On the afternoon of June 15, the medical team treating at the 101-bed Intensive Care Center (ICU) located at Psychiatric Hospital (Bac Giang) conducted ECMO (artificial cardiopulmonary) intervention for a patient. 37-year-old female infected with Covid-19 .
Accordingly, female patient HTH (37 years old) was admitted to Bac Giang Lung Hospital on May 26, receiving oxygen, but her disease progress was not good. By May 28, the patient was given HFNC (high-flow oxygen therapy through a nasal cannula). On 2-6, the patient was intubated, mechanical ventilation, dialysis, antibiotics. 
Treating severe Covid-19 patients in Bac Giang At 8 pm on June 14, the patient was transferred to the ICU Center and continued to receive mechanical ventilation, dialysis, and vasopressor use. However, the development of heart failure was very severe, requiring high-dose vasopressors, bilateral diffuse lung damage, and did not respond to optimal medical treatment. On the afternoon of June 15, the patient was assigned to conduct ECMO placement. As the person who directly treats the patient, Dr. Nguyen Tan Hung – Deputy Head of the Department of Intensive Care and Anti-Poison (Danang Hospital), Head of the Da Nang Medical Delegation in Bac Giang Hospital – said that after placing ECMO, vasopressors were discontinued and the blood oxygenation index improved. However, the prognosis for this 37-year-old female patient with Covid-19 is still severe because of damage to both her heart and lungs. Previously, on June 12, at this center, ECMO was also placed for NTT patients (67 years old). The patient tested positive for SARS-CoV-2, then was admitted to Bac Giang Lung Hospital for treatment from June 3 with shortness of breath, cough, SpO2 85%, mechanical ventilation and dialysis. 
Medical facilities are having 117 Covid-19 patients with severe prognosis On June 12, the patient was transferred to the ICU in a very serious condition, unresponsive to the ventilator, so he was intubated, mechanically ventilated, but the patient’s lungs were badly damaged and spread to both sides. The patient was placed by the team of Danang Hospital and medical staff within the same day. According to Dr. Hung, the patient is now awake, still dependent on ECMO, and his lungs are on an improving trend. It is known that as of the afternoon of June 15, there are 60 patients at the 101-bed ICU Intensive Care Center. In which, the good news is that more than 25 patients have been successfully weaned from HFNC; Eight patients tested negative for SARS-CoV-2 for the first time and two patients had a negative test for SARS-CoV-2 for the second time. According to the Treatment Sub-Committee, the National Steering Committee for Covid-19 Prevention and Control, so far, there are 117 Covid-19 patients with severe prognosis in health facilities nationwide, 52 cases with very severe prognosis, and 6 cases with severe prognosis. case is at risk of death. There are 13 cases of ECMO intervention in the whole country, especially in Ho Chi Minh City, there are 4 serious and critical cases requiring ECMO intervention. Assoc. Prof-Dr. Luong Ngoc Khue, Director of the Department of Medical Examination and Treatment Administration, has sent an official dispatch to the Department of Health of Ho Chi Minh City on actively strengthening the management and treatment of Covid-19 cases and daily case reports. . To ensure the best management, care and treatment for patients, the Treatment Subcommittee (National Steering Committee for Covid-19 Prevention and Control), directs medical examination and treatment facilities to focus as much as possible. all resources to prioritize management, treatment and comprehensive care for Covid-19 cases. Line up treatment of cases in accordance with the patient’s condition, closely monitor the progress of each case, organize inter-disciplinary and inter-institutional consultations, consult with the Professional Council of the Ministry of Health through the Center for Disease Control and Prevention. Manage and operate online to support the diagnosis and treatment of Covid-19, the Ministry of Health (when needed) to plan the best treatment for patients. 
Cu Chi field hospital, where COVID-19 patients are treated in Ho Chi Minh City. Photo: HOANG LAN On June 13, through screening, Xuyen A Hospital discovered a positive person in Tan Phu Trung industrial zone (Cu Chi district). Continue to screen close contacts, family members, recorded 4 positive cases and 6 positive pool samples. In addition, through community screening, testing more than 1,500 workers staying in Binh Tan district working for PouYuen company, there were 2 positive cases. Binh said that in the coming time, the medical force will continue to strengthen measures to control the COVID-19 epidemic in the area, strengthen tracing investigation, thoroughly zoning out the epidemic, and testing on a large scale. high-risk areas to look for sources of infection. The authorities will tighten the streamlining and screening of patients who come for examination and treatment, especially paying attention to checking epidemiological factors, carefully screening people coming from such as places where COVID-19 cases have been recorded. , who have suspicious symptoms.
Dr. Hung and colleagues intervened ECMO for patients at the 101-bed ICU Center in Bac Giang Due to her worsening condition, on the evening of June 14, Ms. H. was transferred to the largest Intensive Care Center (ICU) in the North with 101 beds located at Bac Giang Mental Hospital for mechanical ventilation, dialysis, and use. vasopressor drugs. However, the development of right heart failure was very severe, requiring high-dose vasopressors, bilateral diffuse lung damage, and did not respond to optimal medical treatment. Therefore, at 4 pm on June 15, the patient was assigned to place ECMO (artificial cardiopulmonary support). Dr. Hung said that after placing ECMO, the patient stopped taking vasopressors and improved the blood oxygenation index. However, the prognosis remains severe due to damage to both the heart and lungs. In this case, it will be necessary to continue to closely monitor each indicator. Earlier on June 12, also at the 101-bed ICU Center, doctors of Da Nang Hospital coordinated ECMO intervention for a 67-year-old female patient NTT., 67 years old. This case also had a history of being perfectly healthy. The patient tested positive for SARS-CoV-2, then was admitted to Bac Giang Lung Hospital for treatment from June 3 in a state of shortness of breath, cough, and blood oxygen reduced to 85%. enter and filter blood. At 12 o’clock on June 12, the patient was transferred to the 101-bed ICU Center in a very serious condition, intubated, and mechanically ventilated, but the patient’s lungs were severely damaged and diffused on both sides, so ECMO intervention was indicated. . With this case, up to now, according to Dr. Hung, the patient is awake, still dependent on ECMO, and the lungs are tending to improve. So far, the country has had 37 critical patients, of which 13 had to undergo ECMO intervention, of which the Central Hospital for Tropical Diseases and Tropical Diseases Ho Chi Minh City had 4 cases each. Thuy Hanh
Experts from the Intensive Care Center in Bac Giang are still making efforts to treat patients with COVID-19. According to Dr. Nguyen Tan Hung, deputy head of the Department of Intensive Care and Anti-toxicity, Da Nang Hospital, Head of the Da Nang Medical Delegation at Bac Giang Hospital, after placing ECMO, the patient improved the blood oxygenation index. However, the prognosis is still severe because of both heart and lung damage. Previously, experts from the Intensive Care Center also booked ECMO for NTT patient, 67 years old, in Bac Giang. The patient tested positive for SARS-CoV-2, then was admitted to Bac Giang Lung Hospital for treatment from June 3 with shortness of breath, cough, SpO2 85%, HFNC breathing and dialysis. According to Dr. Hung, currently, the patient is awake but still dependent on ECMO, the lungs are tending to improve. As of the afternoon of June 15, the Intensive Care Center in Bac Giang is treating 60 patients. In which, 25 patients were successfully weaned from HFNC, 8 patients tested negative for SARS-CoV-2 for the first time and 2 patients tested negative for SARS-CoV-2 for the second time.
The daughter of pregnant woman T. is taken care of by medical staff in a separate area to avoid contracting the virus from her mother. Photo: BVCC. Pediatrician nurse Nguyen Thi Phuong Dung, who directly took care of the baby, said: “Since the baby was born, me and a colleague have been assigned to take care of the baby. Thief, the baby is very good. The last two days. Here, during the day, he eats and sleeps, but at night he is disturbed. That’s why we have to take turns holding him. However, he eats well and is in stable health. To this day, he is hard. cable a lot”. In addition to the above 2 cases, on June 15, 4 other patients being treated for Covid-19 at the Central Hospital for Tropical Diseases had 2 or more negative times. They were also discharged from the hospital and returned to their place of residence, continuing to isolate and monitor for 14 days at home.
