關於 lung pulse ，我們在網路上蒐集到這些相關的討論、資訊與評價

小編快報
《柏林脈動》（The Berlin Pulse) 今天出刊了。這是德國一年一度的外交及國際關係專刊。作者群包括學者、智庫專家、政府官員。

這一期談歐洲問題的作者有波蘭外長、Moldova 總理、德國國防部長等等等。

今年《脈動》特別做了中國專題，作者有五位，分別是：
中國的全國人大外事委員會副主任委員傅瑩、日本眾議會議員Minora Kiuchi、巴黎的中國問題專家Francois Godement、曾任澳洲駐華大使，現任外交及貿易秘書長的Frances Adamson，以及台灣的龍應台。

德國編輯在文末放了一個德國的民意調查圖表，提問是：「面對中國，你認為德國應該更強力保護自己的政治利益，即使犧牲經濟利益？」
答案：贊成 76%
反對 19%

小編把龍應台文章翻譯成中文，跟讀者分享。英文原文附在後面。如果嫌我翻譯得不好，那那那，那表示你英文很好，你就看英文吧......
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兩千三百萬人在獨木舟上
——為什麼歐洲應該關切台灣的未來

反對黨公布2020總統候選人名單的那一天，我在台北和知識圈的朋友們午餐。那悲觀的，用問句來表達自己的悲觀，譬如，「你覺得台灣還有多少年?」那樂觀的，用黑色幽默來表達樂觀，譬如，「感謝老天。香港讓他們太忙了，沒時間管台灣。」

跟德國一樣，台灣對中國大陸和香港的貿易順差，在2018年是831億美元。百分之四十一的對外貿易針對中國，中國大陸市場對台灣的重要不言而喻。然而，隨著近年來台灣海峽兩岸的關係緊張，反對黨(國民黨) 憂慮市場的優勢無法持續，而執政黨(民進黨) 則選擇強化選民對北京的不信任來抵制中國的影響力。執政黨最近提出的國安新法可能將任何被認定為為中國宣傳者入罪。

和歐洲一樣，台灣人對中國的感受也是複雜的。 當中國代表的是活躍的經濟機會時，很多台灣人就容易所謂「親中」，當中國代表的是壓迫和可能的入侵時，很多台灣人就是所謂的「反中」。問題是，中國兩者兼備。後果就是，台灣內部的分歧遠遠超過了僅只是政治和經濟的層面。

如果你知道台灣是如何一路走來的，你會覺得它今天變成一個民主社會真是一個不得了的成就。沒有革命，一黨獨裁四十年的國民黨，不管你說它是自願還是被迫，放下了政權，分享權力。沒有流血，昔日牢裡的政治犯變成今日的立法者和政治領袖。1987年解嚴以後，政權的交替基本上公平而有序地進行了三十年。

台灣安靜地進行了三十年的民主，時間幾乎和它的國際孤立一樣長。美國不承認台灣的國家地位，但是，就如同當年對於德國，美國也扮演了安全守護者的角色。令人不安的是，在美國宣布要把軍售台灣常態化的同時，中國也宣布，它在台灣海峽及其領空，要把軍艦和戰機的演習常態化。

所以台灣民主的威脅其實是雙重的。比較明顯的是中國的威脅，這個威脅，往往超出台灣本身的控制能力。一個不那麼明顯的威脅，卻是內部自製的。台灣的政治人物和政黨熱切拿這個威脅做為政治資本，刺激集體恐懼來強化部落式的愛國主義。這種操作的成功，對台灣的民主制度和機構本身，是個真實的危險。

國際上那些純粹為了攻擊中國而故意把台灣捧在手心讚美的人，其實讓我坐立不安。一代又一代的台灣人為民主付出了代價，很大的代價，而得到今天的成果。這個成果，太珍貴了，不可以變成別人或別國為了自己的利益而拿來玩弄的籌碼或棋子。

德國的歷史是特殊的。德國的人民親身目睹了，如果不戒慎恐懼地去維護，一個開放合理的社會制度是如何容易地瓦解，一夜之間可以被獨裁取代。經歷了二戰，又擺脫了共產黨的歷史爭取到自由，德國可能比很多其他國家更容易理解台灣人的困境和追求。道德勇氣的來源往往是歷史的痛苦。身為歐盟的重要成員，德國有責任為世界的和平做出最大的努力，發揮最大的影響力。

但是，歐洲憑什麼一定要關心台灣呢?

