</p><p></p><p>A study in Finland and Sweden from 1994 to 2021 found that low vitamin D levels were common before 2003. In 2003, vitamin D fortification in certain food products was introduced and doubled in 2010. The incidence of stillbirths decreased significantly after these measures were implemented. Finland saw a decrease from 4.1 to 2.8 stillbirths per 1,000 pregnancies, the lowest rate in Europe. Sweden adopted a similar approach in 2018 with similar results. The study&#x27;s large sample size (4.4 million births), dose-dependent effect, and timing support the idea that vitamin D deficiency is a stillbirth risk factor. Potential effects of vitamin D deficiency on the foetus include impaired nutrition transfer across the placenta, cardiac weakness and increased risk of infections. In Việt Nam, stillbirths occur in about 10 per 1,000 of pregnancies according to UNICEF.</p><p></p><p>In Việt Nam the sun is an abundant source of Vitamin D! However, many try to avoid the sun as it is socially desirable to be pale skinned. This may be related to the socioeconomic development level where dark skin is associated with rural agricultural outdoor work with high levels of sun exposure and pale to more socially desirable urban indoor office work. In high income countries, where a small proportion are agricultural workers and the majority white collar with mainly indoor work, tanned skin is socially desirable as it is connected to higher socioeconomic standards with more leisure time.</p><p></p><p>There are of course also risk factors of over exposure to sunshine for example skin cancer as malignant melanoma. The sun exposure to maintain healthy levels of vitamin D is however limited, about 15–30 minutes around midday three to four times a week is enough, people with darker skin may need more. This is also the recommended upper limit for sun exposure to prevent skin cancer. Protective measures as sunscreen can be used as it only marginally reduces the Vitamin D uptake but protects well against skin cancer.</p><p></p><p>In conclusion, addressing vitamin D deficiency requires a multi-faceted approach. Encouraging outdoor activities with sun protection can be beneficial, even more when combined with physical activity.  In case it is difficult to acquire the natural source of Vitamin D dietary supplement could be recommended to decrease risk for multiple diseases such as osteoporosis, cancer, diabetes as well as indicated by the research, to reduce risk for stillbirth among pregnant women. Family Medical Practice</p><p></p><p>*Dr Mattias Larsson is a paediatric doctor at Family Medical Practice and associate professor at Karolinska Institutet and has a long experience in research on infectious diseases. He has worked with the Oxford University Clinical Research Unit and the Ministry of Health of Vietnam. He is fluent in English, Swedish, Vietnamese, German and some Spanish.</p><p>Visit Family Medical Practice Hanoi 24/7 at 298I P. Kim Mã, Kim Mã, Ba Đình.</p><p></p><p>To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo on +84.944.43.1919 or email <i>hanoi@vietnammedicalpractice.com</i>.</p><p>FMP’s downtown location in Hồ Chí Minh is in Diamond Plaza, 34 Đ. Lê Duẩn, Bến Nghé, district 1, Thành phố and 95 Đ. Thảo Điền, district 2.  Tel. (028) 3822 7848 or email <i>hcmc@vietnammedicalpractice.com.</i></p>"
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        {
            "id": 1597,
            "title": "Managing Diarrhea: Treatment, Medicines, Causes, and Traveler's Tips",
            "slug": "managing-diarrhea-treatment-medicines-causes-and-travelers-tips",
            "slug_en": "managing-diarrhea-treatment-medicines-causes-and-travelers-tips",
            "slug_vi": "managing-diarrhea-treatment-medicines-causes-and-travelers-tips",
            "slug_ko": null,
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            "overview_image": {
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                "url": "https://media.fmp-data.bliss.build/original_images/Managing-_Diarrhea_-Treatment-Medicines-Causes-Traveler-Tips.jpg",
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            },
            "post_date": "2023-09-08",
            "category": {
                "id": 5,
                "name": "Blogs",
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                "id": 1,
                "name": "News",
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            "tags": "",
            "summary": "In this comprehensive guide, we'll explore diarrhea treatment, available medicines, the various causes of diarrhea, and tips to prevent traveler's diarrhea.",
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                    "value": "<p>Diarrhea, characterized by loose, watery stools, is a common digestive issue that can affect anyone. It&#x27;s essential to understand its causes, treatment options, and preventive measures, especially when it comes to traveler&#x27;s diarrhea. In this comprehensive guide, we&#x27;ll explore diarrhea treatment, available medicines, the various causes of diarrhea, and tips to prevent traveler&#x27;s diarrhea.</p><h2>Managing Diarrhea: Effective Treatment Options</h2><p>Diarrhea treatment revolves around addressing the underlying cause while managing the symptoms. Here are some key strategies:</p><ol><li><b>Stay Hydrated:</b> Diarrhea can lead to significant fluid loss, potentially causing dehydration. Replenishing lost fluids is essential. Consider oral rehydration solutions or clear liquids like broth, clear juices, and water to stay hydrated.</li><li><b>Modify Your Diet:</b> While your digestive system recovers, it&#x27;s advisable to opt for a bland, easy-to-digest diet. Foods like bananas, rice, applesauce,  and toast (often referred to as the BRAT diet) can help alleviate discomfort.</li><li><b>Over-the-Counter Medications:</b> In some cases, over-the-counter anti-diarrheal medications like loperamide (commonly known as Imodium) can reduce diarrhea frequency. However, it&#x27;s crucial to consult a healthcare provider before using these medications, especially if you have underlying medical conditions.</li><li><b>Seek      Medical Attention:</b> Persistent or severe diarrhea may require medical evaluation. Your healthcare provider can identify the cause and recommend appropriate treatment, which may include prescription medications or antibiotics.</li></ol><p>Remember that the right treatment approach depends on the cause and severity of your diarrhea. Consult with Family Medical Practice Hanoi for personalized guidance. You can consult with our pharmacist at FMP to get the medication when in need.</p><h2>Diarrhea Medicine: When and How to Use</h2><p>When faced with diarrhea, over-the-counter medications can provide relief. Here are some key points to keep in mind:</p><ol><li><b>Loperamide (Imodium):</b> Loperamide is a common over-the-counter anti-diarrheal      medication. It works by slowing down the movement of the intestines. It      can be effective in reducing the frequency of diarrhea.</li><li><b>Bismuth Subsalicylate:</b> This medication, often found in products like Pepto-Bismol,      can help relieve diarrhea and related symptoms like nausea and upset stomach.</li><li><b>Use with Caution:</b> It&#x27;s crucial to use these medications with caution and      under medical guidance. They may not be suitable for everyone, especially if you have certain medical conditions or are taking other medications.</li><li><b>Consult a Healthcare Provider:</b> If you experience severe or persistent diarrhea, consult a healthcare provider before using over-the-counter medications. They can help determine the underlying cause and recommend appropriate treatment.</li><li><b>Follow Dosage Instructions:</b> Always follow the recommended dosage instructions on the medication&#x27;s label or as advised by your healthcare provider.</li></ol><p>Remember that while these medications can provide relief, they do not address the underlying cause of diarrhea. If your symptoms persist or worsen, visit Family Medical Practice Hanoi for medical attention.</p><h2>Common Causes of Diarrhea</h2><p>Diarrhea can be triggered by a range of factors, including:</p><ol><li><b>Infections:</b> Bacterial, viral, and parasitic infections can lead to infectious diarrhea. This often occurs due to the consumption of contaminated food or water. Practicing proper food and water hygiene is essential in preventing these infections.</li><li><b>Food Sensitivities:</b> Some individuals may experience diarrhea as a result of food intolerances or sensitivities. Common examples include lactose intolerance and gluten sensitivity.</li><li><b>Medications:</b> Certain medications, particularly antibiotics, can disrupt the balance of gut flora, resulting in diarrhea as a side effect.</li><li><b>Emotional Stress:</b> Emotional stress and anxiety can impact gut function and potentially lead to diarrhea in some individuals.</li><li><b>Underlying Conditions:</b> Chronic conditions such as irritable bowel syndrome (IBS), Crohn&#x27;s disease, or celiac disease can cause chronic diarrhea.</li></ol><p>Understanding the specific cause of your diarrhea is crucial for effective management and prevention. If you experience persistent or severe diarrhea, consult with Family Medical Practice Hanoi for proper evaluation and guidance.</p><h2>Traveler&#x27;s Diarrhea: Tips for Prevention and Management</h2><p>Traveler&#x27;s diarrhea typically results from consuming contaminated food or water in foreign environments. Here are essential tips to protect yourself:</p><ol><li><b>Safe Eating and Drinking:</b> Choose reputable restaurants and opt for bottled water. Avoid ice in drinks and be cautious with raw or uncooked foods, particularly in regions with questionable sanitation practices.</li><li><b>Hand Hygiene:</b> Frequent handwashing with soap and water is your first line of defense. Carry hand sanitizer for situations where clean water and soap are unavailable.</li><li><b>Vaccinations and Medications:</b> Depending on your destination, consider vaccinations or medications, such as those for cholera or traveler&#x27;s diarrhea. Consult a travel medicine specialist for personalized advice.</li><li><b>Anti-Diarrheal Medications:</b> Pack over-the-counter anti-diarrheal medications like loperamide for prompt relief if needed during your travels.</li></ol><p>By following these precautions and staying vigilant about food and water safety, you can significantly reduce the risk of traveler&#x27;s diarrhea and enjoy your adventures with peace of mind.</p>"
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        {
            "id": 1596,
            "title": "HIV Testing Service at FMP Hanoi",
            "slug": "hiv-testing-service-fmp-hanoi",
            "slug_en": "hiv-testing-service-fmp-hanoi",
            "slug_vi": "hiv-testing-service-fmp-hanoi",
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                "url": "https://media.fmp-data.bliss.build/original_images/hiv-testing-service-at-fmp-hanoi.jpg",
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            },
            "post_date": "2023-09-07",
            "category": {
                "id": 5,
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                "slug": "blogs"
            },
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                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "HIV testing allows individuals to learn their HIV status. If a person tests positive, they can access medical care and treatment that can slow the virus's progression, allowing them to lead a healthier life.",
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                    "value": "<h2>Why HIV Testing Matters?</h2><p>HIV, or Human Immunodeficiency Virus, is a global health concern that affects millions of individuals worldwide. Early detection through HIV testing is paramount, and here&#x27;s why it matters.</p><p>HIV is a virus that attacks the body&#x27;s immune system, making it less effective in fighting off infections and diseases. If left untreated, HIV can lead to the more severe stage known as AIDS (Acquired Immunodeficiency Syndrome), which can result in life-threatening illnesses.</p><p>However, the key to managing HIV and preventing its progression to AIDS is early detection. HIV testing allows individuals to learn their HIV status. If a person tests positive, they can access medical care and treatment that can slow the virus&#x27;s progression, allowing them to lead a healthier life.</p><p>Moreover, knowing one&#x27;s HIV status is essential for preventing the further transmission of the virus. Individuals who are aware that they are HIV-positive can take steps to protect their sexual partners by practicing safe sex and using precautions like condoms. It&#x27;s also a critical component of preventing mother-to-child transmission during pregnancy and breastfeeding.</p><h2>What are the HIV Testing method?</h2><p>HIV Testing Methods for Screening and Diagnosis HIV tests are highly accurate, but their ability to detect the virus depends on the specific test used. There are three primary types of HIV tests: antibody tests, antigen/antibody tests, and nucleic acid tests (NAT).</p><h4><b>Antibody tests</b></h4><p>Antibody tests are designed to identify HIV antibodies in a person&#x27;s blood or oral fluid. These tests generally take between 23 to 90 days after exposure to detect HIV. Most rapid tests, including the only FDA-approved HIV self-test, fall under this category. It&#x27;s worth noting that antibody tests using blood from a vein can detect HIV earlier than those using blood from a finger prick or oral fluid.</p><h4><b>Antigen/antibody tests</b></h4><p>Antigen/antibody tests, on the other hand, are designed to detect both HIV antibodies and antigens. When a person is exposed to HIV, their immune system produces antibodies, while antigens are foreign substances that trigger the immune response. In the case of HIV, an antigen called p24 appears before antibodies develop. Antigen/antibody tests are commonly recommended for lab-based testing in the United States. When performed in a lab using blood from a vein, these tests can typically detect HIV between 18 to 45 days after exposure. There are also rapid antigen/antibody tests available that use a finger prick, with a detection window ranging from 18 to 90 days post-exposure.</p><h4><b>Nucleic acid tests (NATs)</b></h4><p>Nucleic acid tests (NATs) are designed to directly detect the presence of the HIV virus in the bloodstream. NATs are particularly useful for individuals with recent or suspected exposure to HIV who have initially tested negative using an antibody or antigen/antibody test. NATs are known for their ability to detect HIV relatively early, with a window period of 10 to 33 days post-exposure.</p><p>It&#x27;s important to choose the appropriate HIV testing method based on your specific circumstances and potential exposure. Understanding the window periods of these tests is crucial for accurate HIV diagnosis and prevention.</p><h2>HIV testing service at FMP Hanoi</h2><p>Currently, at FMP Hanoi, we provide two HIV testing methods as following:</p><h4>HIV Quick Test:</h4><p>HIV quick tests, also known as rapid HIV tests, are diagnostic tests designed to provide fast results regarding a person&#x27;s HIV status. Here&#x27;s how they work:</p><ol><li><b>Procedure:</b> A healthcare professional or trained personnel collects a sample of blood (usually from a finger prick), oral fluid (saliva), or urine, depending on the specific type of rapid test being used.</li><li><b>Testing Time:</b> One of the key advantages of quick tests is their speed. They typically provide results within 15 to 20 minutes, making them valuable for on-the-spot testing and immediate counseling.</li><li><b>Detection:</b> Rapid tests primarily detect HIV antibodies, which the body produces in response to the presence of the virus. If the test detects HIV antibodies in the sample, it&#x27;s considered a preliminary positive result.</li><li><b>Confirmation:</b> It&#x27;s important to note that a positive result from a rapid test needs further confirmation through a more specific test, usually an ELISA test to confirm the presence of HIV.</li><li><b>Advantages:</b> Quick tests are convenient for situations like HIV testing in clinics, mobile testing units, or outreach programs. They are user-friendly, offer rapid results, and are particularly valuable for increasing access to testing in various settings.</li></ol><h4><b>ELISA Test (Enzyme-Linked Immunosorbent Assay):</b></h4><p>The ELISA test is a laboratory-based diagnostic assay used for the detection of HIV antibodies in a person&#x27;s blood. Here&#x27;s how it works:</p><ol><li><b>Procedure:</b> A blood sample is collected from a person through venipuncture (drawing blood from a vein), typically in a clinical laboratory setting.</li><li><b>Testing Time:</b> Unlike rapid tests, ELISA tests are not rapid. They usually require more time to process, and the results are not available immediately. It may take a few hours to receive the results.</li><li><b>Detection:</b> ELISA tests are highly sensitive and specific. They can detect the presence of HIV antibodies in a person&#x27;s blood. If HIV antibodies are detected, the result is considered preliminary positive.</li><li><b>Confirmation:</b> A positive result from an ELISA test is always followed by a confirmation test, such as a Western blot or PCR (Polymerase Chain Reaction) test. These tests provide additional specificity to confirm HIV infection.</li><li><b>Advantages:</b> ELISA tests are considered the gold standard for HIV testing due to their accuracy. They are commonly used for initial screening in healthcare settings, blood banks, and other clinical laboratories.</li></ol><p>----------------------------------------------</p><p><b>Family Medical Practice Hanoi</b></p><p>Address: 298i Kim Ma - Van Phuc Diplomatic Compound, Ba Dinh District, Hanoi</p><p>Message us: <a href=\"http://m.me/FamilyMedicalPracticeHanoi\">m.me/FamilyMedicalPracticeHanoi</a></p><p>Hotline: 024 3843 0748</p><p>Zalo/Viber/Whatsapp: 094 443 1919</p>"
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            "meta_description": "HIV testing allows individuals to learn their HIV status. If tests positive, they can access medical care and treatment that slow the virus's progression, allowing them to lead a healthier life.",
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            "social_description": "HIV testing allows individuals to learn their HIV status. If a person tests positive, they can access medical care and treatment that can slow the virus's progression, allowing them to lead a healthier life.",
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        {
            "id": 1595,
            "title": "STD Testing Service at Family Medical Practice Hanoi",
            "slug": "std-testing-service-family-medical-practice-hanoi",
            "slug_en": "std-testing-service-family-medical-practice-hanoi",
            "slug_vi": "std-testing-service-family-medical-practice-hanoi",
            "slug_ko": null,
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            "overview_image": {
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            },
            "post_date": "2023-09-05",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
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                "id": 1,
                "name": "News",
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            "tags": "",
            "summary": "Early detection of STDs is crucial because it allows for timely treatment and helps prevent the transmission of the infection to others. Regular STD testing is the key to identifying infections early, even before symptoms appear. It empowers individuals to take control of their sexual health and make informed decisions about their relationships.",
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                    "value": "<h2><b>Understanding STDs</b></h2><p>Sexually transmitted diseases (STDs) are a pressing public health concern that affects individuals worldwide. These infections, also known as sexually transmitted infections (STIs), are caused by bacteria, viruses, or parasites that are transmitted through sexual contact. Common examples of STDs include chlamydia, gonorrhea, syphilis, herpes, human papillomavirus (HPV), and HIV.</p><p>STDs can be transmitted through various forms of sexual contact, including vaginal, anal, and oral sex. Some STDs can also be spread through skin-to-skin contact. What makes STDs particularly concerning is that many infected individuals may not show symptoms initially, leading to the unintentional spread of these infections.</p><p>Early detection of STDs is crucial because it allows for timely treatment and helps prevent the transmission of the infection to others. Regular STD testing is the key to identifying infections early, even before symptoms appear. It empowers individuals to take control of their sexual health and make informed decisions about their relationships.</p><h2><b>Why choose STD Testing Service at Family Medical Practice Hanoi?</b></h2><h4><b>Experienced Professionals</b></h4><p>The facility boasts a team of experienced healthcare professionals who specialize in sexual health. They are well-equipped to provide comprehensive testing, diagnosis, and treatment for various sexually transmitted diseases.</p><h4><b>Open 24/7 for Your Convenience</b></h4><p>Family Medical Practice Hanoi understands that health concerns don&#x27;t adhere to regular business hours. That&#x27;s why we offer the STD testing service 24/7. Whether it&#x27;s day or night, weekday or weekend, you can access the expertise whenever you need it.</p><h4><b>Advanced Testing Technology</b></h4><p>Family Medical Practice Hanoi is equipped with state-of-the-art diagnostic equipment. This technology allows for accurate and rapid testing, ensuring that patients receive prompt results.</p><h4><b>Confidentiality</b></h4><p>Privacy is a top priority at Family Medical Practice Hanoi. Patients can rest assured that their personal information and test results will be kept confidential. This approach reduces stigma and encourages more individuals to seek testing.</p><h4><b>Convenient Location</b></h4><p>The clinic&#x27;s central location in Hanoi makes it easily accessible to residents and visitors alike. This convenience encourages individuals to prioritize their sexual health by seeking regular testing.</p><h4><b>Comprehensive Services</b></h4><p>Family Medical Practice Hanoi offers a wide range of services related to sexual health, including testing for common STDs such as chlamydia, gonorrhea, syphilis, and HIV. This comprehensive approach ensures that patients receive all the care they need in one place.</p><h4><b>Educational Resources</b></h4><p>In addition to testing and treatment, the clinic provides educational resources to help patients understand the importance of sexual health and prevention. Knowledge is a powerful tool in maintaining good health.</p><p>You will need to seek advice from our doctor during a consultation before receiving any further testing and treatments. </p><h2><b>How to prevent STDs?</b></h2><h4><b>Safe Sex Practices</b></h4><p>Practicing safe sex is one of the most effective ways to prevent STDs. This includes consistent and correct use of condoms during sexual activity, whether it&#x27;s vaginal, anal, or oral sex. Condoms act as a barrier, reducing the risk of transmission. It&#x27;s important to use condoms from start to finish, including during foreplay and intercourse.</p><h4><b>Get Regularly Tested</b></h4><p>Regular STD testing is crucial, even if you believe you are at low risk. Many STDs can be asymptomatic, meaning you may not experience any symptoms. Getting tested allows for early detection and treatment, which is essential for preventing complications and stopping the spread of infections.</p><h4><b>Limit Sexual Partners</b></h4><p>Reducing the number of sexual partners can significantly lower your risk of contracting STDs. Having fewer partners reduces the chances of coming into contact with an infected individual. It&#x27;s also essential to have open and honest discussions about sexual history with your partner(s) to make informed decisions.</p><h4><b>Vaccination</b></h4><p>Vaccination can provide protection against some STDs. For example, the HPV (Human Papillomavirus) vaccine is available and can prevent several types of cancer and genital warts caused by HPV. Additionally, there are vaccines to protect against hepatitis B.</p><h4><b>Communication and Education</b></h4><p>Open and honest communication about sexual health with your partner(s) is key. Discuss STDs, testing, and prevention. Educate yourself about the various STDs, their symptoms, and transmission methods. Knowledge empowers you to make informed choices.</p><h4><b>Seek Healthcare</b></h4><p>If you suspect you may have been exposed to an STD or experience symptoms such as unusual discharge, sores, or pain during urination, seek medical attention promptly. Early diagnosis and treatment are essential for your health and preventing further transmission.</p><p>FMP is having STD testing service available 24/7 to safe guard your sexual health all the time.</p><p>----------------------------------------------</p><p><b>Family Medical Practice Hanoi</b></p><p>Address: 298i Kim Ma - Van Phuc Diplomatic Compound, Ba Dinh District, Hanoi</p><p>Message us: <a href=\"http://m.me/FamilyMedicalPracticeHanoi\">m.me/FamilyMedicalPracticeHanoi</a></p><p>Hotline: 024 3843 0748</p><p>Zalo/Viber/Whatsapp: 094 443 1919</p>"
                }
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            "meta_description": "Regular STD testing is the key to identifying infections early, even before symptoms appear.",
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            "social_description": "Early detection of STDs is crucial because it allows for timely treatment and helps prevent the transmission of the infection to others. Regular STD testing is the key to identifying infections early, even before symptoms appear.",
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        {
            "id": 1589,
            "title": "Unlocking the secrets of the microbiome: how it impacts health, allergies, disease, and the influence of antibiotics",
            "slug": "unlocking-secrets-microbiome-how-it-impacts-health-allergies-disease-and-influence-antibiotics",
            "slug_en": "unlocking-secrets-microbiome-how-it-impacts-health-allergies-disease-and-influence-antibiotics",
            "slug_vi": "unlocking-secrets-microbiome-how-it-impacts-health-allergies-disease-and-influence-antibiotics",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1655,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Mattias_FGulQ3M.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr.Mattias_FGulQ3M.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-08-28",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
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                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "If you did not know it – you are more bacteria than human! That is if we look at the number of cells. The human body is home to trillions of microorganisms, collectively known as the microbiome. These tiny inhabitants reside mainly in the gastrointestinal tract, but also populate other areas like the skin, mouth, and reproductive organs. The intestinal microbiome includes approximately 500-1,000 species whose collective genomes are estimated to contain 100 times more genes than our own human genome.",
            "related_pages_title": null,
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                    "value": "<p>If you did not know it – you are more bacteria than human! That is if we look at the number of cells. The human body is home to trillions of microorganisms, collectively known as the microbiome. These tiny inhabitants reside mainly in the gastrointestinal tract, but also populate other areas like the skin, mouth, and reproductive organs. The intestinal microbiome includes approximately 500-1,000 species whose collective genomes are estimated to contain 100 times more genes than our own human genome.</p><p> In Vietnamese there are two words for bacteria <i>vi khuẩn </i>- the pathogens that cause disease, and <i>lợi khuẩn </i>- the good bacteria. The good bacteria that live in symbiosis with us, in us and on us, and that are necessary for our survival. The microbiome is a complex and diverse ecosystem comprising <i>lợi khuẩn</i>, viruses, fungi, and other microorganisms. When it is in a state of balance, it can support several essential bodily functions. These include digestion, synthesising vitamins, regulating the immune system, and preventing the growth of harmful <i>vi khuẩn</i>. Additionally, the microbiome plays a crucial role in maintaining the integrity of the gut lining, which is vital for overall gut health.</p><p></p><p>The incidence of allergies, such as asthma, eczema, hay fever, and food allergies, has been on the rise over the past few decades. Researchers have found intriguing links between the microbiome and the development of allergies. The early-life establishment of the microbiome seems to play a pivotal role in shaping the immune system&#x27;s response to potential allergens.</p><p>Children born through natural birth are exposed to their mother&#x27;s vaginal and fecal microbiota, which begins the colonisation of their gut. On the other hand, babies born via C-section are colonised by microbes from the hospital environment, which can differ significantly from a vaginal birth. Studies have shown that children born via C-section might have a higher risk of developing allergies and being colonised by <i>vi khuẩn</i> compared to those born vaginally.</p><p> Additionally, the diversity and composition of the gut microbiome during infancy and early childhood have been linked to the development of allergies later in life. An environment that is too clean might not expose the intestinal tract and immune system to enough diversity and stimulation, it then starts to react on substances that don’t pose a threat to the body, such as pollen or various different food items. A lack of microbial diversity and an imbalance of certain bacterial species, particularly during the first years of life, can lead to an increased risk of allergic conditions. Research has shown that Sweden, a high-income country, has higher rates of allergies compared to Estonia, a middle-income country, with a similar climate.</p><p>The gut microbiome may influence the development and progression of various diseases including inflammatory bowel disease (IBD), obesity, type 2 diabetes, cardiovascular disease, and certain types of cancer. The gut-brain axis, a communication network between the gut and the brain, is modulated by the microbiome where imbalance can affect mental health, increasing the risk for conditions like depression, anxiety, and even neurological disorders like Alzheimer&#x27;s disease.</p><p> Antibiotics are powerful medications designed to combat bacterial infections. However, antibiotics kill both <i>lợi khuẩn</i> and <i>vi khuẩn</i>. The overuse and misuse of antibiotics have become a global health concern, as some bacteria have developed antibiotic resistance. Bacteria can share resistance genes though plasmids, just like programs can be transferred between computers. These genes can spread among both <i>lợi khuẩn</i> and <i>vi khuẩn</i> turning the microbiome into a pool of antibiotic resistant bacteria. In Việt Nam we have found that there is a high rate of colonisation and disease with multi resistant superbugs, please see previous articles in <i>Việt Nam News</i>. It is crucial for healthcare professionals to use antibiotics judiciously, prescribing them only when necessary and considering potential alternatives whenever possible.</p><p>The human microbiome is an intricate ecosystem that profoundly influences health and disease. Its role in modulating immune responses – protecting against allergies, and contributing to disease susceptibility – highlights the importance of nurturing this delicate balance through various means, including prudent antibiotic use, can have a significant impact on overall health and well-being.</p><p></p><p><b>Family Medical Practice</b></p><p><i>*Dr Mattias Larsson is a pediatric doctor at Family Medical Practice and associate professor at Karolinska Institutte and has a long experience in research on infectious diseases. He has worked with the Oxford University Clinical Research Unit</i> <i>and the Ministry of Health of Việt Nam. He is fluent in English, Swedish, Vietnamese, German and some Spanish.  </i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I Kim Mã street, Ba Đình, Hà Nội.</i></p><p><i>To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo on +84.944.43.1919 or email </i>hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh is in Diamond Plaza, 34 Lê Duẩn ave., Bến Nghé, district 1, and 95 Thảo Điền ave., district 2.  Tel. (028) 3822 7848 or email </i>hcmc@vietnammedicalpractice.com.</p>"
                }
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        {
            "id": 1588,
            "title": "Tips to avoid a fungal infection this rainy season",
            "slug": "tips-avoid-fungal-infection-rainy-season",
            "slug_en": "tips-avoid-fungal-infection-rainy-season",
            "slug_vi": "tips-avoid-fungal-infection-rainy-season",
            "slug_ko": null,
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            "overview_image": {
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            },
            "post_date": "2023-08-21",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
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                "id": 1,
                "name": "News",
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            },
            "tags": "",
            "summary": "The rainy season can be a time of joy and rejuvenation, with the cool weather and refreshing showers. However, it can also bring with it an increased risk of fungal infections",
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                    "type": "text",
                    "value": "<p>The rainy season can be a time of joy and rejuvenation, with the cool weather and refreshing showers. However, it can also bring with it an increased risk of fungal infections. Fungi thrive in damp and humid environments, and the rainy season provides the perfect breeding ground for these microorganisms. In this article, we will discuss some practical tips on how to protect yourself against fungal infections during the rainy season.</p><p><b>Prevention</b></p><ul><li><b><i>Firstly,</i></b> <b><i>it is essential to keep your skin clean and dry</i></b>. Fungi thrive in warm and moist environments, so use a <b><i>clean towel</i></b> to dry your skin, paying attention to the areas that are prone to sweating, such as your feet, groin, and underarms. You can also use a <b><i>talcum powder</i></b> or antifungal powder to keep your skin dry and prevent the growth of fungi. Use of talcum powder will also prevent it from rubbing together. Rubbing together skin can lead to a heat rash which is also quite common in hot and humid weather.</li><li><b><i>Wearing breathable clothing is another effective way to prevent fungal infections.</i></b> Synthetic materials like nylon and polyester can trap moisture and heat, creating an ideal environment for fungi to grow. Opt for loose-fitting clothes made from natural fibers like cotton or linen that allow your skin to breathe.</li><li><b><i>You should also avoid sharing personal items like towels and shoes.</i></b> Fungal infections can spread from person to person through direct contact or by sharing personal items that have come into contact with infected skin. Use your own towels, bed sheets, and clothes, and avoid sharing personal items with others. If you must share items like shoes or slippers, make sure to disinfect them thoroughly before and after use.</li><li><b><i>Maintaining good hygiene practices is crucial to preventing fungal infections.</i></b> Make sure to wash your hands regularly with soap and water, especially after using the restroom or handling pets. Keep your nails trimmed and clean, as fungi can grow under dirty or long nails.</li></ul><p><b>Timely Identification</b></p><p>If you suspect that you have a fungal infection, it is important to seek medical attention. Fungal infections can be easily treated with antifungal medications, but they can also become severe if left untreated.</p><p>Some common symptoms of fungal infections include:</p><ul><li>Redness, itching and scaling on the body, more commonly over the flexural sites like underarms and groin area.</li><li>It can also present as moist skin with fissuring and peeling of skin in between toe fingers.</li><li>A nail fungal infection can present as a color and textural change of the nail.</li><li>In children, it may even involve the scalp with signs of red, scaly skin with loss of hair.</li><li>A fungal infection known as Pityriasis versicolor can also present with multiple light colored oval patches over the upper part of trunk and arms.</li><li>Whitish discharge or cast present over the genital area may indicate a yeast infection.</li></ul><p>If you experience any of these symptoms, make sure to consult a healthcare professional who can diagnose and treat your condition.</p><p><b>Role of your immune system</b></p><ul><li>Some dietary changes can also help to prevent fungal infections. Eating a diet rich in probiotics can help to boost your immune system and prevent the growth of fungi. Probiotics can be found in foods like yogurt, kefir, and fermented vegetables. Avoiding sugary and processed foods can also be beneficial, as these foods can promote the growth of fungi.</li><li>It is important to note that some people may be more susceptible to fungal infections than others. People with weakened immune systems, diabetes, or poor circulation are at a higher risk of developing fungal infections. If you fall into any of these categories, it is even more essential to take precautions against fungal infections during the rainy season.</li></ul><p>By following these simple preventive measures, you can easily avoid an irritating rash. Just with a little caution and timely intervention, a fungal infection should not stop you from having fun this rainy season. <b>Family Medical Practice</b></p><p><i>* Dr. Snigdha Singh studied a Bachelor of Medicine and Surgery and a masters in Dermatology.</i></p><p><i>She specialises in diagnosing and treating a wide variety of skin disorders for both adults and children.</i></p><p><i>She can also advise on numerous skin cosmetic conditions and treating benign skin disorders by RF cautery, Cryosurgery and minor surgery as indicated.</i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I P. Kim Mã, Kim Mã, Ba Đình. To book an appointment, please call us at (024).3843.0784, or contact us via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh is in Diamond Plaza, 34 Đ. Lê Duẩn, Bến Nghé, District 1, and 95 Đ. Thảo Điền, District 2. Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
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        {
            "id": 1587,
            "title": "Most common sport injuries and how to avoid them",
            "slug": "most-common-sport-injuries-and-how-avoid-them",
            "slug_en": "most-common-sport-injuries-and-how-avoid-them",
            "slug_vi": "most-common-sport-injuries-and-how-avoid-them",
            "slug_ko": null,
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            "overview_image": {
                "id": 1645,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Sosa_MakMqn1.jpg",
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            },
            "post_date": "2023-08-14",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
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                "id": 1,
                "name": "News",
                "slug": "news"
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                    "value": "<p> As an orthopaedic surgeon, I have seen my fair share of sports-related injuries. While sports and physical activity are essential for maintaining a healthy lifestyle, they can also lead to injuries if proper precautions are not taken.</p><p>In this article, I will discuss the most common sport-related injuries and how to avoid them.</p><ol><li>Sprains and strains are the most common type of sports-related injuries. They occur when the ligaments or muscles are stretched or torn. Sprains typically occur in the ankle, while strains occur in the hamstring or groin. These injuries can be avoided by warming up properly before any physical activity, practicing good technique with a good posture and taking enough time to stretch at the end.</li><li>Fractures occur when a bone is broken. They are particularly common in contact sports, such as football and rugby. Fractures can be avoided by wearing proper protective gear, such as helmets and pads, and avoiding tackles or collisions.</li><li>Tendinitis is the inflammation of a tendon, which can cause pain and discomfort. It is often caused by repetitive motions, such as throwing a ball or hitting a tennis racket. Tendinitis can be avoided by stretching before and after physical activity, using proper technique, and taking breaks to rest and recover. When it becomes chronic, it is called Tendinosis.</li><li>Dislocations occur when a bone is forced out of its joint. They are common in contact sports, such as basketball and football. Dislocations can be avoided by wearing proper protective gear, such as helmets and pads, and avoiding tackles or collisions.</li><li>Concussions are a type of traumatic brain injury that occurs when the head is hit or shaken. They are common in contact sports, like football and hockey. Concussions can be avoided by wearing proper protective gear such as helmets.</li></ol><p>To avoid sports-related injuries, it is important to take proper precautions. Here are some tips to help prevent injuries:</p><ol><li>Warm up properly: it is essential to prepare our muscles and joints for the specific activity we are about to do. Most common mistake is to warm up in a completely different way to the exercise we’re about to do. For example: doing 10-minute cardio and then lifting weights. They have nothing in common. If you are lifting weights, the best way to warm up is to practice the movement without any weight and then 1-2 reps with light weight to set focus and posture. Apply this logic to your warm ups from now on.</li><li>Wear proper protective gear such as helmets, pads or braces. This can help prevent fractures, dislocations, and other injuries. If you suffered any injury at any joint, please keep it protected. No need to exaggerate, gear should not limit your movements.</li><li>Using proper technique when playing a sport can help prevent injuries. This can include maintaining good posture, using the correct movement, and avoiding dangerous tackles or collisions. Reach out to a good coach to improve your technique.</li><li>Take breaks to rest and recover: It is important to take breaks between physical activity to rest and recover. This can help prevent injuries due to over usage, such as tendinitis. Allow the body to heal and recuperate by taking rest days in between your workout days.  This increases performance and facilitates muscular and neurological recovery.</li><li>Staying hydrated is essential for maintaining good health and preventing injuries. Dehydration can lead to fatigue, cramps, and other issues that can increase the risk of injury. Highlight this: good hydration is not only about drinking a lot of water. That concept is truly out of date. Add salt to your water and you will see life coming back. You can use oral rehydration salts in your water while doing exercises. Easy, cheap and very convenient.  </li></ol><p>In addition to these tips, it is utmost important to listen to your body. If you experience pain or discomfort during physical activity, it is essential to stop and rest. Continuing to push through pain can lead to further injury and prolong the recovery process. The “No pain, no gain” slogan causes millions of injuries worldwide. Train consciously and combine it with good nutrition and you will see great results. <b>Family Medical Practice</b></p><p><i>*Dr Andres Sosa is our Orthopedic Surgeon specialising in sports medicine and trauma. After his residency in Orthopedics, he took a Master’s in Upper Limb Surgery at the University of Bologna (Italy). Furthermore, the Sports Medicine programme at Thomas Jefferson University in Philadelphia (PA, USA) obtained his second Master’s in Shoulder Surgery with the University of Andalucía (Spain). Once in Việt Nam, he continued his surgical training with Arthrex ArthroLab (Singapore) focused on arthroscopic techniques for shoulder and knee injuries.</i></p><p><i>Dr Sosa joined FMP in 2018 and is responsible for all orthopedic and trauma cases. He is also a sports nutrition expert from Major University (Chile) and is fluent in English, Italian and Spanish.</i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I Kim Mã St, Kim Mã Ward, Ba Đình Dist. To book an appointment, please call us at (024).3843.0784, or contact us via Whatsapp, Viber or Zalo on +84.944.43.1919 or email </i>hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34 Lê Duẩn St, Bến Nghé Ward, District 1, and 95 Thảo Điền St, District 2. Tel. (028) 3822 7848 or email </i>hcmc@vietnammedicalpractice.com.</p>"
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        {
            "id": 1585,
            "title": "Common types of contraception",
            "slug": "common-types-contraception",
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            "post_date": "2023-08-07",