ECMO intervention for critically ill patients. The largest Intensive Care Center in the North located at Psychiatric Hospital, Bac Giang has just conducted ECMO intervention for two severe Covid-19 patients. On the afternoon of June 15, the medical team and doctors at the Intensive Care Center located at Psychiatric Hospital, Bac Giang conducted ECMO (artificial cardiopulmonary bypass) for a 37-year-old female patient. Female patient HTH (37 years old) admitted to Bac Giang Lung Hospital on May 26 was given oxygen, but the disease progress was not good. On May 28, the patient was given HFNC breathing. On June 2, the patient was intubated with mechanical ventilation, osiris dialysis, and antibiotics. At 8 pm on June 14, the patient was transferred to the 101-bed ICU Intensive Care Center and continued to receive mechanical ventilation, dialysis, and vasopressors. However, the development of right heart failure is very severe, high doses of vasopressors must be used, diffuse bilateral lung damage, and failure to respond to optimal medical treatment. Therefore, at 4:00 pm on June 15, the patient was assigned to conduct ECMO placement. Doctor Nguyen Tan Hung – Deputy Department of Intensive Care and Anti-Poisoning (Da Nang Hospital) – Head of the Da Nang Medical Delegation at Bac Giang Hospital said that after placing ECMO, vasopressor drugs were stopped and his index improved blood oxygenation. However, the prognosis is still severe because of both heart and lung damage. Previously, on June 12, at the 101-bed ICU Intensive Care Center, ECMO was also placed for NTT patients (67 years old). The patient tested positive for SARS-CoV-2, then was admitted to Bac Giang Lung Hospital for treatment from June 3 with shortness of breath, cough, SpO2 85%, HFNC breathing and dialysis. At 12 o’clock on June 12, the patient was transferred to the 101-bed ICU Center in a very serious condition, unresponsive to HFNC, should be intubated, mechanical ventilation but the patient’s lungs were very badly damaged and diffused. on both sides, P/F
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Dong Thap province has two confirmed PCR testing facilities. Explaining this result, the Dong Thap health sector said that usually, rapid tests have high sensitivity to easily screen all suspected cases so as not to miss subjects when investigating and tracing. But with the rapid test, it is not possible to confirm that the subject has Covid-19 but after performing the rapid test, a PCR test must be performed to confirm the screened result. New PCR test confirms whether the subject has Covid-19 or not. Related to the above case, today, there has been a lot of information on social networks that reflects incorrectly, causing confusion and insecurity in public opinion. Phuong Chau Sa Dec International Hospital is operating normally, well streamlining all stages, well implementing regulations on epidemic prevention and control for medical examination and inpatient departments. Dong Thap province’s functional sector recommends that people should select official information from competent professional agencies to speak, avoid spreading and sharing false information that causes confusion among the public.
A man is vaccinated with AstraZeneca in Jakarta, Indonesia, June 15. Photo: AP The results showed that only 166 cases required hospitalization. Those who received two doses of the AstraZeneca vaccine were 92% effective without requiring hospitalization, while those who received the Pfizer vaccine, the figure was 94% after dose 1 and 96% after dose 2. “These findings suggest that the level of protection of people with Delta variant from hospitalization is very high. Understanding this is important in assessing the danger that Delta variant poses to the general population.” , the study authors concluded. “The effect of not requiring hospitalization because the Delta variant after one injection of AstraZeneca is 71% and after two injections is 92%. This metric really reassures India. To choose the direction, I think we should should use modeling approaches to devise different implementation strategies and compare the impact of vaccines at each stage of the epidemic,” commented Professor of Microbiology Gagandeep Kang of India. The Delta variant first appeared in India and has been classified as a “variant of concern” by the US Centers for Disease Control and Prevention (CDC), while the World Health Organization (WHO) has called it a “variant of concern”. it is a ‘disturbing variation’. The Delta variant is expected to become a common strain in the US next fall, increasing the risk of a new wave of disease in unvaccinated people later this year.
Immunity in a person who has had COVID-19 lasts up to 13 months after infection. A study at the Washington University School of Medicine in St. Louis (USA) also emphasizes the effect of vaccination after COVID-19 infection, because some patients under observation have very low antibody levels. In a study by Rockefeller University scientists (USA) who followed 63 people with COVID-19 in the spring of 2020. They found that antibodies are produced by recording B lymphocytes memory becomes more effective in neutralizing SARS-CoV-2. In addition, the researchers also found that “vaccination boosts immunity naturally developed by these people during infection, to the point where they can be protected against new variants appear”. Therefore, once infected with the virus and vaccinated against COVID-19, immunity will be created especially strong. Rosemary ( Femme Actuelle June 2021 )
Severe COVID-19 patients placed ECMO at the largest Intensive Care Center in the North. At 8 pm on June 14, the patient was transferred to the Intensive Care Center and continued to receive mechanical ventilation, dialysis, and vasopressor use. However, the state of right heart failure is very severe, must use high-dose vasopressors, diffuse bilateral lung damage, does not respond to optimal medical treatment. Therefore, at 4 pm on June 15, the patient was assigned to conduct ECMO placement. As the person who directly treats the patient, Dr. Nguyen Tan Hung – Deputy Head of the Department of Intensive Care and Anti-Poison (Danang Hospital), Head of the Da Nang Medical Delegation at Bac Giang Hospital said: “After placing ECMO, The patient was able to stop the vasopressors and improve the blood oxygenation index. However, the prognosis remains severe because of damage to both the heart and lungs. Previously, on June 12, at the Intensive Care Center, ECMO was placed for NTT patient (67 years old). The patient tested positive for the SARS-CoV-2 virus, then was admitted to Bac Giang Lung Hospital for treatment from June 3 with shortness of breath, cough, SpO2 85%, HFNC breathing and dialysis. At 12 o’clock on June 12, the patient was transferred to the 101-bed Intensive Care Center in a very serious condition, unresponsive to HFNC, so he was intubated, mechanically ventilated, but the patient’s lungs were severely damaged. spread on both sides. The patient was placed on ECMO right on 12/6. With this case, up to now, according to Dr. Nguyen Tan Hung: “The patient is awake, still dependent on ECMO, the lungs are tending to improve. Wishing all the best to the patient.” As of the afternoon of June 15, there were 60 patients at the 101-bed ICU Intensive Care Center. In which, the good news is that more than 25 patients have been successfully weaned from HFNC; Eight patients tested negative for SARS-CoV-2 for the first time and two patients tested negative for the second time.
Measure body temperature of people entering the border. Photo TM Ảnh On June 11, this person completed entry procedures to Vietnam at Moc Bai International Border Gate and was taken to concentrated isolation at Bau Don Secondary School. On June 14, the Center for Disease Control (CDC) of Tay Ninh province confirmed the positive result for SARS-CoV-2. Case 11000 (born in 1976, living in Thoi Hau A ward, Hong Ngu city, Dong Thap province), lives in an area near Ho Luong market, Cambodia. On June 12, the patient returned to Moc Bai International Border Gate to complete entry procedures into Vietnam, and was taken to a concentrated isolation area at Phuoc Thanh Secondary School, Phuoc Thanh Commune, Go Dau District. On June 14, test results confirmed positive for SARS-CoV-2. Case 11001 (born in 1988, address in My Thanh commune, Tan Tru district, Long An province), worked as a mason for a construction project in Phnom Penh city, Cambodia. On June 14, the patient returned to Moc Bai International Border Gate, completed entry procedures into Vietnam and was taken to isolation at the Ben Cau District Medical Center. Today, the CDC of Tay Ninh province confirmed that the patient was positive for SARS-CoV-2. Currently, all 3 patients are being monitored and treated at Ben Cau District Medical Center. The provincial health sector has identified 94 close contact cases, isolated in concentrated isolation areas at Phuoc Thanh Secondary School and Bau Don Secondary School. As of the evening of June 15, the whole province of Tay Ninh recorded all 69 cases of COVID 19. In which, there was 1 case of community transmission, 68 imported cases. There were 36/69 patients cured and discharged from the hospital and there were no deaths.
The health sector is conducting large-scale screening samples in industrial zones. Photo: Chi Hung. In addition, on June 13, through screening, Xuyen A Hospital discovered a positive case of a worker in Tan Phu Trung Industrial Park. The health sector detected 4 more positive cases and 6 positive pool samples. Binh said another infection chain was detected through community screening in a residential area of An Lac ward, Binh Tan district. Through testing more than 1,500 workers staying in Binh Tan district, working at PouYuen Company, two positive cases were found. This afternoon, the health sector tested about 1,000 workers and the Department of Health is expanding rapid antigen testing in this area. Binh informed that on the afternoon of June 15, the Department of Health coordinated with Binh Tan and Binh Chanh districts to test more than 25,000 officials and workers in Vinh Loc Industrial Park. According to the announcement of the Ministry of Health, from April 27 to now, Ho Chi Minh City has 894 Covid-19 patients. In particular, the largest outbreak related to the Renaissance missionary group was basically under control. However, the epidemic was complicated when there were many clusters of cases with unknown sources of transmission. In particular, the epidemic has penetrated the Hospital for Tropical Diseases in Ho Chi Minh City. The first case was detected on June 12 in the information technology department. Only 4 days after being discovered, this outbreak had 69 people including medical staff and related people. On June 14, Chairman of Ho Chi Minh City People’s Committee Nguyen Thanh Phong made a decision to ease social distancing in Go Vap district and Thanh Loc ward (district 12), reducing from applying Directive 16 to Directive 15. The city remains separated under Directive 15 for 2 weeks. Unloading checkpoints in Go Vap At 0:00 on June 15, all quarantine checkpoints at the gateway of Go Vap district were lifted according to the decision to reduce the distance level of Ho Chi Minh City.
