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在medical care journal這個產品中，有16篇Facebook貼文，粉絲數超過2萬的網紅國家衛生研究院-論壇，也在其Facebook貼文中提到， ➥【已接種兩劑輝瑞/BNT疫苗之醫事人員的突破性COVID-19感染】：【新英格蘭醫學期刊】於2021年7月14日發表全球第一篇ChAdOx1 (AZ)新冠疫苗混打mRNA-1273 (Moderna)疫苗的研究。 ■ 背景 雖然輝瑞/BNT COVID-19 mRNA疫苗能有效預防SARS-C...
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medical care journal 在 國家衛生研究院-論壇 Facebook 的精選貼文

國家衛生研究院-論壇 By 國家衛生研究院-論壇

2021-08-12 07:30:36 有 41 人按讚
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➥【已接種兩劑輝瑞/BNT疫苗之醫事人員的突破性COVID-19感染】：【新英格蘭醫學期刊】於2021年7月14日發表全球第一篇ChAdOx1 (AZ)新冠疫苗混打mRNA-1273 (Moderna)疫苗的研究。
　
■ 背景
雖然輝瑞/BNT COVID-19 mRNA疫苗能有效預防SARS-CoV-2的感染，近來陸續有突破性感染(breakthrough infection)的病例出現。此篇研究由以色列團隊所進行，探討發生突破性感染的相關指標(correlate)。
　
■ 方法
Sheba Medical Center是以色列最大的醫學中心，共有12,586位醫事人員。截至2021年4月底，已有91%的人員接種兩劑輝瑞/BNT疫苗。為監測是否出現突破性感染，中心針對有症狀或有接觸史的人員，進行廣泛的檢驗，項目包括PCR核酸檢測、抗原快篩、血清抗體檢測及病毒基因定序。研究採病例對照分析法(case–control analysis)，針對每位突破性感染者(病例組)，依性別、年齡及免疫抑制情形選取配對的對照者(已接種二劑疫苗且未發生突破性感染的醫事人員)(對照組)。病例組/對照組以1:4~5比例進行配對，比較兩組的血清抗體效價，分析發生突破性感染的相關指標。研究也分析突破性感染者的血清中和抗體效價與病毒量(N基因之PCR的Ct值)的關聯性。
　
■ 結果
共有1497位受完整兩劑疫苗的醫事人員因有症狀或接觸史而接受了PCR檢驗，其中39位發生突破性感染(PCR陽性)，平均年齡為42歲。病例組在感染前(一星期內)的血清中和抗體效價較對照組低，病例組/對照組抗體幾何平均值比為0.361 (95%信賴區間:0.165-0.787)。在病例組中，若感染前血清中和抗體的效價較高，所測得的病毒量則較低(Ct值較高)，代表傳染力也較低。多數突破性感染者的症狀輕微或是無症狀，不過有19%的感染者症狀持續6個星期以上，出現嗅覺喪失、持續咳嗽、疲倦、虛弱、呼吸困難及肌肉痠痛等新冠長期(long COVID-19)症狀。
　
突破性感染病例中，85%是由B.1.1.7 (alpha變異株)所引起，和當時的社區流行病毒型別相符。29(74%)位感染者在感染期間可測到相當的病毒量(Ct值<30)，不過其中只有17 (59%)位抗原快篩呈現陽性反應。詳細疫情調查顯示這39位感染者並未再將病毒傳染給周圍的人員(無二次感染現象)。
　
■ 結論
於接受完整兩劑疫苗的醫事人員，其突破性感染的發生和感染前的血清中和抗體效價兩者高度相關。多數突破性感染者的症狀輕微或是無症狀，不過有些病患會出現新冠長期症狀。
　
此外，多數突破性感染者身上仍帶有病毒，對其周遭的脆弱族群而言，可能還是具有傳播病毒的風險...完整轉譯文章，詳連結：http://forum.nhri.org.tw/covid19/virus/j_translate/j2691/ ( 財團法人國家衛生研究院 吳綺容醫師摘要整理)
　　
　　
📋 The New England Journal of Medicine - 2021-07-28
Covid-19 Breakthrough Infections in Vaccinated Health Care Workers
■ Author：Moriah Bergwerk, Tal Gonen, B.A., Yaniv Lustig, et al.
■ Link：https://www.nejm.org/doi/full/10.1056/NEJMoa2109072
　　
〈 國家衛生研究院-論壇 〉
➥ COVID-19學術資源-轉譯文章 - 2021/08/12
衛生福利部
疾病管制署 - 1922防疫達人
疾病管制署
　
財團法人國家衛生研究院

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國家衛生研究院-論壇

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近年台灣面臨人口老化、少子化、人口移動頻繁、貧富差距的社會現象，為因應此現象，政府成立衛生福利部，以有效彙整醫藥衛生與社會福利之資源與服務，提供整合性的服務措施及全方位的照護體系，給予民眾多方向的全人服務。完整說明，詳：https://bit.ly/3bjItNv )
國衛院論壇提供溝通平台，結合國內外專業人力，針對衛生醫療及社會福利問題之探討與增進國民健康福祉。
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medical care journal 在 國家衛生研究院-論壇 Facebook 的最讚貼文

