COMMUNITY HEALTH NEWSLETTER 社區健康季刊 | 2016 SUMMER 夏季刊

Helpful Glossary of Health Coverage and Medical TermsIn-patient Services You are considered in-patient starting when you’re formally admitted to a hospital with a doctor’s order. The day before you are discharged is your last in-patient day.

The decision for in-patient hospital admission is a complex medical decision based on your doctor’s judgment and your need for medically necessary hospital care. An in-patient admission is generally appropriate when you are expected to need two or more midnights of medically necessary hospital care. Your doctor must order such admission and the hospital must formally admit you in order for you to be considered in-patient.

Out-patient ServicesYou are considered out-patient if you are getting emergency department services, observation services, out-patient surgery, lab tests, X-rays, or any other hospital services, and the doctor hasn’t written an order to admit you to a hospital as an in-patient. In these cases, you are considered out-patient even if you spend the night at the hospital.

Note: Observation services are hospital out-patient services given to help the doctor decide if the patient needs to be admitted as an in-patient or can be

discharged. Observation services may be given in the emergency department or another area of the hospital.

Source: www.medicare.gov/Pubs/pdf/11435.pdf (May 2014)

保健計劃及醫療詞匯

住院服務醫生簽字認可您住院時，您的住院服務便正式開始。您出院的前一天是您接受住院服務的最後一天。

住院是根據醫生的判斷及您醫療上必需的醫院護理作出的複雜醫療決定。一般情況下，當您預計需要接受兩晚或以上醫療必需的住院治療，醫生簽字認可您住院和醫院正式辦理入院手續時，您接受的是就住院服務。

門診服務如果您得到急診服務，觀察服務，門診手術，化驗服務，X-光檢查或任何其他醫院服務，但醫生也沒有簽字認可您住院時；即使您晚上在醫院渡過都被界定為門診服務。

注：觀察服務屬於門診服務以幫助醫生決定病人是否需要住院或可出院。觀察服務可能在急症室或醫院的另一區域進行。

參考資料: www.medicare.gov/Pubs/pdf/11435.pdf (2014年5月)

Save the Date - Family Health Day 8/27/16 (Sat)Are you keeping up with the age of electronic and digital technology (computers, internet, smart phones, etc.)? Would you like to learn how to access your personal health record and identify credible health information and resources online? Chinese Community Health Resource Center (CCHRC) and its sponsors invite you to come to CCHRC’s Family Health Day, 8/27/16 (Sat), 10am to 4pm, in the Sunset district at 1150 Vicente St., for a day of helpful seminars, free health screenings and other fun activities for you and your family.

請預留 8/27/16 (星期六)

來參加家庭康樂日

您是否和電子科技 (電腦，互聯網，智能電話等等) 與時

並進呢？您想學習如何通過科技電子途徑取得醫療檔案

資料及如何在網上找尋可靠的健康資訊嗎？ 華人社區健

康資源中心(CCHRC)及其贊助機構邀請您在 8/27/16 (星期六) 上午 十時至下午 四時前來參加家庭康樂日。地點

在日落區1150 Vicente St。當日會有健康講座，免費健

康檢查, 以及為您和您家人而設的其他有趣活動。

Chinese Hospital Grand OpeningOn Monday, April 18, 2016, Chinese Hospital celebrated the historic grand opening of its New Patient Tower.

Early that morning, before the public ceremonies began, the hospital was officially blessed by Buddhist and Catholic priests to ensure smooth operation for years to come. Then, the festivities were kicked-off with a special performance by Beach Blanket Babylon, a famous San Francisco group, followed by special remarks from the leaders of the hospital, Board of Trustees, Chinatown district’s Supervisor, and San Francisco’s Mayor Ed Lee. The ribbon- cutting ceremony was cheered-on with a Lion Dance performance that included firecrackers to ensure good luck for the hospital

The history of Chinese Hospital began in 1899 when the 15 Chinatown organizations opened the Tung Wah Dispensary on Sacramento Street. While a second dispensary was opened after the destructive 1906 earthquake and fire, the leaders realized the need for a modern hospital to care for the community. They would once again raise funds to open the original Chinese Hospital on April 18, 1925.

東華醫院開幕慶典

2016年4月18日，星期一，東華醫院為全新落成的醫務大樓舉行隆重及具有歷史意義的開幕儀式。

當日清晨，於公眾儀式開始之前，東華醫院接受了 正規的佛教祈福及天主教神父的祝福，以展望未來 的平穩暢順。然後，三藩市經典組合，Beach Blanket Babylon 帶來的精彩表演為慶典拉開序幕。隨後由東華醫院領導層，醫院董事會眾董事，華埠市參事， 及三藩市市長李孟賢致詞。隆重的剪彩儀式在歡呼、舞獅、及鞭炮的祝賀中舉行，更瞻望醫院穩步上揚。