Trung Vuong Hospital is ready to take part in receiving and treating Covid-19 patients, with a scale of 1,000 beds. Thus, the health sector of Ho Chi Minh City has realized the goal of deploying 2,500 beds to treat Covid-19 patients at 8 hospitals, including: Cu Chi field hospital (300 beds), Hospital Covid-19 treatment in Can Gio (600 beds), City Hospital for Tropical Diseases (400 beds), Cu Chi Covid-19 Treatment Hospital (500 beds), Pham Ngoc Thach Hospital (500 beds), Hospital City Children’s Hospital (100 beds), Children’s Hospital 2 (60 beds), Cho Ray Hospital (40 beds). The health sector of Ho Chi Minh City is ready to implement a plan to increase the total number of beds for treating Covid-19 patients to 3,500 beds, when Trung Vuong Hospital comes in, with 1,000 treatment beds. Another good news is that from June 16, Tan Phu District Hospital will reopen, after 15 days of temporary blockade due to 4 emergency drivers infected with Covid-19 from the outbreak of the Ehome 3 apartment complex. Binh Tan District). During medical isolation to prevent and control the Covid-19 epidemic, medical staff who were in close contact with Covid-19 cases were taken to quarantine according to regulations. Isolation staff at the hospital and at home all adhere to isolation regulations, are periodically tested for Covid-19 with all negative results. According to the Board of Directors of Tan Phu District Hospital, the hospital has arranged to arrange personnel and start up equipment to be ready for operation again on June 16, 2021.
Gallbladder polyps are a fairly common disease that can appear at any age, but mainly affects adults. Recognizing signs Clinical signs are often vague, rarely aggressive, only when polyps cause secretion disorders, bile secretion in the gallbladder lumen or gallbladder stones or accompanying cholecystitis. At that time, the patient showed mild pain in the right lower quadrant or epigastrium about 80%, pain often appeared after eating; abdominal bloating, indigestion, nausea and vomiting may occur. The patient usually has no fever and no signs of biliary obstruction. Abdominal examination may show mild pain when pressing the right lower quadrant, most of which do not detect abnormal signs. Examine other organs for comorbidities. Abdominal ultrasound is useful for screening for gallbladder diseases, including gallbladder polyps. Ultrasound allows to identify polyps, location, size and shape of polyps… to help monitor the progress for appropriate treatment. The accurate diagnosis rate of ultrasound for gallbladder polyps is over 90%. Computed tomography, magnetic resonance imaging (MRI) is indicated in cases of large polyps with risk of malignancy. Gallbladder polyps are cancerous? Usually, 92% of gallbladder polyps are benign (non-cancerous) in nature, so patients do not need surgical intervention to remove the gallbladder. Small polyps less than 1cm (or less than 1.5cm) can only need regular monitoring every 3-6 months without surgery to remove the gallbladder. Polyps larger than 1cm have the potential to progress to cancer, especially those larger than 1.5cm, so cholecystectomy may be recommended to prevent gallbladder cancer growth. According to studies, gallbladder polyps, if identified on ultrasound, are less than 10mm in size, most of which are benign. In addition, the images suggest malignancy when the polyp has spreading legs, irregular shape, and rapid growth. At that time, surgical intervention is indicated to remove the gallbladder. Doctor’s advice Because no probe can accurately diagnose the nature of gallbladder polyps without surgical intervention, the treatment regimen for gallbladder polyps is the same as when the patient is suspected of having gallbladder polyps detected by ultrasound. If there are no symptoms such as pain, fever, etc., you should check again after 6 months or 1 year to confirm. If after that time there is no picture of the polyp, then no intervention is necessary. In case the polyp image is clear, it is necessary to periodically follow up with ultrasound every 6 months if the tumor is larger than 10mm, or there are malignancies detected by blood tests, other investigations or the polyp has had clinical manifestations. such as recurrent fever and pain, early surgery is indicated. Today, with the development of laparoscopic surgery, laparoscopic cholecystectomy is a less invasive surgery, less pain and patients recover quickly, with few complications.
Doctors will take skin from the hip or front thigh in the ratio of 1/5 (if the lesion is extensive, this ratio can be 1/10). This piece of skin is put into the solution, through the stages, the epidermal cells will be separated, nourished, and then grafted into the skin with vitiligo. The transplanted cells will be fixed with gauze and removed within a week. Each patient takes about 2-4 hours to complete all procedures depending on the area of the lesion. “Usually vitiligo patients only need a transplant once, but patients can also transplant more than once to increase efficiency. Time to achieve the effect is usually after 1-2 months, maximum after 6-12 months” – BS. Sharing mind. To achieve high therapeutic effect, it can be combined with light therapy. After treatment, the patient can function and work normally. Currently, the National Hospital of Dermatology is the leading specialist address that has successfully applied autologous epidermal cell transplantation without culture to treat vitiligo and other hypopigmentation disorders. Vitiligo is a color disorder, manifested as white, non-itchy, non-scaly, well-defined spots that can appear at any age and greatly affect the psychology of patients.
Illustration Treatment of colds To treat colds, you can use perilla in 3 ways: Wash perilla leaves and cook them with porridge to feed the sick; or drink perilla leaf juice when it is still hot, then lie down covered with a blanket (suitable for the elderly and young children). In addition, you can use perilla leaf juice to steam the whole body. Improve stomach disease Perilla leaves contain tannins and glucosides, which have anti-inflammatory, astringent, and scar-healing effects. According to gastroenterologists, if used in the form of a decoction, perilla leaves not only relieve pain, reduce gastric juice to normal in patients with stomach pain, but also help patients eat well and sleep. better. 
Illustration Prevent recurrence of gout For people with gout, daily perilla leaves should be eaten as raw vegetables in meals to prevent recurrence. When the pain is swollen, use perilla leaves to chew and swallow immediately to block the pain. Besides, you can drink perilla leaf juice (as sharp as traditional Chinese medicine), the pain will be reduced very quickly. Cure urticaria, itchiness People with urticaria due to sun exposure, insects, exposure to cold air, cold water, food allergies, etc. can use crushed perilla leaves, squeeze out drinking water, and residue To rub on the skin rash will help a lot, the itching is also significantly reduced. Note, after rubbing the perilla leaves, when it dries, you need to remove all the residue and bathe with warm clean water. Skin beauty For areas with many skin tags and warts, crush 1 handful of fresh perilla leaves and rub them on the skin with warts and warts. Then take a gauze bandage or adhesive tape to fix the perilla residue in this skin area. Follow this method continuously for 1-2 months, then you will see the acne reduce or disappear. How to make healthy perilla leaf juice Ingredients: Prepare about 200g of perilla leaves, 2.5 liters of filtered water and 3 slices of fresh lemon. 
– Perilla leaves are washed, soaked in dilute salt water for about 10 minutes, then removed and drained. – Boil filtered water, add perilla leaves and cook for another 3-5 minutes, then turn off the heat. – Wait for the water to cool, extract the glass bottle and then put a few slices of lemon in, use it gradually. Divide into several times a day. Note: – When using perilla leaves, if crushed or chopped, should be used immediately, should not be left for more than 15 minutes because it will blow away all the essential oils in the leaves. – Do not use perilla leaf juice overnight because its composition will change, which can cause your skin to be irritated. 
Perilla leaf juice after removing the leaves – Should be taken 10-30 minutes before each meal to prevent fat absorption and reduce food intake. – If the body is completely healthy and without disease, perilla leaves should not be considered as a tonic for regular use, nor should perilla leaf juice be used to drink instead of daily filtered water. MH (th)
Lang Giang district applies social distancing from 12 o’clock on 10/6. When implementing distance, it is still necessary to stop meeting activities and events with more than 10 people in one room, not gather 5 or more people outside of offices, schools, and hospitals. People keep a minimum distance of 2 meters between people in public places. Festivals, cultural, sports, entertainment activities, business and service establishments (dining, entertainment, karaoke, massage) must still be suspended. The filial piety is organized but does not gather more than 20 people, encouraging people to organize simply and neatly, limiting the number of people to gather. Bac Giang province asked people to limit movement between localities, stop public transport, except for means of transporting goods. (Long Van) 2 hours ago Quarantining 7 people when detecting a case of COVID-19 who had been to Dai Phuoc golf course On June 10, Dong Nai Center for Disease Prevention and Control (CDC) said that it had traced and identified F1, F2 cases of COVID-19 cases who had played at Dai Phuoc golf course (Urban urban area for tourism). Dai Phuoc ecological calendar in Nhon Trach district). Previously, on May 27, a foreigner came to play golf at the golf course with the general director of a company in Nhon Trach district. The foreigner was later found to have COVID-19. 
