Summer by United Family Healthcare

Tianhe Highway Junction 天河立交

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United Family Guangzhou Clinic 和睦家广州诊所

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黄埔大道西

S. Dongxing Road 东兴南路

Huaxia Rd. 华夏路

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Jinsui Rd. 金穗路

Huaming Roa

United Family Financial Street Clinic

W. Zhujia ng R d. 珠江西

N. Dongxing Road 东兴北路

Huaqiang Roa

Huasui Rd. 华穗路

Markor Furnishings 美克·美家 Imperial Traders Hotel 广东外商活动中心

Middle Guangzhou Ave 广州大道中

PICC Building 人保大厦

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山一路 Rd. 中 han Yi Zhongs

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109 Taipingqiao Avenue, Xicheng District, Beijing 100032 Tel: +86 (10) 6621 7939 E-mail: liaison@ufh.com.cn

Huacheng Roa

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Line 5 Wuya

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五号线五羊邨站

Line 5 Zhuji

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五号线珠江新 Huacheng Ave 城站花城大道

Shanghai United Family Hospital 上海和睦家医院

United Family Quankou Clinic 和睦家泉口门诊部 Line 2 Beix

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d 泉口路

Shopping Mall 百联西郊购物中心

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威宁路站

Maotai Road 茅台路

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Honggu Road

线环中

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Xianxia Rd. 仙霞路 g Rin le dd Mi

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天山路宁路

Tianshan Rd.

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E. Xinyu

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北新泾站

Shuicheng Roa

二号线

虹古路

Yew Chung International School 耀中国际学校

Longxi Road 龙溪路 Rd. eng uich 城路站水 10 Sh Line 十号线

溪路

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Qin Shanghai Zoo 西郊动物园

桥路 .虹高架 o Rd 延安 gqia Hon Way h ig ’an H n a Y

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Marriott-Hongqiao Hotel 万豪虹桥大酒店

路站 10 Lo Line 线龙溪号十

Tianjin United Family Hospital 天津和睦家医院 Jinyi Bridge 津谊桥

Yujiang Bridge 郁江桥

Know Your Health

The way to wellness begins with you

Heiniucheng Rd. 黑牛城道

解放南路

Tanjiang Road 潭江道 Royal Peninsula 半岛豪庭

Dongting Road 洞庭路

S. Youyi Rd.

S. Weijin Road 卫津南路

Suijiang Road 绥江道

S. Jiefang Rd.

河

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友谊南路

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Baiyunshan Road 白云山路

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E-Mart 易买得

Outer Ring Rd. 外环线

For more facility maps, please visit our website.

The UFH network has pioneered JCI quality accreditation in China. 和睦家医疗集团获得国际医疗卫生机构认证联合委员会(JCI)认证。

Summer 2014 In this issue: • Alternative asthma treatments • Coping with disaster • Gestational diabetes

Contact us: Beijing United Family Hospital & Clinics 2 Jiangtai Road, Chaoyang District Tel: +86 (10) 5927 7000 Guangzhou United Family Clinic South Tower, PICC Building 301 Middle Guangzhou Ave Tel: +86 (20) 8710 6000 Shanghai United Family Hospital & Clinics 1139 Xianxia Road, Changning District Tel: +86 (21) 2216 3900 Tianjin United Family Hospital No. 22 Tianxiaoyuan Tanjiang Road, Hexi District Tel: +86 (22) 5856 8500 Wuxi United Family Clinic 10 Middle Huaxia Road Dongting, Xishan District Tel: +86 (510) 8821 9725

Subscribe today: If you would like to subscribe to receive our free quarterly magazine and / or receive our monthly e-mail newsletter, please send your details (including name, address, telephone number, and e-mail address) to health.matters@ufh.com.cn.

Send us your comments: If you would like to send us a comment about Health Matters, get in touch with our editorial team or contributors, or would simply like more information about anything you have read, please send an e-mail to health.matters@ufh.com.cn.

Editorial team: Carl Lorimer Kyle Bueschlen Wang Zizhang Yumi Peng

Design: Alex Qi Fancy Zhao Gavin Guan

Editorial contributors: Roberta Lipson David Dai George Hu Sahba Maani Cai Li Hau Liu Juliet Porch Sam Liu Vivian Liu Yang Kun

Message from the Chair of UFH Roberta Lipson Chair, United Family Healthcare CEO, Chindex International, Inc.

News & Events A Healthier Approach to Maintaining Life Wellness

Summer 2014 Our continuing commitment to the communities we serve is to bring quality healthcare to our patients that is among the best in the world. Our goal is to not only expand and improve our services in Beijing, Shanghai, Guangzhou, and Tianjin, but also extend our network and world-class healthcare model across China. As our family grows, so do the number of people that we can reach and lives we can improve.

Coping with Disaster

This past May, we delivered on this commitment by signing a joint-venture agreement with the Guangdong Provincial Hospital of Traditional Chinese Medicine to establish the full-service, international-standard Guangzhou United Family Hospital, which is already under construction in the southern city. Scheduled to open in early 2016, Guangzhou United Family Hospital will be the largest hospital in our premium network of medical facilities, offering Western and Traditional Chinese Medicine inpatient and outpatient healthcare services.

Suffering From Asthma? Try These Alternative Treatments

Also in May, we welcomed Beijing United Family Hospitalâ&#x20AC;&#x2122;s 7th satellite clinic, United Family Financial Street, into our growing network. Our newest clinic provides convenient, world-class care to the people living and working in the heart of the capital. An 8th clinic is in the planning stage for the Shuangjing neighborhood.

By David Dai, MD PhD

By George Hu, PsyD

By Sahba Maani, MD ABIHM CAS

Chronic Obstructive Pulmonary Disease By Cai Li, MD

The Thyroid: What is it and Why Does it Matter to Me? By Hau Liu, MD MPH MBA

Nonsurgical Approaches to Facial Aging: A Rising Trend By Juliet Porch, MD

An Introduction to Gestational Diabetes By Sam Liu, MD PhD FACOG

Invisible Bacteria: How to Protect Your Baby from Getting Sick By Vivian Liu, MD

Everything You Need to Know About the Haze By Yang Kun, MD PhD

Medical Staff Medical Services Contact Details

16 years ago, one of United Family Healthcareâ&#x20AC;&#x2122;s first contributions to China was the introduction of a new international-standard model of obstetrics, including delivery and postpartum care. Today, we are pioneering reproductive medicine as well, with the opening of our UFH Reproductive Medicine Center in Tianjin United Family Hospital. The center will provide couples who need assistance with conception with a full-scope of international-standard care and advanced treatments, all in a warm, compassionate, and patient-centered setting. In June, we reaffirmed our special partnership with Peking University Cancer Hospital by launching the Peking University Cancer Hospital United Family International Clinical Center in our United Family New Hope Oncology Center. This new center is part of a long-standing collaborative effort between our two institutions to provide premium cancer treatment services. Together we will carry out in-depth cooperation in many areas, including clinical treatment, personnel training, and medical management. This represents a significant step in the development of partnerships between public and private hospitals, and we hope the success of this cooperation will set a good example for medical reform in China. Our United Family celebrates not only excellence in new endeavors, but also excellence in people. We are pleased to announce the winners of both our 2013 Clinician of the Year and Specialist of the Year awards. Dr. Li Xiaoguang, an Emergency Medicine Physician at Shanghai United Family Hospital and Clinics (SHU) is our Clinician of the Year. Dr. Li has been with us since 2007 and serves his patients and the community with incredible passion and dedication. Our Specialist of the Year, Dr. Deshmukh, is an Orthopedic Surgeon and the Chair of Orthopedic and Sports Medicine at SHU. Dr. Deshmukh is an exemplar in patient communication, in addition to his technical excellence in orthopedic surgery. Please enjoy this edition, and on behalf of all United Family Healthcare staff, I wish you and your family the best of health during the remaining summer months.

United Family Healthcare Welcomes its Newest Clinic Peking University Cancer Hospital United Family International Clinical Center Opens in United Family New Hope Oncology Center

On June 19, 2014, Peking University Cancer Hospital United Family International Clinical Center officially opened in the United Family New Hope Oncology Center as part of a long-standing collaborative effort between the university and Beijing United Family Hospital and Clinics, to carry out in-depth cooperation in many areas, including clinical treatment, personnel training, and medical management. The Peking University Cancer Hospital United Family International Clinical Center is the first of its kind – a joint-venture between a Chinese authority in oncology treatment and a premium, foreign-invested healthcare provider.

UFH Reproductive Medicine Center Now Open in Tianjin

Opened in May 2014, United Family Financial Street Clinic is located in the heart of Beijing. United Family Healthcare’s 7th satellite clinic in the capital is staffed by bilingual doctors and nurses who provide the highest-quality, international-standard healthcare available in China, all in one convenient location near your work and home. The clinic offers a comprehensive range of medical services, including Family Medicine, Pediatrics, Dental, Gynecology, Internal Medicine, Eye Clinic, Physical Therapy, Dermatology, Ear, Nose, and Throat (ENT), Psychological Health, and Traditional Chinese Medicine. In addition, the clinic has an on-site Pharmacy, Laboratory, and imaging services (including X-ray and ultrasound).

UFH Names 2013 Clinician and Specialist of the Year Each year, United Family Healthcare recognizes medical staff who stand out in an already world-class team. The Clinician of the Year award is given by the office of the UFH Vice President of Medical Affairs, Dr. David Rutstein, to celebrate excellence in medical practice.