首先，如果沒有台灣模式，全世界大概就都得接受一種說法，就是，儒家文化和民主制度是無法相容的，而所謂「中國模式」就是唯一邏輯、不可避免的現代中國。台灣的存在證明了一件事：未必如此。

第二，台灣本身的努力值得世界的尊敬。沒錯，如果中國是一艘航空母艦，那麼台灣只不過是一葉孤零零的獨木舟。可是在這個獨木舟上有兩千三百萬人正在追求一種有自由、有尊嚴的生活方式。如果台灣是歐盟的一個成員，就人口論，台灣就是二十八個成員國(英國脫歐後二十七國)中第七大國，比波蘭稍小，但比荷蘭和比利時大。以經濟購買力來看，台灣更是名列全球第二十二。所以，歐洲可以想像剝奪波蘭人或者荷蘭人對生活方式和政治體制的選擇權利嗎?

23 Million People on a Canoe
—Why Europe should care about Taiwan’s future

Lung Yingtai

On the day when the opposition party announced its presidential candidate for the 2020 election, I was sitting at a lunch table in Taipei listening to my intellectual friends uttering their concerns about the future of Taiwan. The pessimists phrased their pessimism in the form of questions such as “How many years do you think Taiwan has left?” The optimists expressed their optimism with dark humour, “Thank God they will be too busy with Hong Kong and the US for a while.”

Like Germany, Taiwan operates a trade surplus with mainland China and Hong Kong, amounting to $83.1 billion in 2018. With 41% of Taiwan’s exports going to China, Taipei’s economy depends on trade with the mainland. However, given the increasing tension across the Taiwan Strait, the opposition Kuomintang (KMT) in particular has been worrying whether Taiwan will be able to sustain these figures. The ruling Democratic Progressive Party, on the other hand, is capitalizing on voters’ intense distrust of Beijing, stepping up measures to “contain” China’s influence. Taipei recently drafted a national security law that would make it a punishable offense to spread “political propaganda” for China.

As in Europe, Taiwanese feel highly ambivalent about mainland China: When China signifies economic opportunities, most Taiwanese are 23 Million People on a Canoe Why Europe should care about Taiwan’s future “pro-China”; when China represents oppression and potential invasion, most Taiwanese are “anti-China”. The problem is that China resembles both. The result is a deep division among Taiwanese extending far beyond the political and economic spheres.

Given the circumstances under which Taiwan emerged and evolved, its evolution into an authentic democracy represents an extraordinary achievement. It was without a revolution that the KMT, which had ruled Taiwan for more than 40 years, put an end to martial law and, whether convinced or compelled to act, opened the country’s political system to sharing power. Without bloodshed, dissidents who had once sat in jails became legislators and political leaders. Since the lifting of martial law 1987, power has changed hands fairly and orderly, following the results of each election.

Taiwan has been a quiet democracy for more than thirty years, nearly as long as the four decades during which it has been isolated by the international community. The US does not formally recognize Taiwan but, as with Germany, acts as the country’s security guarantor. While Washington has indicated that arms sales to Taiwan will become more of a routine, China has devised a routine of its own by holding long-range combat drills and ordering its fighter jets to cross the maritime line.

However, the threat to Taiwanese democracy is twofold. The obvious one comes from China, and to a large extent lies beyond Taipei’s control. The less obvious threat is home-made, as the looming China threat tempts domestic politicians to mobilize the population’s collective fear to foment a tribal nationalism. Their success would pose a real danger to Taiwan’s democratic institutions.

Those who applaud Taiwanese democracy for the sole purpose of criticizing China make me nervous. Generations of Taiwanese fought and ultimately achieved a democracy – it is simply too precious for other people’s agendas, internal or external.

Germany has a unique history: its people have experienced first-hand how easily democratic institutions may fall apart when not meticulously guarded. Having received democracy as a gift following World War II and struggled to regain their freedom from Communist rule, Germans are in a unique position to understand both the predicament as well as the aspirations of the Taiwanese. Moral courage often comes from past sufferings. As a leading EU member state, Germany has a responsibility to maximize its own efforts as well as to influence others’ efforts for world peace.

But why should the world care about the future of Taiwan? First of all, save the Taiwan model, the world might have to accept the claim that democracy and Confucianism are incompatible, and that a communist China presents the only logical and inevitable path to modernity. Secondly, Taiwan deserves respect on its own merits. True, if China were an aircraft carrier, Taiwan would be a lone canoe. But standing on this canoe are 23 million people aspiring for a life with liberty and dignity. If it were an EU member, Taiwan would be the 7th largest of the Union’s 28 member-states (27 after Brexit), smaller than Poland but larger than the Netherlands or Belgium, with a developed economy ranking 22nd in the world by purchasing power parity. Do we really want to return to a world in which it is imaginable that countries such as Poland or the Netherlands should be deprived of their autonomy to determine their own way of life and political system?