Dai Phuoc Golf Course Through epidemiological investigation, the Dong Nai CDC said that this COVID-19 case was detected on June 8, originating from contact with a previous positive case on June 4. Although this person came to play golf from May 27, however, in principle, it must be traced back 14 days. The results of tracing investigation at the golf course have 7 F1, no F2 but are investigating F2 outside. Currently, these 7 F1s are in concentrated isolation, awaiting test results. In addition, at the company where the general manager plays golf, there are 27 cases of F2 who are isolated at home. (Manh Thang) Ha Tinh Department of Health said that this morning (June 10), this province continued to record two more positive cases of SARS-CoV-2 including: LHD.A (SN 2008, residing in Bac Ha ward, City). Ha Tinh) and PQH patient (SN 1972, Trung Hoa hamlet, Tan Lam Huong commune, Thach Ha district). According to epidemiological investigation, LHD.A patient on the afternoon of June 3 had a bath at a public bathing point managed by Loc Ha district. After the announcement of finding someone related to the above bathing point, the patient went to make a medical declaration and was taken to concentrated medical isolation at Thach Hung primary school on the morning of June 9. 
The functional sector has implemented a blockade of 5 points related to the two newly recorded cases. Currently, the patient has been sampled for testing and has tested positive for SARS-CoV-2. Patient PQH is the 4th member of a family with 3 previously announced positive mother and child positive for SARS CoV-2 (patient 9245, patient 9247, patient 9248). The patient has been isolated. After recording two more cases, the health sector set up 5 checkpoints to blockade the living areas of the two patients and conducted related F1, F2 investigation. Thus, up to now, Ha Tinh has recorded 16 cases of COVID-19. Currently, the functional sector is continuing to review and zoning related to patients to prevent the COVID-19 epidemic.
The US spent more than 1 billion USD on drugs to treat COVID-19 (Artwork). The oral antiviral drug Molnupiravir, which prevents the development of COVID-19 disease, is used to treat the early stages of the disease. The current trial regimen is 2 doses per day for 5 days. According to Dr. John Whyte – medical director of Merck & Co Inc. Laboratories, the US needs therapeutic drugs to be ready for the new wave of COVID-19. “This is a Tamiflu-like drug that we use to treat the flu,” said Dr John Whyte. Now we still have to do some research to make sure this drug is effective for treating COVID-19. But this is a correct strategy to prepare for new waves of COVID-19 to emerge.” Merck & Co Inc expects to produce more than 10 million courses of Molnupiravir by the end of the year and said many other countries are in discussions with the company about pre-ordering Molnupiravir. Data on the global trial of molnupiravir is expected to be released next fall. If successful, Merck & Co Inc will apply for an emergency use license as early as the second half of this year.
Indonesian health workers vaccinate people. Photo: Reuters In another development, Indonesian President Joko Widodo said on June 9 that the government’s goal in July is to reach the milestone of 1 million doses of vaccination per day. “I want the vaccination of the population to reach 700,000 doses a day this month, and continue to increase. By July 2021, we can reach our goal of 1 million doses per day,” he said. US announced to donate 500 million doses of vaccine USA Today news agency today (June 10) said that the administration of US President Joe Biden will announce a plan to donate 500 million doses of Pfizer’s Covid-19 vaccine to more than 90 countries over the next two years. A senior US official said Biden will announce his plan to donate the vaccines at the G7 summit in the UK this week. The vaccines will be distributed through COVAX, to help deliver them to more low-income countries. Earlier this month, Mr. Biden pledged to share about 7 million doses of Covid-19 vaccine to Asian countries and territories such as India, Thailand, Laos, Bangladesh and Vietnam. .. Russia strengthens epidemic prevention in the capital The authorities of Moscow, Russia said they will continue to strengthen disease prevention and control such as requiring people to wear medical masks and gloves in public spaces such as restaurants and bars amid the number of infections in the country. This city has recently grown strongly. Channel News Asia quoted data from the Russian Ministry of Health on June 9, saying that in the past 24 hours, the country recorded an additional 10,407 infections. In particular, in Moscow, the authorities have recorded 4,142 new infections, the highest level since mid-January. “The epidemic situation is getting worse in Moscow due to the increasing number of infections,” said official Yevgeny Danchikov. China approves 7th vaccine According to the Global Times on June 9, China approved the 7th Covid-19 vaccine. The vaccine was developed by the Biomedical Research Institute of the Chinese Academy of Medical Sciences in Kunming City, China. Yunnan province, southwestern China. According to China’s Science and Technology Daily, phase 1 and 2 clinical trials have shown that the vaccine is effective, which can quickly induce an immune response in the injected person’s body. On the same day, China’s National Health Commission (NHC) said that more than 808 million doses of the Covid-19 vaccine had been distributed across China as of June 8. Some other developments on the epidemic Updated at 5 am on June 10 of the Worldometers statistics page, the Covid-19 epidemic is raging in 220 countries and territories, infecting more than 175.1 million people and claiming the lives of more than 3, 7 million patients. The number of recoveries reached over 158.9 million cases. India continues to experience a terrible day with the number of new infections reaching more than 93,900 and the death toll over 6,100. So far, the country has a total of 29.1 million positive cases and more than 359,000 deaths. Brazil also faces serious contagion and death when it records 84,600 new infections to the list of more than 17.1 million patients, and more than 2,200 victims to a total of 479,500 deaths from Covid-19. Tuan Tran
As of the morning of June 9, doctors in Bac Ninh were treating 789 Covid-19 patients. In which, Bac Ninh Provincial General Hospital is the only facility to treat serious patients with 25 cases. 
10:00 a.m. every day is the time when doctors and nurses at the hospital’s Covid-19 treatment area are busy in their work. 
In the severe cases being treated here, one patient had to use an invasive ventilator, 10 cases of high-flow oxygen and 14 cases of mask/glass oxygen. This patient is doing well, is able to respond to the doctor’s questions and perform some simple limb movements. 
For better health cases, doctors encourage patients to sit up and move on their own. 
The daily work of the medical staff is to administer prescription drugs to each patient, provide care, and report severe cases or unusual developments… 
Ms. Nguyen Thi Thao (ICU) is one of the doctors involved in treating Covid-19 patients from the first days. The female doctor did not remember how many days had passed since she was in the hospital. On stressful shifts, she worked 20 hours in a protective suit. 
The diet of each patient is monitored by the doctor every day. They can choose food such as rice, vermicelli, porridge… depending on their needs. At lunchtime, the nurse will deliver food to each room. 
Ms. Thao said that nutrition greatly affects the health and treatment of patients. “Many people skip meals, lose their appetite… we have to give them a lot of encouragement. Sometimes it’s even comforting or directly feeding them,” the female doctor said. 
The treatment rooms have a camera system installed, which is convenient for remote monitoring. At the same time, it helps to reduce the time of medical staff in contact with positive patients, limiting the risk of infection. 
24 medical staff divided into 3 treatment cases taking turns. Including reinforcements from the provinces of Phu Tho, Thai Binh, Yen Bai… After finishing the shift, they changed into protective clothing, disinfected and then returned to the resort arranged right inside the campus of the company. hospital. 