2013 Clinician of the Year Recipients UFH Network and Shanghai: Dr. Li Xiaoguang, Emergency Medicine Physician Beijing: Dr. Naoya Tsuda, Family Medicine Physician Guangzhou: Dr. Ralph Rahmer, Family Medicine Physician Tianjin: Dr. Fu Hongna, Pediatrician Beijing United Family Rehabilitation Hospital: Mr. Deng Jiafeng, Physical Therapist United Family Home Health: Ms. Cindy Lixin, Nurse

Tianjin United Family Hospital recently opened the UFH network’s first Reproductive Medicine Center. Our new center is staffed by experienced and highly-qualified specialists, senior embryologists, and western-trained nurses who are committed to providing patients with international-standard care and treatment. The UFH Reproductive Medicine Center offers professional consultation and clinical service in a private, compassionate, and patient-centered setting. The center provides a full-scope of services, with state-of-the-art reproductive medicine technologies located within its in vitro fertilization (IVF) and assisted conception laboratories.

The Center for Primary Care Practice and Education (CPCPE) also gives an annual award to recognize a specialist who exemplifies the practice of primary care by providing excellent communication with primary care providers regarding the progress of their referred patients. This year, we are proud to announce Dr. Ashwin Deshmukh as our 2013 Specialist of the Year. A tireless advocate for his patients, Dr. Deshmukh is a Harvard-trained Orthopedic Surgeon and Chair of Orthopedic and Sports Medicine at Shanghai United Family Hospital and Clinics.

Personalized care

Convenient care

Each HLP member chooses a Personal Care Physician (PCP) with whom he or she feels most comfortable. The PCP has full insight into the member’s medical, social, and family history and takes care of the member’s acute or chronic conditions. If needed, the PCP will refer the member to specialists and coordinate their care. The PCP also designs and performs regular, personalized health check-ups based on an individual member’s history and physical findings, not on a pre-formed package. The same PCP will also conduct follow-up consultation with a member for any ancillary test and, if a disease is identified, plan and initiate treatment.

With the HLP, our members can directly communicate with their PCP by phone and email. This communication can assist in leading to diagnosis and treatment without the need for a hospital visit. This unique two-way communication not only provides convenient and efficient service to our members, but also improves quality and potentially save lives, as seemingly minor symptoms may be the first sign of serious diseases such as heart attack, stroke, or cancer.

Preventive care Members receive personalized health check-ups that include screening for common diseases such as hypertension, diabetes, hypercholesterolemia, heart disease, and cancers, as well as complications related to existing chronic conditions like retinal or kidney damage from diabetes and liver cancer from chronic liver disease. Such personalized check-ups are tailored to sex, age, and individual risk factors according to international guidelines such as U.S. Preventive Services Task Force recommendations. Pre-formed package check-ups, which have become widely popular in China in recent years, are not a scientifically proven model of preventive care. Young, healthy people may require fewer tests than in a package; older people and those with chronic diseases or certain risk factors may require further tests, and more frequently than once per year. Physical check-ups are only one aspect of preventive care. HLP also provides vaccinations in accordance with international and Chinese government recommendations, including routine, periodic vaccinations for tetanus, diphtheria, and pertussis, as well as an annual vaccination against influenza. Other vaccines are offered (as indicated) for certain high risk members, including the pneumonia vaccine for members with chronic lung disease, hepatitis vaccines for those with chronic liver disease, and the meningitis vaccine for students going to college. Chemoprophylaxis is another key component of preventive medicine. People who have cardiovascular disease or an equivalent, such as diabetes, may need to take daily baby aspirin indefinitely. Post-menopausal women are recommended to take long-term calcium and vitamin D supplements regardless of their bone density status. People visiting areas endemic with malaria are recommended to take prophylactic medicine during their trip. Additionally, as a part of full preventive services, the HLP also covers vision and dental preventive care. Vision services include an annual eye exam to screen for refractive conditions such as nearsightedness and eye diseases such as cataracts and glaucoma. Annual dental preventive services provide not only a dental exam, but also a teeth cleaning for no additional charge.

Managed care Members with chronic diseases such as pre-diabetes, diabetes, hypertension, hypercholesterolemia, heart disease, asthma, or chronic liver or kidney diseases require active management including periodic reevaluation by their PCP, laboratory monitoring, and drug adjustments depending on the nature and severity of the disease. Our team assigns a Registered Nurse to each HLP member as their Personal Care Manager (PCM) to continuously monitor

To meet the growing demand for health and wellness improvement, United Family Healthcare created a unique membership program known as the Healthy Life Plan (HLP). Built on a personalized primary care model, HLP was meticulously designed by clinical and administrative experts to cater to the unique needs of China’s patients. HLP members receive essentially unlimited care for routine acute and chronic

disease status. They also support the member in achieving their health targets, provide pertinent education, set reminder alerts for periodic events, act as a liaison between the HLP clinical team and the member, and ensure that the disease is treated properly according to the therapeutic goals of the member’s personalized treatment plan.

Integrative care In contrast to the present mainstream practice model in China, the program emphasizes the personalized primary care model. Our internationally-trained Personal Care Physicians take care of most of our members’ needs by diagnosing and treating a variety of common acute and chronic diseases throughout multiple organ systems. This removes the need to see a specialist for many conditions, which not only improves efficiency but also avoids potential conflicting treatments due to a lack of PCP oversight. Moreover, this model alleviates the frustration of having to individually determine which specialist one needs to see for each new symptom, which can often require several visits to different departments or hospitals to find a correct diagnosis and treatment. For example, without the PCP’s guidance a person with gastro-esophageal reflux that initially presents as chest pain may end up first visiting a Cardiologist or Pulmonologist, resulting in several days or weeks before finally being referred to a Gastroenterologist who can make the correct diagnosis. With the HLP primary care model, the PCP can usually make a correct diagnosis on the first visit. Once diagnosed, the PCP can immediately implement treatment, including drug therapy, physical therapy, therapeutic counseling, or other minor office procedures. If our member’s condition requires surgery or specialty care, the PCP will be able to refer the member to the correct specialist and lead the coordination of care in an efficient and orderly fashion.

conditions, as well as preventive services, for one annual fee without the requirement of a co-payment or deductible. The program places special emphasis on personalized preventive and managed care for early detection and treatment of disease, with the ultimate goal of improving the health of our entire member population. This exciting plan is currently a pilot program at Tianjin United Family Hospital.

Quality care Western medicine is based on scientific clinical research. Selection of a therapeutic plan, timing of a treatment, indication of a surgical procedure, as well as drug choice, dosing, and duration, are all examples of evidence-based care supported by research data. Moreover, such research is used by international and Chinese medical societies in establishing guidelines. All physicians at UFH are provided with such resources and required to continuously update their medical expertise through regular attendance of Continuing Medical Education events and training programs worldwide. It is critically important that each member of our medical team is equipped with the up-to-date information and skills to guarantee the quality of care we provide to our members. It is equally important to have an effective quality and safety assurance system. Within UFH, clinical departments are required to set goals and track metrics to improve quality of care. For example, the Family Medicine Department at Tianjin United Family Hospital has designed and implemented quality measures in-line with Healthcare Effectiveness Data and Information Set recommendations established by the National Committee for Quality Assurance from the United States. As an organization, UFH systematically monitors and searches for potential system deficiencies and strives to improve quality of care by promoting tools from simple hand-washing guidelines to sophisticated medical intelligence software. As China’s only Joint Commission International-accredited healthcare network, UFH has established hospital quality and safety committees, a peer review system, and several Centers of Excellence to ensure high-quality care that exceeds international standards.

UFH has also initiated Home Health services which will be incorporated into the HLP to ensure a convenient, complete patient-centered healthcare delivery system allowing for certain care to be provided at home without the need to travel to the hospital.

Continuous care Contrary to most of the healthcare presently available in China, the HLP is an ideal program to provide continuous, uninterrupted care that is actively managed by a PCP-lead medical team through cycles of prevention, disease screening, risk management, and health improvement. To inspire our members to be conscientious about their lifestyle and health improvement, a Patient Health Incentive was integrated into the HLP. This assesses each member’s health status and rewards points based on their overall commitment to wellness. For example, HLP members will earn points if they maintain good blood pressure and weight, improve their cholesterol or sugar level, become more active with regular exercise, quit smoking, or decrease the over-consumption of alcohol. They will also earn points if they follow HLP recommendations such as coming for physical check-ups and follow-ups, receiving an annual influenza vaccine, and staying on top of regular dental cleanings. The goal of this incentive program, like that of the Healthy Life Plan, is to guide our members to an improved lifestyle to prevent potential diseases so that they may enjoy a longer and healthier life. References: 1. Accreditation by the Joint Commission International. www.jointcommissioninternational.org 2. Healthcare Effectiveness Data and Information Set (HEDIS) quality measures by the National Committee for Quality Assurance. www.ncqa.org/HEDISQualityMeasurement.aspx 3. Preventive health guidelines from the United States Preventive Service Task Force. www.uspreventiveservicestaskforce.org 4. Vaccination recommendation and travelers’ health from the Center for Disease Control of the United States. www.cdc.gov/vaccines/ and http://wwwnc.cdc.gov/travel

David Dai, MD PhD Family Medicine Physician Beijing United Family Hospital and Clinics Tianjin United Family Hospital

For more information or to book an appointment with Dr. Dai, please call BJU 4008-919191; for TJU (022) 5856 8500; for GZU (020) 8710 6000; for SHU 400 639 3900

Suffering From Asthma? Try These Alternative Treatments When it comes to addressing painful and difficult topics with children, keep these tips in mind: DO let children know that whatever questions or feelings they have are perfectly natural. DO allow children to ask any questions or express any feelings that they have. Also, allow them to have no feelings and no questions, if that is the case. Give them the time and space to process their own feelings in their own time. DO give children an alternative means of expressing their feelings, other than using words. Perhaps they would prefer to draw a picture that represents how they feel, or their reaction to the event.

n March 8, 2014, Malaysian Airlines flight MH370 disappeared from radar screens en route from Kuala Lumpur to Beijing. On board were 239 passengers and crew, 154 of whom were Chinese. When a tragedy such as this strikes, its impact can be sudden, severe, and disorienting even to those who were not directly affected, and especially to children. Children seek security and safety from adults, and it’s difficult when they are faced with the reality that there are some things even adults cannot prevent from happening. It’s often hard when it comes to addressing such difficult issues with children, especially since we as adults may also have a hard time dealing with sudden and tragic loss. However, we should not avoid the issue. Often, parents are tempted to deny the reality of death, pain, or tragedy to children, but this can lead to more complicated consequences in the long run. Children are going to know that something tragic has happened, especially with regard to an event on the scale such as the MH370 flight disappearance. It is best to allow children an opportunity to express their feelings, ask their questions, and feel that doing so is totally normal and appropriate. As adults, our role is to listen and let children know that we are here to help them with their feelings and questions. When children discuss tragic events, it’s important to honestly acknowledge the tragedy that has happened and the death that has occurred, but also to focus attention on the good aspects that may come out of the event, such as the people who helped, selfless acts of sacrifice, or points of safety. Sometimes we focus on the tragedy of an event (and rightly so), but there may be many stories of love, sacrifice, and people helping that also deserve attention, especially to children. It may also be important to limit the amount of exposure that children are getting to constant discussion about a tragic topic in the media. Allow children to be children—to hear what has happened, but also to have a break and play and draw and do the things that children do. It’s especially important to keep children from being exposed to excessive visual images related to tragedies.