東華醫院的歷史根源可追溯到1899年。當年15間華埠社團在華埠 Sacramento Street (唐人街) 開設了東華藥局。然而1906年的大地震及火災摧毀了東華醫局。當第二醫局重新服務社區時，領導人意識到我們的社區需要一個現代化醫院的照料與關懷。於是他們再籌集高於醫局相當多的資金，終於在1925年4月18日落成原先的東華醫院。

Kent Mui

This year’s opening of the New Patient Tower marks a special historical milestone for the hospital— 91 years to the day. It replaces the original 1925 Chinese Hospital building. The New Patient Tower is a modern, state-of-the-art hospital with innovative features that is focused on healing. The New Patient Tower is a earthquake safe, 100,000 square feet, 8-story building. Nearly every service has been expanded with new services added. It includes 88 total patient beds, four surgical units and a new 23-bed Skilled Nursing Unit. The state-of-the- art diagnostic imaging department houses all new equipment including CT Scanner, Ultrasound and a MRI.

The New Patient Tower was carefully planned and designed to incorporate the newest technology while ensuring a thoughtful approach to healing. The design and artwork inside is Asian-themed with imageries of water, fish, flowers, and landscape to provide for a serene environment when patients and families stay and visit. All patient rooms are either private or semi-private with views of San Francisco Bay that are better than the best 5-star hotels in The City.

The new Chinese Hospital is a total package that is designed and built with one thing in mind – to create the best healing environment for our community.

The entire staff and Board of Trustee of Chinese Hospital is pleased to welcome this amazing New Patient Tower which was built for the community’s benefit.

歷經91年後的今天，剛落成在1925年舊樓原址的全新

醫務大樓在這一天開幕。這標誌著一個特殊意義的歷

史里程碑。新醫務大樓是一間擁有最先進技術與創新

治療功能的現代化醫院。建築面積達10萬平方英尺的

8層新醫務大樓引用抗地震的安全結構。幾乎全部原

有服務都進行了擴充，其外還增添了新服務項目，包

括88張病床，4個手術室及23張專業護理服務床位。

技術先進的影像診斷部門配置了所有最新設備，包括

CT掃描，超聲波及磁力共振掃描。

新醫務大樓的精心規劃及設計，將最新的尖端技術與

周全的治療方法完美結合。室内設計引用亞洲藝術主題

如：水、魚、花卉和景觀意象以營造寧靜的環境供患

者及家屬瀏覽。所有病房都是私家房或半私家房，

可盡情欣賞比五星級酒店更極緻的三藩市海灣美景。

新東華醫院的全方位設計及建造均圍繞著一個原則-

創造我們社區最好的治療環境。

東華醫院董事會眾董事及全體工作人員榮幸地歡迎這

個内造福社群而建立的東華醫院新醫務大樓。

Here Comes the Sun – Sun Safety Tips Summer is here! It is time to enjoy the beautiful sunshine and outdoor activities. Some exposure to sunlight can be fun. Too much can be dangerous. It is vital for everyone to protect our skin since it protects our bodies and regulates our body temperature.

With longer daylight hours, we’re all pursuing outdoor activities to get physically fit and develop our overall well-being. However, if we don’t properly protect our skin, the immediate danger of overexposure from the sun is an aching and painful sunburn. If you look at sun burnt skin under a strong microscope, you would see that the cells and blood vessels have been damaged, depending on the overexposure of time spent under the sun’s rays. The long term effects of being exposed to the sun include more serious health problems such as skin cancer, premature skin aging, and eye damage.

So, do yourself a favor and follow these healthy safety tips:

1. Apply sunscreen 15-20 minutes before going outside, and every few hours to protect yourself from the sun’s ultraviolet rays. The FDA recommends using a sun protection factor (SPF) value of at least 15.

2. Wear protective long sleeve clothing, sunglasses, and a brim hat to expose less of your skin.

3. Remember that the sun’s rays are most harmful between the hours of 10am to 4:00pm, so please adjust your schedule to early mornings or evenings for outdoor exercises.

4. Drink lots of water to help replace fluid loss.

5. Wear wraparound sunglasses with 99 or higher UV block.

6. Protect yourself even on cloudy days.

7. Teach your children the dangers of the sun and provide safety tips.

Good luck protecting and preserving your beautiful skin!

By Landon Chan and Lily Phan, RN, MSN, Director of Clinical Services

Source: www.foh.hhs.gov/Calendar/july.htmlwww.cdc.gov/cancer/skin/basic_info/sun-safety.htmwww.cdc.gov/niosh/docs/2010-116/pdfs/2010-116.pdf

夏日陽光–防曬安全提示

夏天到了！現在正是享受明媚陽光及戶外活動的時候。曬一陣子陽光可以令身心開朗，但過多就可變危險。皮膚保護我們的身體以及調節我們的體溫，所以保護我們的皮膚是極重要。

較長的夏令日時間，讓我們都可盡情享受戶外活動及建立整體健康。但是，如果我們不好好保護我們的皮膚，過度暴曬可導致疼痛的曬傷。取決於遭暴曬的時間長度及程度，如果用特強的顯微鏡觀察被曬傷的皮膚，您會發現細胞及血管都已被破壞。長期暴曬會導致更嚴重的健康問題，如皮膚癌、皮膚提早老化、及眼睛損傷。