國家衛生研究院-論壇 By 國家衛生研究院-論壇

2021-06-02 07:30:00 有 36 人按讚
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【全球醫師呼籲：請重視氣候變遷與人類健康的密切關係】
去年（2020）台灣面臨56年來首度沒有颱風登陸的一年，今年（2021）台中、苗栗地區也面因為缺水，各地面臨停水，氣候變遷、極端氣候的問題，又再度引起討論[1]。
　　
氣候變遷會對人體健康造成許多方面的影響，比如高溫引起的熱壓力[2]與高溫事件，可能使心臟、血液循環系統和呼吸道相關疾病惡化，提升這些疾病的致死率。另一方面，高溫有利接近地面的臭氧形成，而這些臭氧對人體健康有不良影響，例如可能導致肺功能下降。
　　
水災或暴風雨等極端氣候現象更頻繁出現時，也會對人體健康帶來更多隱憂，比如人可能因此受傷，嚴重時甚至導致死亡等。此外，原本已經受到汙染的水域，可能因為強降雨和水災而提升傳染病爆發的風險。
　　
在德國，氣候變遷帶來的另一個影響就是花粉季時間延長，使氣喘或過敏性鼻炎等呼吸道疾病的症狀更加惡化。而且這樣的氣候條件更有利引起過敏植物的生長與繁衍，如豬草（Ambrosia）就是一個很好的例子[3]。
　　
■氣候變遷，顯然不只是極地的人需要面對
談氣候變遷最大的困難，就是很難讓人感同身受，居住在台灣的民眾，或許很難感覺到海平面上升，極端氣候也只有缺水、下冰雹的時候才會重新被提起。
　　
詩人顏嘉琪創作的詩作〈極地〉，字字句句都提醒了我們，氣候變遷的影響，不只是變熱，跟著詩句將畫面拉到遙遠的極區，以一般人多多少少都在新聞照片看過的冰層融化、極地生物困境，作為整首詩的主題；詩名雖然叫極地，但詩中描述的事件，卻是所有人都需要面對的困境。
　　
■〈極地〉
一切早有了變化
冰在水裡延遲著
季節的鋒芒
有些更敏感的沼澤
被鹿群溫暖的腳趾
穿成雪靴
　　
溪流嚮往的
不再是湖泊
湖床抬起許多
未曾捕獲的魚骨
滿天鹽層像灼熱的星
裂開了
冰的背脊
　　
凍土層還給水
遷徙的自由
記憶沿著鹿角
岔出新的死亡
醒來是島
屍體在夢裡著火
　　
土壤裡孕育的病菌
解散了十萬頭馴鹿
和守候雪崩的西伯利亞牧人
狗兒趴上牠最愛的雪橇
他們埋的很淺
世界是一頂帳棚
掛在門邊[1]
　　
■什麼是氣候變遷？
牛津辭典2019年選出的年度關鍵字，由「氣候緊急」（Climate Emergency）拔得頭籌，成為使用度最高的字辭，不僅顯示大眾對氣候變遷的意識提升，更代表氣候危機正在全球發生。究竟氣候變遷是什麼？它是怎麼造成的？對你我生活又帶來哪些影響？
　　
「氣候變遷」（Climate Change）是都市傳說嗎？也許大部分的人都聽過，卻不見得知道它正在發生。這個在聯合國會議的決策中時常被提起的關鍵字，我們真的知道它是什麼意思嗎？[4]
　　
▶氣候變遷是指氣候平均狀態的顯著改變或持續較長一段時間（典型的為10年或更長）的氣候改變。氣候變遷的原因可能是地球的自然過程、外部力量，或者人為對大氣組成和土地利用的持續性改變。
　　
■「聯合國氣候變化綱要公約（UNFCCC）」中「氣候變遷」的定義
「氣候變遷」指「在一段可比較的時距內，所觀測的自然氣候變化以外的氣候特徵，且直接或間接歸因於人類活動所導致的大氣成分改變，而引起之氣候變化」。
　　
▶在此所指氣候變遷專指受人類活動影響的部分，與受自然因素影響的氣候變遷作出了明確的區分[5]。
　　
許多人對於氣候變遷的認識，是從2006年上映的紀錄片「不願面對的真相」（An Inconvenient Truth），得知全球暖化（Global Warming）現象，指的是大氣和海洋中的溫室氣體過量（包括二氧化碳、甲烷、水蒸氣、氧化亞氮），使地球猶如被籠罩在厚厚的溫室中，太陽照射的熱量難以散去，導致溫度升高，引發各種極端天氣如乾旱、暴雨、熱浪等[4]。
　　
■氣候變遷與全球暖化
NASA定義，全球暖化是過去一個世紀地表平均氣溫異常迅速增加的現象；而聯合國政府間氣候變化專門委員會(Intergovernmental Panel on Climate Change, IPCC)於 2018年出版的1.5℃特別報告中解釋，由大氣觀測資料可知，全球暖化指全球地表平均氣溫在30年期間快速增加。
　　
總體而言，全球暖化是地球氣候系統的長期發熱，通常被測量為地球表面氣溫的平均增加。根據IPCC於2013年發布的第5次評估報告（Fifth Assessment Report,AR5）指出，自1880到2012年，全球平均氣溫上升0.85℃，且正以數十年到數千年前所未有的速度發展，此全球暖化的現象極有可能（超過95％的可能性）是自工業革命以來，人類活動（主要是化石燃料燃燒）增加地球大氣中的溫室氣體導致的。而根據「臺灣氣候變遷科學報告2017」指出臺灣全年氣溫在1900-2012年上升約1.3℃，且近50年、近10年增溫有加速的趨勢。
　　
■人為排放的溫室氣體，可能為氣候變遷的主要原因之一
發生氣候變遷的因素有很多，IPCC指出自工業革命起，人為溫室氣體的排放不斷上升，當前已達到最高水平，主要是因經濟和人口增長所造成。
　　
值得注意的是，1750年至2011年間約一半的人為CO2排放是在最後40年間產生，造成大氣二氧化碳（CO2）、甲烷（CH₄）和氧化亞氮（N₂O）的濃度增加到過去80萬年以來最高點。CO2排放約40%留存在大氣中；剩餘的CO2從大氣中移除，儲存在陸地（植物和土壤）和海洋中。海洋大約吸收約30%的人為排放CO2，和水反應產生碳酸導致海洋酸化。整個氣候系統受到各種人為排放溫室氣體的影響，都可能為氣候變遷的主要原因之一[5]。
　　
■全球醫師呼籲：請重視氣候變遷與人類健康的密切關係
地球暖化與極端天氣事件(extreme weather events)例如：風暴、洪水、乾旱、熱浪)逐年增加增強，已嚴重侵害人類生存，乾淨的空氣與水、充足的食物、安穩住所與免於疾病危害等健康生存的條件，都面臨威脅。
　　
因此，世界衛生組織在2008年將「氣候變遷」 (climate change)訂為該年度世界健康日的主題，希望世界各國能重視氣候變遷對人類健康的影響，並且採取適當的因應措施。
　　
根據聯合國跨國氣候變遷小組IPCC 2007年的評估報告，全球平均溫度升高將導致：
(1)部分地區水資源減少及乾旱增加
(2)物種滅絕或遷移
(3)部分地區農作物會減產，而魚類的分佈與產量也會改變
(4)海平面上升等等現象，造成人類飲水、食物取得困難，生態失衡
(5)氣候變化對於工業、居住環境與社會將造成負面影響
(6)更將損及幾百萬人的身體健康
　　
以下針對上述評估報告中提到的人體健康影響議題，進一步彙整出可能造成的重大危機：
(1)糧食不足
(2)越來越頻繁的極端天氣事件將導致更多人因為熱浪、洪水、風暴、火災和乾旱而生病、受傷或死亡
(3)水資源不足以及暴雨會導致衛生環境不佳
(4)熱浪將導致心血管或呼吸系統疾病死亡率的增加、氣喘等呼吸系統與心血管疾病的發生率增加