DO allow children to ask questions related to spirituality or religion during difficult times, and be open to how they may use spirituality to address the difficult questions that arise after a tragedy. DO focus attention on people who helped during the tragic event, or other positive aspects of humanity that may also be present in a tragic situation. DO look for signs that children may need additional support. If children exhibit sleep disturbances, excessive anxiety, mood swings, disturbance in appetite, or sudden changes in temper, refer to a qualified mental health professional or talk with your pediatrician or family physician. Do NOT make it sound like you are avoiding discussing the topic. Provide an answer you think they will understand that is appropriate to their developmental level. If you don’t know the answer to their question, say so. Do NOT make up stories to explain phenomenon, or lie about what happened. Do NOT expose children to images of tragedies, or allow them to be exposed to a constant stream of information about the tragedy, such as through the news or internet. Do NOT hide your own feelings from children. If you are grieving yourself, allow children to see your emotion, as children take their cues on how to respond appropriately to situations from the adults around them. However, it’s important not to give your child the idea that they are responsible for making you happier or lifting your mood.

George Hu, PsyD Clinical Psychologist Beijing United Family Hospital and Clinics

For more information or to book an appintment with Dr. Hu, please call BJU 4008-919191; for GZU (020) 8710 6000; for SHU 400 639 3900; for TJU (022) 5856 8500

sthma is a chronic inflammatory condition of the airways associated with recurrent episodes of coughing, A wheezing, and shortness of breath. If you have asthma, you are genetically predisposed to allergic diseases, and its symptoms are a manifestation of environmental factors that exacerbate inflammation. Though asthma is a complex and variable disease, it can be treated with conventional medicine, complementary and alternative medicine (CAM) therapies, or a combination of these two approaches.

Recognizing asthma’s symptoms Because asthma’s symptoms are under-diagnosed, they are often not recognized for what they are. Individuals with asthmatic symptoms may simply believe they have an infection or the common cold. They may ask themselves, “Why has this cold lasted for three weeks?” or not understand why they often find themselves short of breath or coughing for months on end. Asthma attacks can be triggered by viruses passed among individuals, from dust mites, or by other environmental factors, particularly tobacco smoke, outdoor air pollution, cockroach allergen, pet fur, mold, chemicals and fragrances, humidity, and physical exercise.

Finding relief from asthma To treat asthma, physicians use rescue and/or preventive therapies using medication and inhalers. Rescue therapies include bronchodilators, like Albuterol, to relax the airway bronchial tubes and relieve the spasm individuals experience while having an asthma attack. Others medications are preventive, such as inhaled corticosteroids including Budesonide and Fluticasone, which are designed for everyday use.

Exercise and breathing techniques Follow an exercise regimen Consider meditation and breathing techniques for stress reduction Numerous studies have shown that asthma can be better controlled with regular exercise. Meditation, yoga, relaxation therapy, biofeedback, hypnosis, guided imagery, and breathing exercises all bring more oxygen to the lungs, reduce stress, and lower anxiety. Supplements Vitamin C, vitamin B6, magnesium, selenium, and omega-3 fatty acids (found in sources like fish oil) These supplements help to correct possible nutritional deficiencies, and reduce inflammation and oxidation in the airways. They also may help to boost your immune system to battle and eliminate the allergens that cause asthma attacks. Botanicals Tylophora indica

Coleus forskohlii

Ma huang

Glycyrrhiza glabra

Ginko biloba

Boswellia serrata

While we cannot easily change our genetic heritage, we do have some control over our environment. For this reason, many patients are turning to increasingly popular complementary and alternative medicine (CAM) therapies. This approach to therapy is often used in combination with medication and inhalers to alleviate the symptoms of asthma. These integrative approaches to medicine include diet, herbal medications, acupuncture, homeopathy, breathing exercises, and yoga.

Use of botanicals is one of the oldest approaches in treating asthma, dating back 4,000 years, and used in both Chinese and Ayurvedic medicine. Most often, these herbs are tailored to individual needs by a trained practitioner. Talk to your doctor first before taking herbal remedies to make sure it’s the right choice for you.

Alternative therapies to treat asthma

Biomechanical

While the quality of evidence is variable, there are CAM therapies that studies show help in the treatment of asthmatic symptoms. These include: Environment Eliminate potential allergens and triggers in the environment HEPA indoor filters N95 outdoor masks Research studies have shown that eliminating potential allergens and triggers from your environment had a great impact in the appearance of asthmatic symptoms. In my personal practice, the patients who used HEPA filters indoors and wore masks outside reported decreased or lowered incidence of asthmatic symptoms.

ASHMI (Anti-Asthma Herbal Intervention) – a tested Chinese herbal combination

Manual therapy (osteopathic or chiropractic) Massage Manual therapies and massage help to loosen your body and free it from stress—another asthma trigger. While the medical community is still divided on which CAM therapies combine best with conventional approaches, talking to your doctor is the first step to developing a methodology that works for you and your lifestyle. Resources: 1. www.mayoclinic.org 2. www.med.umich.edu

Nutrition Eliminate allergenic foods such as dairy products, shellfish, and foods with nitrites, sulfites, added food coloring, or artificial sweeteners (at least for a trial period) Increase intake of organic fruits and vegetables, as well as foods rich in omega-3 fatty acids Allergenic foods can cause an inflammatory response in your airways that affect your symptoms. Increasing your intake of fruits and vegetables provides a major source of antioxidants that may help to lower your chances of an asthma attack.

Dr. Sahba Maani, MD ABIHM CAS Pulmonologist Beijing United Family Hospital and Clinics

For more information or to book an appintment with Dr. Maani, please call BJU 4008-919191; for GZU (020) 8710 6000; for SHU 400 639 3900; for TJU (022) 5856 8500

Chronic Obstructive Pulmonary Disease A

reality that residents of China must face is air pollution and exposure to secondhand smoking. One possible consequence of these health hazards is chronic obstructive pulmonary disease (COPD), a lung disease that causes difficulty in breathing. There are two types of COPD: chronic bronchitis and emphysema. With chronic bronchitis, the airways carrying air to and from your lungs, also known as bronchial tubes, become inflamed and narrow; mucus is produced and blocks the airways. Emphysema occurs when the air sacs in the lungs, known as alveoli, are gradually destroyed and lose their ability to stretch, reducing the volume of air in the lungs. When you breathe, air travels from the nose and mouth down your windpipe (trachea) into both lungs through two large tubes called bronchi. Each tube, or bronchus, divides like the branches of a tree into many smaller tubes called bronchioles. The bronchioles end in clusters of alveoli, tiny balloon-like structures lined with thin walls covered in tiny blood vessels called capillaries. The oxygen you breathe passes through capillary walls and enters your bloodstream; carbon dioxide, a waste product of metabolism, moves in the reverse direction, from blood stream to alveoli, and is exhaled. When the bronchial tubes and alveoli are injured, the exchange of oxygen and carbon dioxide is impaired, making breathing more difficult.

What causes COPD? The most common cause of COPD is smoking. Other risks include breathing chemical fumes, dust, and air pollution, as well as secondhand smoking. When these irritants are inhaled, the airways and lungs become inflamed. Chronic inflammation causes irreversible damage and scarring. Alpha-1-antitrypsin deficiency, a genetic disorder caused by low levels of the alpha-1-antitripsin protein, affects about 1% of people with COPD. This deficiency also affects the liver and is suspected in individuals who develop COPD at a younger age and without significant risk factors.

What are the symptoms? In the beginning, most people have no symptoms or only mild symptoms. As lung damage increases, symptoms gradually worsen. Acute exacerbation occurs when symptoms are aggravated by a respiratory infection, air pollution, or other triggers. The most common symptoms include: Shortness of breath, especially with physical activities

Blood tests: A blood test is not a diagnostic of COPD, but certain tests are done to exclude other diagnoses. For example, anemia can be determined with a complete blood count test and plasma brain natriuretic peptide is useful for evaluation of heart failure. Arterial blood gas analysis: This special blood test requires a blood sample taken from an artery. It measures whether your lungs are moving proper amounts of oxygen and carbon dioxide in and out of your blood. Pulmonary function test (PFT): A PFT is the best method for diagnosing COPD and can be used to evaluate other lung diseases that may cause shortness of breath. During the test, you are asked to take a deep breath and blow as hard and as fast as you can into a large tube connected to a machine called spirometer. The test measures how much air your lungs can hold and how fast you can blow the air out of your lungs. It can detect COPD before symptoms develop. In addition, a PFT can be repeated over time to track progression of the disease and response to treatment. Chest X-ray: A chest X-ray is normal for about half of the patients with moderate COPD. It can also be used to exclude other diagnoses that may cause similar symptoms as COPD, such as pneumonia and heart failure. CT scan: A CT scan is more sensitive than a chest X-ray for detection of emphysema, but not chronic bronchitis. In addition, other potential etiologies of the symptoms may be detected.