因此，請善待自己並遵循這些健康安全提示。

1. 於外出前15至20分鐘擦防曬太陽油，並且每隔幾小時補擦，以保護自己免受陽光中的紫外線傷害。 FDA建議使用至少 (SPF) 15防曬數值的防曬太陽油。

2. 穿戴長袖衣服、太陽眼鏡、及有邊緣的帽子可減少皮膚接觸陽光。

3. 請記住，陽光最具危害性的時段是上午10點至下午4點，所以請調整您的時間表，到清晨或傍晚才進行戶外運動。

4. 喝大量的水，以幫助補充流失的水份。

5. 配戴99或更高的防紫外線環繞式墨鏡。

6. 即使在陰天也應保護肌膚。

7. 教導您的孩子陽光的危險性並提供安全提示。

請保護及維持您的美麗肌膚！

www.foh.hhs.gov/Calendar/july.htmlwww.cdc.gov/cancer/skin/basic_info/sun-safety.htmwww.cdc.gov/niosh/docs/2010-116/pdfs/2010-116.pdf

本文由Landon Chan 及臨床醫療服務總監Lily Phan RN, MSN 提供。

What is Eczema?Eczema (say EK-zeh-ma) is a term for a group of medical skin conditions. The exact cause of eczema is unknown. Skin allergies may be involved in some forms of eczema.

Eczema is not contagious. It affects about 10 to 20% of infants. And 3% of adults and children in the United States have eczema. Most infants will outgrow this condition. Family members may have it. It is found in families with a history of allergies or asthma. Health care workers with skin problems on the hand may develop eczema.

The symptoms of eczema vary from person to person and may include:

• Itching, especially at night

• Red to brownish–gray patches

• Small raised bumps, which may leak fluid and crust over when scratched

• Thickened, cracked, dry, scaly skin

No cure has been found, but treatments and self-care measure can relieve itching. To decrease the symptoms of eczema:

• Avoid taking long hot baths or showers

• Don’t scratch that itch

• Reduce stress, avoid sweating

• Avoid wool in clothing, blankets and carpets

• Wear soft cotton clothes

• Use fragrance-free lotions and creams to keep the skin moist

• Use cold compresses to relieve itching or over the counter products such as hydrocortisone 1% cream

If you think you have eczema, talk to your doctor. You may be referred to a dermatologist or skin doctor. Follow your doctor’s directions. Be sure to take your medications as directed.

Reference:

www.webmd.com/skin-problems-and-treatments/guide/atopic-dermatitis-eczema

www.webmd.com/skin-problems-and-treatments/eczema/default.htm

www.mayoclinic.org/diseases-conditions/eczema/basics/symptoms/con-20032073

www.cdc.gov/healthcommunication/ToolsTemplates/EntertainmentEd/Tips/Allergies.html

www.nlm.nih.gov/medlineplus/eczema.html

什麼是濕疹？

濕疹（音: EK-ZEH-MA）是一種皮膚問題的醫學術語。其確實成因不明；但可能是免疫系統對刺激物反應過度而引起，而皮膚過敏亦可能引起某種濕疹。

濕疹是不會傳染的，大約百分之十至二十的嬰兒受到影響。而在美國，有百分之三的成人和兒童患有濕疹。濕疹也出現於有過敏或哮喘病史的家庭成員中。醫護人員與手部皮膚問題可能會發展成濕疹。

濕疹的症狀因人而異，可能包括：

• 内痕癢，尤其是在夜間

• 紅色至棕灰色硬塊

• 皮膚輕微脹起，用手抓癢時可能會傷了皮膚及有液體流出

• 皮膚變厚，破裂，乾燥，起鱗屑狀

到目前為止，濕疹並無藥可治，但一些治療和個人護理可以緩解内痕癢，減輕濕疹的症狀：

• 避免長時間以熱水浴缸或淋浴

• 不要用手抓内痕癢的皮膚

• 減輕壓力，避免出汗

• 避免羊毛質地的衣服、毛毯和地毯

• 穿柔軟棉質衣服

• 使用無香味的乳液和面霜以保持皮膚濕潤

• 用冷敷來緩解痕内癢或使用非處方藥 : 如含百分之一氫化可的松的藥膏

如果您認為自己患上濕疹，請與您的醫生聯絡；您可能會被轉介見皮膚科醫生。請按照醫生的指示使用您的藥物。

參考資料：

www.webmd.com/skin-problems-and-treatments/guide/atopic-dermatitis-eczema

www.webmd.com/skin-problems-and-treatments/ eczema/default.htm

www.mayoclinic.org/diseases-conditions/eczema/ basics/symptoms/con-20032073

www.cdc.gov/healthcommunication/ToolsTemplates/EntertainmentEd/Tips/Allergies.html

www.nlm.nih.gov/medlineplus/eczema.html

Member Satisfaction Survey Chinese Community Health Plan’s (CCHP) priority is to provide high quality health care. We continue to look for ways to improve. CCHP also supports our providers. Providers are doctors, hospitals and nursing homes. The Consumer Assessment of Healthcare Providers and Systems (CAHPS) and The Medicare Health Outcomes Survey (HOS) are satisfaction surveys. These surveys are sent to a sampling of our members. This data will evaluate member’s satisfaction with their provider and the health plan.