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                    "value": "<p>As a gynaecologist working in an international clinic in Hà Nội, I understand the importance of contraception as a vital tool that helps women take control of their reproductive health and plan their families on their own terms. There are many different types of contraception available, each with its own advantages and disadvantages. Some of the most common types of contraception include:</p><ol><li>Hormonal methods: Hormonal methods such as the pill, the patch, and the vaginal ring, use hormones to prevent pregnancy. These methods work by preventing ovulation, thickening cervical mucus to prevent sperm from reaching the egg, and thinning the lining of the uterus to make it less hospitable to a fertilised egg. Hormonal methods are highly effective when used correctly. At the same time, it can help to regulate the menstrual cycle or treat menstrual pain.</li><li>Barrier methods: Barrier methods of contraception, such as condoms and diaphragms, physically block sperm from reaching the egg. Barrier methods are highly effective when used correctly, but they can be less convenient than other methods and require consistent use.</li><li>Long-acting reversible contraception (LARC): LARC methods, such as intrauterine devices (IUDs) and contraceptive implants, are highly effective and require little user input. IUDs are small devices that are placed in the uterus by a healthcare provider and can provide protection against pregnancy for up to 10 years. Contraceptive implants are small rods that are inserted under the skin in the upper arm and can provide protection against pregnancy for up to three years.</li><li>Sterilisation: Sterilisation methods, such as tubal ligation and vasectomy, involve permanently blocking the fallopian tubes in females or vas deferens (the duct which conveys sperm from the testicle to the urethra) in males to prevent pregnancy. These methods are highly effective but are intended to be permanent and should only be considered by those who are sure they do not want to have children in the future.</li></ol><p>Apart from these common methods, there are also other forms available, such as spermicide: a type of contraceptive that contains chemicals that kill sperm. It is less effective than some other forms of contraception and should be used in combination with other methods for maximum effectiveness.</p><p>Contraceptive gel contains a chemical that immobilises sperm, preventing them from reaching the egg. Contraceptive gel is highly effective when used correctly, it is important to follow the instructions for use carefully to ensure maximum effectiveness.</p><p>When choosing a method of contraception, it is important to consider factors such as effectiveness, convenience, and personal preferences. It is also important to use the method correctly and consistently to ensure maximum effectiveness. I always advise my patients to choose a method that they feel comfortable with and that fits their lifestyle and needs.</p><p>One of the most effective methods of contraception is the IUD. IUDs are small, T-shaped devices that are inserted into the uterus by a healthcare provider. They work by preventing fertilisation and implantation of an egg. IUDs are highly effective, with a failure rate of less than one per cent, and can provide protection against pregnancy for up to 10 years. There are two types of IUDs available: copper IUDs, which do not contain hormones, and hormonal IUDs, which release a small amount of hormone into the uterus.</p><p>While IUDs are highly effective, they are not suitable for everyone. Women with certain medical conditions, such as pelvic inflammatory disease or abnormal uterine bleeding, may not be able to use an IUD. It is important to discuss any medical conditions or concerns with a healthcare provider before choosing an IUD.</p><p>It is also important to remember that contraception does not protect against sexually transmitted infections (STIs). Barrier methods, such as condoms, are the most effective method of protection against STIs. It is important to use condoms consistently and correctly to reduce the risk of infection.</p><p>In conclusion, there are many different types of contraception available, each with its own advantages and disadvantages. Talk to your gynaecologist to make an informed choice to lead a healthy and fulfilling life. <b>Family Medical Practice</b></p><p><i>*Dr. Olga Sambolska graduated from Lviv National Medical University in 1996 and commenced her medical career at the Volyn Regional Maternity Hospital in Ukraine. Since 1998 she has been a registered obstetrics and gynecology doctor, providing healthcare to women in relation to pregnancy, birth control, menopausal issues, contraception, menstrual cycle diseases and sexually transmitted diseases. She is fluent in Ukrainian, Russian, Polish and English.  </i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I Kim Mã St., Kim Mã, Ba Đình. To book an appointment, please call us at (024).3843.0784, or contact us via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34 Lê Duẩn St., Bến Nghé, District 1, and 95 Thảo Điền St., District 2. Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
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            "id": 1584,
            "title": "Know more about your melasma : Causes and treatment",
            "slug": "know-more-about-your-melasma-causes-and-treatment",
            "slug_en": "know-more-about-your-melasma-causes-and-treatment",
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            "post_date": "2023-07-31",
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            "summary": "Melasma is a common skin condition that causes brown or grey patches to develop on the skin, usually on the face. It is more common in women than men and is often associated with hormonal changes, such as pregnancy or the use of birth control pills. In this article, we will discuss the various factors that can be responsible for causing melasma and the multiple treatment modalities available.",
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                    "value": "<p>Melasma is a common skin condition that causes brown or grey patches to develop on the skin, usually on the face. It is more common in women than men and is often associated with hormonal changes, such as pregnancy or the use of birth control pills. In this article, we will discuss the various factors that can be responsible for causing melasma and the multiple treatment modalities available.</p><p><b>Understanding the Factors Responsible for Melasma</b></p><p>The exact cause of melasma is not fully understood, but there are several factors that can contribute to its development. These include:</p><ol><li><b><i>Hormonal Changes:</i></b> Melasma is often associated with hormonal changes, such as pregnancy or the use of birth control pills. This is because these changes can stimulate the production of melanin, the pigment that gives color to the skin.</li><li><b><i>Sun Exposure:</i></b> Sun exposure is a major factor in the development of melasma. The UV rays from the sun can stimulate the production of melanin, which can lead to the development of dark patches on the skin.</li><li><b><i>Genetics:</i></b> There is a genetic component to melasma, as it tends to run in families. If you have a family member with melasma, you may be at an increased risk of developing it yourself.</li><li><b><i>Skin Type:</i></b> People with darker skin types are more prone to developing melasma, as they have more melanin in their skin.</li></ol><p><b>Multiple Treatment Modalities for Melasma</b></p><p>There are several treatment modalities available for melasma, including:</p><ol><li><b><i>Topical Treatments:</i></b> Topical treatments, such as hydroquinone, tretinoin, and corticosteroids, can be effective in reducing the appearance of melasma. These treatments work by inhibiting the production of melanin and promoting cell turnover.</li><li><b><i>Chemical Peels:</i></b> Chemical peels involve the application of a chemical solution to the skin, which causes the outer layer of skin to peel off. This can help to lighten the patch by removing the excess pigment from the skin.</li><li><b><i>Microdermabrasion:</i></b> Microdermabrasion involves the use of a device to exfoliate the outer layer of the skin. Its mechanism of action is by removing the excess pigment from the skin.</li><li><b><i>Vampire Facial:</i></b> It is a procedure that includes Microneedling and Platelet Rich Plasma therapy. Microneedling makes tiny wounds in the skin that allows topical treatments to go deeper and stimulates collagen production. The growth factors in PRP help speed the healing process. So, you can improve your melasma, reduce your wrinkles and improve the texture and tone of your skin in one go.</li><li><b><i>Laser Therapy:</i></b> Laser therapy involves the use of a laser, most commonly low-fluence Q-switch Nd-Yag laser to target the excess pigment in the skin. This can help to reduce the appearance of melasma by breaking up the excess pigment.</li><li><b><i>Sun Protection:</i></b> Sun protection is an important part of managing melasma. This includes wearing protective clothing, such as hats and long-sleeved shirts, and using a broad-spectrum sunscreen with an SPF of 30 or higher.</li><li><b><i>Lifestyle Changes:</i></b> Certain lifestyle changes, such as avoiding the use of birth control pills or hormonal therapies, adding antioxidants to your diet can help to reduce the risk of developing it.</li><li><b><i>Home Remedies:</i></b> Some people have found that home remedies, such as applying a mixture of lemon juice and honey to the affected areas, can be effective. Vitamin C, Vitamin E and tea tree oil play a supplementary role in the treatment. However, it is important to speak with your dermatologist before trying any home remedies, as they may not be safe or effective for everyone.</li></ol><p>With diligence and time, melasma can be significantly improved or resolved. The trickiest aspect of this condition are flare-ups that might happen in many cases even after complete remission. So, once remission is achieved, taking preventive measures is the key. So, with strict sun protection, adding antioxidants to your diet, following a specific skincare routine with the desired activities along with the suggested treatment plan, you can take on your melasma. <b>Family Medical Practice</b></p><p><i>* Dr. Snigdha Singh studied a Bachelor of Medicine and Surgery and a masters in Dermatology. She specialises in diagnosing and treating a wide variety of skin disorders for both adults and children. She can also advise on numerous skin cosmetic conditions and treating benign skin disorders by RF cautery, Cryosurgery and minor surgery as indicated.</i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I P. Kim Mã, Kim Mã, Ba Đình. To book an appointment, please call us at (024).3843.0784, or contact us via Whatsapp, Viber or Zalo on +84.944.43.1919 or email </i>hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh is in Diamond Plaza, 34 Đ. Lê Duẩn, Bến Nghé, District 1, and 95 Đ. Thảo Điền, District 2. Tel. (028) 3822 7848 or email </i>hcmc@vietnammedicalpractice.com.</p>"
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        {
            "id": 1583,
            "title": "Breast Health Matters: Expert Tips for Women to Maintain Good Breast Health",
            "slug": "breast-health-matters-expert-tips-women-maintain-good-breast-health",
            "slug_en": "breast-health-matters-expert-tips-women-maintain-good-breast-health",
            "slug_vi": "breast-health-matters-expert-tips-women-maintain-good-breast-health",
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            },
            "post_date": "2023-07-24",
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            "summary": "One of the most important things women can do to maintain good breast health is to conduct regular breast self-exams.",
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                    "value": "<p>As a gynaecologist, I have seen first-hand the importance of breast health in women&#x27;s overall health. Breast cancer is the second most common cancer in women worldwide and early detection is key to successful treatment. However, breast health is not just about cancer detection, it is also about maintaining healthy breasts throughout a woman&#x27;s life.</p><p>One of the most important things women can do to maintain good breast health is to conduct regular breast self-exams. This involves checking your breasts for any changes or abnormalities, such as lumps or bumps, changes in size or shape, or discharge from the nipples. Women should perform breast self-exams at least once a month, ideally after their period when the breasts are less tender and swollen. If you notice any changes or abnormalities, it is important to see a healthcare provider right away.</p><p>In addition to breast self-exams, women should also have regular clinical breast exams performed by their healthcare provider. This typically involves a physical exam of the breasts and surrounding tissue to check for any abnormalities or changes. Women should have their first clinical breast exam by the age of 20 and then every one to three years until the age of 40, after which they should have an annual exam. Women with a family history of breast cancer or other risk factors may need to start screening earlier or have more frequent exams.</p><p>Mammograms are another important tool for breast cancer detection. A mammogram is a low-dose X-ray of the breasts that can detect changes or abnormalities that may not be visible during a physical exam. Women should start getting mammograms at age 40 and continue to have them annually. Women with a family history of breast cancer or other risk factors may need to start screening earlier or have more frequent mammograms.</p><p>While breast cancer is a serious concern, it is important to remember that most breast changes are not cancerous. However, any changes or abnormalities should be evaluated by a healthcare provider to determine the cause and appropriate treatment. Some common non-cancerous breast conditions include fibrocystic breast changes, breast infections, and benign breast tumours.</p><p>Maintaining a healthy lifestyle can also help promote good breast health. This includes getting regular exercise, eating a healthy diet, limiting alcohol consumption, and not smoking. Women who are overweight or obese may also be at a higher risk for breast cancer and should strive to maintain a healthy weight.</p><p>Breastfeeding is also an important aspect of breast health. Women who breastfeed their babies have a lower risk of breast cancer, as well as other health benefits for both mother and baby. Breastfeeding helps to reduce exposure to estrogen, a hormone that can promote the growth of some types of breast cancer cells.</p><p>In addition to maintaining good breast health, it is also important for women to be aware of potential signs of breast cancer. These can include:</p><p>- A lump or thickening in the breast or underarm area</p><p>- Changes in the size or shape of the breast</p><p>- Nipple discharge or inversion</p><p>- Skin changes on the breast, such as redness, dimpling, or puckering</p><p>- Breast pain or tenderness</p><p>If you notice any of these symptoms, it is important to see a healthcare provider right away. While these symptoms may not necessarily be a sign of breast cancer, they should still be evaluated to determine the cause and appropriate treatment.</p><p>In conclusion, breast health is an important aspect of women&#x27;s health that should not be overlooked. By conducting regular breast self-exams, having clinical breast exams and mammograms as recommended, and maintaining a healthy lifestyle, women can help promote good breast health and detect any potential issues early. Remember, the earlier breast cancer is detected, the better the chances for successful treatment and survival. If you have any questions or concerns about your breast health, be sure to speak with your healthcare provider. <b>Family Medical Practice</b></p><p><i>*Dr. Olga Sambolska graduated from Lviv National Medical University in 1996 and commenced her medical career at the Volyn Regional Maternity Hospital in Ukraine. Since 1998 she has been a registered obstetrics and gynecology doctor, providing healthcare to women in relation to pregnancy, birth control, menopausal issues, contraception, menstrual cycle diseases and sexually transmitted diseases. She is fluent in Ukrainian, Russian, Polish and English.  </i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I Kim Mã Street, Kim Mã District, Ba Đình. To book an appointment, please call us at (024).3843.0784, or contact us via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34 Lê Duẩn Street, Bến Nghé Ward, District 1, and 95 Thảo Điền Street, District 2. Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
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            "id": 1582,
            "title": "Lifestyle and bone health",
            "slug": "lifestyle-and-bone-health",
            "slug_en": "lifestyle-and-bone-health",
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            "post_date": "2023-07-17",
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                    "value": "<p>Good nutrition is not only necessary for overall health but it is also crucial for bone health. Bones are constantly being broken down and rebuilt, and a balanced diet that includes significant nutrients can help maintain strong bones and prevent conditions like osteoporosis and help prevent or manage conditions like osteoporosis and fractures.</p><p><b>The Role of Nutrition</b></p><p>Collagen and Calcium are nutrients for bone health, as they provide the building blocks and cement for our bones. However, they are not enough to maintain strong bones. Other nutrients, such as Vitamin D, magnesium, and vitamin K, also play vital roles in bone health.</p><p>Here are some relevant nutrients for bone health and the foods that contain them:</p><p><b>Collagen:</b> bone broth, all kinds of meats, seafood, eggs, nuts, berries, and citric fruits are the richest sources. Vegetables and fruits also contain collagen but in a small amount.</p><p><b>Vitamin C:</b> participates in collagen synthesis. Good sources of vitamin C are citric fruits, meats, and green vegetables.</p><p><b>Calcium:</b> is the primary mineral in bones, and it is essential for bone growth and maintenance. Good sources of calcium include dairy products, such as milk, cheese, butter, and yoghurt, as well as leafy green vegetables like kale and broccoli.</p><p><b>Vitamin D:</b> is essential for bone growth and maintenance. Humans elaborate Vitamin D in our skin from healthy in a process that requires UV light. Some sources of healthy fats are bone broth, meats, fish, eggs, dairy products, nuts, avocados, and olive oil. A person that avoids healthy fats and UV light may develop vitamin D deficiency.</p><p><b>Magnesium:</b> helps our body to absorb and keep calcium balanced. Good sources of magnesium include nuts, seeds, whole grains, and leafy green vegetables. Magnesium also helps in maintaining good sleep.</p><p><b>Vitamin K:</b> plays a role in bone metabolism and helps the body use calcium properly. Good sources of vitamin K include dark leafy green vegetables like spinach and kale, broccoli, and Brussels sprouts.</p><p><b>5 Tips for Maintaining Strong Bones</b></p><p>In addition to getting the proper nutrients, several lifestyle habits can help maintain strong bones and prevent osteoporosis. Here are some tips for maintaining strong bones that I do always recommend to my patients:</p><ol><li><b>Exercise regularly:</b> Weight-bearing activities such as walking and weight lifting, can help strengthen bones and prevent bone loss. Bone metabolism depends on muscle mass. The more muscle mass we have, the better our bone quality is.</li><li><b>Avoid smoking:</b> because it increases the risk of osteoporosis, osteopenia as it can decrease bone density and weaken bones. And no, switching to e-cigarettes or vapes is not a solution.</li><li><b>Limit alcohol intake:</b> Heavy alcohol consumption can increase the risk of osteoporosis, as it can decrease bone density and weaken bones. When our liver and kidneys are too busy dealing with alcohol we lose essential minerals. In the long term, this will affect our bone density.</li><li><b>Get enough sleep</b>: Getting enough sleep is vital for overall health, and can affect bone health. Lack of sleep can lead to hormonal imbalances that can affect bone health. Not sleeping makes us lose magnesium and some other minerals.</li><li><b>Sun exposure:</b> we cannot produce enough Vitamin D if we live in the shadows. Healthy fats convert into Vitamin D in the presence of UV light. Early morning or late afternoon sunbathing and regular intake of healthy fats are recommended to prevent Vitamin D deficiency.</li></ol><p>In conclusion, good nutrition is essential for bone health. A balanced diet includes nutrients like collagen, calcium, vitamin D, magnesium, and vitamin K can help maintain strong bones and prevent fractures.</p><p>In addition to getting adequate nutrients, lifestyle habits like regular exercise, avoiding smoking, limiting alcohol intake, good quality sleep and conscious sun exposure also help maintain strong bones. <b>Family Medical Practice</b></p><p><i>*Dr Andres Sosa is our Orthopedic Surgeon specializing in sports medicine and trauma. He has a Master’s in Upper Limb Surgery from the University of Bologna (Italy) and has obtained his second Master’s in Shoulder Surgery with the University of Andalucía (Spain). In Việt Nam, he continues his surgical training with Arthrex ArthroLab (Singapore) focused on arthroscopic techniques for shoulder and knee injuries.</i></p><p><i>Dr Sosa joined FMP in 2018 and is responsible for all orthopedic and trauma cases and is fluent in English, Italian and Spanish.</i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I P. Kim Mã, Kim Mã, Ba Đình Dist. To book an appointment, please call us at (024).3843.0784, or contact us via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34Đ. Lê Duẩn, Bến Nghé, District 1, and 95Đ. Thảo Điền, District 2. Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
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        {
            "id": 1581,
            "title": "All you need to know about your dark circles",
            "slug": "all-you-need-know-about-your-dark-circles",
            "slug_en": "all-you-need-know-about-your-dark-circles",
            "slug_vi": "all-you-need-know-about-your-dark-circles",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1651,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr._Singh_2_envWA4o.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr._Singh_2_envWA4o.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-07-10",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "The reasons for getting dark circles could be due to genetic reasons, a lack of sleep, stress, straining your eyes, sun exposure, allergies, nutritional deficiencies, dehydration, or anaemia.",
            "related_pages_title": null,
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                1350
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                    "value": "<p><b><i>What are dark circles?</i></b></p><p>It is the darkening of the skin around the eyes which is a common skin problem seen in every age group in both men and women.</p><p><b><i>Why am I getting dark circles?</i></b></p><p>The reasons for getting dark circles could be due to genetic reasons, a lack of sleep, stress, straining your eyes, sun exposure, allergies, nutritional deficiencies, dehydration, or anaemia.</p><p></p><p><i>How to know: If you stretch the skin beneath your eye, the area will still look slightly darker compared to other parts of your skin, then it indicates the above-mentioned causes.</i></p><p>Thinning of the skin causes prominent-looking blood vessels, most commonly due to over-the-counter use of steroid-based creams.</p><p><i>How to know: If you stretch the under-eye skin, the dark-violet tint will be even more prominent as the skin will be thinned out even further.</i></p><p>Presence of fluid under the skin (eye bags/puffy eyes) can be due to various medical reasons including liver and kidney problems.</p><p><i>How to know: It is not difficult to detect the swelling. However, the swelling can also be due to the presence of fats in this area. There are certain clinical tests by which doctors can differentiate between the two.</i></p><p>Ageing can present itself as tears through depression, losing fat tissue around the eye causing a shadow effect which gives an appearance of a dark circle. When looked at from a distance, wrinkles may give an appearance of darkness too due to the local shadow effect.</p><p>*Smoking can accelerate the ageing process.</p><p><i>How to know: The darkness is markedly reduced when the skin is stretched.</i></p><p><b><i>What is the best way to treat dark circles?</i></b></p><p>When it comes to treating dark circles, there are many options available. Starting with lifestyle changes that not only improve the appearance of dark circles but also benefit your overall health.</p><ul><li>A good night’s sleep – Aim for 7-8 hours of sleep each night, and maintain a consistent sleep schedule. A relaxing bedtime routine including reading, meditation, or soothing music can help you fall asleep faster.</li><li>Staying hydrated – Drink at least 8 glasses of water a day, and avoid dehydrating drinks like coffee, alcohol, and soda. Drinking water can also help reduce puffiness and inflammation around the eyes.</li><li>Healthy diet including fruits and vegetables rich in vitamins A and C.</li><li>Quit smoking.</li><li>Protecting your eyes from the sun.</li><li>Taking frequent breaks while working on laptops or mobile phones.</li><li>Cold compresses – can help to reduce inflammation and shrink blood vessels around the eyes, providing a short-term firming of the skin. It can also reduce redness and cause your pores to contract.</li></ul><p><b><i>How to choose my under-eye cream?</i></b></p><ul><li>Niacinamide , Vitamin -C or Kojic acid based creams to reduce pigmentation.</li><li>Peptide-based creams to boost collagen.</li><li>Caffeine-based creams to reduce puffiness.</li><li>Retinol-based creams to reduce fine lines and wrinkles.</li><li>Hyaluronic acid-based creams for hydration.</li><li>Green tea extract-based creams to prevent sun damage.</li></ul><p><b><i>Looking for quick and long-term results?</i></b></p><ul><li>Chemical peels – Mild surface-level peels such as arginine or lactic acid peels are recommended to remove superficial layers of the skin, giving you fresh new skin.</li><li>Platelet Rich Plasma therapy – PRP therapy has gained significant popularity in recent years as the material is prepared from your own blood and no external chemical is used.</li><li>Laser resurfacing: encourages new skin growth that is brighter, with less pigmentation &amp; wrinkles, firmer than the previous layer.</li><li>Dermal fillers: add volume and lift the skin from the bone and above the blood vessels to lighten the skin and decrease the appearance of dark circles, fillers will also decrease wrinkles.</li></ul><p>So if you have read this far, you now probably have a good understanding of the various reasons behind dark circles and treatment approaches. Rest assured, most dark circles are usually harmless and disappear when the underlying cause is taken care of. However, if it is persistent you might want to get it checked by a dermatologist.</p><p><b>Family Medical Practice</b></p><p><i>* Dr. Snigdha Singh studied a Bachelor of Medicine and Surgery and a masters in Dermatology.</i></p><p><i>She specialises in diagnosing and treating a wide variety of skin disorders for both adults and children.</i></p><p><i>She can also advise on numerous skin cosmetic conditions and treating benign skin disorders by RF cautery, Cryosurgery and minor surgery as indicated.</i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I P. Kim Mã, Kim Mã, Ba Đình. To book an appointment, please call us at (024).3843.0784, or contact us via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh is in Diamond Plaza, 34 Đ. Lê Duẩn, Bến Nghé, District 1, and 95 Đ. Thảo Điền, District 2. Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
                }
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        },
        {
            "id": 1579,
            "title": "How do you know if someone is having a stroke? Think… F.A.S.T.",
            "slug": "how-do-you-know-if-someone-is-having-a-stroke-think-fast",
            "slug_en": "how-do-you-know-if-someone-is-having-a-stroke-think-fast",
            "slug_vi": "how-do-you-know-if-someone-is-having-a-stroke-think-fast",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1650,
                "url": "https://media.fmp-data.bliss.build/original_images/121212.png",
                "compressed": "https://media.fmp-data.bliss.build/images/121212.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-07-05",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
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                    "value": "<p>Stroke is a disease in which blood circulation to the brain is disturbed, resulting in sudden deterioration of physical and language functions.<br/></p><p>Strokes can be caused either by a clot, blocking the blood flow a part of the brain (ischemic stroke), or by the rupture of a vessel in the brain (hemorrhagic stroke). A stroke can occur suddenly!<br/>Just in case, remember FAST (quick action).<br/>- Face: Half of the face does not move/cannot move. mouth does not move well<br/>- Arms: Can&#x27;t raise arms/strength<br/>- Speech: Can&#x27;t speak words, can&#x27;t understand words<br/>- Time: Stroke is a race against time. In the case of cerebral infarction, some treatments can only be given up to 4 hours after the onset. If you have any of the above F.A.S symptoms, call an ambulance immediately.<br/></p><p>The face, arms, and speech are the most common stroke symptoms, but following ones can also occur:<br/>- Sudden numbness appearing in parts of the body / dulling senses / loss of strength.<br/>- Inability to speak or hear words<br/>- Dizziness, falling for no reason<br/>- Sudden loss of vision (either unilateral or bilateral)<br/>- A severe or unusual headache<br/>- Difficulty swallowing food and drink<br/></p><p>Also, if the above symptoms occur but go away on their own within minutes to hours, they may be precursors to a stroke called transient cerebral ischemia (TIA). Think of it as a warning that a stroke with residual sequelae will occur, and see a doctor immediately.<br/></p><p>If you or someone close to you experience the warning signs of a stroke, call an ambulance immediately.<br/>Prompt treatment from the onset of symptoms can increase the survival rate and avoidance of sequelae.<br/></p><p>Please contact us immediately in case of suspicion of stroke.  Our ambulances are always standby for emergency situations.  Our clinic is available 24 hours a day, 365 days a year.<br/></p><p>You can call us 24/7 on 024.3843.0748, or chat with us via Zalo, Whatsapp or Viber on 0944431919<br/> </p>"
                }
            ],
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        },
        {
            "id": 1577,
            "title": "What you need to know about Dengue fever",
            "slug": "what-you-need-know-about-dengue-fever",
            "slug_en": "what-you-need-know-about-dengue-fever",
            "slug_vi": "what-you-need-know-about-dengue-fever",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1640,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Mattias_iuA1OYY.jpg",
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            },
            "post_date": "2023-07-03",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "While dengue can cause severe illness, including dengue hemorrhagic fever and dengue shock syndrome, Việt Nam has been successful in controlling dengue fever mortality. Since 2005, mortality has been less than one per thousand cases.",
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            "content": [
                {
                    "type": "text",
                    "value": "<p>Some weeks ago, a mother and father with two children came into the clinic with sudden onset of fever. The mother had a fever first and then the children and father developed it later. Why would everyone in one household develop a fever at the same time?</p><p>Fever typically develops when the body detects the presence of harmful microorganisms like bacteria or viruses. The goal is to inhibit their replication and growth, as many microorganisms thrive within a narrow temperature range. Higher body temperature also increases the metabolic rate of the body and stimulates the immune system, activating and enhancing the production of white blood cells and antibodies.</p><p>So most likely a microorganism has been transmitted within the family. How does an organism transmit? Epidemiology – assessing the connection between disease symptoms and environmental factors – can answer that. This is the detective work of physicians.</p><p>The most common cause of fever – respiratory infections – is transmitted through droplets or airborne pathogens – when we are sneezing and coughing, we spread the virus or bacteria. The family members did have rapid breathing but tested negative for Influenza A&amp;B and COVID. Listening to the lungs with a stethoscope did not indicate bronchitis or pneumonia.</p><p>Another route of spreading disease is faecal-oral transmission, for example through contaminated food.  This could easily spread in a family. They had abdominal pain and had been vomiting.  Viruses cause fever, vomiting and diarrhoea whereas bacteria cause mostly fever, abdominal pain, diarrhoea and possibly blood in the stool.</p><p>  Dengue cases vary in severity from mild to fatal. Photo shutterstock.com</p><p>There are also vector-transmitted diseases – a vector is another organism - for example, an insect, that transmits a disease. They mentioned some annoying mosquitos in their house. Mosquitoes, although small, are the most dangerous animal in the world causing most diseases and deaths globally - more than sharks and tigers (that cause very few).</p><p>Many diseases use mosquitoes as carriers: malaria, zika, chikungunya and yellow fever account for four to five hundred thousand fatalities each year. But in Hà Nội, there’s a more common disease carried by mosquitoes, namely Dengue.  All the family members tested positive for dengue.</p><p>Clinically, dengue cases vary in severity from mild to fatal. The family gradually developed more symptoms, including severe headaches, muscle and joint pain, nausea, rash, bleeding gums, and nosebleeds. In severe dengue, hemorrhagic fever or dengue shock syndrome may develop, often when the fever subsides.</p><p>For our family, one of the children was admitted due to decreasing platelets with nose and gum bleeding, as well as fatigue. The next day the other child had a similar experience. There’s no specific antiviral treatment for dengue. It is important to follow up every day with a full blood count as platelets tend to decrease. They received paracetamol to control the fever and body aches. The most critical phase is when the fever decreases and then the dengue shock syndrome might develop fast. As the platelets decreased the children developed tiny bleeding spots on the skin called petechiae, as well as an itchy rash over the body. They received IV fluid replacement until they could drink enough water by themselves. By monitoring the progress and seeing that they had had enough fluid replacement the worst symptoms were prevented.</p><p>While dengue can cause severe illness, including dengue hemorrhagic fever and dengue shock syndrome, Việt Nam has been successful in controlling dengue fever mortality. Since 2005, mortality has been less than one per thousand cases.</p><p>Dengvaxia by Sanofi Pasteur is the first available dengue vaccine against all four strains of dengue virus. It can only be used if a prior dengue infection can be verified, as a second infection can be more severe, and is approved from the age of six years in several dengue-endemic countries, however not yet in Việt Nam. As our family members had verified dengue they are eligible for the vaccine (when approved in Việt Nam) which may protect them from an even more severe second dengue infection. <b>Family Medical Practice</b></p><p><i>*Dr Mattias Larsson is a pediatric doctor at Family Medical Practice and associate professor at Karolinska Institutet and has extensive experience in research on infectious diseases. He has worked with the Oxford University Clinical Research Unit and the Ministry of Health of Việt Nam. He is fluent in English, Swedish, Vietnamese, German and some Spanish.  </i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I P. Kim Mã, Kim Mã Ward, Ba Đình District. </i></p><p><i>To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34Đ Lê Duẩn Street, Bến Nghé, District 1, and 95Đ Thảo Điền, District 2. Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
                }
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        },
        {
            "id": 1576,
            "title": "Got Milk?",
            "slug": "got-milk",
            "slug_en": "got-milk",
            "slug_vi": "got-milk",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1646,
                "url": "https://media.fmp-data.bliss.build/original_images/123131.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/123131.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-07-01",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
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            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
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            "related_pages_title": null,
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                1347
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            "content": [
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                    "type": "text",
                    "value": "<p>People love spicy food, although it can cause some serious side effects.  Be it while preparing (crying after cutting a hot pepper and touching your face), eating (mouth on fire) or in the stomach (indigestion).  So how to go about that? <br/>First we need to understand how peppers work. The fiery ingredient in chilies is capsaicin. The more capsaicin in a chili, the spicier it tastes and feels. The more you need to know how to counter the heat!</p><p>Cutting to the chase, the best solution to cool your mouth is milk!  Skimmed or whole milk, as long as it’s animal milk and not almond milk, oat milk or the likes. The trick is that animal milk contains a protein called casein, which can break down capsaicin. That’s why milk is better to calm the heat than for example water.  <br/>Milk can even be used for your eyes too. You may have seen people in protests using milk after they have been pepper sprayed. That’s because capsaicin is the main ingredient in pepper spray, and milk can break it down. </p><p>However, if you have an upset stomach, then milk may not be a good idea! Acid reflux, roiling stomach or ulcers can get worse, because it can stimulate acid and can be difficult to digest. Many people are also lactose intolerant, and can suffer cramps, gas, bloating or diarrhea.   So for an upset stomach after spicy food it’s better to take a calcium carbonate antacid to neutralize your stomach acid and stop the burn.</p><p>It might be a good idea to avoid spicy food altogether, but if you can’t here are some further tips on preparing spicy food: You can wear gloves when cutting the chilies and wash your hands thoroughly afterwards. Another tip is to wear goggles, to ensure nothing comes near your eyes.</p><p>And always keep some milk nearby!</p>"
                }
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        },
        {
            "id": 1575,
            "title": "What to do about lower back pain",
            "slug": "what-do-about-lower-back-pain",
            "slug_en": "what-do-about-lower-back-pain",
            "slug_vi": "lam-gi-khi-dau-lung-duoi",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1645,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Sosa_MakMqn1.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr.Sosa_MakMqn1.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-06-26",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
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                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "Most of us are familiar with lower back pain, although we'd rather not be. Here are some top tips from Dr Andres Sosa on how to mitigate the issue.",
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                    "value": "<p>Working in offices often entails being in a sitting position for long periods of time. This may cause lower back pain, a source of great discomfort and inconvenience. As an orthopaedic surgeon treating expats at Family Medical Practice since 2018, I would like to share some tips to avoid or deal with office-related back pain.</p><p>Low back pain (LBP) is the pain located in your lumbar and buttocks region. Over 80 per cent of us will have at least one episode of LBP during our lives. It is the most common reason for people to visit orthopaedic doctors.</p><p>It’s important to point out that almost none of the lower back pain is actually related to a specific pathology like a fracture, tumour or infection.</p><p>LBP is the leading cause of disability worldwide. In 2020, LBP impacted 619 million individuals, representing a huge economic burden. In the US alone, more than US$50 million is spent annually and approximately 150 million working days are missed due to LBP.</p><p>Having LBP not only affects your mood, but also your productivity, performance, and lifestyle in the long term. You may notice yourself doing fewer activities, avoiding travelling, and giving excuses to skip sports. Becoming sedentary facilitates weight gain and may worsen other conditions as well.</p><p>Low back pain (LBP) is the pain located in your lumbar and buttocks region. Photo shutterstock.com</p><p><b>Tip # 1. What should you do if you suffer an episode of LBP?</b></p><p>First, run through a quick checklist for red flags which may be related to more serious pathology. Have you had sudden changes in your bladder or bowel function? Do you have a fever? Have you had recent, unexplained weight loss? Have you had a recent fall or trauma? Is the pain “moving down” to your legs? Do you feel any tingling or numbness in your legs?</p><p>You should see your doctor ASAP if you answered yes to any of these questions.</p><p><b>Tip # 2. Do you need an x-ray or further image studies like an MRI or a CT scan?</b></p><p>X-rays are usually enough to check your spine alignment and to identify if there is any disc compression. If your doctor considers it necessary, an MRI or a CT scan could be requested. Image studies can offer your doctor a wider picture of the situation and also how to prevent more episodes.</p><p><b>Tip # 3. How to prevent LBP?</b></p><p>Repetitive incorrect postures and being overweight are the most common causes.</p><p><b>Movement:</b> To stretch yourself is good but not enough. So, take a break every 60-90 min for a short walk.</p><p><b>Meals:</b> If you are overweight, focus on your nutrition. An increased abdominal circumference demands more loads on your lumbar spine.</p><p><b>Tip # 4. Does physical therapy help?</b></p><p>Definitely yes. I often prescribe physiotherapy to reeducate my patients to achieve a better posture and core restrengthening in parallel with direct work on their lower back.</p><p><b>Tip # 5. What if pain medication and physio are not enough?</b></p><p>There are more options for pain management. Sometimes an IV dripping could be enough, but other kinds of procedures like steroid injections could be necessary.</p><p><b>To recap:</b> most of us will suffer from LBP during our lives. Usually, LBP is non-specific but can affect our lives in the long term. If you have any red flags, you should consult your doctor ASAP. <b>Family Medical Practice</b></p><p><i>Dr. Andres Sosa is our Orthopedic Surgeon specializing in sports medicine and trauma. After his residency in Orthopaedics, he took a Master&#x27;s in Upper Limb Surgery at the University of Bologna (Italy).  Furthermore, he joined Sports Medicine at Thomas Jefferson University (PA, USA) and obtained a second Master’s in Shoulder Surgery from the University of Andalucía (Spain). Once in SEA, he continued with his surgical training at the Arthrex ArthroLab in Singapore, especially for meniscus and ligament reconstruction.</i></p><p><i>Dr. Sosa joined FMP in 2018 and he is responsible for all orthopaedic and trauma cases. He also has a Master&#x27;s in Sports Nutrition from Mayor University (Chile) and is fluent in English, Italian, and Spanish.</i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I P. Kim Mã, Kim Mã, Ba Đình. </i></p><p><i>To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo on +84.944.43.1919 or email </i>hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh is in Diamond Plaza, 34 Đ. Lê Duẩn, Bến Nghé, district 1, Thành phố and 95 Đ. Thảo Điền, district 2.  Tel. (028) 3822 7848 or email </i>hcmc@vietnammedicalpractice.com.</p>"
                }
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        },
        {
            "id": 1574,
            "title": "Spray away the bugs",
            "slug": "spray-away-bugs",
            "slug_en": "spray-away-bugs",
            "slug_vi": "loại-bỏ-côn-trùng-đơn-giản-và-hiệu-quả",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1644,
                "url": "https://media.fmp-data.bliss.build/original_images/z4451715924652_4bef55853590a16958ff3b6bbd635448.png",
                "compressed": "https://media.fmp-data.bliss.build/images/z4451715924652_4bef55853590a1.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-06-21",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
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            "summary": "",
            "related_pages_title": null,
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            "content": [
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                    "type": "text",
                    "value": "<p>Insect bites can really ruin your outdoor time. When you’re hiking in nature, having a picnic in the park or sipping coffee on a terrace, some insects always seem to find a way to bug you.  </p><p>Do bug sprays offer any solace? </p><p>Sprays work by evaporating when applied on your skin, forming an invisible cloud of chemicals around you. Insects detect these and stay away. </p><p>Which is good, because insect bites are not only annoying, they can be deadly too. There are quite some mosquito-borne diseases like malaria, yellow fever, zika, West Nile virus, dengue.. </p><p>What should you look for in an insect spray?</p><p>There are two main active ingredients:</p><p>- DEET: the most effective agent (limit to 10 – 30 % concentration)</p><p>- Picaridin: Also very effective but needs to be used in higher concentrations than DEET.</p><p>And if you’re looking for a double strategy, the insecticide permethrin is fairly effective. However, that’s an agent you apply to your clothing instead of directly to your skin. </p><p>These chemicals may sound dangerous, but there is no toxic effects and are safe to use for adults and children alike. The danger comes from ingesting those chemicals. So make sure kids don’t touch their skin and then put their hands in mouth or near their eyes. And wash your hands after applying. </p><p>There are also natural mosquito repellents: the oil of lemon eucalyptus is the best option. It contains PMD, which is less effective than DEET and Picaridin but still works. No other natural remedies have been proven to be effective. Not even citronella, which is often marketed as an effective bug repellent. </p>"
                }
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        },
        {
            "id": 1573,
            "title": "Towards International Standards of care",
            "slug": "towards-international-standards-care",
            "slug_en": "towards-international-standards-care",
            "slug_vi": "huong-toi-tieu-chuan-kham-suc-khoe-quoc-te",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1640,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Mattias_iuA1OYY.jpg",
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            },
            "post_date": "2023-06-19",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
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            "tags": "",
            "summary": "By providing skilled health staff and advanced diagnostic technologies, an international clinic can enhance diagnostic accuracy, thus guiding physicians towards targeted and effective treatments.",
            "related_pages_title": null,
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                1344