What are the complications of COPD? COPD has been linked to other complications: Respiratory infections: People with COPD run a higher risk of respiratory infection such as cold, flu, bronchitis, and pneumonia. Furthermore, these individuals may require hospitalization if they develop pneumonia due to the seriousness of the infection. An annual flu shot and vaccination against pneumococcal pneumonia can help prevent some of these diseases. Cardiovascular disease: COPD increases your risk of hypertension, coronary artery disease, and stroke. Surgical complications: People with underlying COPD have a higher risk of complications if they undergo surgical procedures, including lung infections, prolonged mechanical ventilation, respiratory failure, and wheezing. Psychiatric illness: The prevalence of depression and anxiety is higher among patients with COPD than those without.

Chronic cough production of mucus Spitting up mucus from your throat, usually in the morning

COPD treatment

Wheezing

Unfortunately there is no cure for COPD, however treatments are available to control symptoms, reduce complications and exacerbations, and improve quality of life. The first and most essential step in treatment of COPD is to stop smoking and/or minimize sources of air pollution. Studies show that the diseaseâ&#x20AC;&#x2122;s progression can be slowed with tobacco cessation. It is also important to avoid exposure to secondhand smoke. Medications can be used to treat symptoms and complications of COPD include the following:

Chest tightness Fatigue

How is it diagnosed? After listening to your symptoms, your doctor will perform a physical examination. Abnormal exam findings include a decrease in normal breathing sounds, wheezing, and distant heart sounds. Your doctor may perform the following tests if you have signs and symptoms suggestive of COPD and a history of exposure to lung irritants:

Bronchodilators: The primary treatment for COPD, these medications are usually delivered via an inhaler. Bronchodilators help relax the muscles around the airways, lower the amount of mucus in the lungs, relieve coughing, and improve breathing difficulties.

Inhaled steroids: For people with frequent COPD symptoms, inhaled corticosteroids can reduce inflammation and prevent attacks. Combination inhalers: Some inhalers combine inhaled steroids and long-acting bronchodilators to keep symptoms under control. Oral steroids: For people who have a severe attack, oral steroids can be very effective in alleviating symptoms. However, steroids are associated with serious side effects, such as weight gain, elevated blood sugars, osteoporosis, and increased risk of infection. Antibiotics: Antibiotics can fight the infections, such as acute bronchitis and pneumonia, which exacerbate COPD symptoms. Oxygen: For those with severe symptoms and low oxygen levels in the blood, supplemental oxygen has been shown to improve quality and length of life. Pulmonary rehabilitation programs: These programs are used in conjunction with medical therapy and typically include exercise training, education on underlying diseases, breathing techniques, group support, and nutritional and psychological counseling. Surgery: Surgery may be considered if medical therapies are unsuccessful. Lung volume reduction surgery removes small areas of damaged tissue to create more space for the remaining lung tissue to expand. Lung transplantation is an option for only certain individuals that meet specific criteria.

Living with COPD It is important to seek prompt medical attention if you experience a worsening cough, a change in mucus production, or increasing difficulty in breathing. You can also take measures to help you feel better and slow down progression of your disease: Avoid smoke and air pollution, as they can contribute to further lung irritation and damage. N-95 masks are recommended outdoors during heavily polluted days. Follow-up with your doctor regularly. You should follow your doctor's instruction for your medications and monitor your lung functions regularly. Regular exercise will help improve endurance and strength. In addition, you should maintain a healthy weight; for overweight individuals, losing weight can help improve breathing. Resources: 1. www.nlm.nih.gov/medlineplus/copd.html 2. www.webmd.com/lung/copd/tc/chronic-obstructive-pulmonary-disease -copd-overview

Cai Li, MD Internal Medicine Physician Shanghai United Family Hospital and Clinics

For more information or to book an appointment with Dr. Cai, please call SHU 400 639 3900; for BJU 4008-919191; for GZU (020) 8710 6000; for TJU (022) 5856 8500

Anatomy of the thyroid

Hyperthyroidism (High Thyroid Function)

The thyroid is a butterfly-shaped organ that sits below the thyroid cartilage (commonly known as the “Adam’s apple”) and in front of the trachea. The thyroid is composed of a right and left lobe, and these lobes are connected by a bridge of thyroid tissue called the isthmus. Some people have a small amount of additional thyroid tissue called a pyramidal lobe, a remnant of tissue leftover from fetal development. In addition, four smaller parathyroid glands are typically embedded in the back of the thyroid gland. These glands do not directly affect thyroid function, but help control calcium levels in the body.

High levels of thyroid hormone, also known as hyperthyroidism, are associated with increased metabolism and a generalized quickening of body functions. Symptoms and signs of hyperthyroidism include weight loss, anxiety, fast heart rate, feeling abnormally hot, frequent bowel movements, and tremors. Conditions that cause hyperthyroidism include Graves’ disease and subacute thyroiditis (also known as De Quervain’s thyroiditis). Graves’ disease typically manifests as a uniformly enlarged thyroid gland, and can also result in eyes that appear to bulge out. While hyperthyroidism can be detected by blood tests, additional testing, including specialized tests to evaluate iodine uptake by the thyroid gland, may be needed to determine the cause of hyperthyroidism.

Iodine and the thyroid Iodine, an essential trace element typically found in seafood, dairy products, and iodized salt, is an important ingredient in the formation of thyroid hormone. The U.S. Institute of Medicine recommends a daily intake of 150 micrograms a day of iodine for adults, with increased intake for pregnant or lactating women. Low levels of iodine during pregnancy can be particularly harmful to the fetus and result in a condition called cretinism, which manifests through stunted physical and mental development. On the other hand, excessively high intake of iodine in children or adults can also result in thyroid dysfunction.

Hypothyroidism (Low Thyroid Function) Low levels of thyroid hormone, also known as hypothyroidism, are associated with decreased metabolism and a generalized slowing of body functions. Symptoms and signs of hypothyroidism include weight gain, fatigue, slow heart rate, feeling abnormally cold, constipation, and dry skin. A number of conditions can cause low thyroid states, including Hashimoto’s thyroiditis, an autoimmune condition in which the thyroid loses function. While Hashimoto’s can affect both genders and all ages, it tends to be more in common in women. Hypothyroidism can be detected by simple blood tests and is typically treated with thyroid hormone replacement.

References: American Thyroid Association. “Iodine Deficiency.” June 2012. Retrieved from www.thyroid.org/iodine-deficiency. American Thyroid Association. Thyroid Nodules. 2012. Retrieved from www.thyroid.org/wpcontent/uploads/patients/brochures/Nodules_ brochure.pdf. National Institutes of Health Office of Dietary Supplements. “Iodine Fact Sheet for Consumers.” June 2011. Retrieved from ods.od.nih.gov/factsheets/Iodine-QuickFacts.

Although facial aging is associated with the development of wrinkles in the skin, the process is actually more than skin-deep. Lines and folds on the face can occur due to the loss of structural support in the lips, cheeks, and around the eyes, as well as due to the repeated action of the muscles of facial expression, which gradually overwhelms the skin’s elasticity. A group of medications commonly referred to as “injectables” aims to address these underlying causes without surgery. Botox works by relaxing the muscles that create frown lines and creases. Soft-tissue fillers are used to augment or replace underlying facial volume.

Thyroid nodules Thyroid nodules are masses that form in the thyroid. They may be filled with cells, fluid, or a mixture of both. Statistically speaking, while most thyroid nodules are benign, a small portion of thyroid nodules can be cancerous. A fine needle aspiration (FNA), in which thyroid cells are removed through a small needle inserted into the skin, is often performed to determine the cellular makeup of thyroid nodules and evaluate for thyroid cancer. Most benign thyroid nodules can be observed – however, a benign nodule may be surgically removed if it results in compressive symptoms (such as difficulty swallowing). Thyroid cancer is typically treated with surgery and thyroid hormone replacement. Radioactive iodine (RAI) treatment is also often used to treat thyroid cancer after surgery.

Why does it matter to me? Thyroid abnormalities, particularly alterations in thyroid hormone levels, are common and can affect both genders. While symptoms of hypothyroidism and hyperthyroidism can be found in a wide range of conditions, if you experience such symptoms, speak to your doctor. Low or high levels of thyroid hormone are easy to detect and diagnosis starts with a simple blood test to measure them. Maintaining normal thyroid levels during pregnancy is also important to optimizing maternal and fetal health. In addition, if you notice or feel lumps in the area of your thyroid, speak with your doctor to discuss if any further evaluation is warranted.

Tailored to the individual Nonsurgical procedures are usually performed as part of a treatment plan tailored to the individual, taking into account the person’s goals, anatomy, prior treatments, and general aging process. The spectrum of injectable treatments available today enables the physician to provide truly customized therapy with the goal of rejuvenation, rather than simple wrinkle correction.

Suited to a full schedule It may be challenging to set aside time for surgery and recuperation from a surgical procedure, especially when considering work schedules, family obligations, and vacation plans. Nonsurgical procedures involving Botox and soft tissue fillers can be scheduled conveniently as an office visit, with results apparent within a few days of the procedure.

