Blog

Sore Throat, Strep Throat, or COVID? How to Tell?

Sore throats are a common medical problem associated with many different conditions. Here’s how to tell if your sore throat symptoms are the result of a cold, a bacterial infection, or COVID-19.

Oct 1st, 2023

Why You Want to Get Your Flu Shot Early

Fever, sore throat, fatigue, and muscle aches; the flu packs a powerful punch. Your best defense: Getting a flu vaccine early — before the virus hits.

Sep 1st, 2023

Precautions Every Heart Disease Patient Should Follow in Extreme Heat

Scorching temperatures impact everyone, but for heart disease patients, extreme heat can be life-threatening. If you have heart disease, it’s essential to take extra precautions when the mercury rises.

Aug 1st, 2023

10 Ways to Prevent Mosquito Bites From Sabotaging Your Summer Fun

Don't let pesky mosquitoes suck the fun out of your summer. Read on to learn 10 expert tips for keeping these annoying bugs away.

Jul 1st, 2023

Tips to Prevent Food Poisoning This Summer

Summer is the time for picnics and campouts. Unfortunately, food poisoning is also more common during the warmer months. Read on for tips on staying healthy this season and what to do if you do get food poisoning.

Jun 1st, 2023

Can I Still Exercise If I Have High Blood Pressure?

Exercise is key to keeping your blood pressure numbers in control. Always check with your provider to make sure you’re ready for more physical activity, but know that exercise can help you lower your high blood pressure in the long run.

May 1st, 2023

Life After a Heart Attack

If you’ve had a heart attack, it’s more important than ever to do all you can to protect your heart and improve your health. Here are six steps you can take — starting right now — to help your heart stay healthy after a heart attack.

Apr 1st, 2023

When to Seek Medical Help for a UTI

Could your abdominal pain be related to a urinary tract infection (UTI)? This common bacterial infection can lead to serious complications if left untreated.

Mar 1st, 2023

Ask These Questions at Your Next Well-Woman Exam

Want to make your next well-woman appointment particularly fruitful? Ask these questions to set yourself up for your healthiest year yet.

Feb 8th, 2023

Do I Need a Pneumonia Vaccine?

The threat that pneumonia poses depends upon a number of different factors, including your age and your current and past medical history. Here, we look at who should consider a pneumococcal vaccine.

Jan 4th, 2023

5 Lifestyle Tips to Reduce Your Risk for Heart Disease

In the United States, heart disease is the leading cause of death for all ethnicities. Fortunately, you can take steps to address or prevent many types of heart disease by making the right lifestyle choices. Read on to learn how.

Dec 1st, 2022

How to Turn Pre-Diabetes Around

Being diagnosed with pre-diabetes doesn’t mean that developing type 2 diabetes is unavoidable. You can turn pre-diabetes around and reclaim your health. Keep reading to find out how.

Nov 1st, 2022

Why You Need a Flu Shot Every Year

If you want to avoid weeks of misery this winter, a flu shot provides your best protection. And unlike other vaccines, this one is ever-changing, which is why you need a new flu shot every year.

Oct 1st, 2022

What Every Parent Should Know About Childhood Concussions

Concussions may be a relatively common childhood injury, but they can have lasting effects if you’re not proactive in treating them. Learn common concussion signs after a head injury, and find out the best way to treat and prevent them.

Sep 1st, 2022

Recognizing the Signs of a Bee Sting Allergy

Bee stings hurt. Most of the time, the pain subsides after a few hours. However, if you’re allergic to bee stings, you need immediate medical treatment. Learn to recognize the signs of a bee sting allergy.

Aug 1st, 2022

Millions of Americans Have High Blood Pressure and Don't Know it

The number of adults with high blood pressure in our country is soaring, even though the condition is largely preventable and treatable. A big issue: Many people don’t even know they have high blood pressure.

Jul 27th, 2022

Do I Need to See a Doctor for Pink Eye?

While some cases of pink eye will go away on their own, others warrant a visit to the doctor. Learn when to seek medical care in this guide.

Jun 7th, 2022

Swimmer’s Ear to Sunburns: How to Protect Kids From Common Summer Health Hazards

When the calendar turns to summer, it's difficult to resist the urge to get outside, especially when kids have a lot of energy to expend. Find out how to keep them healthy while having fun in the sun.