(5)氣溫與降雨型態的改變會導致媒介動物之地理分佈的改變，造成瘧疾、登革熱、血吸蟲病(Schistosomiasis)、萊姆病(Lyme disease)、蜱媒腦炎(tick-borne encephalitis)等傳染病之散播。
▶提到這，相信你我都已深刻感受到氣候變遷確實與傳染病傳播有著密切的關係。
　　
■氣候變遷與傳染病
研究學者在2008年回顧「氣候變遷與傳染病」對北美洲可能的影響時，曾提到4類傳染病：
1. 「人畜共同傳染病與蟲媒傳染病(Zoonotic and vector-borne diseases)」
病原會因為氣溫升高，而縮短在媒介昆蟲體內的發育時間，增加能夠感染人體的期間；而氣候改變會改變媒介昆蟲與動物宿主的地理分佈與族群數目。
▶例如：萊姆病、登革熱、瘧疾、狂犬病、西尼羅病毒出血熱(West Nile Fever)、屈公病(Chikungunya)、兔熱病(Tularemia)等。
　　
2. 「水媒與食媒疾病(Water- and food-borne diseases)」
某些病原菌在溫度較高時其存活與繁殖較好，而暴雨及洪水將增加病原進入水源的機會。
▶例如：腸道出血性大腸桿菌感染症(verotoxigenic Escherichia coli)、彎曲桿菌(Campylobacter)、沙門氏菌(Salmonella)、志賀氏菌(Shigella)、弧菌(Vibrio)、退伍軍人菌(Legionella)、肉毒桿菌(Clostridium botulinum)、腸梨型蟲(Giardia)、隱胞子蟲(Cryptosporidium)。
　　
3. 「傳染性呼吸系統疾病(Communicable respiratory diseases) 」
冬季氣溫上升可能會減少呼吸道疾病的發生率，但是氣候改變造成空氣污染物的濃度升高會對呼吸道黏膜造成傷害，進而增加感染傳染病的機會。
▶例如：流行性感冒、呼吸道融合病毒(respiratory syncytial virus)、肺炎鏈球菌(Streptococcus pneumoniae)。
　　
4. 「侵襲性黴菌疾病(Invasive fungal diseases) 」
生態和氣象變化會改變當地的土壤生態、水文與氣候，造成侵襲性黴菌持續存在於環境中，並且釋放出孢子。
▶例如：皮炎芽生菌(Blastomyces dermatitidis)、隱球菌(Cryptococcus gattii)、粗球黴菌(Coccidioides immitis) [6]。
　　
■氣候變遷與人類身體健康
聯合國氣候變遷委員會（IPCC）向各國政府提出警告，若不減少排放量，氣候暖化可能透過4種方式影響人類身體健康。
▶「蚊蟲傳播」
氣溫升高提供蚊蟲繁衍的溫床，例如攜帶登革熱的蚊蟲更為普遍，且蚊蟲分布的活動空間比過去還廣[7]。
　　
▶極端氣候將導致「細菌透過水源傳播」
據喬治梅森大學的氣候中心主任莫娜所說，氣候異常易產生短期降雨量暴增，進而引發洪水氾濫，雨水與污水混合，將導致食源性疾病傳播到食物生長地方。
　　
▶「2型糖尿病患者增加」與氣候升溫有關
根據《BMJ護理雜誌》報導[8]，2型糖尿病患者增加與氣候升溫有關，但仍需要精確的實驗證明，專家目前推測與棕色脂肪組織有關。棕色脂肪組織在較冷天氣時會燃燒脂肪並產生熱量，反之，氣溫升高會降低這些組織的活性，可能刺激胰島素分泌異常與糖尿病。
　　
▶「呼吸疾病」
最後一點是最直觀的呼吸問題，溫室氣體與化石燃料污染物會在大氣中，產生固體顆粒與液體的混合物，可能侵入肺部與血液中。據《柳葉刀》報導[9]，這些粒狀混合物恐降低肺功能及增加心血管疾病（如中風）的風險，該報導統計，全球每年有800萬人死於空污[10]。
　　
全球氣候變遷與人類健康兩者間的關係是多樣、複雜且重要的，極端的天氣更會影響人的健康、安全及存活。許多呼吸道疾病、心血管疾病、腎臟疾病、消化道疾病、神經疾病、精神疾病、傳染性疾病、熱相關疾病、意外災害及癌症等都與天氣變化息息相關。
　　
因此在天氣變化時應提高警覺，隨時掌握天氣動態，留意身體的情況，當氣溫特別熱或特別冷時應小心有無呼吸道疾病、心血管疾病、神經疾病或熱疾病的相關症狀，及早發現不適症狀並及時就醫治療。
　　
而預防勝於治療，臨床醫療人員應了解氣候變遷對於人的影響，具備天氣變化可能造成相關疾病的知識，知道不論氣溫過高或過低時都會增加死亡率，寒冷效應持續時間比熱效應長，並能夠提供病患諮詢和當天氣變化時先提醒病患，尤其是老人及本身罹患慢性病的人更應叮嚀其注意身體情況有無變化，將有助於減少併發症及死亡率。
　　
藉由努力了解氣候變化對於健康的影響，建立預警系統隨時掌握當地最新的氣象動態，以及提升醫療體系對於緊急情況的快速反應，可以減少或避免人體健康遭受天氣所帶來的威脅[11]。
　　
　　
【Reference】
1.來源
➤➤資料
∎[1] (The News Lens 關鍵評論網)【接地氣的現代詩】顏嘉琪〈極地〉：詩中描述的氣候變遷，顯然不只是極地的人需要面對：https://bit.ly/32PPYbv )
　
∎[2] 指逾量生理代謝熱能、作業環境因素（包括空氣溫度、濕度、風速和輻射熱）及衣著情形等作用，對人體造成的熱負荷影響
　
∎[3] (中時新聞網)「氣候變遷與健康」：https://www.chinatimes.com/realtimenews/20210423000005-260405?chdtv
　
∎[4] Greenpeace 綠色和平 (台灣網站) 「什麼是氣候變遷？全球暖化的原因？有哪些影響？懶人包一次告訴你」：https://bit.ly/3xmfa7D
　
∎[5] (行政院環境保護署)「氣候變遷衝擊-天氣與氣候」：https://ccis.epa.gov.tw/know/detail2
　
∎[6] 飛資得醫學資訊 (FlySheet Med-Informatics) 「全球醫師呼籲:請重視氣候變遷與人類健康的密切關係」：http://vip.flysheet.com.tw:8080/mednews/003/item/115-003-hot.html
　
∎[7] (Medical Society Consortium on Climate & Health) MEDICAL ALERT! Climate Change Is Harming Our Health ：https://medsocietiesforclimatehealth.org/wp-content/uploads/2017/03/gmu_medical_alert_updated_082417.pdf
　
∎[8] Blauw LL, Aziz NA, Tannemaat MR, et al. Diabetes incidence and glucose intolerance prevalence increase with higher outdoor temperature. BMJ Open Diabetes Research and Care 2017;5:e000317. doi: 10.1136/bmjdrc-2016-000317
https://drc.bmj.com/content/5/1/e000317