For more information or to book an appintment with Dr. Liu, please call SHU 400 639 3900; for BJU 4008-919191; for GZU (020) 8710 6000; for TJU (022) 5856 8500

First line of defense Sun exposure is recognized to be a significant contributor to skin aging. There is growing concern, of particular relevance to urban residents in China, that air pollution may contribute to skin damage. Along with sun protection and a skin care regimen that includes a prescription retinoid cream such as Retin-A, nonsurgical rejuvenation represents a first line of treatment for age-related changes of the face. Reference:

Pro-active Early treatment with Botox may prevent expression and frown lines from forming in the first place. To varying extents, soft-tissue fillers not only replace volume loss but also stimulate collagen formation. These findings suggest that injectables may actually slow down the process of facial aging.

A way to test the waters Hau Liu, MD MPH MBA Chief Medical Officer, Endocrinologist Shanghai United Family Hospital and Clinics

These office-based, nonsurgical procedures for facial rejuvenation have become quite popular over the past several years. According to the latest statistics from the American Society of Plastic Surgeons, Botox injection was the most commonly performed nonsurgical procedure in the United States in 2013, with over 6 million injections performed. Soft-tissue fillers were second in line, with 2.2 million injections performed. Why has there been such an increase in popularity for these procedures?

Injectables are temporary in their effect and represent a good way to evaluate a change in appearance before committing to it with surgery. Further, these products are based on substances that the body produces naturally, so there is minimal risk of adverse reaction. Of course, you should always do your homework, and make sure to insist on the 3 P’s - the product, the practitioner, and the place where you do the procedure - are all of the highest quality. Ultimately, these factors are critical in achieving a great outcome.

Carruthers, Jean, et al. "Advances in Facial Rejuvenation: Botulinum Toxin Type A, Hyaluronic Acid Dermal Fillers, and Cobination Therapies Consensus Recommendations.” Plastic & Reconstructive Surgery. May 2008; Vol 121 Issue 5: pp 5S-30S.

Juliet Porch, MD Plastic Surgeon Consultant Shanghai United Family Hospital and Clinics

For more information or to book an appintment with Dr. Porch, please call SHU 400 639 3900; for BJU 4008-919191; for GZU (020) 8710 6000; for TJU (022) 5856 8500

Increasing numbers of women in China are thinking about having more children. Age, however, is a factor to keep in mind when planning for any additions to the family. Gestational diabetes is one pregnancy-related condition where risk increases as women get older. Understanding the possible risks makes it easier to make informed decisions to take the necessary preventive care to ensure you have a happy, healthy delivery.

What is gestational diabetes? Gestational diabetes is a condition where women develop diabetes during pregnancy. Some women with gestational diabetes may have actually developed a previously undiagnosed form of mild diabetes before their pregnancy.

What causes gestational diabetes? Gestational diabetes is caused by a change in the way a woman’s body responds to insulin during pregnancy. During pregnancy, a woman’s cells naturally become slightly more resistant to insulin’s effects. The mother’s body makes more insulin to keep the blood glucose level normal, making more nutrients available for the developing baby. In a small number of women, even this increase is not enough to keep their blood glucose levels in the normal range. As a result, they develop gestational diabetes.

How will I know if I have gestational diabetes? All pregnant women are screened for gestational diabetes between 24 and 28 weeks of pregnancy. It may be done earlier, if you have the following risk factors: You have had gestational diabetes during a previous pregnancy You have had a stillbirth in a previous pregnancy You have a close relative with a history of diabetes You have a history of polycystic ovarian syndrome

How can gestational diabetes affect my pregnancy and delivery? Gestational diabetes increases your risk of delivering a very large baby, resulting in the possibility of an earlier induction than your due date or even requiring a cesarean delivery. Pregnancy-related hypertension (high blood pressure) is more common.

What risks will my baby have if I have gestational diabetes? Babies born to mothers with gestational diabetes may have problems with breathing, low glucose levels, and jaundice.

Are there long-term effects of gestational diabetes for me and my baby? For women who have had gestational diabetes, this diabetes goes away after childbirth, but there are higher risks of developing diabetes in the future both for mothers and their children.

How can I control my gestational diabetes? First, you need to see a nutritional specialist to receive guidance for proper diet and exercise. Then, track your glucose levels while continuing to follow a proper diet and a regular exercise plan. Every two weeks, schedule an appointment to see your Obstetrician to evaluate your blood sugar report and ensure your gestational diabetes is under control.

What kinds of exercises can I do during pregnancy? Walking, light gymnastics, and swimming are okay for women with gestational diabetes, but you should follow a few important guidelines: Start exercise only after over 30 minutes of eating, accompanied by a partner While exercising, avoid overexerting yourself, engaging in overzealous exercise, or overstretching

Will I have to take medication if I have gestational diabetes?

Pediatricians often treat infants suffering from bacterial enteritis, a distressing condition that comes with frequent bowel movements and excessive crying, often accompanied by fever and vomiting. Bacterial enteritis is an unfortunately common infection in infants that usually has to be treated with antibiotics. But how do they get it the infection in the first place?

Most cases of gestational diabetes can be controlled with diet and exercise. If diet and exercise are not enough, medication may be needed to control your blood glucose levels under the guidance of our OB/GYN or endocrinology teams.

Parents nowadays probably know that most harmful bacteria enter through a baby’s mouth. There is a high degree of awareness with regards to the cleanliness of an infant’s food and environment – feeding utensils and toys are sterilized and rooms are kept clean. Yet why do these same children continue to get sick?

Will this medication be safe for my baby?

Little hands and mouths

Insulin is commonly used to treat gestational diabetes, and there is no evidence that insulin will harm the fetus.

If I start to take insulin, do I still need to continue to follow a proper diet and regular exercise plan? Yes! Regular exercise and a proper diet are important to maintain, and should be followed just as before you were prescribed insulin.

If I start to use insulin, will I need to use it for the rest of my life? No, most cases of gestational diabetes will go away after your delivery. Even if diabetes still persists 12 weeks after delivery, diet, exercise, and some oral hypoglycemic drugs will work to control and reduce your diabetes.

Is there anything I should do after my pregnancy? Get tested for diabetes 6-12 weeks after delivery. If your results are normal, you will need to be tested for diabetes again every three years. Your child should be checked throughout childhood for diabetes risk factors, such as obesity.

Sam Liu, MD PhD FACOG Chair of OB/GYN, Obstetrician & Gynecologist Beijing United Family Hospital and Clinics

For more information or to book an appintment with Dr. Liu, please call BJU 4008-919191; for GZU (020) 8710 6000; for SHU 400 639 3900; for TJU (022) 5856 8500

Famed psychoanalyst Sigmund Freud postulated that infants primarily satisfy their needs with their mouths. The mouth, along with the hands, are the first tools a baby uses to explore his or her world. A few months after birth, infants love to put their hands into their mouths – including anything picked up along the way. In the process, a baby’s senses are constantly receiving information, aiding their developmental process. Warm, moist hands, however, are ideal breeding grounds for bacteria, and so during this wonderful time of learning, your baby may ingest the kind that can make him or her sick. That said, parents shouldn’t stop this natural exploration – it should be encouraged, just with better hand hygiene. This hand-and-mouth developmental phenomenon is also a temporary one, and will gradually fade with time. If your infant doesn’t grow out of this phase in a year and a half, consult your Pediatrician.

The cleanliness of clothing heavily influences the rate of infant infection. The clothes of an infant’s mother are in close contact with her skin, the outside world, as well as spilled milk, a baby’s saliva, sweat, and even excrement, all of which can lead to a great deal of bacteria being present. Many times infants mouth and grab their mother’s clothing, often coming into contact with contaminated fabric. If too many pathogenic bacteria are ingested in this way, he or she can become sick with bacterial enteritis. Recently, United Family Guangzhou Clinic did a study of bacteria on household clothes, collecting samples from articles urban mothers wore during the course of a day. Bacterial cultures showed that, on average, bacteria on a single item of a mother’s clothing were in their millions – even tens of millions. In general, our study showed that there were about 4 million bacteria present on our study group’s clothes. This level of contamination might seem amazing to us because most of it is invisible to the naked eye, but it is there. Mothers should therefore wash their clothing with this in mind and use the best means available to sterilize – otherwise they may unknowingly invite millions of bacteria along when they hug, hold, and kiss their baby. Parents, when you return home from a hard day’s work, remember to wash your hands first before meeting your baby. Soap is the most effective way to sanitize when washing yourself; try to sterilize your hands, arms, and any other exposed parts of your body before putting on a change of clean, soft clothes. Just a few minutes of simple hygiene can help you enjoy the closeness and love you share with your baby in a healthier, worry-free way.

How a mother’s health and cleanliness impacts the health of her baby As the person in the closest and most frequent contact with a baby, a mother’s health and daily hygiene has an important impact on the health of her child. The temperature of human skin, along with sweat and other secretions, are a hotbed for bacteria. Most of these bacteria are harmless to humans and live in symbiosis. However, small amounts are pathogenic (such as Staphylococcus aureus or Escherichia coli) and can sometimes lead to infection.

Vivian Liu, MD Pediatrician United Family Guangzhou Clinic

For more information or to book an appointment with Dr. Liu, please call GZU (020) 8710 6000; for BJU 4008-919191; for SHU 400 639 3900; for TJU (022) 5856 8500

Who is most at risk? Infants, young children, and the elderly are at the highest risk from air pollution. In terms of size and weight, infants and young children have a higher resting metabolic rate and consume almost twice as much oxygen as adults. Unfortunately, immature, still-developing lungs are far more susceptible to air pollution. The airways of young children are also narrower, meaning a child’s reaction to contaminants is much more pronounced – a simple irritation of an adult’s respiratory system can manifest as a severe obstruction in a child’s. Children breathe more easily because of their short height, but this comes with its own unseen dangers in a polluted environment. As young children are short and in close proximity to the ground, they are at greater risk of low-lying air pollutants like mercury vapor. Adults over 65 are vulnerable due to depressed immune systems as well as other underlying diseases and conditions. Toxins accumulated by long-term exposure to air pollution more easily lead to decreased lung function, asthma, chronic lung disease, pneumonia, diabetes, and cardiovascular disorders. United Family Healthcare’s Home Health service team offers consultation, treatment, and continuing care in the comfort of home for both children and the elderly. With timely detection, illness caused by air pollution can be treated successfully or even prevented.