Workers collect garbage in the quarantine area. Photo: CTC Worried waste collection workers Due to the outbreak of COVID-19 epidemic, garbage collectors are very concerned because the waste source has the potential to contain pathogens, especially in isolation and blockade areas. However, due to the nature of their work, environmental sanitation workers still have to perform this task. According to Mr. Tran Van Toan (environmental sanitation worker of Ho Chi Minh City Urban Environment Company Limited): “The COVID-19 epidemic broke out, we felt very worried, the nature of our work had to continue. come in contact with a lot of waste and can’t tell which ones contain pathogens. However, we are fully equipped with protective equipment and strictly adhere to epidemic prevention and control, so we are somewhat reassured.” Agreeing, Ms. PTT (a garbage collector in Tan Phu district) shared: “With the current epidemic situation, many people don’t even dare to go out, let alone access the isolation and collection areas. garbage, because it’s really hard to know where there are infected people. However, sanitation workers like us, if they don’t do it, they won’t have a source of income to take care of their families. We hope that we will be given priority to vaccinate against COVID-19 to help alleviate some worries.” There is a risk of disease transmission from medical waste Ho Chi Minh City Urban Environment Company Limited (CITENCO) is the unit that collects and transports medical waste and waste at hospitals, isolation areas for treatment of COVID-19 patients in Ho Chi Minh City. and isolation areas, blockade areas established under the decision of the People’s Committees of districts in the city. According to experts, in isolated and isolated areas, the waste that is often at risk of infection is hazardous medical waste. For workers who collect, transport and process this type of waste, there is also a high risk of infection. Prof. Dr. Nguyen Huu Dung, Chairman of the Vietnam Built Environment Association, commented: The collection, transportation and treatment of waste in isolation areas, field hospitals and COVID-19 patients’ blockade It is necessary to strictly follow the instructions and regulations on environmental safety and hygiene. Sanitation workers who collect and transport this type of waste, if not properly protected, are likely to be infected with disease. “The waste in the isolation area, this field hospital is mixed with household waste and medical waste, including hazardous waste such as bandages, medicine, patient waste… Especially, viruses. can be transmitted in the air and remain on the surface of the object for a certain time,” Dung said. Also according to Prof. Dr. Nguyen Huu Dung, environmental sanitation workers who collect, transport and process various types of waste are very susceptible to exposure. Therefore, they need to be equipped with safe and appropriate working tools, and should enjoy appropriate protection and remuneration. “In my opinion, first of all, they should be given priority to get vaccinated against COVID-19 to prevent disease,” said Dr. Proposal to prioritize vaccination for garbage collectors According to a representative of CITENCO, currently all medical waste in hospitals, centers and polyclinics is collected and treated by the company according to the strict process of hazardous waste. During the outbreak of COVID-19, the company was directed by the People’s Committee of Ho Chi Minh City to be in charge of collecting domestic waste in the isolation area for patients infected with COVID-19. To ensure the safety of workers during the process of collecting, transporting and treating wastes that may contain COVID-19, CITENCO proposes to the City People’s Committee and the Department of Health to give priority to public officials and employees. The company is participating in the collection and transportation of waste vaccinated against COVID-19 as soon as possible. “The recommended vaccination cases include the staff directly managing and directing the company’s epidemic prevention and control; workers and drivers who directly collect, transport and treat wastes that may contain COVID-19, medical waste, domestic waste, and cremation; workers often come into contact with people,” said the representative. In Hanoi, Mr. Nguyen Huu Tien, General Director of Hanoi Urban Environment One Member Limited Liability Company (URENCO), also said: The company has sent a written request to the Hanoi People’s Committee, the Steering Committee for COVID-19 prevention and control. The Hanoi Department of Health considers and creates favorable conditions for the company’s officers and employees to be given priority to vaccinate against COVID-19. Hazardous waste is strictly handled According to CITENCO, the collection, transportation and treatment of medical waste are carried out by the company according to a very strict process, ensuring the safety of workers and preventing the spread of disease to the outside. The workers are equipped with protective gear that meets the standards of the medical industry. Accordingly, the waste is sealed in a special yellow container or bag, labeled with a warning of the risk of infection. Garbage before being collected to put on specialized transport vehicles (closed containers) is sprayed with disinfectant. Waste when transported to Dong Thanh waste treatment site (Hoc Mon district) continues to spray disinfectant again before being processed by high-temperature combustion technology. After burning, waste must be solidified and buried in a safe landfill dedicated to hazardous waste.
Severe pain: Abdominal pain is common during pregnancy. However, if the pain becomes intense and spreads down to the pelvis and lower back, it could be a warning sign of a miscarriage, especially if accompanied by bleeding and uterine contractions. 
Placenta: During the first trimester of pregnancy, the fetus is formed mainly from tissues. It is not until at least the first 6 weeks of pregnancy that the embryo begins to develop into the main parts of the fetus. Abortion of the placenta – or tissues – is a sign that accompanies a miscarriage. When the placenta is delivered, pregnant women will notice blood clots coming out of the vagina, along with pain or discomfort in the lower abdomen. 
Chills: Chills and fever or aching pain all over the body can be signs of an infection and you should see your doctor for an immediate diagnosis. Infection during pregnancy can cause serious harm to the unborn baby. Chills are also a symptom of septic abortions. 
Severe muscle spasms: Abdominal pain and cramps are common during pregnancy and can also be experienced by healthy pregnant women. However, if a pregnant woman has abdominal pain with menstrual-like contractions, and the pain does not show any signs of improvement, it could be a symptom of miscarriage. 
Relieves Pregnancy Symptoms: If common pregnancy symptoms such as breast tenderness, nausea, and morning sickness gradually disappear, it could be a sign of miscarriage. 
Unusual Vaginal Discharge: In addition to placental abruption and vaginal bleeding, a pregnant woman may also find her vaginal discharge has an unusual color and odor during a miscarriage or fetal infection. In the case of miscarriage, vaginal discharge is often bloody and this is accompanied by vaginal bleeding. 
Negative pregnancy test results: Some women may want to take another pregnancy test to make sure that the first pregnancy test gives an accurate result. Depending on the timing of the second pregnancy test, a negative pregnancy test result could be a sign of an early miscarriage or simply indicate that the first test was false. 
Reduced fetal movements: The loss of a fetus that occurs within the first 20 weeks of pregnancy is considered a miscarriage, and after this period is considered a stillbirth. At any point during pregnancy, if you feel your baby is moving less than usual, you should seek medical advice immediately. 
Weight loss: Weight loss is an unusual sign of pregnancy. Normal pregnant women with normal weight gain 12-16kg during pregnancy. If a pregnant woman suddenly loses weight and feels anorexia, she should seek medical advice to detect problems with the fetus early.
Pain, swelling, and stiffness are typical symptoms of knee pain Causes of knee pain in the elderly Old The main cause of knee pain more common in the elderly than in young people is aging. Natural aging of the body causes bone density to decrease, joints gradually loosen. The older you get, the more severe the damage is because the cartilage is eroded, becoming rough, thorny. Over time, the ends of the bones create friction, causing pain. Suffering from osteoarthritis Knee pain in the elderly is also a symptom as well as the consequences of many osteoarthritis diseases such as: degenerative knee arthritis, rheumatoid arthritis, knee bursitis, patella tendinitis, gout … Overweight, sedentary Being overweight and obese increase pressure on the knees. Sedentary causes stiffness, increases the risk of knee pain in the elderly. Nature of work People who often do heavy-carrying jobs, stand for long periods of time also put pressure on their knees, causing pain and osteoarthritis. Injury Fall or impact affects the knee, stretching ligaments, stretching ligaments, damage to joint cartilage, dislocation of kneecap … What are the complications of knee pain in the elderly? Mild knee pain causes persistent pain, dullness, difficulty walking, interfering with daily activities. Severe knee pain can cause severe pain, disfigurement, and inability to walk as usual. Not only that, the prolonged knee pain also makes the patient tired, irritable, reducing labor productivity and affecting those around. 
Knee pain in the elderly can cause joint deformity How to cure knee pain in the elderly? Use Western medicine Some drugs commonly used when suffering from knee pain are pain relievers, anti-inflammatory drugs, muscle relaxants, some additional nutrients such as Glucosamine, Chondroitin, Calcium … The advantage of modern medicine is that it acts quickly, quickly relieves aches and pains, helps the patient feel comfortable. However, modern medicine should not be used for a long time because it causes many side effects: damage to the stomach, liver, kidneys, even causing oily medicine, making the disease prolonged, persistent, fatigue and costly. Inject mucus into the knee joint For those taking anti-inflammatory painkillers that do not work much, often injected lubricant Hyaluronic acid into the knee joint. This method also helps to reduce pain and inflammation quickly, and also improves joint function, but is quite expensive and ineffective for radical treatment. 
Injecting mucus into the knee joint provides pain relief, but it doesn’t have the long-term effect Physical therapy Acupuncture, acupressure, and stretching exercises … also help relieve pain effectively. Patients can refer to the application of these methods in combination with the use of medications. Use of 2nd generation Oriental Medicine and Osteoarthritis In order to gradually reduce Western medicine and limit the side effects of Western medicine, many patients, especially the elderly, choose to use Oriental medicine for osteoarthritis. Oriental medicine has many remedies for osteoarthritis, but not all are highly effective, especially those applied in books or the internet that have not been verified. Although rare, there are also effective esoteric remedies, such as osteoarthritis remedies for kidneys, strengthening blood, communicating communication, except for rheumatism. This remedy has been transferred and manufactured on a modern technological line at the GMP-WHO standard pharmaceutical factory, creating the second-generation Oriental Medicine Bone and Joint Medicine. 2nd generation Oriental Medicine Osteoarthritis for back pain, spinal pain, sciatica, rheumatoid arthritis: osteoarthritis, rheumatoid arthritis, aches and pains, musculoskeletal stiffness, paralysis of limbs , support the treatment of degeneration, calcification, spinal thorns … Persistent use of drugs for a while will help prevent recurrence of the disease. Second-generation Oriental Medicine Osteoarthritis is available in pharmacies nationwide. BEST FRIENDS 
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Child Q. is regularly examined and closely monitored at the Phu Tho Obstetrics and Gynecology Hospital. MSc Ha Son Tung – Deputy Head of the Department of Tropical Diseases, Obstetrics and Pediatrics Hospital in Phu Tho province, said: Chickenpox is a very contagious disease caused by a virus called Varicella Zoster Virus (VZV). The disease occurs mostly in children, but also many adults suffer from this disease. The onset of the disease is usually sudden, with blisters on the head, face, limbs and trunk. These blisters appear very quickly, within 12 – 24 hours they can appear all over the body, especially when infected with bacteria they will turn cloudy due to pus. In young children, in addition to symptoms of blisters also accompanied by high fever, refusal to eat, fussy or vomiting. Chickenpox is considered a benign disease, but if it is not diagnosed and treated in time and properly, it can cause very serious complications. Not only does it infect the skin at the site of the blister, from where the bacteria can enter the bloodstream, causing sepsis. More seriously, the disease can lead to serious complications such as pneumonia, encephalitis, cerebellum … causing danger to life or leaving sequelae later. 