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                    "value": "<p>Access to high-quality healthcare is seen as a fundamental human right, however in many areas of the world it is a privilege. It can be challenging due to limited resources, inadequate diagnostic capabilities, and overuse of un-indicated treatments. Accurate diagnostics play a crucial role in improving patient outcomes and reducing healthcare costs, as the lack of diagnostic infrastructure often leads to misdiagnosis and inappropriate treatments. By providing skilled health staff and advanced diagnostic technologies, an international clinic can enhance diagnostic accuracy, thus guiding physicians towards targeted and effective treatments.</p><p>In low-middle income settings, medications like antibiotics or steroids are often overused due to limited access to reliable diagnostics under the motto: “If you don’t know what disease it is - treat everything!”. Diagnostics are expensive and time consuming whereas drugs, and especially antibiotics, are cheap and readily available.  Unnecessary antibiotic use leads to the pandemic of antibiotic resistance. In Việt Nam, antibiotic resistance has reached epidemic levels, as explained in earlier articles. Steroids decrease the immune response and “mask” symptoms; hence the disease appears to improve but gets more severe. This often delays accurate diagnostics which in some cases may be very serious.</p><p>A clinic with international standards of care can provide quality examinations and good diagnostics enabling differential diagnostics between bacterial and viral infections as well as tests to verify specific pathogens the treatment can be targeted to the specific cause. One example is atypical pneumonia that presents with cough, fever, possibly headaches and difficulty of breathing. One common cause is mycoplasma pneumoniae, an intracellular bacterium that lacks cell wall. Common beta-lactam antibiotics such as amoxicillin do not work as they target the cell wall, so more specific antibiotics as macrolides are needed. Without accurate diagnostics, there is a high risk for in-accurate medication that does not work but has adverse effects such as diarrhoea.</p><p>Cancer, if detected early, is often more treatable and associated with better outcomes. However, in low-middle income settings, limited access to accurate diagnostics and specialised care hinders early detection efforts. An international clinic can contribute to improving cancer outcomes by implementing screening programmes, promoting awareness about early warning signs, and providing access to affordable diagnostic tests such as mammography, Pap smears, and colonoscopies.</p><p>Paediatric care requires specialised attention, as children have distinct healthcare needs and vulnerabilities. In low-middle income settings, there is often a lack of adequate paediatric healthcare infrastructure and limited access to specialised services. An international clinic can enhance paediatric care by providing comprehensive child care visits, immunisation programmes, and screenings for developmental disorders.</p><p>Chronic diseases, such as high blood pressure, require long-term management and follow-up to prevent complications and improve patients&#x27; quality of life. However, the continuity of care for chronic conditions is often disrupted due to various factors, including limited access to medications and regular monitoring. An international clinic can address this issue by implementing comprehensive chronic disease management programmes. This may involve establishing regular follow-up visits, providing affordable medications, and educating patients about self-care and lifestyle modifications. By ensuring consistent follow-up care, the clinic can effectively manage chronic diseases and reduce the burden on the healthcare system.</p><p>Providing Western standards of care involves not only accurate diagnostics and reducing un-indicated treatments but also emphasising the importance of follow-up care for chronic diseases, early detection of cancer, and specialised paediatric care. Of course, resource limitations are a significant hurdle in achieving Western standards of care. An international clinic must adapt its practices to the local context while maintaining quality and safety. This can involve implementing cost-effective interventions, streamlining care processes, and prioritising essential treatments. By utilising digital health technologies, such as telemedicine and electronic medical records, the clinic can optimise care delivery, improve patient access, and reduce unnecessary expenditures. </p><p>An international clinic can bring expertise, technology, and collaboration to improve healthcare outcomes.  By prioritising holistic care and a patient-centered approach, as well as a strong focus on preventive measures, health education and lifestyle modifications can empower patients to actively participate in their own well-being. <b>Family Medical Practice</b></p><p><i>*Dr Mattias Larsson is a pediatric doctor at Family Medical Practice and associate professor at Karolinska Institutet and has a long experience in research on infectious diseases. He has worked with the Oxford University Clinical Research Unit and the Ministry of Health of Vietnam. He is fluent in English, Swedish, Vietnamese, German and some Spanish.  </i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I P. Kim Mã, Kim Mã, Ba Đình. </i></p><p><i>To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh is in Diamond Plaza, 34 Đ. Lê Duẩn, Bến Nghé, district 1, Thành phố and 95 Đ. Thảo Điền, district 2.  Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
                }
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        {
            "id": 1572,
            "title": "Tips to sanitize your phone",
            "slug": "tips-sanitize-your-phone",
            "slug_en": "tips-sanitize-your-phone",
            "slug_vi": "mẹo-khử-trùng-điện-thoại-để-bảo-vệ-sức-khỏe",
            "slug_ko": null,
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            "overview_image": {
                "id": 1643,
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            },
            "post_date": "2023-06-14",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
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                "id": 1,
                "name": "News",
                "slug": "news"
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                    "value": "<p>Reduce the risk of exposing yourself and those you love to germs</p><p>We all use our mobile phone for hours a day.   To reach out to our family and friends, but also watch videos, follow social media, read the news, take pictures.. It’s not surprising that this all-purpose tool can get a bit dirty during the day.</p><p>Studies show more than thousands of bacterial genes are living on our phones. Up to seven (!) times more than on a toilet seat!  Some of the bacteria that can be found on mobile phones include Streptococcus, Staphylococcus, Clostridioides difficile or E. coli. And they can live on your phone for a long time, some even for months!  </p><p>We all know the importance of hand hygiene, and wash our hands a lot.  But then you touch your bacteria covered phone. </p><p>So how does one go about cleaning a phone?  First of all, turn it off and take it out of the case.</p><p>Now do not spray your phone with disinfectant.  This could damage the screen, screen protection, charging port, etc.   It’s always recommended to check the instructions from the manufacturer. </p><p>There are some wipes available designed for cleaning your phone.  They contain about 70% isopropyl alcohol.  You can make that solution at home, mixing the isopropyl 70% and distilled water.  You can then spray it onto a towel to gently wipe your phone front and back.  Make sure not to use too much of the solution, and let the phone dry thoroughly before turning it back on.</p><p>Don’t forget to clean your case too.  If the case is silicone, you can wash it in the sink with some detergent.  Hard plastic cases can be wiped down with the same alcohol-water solution.  Same routine for your earbuds, charger and phone stand. </p><p>Proper hand hygiene is great to stop spreading germs, just don’t forget to clean your phone too!</p>"
                }
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        },
        {
            "id": 1571,
            "title": "June 14 - World Blood Donation Day",
            "slug": "june-14-world-blood-donation-day",
            "slug_en": "june-14-world-blood-donation-day",
            "slug_vi": "june-14-world-blood-donation-day",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1641,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Yaron.jpg",
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            },
            "post_date": "2023-06-12",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "According to the Việt Nam National Institute of Haematology and Blood Transfusion, in Việt Nam, blood group O consists of about 45 per cent of the population, blood group B about 30 per cent, blood group A about 20 per cent, and blood group AB about 5 per cent.",
            "related_pages_title": null,
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                {
                    "type": "text",
                    "value": "<p>Blood types are classified into A, B, AB, and O groups. Each group is divided into two subtypes according to the presence or absence of the Rh factor’s D antigen. For example, blood group &quot;A+&quot; has the D antigen, and blood group &quot;A-&quot; doesn’t have the D antigen.</p><p>According to the Việt Nam National Institute of Haematology and Blood Transfusion, in Việt Nam, blood group O consists of about 45 per cent of the population, blood group B about 30 per cent, blood group A about 20 per cent, and blood group AB about 5 per cent.</p><p>People with the Rh factor, D antigen-negative blood group (A-, B-, AB-, and O-groups) are estimated to account for one out of every 1,000 people, which makes these blood groups rare.</p><p>People with rare blood types often struggle to find donors in times of crisis.</p><p>Blood donation is a vital way to save lives, and it plays a crucial role in the healthcare system. Blood products are widely used in various medical treatments. Blood donations are needed for accident victims, for planned and unplanned surgeries, and for those receiving ongoing treatment for leukaemia, cancer, or sickle cell disease.</p><p>Donating one unit of blood may save the lives of up to three people.</p><p></p><p>Blood donation can also be very beneficial to the donor&#x27;s health. When one donates blood, the body replaces it with new blood cells within a few days. Donating blood has also been linked to reducing the risk of heart disease, especially in men. Studies have shown that regular blood donation can reduce the level of iron in the bloodstream, which can help lower the risk of heart disease. Moreover, blood donation can also help prevent the development of various illnesses, such as cancer, Alzheimer&#x27;s, and stroke.</p><p>Furthermore, blood donation can also be an opportunity to receive a free medical check-up. Before donating blood, donors undergo a screening process that includes testing for various medical conditions, such as hepatitis B and C, HIV, syphilis, and malaria. Donors who are found to have any of these infections are immediately referred for treatment. Additionally, during the screening process, donors receive a comprehensive health check-up that includes measuring blood pressure, temperature, and pulse rate, all of which are essential for detecting underlying medical conditions.</p><p>The process to donate blood is straightforward, quick, and takes about an hour. After donating blood, donors are advised to rest for a few minutes, and then they can resume their normal activities. It is essential to hydrate and avoid strenuous activities until the next day to prevent any adverse effects.</p><p>However, despite the importance of blood donation, there is a shortage of blood supply in many countries. According to WHO Vietnam, every year Vietnam needs about two million units of blood. However, at present, we can only meet about 70 per cent of this demand, the blood reserve at medical centers and hospitals is not enough to supply, especially when the demand for blood transfusion increases in the summertime, holidays, and <i>Tết</i> (Lunar New Year).</p><p>Blood donors must have normal blood pressure and meet the age, weight, and health requirements of the Ministry of Health to be eligible to donate blood as described below:</p><ul><li>Age: A candidate can donate blood from the age of 18 years old to 60 years old.</li><li>Weight: Should be at least 42 kg for females, and 45 kg for males for whole blood donation. Those whose weights are from 42 kg to 45 kg can still donate sometimes, but they are permitted to donate up to 250 ml of whole blood per donation.</li><li>Do not suffer from chronic illnesses such as chronic lung disease, heart disease, hematopoietic disease, autoimmune disease, kidney disease, neurological disease, mental disease, etc.</li><li>People with infectious diseases are not allowed to donate blood.</li><li>People who are addicted to narcotics or alcohol are not allowed to donate blood.</li><li>Pregnant women cannot donate blood.</li></ul><p>In conclusion, blood donation can help save lives and provide many benefits to donors. The demand for blood products in Việt Nam is increasing, and it is critical to encourage people to donate blood. Donating blood has various health benefits for the donor and the opportunity to make a life-saving impact on people&#x27;s lives. <b>Family Medical Practice</b></p><p><i>*Dr Yaron Atzmon is a general practitioner and the director of the Family Medical Practice Hanoi. As an internist he specialises in complicated cases involving patients with a variety of chronic diseases such as hypertension, diabetic and ischemic heart disease. Dr Atzmon is enthusiastic about preventive medicine, ambulance services and medical evacuations.</i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I Kim Mã St, Kim Mã Ward, Ba Đình Dist. To book an appointment, please call us at (024).3843.0784, or contact us via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p>"
                }
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        },
        {
            "id": 1570,
            "title": "Recommended health-checks for women",
            "slug": "recommended-health-checks-women",
            "slug_en": "recommended-health-checks-women",
            "slug_vi": "recommended-health-checks-women",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1633,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr._Olga_ktk9ohi.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr._Olga_ktk9ohi.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-06-07",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "Regular health check-ups can detect diseases at an early stage and successfully treat them. Many women wonder what tests should be done throughout their lives.",
            "related_pages_title": null,
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                1341
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                    "type": "text",
                    "value": "<p>Regular health check-ups can detect diseases at an early stage and successfully treat them. Many women wonder what tests should be done throughout their lives.</p><p>Here’s an overview of recommended tests and vaccinations, as a general guide towards a healthy life. Talk to your doctors regarding your particular needs and personalised recommendations.</p><p><b>Cervical cancer</b></p><p>From 21 years old, women should screen for cervical cancer. This is done by a <b>pap smear</b> and should be repeated every three years. Ideally it is done together with a HPV test. The human papillomavirus can be spread by sexual contact and infect genitals, anus, mouth and throat. There is no treatment available for this viral infection, but it can be prevented by vaccinations, that can be done to up to the age of 25 years or even up to 30.</p><p>If the pap smear is done together with the HPV test (so called ‘co-test’), then it should be repeated only every five years in case of normal results.</p><p><b>STI and infectious diseases</b></p><p>The standard recommendation is to have everybody between 15 and 65 years old have one HIV (human immunodeficiency virus) test.  Another test for HCV (hepatitis C) should also be done at least once between 18 and 79.  Additionally both tests should be repeatedly done during each pregnancy to prevent maternal to new-born transmission.</p><p><b>Chlamydia and Gonorrhoea</b></p><p>All women under 25 should be tested annually, but also people who have new partners or are in risk groups. This test is important because both infections can stay asymptomatic for a long time, thus spreading infections to new partners. They can also lead to serious complications like PID (pelvic inflammatory disease) or infertility.</p><p><b>Breast cancer</b></p><p>From the age of 40, a yearly mammography is recommended. Or at least once every two years on case of normal results and without family history. Recommendations vary from country to country.  Mammography may detect breast tumors too small to be felt or not causing other symptoms.  </p><p>Women with a family history of breast cancer should start screening earlier than the age when their relatives were diagnosed with cancer. In some cases, mammography can be done together with breast ultrasound. With family history of breast cancer discuss with your doctor to see if genetic testing is required which helps quantify the risk even more.</p><p><b>Cholesterol screening</b></p><p>Coronary heart diseases is a leading cause of death for both men and women. Women should start screening for cholesterol at the age of 40 or at the age of 30 in case of known risk factors. The test screens for LDL (‘bad’ cholesterol), HDL (‘good’ cholesterol), total cholesterol and triglycerides.</p><p><b>Colorectal cancer</b></p><p>Recent guidelines recommend to start scanning at the age of 45 for anyone with an average risk of colorectal cancer. Colonoscopy should be performed once every ten years, unless there is a family history or personal risks factors like inflammatory bowel disease (ulcerative colitis, Crohn’s disease.. ) or polyps.  </p><p>In case colonoscopy is not available, Faecal Immunochemical Testing (FIT) can be performed to check for occult blood in the faeces. FIT should be done annually.</p><p><b>Osteoporosis</b></p><p>All women aged 65 and older should undergo a bone densitometry every two years. It is also recommended for menopausal women with risk factors like bone loss, history of bone fracture, severe obesity or family history of osteoporosis. </p><p><b>Diabetes</b></p><p>Screening for diabetes type 2 or prediabetes should be done from the age of 40 (if there are no known risk factors). This should be done every three years, and may prevent prediabetes to develop further. During each pregnancy all women complete a special glucose test OGTT (oral glucose tolerance test) for gestational diabetes to prevent many maternal and foetal complications.</p><p><b>Blood pressure</b></p><p>Blood pressure should be measured in the doctor’s office every year by adults 18-39 years who are not at higher risk for hypertension.  Over 40s an annual screening is recommended.</p><p><b>Immunisation</b></p><p>Apart from health checks, vaccines can prevent many diseases.   Commonly needed vaccines include tetanus – diphtheria – pertussis, hepatitis, varicella and HPV. The HPV vaccine is recommended for the 12 to 26 year olds, both male and female, to prevent cancer caused by HPV infection. Administration depends on your personal situation and should be discussed with your doctor.  The flu vaccine can be administered yearly. — <b>Family Medical Practice</b></p><p><i>*Dr Olga Sambolska graduated from Lviv National Medical University in 1996 and commenced her medical career at the Volyn Regional Maternity Hospital in Ukraine. Since 1998 she has been a registered obstetrics and gynecology doctor, providing healthcare to women in relation to pregnancy, birth control, menopausal issues, contraception, menstrual cycle diseases and sexually transmitted diseases. She is fluent in Ukrainian, Russian, Polish and English.  </i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I Kim Mã St, Kim Mã Ward, Ba Đình Dist. To book an appointment, please call us at (024).3843.0784, or contact us via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34 Lê Duẩn St, Bến Nghé Ward, District 1, and 95 Thảo Điền St, District 2. Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
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        {
            "id": 1569,
            "title": "Valuable support of AI to healthcare providers",
            "slug": "valuable-support-ai-healthcare-providers",
            "slug_en": "valuable-support-ai-healthcare-providers",
            "slug_vi": "valuable-support-ai-healthcare-providers",
            "slug_ko": null,
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            "overview_image": {
                "id": 1640,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Mattias_iuA1OYY.jpg",
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            },
            "post_date": "2023-06-02",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
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                "id": 1,
                "name": "News",
                "slug": "news"
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                    "value": "<p>In the last few months, the rapid advancement of Artificial Intelligence (AI) has been acknowledged through Chatbots such as GPT4 and Bing. AI has emerged as a powerful tool with the potential to transform the diagnosis and treatment of diseases, particularly in low and middle-income countries. The integration of AI into healthcare systems can bridge the gaps in access to specialised medical expertise and provide valuable support to healthcare providers. This article explores the remarkable impact of AI in unravelling rare diseases by recounting the compelling story of Minh, a young child from Việt Nam. This story is written in collaboration with AI which is, to be honest, quite laborious work to make the chatbot understand what you want to tell.</p><p><b>The story</b></p><p>In a small village nestled amidst the lush landscapes of Việt Nam, lived a vibrant young child named Minh. He was an active child, excelling in school, playing with friends, and liked to play football. However, when Minh turned eight, he gradually developed symptoms including fatigue, tremors, and unexplained jaundice that slowly drained the vibrancy from his life, leaving his parents desperate for answers. Minh&#x27;s parents tirelessly sought medical counsel from various experts, hoping to unravel the mysteries behind their child&#x27;s declining health. Unfortunately, misdiagnoses led to a series of unnecessary treatments, including multiple rounds of antibiotics. These misguided interventions not only failed to address Minh&#x27;s underlying condition but also disrupted his gut microbiome, resulting in recurrent bouts of diarrhea and further deteriorating his well-being.</p><p>Being from a rural part of a low middle income country advanced healthcare was not widely available. However, Minh&#x27;s parents learned about the remarkable integration of Artificial Intelligence (AI) and biotechnology. They turned to an international clinic in the city that had adapted the most updated state-of-the-art AI-powered diagnostic tools. Based on examinations and tests the doctor used a combination of medical experience and the new AI system. Drawing upon vast medical knowledge and powerful algorithms, they jointly analyzed Minh&#x27;s data with unparalleled precision, recognizing patterns and connections, and could suggest a rare diagnosis – Wilson&#x27;s disease.</p><p>Wilson&#x27;s disease is a rare genetic disorder that disrupts copper metabolism in the body. It leads to copper accumulation in various organs. The initial symptoms of Wilson&#x27;s disease can be vague and nonspecific, making the diagnosis challenging. Common early signs may include fatigue, abdominal pain, jaundice, and neurological symptoms. Due to the gradual progression of symptoms, Wilson&#x27;s disease is often misdiagnosed or overlooked, leading to delayed treatment. In Minh&#x27;s case, the AI algorithms identified specific indicators in his medical data that pointed towards this elusive diagnosis.</p><p>A comprehensive treatment plan was devised, tailored to Minh&#x27;s specific needs. Medications designed to chelate and remove excess copper from his body were prescribed, while closely monitored dietary adjustments were implemented to support liver function. Over time, Minh&#x27;s health began to stabilise, and the adverse effects of the unnecessary antibiotic treatments gradually subsided.</p><p>The fusion of AI and biotechnology developed new treatment options for Wilson&#x27;s disease with innovative gene therapies that target the underlying genetic defect responsible for the condition. AI-guided genetic databases allowed scientists to develop more targeted and effective treatments.</p><p>Minh&#x27;s story illustrates the remarkable potential of AI and biotechnology to transform healthcare in low and middle-income settings. By harnessing the power of AI for accurate diagnoses and integrating biotechnological advancements, even the most elusive and complex diseases can be diagnosed and treated.</p><p>As AI continues to advance, it has the potential to inform healthcare providers with updated diagnostic advice and treatment guidelines. Combined with the progress in biotechnology, gene therapies may emerge as curative options for genetic disorders like Wilson&#x27;s disease, offering hope for long-term remission and improved quality of life.</p><p>While AI offers tremendous potential in advancing healthcare, it is essential to recognise the importance of the human touch. We are conscious and emotional beings, not merely bits and bytes or atoms and molecules. The doctor-patient relationship, characterised by empathy, understanding, and trust, remains at the heart of healthcare. AI can enhance efficiency, accuracy, and access to specialised knowledge, but it cannot replace the empathetic connection between a doctor and their patient.</p><p>Minh&#x27;s story illustrates the transformative power of AI and biotechnology in the field of healthcare. Through their integration, diagnosis becomes more accurate, treatments become more tailored for the individual patients, and the possibility of curative treatment more accessible. By striking the right balance between technological advancements and compassionate care, we can harness the full potential of AI to improve patient outcomes and enhance the healthcare system. <b>Family Medical Practice</b></p><p></p><p><i>*Dr Mattias Larsson is a pediatric doctor at Family Medical Practice and associate professor at Karolinska Institutte and has a long experience in research on infectious diseases. He has worked with the Oxford University Clinical Research Unit</i> <i>and the Ministry of Health of Việt Nam. He is fluent in English, Swedish, Vietnamese, German and some Spanish.  </i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I Kim Mã street, Ba Đình, Hà Nội.</i></p><p><i>To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh is in Diamond Plaza, 34 Lê Duẩn ave., Bến Nghé, district 1, and 95 Thảo Điền ave., district 2.  Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
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        {
            "id": 1563,
            "title": "KHÁM VẬN ĐỘNG, DINH DƯỠNG, PHÁT TRIỂN CHO TRẺ",
            "slug": "khám-vận-động-dinh-dưỡng-phát-triển-cho-trẻ",
            "slug_en": "khám-vận-động-dinh-dưỡng-phát-triển-cho-trẻ",
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            "slug_ko": null,
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            "overview_image": {
                "id": 1634,
                "url": "https://media.fmp-data.bliss.build/original_images/Developmental_plan_poster-01.jpg",
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            },
            "post_date": "2023-05-24",
            "category": {
                "id": 2,
                "name": "Events",
                "slug": "events"
            },
            "subcategory": {
                "id": 11,
                "name": "Promotions",
                "slug": "promotions"
            },
            "tags": "",
            "summary": "Trong 3 năm đầu đời, tốc độ phát triển của trẻ rất nhanh và được thấy rõ qua nhiều mặt. Đây cũng là thời điểm quan trọng nhất cho sự phát triển vượt bậc về trí tuệ lẫn thể chất. Điều này gây tác động đến quá trình hình thành và phát triển về mặt xã hội, cảm xúc, nhận thức và từ đó trực tiếp ảnh hưởng đến việc học tập, hành vi cũng như sức khỏe trong tương lai của trẻ.",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1338
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p> Trong 3 năm đầu đời, tốc độ phát triển của trẻ rất  nhanh và được thấy rõ qua nhiều mặt. Đây cũng là thời điểm quan trọng  nhất cho sự phát triển vượt bậc về trí tuệ lẫn thể chất. Điều này gây  tác động đến quá trình hình thành và phát triển về mặt xã hội, cảm xúc,  nhận thức và từ đó trực tiếp ảnh hưởng đến việc học tập, hành vi cũng  như sức khỏe trong tương lai của trẻ.</p><p>Tại <b>FMP</b>,  bác sĩ Collin sẽ đồng hành và giúp đỡ cha mẹ theo dõi sự phát triển của  con với gói khám tổng quát cho trẻ. Gói khám này là một biện pháp chăm  sóc, phòng ngừa, đồng thời cũng giúp cha mẹ xác định sớm được những nguy  cơ về chậm phát triển ở trẻ để có những biện pháp can thiệp kịp thời.  Nội dung gói khám bao gồm:<br/> </p><ul><li><b>Theo dõi tăng trưởng:</b> chiều cao, cân nặng, đánh giá chế độ dinh dưỡng của trẻ</li><li><b>Kiểm tra kỹ năng tâm vận động:</b> đi bộ, phối hợp tay – mắt, vận động tinh ở trẻ, nhận thức, nhận thức các giác quan, cảm xúc.</li><li><b>Phát triển lời nói và phát triển xã hội, phát triển hành vi và hoạt động vui chơi</b></li><li><b>Thói quen sinh hoạt</b><br/>-  Ăn uống và sự phối hợp của các giác quan<br/>-  Vệ sinh giấc ngủ và thời lượng giấc ngủ<br/>-   Thời gian sử dụng các thiết bị điện tử và vấn đề về bạo lực trên các phương tiện truyền thông<br/>-  Các hoạt động thể chất, đọc sách</li><li><b>Phát hiện sớm khuyết tật ở trẻ</b><br/> </li></ul><p>Gói khám tổng quát cho trẻ có thời lượng khoảng 1 giờ với chi phí là <b>3.300.000 VND.</b></p><p>Để đặt lịch hẹn, vui lòng liên hệ qua hotline <b>+84.24.3843.0784</b> hoặc <b>Whatsapp/Viber/Zalo</b> theo số <b>+84.944.43.1919</b></p>"
                }
            ],
            "meta_title": "",
            "meta_description": "",
            "social_title": "",
            "social_description": "",
            "social_image": null
        },
        {
            "id": 1564,
            "title": "Age like a fine wine",
            "slug": "age-fine-wine",
            "slug_en": "age-fine-wine",
            "slug_vi": "age-fine-wine",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1635,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr._Singh_2.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr._Singh_2.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-05-24",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "Aging is an inevitable phenomenon. From the fragile skin of a newborn through the acne prone teenager skin to the wrinkles later in life, your skin goes through various stages during which the skin’s requirements also change. The products that worked for you in your 20s may lose their efficacy a few years later and you constantly have to adjust your regimen based on your skin’s current needs. Proper age specific skincare routine ensures your skin looks its natural best and remains healthy regardless of your age.",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1339
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p>Aging is an inevitable phenomenon. From the fragile skin of a newborn through the acne prone teenager skin to the wrinkles later in life, your skin goes through various stages during which the skin’s requirements also change. The products that worked for you in your 20s may lose their efficacy a few years later and you constantly have to adjust your regimen based on your skin’s current needs. Proper age specific skincare routine ensures your skin looks its natural best and remains healthy regardless of your age.</p><p><b>20s</b></p><p>During this time of life, due to hormonal changes, your skin can become oily and acne-prone. The biggest mistake that most of us make is not taking enough preventive measures for our skin in our 20s leading to signs of premature aging and sun damage.</p><p>The skincare routine in this age should be minimalistic and easy to follow.</p><ul><li><i>Cleanse</i> twice a day. Salicylic acid based cleanser for oily/acne-prone skin, Hyaluronic/glycerine based cleanser for dry skin &amp; Glycolic acid based cleanser is recommended for dull skin.</li><li>Using a <i>moisturiser</i> is a must post cleansing. Hyaluronic acid based for dry skin and paraffin based moisturiser for very dry skin.</li><li><i>Sunscreen</i> is the most important part of your skincare routine. Gel/water based for oily skin. Hyaluronic acid based for dry skin and Vitamin C based for dull skin. Use physical sunscreen on holidays when you spend more time out in the sun like going for a trek or on beaches.</li><li>Late 20s is the right age to introduce <i>antioxidants</i> in your night skincare routine. Niacinamide serum is recommended for open pores, sensitive, red, acne-prone, oily skin. Vitamin-C serum for skin glow and as an anti-aging agent.</li></ul><p>Proper age specific skincare routine ensures your skin looks its natural best and remains healthy regardless of your age. — Photo shutterstock.com</p><p>​​​​​​<b>30s</b></p><p>You may start to experience the initial signs of aging like fine lines. The skin barrier function weakens making it more prone to sun damage. Moisture content of the skin also starts reducing.</p><p>In addition to the basic skincare that you were following in your 20s:</p><ul><li><i>Antioxidants</i> should be included in the day time routine instead of night.</li></ul><p>Cleanser -&gt; Antioxidant -&gt; Moisturizer -&gt; Sunscreen</p><ul><li><i>Retinol</i> based preparations can be applied four times per week at night. People with very dry/sensitive skin can use <i>Peptides</i> based preparations instead of retinol.</li><li><i>Exfoliants</i> (AHA/BHA/PHA) can be included in your night skincare routine 3 times/week. AHA for pigmentation and uneven skin tone, BHA for oily/acne prone skin, open pores and PHA for sensitive skin.</li><li>It’s the right time to start <i>neck creams</i> and <i>under-eye creams</i>. Vitamin C &amp; Vitamin E based neck creams can be used.</li><li><i>Under-eye creams</i> can be concern specific like Vitamin C or kojic acid based for darkening of skin, retinol or hyaluronic acid based for fine lines and caffeine based for puffiness.</li><li>To combat signs of aging, uneven skin tone, pigmentation, along with the right skincare, <i>Aesthetic procedures</i> like lasers, RF, microneedling, PRP therapy and chemical peeling are recommended which encourage cellular turnover and promotes new collagen and elastin production.</li></ul><p><b>40s &amp; beyond</b></p><p>With age, you start noticing more fine lines, wrinkles, sagging skin, pigmentation due to loss of collagen, volume &amp; elasticity and reduced cellular turnover. The skin becomes more dry and dehydrated.</p><ul><li>A gentle exfoliating <i>cleanser</i> with lower concentration of glycolic acid and another one with hyaluronic acid may be used in your 40s and switching to only HA based cleanser when you notice more dryness with age.</li><li><i>Antioxidants</i> – Green tea extract/Co-enzyme Q10/Vitamin-C based</li><li>Hyaluronic acid/ceramide/glycerine/paraffin based <i>moisturiser</i> to encourage skin barrier repair.</li><li>Hyaluronic acid based <i>sunscreen</i>.</li><li>Night skincare routine includes <i>retinol/peptides</i> based preparations four times per week and lower concentrations of <i>glycolic acid</i> based creams three times per week.</li><li>Continue with the <i>neck and under-eye creams</i> as in your 30s.</li><li><i>Supplements</i> like astaxanthin, Vitamin-C, zinc, biotin, Omega-3 FA, co-enzyme Q10, curcumin, Vitamin-D, calcium, iron, folic acid can be added for a short duration. A routine blood check-up is suggested to find out any deficiencies.</li><li>In addition to the aesthetic procedures suggested in your 30s, <i>fillers and botulinum toxin</i> injections are effective treatment options for wrinkles and sagging skin. <b>Family Medical Practice</b></li></ul><p><i>*Dr Snigdha Singh studied a Bachelor of Medicine and Surgery and a masters in Dermatology</i></p><p><i>She specialises in diagnosing and treating a wide variety of skin disorders for both adults and children</i></p><p><i>She can also advise on numerous skin cosmetic conditions and treating benign skin disorders by RF cautery, Cryosurgery and minor surgery as indicated</i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I P. Kim Mã, Kim Mã, Ba Đình District. To book an appointment, please call us at (024).3843.0784, or contact us via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34Đ Lê Duẩn, Bến Nghé, District 1, and 95Đ Thảo Điền, District 2. Tel. (028) 3822 7848 or email</i> <i>hcmc@vietnammedicalpractice.com</i>.</p>"
                }
            ],
            "meta_title": "",
            "meta_description": "",
            "social_title": "",
            "social_description": "",
            "social_image": null
        },
        {
            "id": 1562,
            "title": "The types of tests necessary during pregnancy",
            "slug": "types-tests-necessary-during-pregnancy",
            "slug_en": "types-tests-necessary-during-pregnancy",
            "slug_vi": "types-tests-necessary-during-pregnancy",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1633,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr._Olga_ktk9ohi.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr._Olga_ktk9ohi.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-05-18",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "From the beginning of the pregnancy to the delivery of the baby, a pregnant woman has to do a lot of tests. These tests help healthcare providers find possibly latent conditions that may affect the foetus and the newborn if left untreated. But what tests are needed and when?",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1337
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p> From the beginning of the pregnancy to the delivery of the baby, a pregnant woman has to do a lot of tests. These tests help healthcare providers find possibly latent conditions that may affect the foetus and the newborn if left untreated. But what tests are needed and when?</p><p><b>Blood test</b></p><p>Blood type and Rhesus factor, negative or positive, are important to know in case a blood transfusion is needed during pregnancy or birth. </p><p>Rhesus-negative patients need anti-D injections at 28 weeks and 36 weeks to prevent antibody production.</p><p>A full blood count will detect anaemia and iron deficiency that can lead to complications such as preterm labour, low birth weight and increased risks of inflammatory diseases. This is quite common for pregnant women, and early treatment with iron-rich food and iron supplements may prevent complications.</p><p>The blood can also detect congenital physical defects such as Down, Patau or Edwards syndrome. Together with ultrasound measurement for NT (Nuchal translucency) it’s called the prenatal genetic screening test. This test is the most accurate between 11 and 14 weeks.</p><p><b>STI screening</b></p><p>Blood tests for HIV, Syphilis, Hepatitis B and C are recommended for all pregnant women. These infections can be acquired long before pregnancy, and while they may remain asymptomatic for the mother, they can harm the foetus. Timely detected infection reduces transmission to neonates, and proper treatment significantly increases the chances of good outcomes.</p><p>Chlamydia and Gonorrhoea screening is advised only for high-risk women and is not needed for all pregnant women.</p><p><b>Rubella</b> test (‘German Measles’ or 3-day measles) for pregnant women who have never been vaccinated against Rubella and haven&#x27;t had this disease in childhood. This blood test looks for antibodies, and in case they are high, the women should be monitored as they are at high risk of congenital rubella syndrome (severe birth syndrome).</p><p><b>Thyroid function</b> </p><p>The thyroid is hyperstimulated during pregnancy, and thyroid symptoms can start during pregnancy or worsen. A thyroid test should be done at 12 weeks to evaluate thyroid function.</p><p><b>Gestational diabetes</b></p><p>Glucose intolerance provoked by pregnancy affects 10 per cent of all pregnant women who haven&#x27;t been diagnosed with diabetes before pregnancy. </p><p>The test should be done between the 24th and 28th weeks. </p><p><b>Urine analysis</b></p><p>This is important during pregnancy to assess the level of proteins, sugar, ketones, and bacteria and helps to detect in early stage UTIs, dehydration, diabetes, and preeclampsia. As urinalysis is an easy and quick test which indicates many pregnancy complications, it is commonly performed during each pregnancy appointment.</p><p><b>Urine culture</b></p><p>All pregnant women should be tested for asymptomatic bacteriuria between 12 and 16 weeks. Urine test shows bacteria in urine (if it exists) and sensitivity of infection to specific antibiotics for proper treatment. </p><p><b>Vaginal swabs</b></p><p>Vaginal mount (vaginal microscopy) can be done once during pregnancy to detect Candida or BV. Vaginal swabs should be repeated in case abnormal vaginal discharge or vaginal symptoms appear later during pregnancy.  All kinds of vaginal infections should be treated after 12 weeks to prevent pregnancy complications.</p><p>A vaginal swab for GBS (Streptococcus Group B) is recommended at 35-36 weeks to detect streptococcal infection, which is asymptomatic and harmless for pregnant women but can seriously affect newborns. Streptococcus can be transmitted from the mother to the foetus during vaginal birth. GBS infection is a leading cause of meningitis and sepsis in neonates. Timely testing and proper treatment usually prevent complications from this infection.</p><p>Generally, three ultrasounds are recommended during pregnancy; an early pregnancy (dating scan) to confirm intrauterine pregnancy with an alive embryo; in the first trimester (11-14 weeks) to detect congenital diseases; and a second-trimester foetal anomaly scan (18-24 weeks) for a detailed baby anomaly scan.</p><p>More can be done in case of complications or twin pregnancy.</p><p>  From the beginning of the pregnancy to the delivery of the baby, a pregnant woman has to do a lot of tests. — Photo shutterstock.com</p><p>Lastly, CTG (antenatal <b>cardiotocography</b>) is a continuous recording of foetal heartbeat to monitor signs of foetal distress and is usually performed after 34 weeks.</p><p><i>*Dr Olga Sambolska graduated from Lviv National Medical University in 1996 and commenced her medical career at the Volyn Regional Maternity Hospital in Ukraine. Since 1998 she has been a registered obstetrics and gynaecology doctor, providing healthcare to women regarding pregnancy, birth control, menopausal issues, contraception, menstrual cycle diseases and sexually transmitted diseases. She is fluent in Ukrainian, Russian, Polish and English.</i>  </p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I Kim Mã St, Kim Mã, Ba Đình Dist. To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo at +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34 Lê Duẩn St, Bến Nghé, District 1, and 95 Thảo Điền St, District 2. Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
                }
            ],
            "meta_title": "The types of tests necessary during pregnancy",
            "meta_description": "From the beginning of the pregnancy to the delivery of the baby, a pregnant woman has to do a lot of tests. These tests help healthcare providers find possibly latent conditions that may affect the fo",
            "social_title": "The types of tests necessary during pregnancy",
            "social_description": "From the beginning of the pregnancy to the delivery of the baby, a pregnant woman has to do a lot of tests. These tests help healthcare providers find possibly latent conditions that may affect the foetus and the newborn if left untreated. But what tests are needed and when?",
            "social_image": {
                "id": 1633,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr._Olga_ktk9ohi.jpg",
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            }
        },
        {
            "id": 1561,
            "title": "Weather allergies – do they exist?",
            "slug": "weather-allergies-do-they-exist",
            "slug_en": "weather-allergies-do-they-exist",
            "slug_vi": "weather-allergies-do-they-exist",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1626,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Mattias.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr.Mattias.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-05-11",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "To start with, we need to assess – what is an allergy? Allergic symptoms appear when the body’s immune system is reacting to a foreign substance.",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1336