Prevention and control A few years ago, I was listening to an evening China Radio International broadcast about something new and ominous that was being called the “haze”. Now in 2014, the haze has become an inescapable part of our lives. Beijing, Shanghai, and other cities around China have intensified their pollution control measures, but we still live under the constant threat of thick, toxic smog descending on us at any time. On days when you can’t see more than a hundred meters in front of you, it’s easy to have a gloomy disposition about the haze, but you and your loved ones can stay healthy if you understand what air pollution is made of, the risks, and how to protect against it.

Understanding the haze – what’s PM 2.5?

Indoor air pollution

Particulate matter (PM) are particles found in the air. The smallest of these are less than or equal to 2.5 micrometers, and are among the most dangerous to human health: PM 2.5 carries bacteria, viruses, heavy metals, organic compounds, and other harmful substances into susceptible lungs. These fine particles enter through the respiratory airways and spread into the lungs, even penetrating alveoli to invade the bloodstream. Worse still, PM 2.5 can stay in the air for long periods of time and are very difficult to capture.

The dangers of polluted air are not just found outside. In our modern society, people spend over 85% of their time indoors. China’s National Center for Disease Control and Prevention reported that 200 million people suffer from indoor air pollution and respiratory diseases each year – more than 80% of them children and the elderly, 100 million of which are under 5 years of age. With the growing use of air conditioning, homes and offices are less ventilated and indoor pollutants are constantly recycled. In a newly-renovated house or apartment, harmful sources of pollution abound in wood flooring and adhesives. Carpets fibers can release formaldehyde, benzene, propylene, and other pollutants into the air, while other fabrics may contain mold, mites, bacteria, fungi, and other biological contamination. In addition, incense, candles, and even mosquito coils can emit pollutants that can be harmful to health.

The average adult breathes in 13-15kg of air per day, or about 10-12 cubic meters – it’s easy to see why the quality of inhaled air and a person’s health share a close relationship. Since PM 2.5 air quality testing and reporting was formally implemented by the government, public awareness and concern has been on the rise. PM 2.5 isn’t the only air pollution to worry about. In addition to particulate matter, the haze contains a hazardous cocktail of sulfur dioxide that can irritate the eyes, nose, and respiratory tracts, nitrogen oxide that can cause pulmonary inflammation, edema, and other significant lung damage, as well as carbon monoxide and sulfur hydrides that can be toxic to the blood and nervous system.

Faced with the health hazards associated with the haze, how can you protect your respiratory system and control the air quality of your home or office environment? For real-time updates on pollution levels, consult the AQI, available both online and with apps on phones or tablets.

AQI

During times of light pollution, children, the elderly, and those suffering from heart and respiratory diseases should avoid prolonged exercise or strenuous activity when outdoors; it is also advised for them to wear a mask when going out.

In addition to discerning the source of indoor pollution through testing, proper ventilation is the most economical way to reduce the level of indoor pollutants. You can also use air ionizers or even bring in potted plants as a more natural alternative to clean your air. Professional cleaning services can employ a wide variety of methods to scrub your air, including ultraviolet and chemical disinfection, as well as activated carbon and photocatalysis cleaning. Wearing respiratory protection is an easy and effective prevention measure. Pay close attention to filtration efficiency and the seal quality around your nose and mouth. Make sure that your mask at least meets the GB 19083-2010 filter standard; products like the US-made microfiber Vogmasks (available for purchase at most pharmacies and gift shops in United Family Healthcare facilities) can effectively filter PM 2.5. As with all respiratory diseases, prevention is key. Avoid exposure to cold, overwork or frequenting crowded public places. At the same time, exercise in moderation can help strengthen the body’s resistance. Drink plenty of water and keep a balanced, low-sodium diet to help maintain good respiratory health.

References: 1. Etzel, Ruth. “Indoor and outdoor air pollution: Tobacco smoke, moulds and diseases in infants and children.” International Journal of Hygiene and Environmental Health. 210 (2007): 611-616. 2. Mittleman, Murray. “Air pollution, exercise, and cardiovascular risk.” New England Journal of Medicine. 357; 11 (2007): 1147-1149. 3. Peled, Ronit. “Air pollution exposure: Who is at high risk?” Atmospheric Environment. 45 (2011): 1781-1785.

Yang Kun, MD PhD United Family Home Health Medical Director Internal Medicine Physician Shanghai United Family Hospital & Clinics

During moderate levels of pollution, mask protection is recommended and outdoor activity should be reduced. When pollution is at its highest, children, the sick, and elderly should stay indoors while the rest of the population is strongly urged to reduce or avoid outdoor activities. Undergo regular indoor air quality testing. Interior decoration materials can emit harmful gasses as they evaporate, so it is recommended to test for formaldehyde, benzene, ammonia, radon, and TVOC (Total Volatile Organic Compounds) indicators.

For more information or to book an appointment with Dr. Yang, please call SHU 400 639 3900; for BJU 4008-919191; for GZU (020) 8710 6000; for TJU (022) 5856 8500

Laboratory

JIA, Wenjuan LI, Bing NIU, Jieping SONG, Xiaohong SUN, Chuanjiang YE, Xin ZHANG, Rujin

Chair of Anesthesiology Anesthesiologist Anesthesiologist Senior Anesthesiologist Pain Clinic Specialist Anesthesiologist Anesthesiologist Anesthesiologist Anesthesiologist Assistant Anesthesiologist Assistant Anesthesiologist Anesthesiologist

AFLATOONI, Sarmad DAI, David DHENIN, Jean-Pierre DONG, Bei FANG, Evelyn GAO, Lucy GUO, Jessica HOSODA, Setsuko HUANG, Xiaoxue JIA, Ling KRIPPNER, Reinhard LEMM, Christian LI, Cissy LIANG, Lijun

HU, Dayi BAI, Shuling CHEN, Yuxiang HOU,Yihua JIN, Zening LI, Li LIU, Dong LIU Wenxian LUAN, Shurong LUO, Zhaoliu MAO, Yuqi QIAN, Rongrong

Director of Cardiovascular Center Cardiologist Echo Cardiologist Interventional Radiologist Cardiologist Cardiologist Cardiac Surgeon Cardiologist Echocardiologist Cardiothoracic Surgeon Surgeon Senior Cardiologist

PARK, David PERRETT, Andrew SAINT CYR, Richard TSUDA, Naoya WANG, Candice WEI, Vicky

YIN, Bo BAI, Yuhe GE, Xiaodong

Internal Medicine Physician Family Medicine Physician Family Medicine Physician Family Medicine Physician Family Medicine Physician Internal Medicine Physician / Nephrologist Family Medicine Fellow Family Medicine Physician Family Medicine Physician Internal Medicine Physician Family Medicine Physician Family Medicine Physician Family Medicine Physician Family Medicine Physician Registered Dietitian Family Medicine Physician Family Medicine Physician Family Medicine Physician Family Medicine Physician Family Medicine Physician Family Medicine Fellow

Health Screening CAI, Youhong HUANG, Li LI, Chunhui WANG, Juchen

Immigration Physician Immigration Physician Immigration Physician Immigration Physician

Dental Clinic FENG, Diane DENG, Lynn DING, Sophie DONG, Xiaoxiao HUANG, Jing JIANG, Jing LAU, Irene LI, Rong TSE, Chungming VALAI, Vassal XUE, Mei YANG, Xintao ZHANG, Cathy ZHOU, Jasmine

Chair of Dental Clinic / Dentist Dental Hygienist Orthodontist Dentist / Periodontist Dentist Pediatric Dentist Pediatric Dentist Dental Hygienist Prosthodontist Dentist Dentist Dentist Dentist Orthodontist

Dermatology Center YUAN, Shan HONG, Sean NA, Renhua WANG, Yuying ZHAO, Na

Chair of Dermatology / Dermatologist Dermatologist Dermatologist Dermatologist Dermatologist

CHICKERING, William BERNSTEIN, Howard KOULIEV, Timur SPRINGER, Martin WANG, Houli XIAO, Feng

Chair of Emergency Medicine Emergency Physician Emergency Physician Emergency Physician Emergency Physician Emergency Physician Emergency Physician Emergency Physician

ENT (Ear, Nose, Throat) Clinic LIN, Zhonghui LIN, Jing LIU, Ming MO, Lingyan

Chair of ENT Clinic / ENT Specialist ENT Physician ENT Physician ENT Physician

Eye Clinic WANG, Lan CHEN, Xue WU, Yunyan XI, Jeanne

Chair of Eye Clinic / Ophthalmologist Ophthalmologist Ophthalmologist Ophthalmologist

Family Medicine WANG, Andy CHANGIZI, Roo

BLINN, Rob SHAO, Wenhong CAI, Lang CHEN, Yanjie FAN, Dong HINSON, Roger KHANJANI, Ferida LI, Bob LIAO, William LIN, Na MONAHAN, Brianna LUO, Bingxiang QIAN, Zifen SONG, Xiaoyan SZE, Carlynn WANG, Wei ZHOU, Jason

Chair of Family Medicine Family Medicine Physician Chair of Infection Control Family Medicine Physician

Chair of Integrative Medicine Section Chief of TCM / TCM Physician TCM Physician TCM Consultant TCM Physician Chiropractor Chiropractor TCM Physician Chartered Physical Therapist Acupuncturist / Naturotherapist Registered Dietitian TCM Physician TCM Physician Rehabilitation Medicine Physician Registered Dietitian Rehabilitation Therapist Rehabilitation Physician