The image of infected blisters is cloudy due to pus. The vaccination helps the body make antibodies against the chickenpox virus BS. Tung also said, if pregnant women get chickenpox will be very dangerous. When pregnant women get chickenpox in the first 3 months of pregnancy, the virus will cause miscarriage, or at birth, babies will be congenital chickenpox with many defects such as small head, limb constriction, cerebral palsy, scarring. natural… In case of getting chickenpox in the days of giving birth or after giving birth, the infected child will be very sick with very prominent blisters and easy pneumonia complications. Therefore, Dr. Tung recommends: The vaccination against chickenpox is an effective, highly effective and long-term measure, helping the body to create antibodies against the chickenpox virus. All children 12-18 months of age get one injection; children from 19 months to 13 years old who have never had chickenpox each time will get one injection; Children over 13 years old and adults who have never had chickenpox should be injected 2 times, repeated 4-8 weeks apart. For the cases of chickenpox, absolutely not self-treatment at home, especially not being treated with traditional medicine, traditional medicine, to avoid the unfortunate consequences. >> People can contact for advice, examination and vaccination at Phu Tho Obstetrics Hospital. Address: Nguyen Tat Thanh Street, Nong Trang Ward, City. Viet Tri, Phu Tho Province.
Relatives mourn a patient who has just died of Covid-19 in New Delhi, India. Photo: Reuters Medical services and other essential services across India nearly collapsed when the second wave of Covid-19 swept through the country at frightening speeds in mid-March. The cemeteries ran out of space. The hospital refused to accept patients because of being overloaded, and the families desperately asked for help on social networks On April 22, India broke the record for the number of new cases per day globally with 314,835 new cases. With nearly 16 million people infected with Covid-19, India is the second most severely affected country in the world, behind only the US. The outbreak of the 2nd Covid-19 wave in India not only risks its economic recovery, but also affects the global war against epidemics. “Things are out of control,” said Ramanan Laxminarayan, director of the Center for Disease Research in New Delhi. There is no oxygen. It is very difficult to find a hospital bed. Can’t get tested. You have to wait more than a week. The health system almost collapsed. Earlier on April 21, at least 22 Covd-19 patients being treated with a ventilator died while waiting for oxygen supplies, a senior official in Nashik district in Maharashtra state, India said. Faced with a serious shortage of medical supplies in hospitals across the country, local and state governments have urged the federal government to provide more oxygen and medicine. On April 21, President Modi announced the plan to supply 100,000 oxygen cylinders nationwide, build a new oxygen production plant and set up hospitals exclusively for Covid-19 patients. But experts fear that the plan was launched too late and the number is too little in the context of virus-infected patients struggling every day with “death” and the continuation of mass gatherings. causing the virus to spread faster and more strongly. Urgent cries for help on social networks With so few options available, many families have been calling for help via social media. Anil Tiwari, 34, lost his beloved father in November 2020 due to the Covid-19 translation. Last week, his mother also tested positive for the SARS-CoV-2 virus. She has been admitted to hospital treatment but needs to be in a special care bed (ICU). Due to the lack of ICU beds in the hospital, Anil Tiwari pleaded for help on her Twitter page: “Please save my mother. I love her more than anything. After days of relentless efforts, including calling the city government to be placed on the waiting list, Tiwari’s mother was finally given an ICU bed. But what she needed right now was oxygen – something that the hospital was lacking. “She can still walk, but always find it hard to breathe,” said Tiwari. Demand for Remdesivir for Covid-19 and its medicinal ingredients skyrocketed in the second wave of Covid-19, forcing the Indian government to temporarily ban drug exports to increase supplies. market connection. The government has allowed hospitals to use the drug in emergencies, although the Health Organization (WHO) previously said, there is no evidence that Remdesivir reduces the risk of death in infected individuals. Covid-19 heavy. Abhijeet Kumar, a 20-year-old college student, used Twitter to donate medical bills for his 52-year-old uncle, who is hospitalized in the central Indian state of Chhattisgarh. “The injections are very expensive. They say it costs between 12,000 and 15,000 rupees (about 160 to 200 USD). He had two doses but needed a third and we could not afford it. My uncle works as a plumber, ”said Abhijeet Kumar. Some states in India said that high demand while limited supply has enabled the “black market” to scream high prices for Remdesivir and some similar drugs. Even nurses and doctors are working hard to find beds and treatment options for their loved ones, said Parkar, a pulmonologist in Mumbai. Indian Mistakes and A Warning to the World Although most attention has been on the new variant of the SARS-CoV-2 virus that appeared in India recently, experts believe that the cause of the new Covid-19 outbreak is It can stem from social behaviors, weaknesses in the health system and a number of policy mistakes in the country. Indian officials may have been too subjective to believe that the worst has fallen behind when the number of Covid-19 cases began to decline in September 2020. The number of cases fell for 30 weeks in a row before starting to increase in mid-February and breaking out in mid-March. According to some experts, India did not seize the opportunity to consolidate its infrastructure. health care and immunization campaign intensification. “The authorities have not provided a long-term overview of the pandemic,” said Dr. Vineeta Bal, an immune system researcher at the National Institute of Immunology in India. Suggestions to upgrade the health system, such as building the capacity of hospitals or hiring an epidemiologist to monitor virus growth, have been ignored, she said. Currently, the Indian authorities are trying to restore many emergency measures that were removed when the number of cases decreased. India could have avoided a shortage of oxygen – something Latin America and Africa experienced a year ago if it converted its industrial oxygen production system into a network of supplies. medical. However, many facilities have returned to provide oxygen to industries and hospitals in this country are facing severe hypoxia. Analysts said that India will face a great challenge in preventing the health system from collapsing until enough people are vaccinated to achieve community immunity. Although India halted vaccine exports in March to meet domestic needs, it is not clear whether the country’s vaccine makers will be able to speed up production. “Vaccination is one way to slow the spread of the virus, but it depends on production speed and availability of vaccine doses,” said Srinath Reddy, president of the Indian Community Health Foundation. . In addition, the Indian government has also received criticism for not pausing major religious festivals, such as the Kumbh Mela bleaching festival on the banks of the Ganges River or election events. Many experts believe that the activities of gathering people have caused the number of cases to explode more strongly./.
Covid-19 vaccination for medical staff – Photo: Minh Anh The World Health Organization (WHO) has requested vigilance, monitoring, early detection and timely management of rare human events after Covid-19 vaccination with suspected immune thrombocytopenia. , scattered blood clots in the lumen, cerebral venous thrombosis. The rate of thrombosis after AstraZeneca vaccination is 4.6 / 1 million doses of the first injection, Pfizer-BioNTech Covid-19 vaccine is 0.2 / 1 million doses of the first injection. Thrombosis after AstraZeneca vaccination is mainly seen in women, in Germany there are 29 out of 31 women with thrombosis are women. The rate of blood clotting after AstraZeneca vaccination in young people is higher than in the elderly, especially in the age group 20-29. After vaccination AstraZeneca, the phenomenon of blood clotting seems less likely to occur in people over 60 years old, only about 0.2 / 1 million doses of the first injection. Complications of coagulation after AstraZeneca vaccination depend on genetic factors, underlying disease, lifestyle, medications, factor V Leiden (risk of blood clots). According to the clinical symptom guidelines, the above events are rare and usually appear 4 to 28 days after Covid-19 vaccination with persistent, severe headache; localized neurological symptoms; convulsions, blurred vision, or double vision; difficulty breathing or chest pain; stomachache; pain, swelling of the lower extremities. In particular, patients rarely present with bleeding, skin hemorrhage, or internal bleeding. 
The Ministry of Health believes that lower level medical facilities can completely handle the clotting phenomenon According to the Ministry of Health, at commune, ward, district or equivalent health centers of grade IV, people should be monitored after vaccination. If at least 1 of the above clinical symptoms appears, it is necessary to transfer the person after Covid-19 vaccination to a higher level or seek emergency treatment if any. In the case of the district hospital, district or equivalent grade III, after injection appears one of the above symptoms need to carry out the following tests: Count the platelet count; basic coagulation tests; quantitative D-dinmer assay; Ultrasound, X-ray exploration … In case of after injection, symptoms need to be transferred to higher level for treatment. At the provincial, city or equivalent level II health facilities, basic tests are needed to count platelet count, and basic coagulation test; quantitative D-dimer assay; imaging tests to assess thrombosis and bleeding; perform other exploration if available. In cases beyond the capacity of diagnosis and treatment, it is necessary to consult a higher level specialist. At the central grassroots level or equivalent grade I, the special class will take in people after vaccination with severe complications transferred by the levels, and carry out all necessary investigations for diagnosis and treatment according to the diagnosis and treatment guidelines of the Ministry of Health; Consult experts as needed. According to the Ministry of Health, by the morning of April 23, an additional 20,203 people were vaccinated against Covid-19 of AstraZeneca. Thus, from March 8 to now, a total of 128,610 people have been vaccinated against Covid-19 of AstraZeneca phase 1 and phase 2 in 28 provinces and cities and have not recorded any cases of blood clots later. injection.