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p>Working as a doctor in Việt Nam, when asking about allergies, I often get the answer that the patients suffer from “weather allergy” – does it exist? Can weather cause allergies? </p><p>To start with, we need to assess – what is an allergy? Allergic symptoms appear when the body’s immune system is reacting to a foreign substance.</p><p>The immune system produces antibodies that identify a particular foreign substance as harmful, even though it isn&#x27;t. Symptoms of an allergic reaction depend on the substance involved and can affect your airways, sinuses and nasal passages, skin, and digestive system.</p><p>Allergic reactions can range from mild to severe. In severe cases, allergies can trigger an anaphylactic shock, a life-threatening medical emergency, with symptoms including light-headedness, skin rash, shortness of breath, nausea and vomiting, drop in blood pressure, rapid, weak pulse and loss of consciousness. </p><p>The most common allergic symptoms include: <i>Hay fever or allergic rhinitis</i> with sneezing, itching of the nose and eyes, runny, stuffy nose and red or swollen eyes. <i>Atopic dermatitis or eczema,</i> can cause itch, rash, flake or peel. <i>Food allergy</i> with tingling in the mouth, swelling of the lips, tongue, face or throat, hives and, in severe cases, anaphylaxis.</p><p><i>Drug allergy</i> with hives, itchy skin, rash, facial swelling, wheezing and anaphylaxis. <i>An insect sting allergy</i> causes swelling at the sting site, itching or hives all over the body, cough, chest tightness, wheezing or shortness of breath and anaphylaxis. </p><p>While most allergies can&#x27;t be cured, treatments can help relieve your allergy symptoms. Understanding what causes your allergies will help you avoid reactions more predictably.  </p><p>Weather changes introduce new or increased concentrations of allergens in the air, triggering reactions in people allergic to those specific allergens. During dry, windy days, pollen and other allergens cause allergic rhinitis and other respiratory reactions. On rainy, humid days, mould will thrive, both inside the home and outside, as well as dust mites, another common allergen. However, humid air weighs down pollen, so if you have a pollen allergy, these days might be better for you. </p><p>The most common allergic symptoms include hay fever or allergic rhinitis with sneezing, itching of the nose and eyes, runny, stuffy nose, and red or swollen eyes.</p><p>In Việt Nam’s (sub-) tropical climate, pollen is released throughout the year. With high humidity come many house dust mites, cockroaches, and mould. Dampness and mould in bedrooms increase the risk of rhinoconjunctivitis. Rapid changes in temperature and humidity trigger asthma symptoms and outbreaks of respiratory viral infections. Poor indoor ventilation is a risk factor for allergy, natural ventilation with windows and doors open seems to be a protective factor, depending on the outdoor level of allergens. </p><p>Air pollution is an increasing cause of allergy and, according to WHO, “a silent killer” - one of the major causes of mortality. Hà Nội has been ranked as the second most polluted city in Southeast Asia after Jakarta, with an Air Quality Index (AQI) often hovering around 200. Particulate matter (PM), microparticles with a diameter of 2.5 microns or less (PM2.5), can cross cell membranes and directly interact with cellular structures, and triggers a series of biological processes associated with allergic respiratory diseases.</p><p>For children, the health effects are especially harmful. They have more vulnerable lungs and a faster breathing rate, getting higher exposure to pollutants than adults. The effects accumulate with time, so growing up in constant exposure to a polluted environment will increase the risk for respiratory allergies. </p><p>There are a lot of different factors that contribute to the timing and severity of an individual’s allergies. You can do nothing about the weather, but you can take steps to control the exposure. If the substance you are allergic to is in the air you breathe, you will experience allergic symptoms. Remaining aware of the weather conditions that increase exposure to your allergies will help you prepare.</p><p>This includes regularly checking on pollen, mould and pollution in your area. On days when levels of your allergies are high, try to spend less time outside. </p><p>An air purifier and a dehumidifier can help stave off mould growth and dust mites in your home. </p><p>Accurately diagnosing your allergies will be easier to counteract and treat the symptoms in time. Talk to your doctor or allergy specialist about your symptoms to discover which allergens trigger your symptoms and possible treatments as antihistamines, nasal sprays and immunotherapy.</p><p></p><p><i>*Dr Mattias Larsson is a pediatric doctor at Family Medical Practice and associate professor at Karolinska Institutet and has a long experience in research on infectious diseases. He has worked with the Oxford University Clinical Research Unit and the Ministry of Health of Vietnam. He is fluent in English, Swedish, Vietnamese, German and some Spanish.  </i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I P. Kim Mã, Kim Mã, Ba Đình. </i></p><p><i>To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh is in Diamond Plaza, 34 Đ. Lê Duẩn, Bến Nghé, district 1, Thành phố and 95 Đ. Thảo Điền, district 2.  Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
                }
            ],
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        },
        {
            "id": 1550,
            "title": "Need a TB test for your UK visa application?",
            "slug": "uk-visa-checkup",
            "slug_en": "uk-visa-checkup",
            "slug_vi": "Kham-suc-khoe-xin-thi-thuc-visa-Anh-UK",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1618,
                "url": "https://media.fmp-data.bliss.build/original_images/UK_Visa.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/UK_Visa.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-05-04",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "Family Medical Practice has been appointed by the United Kingdom government to provide tuberculosis screening for visa applicants to the United Kingdom.  \r\nBusinessmen, migrants or students intending to stay longer than six months in the UK can easily obtain all health certificates necessary in the visa application.",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1329
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<h2><b>TB screening and health check-up</b> </h2><p>Family Medical Practice has been appointed by the United Kingdom government to provide tuberculosis screening for visa applicants to the United Kingdom. </p><p>Tourists, businessmen, migrants or students intending to stay longer than six months in the UK can easily obtain all health certificates necessary in the visa application. </p><p>You can find further information on the visa application process and TB testing on the official webpage of the UK government: <a href=\"https://www.gov.uk/tb-test-visa\">https://www.gov.uk/tb-test-visa</a> </p><p>Contact our check-up department too book your appointment at +84 24 3843 0748 - Ext. 114/126/127 or email: hn-co-ordinator@vietnammedicalpractice.com</p><p>At your service Monday-Friday 8:00-17:00 and Saturday 08:00 – 12:00</p><p>It is recommended to have the TB screening <b>10 weeks before applying</b> to the work, student or migration visa. After the X-ray, further testing may be needed, with results that may take between 6 to 8 weeks.</p><h2>Prepare for your visa health check-up — Important Reminders</h2><p>Family Medical Practice has been appointed to conduct medical check-ups for visa applications for the UK Government. Our experience and knowledge provides you with the fastest service in Hanoi.</p><p>Always phone and organize a time for your health check. Time slots are available Monday-Friday: 8:00-17:00 and Saturday: 8:00-12:00.  Please arrive on time; as we have perfected a schedule calculated specifically to keep you at the clinic for the shortest time possible.</p><p>Please bring your passport, two passport size pictures (with white background) and payment to the appointment.</p><p>Please wear loose clothing, which will help us with a number of the tests.</p><p>Based on the results of the x-ray, your doctor may suggest further tests and review with a specialist. You may also be asked to give a sputum sample (phlegm coughed up from your lungs). The sputum smear/culture test can take a while, with results available in 6-8 weeks</p><p>Get enough sleep, at least six hours, prior to the check-up. Lack of sleep may cause abnormal results such as blood pressure, heart beat, and body temperature. The doctor may not be able to assess if any change is a real abnormality. </p><p>For female applicants: postpone your medical exam until your menstruation period is over.</p><p>Eating and drinking before your appointment is allowed—however, please refrain from taking alcohol and overly sweet drinks.</p><p>It is recommended you find alternative childminding arrangements, as we do not have a childminding facility on-site. If your child is over the age of 16, they will be unable to accompany you during your immigration health examination.</p><h2>Additional steps you may take:</h2><p>Contact the nearest embassy or consulate of the United Kingdom for more information or check this website for further information regarding the TB screening process in Vietnam <a href=\"https://www.gov.uk/government/publications/tuberculosis-test-for-a-uk-visa-clinics-in-vietnam/tuberculosis-testing-in-vietnam\">https://www.gov.uk/government/publications/tuberculosis-test-for-a-uk-visa-clinics-in-vietnam/tuberculosis-testing-in-vietnam.</a> </p><p>Upon contacting the embassy, confirm the required documents, current validity of your passport and the availability of blank visa pages, the time it takes to process the visa, and whether the consulate accepts applications by mail.</p><p>Contact our check-up department too book your appointment at +84 24 3843 0748 - Ext. 114/126/127 or email: hn-co-ordinator@vietnammedicalpractice.com. At your service Monday-Friday: 8:00-17:00 and Saturday 08:00 – 12:00</p>"
                }
            ],
            "meta_title": "UK Visa Check-up",
            "meta_description": "Family Medical Practice has been appointed by the United Kingdom government to provide tuberculosis screening for visa applicants to the United Kingdom.",
            "social_title": "UK Visa Check-up",
            "social_description": "Family Medical Practice has been appointed by the United Kingdom government to provide tuberculosis screening for visa applicants to the United Kingdom.",
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        },
        {
            "id": 1557,
            "title": "Advice to parents during autism awareness month",
            "slug": "advice-parents-during-autism-awareness-month",
            "slug_en": "advice-parents-during-autism-awareness-month",
            "slug_vi": "advice-parents-during-autism-awareness-month",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1626,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Mattias.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr.Mattias.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-04-26",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "However, as he got older, Lê and Mai noticed that their son was not like other children his age. An had trouble making eye contact, rarely spoke, and seemed uninterested in playing with his toys or other children.",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1335
            ],
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                {
                    "type": "text",
                    "value": "<p> Lê and Mai are parents to a 4-year-old boy named An. They were overjoyed when An was born, and they watched with pride as he reached his developmental milestones.</p><p>However, as he got older, Lê and Mai noticed that their son was not like other children his age. An had trouble making eye contact, rarely spoke, and seemed uninterested in playing with his toys or other children.</p><p>Lê and Mai initially thought An was just a late bloomer, but as time passed, they became increasingly concerned. They took An to see a paediatrician, and after several tests and assessments, An was diagnosed with Autism Spectrum Disorder (ASD).</p><p>ASD affects communication and social interaction skills. Children with autism may have difficulty with verbal and nonverbal communication, struggle to make friends, and have restricted interests and repetitive behaviours.</p><p>Research among twins and siblings has shown a strong genetic component to autism. It is, however, not just one gene that causes autism, but multiple genes contribute to the overall risk.</p><p>Environmental factors also play a role in the development of autism. Exposure to toxins, such as lead and mercury, during pregnancy or early childhood, has been linked to an increased risk of developing autism. Other risk factors include complications during pregnancy or delivery and maternal infections during pregnancy.</p><p>While autism is typically diagnosed in early childhood, symptoms may be present from a very young age. Some signs of autism include delayed language development, difficulty making eye contact, and repetitive behaviours, such as hand-flapping or lining up toys.</p><p>It is important to note that while autism can be a significant challenge for individuals and their families, some abilities might be enhanced. For example, individuals with autism may have exceptional memory, attention to detail, or visual-spatial skills.</p><p>The prevalence of autism in Việt Nam is not well documented, but it is believed to be on the rise. There is also a growing awareness of these conditions among parents and healthcare professionals, which has led to increased diagnosis and treatment.</p><p>An&#x27;s story is not uncommon. Many parents in Việt Nam are discovering that their children have autism and are navigating the challenges of diagnosis and treatment.</p><p>While the diagnosis of autism can be overwhelming for parents, resources and support are available to help them navigate this journey. Early intervention and treatment can make a significant difference in the lives of children with autism and their families.</p><p>Treatment options for autism vary depending on the individual&#x27;s needs and symptoms. There is no cure for autism, but early intervention can improve outcomes.</p><p>Behavioural and educational interventions, such as Applied Behavioral Analysis (ABA) therapy, can help children with autism learn new skills and improve their communication and social interaction.</p><p>Medications may also be prescribed to help manage symptoms such as anxiety or aggression. Parent training and education programmes are also beneficial in helping parents understand and manage their child&#x27;s symptoms.</p><p>One of the challenges of diagnosing and treating autism and ADHD in Việt Nam is the lack of resources and trained professionals. While there are some specialised clinics and hospitals that offer services for these conditions, they are often concentrated in major cities and may not be easily accessible to families in rural areas.</p><p>Another challenge is the stigma surrounding mental health issues in Vietnamese culture. Parents may be hesitant to seek help for their child because they fear being judged by their community or being seen as a failure as a parent. Public education about autism and ADHD and reducing the stigma surrounding these conditions is essential to ensuring children receive the support and treatment they need.</p><p>Lê and Mai enrolled An in a specialised school for children with autism and participated in parent training and education programs. Over time, An started to make eye contact, speak more frequently and show an interest in playing with other children. While An still faces challenges related to his autism, Lê and Mai feel more confident in their ability to support him and help him reach his full potential.</p><p>In conclusion, while there is no cure for autism, early diagnosis, intervention, and treatment can help children with autism learn new skills and improve their quality of life. In Việt Nam, access to specialised services and treatment for autism can be limited, but resources are available. With greater understanding and awareness, we can work to improve the lives of individuals with autism and their families in Việt Nam. </p><p></p><p><b>Family Medical Practice</b></p><p><i>*Dr Mattias Larsson is a pediatric doctor at Family Medical Practice and associate professor at Karolinska Institutet and has a long experience in research on infectious diseases, especially antibiotic resistance and hospital-acquired infections as well as HIV, with many articles in peer-reviewed publications and mainstream media appearances. He has worked with the Oxford University Clinical Research Unit, USAID, the Clinton Foundation, and the Ministry of Health of Việt Nam. He is fluent in English, Swedish, Vietnamese, German and some Spanish.</i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298 I Kim Mã, Kim Mã Ward, Ba Đình Dist.</i></p><p><i>To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown Hồ Chí Minh City is in Diamond Plaza, 34 Đ Lê Duẩn, Bến Nghé, District 1, and 95 Đ Thảo Điền, District 2. Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com<i>.</i></p>"
                }
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        },
        {
            "id": 1556,
            "title": "Holiday Notice - Hours of operation",
            "slug": "holiday-notice-hours-operation",
            "slug_en": "holiday-notice-hours-operation",
            "slug_vi": "holiday-notice-hours-operation",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1628,
                "url": "https://media.fmp-data.bliss.build/original_images/National_Holidays-07.png",
                "compressed": "https://media.fmp-data.bliss.build/images/National_Holidays-07.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-04-25",
            "category": {
                "id": 2,
                "name": "Events",
                "slug": "events"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "",
            "related_pages_title": null,
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            "locations": [
                1334
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p>𝐇𝐀𝐏𝐏𝐘 𝐇𝐎𝐋𝐈𝐃𝐀𝐘𝐒, 𝐘𝐎𝐔𝐑 𝐇𝐄𝐀𝐋𝐓𝐇 𝐈𝐒 𝐎𝐔𝐑 𝐂𝐀𝐑𝐄.</p><p>Please note that FMP is opening during upcoming holidays from 29th April to 3rd May</p>"
                }
            ],
            "meta_title": "",
            "meta_description": "",
            "social_title": "",
            "social_description": "",
            "social_image": null
        },
        {
            "id": 1553,
            "title": "Holiday clinic operations schedule",
            "slug": "holidayseasonhoursoperation",
            "slug_en": "holidayseasonhoursoperation",
            "slug_vi": null,
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1621,
                "url": "https://media.fmp-data.bliss.build/original_images/Holiday_clinic_operations_schedule-01.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Holiday_clinic_operations_sch.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-04-20",
            "category": {
                "id": 2,
                "name": "Events",
                "slug": "events"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "Wishing you a holly, jolly Christmas filled with love, laughter, and good health! May the magic of the season bring joy to your hearts and homes.\r\n\r\nMerry Christmas and a Healthy New Year!",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1332,
                1331
            ],
            "content": [
                {
                    "type": "image",
                    "value": {
                        "id": 1622,
                        "url": "https://media.fmp-data.bliss.build/original_images/Holiday_clinic_operations_schedule-02.jpg",
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                    }
                }
            ],
            "meta_title": "",
            "meta_description": "",
            "social_title": "",
            "social_description": "",
            "social_image": null
        },
        {
            "id": 1554,
            "title": "Breastfeeding is the natural and best way to feed an infant",
            "slug": "breastfeeding-natural-and-best-way-feed-infant",
            "slug_en": "breastfeeding-natural-and-best-way-feed-infant",
            "slug_vi": "breastfeeding-natural-and-best-way-feed-infant",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1626,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Mattias.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr.Mattias.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-04-20",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "However, modern society poses challenges to this tradition, particularly with long working hours and less time for parents to care for their children. With the current rapid transmission of Vietnamese society, how can long traditions promoting good mother and child health be preserved?",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1333
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p>In Vietnamese culture, breastfeeding for a long period is common and considered an essential part of raising a healthy child. Many Vietnamese mothers breastfeed their babies exclusively for the first six months and continue to breastfeed for up to two years or more.</p><p>However, modern society poses challenges to this tradition, particularly with long working hours and less time for parents to care for their children. With the current rapid transmission of Vietnamese society, how can long traditions promoting good mother and child health be preserved?</p><p></p><p>Breast milk is the perfect nutrition as it contains a unique blend of nutrients, immune system boosters, vitamins, minerals and hormones that are essential for growth and development, and is constantly adapted to the needs of the child.</p><p>Breastfeeding supports the immune system as breast milk contains the mother&#x27;s antibodies that help protect against infections, viruses and bacteria. These antibodies are not found in formula, so formula-fed babies are at a higher risk of developing infections, such as respiratory infections and diarrhoea. Breastfed babies also have a stronger immune system and are less likely to develop allergies, asthma, and eczema.</p><p>Research has shown that breast milk contains live bacteria, known as probiotics, which can help establish a healthy gut microbiome in infants. These beneficial bacteria are unique and not found in formula milk. The probiotics in breast milk also help prevent the growth of harmful bacteria in the gut, prevent infections, support the immune system, and even improve digestion.</p><p>Brain development is enhanced as breast milk contains essential fatty acids. These fatty acids are not found in formula, so breastfed babies have an average higher IQ and are less likely to develop learning disabilities.</p><p></p><p>Breastfeeding also fosters a strong bond between mother and child, which is essential for emotional and cognitive development.</p><p>Physical contact and skin-to-skin contact during breastfeeding can promote feelings of closeness and security for both mother and baby. The release of hormones during breastfeeding, such as oxytocin, further strengthens the bond between mother and child, creating a lifelong connection and long-lasting effects on the child&#x27;s emotional and social development.</p><p>Weight loss after giving birth is another reason to breastfeed. Production of breast milk burns extra calories, which can help the mother lose the weight gained during pregnancy. Breastfeeding also releases hormones that help the uterus return to its pre-pregnancy size.</p><p>Breastfeeding can also reduce the amount of estrogen in the body, decreasing the risk of breast and ovarian cancer.</p><p>Formula milk is produced from cow milk. Many infants have the inability to digest the larger protein in cow milk, which might lead to digestive problems, abdominal pain, constipation or diarrhoea and, in the longer run, cow milk protein allergy.</p><p>Some children also react if mothers have consumed dairy products as the proteins are transported into the mothers&#x27; milk. In such cases, the recommendation is for the mothers to avoid cow milk-containing products such as milk, cheese and yoghurt.</p><p></p><p>Breastfeeding is convenient for the mother. There is no need to prepare formula, heat bottles, or worry about sterilising equipment. Breast milk is always available and at the right temperature. Breastfeeding is also cheaper than formula feeding, saving parents a lot of money in the long run.</p><p>Environmental benefits are obvious: there is no packaging or waste associated with breastfeeding. It also eliminates the carbon footprint associated with producing and transporting formula milk.</p><p>In conclusion, breastfeeding is a natural and beneficial way to nourish infants and promote a strong bond between mother and child. Even partial breastfeeding can provide significant health benefits for infants and mothers, and exclusive breastfeeding for the first six months of life is recommended by the World Health Organisation.</p><p></p><p>By preserving the tradition of breastfeeding for a long period, we can promote the health and well-being of both mother and child and uphold the cultural values that have been passed down through generations. <b>Family Medical Practice</b></p><p><i>*Dr Mattias Larsson is a pediatric doctor at Family Medical Practice and associate professor at Karolinska Institutet and has a long experience in research on infectious diseases, especially antibiotic resistance and hospital-acquired infections, as well as HIV, with many articles in peer-reviewed publications and mainstream media appearances. He has worked with the Oxford University Clinical Research Unit, USAID, the Clinton Foundation, and the Ministry of Health of Việt Nam. He is fluent in English, Swedish, Vietnamese, German and some Spanish. </i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I Kim Mã, Ba Đình District, Hà Nội. </i></p><p><i>To book an appointment, please call us at (024).3843.0784, or contact us via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34 Lê Duẩn, Bến Nghé, District 1, and 95 Thảo Điền, District 2.  Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
                }
            ],
            "meta_title": "",
            "meta_description": "",
            "social_title": "",
            "social_description": "",
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        },
        {
            "id": 1552,
            "title": "Unpredictable food allergies and what to do",
            "slug": "unpredictable-food-allergies-and-what-do",
            "slug_en": "unpredictable-food-allergies-and-what-do",
            "slug_vi": "unpredictable-food-allergies-and-what-do",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1620,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Brian.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr.Brian.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-04-13",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "An allergic reaction to a particular food may be uncomfortable but not severe for some people. For others, an allergic food reaction can be frightening and even life-threatening. Food allergy symptoms usually develop within a few minutes to an hour after eating the offending food.",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1330
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<h2><b>Are allergic reactions to food common in Việt Nam?</b></h2><p>Food allergy affects an estimated six to eight per cent of children under age three, and about four per cent of adults worldwide. It’s easy to confuse a food allergy with a much more common reaction known as food intolerance. For expats living in Hà Nội, allergic reactions to local food, especially seafood, can present significant problems that may need to be addressed urgently.</p><p>An allergic reaction to a particular food may be uncomfortable but not severe for some people. For others, an allergic food reaction can be frightening and even life-threatening. Food allergy symptoms usually develop within a few minutes to an hour after eating the offending food.</p><p>The most common symptoms include; tingling in the mouth; hives, itching or eczema; swelling of the lips, face, tongue and throat, or other parts of the body; wheezing, nasal congestion or trouble breathing; abdominal pain, diarrhoea, nausea or vomiting; dizziness, lightheadedness or fainting.</p><p>Food allergy affects an estimated six to eight per cent of children under age three, and about four per cent of adults worldwide.</p><h2><b>Anaphylaxis</b></h2><p>In some people, a food allergy can trigger life-threatening symptoms, including; a swollen throat or a lump that makes breathing difficult; shock, with a severe drop in blood pressure and a rapid pulse; dizziness; lightheadedness and/or loss of consciousness. Emergency treatment is critical for anaphylaxis. If untreated, it can result in a coma or death.</p><h2><b>How do food allergies develop?</b></h2><p>The principal cause of allergic reactions to food is an immune system mistakenly identifying a specific food substance as harmful. Immune cells release a substance known as immunoglobulin E (IgE) antibodies to fight the culprit food or food substance (the allergen). The next time one eats even the smallest amount of that food, the IgE antibodies sense it and signal to the immune system to release a chemical called histamine. This histamine released into the bloodstream causes the range of symptoms described.</p><p>The majority of food allergies are triggered by certain proteins in; shellfish, such as shrimp, lobster and crab; peanuts; tree nuts, such as walnuts and pecans; and fish and eggs.</p><h2><b>What is the most effective treatment?</b></h2><p>The only way to avoid an allergic reaction is to avoid the foods that cause the signs and symptoms. However, despite your best efforts, you may come into contact with a food that causes a reaction.</p><p>For a minor allergic reaction, prescribed antihistamines may help reduce symptoms. These drugs can be taken after exposure to an allergy-causing food to help relieve itching or hives. However, antihistamines alone can’t treat a severe allergic reaction.</p><p>For a severe allergic reaction, you may need an emergency epinephrine injection and a trip to the emergency room requiring IV fluids, anti-histamines, epinephrine and even steroids. Many people with known severe allergies carry an auto-injector pen for epinephrine (EpiPen). </p><p>The key treatment is to do your best to avoid the food in question and work with your doctor to identify what steps you can take to relieve your symptoms and how to spot and respond to a severe reaction.</p><p>Testing for food allergies has become very sophisticated in the last few years. Allergy ‘panel testing’ can now identify up to 220+ potential food allergens. <b>Family Medical Practice Hanoi</b></p><p><i>* Doctor William Brian McNaull has been the Medical Director at Family Medical Practice Hanoi for 18 years. He brings extensive experience to the practice, with specialist qualifications in hepatology, epidemiology and infectious diseases, having graduated from the Medical Universities of Sheffield, Cambridge and London. He has had significant exposure working in both rural Việt Nam and Cambodia in medical research and delivering/teaching clinical medicine. He has participated in many medical missions throughout Việt Nam and is passionate about improving the quality of medical access to disadvantaged rural and ethnic Vietnamese communities in the mountains, especially to orphanages.</i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I P. Kim Mã, Kim Mã, Ba Đình</i> <i>District.</i></p><p><i>To book an appointment, please call us at (024).3843.0784, or contact us via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com.</p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34Đ. Lê Duẩn, Bến Nghé, District 1, and 95Đ. Thảo Điền, District 2.  Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
                }
            ],
            "meta_title": "",
            "meta_description": "",
            "social_title": "",
            "social_description": "",
            "social_image": {
                "id": 1620,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Brian.jpg",
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            }
        },
        {
            "id": 1549,
            "title": "Overweight and running: five things you must know",
            "slug": "overweight-and-running-five-things-you-must-know",
            "slug_en": "overweight-and-running-five-things-you-must-know",
            "slug_vi": "overweight-and-running-five-things-you-must-know",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1617,
                "url": "https://media.fmp-data.bliss.build/original_images/Dr.Sosa.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Dr.Sosa.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2023-04-08",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "The risk of getting injured is considerable when people who are overweight decide to use running as a way to get in shape.",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1328
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p>Often in adult life, especially if family and work keep us busy, we gain weight. The default solution is a very common mistake: go for a run.</p><p>The risk of getting injured is considerable when people who are overweight decide to use running as a way to get in shape.</p><p>Running is a great way to develop cardiovascular resistance and a dopamine-releasing activity that can improve our mood, focus, and health in general. However, if we are overweight and run, we must deal with some mechanical facts. </p><p>Our body is a very efficient biological machine but it has limits, and we can exceed this capacity by pushing our body too hard in our attempt to &#x27;burn fat&#x27; as quickly as possible. </p><p>I often see patients struggling with losing weight and getting injured while running. That&#x27;s why I would like to share my experience so if this is your situation you won’t end up with this kind of problem. </p><p><b>Here are five reasons why running is NOT the best option to lose weight:</b></p><ol><li><b>Cartilage injuries:</b> Running with excessive weight can damage the cartilage in your hips, knees, and ankles. If there is already a weak area in the cartilage, the risk of developing osteoarthritis is high. The initial symptoms of osteoarthritis are pain, stiffness, swelling, joint effusion, and limited motion. Mechanical loads severely increase when running downhill. </li><li><b>Ligament injuries:</b> Sprains are very common when running overweight, especially in our ankles and knees. These joints were designed to withstand some loads, but when we exceed their capacity, any simple twist can turn into a disaster. Ligament lesions are serious because they can compromise the stability of our joints. </li><li><b>Muscle consumption:</b> When you focus on running as your only way to lose weight, you probably consume glycogen from your muscles as an energy source. In the long term, this activity leads to losing muscle mass instead of fat. If you lose weight, make sure you lose fat, not muscle. Our muscles are responsible for a huge part of our metabolism, not only moment and strength as most people might think. The more muscle mass we have, the healthier we get. The more fat tissue we have, the weaker we become.</li><li><b>Disc compression:</b> Neck and lower back pain are the most common reasons for visiting orthopaedics. Vertical impacts while running increase the loads in our spine. Any thinning or bulging disc in your neck or lower back can cause pain, swelling, limited motion, and tingling or numbness in your extremities, symptoms of nerve compression.</li><li><b>Heart demand:</b> Running has a high cardiovascular demand, and your heart, as a pump, was not designed to move your body with extra weight. Better to get close to your ideal weight first before running.</li></ol><p>Some pieces of advice. Instead of running, please try to: </p><p><b>A. Focus on your nutrition.</b> Instead of running as a stand-alone weight management strategy, try to adjust your nutrition first. Ensure all your meals contain enough protein, healthy fats, and nutritious carbs.</p><p><b>B. Walking.</b> Walking is more effective than running because the mechanical impact is lower, and you can even practise it throughout the day. Walk everywhere and do it on purpose. Find any excuse and do it more and more every day. If your problem is an eight to five job, take short breaks and come to say hello to your colleagues or deliver all those documents to office by office. </p><p><b>C. Move more.</b> We are too sedentary, especially nowadays, spending too much time on the phone. One of the secrets of health is movement. Movement is life, say the wise. So drop your phone and move more: take your dog out, take the stairs, go to the park, find any excuse but avoid sitting for long periods at work.</p><p><b>D. Calm down.</b> There is nothing like a magical pill for a quick change. Getting in shape takes time, learning, and discipline. It takes time, but we all need it, so please slow down and enjoy the journey. </p><p></p><p><b>Family Medical Practice</b></p><p><i>*Dr Andres Sosa</i> <i>is our Orthopedic Surgeon specialising in sports medicine and trauma. After his residency in Orthopedics, he took a Master’s in Upper Limb Surgery at the University of Bologna (Italy).  Furthermore, he joined a sports medicine programme at Thomas Jefferson University Hospital in Philadelphia (USA) and obtained his second Master’s in Shoulder Surgery with the University of Andalucía (Spain). Once in Asia, he continued his surgical training at the Arthrex ArthroLab (Singapore), focused on knee meniscus and ligament reconstruction.</i></p><p><i>Dr Sosa joined Family Medical Practice in 2018 and is responsible for all orthopaedic and trauma cases. He is also a sports nutrition and fitness expert from Major University (Chile) and is fluent in English, Italian, and Spanish. </i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I Kim Mã Street, Ba Đình District, Hà Nội. To book an appointment, please call us at (024).3843.0784 or via Whatsapp, Viber or Zalo at +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in HCM City is in Diamond Plaza, 34 Lê Duẩn Street, Bến Nghé Ward, District 1, and 95 Thảo Điền Street, District 2. Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
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            "id": 1546,
            "title": "Menopausal transition: what to expect and how to mitigate symptoms",
            "slug": "menopausal-transition-what-expect-and-how-mitigate-symptoms",
            "slug_en": "menopausal-transition-what-expect-and-how-mitigate-symptoms",
            "slug_vi": "menopausal-transition-what-expect-and-how-mitigate-symptoms",
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            "post_date": "2023-03-28",
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            "summary": "Many women say they're \"in menopause\", while they're actually going through the menopausal transition, also called perimenopause. This is the period before the full menstrual cycle cessation, and comes with specific physical changes.",
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                    "value": "<p>The first sign of perimenopause is an irregular menstrual cycle. Menstrual cycles become longer or shorter, with heavy bleeding or spotting between periods from declining ovarian function. Heavy bleeding in turn can cause fatigue and increase risk of anaemia.</p><p>Then there are the hot flashes – a common name for vasomotor symptoms. They come on rapidly and can last from one up to 5 minutes. They range in severity from a fleeting sense of warmth to a feeling of being consumed by fire from inside out. A major hot flash can induce facial and upper-body flushing, sweating or chills. Hot flash frequency varies widely. Some women have one per week, others may experience 10 or more in the daytime and even at night.</p><p>Another symptom is slowed metabolism and weight gain caused by hormonal changes, causing fat storage around the belly. This excessive body weight increases the risk of diabetes type 2, hypertension, heart disease and respiratory problems.</p><p>Some women experience &#x27;&#x27;foggy brain&quot;: attention problems and increased forgetfulness. This memory decline is not a sign of dementia, as these cognitive changes are typically small and well within normal range. Also sleep problems may occur, from full insomnia to interrupted sleep or waking up too early.</p><p>Other symptoms are depression, anxiety and mood swings. These are caused by estrogen fluctuation, leading to decreasing serotonin, our &quot;happy hormone&quot;. There can be irritability or sudden feelings of anger called &quot;perimenopause range&quot;. Another symptom can be vaginal atrophy, which feels like &quot;dry&quot; vagina and causes painful intercourse.</p><p>Some lesser-known perimenopausal symptoms are altered depth perception, “dry, watery or tired” eyes, body odour, wild hair (chin, nipple), joint pain and stiffness, muscle and bone ache, voice changes, skin sensations like tingling or itching with dryness.</p><p>The signs and symptoms described above are usually enough to tell that a woman started the menopausal transition. In some circumstances, blood tests can be necessary to check the level of Estradiol and FSH hormones or the thyroid function.</p><p>Many perimenopausal symptoms are of little concern and can be easily remedied — Photo shutterstock.com</p><p>How to reduce perimenopausal symptoms before starting hormone replacement therapy (HRT):</p><ol><li><b>Healthy diet</b> plays a crucial role to minimise menopausal symptoms:</li></ol><p>- High fibre food with cruciferous vegetables such as broccoli, cabbage and kale helps to balance estrogen levels. Fibre is important for the cardiovascular system, maintaining cholesterol levels, keeping a healthy weight and reducing constipation. Some of the best sources include nuts, seeds, legumes/beans, and avocado.</p><p>- Omega-3 fats from fish and flaxseed can protect the heart, and promote smooth skin. The best resources are salmon, sardines, mackerel and anchovies.</p><p>- Healthy fats and cold-pressed oil: it&#x27;s true that fats have more calories than proteins or carbohydrates, but they are essential for metabolism and many processes in our body. Moreover, unrefined oil provides vitamin E that helps regulate estradiol levels. Good sources of healthy fats: extra-virgin olive or flaxseed oil, coconut milk and wild seafood.</p><p>- Probiotic foods: as probiotics help to regulate levels of key hormones like insulin and leptin, capable of raising the immune system and cognitive function. The best sources include yogurt, kefir and other fermented food.</p><p><b>2 Water</b>: aim for 8 glasses daily to help replace fluid loss from hot flashes and decrease bloating</p><p><b>3 Avoid certain foods</b> like packaged food, as it contains added sugar, chemical preservatives, and high amounts of sodium and synthetic additives. Avoid sugary and carbonated drinks, and reduce alcohol and caffeine intake as both aggravate hot flashes and contribute to weight gain</p><p><b>4 Regular exercise</b> like yoga, aerobic or strength-training, 10-30 minute activity most days of the week help to reduce depression, improve sleep quality and body weight.</p><p><b>5 Reduce stress:</b> stress causes higher cortisol hormone levels which leads to weight gain, fatigue, poor sleep and low libido. Different stress-reducing techniques to relieve stress: meditation, acupuncture, aromatherapy, and spending time in nature.</p><p><b>6 Sleep:</b> our body and brain need time to recover from daily stress and restore energy, the aim is 7-9 hours of sleep per night. Excessive stress and poor sleep lead to higher cortisol in the morning and as a result higher susceptibility to anxiety and trouble with work performance.</p><p>Not every woman in menopause experiences unpleasant symptoms. Some women have all of them, some just a few, others experience none at all. Many perimenopausal symptoms are of little concern and often correct themselves given time. Others can be easily remedied by diet, exercise, hormone therapy or other medications.</p><p>If symptoms of perimenopause become severe and affect quality of life: it&#x27;s time to check in with a healthcare provider. — <b>Family Medical Practice</b></p><p></p><p><i>*Dr Olga Sambolska graduated from Lviv National Medical University in 1996 and commenced her medical career at the Volyn Regional Maternity Hospital in Ukraine. Since 1998 she has been a registered obstetrics and gynecology doctor, providing healthcare to women in relation to pregnancy, birth control, menopausal issues, contraception, menstrual cycle diseases and sexually transmitted diseases. She is fluent in Ukrainian, Russian, Polish and English.</i></p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I Kim Mã St, Kim Mã, Ba Đình. To book an appointment, please call us at (024).3843.0784, or contact us via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh City is in Diamond Plaza, 34 Lê Duẩn St, Bến Nghé, District 1, and 95 Thảo Điền St, District 2. Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
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        {
            "id": 1545,
            "title": "Skincare essentials: your personalised guide",
            "slug": "skincare-essentials-your-personalised-guide",
            "slug_en": "skincare-essentials-your-personalised-guide",
            "slug_vi": "skincare-essentials-your-personalised-guide",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1613,
                "url": "https://media.fmp-data.bliss.build/original_images/General_Flyer_2-04.jpg",
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            },
            "post_date": "2023-03-20",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
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            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
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            "tags": "",
            "summary": "For choosing the right skin care, it’s essential to first understand the concept of ageing.",