Internal Medicine JI, Kaiyu

Emergency Medicine WOOD, Jason

Integrative Medicine

QIN, Xinyan AFLATOONI, Sarmad BI, Minghua EASON, Jane GENG, Wei HAN, Jiangna LIU, Jane MAANI, Sahba QIAN, Rongrong WANG, Haixia WU, Ni YUAN, Erica YUE, XIN ZHANG, Hui ZHANG, Eric ZHANG, Joyce ZHANG, Yanping

Chair of Internal Medicine Internal Medicine Physician Gastroenterologist / Hepatologist United Family Home Health Medical Director Internal Medicine Physician / Rheumatologist Internal Medicine Physician Internal Medicine Physician Pulmonologist / Hospitalist Internal Medicine Physician Infectious Disease Specialist Gastroenterologist Pulmonologist Neurologist Pulmonologist / Intensive Care Physician Cardiologist Hospitalist ICU Physician / Hospitalist Neurologist / Hospitalist Internal Medicine Physician Endocrinologist / Hospitalist ICU Physician / Hospitalist ICU Physician / Hospitalist Nephrologist / Hospitalist Internal Medicine Physician ICU Physician / Hospitalist

SUN, Fei OMAREN, Hakim QIAO, Xubai

Chair of Central Laboratory & Blood Bank Services Director of Anatomic Pathology Laboratory Pathologist

Neurosurgery LING, Feng CHEN, Ge CHEN, Zan JIAN, Fengzeng JIN, Weitao YANG, Fan

Chair of Neurosurgery / Neurosurgeon Neurosurgeon Neurosurgeon Neurosurgeon Neurosurgeon Neurosurgeon

Obstetrics & Gynecology AFNAN, Masoud LIU, Sam CAI, Nancy BIAN, Xuming CHANG, Ling FARHAD, Sabha GAI, Mingying GUO, Yinghua LI, Jianjun LI, Xiaohui LIU, Chunmei LIU, Xinyan MA, Hongli WANG, Huixia YANG, Lan ZHAN, Caifang ZHAO, Ellen ZHAO, Yawei ZHOU, Lianghong

Chief Medical Officer Obstetrician & Gynecologist Fertility Specialist Chair of Obstetrics & Gynecology Obstetrician & Gynecologist Reproductive Medicine Center Director Obstetrician & Gynecologist Obstetrics & Gynecology Consultant Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrics & Gynecology Consultant Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrics & Gynecology Consultant Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist

CAI, Weiming GU, Jin GUO, Jun JI, Jiafu LENG, Jiahua LI, Huipin SHEN, Lin SU, Xiangqian TIAN, Lijun YANG, Yue YAO, Yunfeng ZHU, Jun

Group Director of Oncology Oncologist / Hematologist Chief of Radiation Oncology Division Colorectal Cancer Oncologist Skin Cancer Oncologist Gastrointestinal Cancer Surgeon Surgical Oncologist Breast Cancer Oncologist Lymphatic Cancer Oncologist Gastrointestinal Cancer Surgeon Oncologist Thoracic Cancer Oncologist Oncologist Lymphoma Oncologist

Pediatrics CUI, Yutao YANG, Ming BAI, Jie ELDADAH, Maher FENG, Yan FU, Ping GOLDMAN, Nathanael GONZALES, Joan HE, Ruijuan HOU, Shangwen HUA, Wendy LIU, Lijuan LIU, Xiao SABET, Leila TU, Huiling WANG, Juan WANG, Ke WANG, Shuying WU, Xiaoyan

Pediatrician Pediatrician Pediatric Surgeon Pediatrician Hospitalist

Pharmacy ZHANG, Helen JIA, Jane LIU, Rachel LU, Hao NIU, Sijia SUN, Sophia TAO, Kathleen WANG, Yinxuan

Pharmacy Director Outpatient Pharmacy Supervisor Pharmacist Clinical Pharmacist Inpatient Pharmacy Supervisor Pharmacist Inpatient Pharmacist / IV Center Supervisor Assistant Manager of Pharmacy Pharmacist

Psychological Health Center BLINN, Rob BHARANI, Nipali CHANG, Wei CHIU, Martha HU, George LI, SHENG SZE, Maranda TIAN, Chenghua XU, Kaiwen ZHANG, Xusheng

Chair of Psychological Health Center Clinical Psychologist Psychiatrist Psychologist Clinical Psychologist Clinical Psychologist Psychiatrist Clinic Counselor Consultant Psychiatrist Clinical Psychologist Psychological Therapist

Radiology / Imaging LI, Song BAI, Lin GAO, Xuewen LI, Yongzhong ZHANG, Xingmei

Chair of Radiology / Imaging Sonologist Radiologist Sonologist Radiologist / Section chief of radiology Radiologist

Surgery

Oncology LAU, Derick

XU, Raymond ZHANG, Hanbing ZHANG, Qinming ZHANG, Yating ZHAO, Juan

Chair of Pediatrics Pediatrician Section Chief of Pediatric Services Pediatrician Pediatrician Section Chief of Inpatient Services Pediatrician Pediatrician Pediatrician Pediatrician / Neonatologist Pediatrician Pediatrician Pediatrician Pediatrician Pediatrician Pediatrician Section Chief of Outpatient Services Hospitalist / Pediatrician Pediatrician Pediatrician Pediatrician

CHENG, Wei ZHANG, Qiang CHAN, Lennard CHOW, Tsangsey GUAN, Heng GUO, Yufeng HAN, Zonghui HOLLEDGE, Maruo LENG, Jihua LING, Xiaofeng LI, Edward LI, Yang LING, Xiaofeng LUO, Zhaoliu RAI, Bikash REN, Gang REN, Shiyan TIAN, Hua TIAN, Yun XIAO Haitao XUE, Zhaoying YANG, Huiqi YAO, Yunfeng ZHANG, Jianxin ZHI, Xiuyi ZHI, Yinghui ZHOU, Fang ZHU, Gang

Department Chair of Surgery Pediatric Surgeon Vascular Surgeon Director of Vascular Surgery Plastic Surgeon General Surgeon Vascular Surgeon Surgeon Surgeon Orthopedic Surgeon Surgical Oncologist General Surgeon Surgeon Surgeon General Surgeon Billary & Laparoscopic Surgeon Cardiovascular & Thoracic Surgeon General Surgeon Orthopedic Surgeon Vascular Surgeon Orthopedic Surgeon Orthopedic Surgeon Surgeon Urologist Surgeon Oncologist Orthopedic Surgeon Thoracic Surgeon Director of Lung Cancer Center Surgeon Orthopedics Consultant Urologist

Beijing United Family Rehabilitation Hospital Neurological Rehabilitation LI, Jianan ZHOU, Jingsheng LIU, Jane BAI, Kejiang

Chief Medical Officer / Chief Physician Neurological Rehabilitation Physician Director of Neurological Rehabilitation Rehabilitation Physician Director of Neurology Neurological Rehabilitation Physician Neurological Rehabilitation Physician

JIN, Zhongyi

Deputy Chief Medical Official Rehabilitation Medicine Physician

Dental DEE, Steven

Dermatology Center NA, Renhua YUAN, Shan

Dermatologist Dermatologist

Family Medicine CHANG, Samantha FUJII, Yasufumi GAYNOR, Kate UDAYA, Lamichhane LI, Robert RAHMER, Ralph WEI, Vicky

Family Medicine Physician General Practice Physician Family Medicine Physician Family Medicine Physician Family Medicine Physician Family Medicine Physician Family Medicine Fellow

Mental Health CHAMBERS, Alfred

WAN, Lijun BRUN, Elisabeth HONG, Xi XU, Limin

Psychologist

Chair of Anesthesiology Anesthesiologist Anesthesiologist Anesthesiologist Chair of Dentistry / Dentist Dentist Implant Dentist Consultant Dentist Pediatric Dentist Consultant Orthodontist Dental Hygienist Consultant Dental Hygienist Consultant

Dermatology Center GUO, Chunying XIANG, Qian

Dermatologist Dermatologist

Emergency Medicine CHANG, Joseph BEAUDREAU, Ronald BROWN, Andy DECONINCK, Niels LAI, Jatina LI, Leon MOFFETT, Shannon TAN, Clifford TOM, Melissa

WILSON, Jennifer DENG, Jiafeng JIANG, Tao YI, Wanlong LIN, Zhengde LIN, Emity LIU, Jingyi ZHANG, Jingna

Associate Chief Physician Traditional Chinese Medicine Physician Registered Dietitian Physical Therapist Rehabilitation Therapist Rehabilitation Therapist Rehabilitation Therapist Physical Therapist Occupational Therapist Occupational Therapist Speech Therapist

Child Psychiatrist

Obstetrics & Gynecology ZHAO, Ellen

Obstetrician & Gynecologist

Pediatrics XIA, Kelly CHEN, Huan LIU, KL LIU, Vivian

Chief Medical Officer / Pediatrician Pediatrician Pediatric Orthopedic Surgeon Pediatrician

Physiotherapy CHEN, Erick

Chair of Emergency Medicine Assistant Chief Medical Officer Emergency Medicine Physician Emergency Medicine Physician Emergency Medicine Physician Emergency Medicine Physician Emergency Medicine Physician Emergency Medicine Physician Emergency Medicine Physician Emergency Medicine Physician Emergency Medicine Physician ENT Specialist

WANG, Paul KEEFE, Margaret

Pharmacy Director of UFH Behavioral Health Services / Clinical Psychiatrist Chair of Psychology

Physiotherapist

Registered Dietitian

CHIN, Meika GAO, Ling RU, Wei SHE, Yuhong ZHU, Ruoyun

Chair of Obstetrics & Gynecology Obstetrician & Gynecologist Midwife Consultant Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist

BROCKWELL, Jason CHAN, Terence CHOW, Hungtsan KONG, Siuwah LEE, T.W.