Hai Phong Transport and Transport Hospital, where male nurses work. Photo: CTV. Before that, this patient had 11 tests positive for SARS-CoV-2. On April 5, BN2391 performed the 15th test and got negative results. It is the third consecutive time he has tested negative for SARS-CoV-2. Hai Phong Department of Health then reports to the National Steering Committee for the procedure of announcing patients from Covid-19. And so far, this brother has the same result. Regarding the epidemic situation in Hai Phong, on April 22, medical facilities in this city took and received 104 new screening samples; 47 samples were found negative for SARS-CoV-2 virus, waiting for 102 samples. Hai Phong still has 72 isolated people in concentrated medical isolation; 503 expat medical isolation specialist in hotel and one medical isolator at home, residence.
Spring conjunctivitis. Chicken pox The humid climate of spring, especially the transition from spring to summer, increases the risk of infectious diseases, chickenpox is one of the most common diseases. Chickenpox is very contagious, caused by the Varicella Zoster Virus (VZV). The disease is spread through the secretions and droplets of the patient. If an infected person coughs or sneezes or even talks normally, the VZV virus will shoot out through the saliva, the person in close contact is very susceptible to infection. Chickenpox incubation period from 2-3 weeks, mostly occurs in children, but adults are also very susceptible. Incubation signs may include fever, fatigue, lymphadenopathy, nausea, and sore throat. At the onset stage will appear symptoms of blisters. The blisters will initially grow on the limbs, face and can spread to the whole body very quickly within 12-24 hours. When infected with chickenpox, the patient should isolate and implement hygiene measures, take care on the spot to quickly recover from the disease, avoid infecting others. Increasing resistance, exercising physical strength also means preventing chickenpox. Preventive vaccination is the best solution available today to prevent chickenpox and its complications. This immunization is rated highly effective and long-lasting. Rash fever Scarlet fever is a feverish condition where small spots on the skin are raised or raised on the skin’s surface. Scarlet fever is a disease caused by a virus. This virus spreads from person to person, through physical contact with an infected person or sharing personal belongings with an infected person, will become infected with the virus that causes typhoid fever. For children in kindergartens, it is easy to spread the disease because of contact with other children who have the virus in daily life. Symptoms and manifestations of typhus fever usually appear 1-2 weeks after infection with the virus, in some cases there will be no signs or mild symptoms that make us subjective. Accordingly, the specific manifestations will be: fever over 39.4 degrees as soon as the virus is infected. Associated symptoms such as sore throat, cough, runny nose, last for 3-5 days. In a child with typhus fever, parents may see swollen lymph nodes in the child’s neck. A rash appears, a rash appears following the fever. On the patient’s skin begins to have red spots, small or swollen, some spots will have white rings around. The rash in your baby will begin to spread from the chest, back, abdomen, wrists and arms. It can spread to the legs and face depending on the situation and usually disappears after a few hours, even a few days without leaving a mark on the skin. Some other signs and symptoms of typhus fever that may appear in children are: irritability, mild diarrhea, loss of appetite, swelling of the eyelids … The disease does not cause many dangers. Patients, especially children, need rest, take fever-reducing medicines when their fever is over 38.5 degrees, and they will recover without leaving any complications. However, for young children, when having the following symptoms, they should immediately bring them to the hospital: The child has a fever that cannot control their temperature even though they have been given fever-reducing medicine. The child has a fever above 39 degrees Celsius. The rash does not improve well after 3 days. The baby has a weak immune system. Children under 6 months old. Parents suspect that their child is dehydrated due to diarrhea. Acute diarrhea Diarrhea is the condition of having loose stools 3 or more times a day with symptoms accompanied by vomiting, dehydration, electrolyte disturbances and some typical symptoms: bloating, bloating, diarrhea. dirty, many times, vomiting, exhausted. If not treated in time, it can lead to death. The disease can spread quickly and cause large epidemics, especially in populated areas where drinking and domestic water is shared. Eating and drinking with hygiene and water hygiene is the best way to prevent disease.
Things to know when getting COVID-19 (For vaccinating people) vaccination. According to the Ministry of Health: The vaccination process in Vietnam is implemented at the highest safety level and is different from other countries in the world, including in advanced countries. COVID-19 vaccination establishments must ensure the standards of their facilities, equipment and human resources; conduct screening, counseling before vaccination and organize safe vaccination sessions under the guidance of the Ministry of Health; vaccination users must stay at the vaccination site for at least 30 minutes after vaccination to monitor health status; instructed to follow up at home for at least next 24 hours and to continue follow-up for up to 3 weeks after injection; Hospitals are always ready, standing up for emergency work to prevent severe reactions after vaccination to ensure maximum safety for the person being vaccinated. At the same time, the object of contraindications to vaccination in Vietnam is also wider than that of other countries.
Passenger at Changi International Airport, Singapore, on March 15, 2021. Photo: AFP / VNA According to the Vietnam News Agency reporter in Singapore, in addition to the above regulations, those who have recently come to India and have not completed the 14-day quarantine period to 23:59 p.m. on April 22 will have to undergo concentrated isolation for another 7 days. These individuals will have to undergo 3 PCR tests: on arrival, on the 14th day and before the end of the quarantine period. In recent days, India has continuously recorded the highest number of new infections and daily deaths ever. In the past 24 hours, the South Asian country recorded 332,503 cases and 2,256 deaths. These are the number of new infections and deaths caused by COVID-19 in a day at levels not seen since the outbreak of the pandemic. According to worldometers.info, as of the morning of April 23 (Vietnam time), India had a total of 16.2 million cases, of which 186,928 died. In addition, the Singapore Ministry of Health (MOH) on April 22 announced that 17 workers at the Westlite Woodlands dormitory were found to be re-infected, although there is no evidence that these cases are related. epidemic in India or with a new strain of virus appearing there. Therefore, preventive measures for COVID-19 will be tightened for migrant workers to minimize the risk of re-infection in those who have recovered from the disease. Accordingly, all new migrant workers from higher-risk countries and regions will be placed on quarantine for 14 days at quarantine facilities. After they test negative for the SARS-CoV-2 virus, they will be sent to the Migrant Labor Referral Center (MWOC). In the past, these workers had to stay on quarantine for only 4 days at the quarantine facilities before being sent to MWOC during their remaining quarantine period. As for the newly arrived migrant workers whose test results have antibodies to the SARS-CoV-2 virus, they will have to undergo a bi-weekly screening regime. Previously, they were exempt from this requirement. As of April 29, recovered workers living in dormitories or those working in the construction, marine and processing industries living in Singapore will have to undergo periodic inspections. about 9 months, or 270 days, from the date they get COVID-19.
With more than 312,000 new cases of Covid-19, on April 22, India broke the US record and became the country with the highest number of cases of Covid-19 daily in the world. Photo: New York Times. Jishnu Das, a medical economist at Georgetown University, USA, told NPR in the early February interview: “Not that India is testing less or the data is being underreported. At first, the number of infections skyrocketed and then suddenly disappeared. Hospital intensive care units (ICUs) have been reduced. All indicators represent the decline of the pandemic. ” However, a pandemic has not disappeared so easily. It may take years to figure out the reason for that illusion, but clearly India missed the true rate of cases earlier this year, even at a time when people were celebrating the decline. decrease of the disease, until it is too late. Although it is thought that the cause is the newly discovered strain of Covid-19 in India, this wave of rise is due to the failed combination of social management, weakness in India’s health system. and policy decisions. Before the second wave – likened to a tsunami – swept the world’s second most populous country, the virus was believed to have been suppressed in India, even some regions believed to be moving forward. community translation. Besides, as the vaccination is in progress, many people have reason to believe that the situation can be controlled. Experts say that it seems that India has made the same mistakes with other countries, including the UK, after the first wave reached its peak. The countries would then return to normal and would be severely attacked by the second wave. Dr. Chandrakant Lahariy wrote in an article for India Today last week: “The second wave of Covid-19 has come a few months after the second wave in other countries where the same situation happened somewhere. mid to late 2020. There is no reason to believe that the situation will be different in India. ” “Although lax in social governance is noted, from February to April 2021, the government is also not determined to enforce measures to prevent public health epidemics. With the enacted Covid-19, it was the policymakers and elected leaders that let loose for the crowds. Among them were festivals, like Holi at the end of the month. 3, Kumbh Mela in Haridwar (March and April), election demonstrations in 5 states (March to April) “. On the other hand, India, the world’s largest producer of vaccines, has repeated the same mistakes that have occurred in the US and elsewhere, assuming that vaccination alone is enough to control Covid-19. Prime Minister Narendra Modi then stressed that social distance remains an “ultimate optimal” measure. In fact, from the UK experience, the combination of active immunization, containment and surveillance offers the best chance of mitigating the impact of the pandemic. There are three key factors: First, without effective surveillance, Covid-19 will make use of those blind spots to spread again. Second, even in the midst of the immunization movement of India, when many people are not vaccinated Covid-19 remains a strong threat, possibly putting pressure on the health system. The third and final lesson is about leadership. Actions that promote improved public awareness and encourage prejudice against normalization have a real impact in public health emergencies that depend heavily on encouraging people to be more careful.