∎[9]Cohen AJ, Brauer M, Burnett R, et al. Estimates and 25-year trends of the global burden of disease attributable to ambient air pollution: an analysis of data from the Global Burden of Diseases Study 2015. Lancet. 2017 May 13;389(10082):1907-1918. doi: 10.1016/S0140-6736(17)30505-6. Epub 2017 Apr 10. Erratum in: Lancet. 2017 Jun 17;389(10087):e15. Erratum in: Lancet. 2018 Apr 21;391(10130):1576. PMID: 28408086; PMCID: PMC5439030.
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)30505-6/fulltext#articleInformation

∎[10] (台灣醒報)「氣候變遷危害健康 IPCC：提防4種疾病」：https://anntw.com/articles/20181015-zjUN

∎[11] (台灣內科醫學會)內科學誌-氣候變遷與人類健康：http://www.tsim.org.tw/journal/jour23-5/05.PDF
　
➤➤照片
∎[3]
　　
2. 【國衛院論壇出版品 免費閱覽】
▶國家衛生研究院論壇出版品-電子書(PDF)-線上閱覽
https://forum.nhri.org.tw/publications/
▶氣候變遷與健康：https://forum.nhri.edu.tw/book-106-1/
　　
3. 【國衛院論壇學術活動】
▶https://forum.nhri.org.tw/events/
　　
#國家衛生研究院 #國衛院 #國家衛生研究院論壇 #國衛院論壇 #衛生福利部 #國民健康署 #氣候變遷 #健康 #不願面對的真相 #全球暖化 #溫室氣體 #傳染病