May 4th, 2022

5 Practical Ways to Improve Your Heart Health

The bad news? When your heart isn’t healthy, it leads to life-threatening conditions. The good news? It’s not hard to keep your heart healthy. Here are five practical ways to improve your heart health!

Apr 1st, 2022

Does That Cut Need Stitches?

Cuts are common, and most minor, shallow cuts heal on their own with a little tender loving care. But, there are instances when a cut needs professional medical attention. Here’s how to tell if your cut requires a doctor’s care.

Mar 1st, 2022

How to Prepare for Your Immigration Physical

Are you ready to apply for a permanent resident card (a “green” card) or citizenship in the United States? Taking these simple steps can help your immigration physical go smoothly and streamline the entire process.

Feb 1st, 2022

Who Should be Tested for STDs and How Often?

Not sure when you need an STD test? There are three main testing schedules, and we can help you figure out which is right for you. Continue reading to learn more about how often you need to be tested for STDs.

Jan 1st, 2022

7 Strategies for Staying Healthy While Traveling This Holiday Season

Whether you’re hitting the road or hopping a flight to an exotic location, safeguarding your loved ones’ health while traveling this holiday season lets everyone get the most out of these all-too-rare moments.

Dec 1st, 2021

9 Tips for Preventing Winter Colds and Flu

Along with Thanksgiving, November means it’s cold and flu season. Even if everyone around you is sneezing and coughing, you’re not doomed — there’s a lot you can do to protect yourself from illness.

Nov 1st, 2021

Tips for Preventing UTIs

They’re painful, they disrupt your life, and they’re embarrassing to talk about. Don’t just hope a UTI doesn’t happen to you, be proactive and avoid getting one in the first place with these straight-from-the-experts tips.

Oct 10th, 2021

What to Know About That Sore Throat and Whether You Need Medical Care

Sore throats are common and usually get better on their own. But when the cause is a bacterial infection like strep throat, a visit to the doctor is necessary. Read on to learn more about your sore throat and when you should seek medical intervention.

Sep 7th, 2021

7 Tips for Avoiding Heat Stroke

While spending time outdoors is a healthy way to rejuvenate your mind and body, it’s important to maintain caution to avoid a heat-related illness like heat stroke. The good news is that you can prevent this dangerous condition with precautions.

Aug 8th, 2021

Lifestyle Tips for Healthy Arteries

There’s nothing novel about protecting your arteries, the largest veins in your body. Without arteries that are in good condition, your overall health is vulnerable to a list of difficult conditions. Here’s how you can help us help you.

Jul 20th, 2021

Spotting the Warning Signs of a Thyroid Issue

Don’t dismiss your weight gain and fatigue as an unfortunate side effect of the aging process. These symptoms may be warning signs of a thyroid issue. Read on to learn more about your thyroid and how to spot problems.

Jun 13th, 2021

How a Lack of Sleep Can Jeopardize Your Cardiovascular Health

We all know the importance of sleep. That is when our bodies "work their heart out" to restore themselves for a new day. Thus, getting a night of adequate sleep is extremely important for our physical health, especially our heart. Read on to learn more.

May 5th, 2021

Are You Up-to-Date With Your Immunizations?

With all the focus on COVID-19 vaccinations, are you keeping up with other routine immunizations? How about the kids? Our experts share information regarding adult and pediatric immunizations and why they’re so important.

Apr 1st, 2021

How to Prevent Asthma Attacks this Spring

Outdoor events, blooming trees, and spring cleaning can also mean asthma sufferers are at greater risk of dangerous attacks. Taking certain precautions in the springtime can help you avoid distress.

Mar 7th, 2021

Best Exercises for Patients With Diabetes

Exercise can help you manage diabetes by helping with your day-to-day energy and sleep. Plus, it’s a proven way to lower blood pressure and stabilize your blood sugar. Here are some of the top ways to add activity to your life.

Feb 11th, 2021

5 Conditions Easily Diagnosed and Treated Via Telehealth

Have you ever gone through the motions of visiting a doctor and wondered if you both could have saved a lot of time by just talking on the phone? Stop wondering. It’s called telehealth, and it works for all kinds of minor medical problems.

Jan 4th, 2021

It's Nearly Cervical Cancer Awareness Month: Have You Had Your Pap Smear?