The HOS monitors the quality of care provided by health plans like CCHP. Patients are asked questions about their health status. The CAHPS survey collects data by asking patients their experiences with our health care services. The survey includes ratings of providers and health plans.

If you receive a survey (or both surveys), please complete it. This is your opportunity to help CCHP serve you better. Your knowledge and experience will provide valuable information. Please answer the questions honestly. If you think your health plan is doing a good job, give us the best score possible. All information will be confidential. Thank you for taking this time to complete the survey.

If you need language assistance or have questions, call CCHP Member Services at 1-415 834-2118. They will gladly help.

Reference:

cahps.ahrq.gov/about-cahps/index.html

cahps.ahrq.gov/about-cahps/principles/index.html

cahps.ahrq.gov/about-cahps/principles/index.html

www.cms.gov/Research-Statistics-Data-and-Systems/Research/HOS/index.html

www.cms.gov/Research-Statistics-Data-and-Systems/Research/HOS/index.html

會員滿意程度調查問卷 巻

華人保健計劃（CCHP）首要的任務是為會員提供高品質的醫療服務。我們除了繼續致力改善服務質素，也支持我們的醫療服務提供者如醫生，醫院和療養院。部分會員已收到會員滿意度調查問卷内（CAHPS）和健康結果調查問卷内（HOS），調查資料將用作評估會員對醫療服務提供者和保健計劃的滿意程度。

健康結果調查問卷内會詢問會員的健康狀況，以助監測醫療健保計劃提供的醫療服務質量。會員滿意度調查問卷内收集有關會員對醫療服務體驗及對醫療服務提供者或保健計劃的評級的意見。

如果您收到調查問卷（或以上兩份調查問卷），敬請如實回答問題及完成問卷。如果您認為您的健康計劃做得好，請給予我們最高的評分。所有資料將會保密。感謝您抽出時間來完成調查問卷。

如果您需要語言協助或有任何疑問，請致電華人保健計劃會員服務部1-415-834-2118，服務代表非常樂意提供協助。

參考資料:

cahps.ahrq.gov/about-cahps/index.html

cahps.ahrq.gov/about-cahps/principles/index.html

cahps.ahrq.gov/about-cahps/principles/index.html

www.cms.gov/Research-Statistics-Data-and-Systems/Research/HOS/index.html

www.cms.gov/Research-Statistics-Data-and-Systems/Research/HOS/index.html

Eat Well, Live Well Recipe – Vietnamese Chicken SaladIngredients (Makes 6 servings): 3 cups broccoli (cut)

¾ cup purple cabbage (shredded)

¾ cup carrots (shredded) 1⁄3 cup red onion (shredded)

¾ cup lotus root

½ tbsp. mint

¾ lb. chicken breast1⁄5 cup chopped peanuts1⁄3 cup Chinese celery (chopped)

< 1⁄10 tsp. salt

Homemade Dipping Fish Sauce: 1⁄5 cup lemon juice

¼ cup sugar

< 1⁄10 cup fish sauce

> ¼ cup water

Season/Marinate:1. Mix shredded broccoli, purple cabbage,

carrots and red onion into a bowl, add salt and wait for 10 minutes, then drain.

2. Marinate lotus root: add ½ tbsp vinegar, 1 tbsp. sugar, and 1⁄5 cup water, wait for 20 minutes, then drain.

3. Marinate red onion: add ½ tbsp vinegar, ½ tbsp. sugar, and < 1⁄10 cup water, wait for 5 minutes, then drain.

Instructions:1. Place chicken breast in boiling water for

10 minutes until cooked. Then drain and hand-shred chicken breast.

2. Mix chicken breast and vegetable ingredients on a plate.

3. Add fish sauce, chopped peanuts, Chinese celery on top.

Nutrition information per serving:Calories: 193Total fat: 4.7 g (0g saturated)Cholesterol: 49 mgSodium: 515 mgCarbohydrates: 17.1 gProtein: 21.4 g

健康美食– 越南式雞沙律

材料（6 人分量）：

3 杯青色椰菜（切絲）

¾ 杯紫色椰菜（切絲）

¾ 杯紅蘿蔔（切絲）1⁄3 杯紅洋蔥（切絲）

¾ 杯蓮藕根

½ 湯匙 香花草

¾ 磅雞胸肉1⁄5 杯花生碎1⁄3 杯莞茜

< 1⁄10 茶匙鹽

調味料:

1. 全部四種蔬菜(青色椰菜（切絲）；紫色椰菜 （切絲）; 紅蘿蔔（切絲）；紅洋蔥（切絲） 加少鹽醃合 10 分鐘 將水去掉

2. 蓮藕根︰½ 湯匙醋，1湯匙糖，1⁄5 杯水一起醃 合約 20 分鐘；將水去掉

3. 紅洋蔥︰½ 湯匙醋，½ 湯匙糖，< 1⁄10 杯水 一 起醃合約 5 分鐘；將水去掉

做法:

1. 把雞胸肉煮熟 用手撕成絲

2. 把材料一起混合 雞絲排上面

3. 加入魚露汁，花生碎，莞茜即可上碟

每份營養含量：

卡路里：193脂肪總量：4.7 克

飽和脂肪: 0 克

膽固醇：49 毫克

鈉質：515 毫克

碳水化合物： 17.1 克

蛋白質：21.4 克

自製魚露汁:1⁄5 杯檸檬汁

¼ 杯白糖

< 1⁄10 杯魚露

> ¼ 杯水

Acupuncture & FertilityFor many people, having a baby is one of life’s most important experiences. It is common for individuals and couples to experience questions, uncertainty, changes and challenges that affect their body, emotions and relationship.

Traditional Chinese Medicine has been used for centuries to support fertility, and includes several modalities like acupuncture, herbal medicine, and dietary and lifestyle counseling. These modalities are commonly combined to support the various stages of conception and pregnancy, as well as postpartum health for the mother and baby.

Traditional Chinese Medicine can be used to treat many types of fertility disorders for both women and for men. While acupuncture and herbs will not work for all causes of infertility, individuals can benefit from acupuncture’s potential effect for reducing stress, increasing blood flow to the reproductive organs and balancing the endocrine system.

Acupuncture can be used by women seeking to get pregnant naturally, as well as in conjunction with assisted reproductive technologies (ART) such as intrauterine insemination (IUI), in vitro fertilization (IVF), donor-egg transfer, and cryopreservation. Acupuncture may also be used to help women with diagnosed elevated follicle stimulating hormone (FSH), repeated pregnancy loss (RPL), unexplained (idiopathic) infertility, luteal phase defect, thin uterine lining, hyperprolactinemia (when not caused by a prolactinoma), and polycystic ovarian syndrome (PCOS) with anovulatory cycles.

Although there is less research on the effects of acupuncture on male fertility, studies suggest that acupuncture may improve the overall quality and structural integrity of sperm, improve sperm motility and morphology, and increase the overall number of normal sperm in a group of men with infertility problems, including sperm-DNA-fragmentation.

What does treatment involve?

The specific modalities, frequency and duration of treatment are prescribed to match each individual’s or couple’s needs. In general, a healthy person (male or female) of childbearing age should prepare for three to four months of continuous treatment of one to two weekly visits in order to address any underlying conditions impairing fertility. The ability to conceive and carry a baby will vary between individuals and couples, but maintaining a regular frequency of treatments generally increases the chances of healthy fertilization.

Although most insurance plans do not cover acupuncture for infertility specifically, they do cover treatment for symptoms which may be related to infertility such as menstrual and stress-related pain.

If you are interested in determining whether acupuncture can help you, please talk to your doctor or call Chinese Hospital East West Health Services at 1-415-795-8100.

針灸與生育

對許多人來說，生孩子是非常重要的人生經歷之一。但是也有些人、有些夫妻會經歷一些問題，不確定因素、變化和挑戰，從而影響他們的身體、情緒和關係。

傳統中醫在支持生育方面歷史悠久，包括針灸，中藥，和飲食及生活方式輔導等幾種模式。這些治療方式通常會被結合使用,支持受孕的不同階段和懷孕過程， 以及產後母嬰健康。

傳統中醫可以用於治療女性和男性的多種類型的生育障礙。雖然針灸和中藥不能用於治療所有不孕症，但是針灸有著減輕壓力，增加生殖器官的血液循環和平衡內分泌系統的潛在影響，能夠讓患者間接受益。

針灸可以幫助想要自然受孕的女性，也能和輔助生育技術（ART）如宮腔內人工受精（IUI），體外受精（IVF），供卵轉移和低溫貯藏技術等結合使用。針灸也可以幫助治療女性的高促卵泡激素（FSH），習慣性自然流產，不明原因的不孕症，黃體功能不全，子宮內膜薄，高泌乳素血症（不是由泌乳素瘤引起的），和多囊性卵巢綜合症（PCOS）。

雖然針灸對男性生育影響的研究較少，但研究表明，針灸可以提高精子的整體質量和結構的完整性，改善精子的能動性和形態，並為患有不孕不育的男性增加正常精子的數量， 包括精子DNA碎片。

有什麼治療方案？

具體的治療形式、頻率和治療時間會根據個人或夫妻的需求制定。 一般來說，健康的育齡的男女應該準備3-4個月的持續治療，每星期一至兩次的複診來調理各種不利於生育的身體狀況。每個人或每對夫妻的懷孕和生育能力不一樣，但是堅持接受定期治療通常可以增加健康受孕的機會。