衛生福利部 / 國民健康署 / 財團法人國家衛生研究院 / 國家衛生研究院-論壇

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近年台灣面臨人口老化、少子化、人口移動頻繁、貧富差距的社會現象，為因應此現象，政府成立衛生福利部，以有效彙整醫藥衛生與社會福利之資源與服務，提供整合性的服務措施及全方位的照護體系，給予民眾多方向的全人服務。完整說明，詳：https://bit.ly/3bjItNv )
國衛院論壇提供溝通平台，結合國內外專業人力，針對衛生醫療及社會福利問題之探討與增進國民健康福祉。
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medical care journal 在 Bà Dì Nulo Facebook 的精選貼文

Bà Dì Nulo By Bà Dì Nulo

2020-12-23 23:15:47 有 4,485 人按讚
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tự triệt lông tận gốc nam nữ ở nhà có phương pháp nào bền vững hông?

#nulo_ICUNTNICproduct - có, máy IPL smoothskin của Anh
(I-loveit C-heap U-niqueness N-ear T-opnotch N-ofake I-ncredible C-reative)

𝐠𝐢𝐚̉𝐧 𝐥𝐮̛𝐨̛̣𝐜
- làm ở nhà ok cho mọi vùng cơ thể lông mất đi nhưng sẽ trở lại (mảnh mỏng hơn)
- còn review follow up tiếp nữa vì dì mới dùng 3 tuần chưa thấy hiệu quả gì rõ
- đau nha, đau thế nào thì xem tiếp bài
- 5-7tr 1 máy- dùng trọn đời thay vì tới lui spa mất công thì ở nhà dùng rất tiện.
- ở VN đã mua được trên shp laz do đại lý ủy quyền phân phối bảo hành
Shpee https://shp.ee/fu4a8ii
tiki https://ti.ki/HYN/0DC640C4

Nên để thêm mục tiêu tài chính sau foreo sẽ là máy này, đắt xắt ra miếng :3

Đ𝐢 𝐯𝐚̀𝐨 𝐜𝐡𝐢 𝐭𝐢𝐞̂́𝐭

Thụy Điển có foreo làm thay đổi nền rửa mặt của thế giới thì nước Anh có Smoothskin- máy triệt lông lộ trình ở nhà. (smoothskin Pure bên dưới là máy cải tiến mới nhất của hãng so với bare)

trời ơi dì thấy đây là một trong những item du học sinh được nhờ xách tay về nhiều nhất, khoảng 3 năm trước vì lúc này ở VN chưa có store chính hãng và scam nhiều. Hiện tại vẫn vậy nên có chỗ nhận phân phối bảo hành dì mừng muốn chớt.


Đ𝐚𝐮 𝐤𝐡𝐨̂𝐧𝐠?
Đau chứ, khó chịu nhất là dùng trên vùng da mặt. Vì công nghệ IPL bắn xuống tận nang lông mừ. lần đầu dì bắn máy trên vùng ria mép mà hồi hộp muốn xỉu, lúc nhấn bắn là tim đập thình thịch. Để miêu tả cơn đau thì các cháu thử lấy compa châm đầu kim lên da 1 giây rút ra xem. Chịu được thì triển. Tội nhất là phái nam vì họ có lông ở cổ, ria, quai nón nữa.

Chuyển xuống da chân da tay thì đỡ hơn lúc đầu thấy châm chích làm riết ghiền dù 1 tuần làm 1 lần thôi


𝐂𝐚́𝐜𝐡 𝐝𝐮̀𝐧𝐠
Dì rất bực khi unbox máy ra nguyên cái phích cắm 3 đầu. :) phải đội mưa đi mua cái chuôi 2 đầu chuyển đổi để về cắm vào. Hy vọng đại lý bán thêm cái này cho khách đỡ cực
Nhớ cạo sạch lông trước khi triệt, không để trầy xước da (nếu có thì cần tránh vùng này khi bắn)
- Với máy pure thì có thể điều chỉnh chế độ của máy để phù hợp với từng vùng da
- bắn đều tay, kéo dọc từ trên xuống (không để yên máy 1 chỗ vì sẽ gây bỏng/xót)
- sau khi bắn nên tránh nước từ 4-6 tiếng, không dưỡng da 1 ngày sau đó
- triệt theo chu kì: 3 tháng đầu: 1 tuần 1 lần, sau đó: 1 tháng 1 lần, khi lông giảm đáng kể: 2 tháng 1 lần
- nếu lông mỏng và lông ở phần tay, chân thì khoảng 3-4 tuần là đã có hiệu quả. Với những vùng khác thì liệu trình 3 tháng là sẽ thấy kết quả rồi.