If you’re like most women, getting a Pap smear isn’t at the top of your to-do list. But this important screening could save your life. This January, make National Cervical Health Awareness Month the time you schedule this life-saving test.

Dec 1st, 2020

Learn to Recognize these Lesser Known Signs of a Heart Attack

It’s easy to assume that signs of a heart attack should be obvious. But in many cases, the symptoms are subtle and unassuming. When you know what to pay attention to, you have a strong chance of saving your life.

Nov 5th, 2020

5 Ways to Manage Diabetes Through the Holidays

Are you worried about maintaining control over your blood sugar over the holidays? Sticking to your diabetes eating plan can be hard when there are so many delicious things to enjoy. Here’s how to manage.

Oct 5th, 2020

The Importance of Getting Your Flu Shot Early, Especially Amid COVID-19

With fall comes the flu season. And with the flu can come miserable days of fever, headaches, congestion, chills, and other symptoms. Learn why getting a flu shot is the best way to stay free of the flu.

Sep 1st, 2020

Vaccines and Boosters Every Adult Should Have

While you probably have no memory of your childhood vaccinations, you’ve sailed through life reaping their benefits. As an adult, there are a few more vaccinations and boosters you should receive to ensure your long-term health.

Aug 10th, 2020

Why You Shouldn't Skip Your Well-Woman Exam

Life can be busy, but that doesn’t mean your health and wellness should take a back seat. Keep reading to see why well-woman exams matter and how they can protect your overall health.

Jul 14th, 2020

Prevent Prediabetes from Turning into Full-Blown Diabetes

Are you prediabetic? You can get ahead of your diagnosis and lower your risk of full-fledged diabetes. Cut out sugar, change your habits, and live a healthy life!

Jun 15th, 2020

Back Pain and Heart Disease

Symptoms of heart disease most often include chest pain and shortness of breath, but did you know that upper or lower back pain can be a signal of an impending heart attack in women? Read on to learn more.

May 21st, 2020

Does Pink Eye Require Urgent Care?

Is your eye irritated and turning pink? Do you have a lot of discharge gumming up your lashes? You may have conjunctivitis, more commonly known as pink eye. Learn when to make an urgent care appointment to take care of this common problem.

Apr 21st, 2020

When a Sore Throat Warrants a Trip to Urgent Care

You have a sore throat, but is it severe enough to warrant a trip to an urgent care facility? Here’s what you need to know.

Mar 13th, 2020

i693 Medical Exam Requirement for U.S. Immigration

Immigration requirements for K and V visa's in the United States include a medical exam using a form called the i693, the exam includes a physical exam along with any required vaccinations. Learn More about this important USCIS immigration process.

Feb 10th, 2020

My Pap Smear Results Were Abnormal — Now What?

Getting abnormal Pap smear results can be scary, but it doesn’t always mean that you have cancer. Abnormal results could indicate other issues, and they always require additional testing. Find out what to do when your Pap smear results come back abnormal.

Dec 1st, 2019

Myths and Facts About Immunizations

Measles, mumps, and meningitis. These are all avoidable thanks to life-saving immunizations. But what about all the controversy over their safety? It’s time to learn the truth about vaccines!

Nov 1st, 2019

Spotting the Warning Signs of a Thyroid Disorder

For men and women with thyroid conditions, determining what symptoms to be on the lookout for may be difficult. Find out what causes thyroid disorder and how to accurately detect it, so you can live a better life.

Oct 1st, 2019

Here's How Stress Affects Your Blood Pressure

You’re late for work, the car won’t start, and you spilled coffee on your shirt. No wonder your blood pressure spiked. But can all that stress cause long-term hypertension? Learn what stress does to your blood pressure over time.

Sep 1st, 2019

Annual Physicals and Other Tips for Keeping Kids Healthy This Fall

Back-to-school time is busy! A visit to Dr. Gandhi for an annual checkup is an important part of making sure kids begin school healthy and ready to learn. Discover why an annual physical is important and other tips for keeping your kids healthy.

Aug 1st, 2019

The Link Between Obesity And Diabetes

Obesity is at an all-time high in the United States, and so is Type 2 diabetes. Here’s a look at the link between obesity and diabetes, your risk, and what you can do to prevent, or at least manage, this chronic — and potentially deadly — condition.