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                    "value": "<p>Flawless skin is the most universally desired human feature. In the quest to achieve perfect skin, people of all ages are constantly searching for the &#x27;best&#x27; skincare products. Whether they shop at a pharmacy, department store, or online, people are faced with a paradox of choice. They turn to their friends, physicians, or favourite bloggers for recommendations, often purchasing expensive products that fail to live up to their expectations.</p><p>For choosing the right skin care, it’s essential to first understand the concept of ageing.</p><p>Extrinsic ageing, which includes ultraviolet exposure, pollution and lifestyle choices such as smoking, diet, and daily skincare habits, is estimated to account for 80 per cent of the visible signs of skin ageing. Whereas intrinsic ageing, which is genetically determined and subject to the influence of one’s overall health, stress level, and propensity to develop skin conditions such as acne, rosacea or eczema, accounts for only 20 per cent.</p><p>A plethora of aesthetic procedures, from chemical peeling, micro-needling and PRP Therapy to injections with volumising fillers, neurotoxins, and laser resurfacing, are available these days to address these signs of ageing. However, for maintaining that healthy, radiant skin, a proper at-home skincare routine is a must.</p><p>A great way to start is to know your skin type.</p><p>-       NORMAL SKIN: Even texture and tone, blemish-free, normal pores.</p><p>-       OILY SKIN: Visibly enlarged pores, feels greasy to the touch, looks shiny, frequent acne breakouts.</p><p>-       DRY SKIN: No enlarged pores, looks flaky, feels dry and stretched, with more visible lines.</p><p>-        COMBINATION SKIN: Oily T-zone with normal-dry face, occasional breakouts in oily areas.</p><p>-       SENSITIVE SKIN (not actually a type but a skin condition): Reactive and easily irritated, prone to skin allergies causing redness or stinging/burning sensation due to genetic or external factors.</p><h2><b>BASIC SKINCARE</b></h2><p>Prevention, protection, cleansing, and moisturising are the key components of an effective skincare routine.</p><ol><li><b>Prevention</b>: preventing contact with known irritants, allergens, solvents, surfactants and sensitising preservatives. It’s a concern, especially for patients with sensitive skin where we recommend products with minimum ingredients.</li><li><b>Protection</b>: most sun damage results from everyday, incidental ultraviolet exposure, rather than occasional bursts while on vacation. The most effective active ingredients for blocking out both UV-A and UV-B are either zinc oxide or avobenzone.</li></ol><p>- Normal-Dry Skin: Hyaluronic acid</p><p>- Oily-Combination Skin: Gel/Water-based</p><p>- Dull Skin: Vitamin-C (Ascorbic acid)</p><p>Sunscreen application pointers:</p><ul><li>Amount: 2 finger lengths.</li><li>Application: Daily after moisturizer. Reapply every 2 hours when outside.</li></ul><ol><li><b>Cleansing</b>: should be practised twice daily.</li></ol><p>-       Normal-Dry Skin: Cream/Lotion based, look for Glycerine or Hyaluronic acid.</p><p>-       Oily-Combination Skin: Gel-based/foaming, look for salicylic acid.</p><p>-       Dull SkinLook for AHA/Glycolic acid</p><ol><li><b>Moisturising</b>: should be applied immediately after the cleanser when the skin is still moist.</li></ol><p>-       Normal-Dry Skin: Ointments or creams. Look for Glycerine/Paraffin/ Hyaluronic acid/Ceramides.</p><p>-       Sensitive Skin: Look for Niacinamide/Hyaluronic acid/Peptides.</p><p>-       Oily-Combination Skin: Gels, lotions or serums are lightweight oil in water formulations.</p><p>Prevention, protection, cleansing, and moisturising are the key components of an effective skincare routine.</p><p></p><img src=\"https://media.fmp-data.bliss.build/original_images/ss_749324419_1843.jpg\" class=\"format-left\" /><p></p><p></p><h2><b>ADVANCED SKINCARE</b></h2><ol><li><b>Retinoids</b></li></ol><p>Essential add-ons to your night skincare routine which has anti-ageing effects and is beneficial in acne-prone skin.</p><ul><li><i>Two times/week in your 20s,</i></li><li><i>Three times/week in your 30s</i></li><li><i>Four times/week in your 40s and</i></li><li><i>Five times/week in your 50s and ages above it.</i></li></ul><p><i>*not recommended for sensitive or very dry skin or people with certain skin conditions like Rosacea or eczema.</i></p><ol><li><b>Chemical Exfoliants</b></li></ol><p>It is the process of removing excess corneocyte buildup, which in turn stimulates cell turnover, resulting in more polished, smoother radiant skin. It can be included in your skincare routine three times a week in the form of serum or toner.</p><ul><li>AHA (Alpha Hydroxy Acid) – recommended in dull, sun-damaged skin, uneven skin tone and pigmentation.</li><li>BHA (Beta Hydroxyl Acid) – recommended in Oily acne-prone skin.</li><li>PHA (Poly Hydroxy Acid) - recommended for sensitive skin, dry skin, sun damaged skin.</li></ul><p><i>*Concentrations in excess of 10 per cent to 15 per cent in the case of AHA and 2 per cent in β-hydroxy acid require professional administration.</i></p><ol><li><b>Antioxidants</b></li></ol><p>Can be used as a serum after cleansing and before moisturisation.</p><ul><li>Niacinamide – for acne-prone skin, oily skin, sensitive skin, and inflamed skin.</li><li>Vitamin C - for dull and sun-damaged skin.</li><li>Green tea extracts – for acne prone, oily to combination skin.</li><li>CoQ 10 – for signs of ageing, uneven skin tone, and sun-damaged skin.</li></ul><p>As we grow older, our skin’s inherent anti-ageing mechanisms diminish and the rate of breakdown of key constituents increases. Although cosmetic procedures have a significant positive impact on specific aspects of ageing, clinically proven products, formulated with the right ingredients for a specific skin concern and delivered in an esthetically appealing system, will both maximise the outcome and increase the longevity of benefits from the treatments we provide while empowering the patient to personalise and control their skincare journey. — <b>Family Medical Practice</b></p><p></p><p>* Dr. Snigdha Singh studied a Bachelor of Medicine and Surgery and a masters in Dermatology, Venereology and Leprology. She specialises in diagnosing and treating various skin disorders, scalp and hair, disorders of sebaceous- and sweat glands, oral mucosal lesions, etc. She is also an expert in treating signs of aging like wrinkles, sagging or dull skin, acne (scars), pigmentation, melasma, sun damaged skin, etc. with lasers, chemical peeling, microneedling, PRP therapy, botox, dermal fillers, etc.</p><p><i>Visit Family Medical Practice Hanoi 24/7 at 298I P. Kim Mã, Kim Mã, Ba Đình. To book an appointment, please call us at (024).3843.0784, or contact us via Whatsapp, Viber or Zalo on +84.944.43.1919 or email</i> hanoi@vietnammedicalpractice.com<i>.</i></p><p><i>FMP’s downtown location in Hồ Chí Minh is in Diamond Plaza, 34 Đ. Lê Duẩn, Bến Nghé, District 1, and 95 Đ. Thảo Điền, District 2. Tel. (028) 3822 7848 or email</i> hcmc@vietnammedicalpractice.com.</p>"
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        {
            "id": 1542,
            "title": "Tết holiday: Hours of operation",
            "slug": "tết-holiday-hours-of-operation",
            "slug_en": "tết-holiday-hours-of-operation",
            "slug_vi": "tết-holiday-hours-of-operation",
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            "overview_image": {
                "id": 1611,
                "url": "https://media.fmp-data.bliss.build/original_images/Tet_Card-07.jpg",
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            },
            "post_date": "2023-01-18",
            "category": {
                "id": 2,
                "name": "Events",
                "slug": "events"
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                    "value": "<p> Tết holiday is coming this weekend, it&#x27;s this time of the year for family gatherings and intimate get-togethers.</p><p>Please kindly notice our hours of operation during Tết</p><p></p>"
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        {
            "id": 1541,
            "title": "The essential of Vitamin C",
            "slug": "essential-vitamin-c",
            "slug_en": "essential-vitamin-c",
            "slug_vi": "essential-vitamin-c",
            "slug_ko": null,
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            "overview_image": {
                "id": 1610,
                "url": "https://media.fmp-data.bliss.build/original_images/HEALTHY_FOOD_FOR_KIDS_8.png",
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            },
            "post_date": "2023-01-17",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "Vitamin C is an essential vitamin, meaning your body can’t produce it. Yet, it has many roles and has been linked to impressive health benefits.Vitamin C occurs naturally in some foods, especially fruits and vegetables. Vitamin C supplements are also available.",
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                    "value": "<h2><b>Why we need vitamin C</b></h2><p>Vitamin C is water soluble, and the body does not store it. To maintain adequate levels of vitamin C, people need to consume food that contains it every day.</p><p>The body needs vitamin C for various functions. Here are some of them:</p><ul><li>It helps the body produce collagen, L-carnitine, and some neurotransmitters.</li><li>As an antioxidant, it helps remove unwanted substances known as reactive oxidative species (ROS) from the body.</li><li>It helps the body absorb iron.</li><li>It boosts the immune system.</li><li>It enhances wound healing.</li></ul><p>Vitamin C’s antioxidant activity may help reduce inflammation and lower the risk of developing various conditions, including some cancers. The body needs vitamin C to produce collagen. This is the main component of connective tissue and makes up 1–2% of muscle tissue.</p><p>Low levels of vitamin C in the body can lead to scurvy. Symptoms of scurvy include swollen joints, bleeding gums and loose teeth, anemia, and tiredness.</p><h2><b>Benefits of vitamin C</b></h2><p>The benefits of vitamin C may include the following.</p><h3><b>Wound healing</b></h3><p>Vitamin C helps the body produce collagen and is present in skin, muscle, and other tissues.</p><p>People with a low intake of vitamin C may experience slower wound healing, as their bodies will be less able to produce collagen.</p><h3><b>Diabetes</b></h3><p>A 2019 study looked at 31 people aged around 60 years to see whether or not taking vitamin C supplements made a difference to their glucose levels after eating.</p><p>After taking supplements for 4 months, the participants’ glucose levels and blood pressure improved, compared with taking a placebo. This suggests that vitamin C could, one day, be a treatment for diabetes.</p><h3><b>Allergies</b></h3><p>During an allergic reaction, the immune system triggers an inflammatory response that can lead to symptoms such as swelling and hives. During this process, the body produces ROS, which can lead to oxidative stress.</p><p>In a 2018 study, 71 people with skin or respiratory allergies received various doses of intravenous vitamin C, and the researchers observed the severity of the participants’ symptoms. Their paper concludes that taking a high dose of vitamin C may help reduce allergy symptoms. They also found evidence to suggest that low vitamin C levels were common in people with allergies.</p><h3><b>Antioxidant-Rich Vitamin C Protects the Eyes</b></h3><p>The American Optometric Association notes that vitamin C can lower the risk of developing cataracts and can also help slow the progression of age-related macular degeneration (AMD). Specifically, previous research has found taking 500 mg per day as part of a daily supplement slowed the progression of the disease among people with moderate AMD, likely because of its antioxidant properties.</p><h2><b>5 fruits contain high vitamin C</b></h2><ul><li><b>Pineapple</b></li></ul><p>Pineapple is an underrated nutrient powerhouse - the fruit contains huge amounts of vitamin C. A mineral which is rarely found in natural foods, manganese, is also found in pineapple making it a great addition to the diet.</p><ul><li><b>Strawberries</b></li></ul><p>Strawberries are known for their antioxidant properties all over, but they are also a rich source of vitamin C. Their vitamin C content is slightly more than that in a single orange. </p><ul><li><b>Kiwi</b></li></ul><p>If you&#x27;re looking for a healthy snack option or a way to add &#x27;green&#x27; to your diet, Kiwi fruit is the way to go. Just one kiwi fruit contains up to 84mg of vitamin C, along with other vital vitamins such as vitamin K and E.</p><ul><li><b>Mango</b></li></ul><p>Mangoes are naturally high in vitamin C and beta-carotene, and thus help in boosting immunity as well. Green mangoes actually have more vitamin C content than their yellow or red counterparts.</p><ul><li><b>Papaya</b></li></ul><p>Papaya is best enjoyed fresh, whether as a salad or in the form of a juice. Half a papaya, if eaten raw, provides a significantly higher amount of Vitamin C than a single orange.  </p>"
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        {
            "id": 1538,
            "title": "HOLIDAY SCHEDULE: Christmas, New Year & Tet 2023",
            "slug": "holiday-schedule",
            "slug_en": "holiday-schedule",
            "slug_vi": null,
            "slug_ko": null,
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                "id": 1603,
                "url": "https://media.fmp-data.bliss.build/original_images/Holiday_Notice_2023-05.png",
                "compressed": "https://media.fmp-data.bliss.build/images/Holiday_Notice_2023-05.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2022-12-09",
            "category": {
                "id": 2,
                "name": "Events",
                "slug": "events"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "We wish you and your family a healthy and prosperous new year",
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            "title": "An important role of sex education for young children",
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            "post_date": "2022-11-24",
            "category": {
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            "summary": "Young people see pornography as a source of information about sexuality. Can an integrated sexual education change this?",
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                    "value": "<p>A child forms their ideas about the world from what they learn at school, from their friends, and at home. I’m frequently asked, “How should I talk about sex to my little ones and when should I start? And how should that communication evolve as they grow up?”</p><p>Avoiding these discussions, reprimanding a child for being curious, or worse, providing misinformation, induces fear and shame and may set the child up for a lifetime of misunderstanding about sexuality and relationships. </p><h2><b>1. Sex education helps to form healthy connections</b></h2><p>It&#x27;s taken us a while to understand that human health is an interconnected system. In the same way that we teach children physical and emotional health, sexual and relational health must be taught as an integral part of that. It isn&#x27;t a second track. Our knowledge and practice of respect, responsibility, mutuality, pleasure, contraception, and consent determines the quality and consequences of the physical and emotional experience of sex. Comprehensive sexuality and relationship education teaches that it isn’t a matter of just “having” sex but that we are sexual beings. It emphasizes the importance of human connection, how to respond to our attractions and our desires and what to do with the attention from others. Teaching children sexual self-awareness helps with the creation of boundaries. When you make it about connection, you’re giving it a meaning. Sex takes place in a context. And integration allows pleasure to flourish in that context of relatedness. </p><h2><b>2. Sex Education Helps Us Have A Healthier Relationship With Our Bodies.</b></h2><p>Children should be raised with a clear understanding of their bodies, how bodies work, how to take care of them, and how all bodies are unique and special and must be treated well. Why is it that we name every body part by its actual name except our genitals? Have you ever heard a nickname for knees? Or armpits? Similarly to how we spend countless nights and mornings teaching our children how to brush their teeth and hair, and why good oral health is paramount, we must also teach children how to clean their genitals, what they’re for, how they will change over time, and how to protect them. These conversations go a long way in helping a child become self-reliant in regards to health and hygiene, and help establish self-esteem. Your body is normal and beautiful and functional. It is yours and only yours. It works like this and will change like that. This is how to take care of it. </p><h2><b>3. It Normalizes Sex And Relationships And Demystifies Them. </b></h2><p>Talking to children about sexuality early on establishes it as a normal topic, and avoids awkward and fraught interventions that inevitably occur too late. Secrecy surrounding sex breeds fear and shame, whereas appropriate openness encourages children to ask questions. It is infinitely preferable to have them ask you for answers than try to figure it out on their own only to stumble upon misinformation. And if you lead the conversation, then you can steer it in the direction of two of the most important aspects of sexual and relationship health….</p><h2><b>4. Sex education help to prevent sexual abuse</b></h2><p>Sex education can help the young population to be aware of their sexual rights. It enables them to recognize potential acts of violence, sexual abuse, and molestation. And prevent it from happening to themselves, or open to conversations that can help them.</p><p>Being a teenager is a challenging time. Young minds are susceptible to grave dangers. Peer pressure might even lead to participation in criminal group behaviour. And its prevention is possible by educating adolescents about sex and consent.</p>"
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            "id": 1534,
            "title": "Healthy food for kids",
            "slug": "healthy-food-for-kids",
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            "post_date": "2022-11-15",
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            "summary": "We all know how important it is for children and teens to make healthy food and activity choices. But, while it may be easy to say, it’s not always so easy to do!",
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                    "value": "<p>We all know how important it is for children and teens to make healthy food and activity choices. But, while it may be easy to say, it’s not always so easy to do!</p><p>However, the benefits of setting some time aside to plan key steps towards getting the kids and whole family eating better and doing more activity make it all worthwhile.</p><p>When children are young, parents and other caregivers are responsible for providing an environment that helps them maintain a lifestyle that is beneficial to their health. You can help your child by doing the following:</p><ul><li>Be a positive role model for healthful eating and activity habits.</li><li>Provide a calm, reassuring atmosphere at regular meal and snack times.</li><li>Set appropriate limits on screen entertainment like television, tablets and video games.</li><li>Involve the whole family in fun physical activities.</li><li>Help children develop and maintain a positive body image.</li><li>Avoid restrictive diets and excessive exercise regimens.</li></ul><p>When it comes to nutrition and fitness, the role of parents is the same no matter the size of their children. A healthy weight for kids is about much more than numbers. It is about healthy behaviours, such as enjoying a variety of foods and activities for strength, flexibility and aerobic capacity.</p><h2><b>Good food and eating well.</b></h2><p>Healthy eating means enjoying a variety of foods from each of the five food groups every day.</p><p>The Australian Guide to Healthy Eating gives us a good idea about which foods children and teens need each day. These include:</p><ul><li>plenty of vegetables, legumes, fruits.</li><li>plenty of cereals, including breads, rice, pasta and noodles – preferably wholegrain</li><li>lean meat, fish, poultry and/or alternatives</li><li>milk, yoghurt, cheese and/or alternatives – choose reduced-fat choices where possible.</li></ul><p>And remember, water is the best drink for kids and teens.</p><h2><b>Did you notice the foods that are not on the guide?</b></h2><p>Lollies, chocolates, soft drinks, cakes, chips and the like do not fit into the food groups. That’s because, as tempting as they are, children and teens (and adults as well!) don’t actually need them.</p><p>These ‘extra’ foods, sitting in the bottom corner of the Guide, should only be eaten sometimes and even then, only in small amounts.</p><h2><b>How much of each food group?</b></h2><p>Every child is different, and the amount of each of the food groups they’ll need will depend on age, body size and activity level, but there are recommendations for how many serves of each food group children and teens normally need.</p><h2><b>Encourage them to eat more vegetables and fruits.</b></h2><p>Getting kids to eat more fruit and vegetables every day can sometimes be a struggle. However, research shows that they’re more likely to tuck into these healthy foods if they’re available, ready to eat and their parents are enjoying them.</p><p>We can also involve our kids in growing, buying and preparing different foods. This can help them taste and enjoy a bigger range of foods, including fruits and vegetables.</p><h2><b>Teen’s eating habits can change.</b></h2><p>The life of a teenager is full of change. As well as physical changes, there are changes in fashion, attitude, interests, income and even tastes.</p><p>So it’s not surprising that their eating habits may change as well – sometimes for the better, sometimes for the worse – and may include dieting, skipping meals, filling up on take-away food or, if you&#x27;re lucky, taking up cooking as a serious hobby.</p><p>Eating habits of teenagers can be brought about by:</p><ul><li>growth spurts</li><li>a focus on fitness and looks</li><li>media messages and body image</li><li>eating away from home.</li></ul><h2><b>Diets are not the answer.</b></h2><p>Diets can do more harm than good. Research suggests kids who diet end up weighing more than non-dieters, with lower self-esteem and greater risk for eating disorders. Do not put your child on a diet, especially without consulting your doctor and a registered dietitian nutritionist.</p><p>Here are some simple actions adults can take to help children develop positive lifestyle habits. These strategies have been shown to promote a healthy weight for adults, too</p><ul><li><b>Be active by playing together.</b> Kids need at least 60 minutes of daily physical activity. Play with your kids every day. It&#x27;s fun for them and fun for you too. Consider checking out your local community centre for kid-friendly activities. Plan family activities that get everyone moving such as biking, after-dinner walks, basketball or soccer at the park.</li><li><b>Make family mealtimes a special time together</b>. Eating more meals together can make a big difference in your family&#x27;s health, happiness and finances. Dinners made at home are less costly than eating out and easier to prepare than you might think.</li><li><b>Eat breakfast</b>. Go beyond cereal and milk and try a breakfast burrito made with a scrambled egg, cheese and salsa wrapped in a flour tortilla. Also, teach kids to use the blender to make their own breakfast smoothie or serve a yoghourt bar with low-fat plain or vanilla-flavoured yoghourt. Add toppings like whole grain cereal, dried fruit and unsalted nuts.</li><li><b>Don&#x27;t forbid food or use food as a reward</b>. Forbidding foods only increases a child’s desire for that food. Instead of saying no to your child’s favourite food, limit the portion size. Use non-food rewards for good behaviour such as stickers or allowing your child to have a friend over to play.</li><li><b>Dine out responsibly</b>. When dining at a restaurant, look for nutritious options on the children’s menu such as a grilled chicken wrap, carrots with dip and fruit. If you order takeout or home delivery, remember that you can add to the meal by serving a glass of low-fat milk or adding a side salad.</li><li><b>Enjoy a rainbow of fruits and vegetables</b>. Most children beyond age 4 need at least 1½ cups of fruit and 1 ½ to 2 ½ cups of vegetables a day. Serve juicy, crunchy, delicious fruits and vegetables at every meal and snack. Fresh, frozen, dried and canned — all types of produce contribute to good health. You can make produce fun by serving frozen grapes, vegetable kebabs or strawberry-topped frozen yoghurt. Some kids dislike bitter or strong flavoured veggies so keep it simple by serving steamed broccoli or cauliflower. Expand raw veggies and dip choices by steaming green beans and zucchini and serving them cold along with baby carrots, celery and cucumbers.</li><li><b>Encourage mindful eating</b>. Ban screens at meal time and help kids focus on their food by being present at the dinner table. Ask your kids what it feels like to be very hungry, a little bit hungry, comfortably full and uncomfortably full. Discuss the importance of trusting and listening to internal body cues.</li><li><b>Choose healthy beverages.</b> Soft drinks, fruit punch and fruit drinks contain added sugars which could be displacing nutritious beverages. Offer healthier drinks like plain milk and water instead. </li></ul><p><b>Remove televisions and video games from bedrooms. </b>Kids who get enough sleep are more likely to maintain a healthy weight and perform better in school. The American Academy of Pediatrics recommends no television in children&#x27;s rooms to reduce screen time and promote healthy sleep habits</p>"
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            "id": 1533,
            "title": "BALANCED DIET",
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            "summary": "There are thousands of diets.Some are for losing weight, while others are for gaining weight,lowering cholesterol,living a healthful life and many other reasons.\r\nA diet is best described as a fixed plan of eating and drinking where the type and amount are planned out  in order to achieve weight loss or follow a particular lifestyle.",
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                    "value": "<p>There are thousands of diets.Some are for losing weight, while others are for gaining weight,lowering cholesterol,living a healthful life and many other reasons.</p><p>A diet is best described as a fixed plan of eating and drinking where the type and amount are planned out in order to achieve weight loss or follow a particular lifestyle.</p><p>The most popular diets are: Atkins diet, Zone diet, Ketogenic diet, Vegetarian diet, Vegan diet, Weight Watchers diet, South Beach diet, Raw food diet, Mediterranean diet.</p><p>Let&#x27;s talk about a balanced diet. Balanced diet is a diet that contains an adequate quantity of the nutrients that we require in a day. A balanced diet includes six main nutrients :</p><p>Fats, Protein, Carbohydrates, Fibre, Vitamins and Minerals.</p><p><b>About calories.</b></p><p>The number of calories in a food refers to the amount of energy stored in that food. Our body uses these calories from food for walking, thinking, breathing,</p><p>and other important functions. The average person needs about 2.000 calories every day for maintain their weight, but the amount depends from age, sex, and physical activity level.</p><p>The source of calories is also important. Foods that provide mainly calories and very little nutrition are known as &quot;empty calories&quot;. Examples of foods that provide &quot;empty calories&quot;:</p><p>cakes,cookies, donuts, pizza, chips and fries, ice cream, energy drinks, sodas, processed meat.</p><p>According to the Centre for Science in the Public Interest, 4 of the top 10 leading causes of death in the US are directly linked to diet : heart disease, cancer, stroke and type 2 diabetes.</p><p><b>About nutrients:</b></p><p>A healthy diet comprises a combination of different foods. This includes: Staples like cereals (wheat, barley,rye, maize or rice) or starchy tubers or roots (potato,yam,taro).</p><p>Legumes (lentils and beans).</p><p>Fruit and vegetables.</p><p>Food from animal sources ( meat, fish, eggs, milk).</p><p>Now some useful information based on WHO recommendations, to follow a healthy diet, and the benefits of doing so.</p><p><b>Breastfeed babies and young children.</b></p><p>A healthy diet starts early in life - breastfeeding fosters healthy growth and may have longer -term health benefits, like reducing the risk of becoming overweight or obese and developing noncommunicable diseases later in life. Feeding babies exclusively with breast milk from birth to 6 months of life is important for a healthy diet. It&#x27;s also important to introduce a variety of safe and nutritious complementary foods at 6 months of age</p><p><b>Eat plenty of vegetables and fruit.</b></p><p>They are important sources of vitamins, minerals, dietary fibre, plant proteins and antioxidants. People with diets rich in vegetables and fruit have a significantly lower risk of obesity,heart disease,stroke , diabetes and certain types of cancer.</p><p><b>Eat less fats:</b></p><p>Fats and oils and concentrated sources of energy. Eating too much , particularly the wrong kinds of fat, like saturated and industrially-produced trans-fat, can increase the risk of heart disease and stroke.</p><p>Using unsaturated vegetable oils (olive, soy, sunflower or corn oil) rather than animal fats or oils high in saturated fats (butter,ghee,lard,coconut and palm oil) will help consume healthy fats.</p><p>To avoid unhealthy weight gain, consumption of total fat should not exceed 30% of a person&#x27;s overall energy intake.</p><p><b>Limit intake of sugars.</b></p><p>For a healthy diet,sugars should represent less than 10% of your energy intake. Reducing even further to under 5%has additional health benefits.</p><p>Choosing fresh fruits instead of sweet snacks as cookies,cakes and chocolate helps reduce consumption of sugars.</p><p>Limiting intake of soft drinks ,soda and other drinks high in sugars ( fruit juice, cordials and syrups, flavoured milks and yogurt drinks) also helps reduce intake of sugars.</p><p><b>Reduce salt intake:</b></p><p>Keeping your salt intake less than 5h per day helps prevent hypertension and reduces the risk of heart disease and stroke in the adult population.</p><p>Limiting the amount of salt and high-sodium condiments( soy sauce and fish sauce ) when preparing foods helps reduce salt intake.</p><p><b>By</b><i> Dr Olga Sambolska*</i></p>"
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            "id": 1530,
            "title": "Monkeypox - What is it?",
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            "summary": "Monkeypox is a viral zoonotic disease that has until recently, occurred primarily in tropical rainforest areas of central and west Africa and has occasionally been exported to other regions",
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                    "value": "<h2><b>What is Monkeypox?</b></h2><p>Monkeypox is a viral zoonotic disease that has until recently, occurred primarily in tropical rainforest areas of central and west Africa and has occasionally been exported to other regions.First recognised in DRC 1958 as a zoonotic infection ( from squirrels,rats, dormice, monkeys). First reported case in 2003 in the USA and 2018 in the UK but since early 2022, it was worldwide recognized with rapid spread around the globe. There are two distinct genetic ‘clades’ of the monkeypox virus: the central African (Congo Basin) clade and the west African clade. The Congo Basin clade has historically caused more severe disease and was thought to be more transmissible.</p><p>This virus is transmitted from one person to another by close contact with lesions, body fluids, respiratory droplets and contaminated materials such as bedding. Monkeypox is usually a self-limited disease with the symptoms lasting from 2 to 4 weeks. Severe cases can occur. In recent times ( Africa), the case fatality ratio has been around 3–6%. However in the USA for example there has been over 18,000 cases of Monkeypox ( End of August 2022) and so far only 1 attributable death to date to the disease,</p><h2><b>Clinical Presentation of Monkeypox</b></h2><p>The clinical presentation of monkeypox resembles that of smallpox, a related orthopoxvirus infection which was declared eradicated worldwide in 1980. Monkeypox is less contagious than smallpox and causes much less severe illness.</p><p>The incubation period (interval from infection to onset of symptoms) of monkeypox is usually from 6 to 13 days but can range from 5 to 21 days.</p><p>The infection can be divided into two periods:</p><p><i>Invasive</i>: (lasts between 0–5 days) characterized by fever, intense headache, lymphadenopathy (swelling of the lymph nodes), back pain, myalgia (muscle aches) and intense asthenia (lack of energy). Lymphadenopathy is a distinctive feature of monkeypox compared to other diseases that may initially appear similar (chickenpox, measles, smallpox)</p><p><i>Eruptive</i>: Usually begins within 1–3 days of appearance of fever. The rash tends to be more concentrated on the face and extremities rather than on the trunk. It affects the face (in 95% of cases), and palms of the hands and soles of the feet (in 75% of cases). Also affected are oral mucous membranes (in 70% of cases), genitalia (30%), and conjunctivae (20%), as well as the cornea. The rash evolves sequentially from macules to papules and vesicles to pustules and finally crusting. The number of lesions varies from a few to several thousand. In severe cases, lesions can coalesce until large sections of skin slough off.</p><p>Again worth repeating, Monkeypox is usually a self-limited disease with the symptoms lasting from 2 to 4 weeks.</p><p>Severe cases occur more commonly among children and are related to the extent of virus exposure, patient health status and nature of complications. Underlying immune deficiencies may lead to worse outcomes. Although vaccination against smallpox was protective in the past, today persons younger than 40 to 50 years of age (depending on the country) may be more susceptible to monkeypox due to cessation of smallpox vaccination campaigns globally after eradication of the disease.</p><h2><b>Vaccination for Monkeypox</b></h2><h4>Who Should Get Vaccinated?</h4><p>Currently, CDC is not encouraging vaccination ( August 2022) against monkeypox for the broader public or for everyone who is sexually active</p><p>BUT you may want to get vaccinated if:</p><p>You have been identified as a close contact of someone with monkeypox.</p><p>You learn that one of your sex partners in the past 2 weeks has been diagnosed with monkeypox.</p><p>You have had sex at an event, venue, or in an area where monkeypox transmission is occurring.</p><p>Vaccines used during the smallpox eradication programme also provide protection against monkeypox. Newer vaccines have been developed of which one has been approved for prevention of monkeypox</p><p>The smallpox MVA-BN vaccine: Brand name JYNNEOS (FDA approved) or IMVANEX (MRHA - UK approved) is administered as a live attenuated virus (that is non-replicating). It is administered as two subcutaneous injections four weeks apart. There is no risk for spread to other parts of the body or other people. People who receive JYNNEOS TM are not considered vaccinated until 2 weeks after they receive the second dose of the vaccine. Thought to be about 85% effective against Monkeypox. This vaccine may also be given intradermally.</p><p>A second vaccine ACAM2000 which is a live Vaccinia Vaccine has been stockpiled but is not available yet. It may be released for use if the disease spreads more aggressively in the future.</p><h4>Antiviral Agents</h4><p>An antiviral agent known as <i>Tecovirimat</i> that was developed for smallpox was licensed by the European Medicines Agency (EMA) for Monkeypox in 2022 based on data in animal and human studies for the treatment of Monkeypox. Also the FDA has approved this agent, but It is not yet widely available.</p>"
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            "title": "TIME FOR YOUR FLU SHOT. Don't wait! Schedule your flu shot today.",
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            "tags": "",
            "summary": "It's that time of year again – time to get your flu shot and ensure the safety and health of both yourself and your loved ones. \r\nVaccination package for 470,000 VND includes: Vaccine consultation with one of our Doctors + a flu vaccine shot. All people aged 6 months and older are eligible for the flu vaccine.\r\nWhy should you get vaccinated against the flu?\r\nGuards against flu-related complications\r\nProtects vulnerable populations\r\nReduces the severity of symptoms if you \r\nDon't wait! Schedule your flu shot today at any of our convenient Family Medical Practice clinics near you.\r\n\r\nCALL US NOW TO SCHEDULE YOUR VACCINE TODAY!\r\nDistrict 1 Medical Center: (028) 3822 7848\r\nDistrict 2 Medical Center: (028) 3744 2000\r\nDistrict 7 Medical Center: (028) 5448 4544\r\nCare1 Executive Health Care Center (028) 3514 0757",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1316,
                1315,
                1314
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p></p><p>It&#x27;s that time of year again – time to get your flu shot and ensure the safety and health of both yourself and your loved ones.</p><p>Vaccination package for 470,000 VND includes: Vaccine consultation with one of our Doctors + a flu vaccine shot. All people aged 6 months and older are eligible for the flu vaccine.</p><p>Why should you get vaccinated against the flu?</p><p>Guards against flu-related complications<br/>Protects vulnerable populations<br/>Reduces the severity of symptoms if you</p><p><b>Don&#x27;t wait! Schedule your flu shot today at any of our convenient Family Medical Practice clinics near you.</b></p><p><br/><b>The 2023-2024 influenza vaccination contains the following:</b></p><ul><li>A/Victoria/4897/2022 (H1N1)pdm09-like strain</li><li>A/Darwin/9/2021 (H3N2)-like strain</li><li>B/Austria/1359417/2021-like strain</li><li>B/Phuket/3073/2013-like strain</li></ul><p></p><p><br/></p>"
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        },
        {
            "id": 1527,
            "title": "Middle Ear Infection in children",
            "slug": "middle-ear-infection-children",
            "slug_en": "middle-ear-infection-children",
            "slug_vi": "middle-ear-infection-children",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1588,
                "url": "https://media.fmp-data.bliss.build/original_images/Noi_dung_doan_van_ban_cua_ban_900__900_px.png",
                "compressed": "https://media.fmp-data.bliss.build/images/Noi_dung_doan_van_ban_cua_ban.format-jpeg.jpegquality-75_DCgGkee.jpg"
            },
            "post_date": "2022-09-14",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "Middle Ear is the space behind the eardrum. When the middle ear is infected with viruses or bacteria, pus (infected fluid) will start to spread out. Ear infection (also named otitis media) can be very painful when the pus pressure over the eardrum.",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1313
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            "content": [
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                    "type": "text",
                    "value": "<h2><b>What Are Middle Ear Infections?</b></h2><p>Middle Ear is the space behind the eardrum. When the middle ear is infected with viruses or bacteria, pus (infected fluid) will start to spread out. Ear infection (also named <b>otitis media</b>) can be very painful when the pus pressure over the eardrum.</p><h2><b>Why Do Kids Get Ear Infections?</b></h2><p>Kid from 0 - 4 years old has a higher chance of getting ear infections than adults do for several reason</p><ul><li>Eustachian tubes in kids are shorter and more horizontal which more easily get infected by viruses and bacteria. The tubes are also narrower and are more likely to get blocked.</li><li>Their adenoids, gland-like structures at the back of the throat, are larger and can interfere with the opening of the eustachian tubes.</li><li>Other things that can put kids at risk include secondhand smoke, bottle-feeding, and being around other kids in childcare. Ear infections are more common in boys than girls.</li></ul><p>Ear infections are not contagious, but the colds that sometimes cause them can be. Infections are common during winter weather, when many people get upper respiratory tract infections or colds (a child with an ear infection also might have cold symptoms, like a runny or stuffy nose or a cough).</p><h2><b>Signs &amp; Symptoms of an Ear Infection?</b></h2><p>Middle ear infection usually causes ear pain. Moreover, for kids, Otitis Media can also cause fever and trouble while eating, drinking or sleeping due to the fact that chewing, sucking and lying down can cause pain in the middle ear.</p><p>You should take very good care of the young child as if they get a middle ear infection, they cannot complain about the pain but only tend to cry more than usual.</p><p>Middle ear infection can develop and rupture the eardrum if the pressure from the fluid gets high enough. A child with a ruptured eardrum can get dizzy or nauseated and have ringing or buzzing in the ear.</p><h2><b>How Do Ear Infections Happen?</b></h2><p>Otitis media normally caused by the swelling in one or both of the eustachian tubes. These tubes allow mucus to go through the middle ear into the throat.</p><p>Swelling eustachian tubes can be caused by a cold, throat infection, acid reflux or allergies, which blocks the mucus from draining. Afterward, viruses or bacteria develop and produce pus and infect the middle ear.</p><h2><b>How Long Do Ear Infections Last?</b></h2><p>For most cases, middle ear infection can go away without any specific treatment after 2 or 3 days. For some cases, an infection can last longer (with the fluid staying in the middle ear upto 6 weeks or longer), even after antibiotic treatment.</p><h2><b>How To Prevent Kids From Middle Ear Infection?</b></h2><p>Some lifestyles and habits could help to prevent kids from middle ear infection:</p><ul><li>Breastfeed infants for at least the first 6 months to prevent the early development of otitis media.</li><li>Secondhand smoking can harm the kids and increase the chance to get ear infection. Please do not let your child be exposed to smokers.</li><li>Personal hygiene is important to prevent the spread of germs which can result in colds, and afterwards, ear infections.</li><li>Children’s immunizations are important in many means. Keeping your child vaccinations up to date can help prevent ear infections.</li></ul><h2><b>Can Ear Infections Affect Hearing?</b></h2><p>Ear infections causing fluid to build up in the middle ear and blocking sound, which can lead to temporary hearing problems. Below are some signs that kids might have when experiencing hearing problems:</p><ul><li>Do not respond to soft sounds</li><li>Need to turn up the TV or Computer speaker</li><li>Speak louder than normal</li><li>Can be inattentive at school</li></ul><p>If the eardrum ruptures, the child can feel ringing or buzzing in the ear and might not have a normal hearing.</p><h2><b>What should I do if I think my child has a middle ear infection?</b></h2><p>If your child has a combination of earache and fever, you can come and see one of our pediatricians at <b>FMP Hanoi</b> for screening and consultation.</p><p>In a rare case, ear infections don’t go away or repeated middle ear infection can cause complications. Moreover, your child can have a foreign object in the ear, or hard earwax which needs a doctor to help with your child’s discomfort and treatment.</p><hr/><p><b>To book an appointment, you can contact us in the following ways:</b></p><p>Phone: 02438430748 ext 112 or 119</p><p>Email: <a href=\"mailto:hanoi@vietnammedicalpractice.com\">hanoi@vietnammedicalpractice.com</a></p><p>WhatsApp/ Zalo: <a href=\"tel:0944431919\">0944431919</a></p>"
                }
            ],
            "meta_title": "Middle Ear Infection in children",
            "meta_description": "Middle Ear is the space behind the eardrum. When the middle ear is infected with viruses or bacteria, pus (infected fluid) will start to spread out. Ear infection (also named otitis media) can be very",
            "social_title": "Middle Ear Infection in children",
            "social_description": "Middle Ear is the space behind the eardrum. When the middle ear is infected with viruses or bacteria, pus (infected fluid) will start to spread out. Ear infection (also named otitis media) can be very painful when the pus pressure over the eardrum.",
            "social_image": {
                "id": 1587,
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        {
            "id": 1526,
            "title": "Heatstroke: Causes and solutions",
            "slug": "heatstroke-causes-and-solutions",
            "slug_en": "heatstroke-causes-and-solutions",
            "slug_vi": "heatstroke-causes-and-solutions",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1586,
                "url": "https://media.fmp-data.bliss.build/original_images/Mau_Xanh_Mau_Bai_Dang_Cho_Nha_Hang_Quang_Cao_Mon_An_Moi_Instagram.png",
                "compressed": "https://media.fmp-data.bliss.build/images/Mau_Xanh_Mau_Bai_Dang_Cho_Nha.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2022-09-13",
            "category": {
                "id": 5,
                "name": "Blogs",
                "slug": "blogs"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "Heatstroke is a very common phenomenon in the summer, occurring when your body has a long exposure to a hot environment or excessive exercise under the sun. The common symptoms of heatstroke can be fatigue, dizziness, headache, and more severe, it can cause stroke.",
            "related_pages_title": null,
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            "locations": [
                1312
            ],
            "content": [
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                    "type": "text",
                    "value": "<h2> <b>What is heatstroke</b></h2><p>Heatstroke is a very common phenomenon in the summer, occurring when your body has a long exposure to a hot environment or excessive exercise under the sun. The common symptoms of heatstroke can be fatigue, dizziness, headache, and more severe, it can cause stroke.</p><p>Heatstroke requires emergency treatment as it can quickly damage your muscles, heart, kidneys and brain. The longer the case, the worse the damage to the patient, which can cause severe complications or death.</p><h2><b>Causes of heatstroke</b></h2><ul><li><b>Exposure to high temperature</b></li></ul><p>This is also known as nonexertional or classic heatstroke. This type of heatstroke occurs when prolonged exposure to a hot environment causes your body temperature to rise. </p><ul><li><b>Heavy exercise:</b></li></ul><p>This is called exertional heat stroke caused by intense exercise under the sun or hot weather. People who are not used to exercising or working under high temperatures are more likely to get exertional heatstroke. </p><p>In addition, the following aspects can also cause your body temperature to rise:</p><ul><li><b>Wearing excess clothing</b>: can prevent sweat from evaporating and cooling down</li><li><b>Beer and Wine: </b>can affect your body’s ability to cool down</li><li><b>Dehydration:</b> not intake enough water to replenish fluid loss through sweating</li></ul><h2><b>Sign of heatstroke</b></h2><p>A common sign is that heatstroke will result in a state of hyperthermia. When the body temperature increases, it will lead to an increase in the process of sweating, causing the body to lose a large amount of water.</p><p>If the body is not replenished with enough water in time, it will lead to a decrease in circulating volume, causing cardiovascular collapse, metabolic disorders and severe electrolyte disorders, which can be fatal. Another risk factor of high body temperature is that it will cause dysfunction of many organs such as cardiovascular, respiratory, nervous.</p><p>The sign of heatstroke may start from mild symptoms such as increased heart rate, increased breathing rate, palpitations to fatigue, dizziness, headache, difficulty in breathing, cramps and finally fainting, coma, cardiovascular collapse, death.</p><h4><b>What to do when you see a patient having heat stroke</b></h4><p>It is essential to apply First aid to the patient having heat stroke before they have the support from medical staff.</p><p>Conduct hypothermia for the victim asap: Immediately move the victim to cool, shady areas, remove excess clothes, give them cool water mixed with salt, apply cold with a cool towel or ice in active areas. Large vessels go near the skin such as armpits, groin, neck.</p><p>If the victim is comatose, cannot drink water or vomits continuously, has a persistent fever, and has symptoms of abdominal pain, chest pain, difficulty breathing, the victim must be immediately transferred to the nearest medical centre. During the transportation, please regularly apply cool compresses to the victim.</p><p>After that, at medical centres, the patient will be given rehydration and electrolytes as well as other life support. In case the victim has a high fever, paracetamol can be used to help reduce the fever. If convulsions occur, anticonvulsant drugs must be given to the patient. In case the victim is in a coma, an endotracheal tube may be required.</p><h2><b>Tips to prevent heatstroke</b></h2><p>According to CDC, you may consider the following to prevent heat related illness:</p><p><b>Wear Appropriate Clothing:</b> Choose lightweight, loose-fitting clothing.</p><p><b>Stay Cool Indoors:</b> Stay in an air-conditioned place as much as possible. You can visit the shopping mall for a few hours to cool down your body if there’s no air-conditioner at home.</p><p><b>Schedule Outdoor Activities Carefully:</b> Try to avoid activities under direct sunlight. It is preferable to practice in the early morning and evening hours. Remember to rest often in shady areas to avoid dehydration.</p><p><b>Lookout for yourself:</b> If you feel like your heart is pounding and gasping for breath, STOP all activity and take a rest in a cool place.</p><p><b>Wear Sunscreen:</b> Sunlight affects your body’s ability to cool down, and therefore, cause you to dehydrate. Avoid exposure to sunlight by wearing sunglasses, and by putting on sunscreen of SPF 15 or higher 30 minutes prior to going out.</p><p><b>Do Not Leave Children in Cars:</b> This one is very important as cars can quickly heat up to dangerous temperatures when left outdoors. Everyone, especially children, left in a parked car could be put in danger due to a higher chance of getting heatstroke.</p><p><b>Drink Plenty of Fluids:</b> Drink more fluids, don’t wait until you’re thirsty to drink. However, keep in mind if you are under any medical treatment, follow the direction of doctors for the adequate volume of intake water.</p>"