𝐋𝐨̂𝐧𝐠
Không có công nghệ nào mà làm xong là suốt đời mất lông luôn vì chúng ta là loài homosapiens thì luôn có lông để trao đổi nhiệt như 1 cơ chế của cơ thể. 1 số người do phước đức đời trước để lại kiếp này sở hữu lớp lông mỏng, nhẹ, nhạt màu, ngắn, không thấy rõ được bằng mắt thường từ xa.
Yên tâm là dùng smoothskin xong lông sẽ mất 1 thời gian rất lâu. Và sẽ chắc chắn trở lại (mỏng hơn, thưa nhạt hơn) nha, khi nào cưới người ngoài hành tinh hoặc người cá thì đẻ con mới mong ko có lông.



𝐕𝐞̂̀ 𝐜𝐨̂𝐧𝐠 𝐧𝐠𝐡𝐞̣̂ 𝐈𝐏𝐋 (𝐈𝐧𝐭𝐞𝐧𝐬𝐞 𝐏𝐮𝐥𝐬𝐞𝐝 𝐋𝐢𝐠𝐡𝐭) 𝐜𝐮̉𝐚 𝐬𝐦𝐨𝐨𝐭𝐡𝐬𝐤𝐢𝐧
IPL là dùng ánh sáng cường độ cao (1-20mili giây) có nhiều xung khác nhau. Lazer có 1 bước sóng còn IPL là 1 chùm sóng quang phổ rộng để triệt tiêu dần nang lông-> Lúc bấm chiếu tia sẽ rất sáng (nhớ đeo kính râm hoặc nhắm mắt cho dì, không được nhìn trực tiếp vào nó nha)

Tác dụng phụ khi dùng IPL: dì cũng xem qua 1 số research dựa trên quan sát 1 số nhóm người rùi và nó ko có gì đáng nói ngoài khuyến cáo bảo hành máy định kì để lường trước hư hỏng trong việc phát sóng ánh sáng.

𝗖𝗼́ 𝘁𝗵𝗲̂̉ 𝘁𝗵𝗮𝗺 𝗸𝗵𝗮̉𝗼 𝟭 𝘀𝗼̂́ 𝗻𝗴𝗵𝗶𝗲̂𝗻 𝗰𝘂̛́𝘂:

Lim, S. P. R., & Lanigan, S. W. (2006). A review of the adverse effects of laser hair removal. Lasers in medical science, 21(3), 121-125.

Buddhadev, R. M. (2008). Standard guidelines of care: Laser and IPL hair reduction. Indian Journal of Dermatology, Venereology, and Leprology, 74(7), 68.

Bedewi, A. F. E. (2004). Hair removal with intense pulsed light. Lasers in medical science, 19(1), 48-51.

Thaysen‐Petersen, D., Bjerring, P., Dierickx, C., Nash, J. F., Town, G., & Haedersdal, M. (2012). A systematic review of light‐based home‐use devices for hair removal and considerations on human safety. Journal of the European Academy of Dermatology and Venereology, 26(5), 545-553.

Town, G., & Ash, C. (2010). Are home-use intense pulsed light (IPL) devices safe?. Lasers in medical science, 25(6), 773-780.

Gold, M. H. (2007). Lasers and light sources for the removal of unwanted hair. Clinics in dermatology, 25(5), 443-453.

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Eccentric, on-the-way-to-hit-40, business woman who loves to share her positive energy with Vietname
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medical care journal 在 POPA Channel Youtube 的最讚貼文

POPA Channel By POPA Channel

2017-07-12 08:30:00 有 8,922 人看過 有 203 人喜歡
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BB出生，經過痛苦的生產過程，然後投入媽媽懷中，這個畫面是否很溫馨？但殘酷的現實是，媽媽只抱了一會，就被姑娘帶去「拮屁股」，打防疫針，爸爸媽媽看著也心痛。有人說打了針才可幫孩子抵抗病源，但亦有人指疫苗很多副作用，究竟誰對誰錯？雙方都是想小朋友健康成長，但為何會出現兩極意見？

要討論打與不打，其實我們又是否清楚：疫苗，到底是什麼？

參考資料

Bellini, W., Rota, J., Lowe, L., Katz, R., Dyken, P., Zaki, S., . . . Rota, P. (2005). Subacute Sclerosing Panencephalitis: More Cases of This Fatal Disease Are Prevented by Measles Immunization than Was Previously Recognized. The Journal of Infectious Diseases, 192(10), 1686-1693. doi:10.1086/497169

Eggertson, L. (2010). Lancet retracts 12-year-old article linking autism to MMR vaccines. Canadian Medical Association Journal, 182(4). doi:10.1503/cmaj.109-3179

Epidemiology and Prevention of Vaccine-Preventable Diseases. (2016, December 30). Retrieved from Centers for Disease Control and Prevention

Measles (Rubeola). (2017, March 03). Retrieved from Centers for Disease Control and Prevention
Orenstein, W. A., & Ahmed, R. (2017). Simply put: Vaccination saves lives. Proceedings of the National Academy of Sciences, 114(16), 4031-4033. doi:10.1073/pnas.1704507114

立法會五題：疫苗含硫柳汞的安全性【新聞公報】，政府新聞網（2016年4月20日）
接種疫苗預防傳染病（2014年），香港特別行政區政府衞生署網站。

Phadke VK, Bednarczyk RA, Salmon DA, Omer SB. Association Between Vaccine Refusal and Vaccine-Preventable Diseases in the United StatesA Review of Measles and Pertussis. JAMA. 2016;315(11):1149–1158. doi:10.1001/jama.2016.1353

Reading, R. (2002). First 5 years of measles elimination in southern Africa: 1996-2000. Child: Care, Health and Development, 28(5), 433-434. doi:10.1046/j.1365-2214.2002.t01-4-00293.x