Chair of Sports Medicine & Orthopedics Orthopedic Surgeon Hip & Pelvic Surgeon Consultant Knee Surgeon Consultant Orthopedic & Traumatologist Spine Surgeon Consultant Foot & Ankle Surgeon Consultant Anesthesiology & Pain Management

Chair of Emergency Medicine Emergency Physician

ELLIOTT, John C. CADZOW, Susan HUANG, Juemin LI, Xin SU, Lynn WANG, Xiumin WU, Li YLING, Richeller ZHANG, George

Chair of Pediatrics / Pediatrician Pediatrician Pediatrician Pediatrician Pediatrician Pediatrician Pediatrician / Neonatologist Neonatologist Pediatrician

KAN, Jiwei ZHOU, Liyuan

Anesthesiologist Anesthesiologist

Chiropractic

Eye Clinic CHENG, June FLEISCHER, Mathias POULSEN, Johan

HINSON, Roger Optometrist Refractive Surgery Physician Eye Surgeon / Ophthalmology Specialist

CHEN, Eunice BOTTRELL, Leslie JOUBERT, Henri KIM, Youngshin LEE, Yonglie LI, Cissy MIYASAKA, Lincoln NIETVELT, Sarai TSAO, Grace WREN, Lyn

Chair of Family Medicine Assistant Chief Medical Officer Family Medicine Physician Family Medicine Physician Family Medicine Physician Family Medicine Physician Family Medicine Physician Family Medicine Fellow Family Medicine Physician Family Medicine Physician Family Medicine Physician Family Medicine Physician

LIU, Hau DONG, Benhao ANG, Jian CAI, Li LU, Jun MIRAFZALI, Saeid YANG, KUN

Chief Medical Officer Endocrinologist Chair of Internal Medicine Internal Medicine Physician Gastroenterologist Internal Medicine Physician Internal Medicine Physician Internal Medicine Physician Medical Director of United Family Home Health Internal Medicine Physician

Laboratory HOU, Qi

Manager of Laboratory & Blood Bank Senior Laboratory Technologist

Chair of Chiropractic / Chiropractor

Dental Clinic HAO, Steven LI, Xiang LIU, Amy LIU, Haijun SCHAFFLER, Sylvia

Dentist Dentist Dental Hygienist Dentist Dentist

Dermatologist Dermatologist

Family Medicine HURM, James DAI, David JI, Kaiyu

WANG, Robert BIAN, Xuming CHANG, Ling LĂ&#x153;, Xiaohong WANG, Dongling XU, Qingxiang ZHAO, Yawei

Chair of Physical Medicine & Rehabilitation Physical Therapist Physical Therapy Consultant Physical Therapy Consultant Physical Therapy Consultant Physical Therapy Consultant

Plastic Surgery Plastic Surgery

Radiology / Imaging CHEN, James DUAN, Kiki HU, Yu TAO, Vivian WANG, Fei

KONG, James MASKAY, Ashish WANG, Jun WANG, Xiaochun

UFH Director of Radiology Radiologist Ultrasound Physician Ultrasound Physician Radiologist Radiologist

Plastic Surgeon Consultant Surgeon Surgeon Surgeon

Traditional Chinese Medicine (TCM) KO, Liuying

TCM Physician

Pediatrics CUI, Yutao AN, Jing CHEN, Zhaohui FU, Hongna SONG, Hua XU, Ying YANG, Ming ZHOU, Ying

Chair of Pediatrics / Pediatrician Pediatrician Pediatrician Chair of Pediatrics / Pediatrician Pediatrician Pediatrician Neonatologist Pediatrician Pediatrician

Pharmacy ZHAO, Chancellor

NI, Wenxi WANG, Xiaoli ZANG, Lan

Reproductive Medicine Center

Laboratory Technician

Surgery

Obstetrics and Gynecology CAI, Nancy

KAPOOR, Monika LEE, Louis LENZ, Ute YUE, Eric Shan

Chair of Family Medicine Family Medicine Physician Urgent Care Physician Family Medicine Physician Internal Medicine Physician Gastroenterologist

Laboratory ZHANG, Shuju

WU, Mark

Director of Pharmacy Services

Radiology / Imaging

Dermatology Center NA, Renhua YUAN, Shan

WILLEMANN, Christine

Manager of Pharmacy Licensed Pharmacist Assistant Manager of Pharmacy Licensed Pharmacist Pharmacy Consultant

Surgery

Pediatrics

Urgent Care WOOD, Jason

FANG, Yijun

PORCH, Juliet

Orthopedic & Sports Medicine DESHMUKH, Ashwin

QUAH, Pamela

Physical Medicine & Rehabilitation

Obstetrics & Gynecology JI, Ninni

Internal Medicine

ENT Clinic (Ear, Nose, Throat) BURKSCHAT, Jeanette

Rehabilitation

XU, Steve

Nutrition Clinic

Family Medicine

Dental Clinic SHAN, Allen IGHANI, Adib LI, Wen LU, Lesley RANA, Rouble TANG, Sandy TEDJARATI, Victoria WANG, Shirley

ZHANG, Huimin

PU, Tad Dentist

Director of Orthopedic Rehabilitation Orthopedic Surgeon

TCM Rehabilitation

WU, Lucas

Cardiac Rehabilitation Department Chair Chief Medical Advisor / Cardiologist Chief Medical Advisor Cardiac Rehabilitation Physician

Pediatric Rehabilitation SONG, Xiaoyan

CHEN, Yaping

Nutrition

Cardiac Rehabilitation HU, Dayi

Orthopedic Rehabilitation

Mental Health

Chair of the Reproductive Medicine Center Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrics & Gynecology Consultant Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist Obstetrician & Gynecologist

CAI, Nancy QIN, Silong WEN, Theresa ZHOU, Shanjie

CHENG, Wei CHAN, Lennard LING, Xiaofeng WU, Shuang YANG, Huiqi

Chair of Radiology Sonologist Radiologist Chair of the Reproductive Medicine Center Obstetrician & Gynecologist IVF Lab Supervisor Obstetrician & Gynecologist Andrologist

Chair of Surgery / Pediatric Surgeon Plastic Surgeon General Surgeon / Biliary & Laparoscopic Surgeon Surgeon General Surgeon

Urgent Care HURM, James

Chair of Family Medicine Family Medicine Physician Urgent Care Physician

Tianhe Highway Junction 天河立交

W. H uang

United Family Guangzhou Clinic 和睦家广州诊所

pu Av e

黄埔大道西

S. Dongxing Road 东兴南路

Huaxia Rd. 华夏路

d 华强路

Jinsui Rd. 金穗路

Huaming Roa

United Family Financial Street Clinic

W. Zhujia ng R d. 珠江西

N. Dongxing Road 东兴北路

Huaqiang Roa

Huasui Rd. 华穗路

Markor Furnishings 美克·美家 Imperial Traders Hotel 广东外商活动中心

Middle Guangzhou Ave 广州大道中

PICC Building 人保大厦

路

山一路 Rd. 中 han Yi Zhongs

d 华明路

109 Taipingqiao Avenue, Xicheng District, Beijing 100032 Tel: +86 (10) 6621 7939 E-mail: liaison@ufh.com.cn

Huacheng Roa

d 华成路

Line 5 Wuya

ngcun

五号线五羊邨站

Line 5 Zhuji

ang New Town

五号线珠江新 Huacheng Ave 城站花城大道

Shanghai United Family Hospital 上海和睦家医院

United Family Quankou Clinic 和睦家泉口门诊部 Line 2 Beix

Roa

d 泉口路

Shopping Mall 百联西郊购物中心

路密

林泉

ining Rd.

威宁路站

Maotai Road 茅台路

Roa

qua

le R

gxi

可乐

Qin

oad

Honggu Road

线环中

Lin

路

d青

oad

可乐

溪路

Line 2 We

二号线

路

哈

Xianxia Rd. 仙霞路 g Rin le dd Mi

Kele

天山路宁路

Tianshan Rd.

Road 威

Jianhe

nkou

Weining

Road

Qua

东路

d 水城路

Road 新渔东路

剑河路

E. Xinyu

injing

北新泾站

Shuicheng Roa

二号线

虹古路

Yew Chung International School 耀中国际学校

Longxi Road 龙溪路 Rd. eng uich 城路站水 10 Sh Line 十号线

溪路

gxi

Qin Shanghai Zoo 西郊动物园

桥路 .虹高架 o Rd 延安 gqia Hon Way h ig ’an H n a Y

青 oad

Rd. ngxi

Marriott-Hongqiao Hotel 万豪虹桥大酒店

路站 10 Lo Line 线龙溪号十

Tianjin United Family Hospital 天津和睦家医院 Jinyi Bridge 津谊桥

Yujiang Bridge 郁江桥

Know Your Health

The way to wellness begins with you

Heiniucheng Rd. 黑牛城道

解放南路

S. Youyi Rd.

S. Weijin Road 卫津南路

Tanjiang Road 潭江道 Royal Peninsula 半岛豪庭

Dongting Road 洞庭路

河

津

Suijiang Road 绥江道

S. Jiefang Rd.

卫

路

友谊南路

山

金

er Riv

紫

Baiyunshan Road 白云山路

eij W

in Zij Zhujiang Road 珠江道

E-Mart 易买得

Outer Ring Rd. 外环线

For more facility maps, please visit our website.

The UFH network has pioneered JCI quality accreditation in China. 和睦家医疗获得国际医疗卫生机构认证联合委员会 (JCI)认证。

Summer 2014 In this issue: • Alternative asthma treatments • Coping with disaster • Gestational diabetes