Jul 12th, 2019

Heart Disease in Women: Facts and Myths

Heart disease is the leading cause of death in the US, and although it impacts both men and women at an alarming rate, women experience heart disease much differently than men. Find out the facts and the myths surrounding heart disease in women.

Jun 14th, 2019

Know When Your Sprain Warrants A Trip To Urgent Care

When you injure a joint, it can be difficult to tell if urgent care is necessary, whether treatment can wait for your primary care provider, or if you need medical care at all. Follow these tips to ensure prompt attention and a thorough recovery.

May 14th, 2019

Forgot Whether You've Had an Immunization? You Can Get Tested

Are you up to date on your immunizations? Do you remember the last time you had a vaccination? You don’t have to let these questions keep you from protecting your health. We can help make sure you’re covered.

Apr 17th, 2019

3 Natural Ways to Lower Your Blood Pressure

Do you have high blood pressure? Controlling it might be easier than you think. Discover how increasing your activity, controlling your weight, and relieving stress levels can lower your blood pressure.

Mar 29th, 2019

Telehealth: The Advantages of Telemedicine

Struggles to get to the clinic? Trying to reduce your exposure to COVID-19, as well as other contagious illnesses, and still need to see your doctor? Telehealth is safe and easy — receive quality care from anywhere.

Oct 29th, 2021

4 Steps to Becoming Your Healthiest You

It’s a new month, but according to the astronomical calendar, spring won’t arrive until March 20. So ladies, while it is still winter, you might as well begin organizing your spring now. At Medinet Family Care Clinic in southwest Houston, we suggest star

Mar 29th, 2019

Come to Medinet to Stay Out of the Hospital

At Medinet Family Care Clinic in southwest Houston, we are very aware that going to the doctor is not high on the list of fun things to do. But it should be at the top of the list of things we must do. Receiving a health check is a very important part of y

Mar 29th, 2019

Receive Your Well Woman’s Exam at Houston’s Medinet

Children want their mothers healthy. Husbands want their wives healthy. Brothers want their sisters healthy. Parents want their daughters healthy. And girlfriends want their girlfriend healthy. We all want to be healthy. For women, our Medinet Well Woman’s

Mar 28th, 2019

65+: Staying Healthy with Medinet in Houston

Illnesses and diseases seem to be in the news quite often. The threat of the flu, injuries from physical activity, and health issues that arise from being sexual active with numerous partners, are common health issues that younger people seem to focus on.

Feb 19th, 2019

Complete Your Immigration Exam At Medinet

We know that the process towards a green card or citizenship can be hard work. However, our Houston medical clinic is here to make it a little easier. An immigration exam is for anyone working towards a green card or U.S. citizenship. These exams are perfo

Feb 13th, 2019

Food Allergies Could Be Keeping You From Your Goals

You may have heard of a variety of fad diets that have become extremely popular recently. From ketogenic diets, to paleo diets, to whole30, there always seems to be a new “right” way to eat. It is hard to know what will actually benefit your health. If you

Feb 5th, 2019

Annual Exams Can Help You Stay Healthy In 2019

We are through the hectic holiday season, and people everywhere are starting work on their new year’s resolutions. If one of your resolutions is to prioritize your health, annual exams at Medinet can help. If your health isn’t one of your resolutions, it s

Jan 15th, 2019

Get Ahead Of Houston’s Allergy Season At Medinet

In many states across the U.S. winter is a welcome break for allergy sufferers everywhere. While it may bring cold weather, it also signals a stop to the pollens that normally fill the air. However, as many Houston residents know, this isn’t always the cas

Jan 15th, 2019

Houston, Schedule Your Annual Exam Today

The holiday season is a busy time for families across Houston. The last thing you need this holiday is to get sick. Missing work or precious time with family can be often be prevented with a visit to our Houston medical clinic. Scheduling your annual exam

Dec 29th, 2018

Your Medical Benefits Expire Soon: Use Them Or Lose Them

It’s that time of year again. If you have remaining medical benefits, schedule an appointment with our family care clinic right away. Otherwise, you lose them forever. If you have reached your deductible for the year, and still have benefits available, the

Dec 29th, 2018

Houston – It’s Not Too Late To Get Your Flu Shots!

We do everything we can during the holiday season to keep our families healthy. Spending the holidays in bed with the flu is the last thing anyone wants. Missing work or school, and losing out on quality time with family is the worst, especially this time

Dec 29th, 2018

Houston – Use Your Medical Benefits NOW!