Recommendations of the Advisory Committee on Immunization Practices (ACIP): Use of Vaccines and Immune Globulins in Persons with Altered Immunocompetence. (n.d.). Retrieved from Centers for Disease Control and Prevention

Vaccines & Immunizations. (2017, May 08). Retrieved from Centers for Disease Control and Prevention

Kayue（2016年3月18日）。美國研究︰麻疹疫症感染者 未接種疫苗佔多數。The News Lens關鍵評論。

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幾個家長走埋一齊，將從閱讀所得的知識整合，化繁為簡，與大家分享正面育兒(POSITIVE PARENTING)的資訊。 ===================================== 幾年前，初為父母，第一次抱住自己的孩子，發覺養育、教育孩子，是一門高深學問。時代不同，父母對我們的一套，應用在自己孩子身上，亦未必適合。因而開始閱讀育兒書籍、兒童心理學等文獻，發現學術界近年對兒童成長發展的深入了解，其實對家長們極為實用。 但現今父母日日為口奔馳、回家要湊BB都已經筋疲力竭，哪有餘暇、精力去搜尋、閱讀又長又悶的學術文章？於是，我們幾個家長，以正面態度去養育孩子為前題，將自己從閱讀所得的知識，透過輕鬆易明的手法，與各位關心孩子成長發展的父母，分享實用資訊。 POPA Channel 亦因而誕生！ ===================================== Official Homepage: http://popa.hk Facebook Page: www.facebook.com/popachannel
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#5. Medical Care - Journal Resources for Authors - Michigan PSC

Medical Care, "rated as one of the top ten journals in healthcare administration, is devoted to all aspects of the administration and delivery of healthcare ...

#6. Medical Care on JSTOR

Description: Rated as one of the top ten journals in healthcare administration, Medical Care is devoted to all aspects of the administration and delivery of ...

#7. Journal of Medical Care Research and Review

Journal of Medical Care Research and Review has been force in the area of health services research. Journal's focus has expanded to reflect the growth of ...

#8. Medical Care - SCImago

Rated as one of the top ten journals in healthcare administration, Medical Care is devoted to all aspects of the administration and delivery of healthcare.

#9. Medical Care- Impact Score, Overall Ranking, h-index, SJR ...

It is published by Lippincott Williams and Wilkins Ltd.. The overall rank of Medical Care is 1955. According to SCImago Journal Rank (SJR), this ...

#10. Journal of Emergency Medical Care - Scholarena

Journal of Emergency Medical Care (JEMC) is an international online open access peer-reviewed journal devoted to publishing scientific and technical ...

#11. Medical Care - Home | Facebook

This scholarly journal publishes original, peer-reviewed papers documenting the most current developments in the rapidly changing field of healthcare. This ...

#12. Medical Care - ResearchGate

Medical Care (MED CARE). Publisher: American Public Health Association. Journal description. This timely journal reports on the findings of original ...

#13. Medical Care - American Public Health Association

The Medical Care Section has generated several APHA presidents, and our journal, Medical Care, is the premier clinical health services research journal in ...

#14. Journal of Clinical Medicine - MDPI

Multiple conditional logistic regressions showed that patients who had prior medical care for urinary tract infection (OR = 10.95, 95%CI = 9.07 to 13.22), ...

#15. Media Kit - Medical Care | Lippincott Audience Solutions

This scholarly journal publishes original, peer-reviewed papers documenting the most current developments in the rapidly changing field of healthcare. This ...

#16. Introduction: Standards of Medical Care in Diabetes—2020

Diabetes is a complex, chronic illness requiring continuous medical care with multifactorial risk-reduction strategies beyond glycemic control.

#17. Intensive Care Medicine | Home - Springer

It is intended for all those who are involved in intensive medical care, ... ICMx is an open access journal dedicated to translational research and uniquely ...

#18. Medical care--welcome to a new journal - PubMed

Medical care --welcome to a new journal. Am J Public Health Nations Health. 1967 Apr;57(4):570-1. doi: 10.2105/ajph.57.4.570.

#19. The Ecology of Medical Care | NEJM

CURRENT discussions about medical care appear largely concerned with two questions: Is the burgeoning harvest of new knowledge fostered by immense public ...

#20. Journal of Medical Case Reports | Home page

Journal of Medical Case Reports is the world's first international ... people which informs both our clinical research and our daily clinical care.

#21. The American Journal of Medicine: Home Page

... original scientific studies that have direct clinical significance and position papers on health care issues, medical education, and public policy.

#22. The Medical Care Blog - The official blog of the peer-reviewed ...

The official blog of the peer-reviewed journal Medical Care, sponsored by the Medical Care Section of the American Public Health Association.

#23. Journal of Palliative Medical Care & Research - Annex ...

Journal of Palliative Medical Care & Research (JPMCR) is an open access, international, peer-reviewed journal. The aim of the journal is to provide ...

#24. MEDICAL CARE academic journal metrics - Editage

See MEDICAL CARE journal impact factor, SJR, SNIP, CiteScore, H-index metrics. Find the right academic journal to publish your paper.

#25. Medical Care (@MedicalCareLWW) / Twitter

Dedicated to administration & delivery of healthcare. Official Journal of the Medical Care Section of APHA. #MedicalCare @PublicHealth.