The Berlin Pulse 2019
龍應台專文：https://www.koerber-stiftung.de/fileadmin/user_upload/koerber-stiftung/redaktion/the-berlin-pulse/pdf/2019/3_Koerber_TheBerlinPulse_YingTai.pdf
全本：https://www.koerber-stiftung.de/fileadmin/user_upload/koerber-stiftung/redaktion/the-berlin-pulse/pdf/2019/TheBerlinPulse_2019_FINAL.pdf

The Berlin Pulse has just released its 2019 issue. Lung Yingtai’s article appears on p. 29 of the PDF edition, link attached below. The journal is published annually on the occasion of the Berlin Foreign Policy Forum.

23 Million People on a Canoe
—Why Europe should care about Taiwan’s future

Lung Yingtai

On the day when the opposition party announced its presidential candidate for the 2020 election, I was sitting at a lunch table in Taipei listening to my intellectual friends uttering their concerns about the future of Taiwan. The pessimists phrased their pessimism in the form of questions such as “How many years do you think Taiwan has left?” The optimists expressed their optimism with dark humour, “Thank God they will be too busy with Hong Kong and the US for a while.”

Like Germany, Taiwan operates a trade surplus with mainland China and Hong Kong, amounting to $83.1 billion in 2018. With 41% of Taiwan’s exports going to China, Taipei’s economy depends on trade with the mainland. However, given the increasing tension across the Taiwan Strait, the opposition Kuomintang (KMT) in particular has been worrying whether Taiwan will be able to sustain these figures. The ruling Democratic Progressive Party, on the other hand, is capitalizing on voters’ intense distrust of Beijing, stepping up measures to “contain” China’s influence. Taipei recently drafted a national security law that would make it a punishable offense to spread “political propaganda” for China.

As in Europe, Taiwanese feel highly ambivalent about mainland China: When China signifies economic opportunities, most Taiwanese are 23 Million People on a Canoe Why Europe should care about Taiwan’s future “pro-China”; when China represents oppression and potential invasion, most Taiwanese are “anti-China”. The problem is that China resembles both. The result is a deep division among Taiwanese extending far beyond the political and economic spheres.

Given the circumstances under which Taiwan emerged and evolved, its evolution into an authentic democracy represents an extraordinary achievement. It was without a revolution that the KMT, which had ruled Taiwan for more than 40 years, put an end to martial law and, whether convinced or compelled to act, opened the country’s political system to sharing power. Without bloodshed, dissidents who had once sat in jails became legislators and political leaders. Since the lifting of martial law 1987, power has changed hands fairly and orderly, following the results of each election.

Taiwan has been a quiet democracy for more than thirty years, nearly as long as the four decades during which it has been isolated by the international community. The US does not formally recognize Taiwan but, as with Germany, acts as the country’s security guarantor. While Washington has indicated that arms sales to Taiwan will become more of a routine, China has devised a routine of its own by holding long-range combat drills and ordering its fighter jets to cross the maritime line.

However, the threat to Taiwanese democracy is twofold. The obvious one comes from China, and to a large extent lies beyond Taipei’s control. The less obvious threat is home-made, as the looming China threat tempts domestic politicians to mobilize the population’s collective fear to foment a tribal nationalism. Their success would pose a real danger to Taiwan’s democratic institutions.

Those who applaud Taiwanese democracy for the sole purpose of criticizing China make me nervous. Generations of Taiwanese fought and ultimately achieved a democracy – it is simply too precious for other people’s agendas, internal or external.

Germany has a unique history: its people have experienced first-hand how easily democratic institutions may fall apart when not meticulously guarded. Having received democracy as a gift following World War II and struggled to regain their freedom from Communist rule, Germans are in a unique position to understand both the predicament as well as the aspirations of the Taiwanese. Moral courage often comes from past sufferings. As a leading EU member state, Germany has a responsibility to maximize its own efforts as well as to influence others’ efforts for world peace.

But why should the world care about the future of Taiwan?

First of all, save the Taiwan model, the world might have to accept the claim that democracy and Confucianism are incompatible, and that a communist China presents the only logical and inevitable path to modernity.

Secondly, Taiwan deserves respect on its own merits. True, if China were an aircraft carrier, Taiwan would be a lone canoe. But standing on this canoe are 23 million people aspiring for a life with liberty and dignity. If it were an EU member, Taiwan would be the 7th largest of the Union’s 28 member-states (27 after Brexit), smaller than Poland but larger than the Netherlands or Belgium, with a developed economy ranking 22nd in the world by purchasing power parity. Do we really want to return to a world in which it is imaginable that countries such as Poland or the Netherlands should be deprived of their autonomy to determine their own way of life and political system?