儘管大多數醫療保險計劃不包含不孕症的針灸治療，但他們卻包含了與不孕症息息相關的症狀，如月經和壓力造成的疼痛。

如果您有興趣了解針灸是否對您有幫助，請諮詢您的醫生或者致電東華醫院中西醫門診，電話1-415-795-8100。

What Do Newborns Need?Baby crib, baby clothes, baby diapers...Many things are needed to care for newborns. Very important on the list is a baby doctor! A pediatrician can be found on your health plan’s provider directory. Once you find a pediatrician, be sure to make a prenatal appointment to meet the baby doctor. He or she will tell you about health issues important in nurturing a newborn before and after birth.

Every newborn has important tests to do after birth. The first is an oxygen test to make sure the baby’s heart is healthy. The next is a blood test to check for inherited conditions. The last is a special light to check the baby for jaundice or yellowing of the skin. Every day a newborn is weighed to make sure they are getting the mother’s milk they need. You can call the Chinese Community Health Resource Center (CCHRC) at 1-415-677-2473 to sign up for the “Preparing for the Baby Class” to learn more. CCHP members can join this class for free.

This article was contributed by Dr. Lyra Ng, MD, MPH, General Pediatrician at the Gellert Health Services,

Eye Care for ChildrenMost children wear glasses to correct refractive errors such as nearsightedness, farsightedness, and astigmatism. Nearsightedness is caused by the eye being too long and distant objects appear blurry. Farsightedness is the opposite, where the eye is too short and closer objects are blurry. Astigmatism is caused by an irregularly shaped cornea, so vision is blurry and distorted at all distances.

Some children are born with severe refractive errors, and if left uncorrected, the vision brain cells don’t mature normally for the eye to develop as it should. This problem is called Amblyopia or lazy eye, which should be treated as soon as possible while the child’s vision system is still developing. Most often, uncorrected refractive errors can be easily treated with prescription glasses, except for those children with amblyopia that require additional patching and vision therapy.

As the eye continues to grow during childhood, children become more nearsighted. An effective way to control nearsightedness progression is Orthokeratology (Ortho-K), a technique where the cornea is reshaped using custom-made contact lenses. Your child needs to continue to wear lenses overnight to maintain the effect. Majority of children can achieve normal to near normal vision during the day after removing their contact lenses. Many research studies found it to be effective in slowing down nearsightedness progression and the elongation of eyeball length in children.

Healthy vision is essential to your child’s ability to learn and to play sports and other activities. Schedule a yearly exam for early detection of vision problems and take advantage of Ortho-K to control nearsightedness.

Chinese Hospital. You can also contact Dr. Ng by calling 1-650-761-3500.

初生嬰兒需要什麼護理？

嬰兒床、嬰兒服裝、嬰兒尿布......照顧新生兒，需要很多東西。一個兒科醫生是非常重要！您可以在保健計劃的醫生名錄中找到兒科醫生。請在分娩前約見醫生以便了解有關分娩前後養育嬰兒的健康問題。

每一個嬰兒出生後都需要進行重要的檢查。首先是氧氣測試，以確保嬰兒的心臟健康。接著是血液測試來檢測嬰兒是否患有遺傳性的疾病。最後是用特殊光檢查嬰兒的皮膚是否有黃疸或變黃。每天為初生嬰兒量度體重，以確保他們得到所需要的母乳。您可致電1-415-677-2473華人社區健康資源中心（CCHRC）報名參加“為寶寶的到來做好準備班”，以了解更多資訊。華人保健計劃會員費用全免。

此文由東華醫院的帝利市Gellert華康醫務中心的兒科醫生，伍韻琴，醫學博士，小兒科專家，醫師提供。如需聯絡伍醫師，請致電：1-650-761-3500。

This article was contributed by Dr. Jenny Yuen, OD, FAAO and Dr. Laura Chu, OD, FAAO at the Gellert Health Services, Chinese Hospital. You can contact the Optometry department by calling 1-650-761-3521.

兒童眼睛健康

大多數配戴眼鏡的兒童源於需要矯正視力問題，如近視，遠視和散光。近視眼是由於眼球過長導致觀看遠處的物體時影像模糊。相反，遠視是因眼球過短導致觀看近的物體時影像模糊。散光則是由形狀不規則的角膜導致在任何距離觀看物體時影像模糊和扭曲。

有些兒童天生有嚴重的視力問題，如不診治，視覺腦細胞不能正常成熟發展而造成弱視(或lazy eye)。因此，我們要讓兒童的視覺系統仍在發展時盡快接受治療。大多數情況下，除了患有弱視，需要額外戴眼罩矯正和進行視力治療外，配戴處方眼鏡便能輕易地治療一般視力問題。