                }
            ],
            "meta_title": "",
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            "social_description": "",
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        },
        {
            "id": 1523,
            "title": "HOLIDAY SEASON HOURS OF OPERATION",
            "slug": "holiday-season-hours-operation-in-Sep",
            "slug_en": "holiday-season-hours-operation-in-Sep",
            "slug_vi": null,
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1580,
                "url": "https://media.fmp-data.bliss.build/original_images/Holiday_Notice_Sep2022-05.png",
                "compressed": "https://media.fmp-data.bliss.build/images/Holiday_Notice_Sep2022-05.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2022-08-23",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "FMP Medical Centers’ operating hours will follow the below schedule during the public holidays in September 2022.",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1311,
                1310
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p></p><img src=\"https://media.fmp-data.bliss.build/original_images/Holiday-Notice_Sep2022-01.png\" class=\"format-fullwidth\" /><p></p>"
                }
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            "meta_title": "",
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            "social_title": "",
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            "social_image": null
        },
        {
            "id": 1521,
            "title": "First Aid & CPR Training at Family Medical Practice Hanoi",
            "slug": "first-aid-cpr-training-family-medical-practice-hanoi",
            "slug_en": "first-aid-cpr-training-family-medical-practice-hanoi",
            "slug_vi": "first-aid-cpr-training-family-medical-practice-hanoi",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": null,
            "post_date": "2022-07-29",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "First Aid",
            "summary": "The importance of getting certified for first-aid and CPR (Cardiopulmonary Resuscitation) is not overstated. It can prove useful in emergency situations. The following are top 5 reasons why you should attend the first aid or CPR classes.",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1309
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            "content": [
                {
                    "type": "text",
                    "value": "<p> </p><h2><b>The Importance of First Aid &amp; CPR Training</b></h2><p>The importance of getting certified for first-aid and CPR (Cardiopulmonary Resuscitation) is not overstated. It can prove useful in emergency situations. The following are top 5 reasons why you should attend the first aid or CPR classes.</p><h4><b>Save Someone&#x27;s Life</b></h4><p>The primary, most important reason to enrol in a First Aid &amp; CPR course is that you can save the life of someone else. That&#x27;s not all, making sure you are ready to provide first aid promptly will help reduce the amount of time required to heal and can make the difference between suffering from a short or long term disability. Learn how to remain calm in times of emergence, and in consequence, you&#x27;ll be more efficient and in control when required.</p><h4><b>Increase Patient Comfort</b></h4><p>The life-saving techniques of First aid &amp; CPR courses provide you with the ability to enhance the patient&#x27;s comfort in the event of a medical emergency. Some emergencies do not need hospitalisation, but knowing crucial techniques, such as the proper bandaging techniques or how to handle a situation where your child is suffering from an infection or has a bruise. If you are able to acquire these essential tools, you&#x27;ll be able to remain calm and assist the patient to feel less nervous and more relaxed.</p><h4><b>Prevent Worsening Situations</b></h4><p>In certain situations the patient will not receive prompt first aid treatment and their symptoms get worse or worsen. If you&#x27;re trained and certified, then you can help stabilise the person until medical emergency assistance arrives. Once again, very down to the core, First aid &amp; CPR saves lives.</p><h4><b>Be More Valuable to Your Community</b></h4><p>The certification in basic life support can make you more valuable to your home, community as well as at work. Unfortunately, CPR is not known to enough people. If more people get certified with this course, the greater the chance that the life of someone in emergency will be saved, and in return if you need help, you will have someone to save your own. Learn a course to secure home emergencies and your relatives at first.</p><h2><b>When do we need to practice First Aid &amp; CPR training?</b></h2><p>While in fact, all emergency cases require proper life saving support immediately, below are just a look through some of the popular incidents that need the practice of First Aid &amp; CPR.</p><h4><b>Traffic Accident</b></h4><p>Statistically, in Vietnam, there are about 50 traffic accidents that cause at least 23 deaths every day. These accidents normally are road traffic accidents from motorbikes or cars and may cause lethal damage to the victim.</p><h4><b>Occupational Accident</b></h4><p>It is reported that in developing countries, the annual frequency of fatal occupational accidents is 30-43 people/100,000 workers. Despite the safety policy implemented in the company, it is essential for corporations to conduct proper training for their employees to acquire First Aid &amp; CPR training annually. </p><h4><b>Home Accidents</b></h4><p>On a daily basis, home accidents are more frequent and it could happen anytime. Getting trained with First Aid &amp; CPR is important to the domestic health of your own family. In addition, having a First Aid Kit at home is not an option as you will never know when these accidents may happen.</p><h4><b>Sporting Accidents</b></h4><p>Sports are prone to accidents. However, some accidents are avoidable by properly implementing accident prevention strategies. The organisers should ensure that they have an emergency response team and well-stocked first aid kits in case of sports injuries. Regarding the sport players, it is important to acquire First Aid &amp; CPR courses which could someday save you and your company.</p><h2><b>Why taking First Aid &amp; CPR course at FMP Hanoi</b></h2><p>Family Medical Practice offers certified First Aid and CPR training courses for individuals and corporate. Specialised classes can be tailored to the precise needs of certain groups, such as school employees, field workers, domestic employees and parents who wish to learn these skills.</p><p>Our training is provided by qualified medical staff who have all undergone recent ACLS (Advanced Cardiac Life Support) training.</p><p>Our basic one-day course for adults takes approximately 6–7 hours. It is designed to teach essential response and management of medical emergency situations and how to administer first aid effectively.</p><p>Our courses can be taught in both English and Vietnamese, depending on the registers.</p><p>We use infant, child and adult manikins for each participant.in the training course to practice.</p><p>A certificate of attendance will be issued upon completion of the course.</p><h2><b>What will you gain after taking the First Aid &amp; CPR course?</b></h2><ul><li>Information and practical experience, so that they can respond appropriately and confidently in emergency situations.</li><li>Knowledge to identify areas of danger, and strategies for reducing risk of accidents.</li><li>An understanding of the theory of cardiopulmonary resuscitation (CPR) and the ability to apply CPR.</li><li>The capacity to apply life-saving techniques to a person in distress.</li></ul><p>Last but not least, all FMP in-house pharmacies, rapid response, home &amp; travel, and corporate first aid bags are available for various purposes.</p><h2><b>How do you register for the First Aid &amp; CPR course at FMP Hanoi?</b></h2><p>The optimum number of participants for this course is 12 - 15 people. This ensures that we can provide sufficient time and attention to each participant.</p><p><b>For individual:</b></p><p>You can register by click <a href=\"https://docs.google.com/forms/d/e/1FAIpQLSfs2VoZJF8102r9hynitZusCRx_EyNk6Y0H39388Vd9aplqPg/viewform\">here</a></p><p>Or inbox us: <a href=\"http://m.me/FamilyMedicalPracticeHanoi\">http://m.me/FamilyMedicalPracticeHanoi</a></p><p>We will contact you back once we have enough registrations as mentioned above.</p><p><b>For Corporate:</b></p><p>Please email to <a href=\"mailto:kien@vietnammedicalpractice.com\">kien@vietnammedicalpractice.com</a> for more information. </p>"
                }
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        },
        {
            "id": 1518,
            "title": "Mùa cao điểm của sốt xuất huyết?",
            "slug": "mua-cao-diem-cua-sot-xuat-huyet",
            "slug_en": "mua-cao-diem-cua-sot-xuat-huyet",
            "slug_vi": "mua-cao-diem-cua-sot-xuat-huyet",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": null,
            "post_date": "2022-07-18",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "Sốt xuất huyết",
            "summary": "Theo WHO, trước năm 1970, chỉ có 9 quốc gia xảy ra dịch sốt xuất huyết nghiêm trọng. Trong khi đó, hiện nay căn bệnh này đang lưu hành ở hơn 100 quốc gia trong gồm có Châu Phi, Châu Mỹ, Đông Địa Trung Hải, Đông Nam Á và Tây Thái Bình Dương. Châu Mỹ, Đông Nam Á và Tây Thái Bình Dương là những khu vực bị ảnh hưởng nghiêm trọng nhất, trong đó Châu Á chiếm khoảng 70% số ca bệnh trên toàn cầu.",
            "related_pages_title": null,
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            "locations": [
                1308
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            "content": [
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                    "type": "text",
                    "value": "<p> </p><h2><b>Sốt xuất huyết trên Thế giới</b></h2><p>Theo WHO, trước năm 1970, chỉ có 9 quốc gia xảy ra dịch sốt xuất huyết nghiêm trọng. Trong khi đó, hiện nay căn bệnh này đang lưu hành ở hơn 100 quốc gia trong gồm có Châu Phi, Châu Mỹ, Đông Địa Trung Hải, Đông Nam Á và Tây Thái Bình Dương. Châu Mỹ, Đông Nam Á và Tây Thái Bình Dương là những khu vực bị ảnh hưởng nghiêm trọng nhất, trong đó Châu Á chiếm khoảng 70% số ca bệnh trên toàn cầu.</p><h2><b>Sốt xuất huyết ở Việt Nam</b></h2><p>Theo Bộ Y tế, hàng năm, Việt Nam ghi nhận trung bình từ 80.000 - 100.000 ca nhiễm sốt xuất huyết, trong đó có hàng chục ca tử vong. Theo số liệu cập nhật đến tháng 6 hiện tại của Bộ Y tế, cả Nước đã ghi nhận 60.000 ca nhiễm sốt xuất huyết, tăng 75% so với cùng kỳ năm ngoái.</p><p>Sốt xuất huyết là bệnh truyền nhiễm cấp tính gây ra bởi virus Dengue. Sốt xuất huyết có thể lây từ người sang người thông qua loài muỗi vằn. Do đó, sốt xuất huyết có thể gây bùng dịch vào các tháng mùa mưa và có nhiệt độ trung bình trong tháng cao khi mà loài muỗi này có khả năng sinh sôi và phát triển nhanh.</p><p>Ở nước ta, khu vực miền Trung và miền Nam, sốt xuất huyết có thể xuất hiện quanh năm. Tại các tỉnh miền Bắc và Tây Nguyên, sốt xuất huyết thường diễn ra từ tháng 4 đến tháng 11 và có thể đạt cao điểm vào tháng 11.</p><p>Các khu vực đông dân cư, có thói quen sử dụng nước từ các bể chứa nước hay chum, vại, chậu, … sẽ có nguy cơ gây bùng phát dịch bệnh do đây là môi trường thuận lợi cho sự phát triển của loài muỗi.</p><h2><b>Những dấu hiệu cảnh báo nguy hiểm của bệnh sốt xuất huyết</b></h2><p>Bệnh nhân mắc sốt xuất huyết có thể chỉ gặp các triệu chứng nhẹ và có thể tự khỏi sau khoảng 5 - 7 ngày nhiễm bệnh. Sốt xuất huyết có thể bị nhầm lẫn với các bệnh khác như phát ban, sốt, đau nhức.</p><p>Tuy nhiên, sốt xuất huyết có thể có biến chứng khiến bệnh trở nặng, các dấu hiệu cảnh báo thường xuất hiện từ ngày thứ ba của bệnh, nếu có bất kỳ một trong những dấu hiệu sau đây người bệnh cần đến ngay các cơ sở y tế để được điều trị tích cực:</p><ul><li>Vật vã, lừ đừ, li bì, da lạnh, vã mồ hôi, tím tái</li><li>Đau bụng vùng gan hoặc ấn đau vùng gan: Đau bụng vùng hạ sườn phải hoặc vùng thượng vị.</li><li>Nôn nhiều</li><li>Xuất huyết niêm mạc: chảy máu cam, đái ra máu, nôn ra máu, ra máu âm đạo bất thường, rong kinh...</li><li>Tiểu ít</li><li>Xét nghiệm máu:<ul><li>Hematocrit tăng cao.</li><li>Tiểu cầu giảm nhanh chóng.</li></ul></li></ul><p>Nếu người bệnh có các dấu hiệu cảnh báo trên cần được theo dõi tại bệnh viện. Đối với các bệnh nhân có bệnh lý mạn tính như suy gan, suy thân, tăng huyết áp, đái tháo đường, phụ nữ có thai, trẻ em... cần được theo dõi thường trực.</p><p>Để đặt hẹn khám, vui lòng liên hệ với bộ phận lễ tân qua các kênh dưới đây:</p><p>☎️ 024 3843 0748 - 112, 117 (24/7)</p><p>Email: hanoi@vietnammedicalpractice.com</p><p><b>Chat với FMP:</b>: <a href=\"http://m.me/FamilyMedicalPracticeHanoi\">http://m.me/FamilyMedicalPracticeHanoi</a> </p>"
                }
            ],
            "meta_title": "Mùa cao điểm của sốt xuất huyết?",
            "meta_description": "Theo WHO, trước năm 1970, chỉ có 9 quốc gia xảy ra dịch sốt xuất huyết nghiêm trọng. Trong khi đó, hiện nay căn bệnh này đang lưu hành ở hơn 100 quốc gia trong gồm có Châu Phi, Châu Mỹ, Đông Địa Trung",
            "social_title": "Mùa cao điểm của sốt xuất huyết?",
            "social_description": "Theo WHO, trước năm 1970, chỉ có 9 quốc gia xảy ra dịch sốt xuất huyết nghiêm trọng. Trong khi đó, hiện nay căn bệnh này đang lưu hành ở hơn 100 quốc gia trong gồm có Châu Phi, Châu Mỹ, Đông Địa Trung Hải, Đông Nam Á và Tây Thái Bình Dương. Châu Mỹ, Đông Nam Á và Tây Thái Bình Dương là những khu vực",
            "social_image": null
        },
        {
            "id": 1517,
            "title": "Dengue fever: Symptoms and Treatments",
            "slug": "dengue-fever-symptoms-and-treatments",
            "slug_en": "dengue-fever-symptoms-and-treatments",
            "slug_vi": "dengue-fever-symptoms-and-treatments",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": null,
            "post_date": "2022-07-15",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "Dengue",
            "summary": "Dengue fever is a mosquito-borne virus which can cause severe flu-like symptoms and even death. Dengue is a pandemic-prone virus disease that is rapidly spreading across the globe. It thrives in the suburbs, cities, and countryside.",
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                    "value": "<p> </p><h2><b>What is dengue fever</b></h2><p>According to WHO, dengue fever is a mosquito-borne virus which can cause severe flu-like symptoms and even death. Dengue is a pandemic-prone virus disease that is rapidly spreading across the globe. It thrives in the suburbs, cities, and countryside. However, it also affects wealthy areas in tropical and subtropical regions.</p><p>Globally, dengue incidence has increased by 30-fold in the past 50 years. This puts almost half the world&#x27;s population at risk of dengue exposure.</p><p>Although there is no specific cure for dengue / severe dengue, early detection and accessing proper medical care can reduce fatality rates to below 1%. </p><h2><b>What are the symptoms of dengue fever</b></h2><p>Patients with dengue may only experience mild symptoms, which can be confused for other illnesses such as a rash, fever, or aches and pains.</p><p>The most common sign of dengue is <b>fever</b>. It can be accompanied by any of these:</p><ul><li>Nausea, vomiting</li><li>Rash</li><li>Aches and Pains (eye pain, usually behind the eyes, muscle, joint or bone pain)</li><li>Any warning sign of below symptoms of severe dengue</li></ul><p>Dengue symptoms typically last between 2-7 days. Most people recover within a week</p><h4><b>Severe dengue</b></h4><ol><li>About 1/20 people who contract  dengue will develop severe symptoms.</li><li>A severe case of dengue can cause shock, internal bleeding, or even death.</li><li>You are more at risk of severe dengue if you have ever had dengue before.</li><li>Pregnant women and infants are more at risk of severe dengue.</li></ol><h4><b>Severe dengue symptoms</b></h4><p>Be aware of signs and symptoms that could indicate severe dengue. Usually warning signs appear within 24 to 48 hours after fever disappears.<br/>It is immediate to go to a local clinic or emergency room if you or your relatives has any of the below symptoms:  </p><ol><li>Tenderness, belly pain</li><li>Vomiting (at minimum 3 times per 24 hours).</li><li>Bleeding from the nose or gums</li><li>Vomiting blood or blood in the stool</li><li>Feeling tired, restless or irritable</li></ol><h2><b>Treatment for Dengue fever</b></h2><p>No specific treatment for dengue fever exists, and most people do recover—but supportive care is essential, so drink plenty of fluids to avoid dehydration from vomiting and high fever. Also take acetaminophen (Tylenol) or paracetamol to alleviate pain and reduce fever. Don&#x27;t take aspirin or other non-steroidal anti-inflammatory drugs, such as ibuprofen (Advil, Motrin) as these can increase the risk of bleeding complications.</p><p>If you do develop a severe form of the disease, you will need hospital care. Hospital treatment will involve supportive care as an in-patient with analgesics, intravenous (IV) fluid and electrolyte replacement, blood pressure monitoring and sometimes transfusion to replace blood loss (very rare).</p><h2><b>Prevention for Dengue fever</b></h2><p>The best way to avoid dengue fever is to avoid being bitten by mosquitoes in general. Vaccine Dengvaxia has been approved for use in some countries. For the U.S in specific, the vaccine is only applicable for children from 9 - 16 years old who had dengue fever before vaccination. At the moment, there is no vaccine available in Vietnam to prevent dengue.</p><ul><li>Schedule outdoor activities for times when this kind of mosquito is less prevalent. Avoid being outdoors at dawn, dusk and early evening, when more mosquitoes are about.</li><li>Stay in air-conditioned or well-screened housing.</li><li>Check for sources of stagnant water near your house and garden—these are places where the mosquito that transmits dengue/zika/chikungunya fever breed and where the larvae live.</li><li>Use repellent with a 10–30% concentration of DEET on your skin. Choose the concentration based on the hours of protection you need—a 10% concentration of DEET is effective for about two hours; higher concentrations last longer.</li><li>Chemical repellents can be toxic, so use only the amount needed. Don&#x27;t use DEET on the hands of young children or on infants under 2 months of age. Instead, cover your infant&#x27;s stroller or playpen with mosquito netting when outside.</li></ul><h2><b>What to do when you think you caught dengue fever?</b></h2><p>If you have any signs or symptoms of dengue fever as mentioned above, please visit a Family Medical Practice medical centre. We have the expertise to diagnose and manage this disease. We can perform specific blood tests to diagnose dengue fever and rule out other diseases that present in a similar fashion—such as malaria, influenza, leptospirosis and typhoid fever.</p><p>Please help to contact our front desk team through below channels to schedule appointment:</p><p>☎️ 024 3843 0748 - 112, 117 (24/7)</p><p>Email: hanoi@vietnammedicalpractice.com</p><p>Or inbox us: <a href=\"http://m.me/FamilyMedicalPracticeHanoi\">http://m.me/FamilyMedicalPracticeHanoi</a> </p>"
                }
            ],
            "meta_title": "Dengue fever: Symptoms and Treatments",
            "meta_description": "Dengue fever is a mosquito-borne virus which can cause severe flu-like symptoms and even death. Dengue is a pandemic-prone virus disease that is rapidly spreading across the globe. It thrives in the s",
            "social_title": "Dengue fever: Symptoms and Treatments",
            "social_description": "Dengue fever is a mosquito-borne virus which can cause severe flu-like symptoms and even death. Dengue is a pandemic-prone virus disease that is rapidly spreading across the globe. It thrives in the s",
            "social_image": null
        },
        {
            "id": 1516,
            "title": "Don't Ignore These Symptoms of Bronchitis in Children!",
            "slug": "dont-ignore-these-symptoms-bronchitis-children",
            "slug_en": "dont-ignore-these-symptoms-bronchitis-children",
            "slug_vi": "dont-ignore-these-symptoms-bronchitis-children",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1576,
                "url": "https://media.fmp-data.bliss.build/original_images/Bronchitis-01.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Bronchitis-01.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2022-07-01",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "Bronchitis",
            "summary": "Bronchitis is an inflammation of the bronchi, the airways in the lungs and is typically caused by a virus, but it can also be caused by bacteria or a fungus. It is a common infection in children and should be treated by a certified Pediatrician. If left untreated, bronchitis can lead to pneumonia in some cases.",
            "related_pages_title": null,
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            "locations": [
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            "content": [
                {
                    "type": "text",
                    "value": "<p></p><p>Recently at Family Medical Practice, we have seen dozens of children from 3 months up coming to the clinic and being diagnosed with Bronchitis. So, what is bronchitis, what are the symptoms to look out for and what are the treatments for the condition.</p><h2><b>What is Bronchitis?</b></h2><p>Bronchitis is an inflammation of the bronchi, the airways in the lungs and is typically caused by a virus, but it can also be caused by bacteria or a fungus. It is a common infection in children and should be treated by a certified Pediatrician. If left untreated, bronchitis can lead to pneumonia in some cases.</p><h2><b>What are the main symptoms of Bronchitis?</b></h2><p>Bronchitis is a respiratory infection and often starts with a sore throat and fever. The main symptoms of bronchitis are coughing and wheezing. Coughing may be severe and persistent, and may produce phlegm. Wheezing is a whistling sound that occurs when air passages in the lungs are narrowed. Children with bronchitis may also have difficulty breathing, rapid breathing, chest pain, runny nose, fatigue, disrupted sleep and lack of appetite.</p><h2><b>What are the treatments for Bronchitis in children?</b></h2><p>Depending on the severity of the condition, there are several possible treatments that can help your child.</p><ol><li>Over the counter or prescription cough medicine to help with the build-up of mucous in the bronchi and soothe the throat.</li><li>Using a nebulizer, a small machine that turns liquid into gas, to inhale steroids and other medication. The medications calm the inflammation in the mucous membrane to allow the bronchi to heal.</li><li>Liquid antibiotics to fight off the infection. Generally this will be a liquid antibiotic that will be taken for 3 - 5 days.</li><li>Depending on the cause, the child may be prescribed antibiotics for bacterial infections, antiviral medications for viral infections, or antifungal medications for fungal infections.</li><li>Fluids keep the child well hydrated if they have lost their appetite or have a fever.</li></ol><h2><b>What should I do if I think my child has Bronchitis?</b></h2><p>If your child has a cough that does not go away after two weeks, is accompanied by chest congestion, or produces thick yellow or green mucus, they may have bronchitis and should see a doctor.</p><p>If you think your child may have bronchitis, make an appointment with one of Family Medical Practice&#x27;s pediatric team. The doctor will examine them and may order tests to determine the cause of the infection. A recovery and treatment plan will then be put in place for the following week, or more, if needed.</p><p>To book an appointment, you can contact us in the following ways:</p><p>Phone: 02438430748</p><p>Email: hanoi@vietnammedicalpractice.com</p><p>WhatsApp/ Zalo: 0944431919</p>"
                }
            ],
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            "meta_description": "Bronchitis is an inflammation of the bronchi, the airways in the lungs and is typically caused by a virus, but it can also be caused by bacteria or a fungus. It is a common infection in children and s",
            "social_title": "Don't Ignore These Symptoms of Bronchitis in Children!",
            "social_description": "Bronchitis is an inflammation of the bronchi, the airways in the lungs and is typically caused by a virus, but it can also be caused by bacteria or a fungus. It is a common infection in children and should be treated by a certified Pediatrician. If left untreated, bronchitis can lead to pneumonia in",
            "social_image": {
                "id": 1576,
                "url": "https://media.fmp-data.bliss.build/original_images/Bronchitis-01.jpg",
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        },
        {
            "id": 1514,
            "title": "HOLIDAY SEASON HOURS OF OPERATION",
            "slug": "HOLIDAYSEASONHOURSOFOPERATION",
            "slug_en": "HOLIDAYSEASONHOURSOFOPERATION",
            "slug_vi": "lịch-làm-việc-trong-ngày-lễ-2022",
            "slug_ko": "공휴일-진료안내",
            "slug_ja": "外来診療時間-祝日期間中",
            "overview_image": {
                "id": 1566,
                "url": "https://media.fmp-data.bliss.build/original_images/Holiday-Notice-Apri-May-2022_1a.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Holiday-Notice-Apri-May-2022_.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2022-04-08",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "FMP medical centers’ operating hours will follow the below schedule during the public holidays in April and May 2022.",
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            "related_pages": [],
            "locations": [
                1303,
                1302
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p></p><img src=\"https://media.fmp-data.bliss.build/original_images/Holiday-Notice-Apri-May-2022_2.jpg\" class=\"format-left\" /><p></p>"
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            ],
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        {
            "id": 1513,
            "title": "The Long Term Physical Effects of COVID-19",
            "slug": "long-term-physical-effects-covid-19",
            "slug_en": "long-term-physical-effects-covid-19",
            "slug_vi": "long-term-physical-effects-covid-19-post-covid-symptoms",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1565,
                "url": "https://media.fmp-data.bliss.build/original_images/Post-covid-05.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Post-covid-05.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2022-04-04",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 25,
                "name": "FMP services_COVID-19",
                "slug": "fmpservicesCOVID-19"
            },
            "tags": "covid",
            "summary": "Most common post covid symptoms and the essential of post-COVID syndrome health-screening",
            "related_pages_title": null,
            "related_pages": [
                {
                    "id": 63,
                    "url": "dich-vu-xet-nghiem-covid-19-tai-nha",
                    "title": "Dịch vụ xét nghiệm Covid-19 RT-PCR tại nhà",
                    "ctype": "post"
                },
                {
                    "id": 64,
                    "url": "covid-19-testing-service-fmp-hanoi",
                    "title": "COVID-19 testing service at FMP Hanoi",
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            "locations": [
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                1300
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            "content": [
                {
                    "type": "text",
                    "value": "<p>It&#x27;s been just over two years since the first reported case of Covid-19 and the world is still trying to understand the long-term physical effects of this virus. So far, scientists have discovered that the virus can cause long-term damage to the lungs, leading to respiratory problems down the road. In addition, there is evidence that Covid-19 can also cause damage to other organs in the body, such as the heart and liver. While more research is needed to fully understand all of the potential long-term physical effects of Covid-19, these early findings are alarming and should not be taken lightly.</p><h2><b>What are the most common post-covid symptoms?</b></h2><h3><b>Fatigue</b></h3><p>Fatigue is a common symptom of Covid-19 infection, and can often linger long after the initial illness has passed. The virus attacks the body&#x27;s cells, causing them to become inflamed and exhausted. This can lead to a build-up of toxins in the blood, which can further contribute to fatigue. In addition, the virus can also damage the cardiovascular system, making it difficult for the body to pump blood efficiently. As a result, people who have recovered from Covid-19 often find themselves struggling with fatigue long after they have tested negative. However, there are ways to combat this symptom. Regular exercise and a healthy diet can help to improve circulation and promote cell regeneration. In addition, plenty of rest is essential for allowing the body to heal and recover from the virus.</p><h3><b>Shortness of Breath</b></h3><p>Shortness of breath is another common symptom of Covid-19 and is often caused by damage to the lungs. The virus can cause the lungs to fill with fluid, making it difficult to breathe. In severe cases, this can lead to pneumonia or even respiratory failure. People who have recovered from Covid-19 often find that they experience shortness of breath when they exert themselves, even if they are otherwise healthy. This is because the virus has damaged their lung tissue and made it harder for their lungs to function properly. If you are struggling with shortness of breath after recovering from Covid-19, it is important to see a doctor as soon as possible. They will be able to help you manage your symptoms and ensure that your lungs are functioning properly.</p><h3><b>Heart Problems</b></h3><p>Covid-19 can also cause damage to the heart, which can lead to several long-term problems. The virus can cause the heart muscle to become inflamed, which can make it difficult for the heart to pump blood efficiently. In addition, Covid-19 can also damage the arteries and veins, making them more susceptible to blockages and clots. This can lead to an increased risk of heart attacks and strokes.</p><h3><b>Liver Damage</b></h3><p>There is also evidence that Covid-19 can cause damage to the liver. The virus can cause inflammation of the liver, which can lead to scarring and cirrhosis over time. In addition, the virus can also damage the liver&#x27;s ability to filter toxins out of the blood. This can lead to a build-up of toxins in the body, which can cause a number of health problems.</p><h3><b>Kidney Damage</b></h3><p>Covid-19 can also cause damage to the kidneys. The virus can cause inflammation of the kidneys, which can lead to scarring and kidney failure over time. In addition, the virus can also damage the kidneys&#x27; ability to filter toxins out of the blood. This can lead to a build-up of toxins in the body, which can cause a number of health problems.</p><h3><b>Chest Pain</b></h3><p>Any type of viral infection can cause chest pain as an aftermath symptom. For some people, this effect is long-lasting, becoming a source of chronic pain. With the outbreak of Covid-19, many survivors are struggling with this problem. The virus itself may cause damage to the lungs, heart, or blood vessels. In addition, the body&#x27;s immune response to the infection can also lead to inflammation and pain in the chest. For many people, these effects persist long after the initial infection has resolved. In some cases, the pain may be mild and manageable. However, for others, it can be severe and debilitating.</p><h3><b>Joint and Muscle Pain</b></h3><p>Evidence suggests that joint and muscle pain may be a common side effect. It is expected that close to half of those who have recovered from the virus reported experiencing joint and muscle pain. The pain is often described as achy and persistent, and in some cases, it is severe enough to interfere with everyday activities. While the exact cause of this pain is still unclear, it is thought to be related to inflammation caused by the virus. Treatment for joint and muscle pain typically includes over-the-counter pain medication and physical therapy. In severe cases, some patients may require corticosteroid injections or surgery.</p><h3><b>Sleep Disturbance</b></h3><p>Sleep is essential for our physical and mental health, yet many people struggle to get a good night&#x27;s sleep. A recent study found that sleep disturbance is a long-term effect of Covid-19 infection. The study followed a group of patients who had been hospitalized with Covid-19 and found that nearly half of them still experienced sleep problems three months after being discharged. This is likely since Covid-19 can cause damage to the nervous system, which can lead to insomnia and other sleep disorders. If you are struggling to get a good night&#x27;s sleep, there are things you can do to improve your sleeplessness. Creating a relaxing bedtime routine, avoiding caffeine and alcohol before bed, and keeping a regular sleep schedule can all help you get the rest you need.</p><h3><b>Loss of Taste and/or Smell</b></h3><p>It&#x27;s been well-documented that one of the potential long-term effects of Covid-19 infection is the loss of taste and smell. However, new research has found that this symptom may persist much longer than previously thought. In a recent study of Covid-19 patients, the vast majority reported still experiencing some degree of loss of taste and smell even after 3 months of recovery. This suggests that for many people, the loss of taste and smell may be a permanent or semi-permanent effect of the virus. While this is not ideal, it&#x27;s important to remember that many people who experience this symptom do eventually recover partial or full functionality. So while it may be a long and frustrating process, there is hope that you will eventually regain your sense of taste and smell.</p><h3><b>Brain Fog</b></h3><p>Long Covid symptoms can include brain fog, which is often described as feeling like you&#x27;re in a haze. The term &quot;brain fog&quot; isn&#x27;t a medical one, but it&#x27;s used to describe the cognitive symptoms that some long Covid patients experience. These symptoms can include difficulty concentrating, memory problems, and slowed thinking. In severe cases, brain fog can be debilitating, making it hard to work or even take care of basic daily tasks. For many people, brain fog is one of the most frustrating and difficult symptoms of long Covid. There is no known cure for brain fog, but there are things you can do to help manage your symptoms. Getting plenty of rest, eating a healthy diet, and avoiding stress are all important for helping to ease brain fog.</p><h3><b>Dizziness</b></h3><p>New research suggests that Covid-19 may also cause long-term damage to the inner ear, leading to dizziness and balance problems. The study found that nearly a quarter of all patients who recovered from Covid-19 continued to experience dizziness and other vestibular symptoms for at least three months after infection. The findings suggest that Covid-19 not only damages the respiratory system but can also have lasting effects on the nervous system. While the majority of patients recover from these symptoms within a few months, some may experience chronic dizziness and balance problems that can significantly impact their quality of life.</p><p>These are just some of the long-term physical effects that Covid-19 can have on the body. It is important to remember that these effects can vary from person to person, and not everyone who contracts the virus will experience all of them. However, if you have recovered from Covid-19, it is still important to see a doctor for a check-up as soon as possible. They will be able to monitor your health and look for any potential problems.</p><p>If you have any concerns about the long-term effects of Covid-19, please book an appointment to see a Doctor at Family Medical Practice. They will be able to give you more information and provide you with the support you need.</p><h2><b>Post-COVID syndrome health-screening at FMP Hanoi</b></h2><p>Recognizing and validating the impact of illness on quality of life should be part of the ongoing healthcare professional and patient interaction.</p><p>At FMP, we offer both preventative and diagnostic screenings. We provide peace of mind and treatment to address a range of conditions, reassuring patients that their concerns are understood.</p><p>After having the check-up result, it is able to improve the health condition through some medical treatments (e.g., breathing exercises to improve symptoms of dyspnea or counselling on lifestyle components such as nutrition, sleep, and stress reduction).</p><p>Also, it is important to prevent patients from COVID reinfection after recovery. Hence, follow-up visits with a healthcare professional might be considered every 2–3 months, with frequency adjusted up or down depending on the patient’s condition and illness progression.</p><h2><b>What is included in the post-COVID syndrome health-screening?</b></h2><p><b>Preliminary Screening</b></p><ul><li>Height &amp; Weight</li><li>Body Mass Index (BMI)</li><li>Vital Signs (Blood Pressure, Heart Rate, Oxygen saturation)</li><li>Visual Acuity</li></ul><p><b>Chest X-Ray</b></p><p><b>Electrocardiogram (ECG)</b></p><p><b>Lung Function Test</b></p><p><b>Full Blood &amp; Urine Tests:</b></p><ul><li>Complete Blood Count</li><li>Lipid Profile</li><li>D-Dimer</li><li>C-Reactive Protein</li><li>Kidney Function</li><li>Thyroid Screening</li><li>Liver Profile</li><li>Diabetes Screening</li><li>Hepatitis Screening</li><li>Urine</li></ul><p>In order to register for the COVID, please help to contact our Front Desk at 024.3843.0748 ext 114</p><p>Or email to hn-co-ordinator@vietnammedicalpractice.com</p><p>Message us on Facebook: <a href=\"http://m.me/FamilyMedicalPracticeHanoi\">m.me/FamilyMedicalPracticeHanoi</a></p>"
                }
            ],
            "meta_title": "The Long Term Physical Effects of Covid-19",
            "meta_description": "Most common post covid symptoms and the essential of post-COVID syndrome health-screening",
            "social_title": "The Long Term Physical Effects of COVID-19",
            "social_description": "Most common post covid symptoms and the essential of post-COVID syndrome health-screening",
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            }
        },
        {
            "id": 1509,
            "title": "ファミリーメディカルプラクティス コロナワクチン接種開始のお知らせ",
            "slug": "ファミリーメディカルプラクティス-コロナワクチン接種開始のお知らせ",
            "slug_en": "ファミリーメディカルプラクティス-コロナワクチン接種開始のお知らせ",
            "slug_vi": null,
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1553,
                "url": "https://media.fmp-data.bliss.build/original_images/Vaccination-for-JP-community.png",
                "compressed": "https://media.fmp-data.bliss.build/images/Vaccination-for-JP-community.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2022-02-22",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "ファミリーメディカルプラクティスではコロナワクチン接種の予約を開始致しました。土日も、開催の2/26から3/7までの期間限定となっておりますので、お早めのご予約をお願い致します。ご予約はこちらのフォームから。",
            "related_pages_title": null,
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            "locations": [
                1297,
                1296
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                {
                    "type": "text",
                    "value": "<p>ファミリーメディカルプラクティスではコロナワクチン接種の予約を開始致しました。土日も、開催の2/26から3/7までの期間限定となっておりますので、お早めのご予約をお願い致します。ご予約は<a href=\"https://docs.google.com/forms/d/e/1FAIpQLSczo7h95Ro9p4QBDxpOvKeP_EG-KxFFtdR8TZwokqGg1igSsQ/viewform\"><b>こちらのフォームから。</b></a></p><p>ワクチン接種に関する規定や接種対象者は<a href=\"https://tinyurl.com/5et6h8r8\"><b>日本大使館のウェブサイト</b></a>をご覧ください。<br/><br/><br/><br/><br/><br/><br/><br/><br/><br/><br/></p><p></p>"
                }
            ],
            "meta_title": "",
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        },
        {
            "id": 1507,
            "title": "FO SERVICE FOR COVID-19 PATIENTS QUARANTINE AT HOME",
            "slug": "fo-service-covid-19-patients-at-home",
            "slug_en": "fo-service-covid-19-patients-at-home",
            "slug_vi": "fo-service-covid-19-patients-at-home",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1556,
                "url": "https://media.fmp-data.bliss.build/original_images/F0_Package-08.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/F0_Package-08.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2022-01-15",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "covid",
            "summary": "At FMP, we provide a F0 service to treat COVID-19 patients under quarantine at home.",
            "related_pages_title": null,
            "related_pages": [
                {
                    "id": 59,
                    "url": "covid-19-testing-service-fmp-hanoi",
                    "title": "COVID-19 testing service at FMP Hanoi",
                    "ctype": "post"
                },
                {
                    "id": 60,
                    "url": "dich-vu-xet-nghiem-covid-19-tai-nha",
                    "title": "Dịch vụ xét nghiệm Covid-19 RT-PCR tại nhà",
                    "ctype": "post"
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            "locations": [
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                1294
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                    "value": "<p> According to the Hanoi Department of Health, the covid situation in the city continues to hit new peaks day after day, which bears a huge burden on the public medical facilities. New Government regulations mean that many individuals that test Covid positive must quarantine themselves at home.</p><p>Being isolated at home may cause a battle with stress, anxiety and depression. Also, access to adequate medical assistance is needed in the event that symptoms worsen during the quarantine period</p><p>Therefore, at FMP, we have created a bespoke F0 package service to treat COVID-19 positive patients under quarantine at home.</p><h2><b>1. Who is applicable for COVID-19 F0 Service</b></h2><h4>The COVID-19 F0 service is suitable and applicable for patients who are approved for home isolation by the Department of Health</h4><ul><li>According to the Department of Health, the patients have to meet below clinical criteria:</li><li>No symptoms or mild clinical symptoms (no respiratory failure: Spo2 ≥ 96% when breathing, respiratory rate ≤ 20 breaths/min).</li><li>People with no underlying disease, pregnant or obese. For cases that do not meet these conditions, they can still be considered to get treated at home if they have a stable underlying disease. Also, the patient must have been vaccinated with at least 1 dose, 14 days before testing positive.</li><li>Capable of self-care, know how to measure body temperature; able to self-medicate according to a doctor&#x27;s prescription; able to contact medical staff to be monitored. In case F0 is a child or a person who cannot take care of themselves, a caregiver is required.</li><li>Regarding patient’s family, there are no people in the risk group including: elderly, people with underlying diseases, obese, pregnant...).</li></ul><h2><b>2. What does the COVID-19 F0 service include?</b></h2><p>There will be 2 packages for 2 groups of patients as following:</p><p>Group 1: For patient with Mild symptoms or asymptomatic</p><p>Group 2: For patient with Mild symptoms, has pre-existing conditions or above 60 years old</p><p>For both groups, all of the below are included in the service:</p><ul><li>Supply of devices for self-monitoring at home (the “Medical Devices”)</li><li>Finger pulse - oximeter (pulse and blood oxygen levels)</li><li>Thermometer</li><li>Daily phone or video consultation with FMP Doctor</li><li>Quick antigen test on day 5 (self-test)</li><li>Subject to Patient’s condition, PCR test on day 7 and additional test on day 10 (if day 7 test is positive)</li><li>Free delivery of medication (Medication fee is still applied)</li><li>24/7 Medical Assistance for up to 10 days tracking of the service</li></ul><p>In addition, for group 2, we will conduct a blood test on day 3 to diagnose blood clotting, diabetes, the function of kidney, liver &amp; heart.</p><h2><b>3. COVID-19 F0 Service Q&amp;A</b></h2><h3><b>Does FMP guarantee the hospital when the situation of an F0 deteriorates and needs to be admitted to the hospital?</b></h3><p>In the event that the F0 patient develops severe symptoms, the local Centre for Disease Control (CDC) in their district should be contacted. They will then make a decision on which hospital the patient should be sent to. An ambulance transfer can only be arranged if an ambulance is available at the time and if the patient has confirmation from the CDC that the chosen hospital will accept them. The ambulance transfer will be subject to additional fee.</p><h3><b>If Patient deteriorates and is moved to a hospital earlier than the end of the 10 days monitoring - Does FMP refund the remaining amount?</b></h3><p>No</p><ul><li>In case the patient moves to the isolation area / hospital, the service package “COVID F0 Service” automatically expires.</li><li>The package is non-cancellable and non-refundable</li></ul><h3><b>Can the patient use the ambulance service of FMP?</b></h3><p>For any emergency, patients can call 024.3843.01748 ext 115 for Emergency Service. Based on the condition of the patient, an ambulance may be dispatched, however this is mostly reserved for ALL OTHER EMERGENCIES EXCEPT COVID. There are designated cars for different emergencies in order to prevent possible cross contamination.</p><p>The COVID F0 Service does not include pre-booking of Ambulance and Hospital transfer services. In the event that such services are needed due to the condition of the patient who has purchased the package, Ambulance service may be provided subject to Ambulance availability and availability of Hospital. </p><h3><b>Does FMP have special prices for a company or a group?</b></h3><p>Our rates are per person. No corporate or group rates are available but we can create a corporate contact for companies that wish to be able to be invoiced for the F0 services.</p><p>If you are an employee at a company that is interested in the F0 Package for your staff then please fill in the form in the link below and someone will be in contact.<br/><br/><a href=\"https://tinyurl.com/577pr747\">https://tinyurl.com/577pr747</a> </p><h3><b>Can I book the service in advance?</b></h3><p>The Service is provided on a First come, first serve. Unfortunately, due to the increasing demand and limited resources we cannot accept pre-booking or reservations.</p><h3><b>Can a medical team come to collect the PCR sample if the area of the patient is locked down?</b></h3><p>Yes.</p><h3><b>When do I need COVID-19 F0 service?</b></h3><p>In case you have been diagnosed with Covid-19 infection and are staying at home with no or mild symptoms, this service is designed for you.</p><p>COVID F0 SERVICE is a home support service, through remote monitoring, of patients with confirmed or possible COVID-19 (FO or F1 staying at the same house with F0) only in the event that such Patients are allowed to stay at home by the competent authorities, and throughout the duration of staying at home.</p><h3><b>What can a patient do if the local CDC instructs F0 or F1 to go to the camp/or hospital within the 10 days of service?</b></h3><p>Patients must comply with CDC instructions. The F0 service will be terminated, however, unfortunately the fee is non-refundable. FMP will alert the embassy or consulate in case the F0 is a foreigner.</p><h3><b>Does my medical insurance cover the Covid-19 F0 package?</b></h3><p>Medical insurance will not cover the F0 package.</p><p>Therefore, F0 patients with insurance will receive the pulse-oximeter, thermometer and antigen test kit (for use at home on day 5) on day 1 and then will be charged per phone or online consultation over 10 days.</p><p>Direct billing process will follow your insurance’s requirements. Some insurances like Aetna/ Cigna Insurance will waive paperwork.. With other insurance companies, a full claim set is required. These Patients will only need to sign insurance claim documents following the end of their home quarantine period.</p><h3><b>How can I register and how can I pay?</b></h3><p>Please click the link to fill the F0 patient form. A member of our dedicated F0 patient team will then call you to organise the first phone or online consultation with a doctor and organise delivery of the  thermometer and finger pulse - oximeter.</p><p><a href=\"https://forms.gle/YBgVmN6AYGevX1zF6\">https://forms.gle/YBgVmN6AYGevX1zF6</a> </p><p>You can also register by calling Please call (024) 3843 0748 ext 118.</p><p>Payment method: Bank transfer.</p><p><b>Bank account:</b> <b>CONG TY TNHH PHONG KHAM GIA DINH HA NOI</b></p><p><b>SO TK: 001.100.4383622</b></p><p><b>VCB CHI NHANH DOI CAN - HA NOI</b></p><p><b>Transfer Content: Pay for F0 Covid package</b></p><p><b>For more information and registration, please call (024) 3843 0748 ext 118</b></p><h2><b>4. Limitation of FMP&#x27;s liability in this service package</b></h2><ul><li>FMP only provides support services, helping people who are isolated at home know how to monitor signs and symptoms, offer advice to ensure the safety of other people living in the house and answer general questions during the period of isolation at home.</li><li>We do not treat COVID-19 as prescribed by the Ministry of Health. Do not interfere with medical requirements, appointed tests according to regulations and any declarations issued by the Ministry of Health and the local preventive medicine agency.</li></ul>"