The Berlin Pulse 2019:
https://www.koerber-stiftung.de/fileadmin/user_upload/koerber-stiftung/redaktion/the-berlin-pulse/pdf/2019/TheBerlinPulse_2019_FINAL.pdf

ARDS 的血行動力學

Experts’ opinion on management of hemodynamics in ARDS patients: focus on the effects of mechanical ventilation

Acute respiratory distress syndrome (ARDS) is frequently associated with hemodynamic instability which appears as the main factor associated with mortality. Shock is driven by pulmonary hypertension, deleterious effects of mechanical ventilation (MV) on right ventricular (RV) function, and associated-sepsis. Hemodynamic effects of ventilation are due to changes in pleural pressure (Ppl) and changes in transpulmonary pressure (TP). TP affects RV afterload, whereas changes in Ppl affect venous return. Tidal forces and positive end-expiratory pressure (PEEP) increase pulmonary vascular resistance (PVR) in direct proportion to their effects on mean airway pressure (mPaw). The acutely injured lung has a reduced capacity to accommodate flowing blood and increases of blood flow accentuate fluid filtration. The dynamics of vascular pressure may contribute to ventilator-induced injury (VILI). In order to optimize perfusion, improve gas exchange, and minimize VILI risk, monitoring hemodynamics is important.
During passive ventilation pulse pressure variations are a predictor of fluid responsiveness when conditions to ensure its validity are observed, but may also reflect afterload effects of MV. Central venous pressure can be helpful to monitor the response of RV function to treatment. Echocardiography is suitable to visualize the RV and to detect acute cor pulmonale (ACP), which occurs in 20–25 % of cases. Inserting a pulmonary artery catheter may be useful to measure/calculate pulmonary artery pressure, pulmonary and systemic vascular resistance, and cardiac output. These last two indexes may be misleading, however, in cases of West zones 2 or 1 and tricuspid regurgitation associated with RV dilatation. Transpulmonary thermodilution may be useful to evaluate extravascular lung water and the pulmonary vascular permeability index. To ensure adequate intravascular volume is the first goal of hemodynamic support in patients with shock. The benefit and risk balance of fluid expansion has to be carefully evaluated since it may improve systemic perfusion but also may decrease ventilator-free days, increase pulmonary edema, and promote RV failure. ACP can be prevented or treated by applying RV protective MV (low driving pressure, limited hypercapnia, PEEP adapted to lung recruitability) and by prone positioning. In cases of shock that do not respond to intravascular fluid administration, norepinephrine infusion and vasodilators inhalation may improve RV function. Extracorporeal membrane oxygenation (ECMO) has the potential to be the cause of, as well as a remedy for, hemodynamic problems. Continuous thermodilution-based and pulse contour analysis-based cardiac output monitoring are not recommended in patients treated with ECMO, since the results are frequently inaccurate. Extracorporeal CO2 removal, which could have the capability to reduce hypercapnia/acidosis-induced ACP, cannot currently be recommended because of the lack of sufficient data.
http://bit.ly/1Xdb1Kv

果然是蘋果照妖鏡。無論如何感謝蘋果果籽的記者邀請，在2021年3月31號做了一個訪問，製作用心。在霸權之下，蘋果被逼害至死。把備份了的影片再上載，以此作紀錄。感謝蘋果記者，祝好人一生平安。

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可以選擇成為頻道會員，彌補製作上的開支：
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Episode 5: CYCLING IN SINGAPORE TOUR WITH GOPRO HERO 9 Health benefits of regular cycling
Health benefits of regular cycling

Cycling is mainly an aerobic activity, which means that your heart, blood vessels and lungs all get a workout. You will breathe deeper, perspire and experience increased body temperature, which will improve your overall fitness level.

The health benefits of regular cycling include:
increased cardiovascular fitness
increased muscle strength and flexibility
improved joint mobility
decreased stress levels
improved posture and coordination
strengthened bones
decreased body fat levels
prevention or management of disease
reduced anxiety and depression.
Back to top
Cycling and specific health issues

Cycling can improve both physical and mental health, and can reduce the chances of experiencing many health problems.
Obesity and weight control

Cycling is a good way to control or reduce weight, as it raises your metabolic rate, builds muscle and burns body fat. If you’re trying to lose weight, cycling must be combined with a healthy eating plan. Cycling is a comfortable form of exercise and you can change the time and intensity – it can be built up slowly and varied to suit you.