由於眼睛在兒童時期繼續成長，孩子們近視的情況變得更嚴重。角膜塑形 (Ortho-K) 技術是控制近視加深的有效方法；特製的隱形眼鏡能將角膜重塑，兒童需要在晚上繼續戴隱形眼鏡以維持效果。大部分兒童可以在早上除下隱形眼鏡後有正常或近乎正常的視力。許多研究發現此技術能有效延遲兒童的近視加深和眼球變長。

您孩子需要健康的視力來學習和進行體育及其他活動。請盡早安排年度眼科檢查，以便及時發現視力問題並利用角膜塑形的技術來控制近視問題。

此文由東華醫院的帝利市Gellert華康醫務中心的眼科視光學博士，阮飛翔醫生及朱巧喬醫生提供。如需聯絡眼科/驗光部，請致電：1-650-761-3521。

Prevention of Hepatitis BHepatitis means inflammation of the liver. One of the most common causes of hepatitis is due to the Hepatitis B virus (HBV). HBV can lead to cirrhosis (scarring of the liver) and eventually cancer. The damaged liver will lose its ability to perform many important functions.

The HBV is spread through BIRTH (from mother to child), BLOOD and SEX. After being exposed to hepatitis B virus, you may or may not become infected. You may have symptoms and recover; or you may be symptom-free at first, but develop problems with your liver later on. In some cases, as with early childhood exposure, you may become chronically infected and should be seen by your physician at least once a year.

To best way to protect yourself from this serious disease is to be screened for hepatitis B with a simple blood test and get vaccinated. The vaccine will not cause hepatitis B infection. It is safe and effective and can protect you for life.

For more information on hepatitis B and other health topics, visit the Chinese Community Health Resource Center’s (CCHRC) bilingual website at www.cchrchealth.org

預防乙型肝炎

肝炎是指肝臟發炎之疾病。其中一個最常見的致病原因是基於乙型肝炎病毒。乙型肝炎病毒能引致肝硬化，最終致癌。受損的肝臟會失去了很多重要的功能。

乙型肝炎病毒是通過分娩(在生產過程中，由母親將病毒傳給嬰兒),血液，及性交傳染。當接觸乙型肝炎病毒之後，有些人會受到感染而有些人則不會。受到感染之後或許會有症狀，然後康復，又或許亳無徵狀﹔但在日後會患上肝病。有些情況下,例如幼年時接觸到病毒,您可能會受到慢性感染。 這樣，您應該每年見您的醫生至少一次。

最佳防止患上這嚴重疾病的方法就是接受簡單乙型肝炎血液檢查以及接受防疫注射。預防疫苗是不會引致您感染乙型肝炎。它是安全和有效的並能夠保護您的一生。

如欲了解更多關於乙型肝炎和其他健康資訊，請瀏覽華人社區健康資源中心的雙語網址 www.cchrchealth.org

Everyday Exercise RoutineLeg Raise

Lie flat on the floor and be sure that your head, legs and bottom are touching the floor.

Place your arms on the side with palms facing down.

Slowly lift your legs up to a 45-degree angle, keeping your legs straight. Do not bend at the knees.

Pause for a second then slowly lower the legs back down.

日常運動小貼士提腿

平躺在地板上，並確保你的頭，腿和腰部 接觸地面。

雙臂在身邊平放，手掌朝下。

慢慢將腿提高約 45 度角，保持雙腿伸直， 膝蓋不要彎曲。

維持此動作約一秒鐘，然後慢慢放下雙腿， 回原位。

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Are You Prediabetic? Sign Up for Chinese Hospital Diabetes Prevention Program!Type 2 diabetes is the most common form of diabetes. If you have type 2 diabetes your body does not use insulin properly. Diabetes can cause serious health complications including heart disease, blindness, kidney failure, and lower-extremity amputations. Prediabetes means that your blood sugar level is higher than normal but not yet high enough to be classified as type 2 diabetes. Without any changes, prediabetes is likely to become type 2 diabetes in 10 years or less. However, with healthy lifestyle changes, you can cut your risk of developing type 2 diabetes in half by losing 5 to 7 percent of your body weight. That is about 8 to 11 pounds for a person weighing 160 pounds.

Through Chinese Hospital Diabetes Prevention Program, participants work in a group with a trained lifestyle coach to learn the skills needed to lose weight, become more physically active, and manage stress. Chinese Hospital Diabetes Prevention Program is part of the National Diabetes Prevention Program, led by the Centers for Disease Control and Prevention (CDC). It’s proven to prevent or delay onset of type 2 diabetes.

The local program will be offered in both English and Chinese at Chinese Hospital Outpatient Center Gellert Health Services, 386 Gellert Boulevard, Daly City. The program is FREE to CCHP members and Chinese Community Health Services patients, $220 for everyone else. (We do not accept other insurance). Chinese Hospital Diabetes Prevention Program groups meet once a week for 16 weeks, then once a month for 6 months.