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            "meta_description": "At FMP, we provide a F0 service to treat COVID-19 patients under quarantine at home",
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        },
        {
            "id": 1506,
            "title": "HOLIDAY SEASON HOURS OF OPERATION",
            "slug": "holiday-season-hours-operation",
            "slug_en": "holiday-season-hours-operation",
            "slug_vi": null,
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1548,
                "url": "https://media.fmp-data.bliss.build/original_images/Lunar-New-Year-Notice-Poster-2022_2.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Lunar-New-Year-Notice-Poster-.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2022-01-07",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "From all of us at Family Medical Practice, we wish you and yours a very happy, healthy and prosperous New Year.\r\nChúc Mừng Năm Mới!",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1293,
                1292
            ],
            "content": null,
            "meta_title": "",
            "meta_description": "",
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            "social_description": "",
            "social_image": null
        },
        {
            "id": 1501,
            "title": "All about Orthopedics!",
            "slug": "all-about-orthopedics",
            "slug_en": "all-about-orthopedics",
            "slug_vi": null,
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1537,
                "url": "https://media.fmp-data.bliss.build/original_images/Orthopedics.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Orthopedics.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2021-11-10",
            "category": {
                "id": 5,
                "name": "Blogs",
                "slug": "blogs"
            },
            "subcategory": {
                "id": 22,
                "name": "Orthopedics",
                "slug": "Orthopedics"
            },
            "tags": "",
            "summary": "All you need to know about Orthopedics.",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1288
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p></p><p>Your bones, joints, ligaments, tendons, and muscles make up your musculoskeletal system. It is common to have pain in these parts of your body because they play such an important part in everyday movement.</p><p>Orthopedics is the medical field devoted to treating these areas. An orthopedic surgeon or orthopedic doctor (also called an orthopedist) is a doctor who specializes in this field. They can perform surgery, but they&#x27;re also qualified to diagnose and treat issues using other techniques.</p><p>Orthopedics is a vast field, so most orthopedic doctors specialize in a particular type of orthopedics. For example, some of the most common specialties within orthopedics are hand, foot, and sports injuries.</p><p>Orthopedists are specialists. Typically, you see an orthopedist after your primary care doctor refers you. Your primary care doctor can let you know what type of orthopedist you need to see for your issue.</p><p>What does an Orthopedic Surgeon do?</p><p>An orthopedic surgeon is qualified to diagnose orthopedic problems, perform or prescribe treatments, and assist with rehabilitation. They can also help you develop long-term strategies to treat illnesses, disorders, and issues relating to your bones, joints, ligaments, tendons, and muscles.</p><p>There are a broad range of procedures, including ankle, knee, hip, spinal, hand, and neck surgeries that this type of doctor can perform. Typically, they’ll attempt to treat an issue in the most holistic and least intrusive way possible, which may not be surgery.</p><p>Source <a href=\"https://www.webmd.com/a-to-z-guides/what-is-an-orthopedic-surgeon\">WebMD</a></p><p>Dr. Florin Moise serves as FMP’s Orthopedic Surgeon, and specializes in lower limb arthroscopy, sports trauma, hip and knee reconstruction, joint preservation surgery and upper limb surgery. Dr. Florin is an avid proponent of joint preservation surgery to repair/preserve damaged cartilage, meniscus and ligaments whenever possible. One popular modern technique is via collagen matrix repair, done arthroscopically—which has the potential to postpone the need for joint replacement.</p><p>Dr. Florin is located in FMP’s D2 Medical Center.</p>"
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        {
            "id": 1499,
            "title": "Influenza: Vaccination as top preventions",
            "slug": "influenza-vaccination-as-top-preventions",
            "slug_en": "influenza-vaccination-as-top-preventions",
            "slug_vi": "Cum-mua-tiem-vaccine-phong-ngua",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1531,
                "url": "https://media.fmp-data.bliss.build/original_images/influenza-vaccine-as-top-prevention.jpg",
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            },
            "post_date": "2021-10-26",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "Flu vaccine",
            "summary": "Influenza (flu) is a respiratory infection caused by influenza virus. There’s said, the best way to prevent from flu is to get vaccinated annually.",
            "related_pages_title": "Flu vaccine",
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                {
                    "id": 53,
                    "url": "flu-vaccine",
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                {
                    "id": 56,
                    "url": "flu-vaccine-season-21-22-fmp-hanoi",
                    "title": "Flu vaccine service season 2023/2024 at FMP Hanoi",
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                {
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                    "value": "<h2><b>Influenza (Flu)</b></h2><p>Influenza, also known as flu, is a respiratory infection caused by influenza viruses. This will cause you sudden illness and usually lasts for 7 to 10 days. Most people can recover from the flu completely within a week without medical treatment. However, for the elderly, young children and people with certain health conditions, the flu can be serious and even lead to death from complications.</p><p>According to the statistics of the World Health Organization (WHO), every year about 10-15% of the population gets the flu, the death rate from influenza is estimated at 250,000 - 500,000 people.</p><h2><b>Type of influenza</b></h2><p>According to CDC, there are four types of influenza viruses: A, B, C and D. Not all flu are created equal: Some types can make you very sick, whereas other types of flu may cause milder symptoms.</p><ul><li><b>Influenza type A viruses</b> are capable of infecting both humans and animals. Wild birds act as the hosts for this flu virus in common, which they also named influenza type A virus is bird flu. Type A flu virus is constantly changing and is generally known to cause flu pandemics. A pandemic may occur when a new influenza A virus emerges that infects people with the ability to spread efficiently to the society. The most common flu hot spots are those surfaces where an infected person has physical contact, especially areas where they have been sneezing.</li><li><b>Influenza type B virus</b> is found only in humans. Type B flu may not cause a severe reaction as type A flu virus, most patients will recover after a few days resting without medical treatment. However, type B flu can still be extremely harmful for some cases. Influenza type B viruses are acknowledged to not cause pandemics.</li><li><b>Influenza type C virus</b> is a lesser known type of influenza virus that commonly causes cold-like symptoms and sometimes causes lower respiratory infection. Influenza type C virus is mainly a human pathogen; however, the virus has been detected in pigs, dogs, and cattle, and rare swine–human transmission has been reported. Flu type C is known to not cause epidemics.</li><li><b>Influenza type D viruses</b> are not known to infect or cause disease to human. They mainly affect cattle and do not cause epidemics.</li></ul><h2><b>Influenza symptom</b></h2><p>Flu signs and symptoms usually come on suddenly. People who caught flu might feel some or all of these below symptoms:</p><ul><li>Fever or feeling feverish/chills</li><li>Cough</li><li>Sore throat</li><li>Runny or stuffy nose</li><li>Muscle or body aches</li><li>Headaches</li><li>Fatigue (tiredness)</li><li>Vomiting and diarrhea (more common in children)</li></ul><p>It is important to note that anyone can get sick with flu, even healthy people, and serious problems related to flu can happen to anyone at any age. However, there some people are at higher risk of developing serious flu-related complications if they get sick.</p><p>This includes people 65 years and older, people with certain underlying medical conditions (such as asthma, diabetes, or heart disease), pregnant women and young children, especially those below 2 years old.</p><h2><b>Influenza prevention</b></h2><h3><b>Flu vaccination</b></h3><p></p><p></p><img src=\"https://media.fmp-data.bliss.build/original_images/Flu_billboard_2023-03.jpg\" class=\"format-fullwidth\" /><p></p><p></p><p>As recommended by CDC, a yearly flu vaccine should be taken by everyone aged 6 months and older as the first and most important step to protect against the flu viruses. This has been recommended since the 2010-2011 influenza season by CDC’s Advisory Committee on Immunization Practices.</p><p>Flu vaccines help to generate antibodies in the body about two weeks after vaccination. These antibodies help to fight off circulating influenza before they can cause illness in people. Seasonal flu vaccines are developed to protect from influenza virus that research indicated to be the most common for the upcoming season.</p><p>This flu season 2023/24, we will have the Influvac Tetra vaccine containing inactivated fragments from four types of influenza virus. This type of vaccine is also known as a quadrivalent influenza vaccine, which means they protect against four different flu viruses.</p><p>For this year, the vaccine will help to protect you from an influenza A(H1N1) virus, an influenza A(H3N2) virus, and two influenza B viruses. This vaccine can be used in adults and children 3 years of age and older.</p><p>In order to register for <a href=\"None\"><b>flu vaccination</b></a>, please help to use this <a href=\"https://forms.gle/1S1FUXBo9hXF1veo6\">form</a>.</p><h3><b>Preventative action</b></h3><p>Remember to take everyday preventive actions that are recommended by CDC to reduce the spread of flu.</p><ul><li>Limit contact with people who are sick.</li><li>If you are sick, distance yourself from others to not spread the disease</li><li>Reduce the spread of viruses when you cough or sneeze by covering up your nose and mouth with a tissue. Throw the tissue to the recycle bin after use.</li><li>Remember to wash your hands often.</li><li>Try not to touch your eyes, nose, and mouth as germs can spread this way.</li><li>Clean and disinfect surfaces and objects that may be approachable to flu viruses.</li></ul><p>Additional precautions may be taken following the local governments under the context of <a href=\"None\"><b>COVID-19 pandemic</b>.</a></p>"
                }
            ],
            "meta_title": "Influenza: Vaccination as top preventions",
            "meta_description": "Influenza (flu) is a respiratory infection caused by influenza virus. There’s said, the best way to prevent from flu is to get vaccinated annually.",
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        },
        {
            "id": 1500,
            "title": "Flu vaccine service season 2023/2024 at FMP Hanoi",
            "slug": "flu-vaccine-season-21-22-fmp-hanoi",
            "slug_en": "flu-vaccine-season-21-22-fmp-hanoi",
            "slug_vi": "tiem-vaccine-cum-mua-21-22-tai-fmp-ha-noi",
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            "slug_ja": null,
            "overview_image": {
                "id": 1661,
                "url": "https://media.fmp-data.bliss.build/original_images/Flu_billboard_2023-03.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Flu_billboard_2023-03.format-jpeg.jpegquality-75.jpg"
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            "post_date": "2021-10-26",
            "category": {
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                "name": "News",
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            "tags": "Flu vaccine",
            "summary": "The flu season may reach its peak around Oct and Mar annually. Getting flu shot is highly recommended with rare exception for everyone aged 6 months and above.",
            "related_pages_title": "Flu vaccine",
            "related_pages": [
                {
                    "id": 54,
                    "url": "influenza-vaccination-as-top-preventions",
                    "title": "Influenza: Vaccination as top preventions",
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                    "id": 55,
                    "url": "flu-vaccine",
                    "title": "Flu vaccine",
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                    "type": "text",
                    "value": "<h2><b>When is the flu season?</b></h2><p>Influenza viruses can infect people all year round, however, they tend to spread efficiently in the cold weather, especially winter. This is due to the fact that, in the cold weather, the flu virus will create a hard coating, which acts like a protective film, helping the virus to spread through the cold air.</p><p>In Vietnam, according to flu epidemiology studies, the flu season may reach its peak around October and March annually.</p><h2><b>Cold vs Flu</b></h2><p>In spite of the fact that flu and common cold are both contagious respiratory diseases, they are caused by different viruses.</p><p>Flu is caused by influenza viruses only, meanwhile there can be a number of different viruses causing the common cold including rhinoviruses, parainfluenza, and seasonal coronaviruses (according to CDC, 2021). Seasonal coronaviruses (sCoVs) is not the virus that causes COVID-19 (SARS-COV-2).</p><p>However, it is hard to distinguish flu and common cold based on the symptoms alone as they have many in accord. In general, flu is said to be worse than the common cold with more intense symptoms and complications that may cause. Common cold may not result in serious health concern such as pneumonia, bacterial infections, or hospitalizations.</p><p></p><img src=\"https://media.fmp-data.bliss.build/original_images/cold-vs-flu-infographic.jpg\" class=\"format-fullwidth\" /><h2><b>Why should I take the flu vaccine annually?</b></h2><p>First and foremost, the flu viruses are changing regularly, the flu vaccine needs to be reviewed and updated to help protect against the most common viruses of the new season. Also, antibodies created from vaccines, which help to protect people from flu, would decrease over time. Its protective effect may last from 6 - 12 months, and by that means, everyone 6 months and older should take the flu vaccine annually.</p><h2><b>Who should vaccinate?</b></h2><p>According to CDC, everyone 6 months of age and older should get an influenza (flu) vaccine every season with rare exceptions. This is the recommendation of CDC’s Advisory Committee on Immunization Practices since the 2010-2011 influenza season.</p><p>Vaccination can help to prevent flu and its severe complications, which is essential for people at higher risk as below:</p><ul><li>People 65 years and older</li><li>People with underlying medical conditions: ex., asthma, diabete, heart &amp; stroke disease, chronic kidney disease</li><li>Pregnant people</li><li>Young children above 6 months</li></ul><h2><b>Who should not be vaccinated for the flu?</b></h2><ul><li>In general, vaccines are not for use in children under 6 months old as they were too young.</li><li>People with severe allergic reactions should consult with the doctor and conduct vital signs prior to vaccination.</li></ul><h2><b>When should I get vaccinated?</b></h2><p>As vaccines may take up to 2 weeks to generate enough antibodies to protect people against disease, it is recommended to get the vaccinated prior to the flu season. Ideally, everyone aged 6 months and above should be vaccinated by the end of October. Some of the high risk group should take below recommendation into considerations:</p><ul><li>Adults above 65 years old should generally get vaccinated prior to the flu season to have the most efficiency of the vaccine. Early adoption may not be recommended as vaccine protection will decrease overtime.</li><li>Children under 9 years old that have not caught the flu nor get the flu shot before should take 2 doses of flu vaccination. By that means, they should get vaccinated as soon as the vaccine is available because the time frame between 2 doses should be at least 1 month.</li><li>Pregnant women who are in their third trimester should consider to take early vaccination in order to help protect their infants during the first months of life (as infants cannot get vaccinated)</li></ul><h2><b>Quadrivalent flu vaccine season 2023/2024 at FMP Hanoi</b></h2><img src=\"https://media.fmp-data.bliss.build/original_images/Flu_billboard_2023-03.jpg\" class=\"format-left\" /><p></p><p>This flu season 2023/2024, for the first time in Vietnam, we will have the quadrivalent vaccine which can help to protect against 4 virus strains instead of 3 as previous years. At FMP, we will have Influvac Tetra vaccine, an inactivated influenza vaccine that are made to protect you from 2 flu type A and 2 flu type B as following:</p><p>A/Victoria/4897/2022 (H1N1) pdm09 - like strain</p><p>A/Darwin/9/2021 (H3N2) - like strain</p><p>B/Austria/1359417/2021 - like strain</p><p>B/Phuket/3073/2013 - like strain</p><p></p><p>Injection fee:<b> 400.000 VND / shot</b></p><p></p><p>Inbox us: <a href=\"http://m.me/FamilyMedicalPracticeHanoi\">http://m.me/FamilyMedicalPracticeHanoi</a></p><p><b>☎️ 024 3843 0748 - 112, 117 (24/7)</b></p><p><b>Email: hanoi@vietnammedicalpractice.com</b></p>"
                }
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            "meta_title": "Flu vaccine service season 2021/2022 at FMP Hanoi",
            "meta_description": "The flu season may reach its peak around Oct and Mar annually. Getting flu shot is highly recommended with rare exception for everyone aged 6 months and above.",
            "social_title": "Flu vaccine service season 2021/2022 at FMP Hanoi",
            "social_description": "The flu season may reach its peak around Oct and Mar annually. Getting flu shot is highly recommended with rare exception for everyone aged 6 months and above.",
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        {
            "id": 1498,
            "title": "Flu vaccine",
            "slug": "flu-vaccine",
            "slug_en": "flu-vaccine",
            "slug_vi": "vaccine-cum-mua",
            "slug_ko": null,
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                "id": 1530,
                "url": "https://media.fmp-data.bliss.build/original_images/flu-vaccine-at-fmp-hanoi.jpg",
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            "post_date": "2021-10-26",
            "category": {
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                "name": "Announcement board",
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                "id": 1,
                "name": "News",
                "slug": "news"
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            "tags": "Flu vaccine",
            "summary": "What is the flu vaccine? How many types of flu vaccine? Why do we need to take the flu vaccine annually as recommended by CDC?",
            "related_pages_title": "Flu vaccine",
            "related_pages": [
                {
                    "id": 57,
                    "url": "influenza-vaccination-as-top-preventions",
                    "title": "Influenza: Vaccination as top preventions",
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                {
                    "id": 58,
                    "url": "flu-vaccine-season-21-22-fmp-hanoi",
                    "title": "Flu vaccine service season 2023/2024 at FMP Hanoi",
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                {
                    "type": "text",
                    "value": "<h2><b>Flu vaccine composition selection</b></h2><p>Flu viruses are changing constantly, by that means, the vaccine composition is reviewed every year in order to update on 3 of the following:</p><ul><li>Which influenza viruses are making people sick</li><li>How efficiently can those viruses spreading</li><li>How effective is the previous season’s vaccine protect against those viruses</li></ul><p>Year-round surveillance for influenza will be conducted by more than 144 national influenza centers in over 114 countries. Afterward, the virus samples will be collected, tested and the laboratories will send the representative sample to WHO Collaborating Centers.</p><p>WHO will then make recommendations on the composition of the influenza vaccine. Since Northern Hemispheres and Southern Hemispheres flu season took place in different periods of time, the vaccine composition may vary between these two locations.</p><p>For Vietnam, we will have the flu vaccine composition of Northern Hemispheres, which will be available around October/November annually.</p><h2><b>Type of flu vaccine</b></h2><p>There are 3 main type of influenza vaccine as following:</p><h3><b>Inactivated influenza vaccines [IIV]</b></h3><p>This is a flu vaccine made from an inactivated influenza virus. To be precise, an influenza virus is injected into a chicken egg to replicate. Afterward, this virus is inactivated by heat, radiation, or chemicals. This inactivated virus still has the antigen which helps the immune system to create antibodies against the disease as usual.</p><h3><b>Recombinant influenza vaccine [RIV]</b></h3><p>This vaccine was created by recombinant technology which does not use chicken egg in the production process. This method uses protein from the virus to activate the immune system. In the laboratories, these proteins will be extracted and recombined for vaccination use.</p><h3><b>Live attenuated influenza vaccine [LAIV]</b></h3><p>This vaccine contains a virus that has been attenuated or weakened so that it can only cause mild signs or symptoms to no influenza, but help to activate the antibodies. According to CDC, LAIV is currently approved for use for people 2–49 years of age with no underlying medical conditions.</p><p>There are many flu vaccine options to choose from, but the most important note is everyone aged 6 months and older should get a flu vaccine every year. If you have questions regarding the flu vaccine, consult with FMP for a health care professional.</p><h2><b>Naming Influenza Viruses</b></h2><p>There’s a global naming convention for influenza viruses accepted by WHO as following:</p><ul><li>The virus type (ex., A, B, C, D)</li><li>The host of origin (ex., duck, chicken, etc.). For human-origin viruses, no host of origin designation is given. Note the following examples:<ul><li>(Duck example): avian influenza A(H1N1), A/duck/Alberta/35/76</li><li>(Human example): seasonal influenza A(H3N2), A/Perth/16/2019</li></ul></li><li>Geographical origin where the virus was first isolated (e.g., Washington, Phuket, etc.)</li><li>Strain or lineage number (ex., 2570, 3073, etc.)</li><li>Year of isolation (ex., 2009, 2020, etc.)</li><li>For influenza A type viruses, virus protein antigen subtype described by letter and number, H1 to H16 and N1 to N9 (ex., H1N1, H3N2)</li><li>The 2009 pandemic virus was assigned a distinct name: A(H1N1) pdm09 to distinguish it from the seasonal influenza A(H1N1) viruses that circulated prior to the pandemic.</li><li>When humans are infected with influenza viruses that normally circulate in swine, these viruses are called variant viruses and are designated with a letter ‘v’ (ex., an A(H3N2)v virus).</li></ul><p></p><img src=\"https://media.fmp-data.bliss.build/original_images/name-influenza-virus.jpg\" class=\"format-fullwidth\" /><p></p><h2><b>Flu vaccine season 2023/2024 service at FMP Hanoi</b></h2><p></p><img src=\"https://media.fmp-data.bliss.build/original_images/Flu_billboard_2023-03.jpg\" class=\"format-fullwidth\" /><p></p><p>This flu season 2022/2023, we will have the <a href=\"None\">quadrivalent vaccine</a> which can help to protect against 2 flu type A and 2 flu type B. At FMP, we will have Influvac Tetra vaccine, an inactivated influenza vaccine, with the virus strain protection as following:</p><p>A/Victoria/4897/2022 (H1N1) pdm09 - like strain</p><p>A/Darwin/9/2021 (H3N2) - like strain</p><p>B/Austria/1359417/2021 - like strain</p><p>B/Phuket/3073/2013 - like strain</p><p></p><p>Injection fee:<b> 400.000 VND / shot</b></p><p></p><p>Inbox us: <a href=\"http://m.me/FamilyMedicalPracticeHanoi\">http://m.me/FamilyMedicalPracticeHanoi</a></p><p><b>☎️</b> <b>024 3843 0748 - 112, 119 (24/7)</b></p><p><b>Email: hanoi@vietnammedicalpractice.com</b></p>"
                }
            ],
            "meta_title": "Flu vaccine",
            "meta_description": "What is the flu vaccine? How many types of flu vaccine? Why do we need to take the flu vaccine annually as recommended by CDC?",
            "social_title": "Flu vaccine",
            "social_description": "What is the flu vaccine? How many types of flu vaccine? Why do we need to take the flu vaccine annually as recommended by CDC?",
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        },
        {
            "id": 1497,
            "title": "Dr. Serge Gradstein’s report on the importance of vaccination against Influenza during the ongoing Covid-19 pandemic",
            "slug": "importance-get-vaccinated-against-influenza-times-coronavirus-pandemic",
            "slug_en": "importance-get-vaccinated-against-influenza-times-coronavirus-pandemic",
            "slug_vi": null,
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1527,
                "url": "https://media.fmp-data.bliss.build/original_images/influenza-2.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/influenza-2.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2021-10-25",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 2,
                "name": "Articles by our Doctors",
                "slug": "Articlesbyourdoctors"
            },
            "tags": "",
            "summary": "Many of us, including health professionals, have observed a sharp decrease in the incidence of cases of Influenza during the last 2 years of the COVID-19 pandemic. This observation is real and is a consequence of the many general protection measures installed to fight the pandemic.",
            "related_pages_title": null,
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            "locations": [
                1281,
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                    "value": "<p></p><p></p><p>Many of us, including health professionals, have observed a sharp decrease in the incidence of cases of Influenza during the last 2 years of the COVID-19 pandemic. This observation is real and is a consequence of the many general protection measures installed to fight the pandemic.</p><p>Like the Coronaviruses, Influenza viruses are airborne and propagated in similar ways. So the utilization of masks, frequent hand washings and the avoidance of crowded places have had a clear impact on the propagation of both viruses. Even more so being the fact that children have been staying at home not in attending in-person school.</p><p>The measures directed to reduce the propagation of the viruses among children have had a greater impact on the propagation of the Influenza viruses than on the Coronaviruses; it is known that children are infected by Influenza in a greater proportion than adults and shed the virus more than adults when infected which is apparently less true for Coronaviruses.</p><p>Now that the preventive measures are about to be loosened significantly, and that the schools and kindergarten are about to reopen, it is expected to see a sharp increase in the circulation of viruses including the Influenza viruses.</p><p>In relation to this expected wave of Influenza, there are three important aspects that should worry us:</p><p>1) The potential combination of an infection with 2 viruses that can attack the respiratory system is to be dreaded. Such an eventuality could enlarge the proportion of individuals suffering from a severe disease and complications compared to what we have seen during the COVID-19 epidemic.</p><p>Even if we do not contract those two infections simultaneously, even getting them one after the other increases the potential for complications and severe disease.</p><p>2) Since the symptoms of those two respiratory diseases can be similar, unnecessary confusion can occur at the onset of a respiratory infection until it is clear whether it is Influenza, COVID-19 or both. Being vaccinated does not cancel totally this confusion, but can diminish it.</p><p>3) On a larger scale than the individual risk of contracting the two infections, we have to understand that adding the burden of a partly preventable additional disease could drive an already overwhelmed health care system, especially at the level of the Intensive Care Units to saturation and even catastrophic failure. This concerns us all as potential users of those facilities, with any kind of severe medical condition unrelated to those two viral diseases. If there are no available beds nor personnel, it stands as well for trauma, heart conditions, strokes etc…</p><p>Within a few weeks, like every year, a new seasonal Influenza vaccine will be available for all. It is recommended to get a Flu vaccine every year but this year more than ever is it important for the sake of our family and our community.</p><p></p>"
                }
            ],
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        },
        {
            "id": 1496,
            "title": "Việt Nam to begin inoculating children and youth against COVID-19",
            "slug": "việt-nam-to-begin-inoculating-children-and-youth-against-covid-19",
            "slug_en": "việt-nam-to-begin-inoculating-children-and-youth-against-covid-19",
            "slug_vi": null,
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1526,
                "url": "https://media.fmp-data.bliss.build/original_images/Covid-vaccine.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Covid-vaccine.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2021-10-20",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "BREAKING NEWS!! \r\nAs per a recent article posted in Vietnam News, The Ministry of Health will begin vaccinating children and youth between the ages of 12 and 17 against COVID-19 later this month, before expanding the vaccination program to younger age groups, Deputy Health Minister Trần Văn Thuấn said on Saturday.  \r\nCurrently, only the Pfizer-BioNTech COVID-19 vaccine is authorized for administration in children, and a large supply of the Pfizer vaccine is scheduled to arrive in Việt Nam in the near future.  Out of its order of 51 million doses, slated for arrival mostly this quarter, 20 million doses have been reserved for the 12 to 17 age bracket.\r\nTo register your children and youth online for the Pfizer-BioNTech COVID-19 vaccine, once they have been allocated to FMP by the Department of Health, please copy and paste the following link into your web browser. https://tinyurl.com/mmndf6wd",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1279,
                1278
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p></p><p>BREAKING NEWS!!</p><p>As per a recent article posted in <a href=\"https://vietnamnews.vn/society/1056615/viet-nam-eyes-inoculating-children-against-covid-19-in-late-october-with-pfizer-cuban-vaccines.html\">Vietnam News</a>, The Ministry of Health will begin vaccinating children and youth between the ages of 12 and 17 against COVID-19 later this month, before expanding the vaccination program to younger age groups, Deputy Health Minister Trần Văn Thuấn said on Saturday.</p><p>Currently, only the Pfizer-BioNTech COVID-19 vaccine is authorized for administration in children, and a large supply of the Pfizer vaccine is scheduled to arrive in Việt Nam in the near future. Out of its order of 51 million doses, slated for arrival mostly this quarter, 20 million doses have been reserved for the 12 to 17 age bracket.</p><p>To register your children and youth online for the Pfizer-BioNTech COVID-19 vaccine, once they have been allocated to FMP by the Department of Health, please click on the following link. <a href=\"https://tinyurl.com/mmndf6wd\">https://tinyurl.com/mmndf6wd</a></p><p></p><p></p>"
                }
            ],
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        },
        {
            "id": 1486,
            "title": "What is FMP at home?",
            "slug": "what-fmp-home",
            "slug_en": "what-fmp-home",
            "slug_vi": null,
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1515,
                "url": "https://media.fmp-data.bliss.build/original_images/telemedicine-2021_2_7VOLGnY.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/telemedicine-2021_2_7VOLGnY.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2021-09-13",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
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            "tags": "",
            "summary": "FMP at home is our virtual menu of telehealth services including telemedicine and RPM’s (Remote Patient Monitoring), allowing for the distribution of expert healthcare via electronic information and telecommunication technology. \r\n\r\nFMP at home empowers our patents to choose their doctors and our services, receive diagnoses and treatment options, preventive care, advice, at home monitoring for chronic conditions and more by way of real-time, two-way, audio and video communication. It is meant as a tool to provide ease of access to medical care which is not only convenient, but faster and more cost efficient for many.\r\n\r\nSince the onset of the COVID-19 pandemic causing social distancing measures and movement restrictions, new analysis indicates the use telehealth has increased 38 times from the pre-COVID-19 baseline. \r\n\r\nIn summary, telehealth is an opportunity to advance patients’ access to preventative care and medical treatment 24-hours a day, via phone and web virtual visits.",
            "related_pages_title": null,
            "related_pages": [
                {
                    "id": 38,
                    "url": "why-should-i-use-telemedicine",
                    "title": "Why should I use telemedicine?",
                    "ctype": "post"
                },
                {
                    "id": 51,
                    "url": "how-can-i-get-more-information-about-fmp-home",
                    "title": "How can I get more information about FMP at home?",
                    "ctype": "post"
                },
                {
                    "id": 52,
                    "url": "fmp-home-_-consent-form",
                    "title": "FMP At Home Consent Form",
                    "ctype": "post"
                }
            ],
            "locations": [
                1273
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p></p><p>FMP at home is our virtual menu of telehealth services including telemedicine and RPM’s (Remote Patient Monitoring), allowing for the distribution of expert healthcare via electronic information and telecommunication technology.</p><p>FMP at home empowers our patents to choose their doctors and our services, receive diagnoses and treatment options, preventive care, advice, at home monitoring for chronic conditions and more by way of real-time, two-way, audio and video communication. It is meant as a tool to provide ease of access to medical care which is not only convenient, but <b>faster</b> and more cost efficient for many.</p><p>Since the onset of the COVID-19 pandemic causing social distancing measures and movement restrictions, new analysis indicates the use telehealth has increased 38 times from the pre-COVID-19 baseline.</p><p>In summary, telehealth is an opportunity to advance patients’ access to preventative care and medical treatment 24-hours a day, via phone and web virtual visits.</p><p></p><img src=\"https://media.fmp-data.bliss.build/original_images/Telemedicine_9N1t7EG.jpg\" class=\"format-fullwidth\" /><p></p>"
                }
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        {
            "id": 1489,
            "title": "Why should I use telemedicine?",
            "slug": "why-should-i-use-telemedicine",
            "slug_en": "why-should-i-use-telemedicine",
            "slug_vi": null,
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": null,
            "post_date": "2021-09-13",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "Telemedicine is designed to add ease, convenience and lower cost to your healthcare.  When you are able to communicate with your doctors as often as you need to, without coping with the challenges of traveling to their office nor taking valuable time off of work, you can maintain better management of your health. Through FMP at home, your virtual clinic appointments are based on YOU, your lifestyle, your needs, and your timeframe, and all from the comfort, convenience and security of your home.\r\nWhat should I do to prepare for a successful Telemedicine consult?\r\n1.\tMake a list of your current symptoms, when they started, how severe they are and write them down.  For example, do you have difficulty breathing or feel a pain in your chest?  On a scale of 1 to 10, how severe is your pain?  Are you experiencing fatigue, and if so, for how long?  Are you nauseous or suffering from diarrhea?\r\n2.\tKeep track of your data. Do you have a temperature? If so, what is it, and has it changed? Do you have a blood pressure monitor? What is your blood pressure reading today?\r\n3.\tAre others in your home sick? If yes, how long have they been feeling ill?\r\n4.\tMake a list of your chronic conditions and the medications you are currently taking.\r\n5.\tHave you been recently tested for COVID-19? If so, what were your results?\r\n6.\tIf you are currently a patient of FMP, have your Medical Record Number on hand, or other identifying information, so they can look up your Electronic Medical Record.\r\n7.\tIn case you are advised to go to the nearest Emergency Room or FMP clinic location for further evaluation, make sure you know where those locations are.\r\n8.\tBe sure you have a comfortable place to sit for the visit, and that your camera provides a clear picture of you for your provider.\r\n9.\tTurn off your other phones and devices to prevent distraction during your call. \r\n10.\tHave a piece of paper and a pen ready to take detailed notes during the call.\r\n11.\tIf you have any medical devices at home, like a thermometer, blood pressure monitor, glucometer, heart monitor, or even a bathroom scale, have them readily available during your appointment incase needed.\r\n12.\tLocate a quiet spot for your teleconference, where you will not be distracted nor interrupted during your session, and if your consultation will reflect an intimate or sensitive matter, choose place where your privacy can be ensured.\r\nAlso in preparation, make sure to double check your technology.\r\n1.\tWhich device are you planning to use for your visit? Generally speaking, a desktop or laptop computer, Apple or Android smartphone or a tablet equipped with a webcam, microphone and speaker is sufficient for a teleconference.\r\n2.\tIs your device fully charged and/or plugged in?\r\n3.\tDoes your location accommodate a reliable internet connection? For successful teleconferences, we recommend a High-speed Internet and/or a strong and dependable Wi-Fi signal.\r\n4.\tHave you downloaded the appropriate communications Apps?  We use Zoom, Skype, Zalo or Viber for FMP at home consultations.\r\nDuring the call:\r\n1.\tSpeak slowly and clearly into the microphone, making sure that your provider can properly hear and understand you, remaining in clear site of your practitioner.\r\n2.\tGive identifying information about yourself or your family member.\r\n3.\tClearly present your symptoms.\r\n4.\tAnswer the provider’s questions as clearly and to the point as possible.\r\n5.\tMake notes of the health professional’s recommendations and ask questions if something is unclear.\r\nOverall, a virtual visit very similar to visiting a doctor’s office, but meticulous preparation is always helpful.\r\nWho will be part of the consultation?\r\nAt the time of your FMP at home consultation, you will see your doctor, in real time, through your chosen device screen. In case of language difficulties, a nurse or medical translator might join the session to assist in translation. \r\nAssisted teleconsultations.  \r\nSome patients may require additional assistance to coincide with their FMP at home teleconference, as the patient may not have the tools nor know how to perform a simple clinical self-examination. Some patients might be equipped with blood pressure monitors, but their quality of use is not always optimal.  Moreover, the population with a high level of medical needs, being the elderly, are not necessarily familiar with current technology, nor are they physically able to perform the necessary self-examinations for a successful consultation.  Hence the need for teleconsultation assisted by a healthcare professional.  I.e.: Accompanied Teleconsultation.  This is an examination between our physician and the patient, in the presence of third person being a nurse or healthcare professional.  This third party onsite with the patent acts as a conduit to the physician and can perform simple diagnostic tests, such as blood pressure or ECG measurements, blood work, record temperature and take urine and/or stool samples for further lab analysis.\r\nWhat to expect during your appointment?\r\nThe process is very similar to a standard in-person clinic appointment.  The doctor will greet you and ask for your name, address and date of birth, inquire about your complaint and symptoms, your health history and any medications you are currently taking.  Then, based upon the information gathered from your thorough screening, he or she will diagnose and prescribe treatment for your condition.  If the doctor feels that further testing and in-person evaluation is required, your doctor will schedule an in-clinic appointment on your behalf for a more delated and hands-on assessment.  \r\nHow long will your appointment last?\r\nFMP at home appointments generally last between 15 and 20 minutes, but as each case is unique, the time spent is managed on a case-by-case basis. \r\nWhat if I need additional care?\r\nDuring your consultation, if your doctor deems your particular condition inappropriate for FMP at home, he or she will recommend that an in-person appointment be scheduled at a brick-and-mortar clinic.\r\nWhat happens if I need more tests like blood tests or imaging? (X-ray, Ultrasound, CT scan)?\r\nIf your doctor concludes that blood work, imaging or additional tests are required to confirm a proper diagnosis, you will be asked to schedule an appointment and have the proper tests taken at an FMP clinic.\r\nHow private is a teleconsultation?\r\nOne of the first questions many patients ask when they consider seeing their doctor via video teleconferencing is, “Will the visit be secure and private?” This is a valid concern and one that our team takes very seriously. The same stringent patient privacy standards which apply to face-to-face consultations apply to virtual. The session will be documented and then entered into your medical record, in exactly the same way as an on-site doctor’s appointment.  As always, we assure that patient/doctor privilege remains confidential.\r\nWhat are the main disadvantages of telemedicine?\r\n1.\tIt isn’t viable to manage every type of medical issue remotely.  You will still need to visit a clinic for a fractured bone, stitches, imaging tests, colonoscopies, Covid-19 Antigen or PCR tests, etc. as well as for diagnoses requiring a more in depth and hands on resolution.\r\n2.\tThe video could potentially buffer or freeze during the teleconsultation due to a poor connection or Wi-Fi signal.\r\n3.\tTelemedicine is not the same as a brick-and-mortar doctor’s office. If you prefer a more personal and hands-on relationship with your healthcare provider, then telemedicine may not be the right option for you.\r\n4.\tWhile insurance companies are increasingly covering the cost of telemedicine virtual visits as a result of the ongoing Covid-19 pandemic, some services may not be included leading to out-of-pocket expenses.  It is important to check with your insurance carrier to see if telemedicine is included in your particular policy.",