Research shows that: intestinal dysbiosis or a deficiency of certain beneficial bacteria increases the risk of depression than normal, healthy people. It can be seen that gut health needs more attention for you to live a healthy and vibrant life. Increased risk of heart and blood vessel disease Health experts recommend: Adjusting groups of bacteria in the gut in a balanced and reasonable level can improve the situation in patients with heart failure. In addition, the cases of miasma, anorexia, perforation, etc., were also mitigated. Therefore, gut health affects not only the digestive system but also the heart and blood vessels. 
Causes inflammation When the microbial environment in the gut is imbalanced, the pathogenic groups of bacteria can disrupt the stability of the mucosa, weakening the protective effects of this natural barrier, leading to the birth of the body. inflammatory response as a warning signal, long-term cause gastritis, chronic intestinal inflammation. In addition, intestinal dysbiosis also affects the efficiency of food digestion and absorption of nutrients by the body, resulting in harm to the overall health. You are susceptible to being deficient and developing many diseases. Affects brain function The nervous system of the brain is correlated with the immune and endocrine systems. Specifically, the brain can regulate the intestinal permeability, affecting the groups of bacteria inside the digestive system. 
Conversely, the gut microbiota can release internal hormones, which are like the way that the intestine and brain circulate, thus affecting brain function as well. What should sisters do to enhance the health of the digestive system and improve the balance of intestinal bacteria? Give the bowel time to rest No matter how busy women are, they should pay attention to controlling the eating time as well as the amount of food taken into the body. Besides practicing the habit of eating on time, the time between two meals should limit eating extra snacks. This is when your intestinal function has a chance to regulate and restore and digest food better. 
Besides, when you sleep is also when your intestines reduce the burden, so dinner should be finished before 20 hours is the most ideal, both help stabilize the digestive system and not affect sleep. In addition, each meal with only 7 servings is also beneficial for the health of the intestine and stomach. Eat slowly, chew thoroughly The habit of eating slowly, chewing thoroughly can cause saliva in the oral cavity to enhance the tolerance with food, reduce the pressure on digestion and absorption, and are also beneficial to enhance feelings of fullness. , helps you limit the amount of food you eat. 
A glass of warm water after waking up When you wake up early in the morning, you should drink a glass of warm water before doing personal hygiene and breakfast. This habit is not only beneficial for bowel problems but also effectively cleans the “garbage” in the intestines, prevents constipation and limits intestinal dysbiosis. Be physically active Women should base themselves on their health status to choose the right sport and sport. Every day should spend at least 30 minutes to move the body, promote bowel movements, reduce constipation and increase resistance, prevent disease. 
Supplement foods that are good for the gut Some foods with intestinal protective effects that you can choose from such as seaweed, black fungus, yogurt, etc. In addition, increase your intake of green vegetables and fruits so that your body has enough fiber, vitamins, minerals, helping to balance the microflora in the gut and stimulating the digestive system to function better. Thien Khue ( According to Familydoctor )
Previous studies have shown a link between high consumption of red and processed meats, which may increase the likelihood of cardiovascular disease. Hamburger lovers may have to consider switching to a variety of plant-based alternatives that are now more common on supermarket shelves, as well as better for the environment. Last month, a team of researchers from Canada linked the risks of cardiovascular disease, like heart attack and stroke, to the consumption of processed meat. Additionally, a 2018 study found that regular consumption of red meat could increase the levels of chemicals that cause cardiovascular disease by more than 10 times. Study author Dr Zahra Raisi-Estabragh of Queen Mary University, London, said: “Previous studies have shown a link between high consumption of red meat and an increased risk of heart attack or death. died from heart disease. We examined the relationship between meat consumption and cardiovascular health imaging measures for the first time. This may help us understand the underlying mechanism of the previously observed association with cardiovascular disease ”. The long-term study investigating the contribution of genes and the environment to the development of health problems included 19,408 participants from UK Biobank. The researchers examined the association between self-reporting of red meat and processed meat consumption and heart anatomy and function. Three types of heart health measures were analyzed, one of which is blood vessel elasticity, a marker of good health. The analysis is adjusted for other factors that may affect the association, including age, sex, education, smoking, alcohol, exercise, high blood pressure, high cholesterol, diabetes and only body mass number (BMI). The researchers found that high consumption of red and processed meats was associated with a decrease in cardiovascular health indicators of all the measures studied. 
People who eat more meat have smaller ventricles, poor heart function, and stiffer arteries, all of which are signs of poor heart health. Specifically, people who eat more meat have smaller ventricles, poor heart function, and stiffer arteries, all of which are signs of poor heart health. For comparison, the researchers also examined the relationships between heart-imaging measurements and eating oily fish, which is known to be good for heart health. They found that as the consumption of oily fish increased, heart function improved and the arteries more elastic. Dr Raisi-Estabragh said: “The findings support previous observations of the association between red meat consumption and processed meat and heart disease, and provide an understanding of heart structure and function. , blood vessel. It is thought that these factors may be the reason for the observed association between red meat and heart disease. For example, maybe eating more red meat leads to increased cholesterol in the blood and this in turn causes heart disease. Our research shows that these factors play a role in the relationship between meat intake and heart health, but they are not all. The study did not look at replacement mechanisms, the authors note, and admitted that it does not actually cause cardiac dysfunction. “This is an observational study and cannot assume the cause, but overall, it seems plausible that people limit their intake of red and processed meats for cardiovascular health reasons,” said Dr. Raisi-. Estabragh said. The research is being presented at the ESC 2021 Preventive Cardiovascular Conference, an online scientific conference of the European Heart Association (ESC). Dr. Shireen Kassam, a hematologist and senior lecturer at King’s College Hospital, who was not involved in the study, said observational data valuable for several decades indicate eating red and processed meats. increased risk of development and death from coronary heart disease and heart disease. “It’s no surprise that participants who consumed the most meat had evidence of impaired heart function and blood vessels,” she said. Research confirms that we must avoid questioning the role of red and processed meat in the diet and act on these research findings. By focusing on effective public health messages to assist people in eliminating these foods from their diet and replacing them with healthier plant protein sources. This will not only improve human health but also benefit the environment. Huong Giang (Source: dailymail)
In 2007, Mr. Kang was diagnosed with liver cancer and had to remove one third of his liver. After a successful surgery, he tried to finish the unfinished scenes of the movie he was participating in and moved with his family to live in the countryside. With all his energy to live, having been quietly fighting cancer for more than 10 years, the health of the actor Descendants of the Sun has been increasingly improved. He regularly exercises, eating according to a diet to maintain his fitness. For liver cancer, there are many factors that can lead to them from drinking alcohol, obesity, smoking to the body’s existence of many other underlying diseases. The liver is the largest organ in the body and is located on the right side of the abdomen. It is responsible for performing important functions such as helping your body to flush toxins out. Furthermore, it also allows the body to digest fats, vitamins and other important nutrients. However, once the liver has a problem, it will be very difficult to do its job well. 
Liver cancer is when liver cells that are old and damaged tend to overgrow and continue to multiply instead of dying. Liver cancer can be primary or secondary. Primary cancer originates in the liver while secondary liver cancer can be caused by cancer cells from other organs such as the chest or lungs moving to the liver. Furthermore, it can also lead to other conditions such as high cholesterol levels, enlarged liver, bleeding and visceral bruising. Symptoms of liver cancer are usually abdominal pain, jaundice, nausea, fatigue, itching, back pain, fever, and unintentional weight loss. 
Who can get liver cancer? People with diabetes and hepatitis, people with a family history of liver cancer, drinking a lot of alcohol leading to cirrhosis, people with low immunity with HIV or AIDS, and obesity may also get it. this disease. In particular, smokers are at higher risk of liver cancer. Treatment for liver cancer Treatment for liver cancer will depend on the stage of the disease and the location of the tumor. The common treatment is chemotherapy, where the drug is administered orally or intravenously to kill cancer cells. Radiation therapy can then be used with high-energy radiation to kill cancer cells. 
Another option for treating the disease is surgery. If the tumor is a small malignant tumor, the doctor removes the cancer cells and some of the healthy liver tissue surrounding it. A liver transplant is done when the liver is completely damaged. Resection therapy may be used. The doctor then selects heat, lasers, or injections to kill the cancer cells. The treatment can even be done by embolism, which stops blood supply to cancer cells and allows them to die on their own.