With 2019 just around the corner (literally, it’s next week!) it is crunch time to utilize your medical benefits before you lose them on January 1. That means if you have any medical treatments or concerns, now is the time to schedule an appointment. We on

Dec 29th, 2018

Why Do We Do Annual Health Exams For Kids?

At Medinet Family Care Clinic, we know how important it is to keep your kids healthy and in school all year. That is why we encourage all our patients to bring their children in for annual health exams, even if they are very healthy. Starting annual health

Nov 29th, 2018

Houston, It’s Not Too Late To Get A Flu Shot

November brings cooler weather to Houston every year, and with it, the height of flu season. With the season in full swing, if you have yet to get a flu shot yet there is no time to waste. While October is still the best time of year to receive your annual

Nov 29th, 2018

Avoid Days Off Work And School An Annual Flu Shot

November is well under way and you may have noticed your friends and coworkers missing from the office. If the people around you are getting sick, you are at risk for getting sick too. The flu virus is highly contagious. It is present in the body for sever

Nov 29th, 2018

Annual Exams For Families At Our Houston Medical Clinic

Houston, are you keeping up with your health? Many families have difficulty making the time to keep up with their health and their children’s health. Between school, work, and activities, finding time to visit the doctor can seem impossible. At our Houston

Nov 29th, 2018

Houston! Are You Ready for Flu Season?

Fall is scheduled to begin on September 22. But Houston weather never cares about the schedule of the seasons. We are witness to that every year because it always feels like summer. As much as Houston doesn’t care about annual seasons...

Sep 21st, 2018

Annual Exams for Better Health and Prevention

Those of us in good health want to stay that way. Those of us in bad health want to be like those in good health. At Medinet Family Care Clinic, we can help both groups of people...

Sep 20th, 2018

During Your Annual Health Exam, Get Your Flu Shot

An annual health exam is extremely important, especially after reaching 50 years old. One of the most important aspects of receiving an annual exam is checking to make certain your immune system is strong.

Aug 20th, 2018

Flu Shots at Medinet! Just $28 for Non-Insurance Patients.

Fall is here (official start is actually Sept. 22)! As the cooler weather starts coming in, unfortunately, so does the flu bug. Our physicians at Medinet Family Care Clinic in southwest Houston recommend that you receive your flu shot soon...

Aug 20th, 2018

Health Annual Exams at Our Houston Clinic

Annual exams are used to make certain that your health is in good working order, and if it is not, then the exam is designed to find those ailments so they can be addressed.

Aug 20th, 2018

Hurry! Get Your Kids’ Physical Exams Before School Starts

The school year is moments away. Has your child receive their school physical yet? If not, you need to make sure they receive theirs, otherwise they won’t be able to participate in their school’s extracurricular activities.

Aug 20th, 2018

Figure Out Your Health Status with an Annual Exam

When was your last health check? If it’s been over a year, then you should consider coming to Medinet Family Care Clinic in southwest Houston for your annual exam.

Aug 20th, 2018

Football Season Is Here! Is Your Child Healthy Enough?

The high school football season has arrived. Kids are starting to practice in the heat for summer drills, but is your child ready for the demands of football season? For any student to play sports or be involved in extracurricular activities, they must...

Aug 20th, 2018

Get Your Kids’ Sports Physical at Our Medical Clinic

The school year will be starting up again, which means students will be preparing for their sports programs. Whether your child is playing football, basketball, volleyball, soccer, or any other sports activity, they will need to undergo a sports physical..

Aug 20th, 2018

The Importance of Annual Health Exams

Keeping you and your family healthy is the primary objective at Medinet Family Care Clinic in southwest Houston. The best way to ensure you are healthy for the future is by checking your current health status.

Jul 20th, 2018

This July Come Get Your Annual Health Exam

After reaching a certain age, preventative health examinations become more and more important. Once you pass the age of 40, health exams should be done on a more consistent basis, and especially once you reach retirement age. At Medinet Family Care Clinic

Jul 20th, 2018

Physical Exams: Get Your Child Ready for School Sports

Before you know it, school will be back in session. If your child is actively involved in extracurricular activities at school, then they will most likely need to pass a physical exam...