            "related_pages_title": null,
            "related_pages": [
                {
                    "id": 40,
                    "url": "what-fmp-home",
                    "title": "What is FMP at home?",
                    "ctype": "post"
                },
                {
                    "id": 41,
                    "url": "how-can-i-get-more-information-about-fmp-home",
                    "title": "How can I get more information about FMP at home?",
                    "ctype": "post"
                },
                {
                    "id": 50,
                    "url": "fmp-home-_-consent-form",
                    "title": "FMP At Home Consent Form",
                    "ctype": "post"
                }
            ],
            "locations": [
                1275
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p></p><p>Telemedicine is designed to add ease, convenience and lower cost to your healthcare. When you are able to communicate with your doctors as often as you need to, without coping with the challenges of traveling to their office nor taking valuable time off of work, you can maintain better management of your health. Through FMP at home, your virtual clinic appointments are based on YOU, your lifestyle, your needs, and your timeframe, and all from the comfort, convenience and security of your home.</p><p></p><img src=\"https://media.fmp-data.bliss.build/original_images/Telemedicine_why-should-use.jpg\" class=\"format-fullwidth\" /><p><b>What should I do to prepare for a successful Telemedicine consult?</b></p><ol><li>Make a list of your current symptoms, when they started, how severe they are and write them down. For example, do you have difficulty breathing or feel a pain in your chest? On a scale of 1 to 10, how severe is your pain? Are you experiencing fatigue, and if so, for how long? Are you nauseous or suffering from diarrhea?</li><li>Keep track of your data. Do you have a temperature? If so, what is it, and has it changed? Do you have a blood pressure monitor? What is your blood pressure reading today?</li><li>Are others in your home sick? If yes, how long have they been feeling ill?</li><li>Make a list of your chronic conditions and the medications you are currently taking.</li><li>Have you been recently tested for COVID-19? If so, what were your results?</li><li>If you are currently a patient of FMP, have your Medical Record Number on hand, or other identifying information, so they can look up your Electronic Medical Record.</li><li>In case you are advised to go to the nearest Emergency Room or FMP clinic location for further evaluation, make sure you know where those locations are.</li><li>Be sure you have a comfortable place to sit for the visit, and that your camera provides a clear picture of you for your provider.</li><li>Turn off your other phones and devices to prevent distraction during your call.</li><li>Have a piece of paper and a pen ready to take detailed notes during the call.</li><li>If you have any medical devices at home, like a thermometer, blood pressure monitor, glucometer, heart monitor, or even a bathroom scale, have them readily available during your appointment incase needed.</li><li>Locate a quiet spot for your teleconference, where you will not be distracted nor interrupted during your session, and if your consultation will reflect an intimate or sensitive matter, choose place where your privacy can be ensured.</li></ol><p><b>Also in preparation, make sure to double check your technology.</b></p><ol><li>Which device are you planning to use for your visit? Generally speaking, a desktop or laptop computer, Apple or Android smartphone or a tablet equipped with a webcam, microphone and speaker is sufficient for a teleconference.</li><li>Is your device fully charged and/or plugged in?</li><li>Does your location accommodate a reliable internet connection? For successful teleconferences, we recommend a High-speed Internet and/or a strong and dependable Wi-Fi signal.</li><li>Have you downloaded the appropriate communications Apps? We use Zoom, Skype, Zalo or Viber for FMP at home consultations.</li></ol><p></p><img src=\"https://media.fmp-data.bliss.build/original_images/Telemedicine_why-should-use2_1.jpg\" class=\"format-fullwidth\" /><p></p><p><b>During the call:</b></p><ol><li>Speak slowly and clearly into the microphone, making sure that your provider can properly hear and understand you, remaining in clear site of your practitioner.</li><li>Give identifying information about yourself or your family member.</li><li>Clearly present your symptoms.</li><li>Answer the provider’s questions as clearly and to the point as possible.</li><li>Make notes of the health professional’s recommendations and ask questions if something is unclear.</li></ol><p>Overall, a virtual visit very similar to visiting a doctor’s office, but meticulous preparation is always helpful.</p><p><b>Who will be part of the consultation?</b></p><p>At the time of your FMP at home consultation, you will see your doctor, in real time, through your chosen device screen. In case of language difficulties, a nurse or medical translator might join the session to assist in translation.</p><p><b>Assisted teleconsultations.</b></p><p>Some patients may require additional assistance to coincide with their FMP at home teleconference, as the patient may not have the tools nor know how to perform a simple clinical self-examination. Some patients might be equipped with blood pressure monitors, but their quality of use is not always optimal. Moreover, the population with a high level of medical needs, being the elderly, are not necessarily familiar with current technology, nor are they physically able to perform the necessary self-examinations for a successful consultation. Hence the need for teleconsultation assisted by a healthcare professional. I.e.: Accompanied Teleconsultation. This is an examination between our physician and the patient, in the presence of third person being a nurse or healthcare professional. This third party onsite with the patent acts as a conduit to the physician and can perform simple diagnostic tests, such as blood pressure or ECG measurements, blood work, record temperature and take urine and/or stool samples for further lab analysis.</p><p><b>What to expect during your appointment?</b></p><p>The process is very similar to a standard in-person clinic appointment. The doctor will greet you and ask for your name, address and date of birth, inquire about your complaint and symptoms, your health history and any medications you are currently taking. Then, based upon the information gathered from your thorough screening, he or she will diagnose and prescribe treatment for your condition. If the doctor feels that further testing and in-person evaluation is required, your doctor will schedule an in-clinic appointment on your behalf for a more delated and hands-on assessment.</p><p><b>What are some of the conditions you CAN treat through telemedicine?</b></p><p>Some of the conditions we <b>ARE</b> able to treat through telemedicine include: Cold and flu, sinus infections, asthma, nausea and vomiting, cough, fever, migraines and headaches, diarrhea, sunburn, acne, rashes, hives, urinary tract infections, yeast infections, joint pain, erectile dysfunction and much more.</p><p><b>What conditions are NOT treatable through telemedicine?</b></p><p>Examples of conditions which <b>ARE NOT</b> treatable through telemedicine include: Chest pain and/or numbness, lacerations, broken bones, severe burns, ear infections, vomiting or coughing up blood, loss of consciousness or traumatic brain or spinal cord injuries*.</p><p>*Please note, this limitation is for the immediate period following a spinal cord or traumatic brain injury, which may need in person emergency medical treatment. However, we<b> ARE</b> able to treat patients who have a history of a traumatic brain or spinal cord injury with <b>NON-EMERGENCY</b> medical needs.</p><p><b>How long will your appointment last?</b></p><p>FMP at home appointments generally last between 15 and 20 minutes, but as each case is unique, the time spent is managed on a case-by-case basis.</p><p><b>What if I need additional care?</b></p><p>During your consultation, if your doctor deems your particular condition inappropriate for FMP at home, he or she will recommend that an in-person appointment be scheduled at a brick-and-mortar clinic.</p><p></p><img src=\"https://media.fmp-data.bliss.build/original_images/Telemedicine_why-should-use3.jpg\" class=\"format-fullwidth\" /><p></p><p><b>What happens if I need more tests like blood tests or imaging? (X-ray, Ultrasound, CT scan)?</b></p><p>If your doctor concludes that blood work, imaging or additional tests are required to confirm a proper diagnosis, you will be asked to schedule an appointment and have the proper tests taken at an FMP clinic.</p><p><b>How private is a teleconsultation?</b></p><p>One of the first questions many patients ask when they consider seeing their doctor via video teleconferencing is, “Will the visit be secure and private?” This is a valid concern and one that our team takes very seriously. The same stringent patient privacy standards which apply to face-to-face consultations apply to virtual. The session will be documented and then entered into your medical record, in exactly the same way as an on-site doctor’s appointment. As always, we assure that patient/doctor privilege remains confidential.</p><p><b>What are the main disadvantages of telemedicine?</b></p><ol><li>It isn’t viable to manage every type of medical issue remotely. You will still need to visit a clinic for a fractured bone, stitches, imaging tests, colonoscopies, Covid-19 Antigen or PCR tests, etc. as well as for diagnoses requiring a more in depth and hands on resolution.</li><li>The video could potentially buffer or freeze during the teleconsultation due to a poor connection or Wi-Fi signal.</li><li>Telemedicine is not the same as a brick-and-mortar doctor’s office. If you prefer a more personal and hands-on relationship with your healthcare provider, then telemedicine may not be the right option for you.</li><li>While insurance companies are increasingly covering the cost of telemedicine virtual visits as a result of the ongoing Covid-19 pandemic, some services may not be included leading to out-of-pocket expenses. It is important to check with your insurance carrier to see if telemedicine is included in your particular policy.</li></ol>"
                }
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        },
        {
            "id": 1488,
            "title": "How can I get more information about FMP at home?",
            "slug": "how-can-i-get-more-information-about-fmp-home",
            "slug_en": "how-can-i-get-more-information-about-fmp-home",
            "slug_vi": null,
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1519,
                "url": "https://media.fmp-data.bliss.build/original_images/Telemedicine_payment.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Telemedicine_payment.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2021-09-13",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "How can I get more information about FMP at home?\r\nOur knowledgeable Customer Care team can provide detailed information about our FMP at home Program.  Call 028 3744 2000 or email us at information@vietnammedicalpractice.com.\r\n\r\nHow do I to book an appointment?\r\nCall our Customer Care team at 028 3744 2000. \r\n\r\nHow do I pay for an FMP at home appointment?\r\nWe accept credit cards and bank transfer.\r\nPayment via bank transfer:\r\nPayment can be made in either USD or Vietnam Dong\r\nBank: HSBC\r\nAccount name: HCMC Family Medical Practice Co, Ltd  \r\nBank address: HSBC bank, 235 Dong Khoi St, Vietnam - Tel 8428 38292288\r\nUSD Account #001 - 051200-001 \r\nVND account #001-051200-101\r\nSwiftcode: HSBCVNVX\r\nPlease add to the content of the transfer “Patient Full Name” and “FOR TELEMEDICINE”\r\nYou may also prepay one or a package of FMP at home teleconsultations during an in-person visit to Family Medical Practice.  However, please be advised that advance payment is required for all virtual appointments, including any additional follow-up.\r\n\r\nWhat if I need to cancel or reschedule my appointment?\r\nIf you are unable to proceed with your scheduled appointment, or need to reschedule for another day, we ask that you alert our Customer Care team a minimum of two days in advance of your scheduled appointment, so that your doctor’s time slot may be allocated to another patient.",
            "related_pages_title": null,
            "related_pages": [
                {
                    "id": 36,
                    "url": "what-fmp-home",
                    "title": "What is FMP at home?",
                    "ctype": "post"
                },
                {
                    "id": 39,
                    "url": "why-should-i-use-telemedicine",
                    "title": "Why should I use telemedicine?",
                    "ctype": "post"
                },
                {
                    "id": 49,
                    "url": "fmp-home-_-consent-form",
                    "title": "FMP At Home Consent Form",
                    "ctype": "post"
                }
            ],
            "locations": [
                1274
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p></p><p>Our knowledgeable Customer Care team can provide detailed information about our FMP at home Program. Call <b>028 3744 2000 or</b> email us at <b>information@vietnammedicalpractice.com</b>.</p><p><b>How do I to book an appointment?</b></p><p>Call our Customer Care team at <b>028 3744 2000.</b></p><p><b>How do I pay for an FMP at home appointment?</b></p><p>We accept credit cards and bank transfer.</p><ul><li>Payment via bank transfer:<ul><li>Payment can be made in either USD or Vietnam Dong</li><li>Bank: HSBC</li><li>Account name: HCMC Family Medical Practice Co, Ltd</li><li>Bank address: HSBC bank, 235 Dong Khoi St, Vietnam - Tel 8428 38292288</li><li>USD Account #001 - 051200-001</li><li>VND account #001-051200-101</li><li>Swiftcode: HSBCVNVX</li><li>Please add to the content of the transfer “Patient Full Name” and “FOR TELEMEDICINE”</li></ul></li></ul><p>You may also prepay one or a package of FMP at home teleconsultations during an in-person visit to Family Medical Practice. However, please be advised that advance payment is required for all virtual appointments, including any additional follow-up.</p><p><b>What if I need to cancel or reschedule my appointment?</b></p><p>If you are unable to proceed with your scheduled appointment, or need to reschedule for another day, we ask that you alert our Customer Care team a minimum of two days in advance of your scheduled appointment, so that your doctor’s time slot may be allocated to another patient.</p>"
                }
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        },
        {
            "id": 1490,
            "title": "FMP At Home Consent Form",
            "slug": "fmp-home-_-consent-form",
            "slug_en": "fmp-home-_-consent-form",
            "slug_vi": null,
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1520,
                "url": "https://media.fmp-data.bliss.build/original_images/Telemedicine_consent-form.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/Telemedicine_consent-form.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2021-09-13",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "",
            "related_pages_title": null,
            "related_pages": [
                {
                    "id": 42,
                    "url": "what-fmp-home",
                    "title": "What is FMP at home?",
                    "ctype": "post"
                },
                {
                    "id": 43,
                    "url": "why-should-i-use-telemedicine",
                    "title": "Why should I use telemedicine?",
                    "ctype": "post"
                },
                {
                    "id": 44,
                    "url": "how-can-i-get-more-information-about-fmp-home",
                    "title": "How can I get more information about FMP at home?",
                    "ctype": "post"
                }
            ],
            "locations": [
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            "content": [
                {
                    "type": "text",
                    "value": "<p></p><p>Click on the <a href=\"https://tinyurl.com/346ubb82\">link</a>  to review and sign our FMP at home consent form.</p><p></p>"
                }
            ],
            "meta_title": "",
            "meta_description": "",
            "social_title": "",
            "social_description": "",
            "social_image": null
        },
        {
            "id": 1484,
            "title": "JAPANESE CITIZEN COVID-19 VACCINATION PROGRAM AT FAMILY MEDICAL PRACTICE",
            "slug": "japanse-citizen-covid-19-vaccination-program-family-medical-practice",
            "slug_en": "japanse-citizen-covid-19-vaccination-program-family-medical-practice",
            "slug_vi": "japanse-citizen-covid-19-vaccination-program-family-medical-practice",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1512,
                "url": "https://media.fmp-data.bliss.build/original_images/Japanese_Post_Vaccine-03.png",
                "compressed": "https://media.fmp-data.bliss.build/images/Japanese_Post_Vaccine-03.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2021-09-07",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "At Family Medical Practice Hanoi we are happy to announce that we have been chosen as one of the medical providers to provide Covid-19 vaccinations to Japanese nationals, and their dependents, living in Hanoi.",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1272,
                1271
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p>At Family Medical Practice Hanoi we are happy to announce that we have been chosen as one of the medical providers to provide Covid-19 vaccinations to Japanese nationals, and their dependents, living in Hanoi.</p><p>The Japanese government and the Embassy of Japan in Vietnam, in collaboration with the Japanese Chambers of Commerce (JCCI) have sponsored the AstraZeneca vaccination program.</p><p>Eligible Japanese nationals along with immediate family members (spouse or those who have marriage agreements and children older than 18 years of age) who are currently living in Hanoi are entitled to register their interest with Family Medical Practice or any other nominated medical facility to receive their vaccinations.</p><p>Family Medical Practice are providing the vaccination service 7 days per week, Monday to Sunday and 7.00am - 8.00pm.</p><p><b>You can register using the link below:</b></p><p><a href=\"https://booking.care24h.vn/\">https://booking.care24h.vn/</a><br/> --------------------------------<br/>Email: jp_fmp@vietnammedicalpractice.com<br/>Phone: +84 24 3843 0748</p>"
                }
            ],
            "meta_title": "",
            "meta_description": "",
            "social_title": "",
            "social_description": "",
            "social_image": {
                "id": 1512,
                "url": "https://media.fmp-data.bliss.build/original_images/Japanese_Post_Vaccine-03.png",
                "compressed": "https://media.fmp-data.bliss.build/images/Japanese_Post_Vaccine-03.format-jpeg.jpegquality-75.jpg"
            }
        },
        {
            "id": 1482,
            "title": "Dịch vụ xét nghiệm Covid-19 RT-PCR tại nhà",
            "slug": "dich-vu-xet-nghiem-covid-19-tai-nha",
            "slug_en": "dich-vu-xet-nghiem-covid-19-tai-nha",
            "slug_vi": "dich-vu-xet-nghiem-covid-19-tai-nha",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1509,
                "url": "https://media.fmp-data.bliss.build/original_images/XET_NGHIEM.png",
                "compressed": "https://media.fmp-data.bliss.build/images/XET_NGHIEM.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2021-08-19",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "covid19, covid test, covid screeing, xét nghiệm covid, xet nghiem covid, xet nghiem covid tai nha, xét nghiệm covid tại nhà",
            "summary": "Để hạn chế đi lại, tránh tiếp xúc với người ngoài, FMP Hà Nội triển khai dịch vụ xét nghiệm RT-PCR covid tại nhà trong nội thành Hà Nội.",
            "related_pages_title": "Covid-19,Xét nghiệm covid, giấy thông hành",
            "related_pages": [
                {
                    "id": 31,
                    "url": "covid-19-testing-service-fmp-hanoi",
                    "title": "COVID-19 testing service at FMP Hanoi",
                    "ctype": "post"
                },
                {
                    "id": 32,
                    "url": "covid-19-fit-fly-certificate",
                    "title": "COVID-19 Fit to Fly certificate",
                    "ctype": "post"
                },
                {
                    "id": 33,
                    "url": "xét-nghiệm-sàng-lọc-covid-19-đã-được-triển-khai-tại-fmp-hà-nội",
                    "title": "Xét nghiệm sàng lọc COVID-19 đã được triển khai tại FMP Hà Nội",
                    "ctype": "post"
                },
                {
                    "id": 62,
                    "url": "fo-service-covid-19-patients-at-home",
                    "title": "FO SERVICE FOR COVID-19 PATIENTS QUARANTINE AT HOME",
                    "ctype": "post"
                }
            ],
            "locations": [
                1268,
                1267
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p></p><h2><b>Xét nghiệm RT-PCR là gì</b></h2><p>Xét nghiệm phản ứng chuỗi polymerase phiên mã ngược thời gian thực (RT-PCR) là một xét nghiệm có độ nhạy cao, độ đặc hiệu cao để chẩn đoán nhiễm virus SARS-CoV-2. RT-PCR phát hiện một hoặc nhiều gen axit ribonucleic (RNA) của vi rút và chỉ ra tình trạng nhiễm trùng hiện tại hoặc nhiễm trùng gần đây, nhưng do quá trình phát hiện RNA của vi rút là khá lâu nên không phải là bằng chứng trực tiếp cho sự hiện diện của vi rút có khả năng nhân bản hoặc truyền sang những người khác (CDC).</p><h2><b>Thời gian có kết quả RT-PCR</b></h2><p>Khác với xét nghiệm nhanh kháng nguyên sẽ có kết quả trong khoảng 20 phút, xét nghiệm RT-PCR sẽ có kết quả trong vòng 24h kể từ khi lấy mẫu.</p><p>Đối với người trực tiếp đến phòng khám tại 298i Kim Mã để làm xét nghiệm, nếu thực hiện lấy mẫu trước 9h sáng, bạn sẽ nhận được kết quả sau 7h tối cùng ngày.</p><p>Đối với người sử dụng dịch vụ xét nghiệm RT-PCR tại nhà, kết quả sẽ có sau 7h tối của ngày hôm sau. Do đó, hãy chủ động đặt lịch xét nghiệm tại nhà trước ngày cần có kết quả khoảng 2-3 ngày để đảm bảo không bị ảnh hưởng đến công việc cá nhân.</p><h2><b>Tại sao sử dụng dịch vụ xét nghiệm COVID-19 tại nhà của FMP Hà Nội?</b></h2><h3><b>An toàn phòng dịch</b></h3><p>Trong bối cảnh dịch bệnh diễn biến phức tạp, sử dụng dịch vụ xét nghiệm COVID-19 tại nhà sẽ giúp bạn hạn chế đi lại, tránh tiếp xúc với người ngoài, đảm bảo an toàn phòng dịch.</p><p>FMP Hà Nội sẽ có 1 lái xe và 1 điều dưỡng di chuyển đến địa điểm đặt hẹn bằng xe cứu thương của phòng khám để thực hiện xét nghiệm. Toàn bộ nhân viên y tế sẽ mặc đồ bảo hộ trong toàn bộ quá trình thăm khám và thực hiện lấy mẫu.</p><p>Ngoài ra, bạn cũng hoàn toàn có thể yên tâm nếu thực hiện xét nghiệm tại phòng khám. FMP Hà Nội luôn tuân thủ đầy đủ quy định phòng dịch, phân luồng đón tiếp, khai báo y tế, đảm bảo giãn cách an toàn cho bệnh nhân và khách đến làm việc.</p><h3><b>Dịch vụ 24/7</b></h3><p>Chúng tôi tự hào là 1 trong những đơn vị có đủ năng lực để thực hiện dịch vụ 24/7. Bạn có thể thực hiện đặt lịch qua hotline <b>024.3843.0748 nhánh 142</b> cũng như trực tiếp đến phòng khám để tiến hành xét nghiệm bất cứ lúc nào.</p><p>Tuy nhiên, FMP Hà Nội khuyến khích Quý khách nên đặt lịch trước tại đây để chúng tôi có thể đảm bảo thực hiện dịch vụ xét nghiệm đạt hiệu quả nhất.</p><h3><b>Trả kết quả tận nơi</b></h3><p>Chúng tôi cung cấp dịch vụ trả kết quả tận nơi sau 24h. Hãy để lại thông tin liên hệ để chúng tôi liên lạc lại trong thời gian sớm nhất.</p><h2><b>Đăng ký dịch vụ xét nghiệm RT-PCR tại nhà:</b></h2><p>Vui lòng đăng ký theo form sau: <a href=\"https://forms.gle/yecwuNhFwCRfQXr98\">https://forms.gle/yecwuNhFwCRfQXr98</a></p><p>Hoặc liên hệ qua fanpage: <a href=\"http://m.me/FamilyMedicalPracticeHanoi\">m.me/FamilyMedicalPracticeHanoi</a></p><p><b>Gọi 024.3843.0748 nhánh 142 - 077.739.9119</b></p><p>----------------------------------------------</p><p><b>Family Medical Practice Hanoi</b></p><p>Địa chỉ: 298i Kim Mã - Khu ngoại giao đoàn Vạn Phúc, Quận Ba Đình, Hà Nội</p>"
                }
            ],
            "meta_title": "Dịch vụ xét nghiệm Covid-19 RT-PCR tại nhà",
            "meta_description": "Để hạn chế đi lại, tránh tiếp xúc với người ngoài, FMP Hà Nội triển khai dịch vụ xét nghiệm RT-PCR covid tại nhà trong nội thành Hà Nội.",
            "social_title": "Để hạn chế đi lại, tránh tiếp xúc với người ngoài, FMP Hà Nội triển khai dịch vụ xét nghiệm RT-PCR covid tại nhà trong nội thành Hà Nội.",
            "social_description": "Để hạn chế đi lại, tránh tiếp xúc với người ngoài, FMP Hà Nội triển khai dịch vụ xét nghiệm RT-PCR covid tại nhà trong nội thành Hà Nội.",
            "social_image": {
                "id": 1509,
                "url": "https://media.fmp-data.bliss.build/original_images/XET_NGHIEM.png",
                "compressed": "https://media.fmp-data.bliss.build/images/XET_NGHIEM.format-jpeg.jpegquality-75.jpg"
            }
        },
        {
            "id": 1483,
            "title": "[FMP x ANA] RT-PCR testing for ANA passengers",
            "slug": "rt-pcr-testing-ana-passengers",
            "slug_en": "rt-pcr-testing-ana-passengers",
            "slug_vi": "xét-nghiệm-rt-pcr-cho-khách-hàng-của-hãng-bay-ana",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1510,
                "url": "https://media.fmp-data.bliss.build/original_images/FMP_-_EN_1.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/FMP_-_EN_1.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2021-08-19",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "FMP, ANA",
            "summary": "Family Medical Pratice in Hanoi, Danang and Ho Chi Minh City collaborate with ANA - All Nippon Airways, in order to provide RT-PCR test services to the passengers.",
            "related_pages_title": null,
            "related_pages": [
                {
                    "id": 34,
                    "url": "covid-19-testing-service-fmp-hanoi",
                    "title": "COVID-19 testing service at FMP Hanoi",
                    "ctype": "post"
                },
                {
                    "id": 35,
                    "url": "covid-19-fit-fly-certificate",
                    "title": "COVID-19 Fit to Fly certificate",
                    "ctype": "post"
                }
            ],
            "locations": [
                1270,
                1269
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p> </p><p><b>Family Medical Practice</b> in <b>Hanoi</b>, <b>Danang</b> and <b>Ho Chi Minh City</b> collaborate with <b>ANA - All Nippon Airways</b> , in order to provide RT-PCR test services to the passengers.</p><p>We offer a discount of 9% to all customers that provide ANA flight tickets during the payment process.</p><p>With only 5 simple steps, we are committed to provide a smooth and seamless experience to the passengers.</p><p>At <b>FMP Hano</b>i, it is possible to receive the result on the same day if you conduct the test before 9 am.</p><p>--------------------------------------</p><p>Kindly visit<a href=\"http://www.wefly.contact/?fbclid=IwAR0mmvKPeOOxnyNwkoq-k4zGZeqbMfLjv2N4Nxx4SdATSyKBaJuTbIa8nmc\"> </a><a href=\"http://www.wefly.contact/\">www.wefly.contact for more information</a> and <a href=\"https://www.ana.co.jp/en/vn/\">ANA website</a> to book air ticket</p><p>Or call 0777.399119</p><p>#FMP #ANA<b>  </b></p>"
                }
            ],
            "meta_title": "RT-PCR testing for ANA passengers",
            "meta_description": "Family Medical Pratice in Hanoi, Danang and Ho Chi Minh City collaborate with ANA - All Nippon Airways, in order to provide RT-PCR test services to the passengers.",
            "social_title": "RT-PCR testing for ANA passengers",
            "social_description": "RT-PCR testing for ANA passengers",
            "social_image": {
                "id": 1510,
                "url": "https://media.fmp-data.bliss.build/original_images/FMP_-_EN_1.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/FMP_-_EN_1.format-jpeg.jpegquality-75.jpg"
            }
        },
        {
            "id": 1478,
            "title": "Gói khám sức khỏe tận nơi cho doanh nghiệp mùa COVID",
            "slug": "xet-nghiem-covid-19-cho-doanh-nghiep",
            "slug_en": "xet-nghiem-covid-19-cho-doanh-nghiep",
            "slug_vi": "gói-khám-sức-khỏe-tận-nơi-cho-doanh-nghiệp",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1499,
                "url": "https://media.fmp-data.bliss.build/original_images/COVID_TEST_pts.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/COVID_TEST_pts.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2021-07-27",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "Covid 19, dịch vụ xét nghiệm covid 19, fmp, covid 19 hà nội",
            "summary": "Trước diễn biến phức tạp của dịch bệnh Covid-19, nhằm đáp ứng nhanh với các tình huống dịch bệnh có thể xảy ra, đặc biệt là khu vực doanh nghiệp, nơi có số lao động lớn, nguy cơ lây nhiễm cao. FMP Hà Nội triển khai gói khám sức khỏe tận nơi cho doanh nghiệp.",
            "related_pages_title": null,
            "related_pages": [
                {
                    "id": 26,
                    "url": "covid-19-testing-service-fmp-hanoi",
                    "title": "COVID-19 testing service at FMP Hanoi",
                    "ctype": "post"
                },
                {
                    "id": 27,
                    "url": "covid-19-fit-fly-certificate",
                    "title": "COVID-19 Fit to Fly certificate",
                    "ctype": "post"
                }
            ],
            "locations": [
                1264,
                1263
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p>Trước diễn biến phức tạp của dịch bệnh Covid-19, nhằm đi trước đón đầu, đáp ứng nhanh với các tình huống dịch bệnh có thể xảy ra, đặc biệt là khu vực doanh nghiệp, nơi có số lao động lớn, nguy cơ lây nhiễm cao. <b>FMP Hà Nội</b> triển khai gói khám sức khỏe tận nơi cho doanh nghiệp.</p><h2>Gói khám sức khỏe cho doanh nghiệp có gì?</h2><h3>Tư vấn sức khỏe với nhân viên y tế</h3><p>FMP Hà Nội sẽ thực hiện khám sàng lọc, tư vấn sức khỏe cho các cá nhân dựa theo khai báo y tế của từng người.</p><h3>Xét nghiệm Sars-Cov-2 bằng kỹ thuật test nhanh kháng nguyên</h3><p>Xét nghiệm kháng nguyên là xét nghiệm miễn dịch phát hiện sự hiện diện của một thành phần virus cụ thể. Phương pháp này chỉ cần khoảng thời gian ngắn (từ 25 đến 30 phút) là có kết quả.</p><p>Tại FMP Hà Nội, chúng tôi đang thực hiện phương pháp xét nghiệm kháng nguyên bằng thiết bị xét nghiệm nhanh Panbio COVID-19 Ag của Abbott Rapid Diagnostics, Đức được WHO phê duyệt để đánh giá bệnh do Coronavirus.</p><h3>Cấp giấy chứng nhận</h3><p>Giấy chứng nhận y tế sẽ được cấp cho các cá nhân thực hiện khám sức khỏe và có kết quả xét nghiệm âm tính đối với Sars-CoV-2</p><h2>Dịch vụ khám sức khỏe tận nơi cho doanh nghiệp</h2><p>Ngoài thực hiện dịch vụ khám sức khỏe cho doanh nghiệp tại phòng khám, FMP Hà Nội với đội ngũ y bác sĩ và nhân viên y tế lâu năm có thể đáp ứng nhu cầu khám sức khỏe tận nơi cho doanh nghiệp.</p><h3>Ưu điểm của dịch vụ khám sức khỏe tận nơi cho doanh nghiệp:</h3><h4>An toàn cho doanh nghiệp:</h4><p>Doanh nghiệp có thể chủ động bố trí vị trí xét nghiệm, phân bổ thời gian nhân viên tiến hành làm xét nghiệm để hạn chế tối đa đi lại, không tiếp xúc với người lạ bên ngoài, tránh lây nhiễm.</p><h4>Tiết kiệm thời gian và chi phí cho doanh nghiệp:</h4><p>Doanh nghiệp tổ chức xét nghiệm tập trung cho nhân viên, không bị trì hoãn thời gian, ảnh hưởng tới tiến độ công việc. Ngoài ra, sẽ có mức giá ưu đãi dành cho doanh nghiệp.</p><p>Vui lòng đăng ký theo mẫu <a href=\"https://forms.gle/NR3eHw9wFCQ2k4pW9\">này</a> để được tư vấn chi tiết.</p><h2>Tại sao chọn dịch vụ khám sức khỏe cho doanh nghiệp của FMP Hà Nội?</h2><ul><li>FMP Hà Nội luôn đảm bảo quy định phòng dịch, phân luồng đón tiếp, khai báo y tế, đảm bảo giãn cách an toàn cho bệnh nhân và khách đến làm việc.</li><li>FMP Hà Nội là phòng khám đủ năng lực làm xét nghiệm nhanh COVID-19, là địa chỉ tin cậy cho người đến khám.</li><li>Có thể thực hiện khám sức khỏe tận nơi cho doanh nghiệp</li></ul><h2>Dịch vụ xét nghiệm COVID-19 cho cá nhân tại FMP Hà Nội</h2><p>Ngoài ra, FMP Hà Nội vẫn triển khai dịch vụ <a href=\"None\">xét nghiệm nhanh COVID-19</a> và <a href=\"None\">xét nghiệm RT-PCR COVID-19</a> cho cá nhân.</p><p>--------------------------------------------</p><p>Doanh nghiệp đăng ký tư vấn miễn phí theo mẫu:</p><p><a href=\"https://forms.gle/J3jgjcMXYwF8MZpB6\">https://forms.gle/J3jgjcMXYwF8MZpB6</a></p><p>📞 Hotline: <b>𝟬𝟳𝟳.𝟳𝟯𝟵.𝟵𝟭𝟭𝟵</b></p>"
                }
            ],
            "meta_title": "Xét nghiệm COVID-19 tận nơi cho doanh nghiệp",
            "meta_description": "Xét nghiệm COVID-19 tận nơi cho doanh nghiệp",
            "social_title": "Xét nghiệm COVID-19 tận nơi cho doanh nghiệp",
            "social_description": "Xét nghiệm COVID-19 tận nơi cho doanh nghiệp",
            "social_image": {
                "id": 1499,
                "url": "https://media.fmp-data.bliss.build/original_images/COVID_TEST_pts.jpg",
                "compressed": "https://media.fmp-data.bliss.build/images/COVID_TEST_pts.format-jpeg.jpegquality-75.jpg"
            }
        },
        {
            "id": 1477,
            "title": "FMP Hanoi open 24/7 during lockdown",
            "slug": "fmp-hanoi-open-247-during-lockdown",
            "slug_en": "fmp-hanoi-open-247-during-lockdown",
            "slug_vi": "fmp-hà-nội-mở-cửa-hoạt-động-247-trong-thời-gian-giãn-cách",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1498,
                "url": "https://media.fmp-data.bliss.build/original_images/FMP_Hanoi_Still_open_247_during_lockdown.png",
                "compressed": "https://media.fmp-data.bliss.build/images/FMP_Hanoi_Still_open_247_duri.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2021-07-26",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "covid",
            "summary": "You can book appointment with all our doctor during lockdown",
            "related_pages_title": null,
            "related_pages": [
                {
                    "id": 24,
                    "url": "covid-19-testing-service-fmp-hanoi",
                    "title": "COVID-19 testing service at FMP Hanoi",
                    "ctype": "post"
                },
                {
                    "id": 25,
                    "url": "covid-19-fit-fly-certificate",
                    "title": "COVID-19 Fit to Fly certificate",
                    "ctype": "post"
                },
                {
                    "id": 28,
                    "url": "xet-nghiem-covid-19-cho-doanh-nghiep",
                    "title": "Gói khám sức khỏe tận nơi cho doanh nghiệp mùa COVID",
                    "ctype": "post"
                }
            ],
            "locations": [
                1262,
                1261
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p>To All Our Patients and Clients<br/></p><p>During these days of restricted Movement due to the &#x27;Covid lockdown&#x27; we have had to put some measures in place to ensure 24/7 efficiency within the clinic but at the same time to assure you that we are available to service your medical needs also 24/7.<br/></p><p>1. Our clinic is open still for appointments for all the doctors</p><p>However between the hours of 21:00 - 7:00 we would ask that you call to make an appointment in order to give us 30 minutes notice. (Of course if an emergency please come immediately but try to call us that you are on your way already)</p><p></p><p>2. Due to current lack of taxi service we offer a free shuttle service using our ambulance to bring you to and from our clinic</p><p></p><p>3. Online consultation, email consultation are available. In addition we offer free delivery of medicine to your house/apartment as well as having blood drawn to tests in your home</p><p></p><p>4. We strongly encourage all patients with respiratory symptoms to have a COVID-19 test at our clinic.</p><p>Please schedule appointment using this <a href=\"https://forms.gle/p2jvsFUS2rBd4yW26\">form</a>.</p><p></p><p>Sincerely,</p><p></p><p>Family Medical Practice Hanoi</p><p>Hotline: 024.384.30748 ext 112, 113, 117</p>"
                }
            ],
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        },
        {
            "id": 1475,
            "title": "Don't panic if you are an F0. We are here to assist you.",
            "slug": "dont-panic-if-you-are-f0-or-f1-we-are-here-assist-you",
            "slug_en": "dont-panic-if-you-are-f0-or-f1-we-are-here-assist-you",
            "slug_vi": "dont-panic-if-you-are-f0-or-f1-we-are-here-assist-you",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1555,
                "url": "https://media.fmp-data.bliss.build/original_images/F0-Caring-Package_2.png",
                "compressed": "https://media.fmp-data.bliss.build/images/F0-Caring-Package_2.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2021-07-22",
            "category": {
                "id": 1,
                "name": "Announcement board",
                "slug": "announcement"
            },
            "subcategory": {
                "id": 1,
                "name": "News",
                "slug": "news"
            },
            "tags": "",
            "summary": "With an ongoing situation where medical facilities are overwhelmed with patients, many individuals are battling stress, anxiety and depression. Family Medical Practice, through it’s “FMP Beyond” program is deploying a monitoring service for families or Patients which are F0 and are isolating themselves at home.",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1260,
                1259
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p></p><p>With an ongoing situation where medical facilities are overwhelmed with patients, many individuals are battling stress, anxiety and depression. Family Medical Practice, through it’s “FMP Beyond” program is deploying a monitoring service for families or Patients who are F0 and are self-isolating at home.<br/></p><p>The Service includes :</p><ul><li><b>Tele-monitoring</b> (pulse oximetry and temperature measuring devices supplied)</li><li>Daily<b> medical telemedicine and follow-up</b> by our medical staff</li><li><b>Delivery of Medications</b> if needed</li><li>A <b>24/7 Ambulance service</b> - should a situation come to a clinical deterioration</li></ul><h4></h4><h4><b>COVID HOME MONITORING Package-Q&amp;A</b></h4><p><b>What does the “COVID HOME MONITORING” package include?</b></p><p><b>-</b> Supply tools for self-monitoring at home (the “Medical Devices”) (to be returned to FMP upon termination of COVID HOME MONITORING Service):</p><ul><li>+ Finger pulse-oximeter</li><li>+ Thermometer</li></ul><p>- A COVID HOME MONITORING DIARY. This is an optional and recommended tool for the Patient, to be - used, if convenient, as a “Data collection report” for monitoring purposes (Appendix B*)</p><p>- Daily remote consultation with FMP Doctor</p><p>- Subject to Patient’s condition, it is expected that 2 PCR tests will be performed by FMP medical team, preferably on days 9 and 10, to measure levels of COVID antigen.</p><p></p><p><b>Does FMP guarantee the hospital when the situation of an F0 deteriorates and needs to be admitted hospital?</b></p><p>Ambulance transfer service to a designated COVID medical facility, in the event that the Patient develops severe symptoms and requires advanced care. Such service will be pending the availability of Ambulance and availability of hospital beds (which are not under the control of FMP). The ambulance transfer will be subject to additional fee.</p><p></p><p><b>If Patient deteriorates and is moved to a hospital earlier than the end of the 10 days monitoring - Does FMP refund the remaining amount?</b></p><p>No</p><p>- In case the patient moves to the isolation area / hospital, the service package “COVID HOME MONITORING” automatically expires.</p><p>- The package is non-cancellable and non-refundable</p><p></p><p><b>Can the patient use the ambulance service of FMP?</b></p><p>- For any emergency,- patients can call *9999 Emergency Service. Based on the condition of the patient, an ambulance may be dispatched, however this is mostly reserved for ALL OTHER EMERGENCIES EXCEPT COVID. There are designated cars for different emergencies in order to prevent possible cross contamination.</p><p>- The COVID HOME MONITORING does not include pre-booking of Ambulance and Hospital transfer services. In the event that such services are needed due to the condition of the patient who has purchased the package, Ambulance service may be provided subject to Ambulance availability and availability of Hospital. Additional fee of VND 6,900,000/trip (within HCMC inner city) per person, will be applied.</p><p></p><p><b>Does FMP have special price for a company or a group?</b></p><p>Our rates are per person. No corporate rate available.</p><p></p><p><b>Can I book the service in advance?</b></p><p>The Service is provided on a First come, first serve. Unfortunately, due to the increasing demand and limited resources we cannot accept pre-booking or reservations.</p><p></p><p><b>When do I need COVID HOME MONITORING service?</b></p><p>- In case you have been diagnosed with Covid-19 infection and are staying at home with no or mild symptoms, this service is designed for you.</p><p>- COVID HOME MONITORING SERVICE is a home support service, through remote monitoring, of patients with confirmed COVID-19 FO.</p><p></p><p><b>Does my insurance cover for the Covid home monitoring package?</b></p><p>Yes in some policy. Please check with your insurance company for your policy coverage</p><p></p><p><b>How can I register and how can I pay?</b></p><p>Please call (028) 3827 3480 to register. Our team will guide you the next steps.</p><p>Payment method: bank transfer.</p><p></p><p><b>For more information and registration, please call (028) 3827 3480</b></p><p></p><p></p><p></p>"
                }
            ],
            "meta_title": "",
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        },
        {
            "id": 1473,
            "title": "5 TIPS TO STAY HEALTHY IN QUARANTINE",
            "slug": "5-tips-stay-healthy-quarantine",
            "slug_en": "5-tips-stay-healthy-quarantine",
            "slug_vi": "5-tips-stay-healthy-quarantine",
            "slug_ko": null,
            "slug_ja": null,
            "overview_image": {
                "id": 1494,
                "url": "https://media.fmp-data.bliss.build/original_images/5_tips_to_stay_healthy_3.png",
                "compressed": "https://media.fmp-data.bliss.build/images/5_tips_to_stay_healthy_3.format-jpeg.jpegquality-75.jpg"
            },
            "post_date": "2021-07-19",
            "category": {
                "id": 3,
                "name": "Media & Press",
                "slug": "media-press"
            },
            "subcategory": {
                "id": 2,
                "name": "Articles by our Doctors",
                "slug": "Articlesbyourdoctors"
            },
            "tags": "",
            "summary": "5 TIPS TO STAY HEALTHY IN QUARANTINE",
            "related_pages_title": null,
            "related_pages": [],
            "locations": [
                1258,
                1257
            ],
            "content": [
                {
                    "type": "text",
                    "value": "<p> </p><p>Health has never been perceived as more important than in today’s time. Everyone is trying to stay safe and stay healthy. However, during self-isolation or quarantine, it is extremely easy to lose track of time and drift into an unhealthy state of mind. In order to keep healthy while spending all day at home, you can try the following tips from <b>𝗗𝗿. 𝗔𝗻𝗱𝗿𝗲𝘀 𝗦𝗼𝘀𝗮</b>, our Orthopedic Surgeon at FMP Hanoi. </p><p><b>𝟭. 𝗙𝗢𝗖𝗨𝗦 𝗜𝗡 𝗬𝗢𝗨𝗥 𝗡𝗨𝗧𝗥𝗜𝗧𝗜𝗢𝗡</b> </p><p>Avoid processed foods, vegetable oils and sweets. Instead, prefer protein, healthy fats and vegetables. </p><p><b>𝟮. 𝗦𝗨𝗡 𝗘𝗫𝗣𝗢𝗦𝗨𝗥𝗘</b></p><p>Metabolism of Vitamin D requires sun activation. This element is a key in many chemical processes in our body. Will be enough with 10min front/back (face covered) without using any cream/lotion and preferably from 8 to 10 am or 4 to 6pm.  </p><p><b>𝟯. 𝗘𝗫𝗘𝗥𝗖𝗜𝗦𝗘</b></p><p>Practice a full-body stretching routine in the morning and a high intensity interval training (HIIT) in the afternoon. You will avoid muscle mass loss while keeping your aerobic capacity. Elastic bands can replace weights and a yoga ball could be very useful to make these routines fun and effective. </p><p><b>𝟰. 𝗦𝗟𝗘𝗘𝗣 </b></p><p>Go to bed early and wake up early as well. Better to keep our biological clock (circadian rhythms) by sleeping 7-8 hours.</p><p><b>𝟱. 𝗠𝗘𝗡𝗧𝗔𝗟 𝗛𝗘𝗔𝗟𝗧𝗛</b></p><p>Stay in touch with family and friends. Read your favorite books. Listen to your favorite music. Talk to old friends you have not contacted in years. Take online seminars. Keeping your mind busy will prevent anxiety and depression. </p><p>------------------------------------------</p><p><b>𝗗𝗿. 𝗦𝗼𝘀𝗮</b> is our board certified Orthopedic Surgeon and he is focused in musculoskeletal trauma (fractures, contusions, wounds), degenerative joint diseases (arthritis, osteoporosis) and sport lesions (sprains, dislocations, muscle disruption, stress fractures) with a particular and deep interest in upper limb and knee.</p><p>------------------------------------------</p><p>(*) For more information about the program, booking appointments, please contact FMP at:</p><p>024 3843 0748 - 112/117 (24/7)</p><p>hanoi@vietnammedicalpractice.com</p><p><a href=\"https://www.facebook.com/hashtag/fmp?__eep__=6&amp;__cft__[0]=AZXoNNyTc_2vQZYtKXe0kdr_rnxNtdd-xa5YWLqycklusfQ36MNkswpNOp4d7kvRFHrSREHFi8O1-IeEoJ2zDlynbuXdEsyPUq5DOvtTE4x9ezfhUcwthRGplE8ruDrhGag028mMrWKQW4h6b0ynGKOvi9nbk1eWSNPV0O1_YLBMydPbQczxCHgJPK61q7b3HZo&amp;__tn__=*NK-R\">#FMP</a><a href=\"https://www.facebook.com/hashtag/yourhealthourcare?__eep__=6&amp;__cft__[0]=AZXoNNyTc_2vQZYtKXe0kdr_rnxNtdd-xa5YWLqycklusfQ36MNkswpNOp4d7kvRFHrSREHFi8O1-IeEoJ2zDlynbuXdEsyPUq5DOvtTE4x9ezfhUcwthRGplE8ruDrhGag028mMrWKQW4h6b0ynGKOvi9nbk1eWSNPV0O1_YLBMydPbQczxCHgJPK61q7b3HZo&amp;__tn__=*NK-R\"> #YourHealthOurCare</a><a href=\"https://www.facebook.com/hashtag/yourchildourcare?__eep__=6&amp;__cft__[0]=AZXoNNyTc_2vQZYtKXe0kdr_rnxNtdd-xa5YWLqycklusfQ36MNkswpNOp4d7kvRFHrSREHFi8O1-IeEoJ2zDlynbuXdEsyPUq5DOvtTE4x9ezfhUcwthRGplE8ruDrhGag028mMrWKQW4h6b0ynGKOvi9nbk1eWSNPV0O1_YLBMydPbQczxCHgJPK61q7b3HZo&amp;__tn__=*NK-R\"> #YourChildOurCare</a> </p>"
                }
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