If you have been diagnosed with prediabetes (a fasting blood glucose level between 100 and 125mg/dl; or A1c level between 5.7 and 6.4), or you are overweight and have a family history of diabetes, you are qualified for this program. To find more information about your eligibility or to register, please call 1-415-677-2458.

糖尿病前期？報名參加東華醫院的糖尿病預防課程吧！

二型糖尿病是最常見的一種糖尿病。它是由您身體無法正常使用胰島素引起的。糖尿病可能引起嚴重的併發症，包括心臟病、失明、腎衰竭和下肢截肢。糖尿病前期，是指您的血糖水平超出了正常範圍，但是還不足以高到被歸類為2型糖尿病。如果不採取任何措施，糖尿病前期很有可能會在十年之內轉變成2型糖尿病。但是通過健康的生活方式，您能減掉原有體重的百分點之五至七（相當於一個體重160磅的人減掉8-11磅）， 從而將您進一步發展成2型糖尿病的風險減半。

通過東華醫院的糖尿病預防課程，學生在訓練有素的生活方式教練的指導下，學習減輕體重、增加鍛煉、和管理壓力的各種技能。這課程已被證明了能夠有效地預防和延緩患上2型糖尿病的機會率，亦是國家疾病預防控制中心領導的全國糖尿病預防項目的一部分。

該課程將會提供中英文授課，上課地點為位於帝利市的Gellert華康醫務中心，地址386 Gellert Boulevard, Daly City。該課程對華人保健計劃會員和華康醫務中心病人免費開放，其他公眾收費220美金整套課程。(不接受其他醫療保險) 該課程共22堂課，前16堂課為每週一次，後6堂課為每月一次，為期共約一年。

如果您被診斷為糖尿病前期（空腹血糖100-125mg/dl;或者糖化血紅蛋白A1c 5.7-6.4），或者您體重超重且有糖尿病家族史，那麼您就可以報名參加該課程。歡迎來電報名，或者諮詢更多相關信息，電話1-415-677-2458

This quarterly newsletter highlights health topics and programs that may be important to you, your family or someone you care about. Please read, enjoy, participate in our programs and pass it along when done. If you would like additional copies or to be removed from our mailings, please call 1-415-955-8800 extension #3257 or email Info@CCHPHealthPlan.com. Electronic copies are available online at: www.CCHPHealthPlan.com/community-health-newsletter www.cchrchealth.org/health/library/health-newsletters

這季刊會注重每季度健康的主題和活動，對您，您的家人及親友都很有益。健康寶貴，分享無價。請您仔細閱讀及積極參與這些活動的同時，將這季刊在您的親友之間傳閱。如果您想索取更多副本或剔除您的郵寄地址，請致電 1-415-955-8800 內線 #3257，電郵 Info@CCHPHealthPlan.com 或上網瀏覽： www.CCHPHealthPlan.com/community-health-newsletter www.cchrchealth.org/health/library/health-newsletters

445 Grant Avenue, Suite 700 San Francisco, CA 94108

COMMUNITY HEALTH NEWSLETTER 社區健康季刊 | 2016 SUMMER 夏季刊

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CCHP Member Services Center - Chinatown 1-415-834-2118 CCHP 會員服務中心 - 華埠827 Pacific Ave., San Franciscowww.CCHPHealthPlan.com/memberservices

Sunset Health Services 1-415-677-2388日落區華康醫務中心1800 31st Ave., San Franciscowww.chinesehospital-sf.org

CCHP Member Services Center - Daly City 1-415-834-2118 CCHP 會員服務中心 - 帝利市386 Gellert Blvd., Daly Citywww.CCHPHealthPlan.com/memberservices

Excelsior Health Services 1-415-677-2488米慎區華康醫務中心888 Paris St., #202, San Franciscowww.chinesehospital-sf.org

Chinese Community Health Resource Center 1-415-677-2473 華人社區健康資源中心835 Pacific Ave., San Franciscowww.cchrchealth.org

Daly City Health Services 1-650-991-8883帝利市華康醫務中心93 Skyline Plaza, Daly City www.chinesehospital-sf.org

Chinese Hospital 1-415-982-2400東華醫院845 Jackson St., San Franciscowww.chinesehospital-sf.org

Gellert Health Services 1-650-761-3500Gellert 華康醫務中心386 Gellert Blvd., Daly City www.chinesehospital-sf.org

Support Health Services 1-415-677-2370東華醫院健康服務中心827 Pacific Ave., Rm 214A, San Franciscowww.chinesehospital-sf.org

East West Health Services - 1-415-795-8100 Financial District 中西醫學門診 - 金融區632 Commercial St., Suite 100 San Francisco | www.chewhs.org

Chinese Hospital Outpatient Center 1-650-761-3500東華醫院門診中心386 Gellert Blvd., Daly Citywww.chinesehospital-sf.org

East West Health Services - 1-650-761-3542Daly City 中西醫學門診 - 帝利市386 Gellert Blvd., Daly Citywww.chewhs.org

IMPORTANT CONTACT INFORMATION 重要聯絡資料