Jul 20th, 2018

Keeping You and Your Family Healthy This Summer

Summer is the time for having fun with friends and family. Staying healthy helps ensure you and your family make the most of this fun time of year. At Medinet Family Care Clinic, our medical staff is here to help keep you healthy or help get you back...

Jun 21st, 2018

Discover Your Allergies and Get the Most Out of Summer

Just about all of us have an allergy of some kind, whether that is to pollen or some kind of food. At Medinet Family Care Clinic in southwest Houston, our highly trained and experienced physicians know how to pinpoint allergies so you can fend them off...

Jun 20th, 2018

Green Card or Citizenship? Our Houston Medical Clinic Can Help

According to a Pew Research study, approximately 1 million immigrants are issued a green card every year. Slightly more than half of those are current residents. If you or someone you know is seeking to receive or renew their green card status, then our me

Jun 20th, 2018

End Your Spring By Defeating Your Allergies

If you are still struggling through the pollen of spring, then it is time to come to Medinet Family Care Clinic to address your allergies. Our southwest Houston medical clinic can uncover the reason or reasons why you are struggling with allergies and...

Jun 20th, 2018

Overcoming Allergies Through Allergy Therapy

Do you or a loved one suffer from allergies, whether from pollen or food? If so, Medinet Family Care Clinic can help you overcome those allergic reactions through allergy therapy. Our trained and experienced Houston physicians will evaluate your condition

Jun 20th, 2018

Manage Your Health at Our Houston Medical Clinic

Medinet Family Care Clinic provides Houston patients with excellent medical care ranging from allergy tests to health exams to the treatment of acute and chronic medical conditions. Our health clinic helps patients manage and treat their health...

May 20th, 2018

Summer Immigration Exam? Come to Medinet

What does this summer hold for you? Are you preparing for your immigration exam for citizenship or a green card? Then you’ll need to complete your health examination. At our southeast Houston medical clinic, we can provide you with your health...

May 20th, 2018

Going on Vacation? Get Your Health Check Now

What are your plans for this summer? Going on vacation? If so, you should consider coming to Medinet Family Care Clinic in southwest Houston. Summer vacation should be spent sightseeing, laughing, and having a great and relaxed time with family or friends.

May 20th, 2018

Health Exams and Allergy Tests at Medinet

Managing your health is daily routine, or at least it should be. Diet and exercise are daily functions that result in longer and healthier lives. At Medinet Family Care Clinic in southwest Houston, our medical staff care greatly about the health of our...

Apr 21st, 2018

Don’t Let Houston Allergies Ruin Your Spring

If you’ve been sneezing, suffering from watery eyes and an itchy throat, then put a stop to it. You should come in to our medical clinic in southwest Houston. We have patients visit our medical office all the time to undergo allergy testing...

Apr 20th, 2018

Study Recommends Peanut Introduction to New Babies

Pregnant women and parents of newborn babies have been urged to introduce their babies to peanuts early on. The peanut introduction has been recommended to begin somewhere between 4 and 6 months of the child’s life..

Apr 20th, 2018

Are You Ready for Your Citizenship Exam?

Texas is known for immigrants working toward either their green card status or outright citizenship. At Medinet, we care deeply about the status of our patients, which is why we work so hard to make certain all of our patients who are working...

Mar 22nd, 2018

Stop Your Kids’ Allergies Before Spring Break

Spring break starts in a few days, which means your kids will have the whole week to take it easy or go on a little trip. Before they head out or stay home, get their allergies treated at our southwest Houston medical clinic so they can enjoy...

Mar 21st, 2018

Defeat Your Houston Allergies

Allergies can cause real problems in daily life, and for many in Houston, they aren’t even certain of what they are allergic to. At Medinet Family Care Clinic, we encounter patients all the time who suffer from allergies that can easily be avoided...

Mar 21st, 2018

Our Houston Clinic Ensures Your Health

Once we reach a certain age, we need to make certain that our health is working for us and not against us. At Medinet Family Care Clinic, we highly recommend that you don’t leave your health up to chance. Our health examinations make certain that you...

Mar 20th, 2018

Complete Your Houston Immigration Exam This Spring

Are you in the process of pursuing your green card or your American citizenship? There are various steps necessary to achieving these. One of those very important steps is completing and passing the immigration exam for health.

Mar 20th, 2018