Research suggests you should be burning at least 8,400 kilojoules (about 2,000 calories) a week through exercise. Steady cycling burns about 1,200 kilojoules (about 300 calories) per hour.

If you cycle twice a day, the kilojoules burnt soon add up. British research shows that a half-hour bike ride every day will burn nearly five kilograms of fat over a year.
Cardiovascular disease and cycling

Cardiovascular diseases include stroke, high blood pressure and heart attack. Regular cycling stimulates and improves your heart, lungs and circulation, reducing your risk of cardiovascular diseases.

Cycling strengthens your heart muscles, lowers resting pulse and reduces blood fat levels. Research also shows that people who cycle to work have two to three times less exposure to pollution than car commuters, so their lung function is improved. A Danish study conducted over 14 years with 30,000 people aged 20 to 93 years found that regular cycling protected people from heart disease.
Cancer and cycling

Many researchers have studied the relationship between exercise and cancer, especially colon and breast cancer. Research has shown that if you cycle, the chance of bowel cancer is reduced. Some evidence suggests that regular cycling reduces the risk of breast cancer.
Diabetes and cycling

The rate of type 2 diabetes is increasing and is a serious public health concern. Lack of physical activity is thought to be a major reason why people develop this condition. Large-scale research in Finland found that people who cycled for more than 30 minutes per day had a 40 per cent lower risk of developing diabetes.
Bone injuries, arthritis and cycling

Cycling improves strength, balance and coordination. It may also help to prevent falls and fractures. Riding a bike is an ideal form of exercise if you have osteoarthritis, because it is a low-impact exercise that places little stress on joints.

Cycling does not specifically help osteoporosis (bone-thinning disease) because it is not a weight-bearing exercise.
Mental illness and cycling

Mental health conditions such as depression, stress and anxiety can be reduced by regular bike riding. This is due to the effects of the exercise itself and because of the enjoyment that riding a bike can bring.

Health benefits of regular cycling

Cycling is mainly an aerobic activity, which means that your heart, blood vessels and lungs all get a workout. You will breathe deeper, perspire and experience increased body temperature, which will improve your overall fitness level.

The health benefits of regular cycling include:
increased cardiovascular fitness
increased muscle strength and flexibility
improved joint mobility
decreased stress levels
improved posture and coordination
strengthened bones
decreased body fat levels
prevention or management of disease
reduced anxiety and depression.
Back to top
Cycling and specific health issues

Cycling can improve both physical and mental health, and can reduce the chances of experiencing many health problems.
Obesity and weight control

Cycling is a good way to control or reduce weight, as it raises your metabolic rate, builds muscle and burns body fat. If you’re trying to lose weight, cycling must be combined with a healthy eating plan. Cycling is a comfortable form of exercise and you can change the time and intensity – it can be built up slowly and varied to suit you.

Research suggests you should be burning at least 8,400 kilojoules (about 2,000 calories) a week through exercise. Steady cycling burns about 1,200 kilojoules (about 300 calories) per hour.

If you cycle twice a day, the kilojoules burnt soon add up. British research shows that a half-hour bike ride every day will burn nearly five kilograms of fat over a year.
Cardiovascular disease and cycling

Cardiovascular diseases include stroke, high blood pressure and heart attack. Regular cycling stimulates and improves your heart, lungs and circulation, reducing your risk of cardiovascular diseases.

Cycling strengthens your heart muscles, lowers resting pulse and reduces blood fat levels. Research also shows that people who cycle to work have two to three times less exposure to pollution than car commuters, so their lung function is improved. A Danish study conducted over 14 years with 30,000 people aged 20 to 93 years found that regular cycling protected people from heart disease.
Cancer and cycling

Many researchers have studied the relationship between exercise and cancer, especially colon and breast cancer. Research has shown that if you cycle, the chance of bowel cancer is reduced. Some evidence suggests that regular cycling reduces the risk of breast cancer.
Diabetes and cycling

The rate of type 2 diabetes is increasing and is a serious public health concern. Lack of physical activity is thought to be a major reason why people develop this condition. Large-scale research in Finland found that people who cycled for more than 30 minutes per day had a 40 per cent lower risk of developing diabetes.
Bone injuries, arthritis and cycling

Cycling improves strength, balance and coordination. It may also help to prevent falls and fractures. Riding a bike is an ideal form of exercise if you have osteoarthritis, because it is a low-impact exercise that places little stress on joints.

Cycling does not specifically help osteoporosis (bone-thinning disease) because it is not a weight-bearing exercise.
Mental illness and cycling

Mental health conditions such as depression, stress and anxiety can be reduced by regular bike riding. This is due to the effects of the exercise itself and because of the enjoyment that riding a bike can bring.