#26. American Journal of Managed Care

... and human genetics and founding director of the Center for Clinical Cancer Genetics and Global Health at the University of Chicago Medical Center, ...

#27. Journal of Medical Internet Research

The leading peer-reviewed journal for digital medicine and health and health care in the internet age. Editor-in-Chief: Gunther Eysenbach, MD, MPH, FACMI, ...

#28. Medical Care Costs: How Much Welfare Loss? - American ...

Medical Care Costs: How Much Welfare Loss? by Joseph P. Newhouse. Published in volume 6, issue 3, pages 3-21 of Journal of Economic Perspectives, ...

#29. Journal of Hospice & Palliative Medical Care - Herald ...

Journal of Hospice and Palliative Medical Care is an Open Access International Journal. Peer Review 3 weeks, Publishing articles in clinical, scientific, ...

#30. The BMJ: Leading Medical Research, News, Education, Opinion

High impact medical journal. Champion of better research, clinical practice & healthcare policy since 1840. For GPs, hospital doctors, educators, ...

#31. Open Journal of Nursing and Medical Care - OJNMC - raftpubs

Open Journal of Nursing and Medical Care. Nursing is a division of medicine that involves the utmost care and attention towards the patients.

#32. Medical care abbreviation [ISO,NLM] - Paperpile

Academic journal abbreviation database: check out the most frequently used abbreviations for "Medical care".

#33. Dove Medical Press - Open Access Publisher of Medical ...

Dove Press is a member of the Open Access Initiative, specializing in peer reviewed Medical Journals. View articles or submit your research for publishing.

#34. Clinical Medicine journal | RCP London

The Clinical Medicine journal seeks to encourage high standards of medical care by promoting good clinical practice and influencing policy through original ...

#35. Overview | Journal of Hospital Medicine

Foster debate on issues relevant to care of the hospitalized patient and engage health policy makers in promoting evidence-based best practices in hospital ...

#36. Medical Care Research and Review | Publons

Medical Care Research and Review (MCRR) is a peer-reviewed bi-monthly journal containing critical reviews of literature on organizational structure, ...

#37. The Medical Journal of Australia: Home

Early medical abortion services provided in Australian primary care. Advertisement ... Australian Medical Association ...

#38. Uncertainty and the demand for medical care - ScienceDirect

Journal of Health Economics ... Uncertainty and the demand for medical care ... Uncertainty and the welfare economics of medical care.

#39. Journal of Health Care for the Poor and Underserved - Johns ...

Virginia M. Brennan, PhD, MA, Meharry Medical College. Journal of Health Care for the Poor and Underserved (JHCPU) is a peer-reviewed journal focusing on ...

#40. International Journal for Quality in Health Care

The official journal of The International Society for Quality in Health Care. Publishes papers that address research, policy, and implementation related to ...

#41. Journal of the American Medical Directors Association: Home ...

AMDA - The Society for Post-Acute and Long-Term Care Medicine is the professional association of medical directors, attending physicians, nurses, ...

#42. Journal of Sleep Disorders and Medical Care - Sci Forschen

Journal of Sleep Disorders and Medical Care (JSDM) recognises that to study and manage proper sleep, behavioural dimensions of normal and irregular sleep ...

#43. Peer reviewed Healthcare Journals | Impact Factors Rankings

Research & Reviews: Journal of Medical and Health Sciences, 0.08 ... 10th International Conference on Hospital Management and Health Care, Barcelona, Spain.

#44. Medical Care - EditorialManager

沒有這個頁面的資訊。

#45. Journal of Hospital & Medical Management - iMedPub LTD

Hospital Management is a resource for anyone with managerial responsibilities in a hospital ensuring to provide most effective patient care. Medical Management ...

#46. Contexts and Opportunities of e-Health Technology in Medical ...

Management of Newborn Infection: Knowledge and attitude among health care providers of selected sub-district hospitals in Bangladesh. International Journal of ...

#47. ACP Journal Club | Summaries of Best New Clinical Evidence

Reviewing over 120 leading medical journals, this monthly feature in Annals of Internal Medicine contains an editorial, easy to read abstracts, ...

#48. Health Services Research - Wiley Online Library

2020 Journal Citation Reports (Clarivate Analytics): 38/108 (Health Care Sciences ... Institute for Healthcare Improvement, American Hospital Association, ...

#49. Journal of Hospital Infection: Home Page

Articles in Press ... Nosocomial outbreak of monoclonal VIM carbapenemase producing Enterobacter cloacae complex in an intensive care unit during. Full length ...

#50. Delivery of Medical Care for Children and Adults - JAMA ...

Many books have been published on developmental disabilities, but this one is unique. As promised in the title, much of the content covers special medical ...

#51. Journal of Health Economics

This journal seeks articles related to the economics of health and medical care. Its scope will include the following topics:.

#52. JMA Journal

The JMA Journal accepts articles related to medical science and medical care including clinical and basic medical science as well as public health. The journal ...

#53. Low-value medical care in the pandemic—is this what the doctor

A typical prescription for COVID-19 in India includes azithromycin, doxycycline, ivermectin, hydroxychloroquine, vitamin C, vitamin D, zinc, ...

#54. Cleveland Clinic Journal of Medicine

Cleveland Clinic Journal of Medicine November 2021, 88 (11) 588-589; DOI: https://doi.org/10.3949/ccjm.88b.11021. Data from large clinical trials and ...

#55. Health & Medical Care - LexisNexis

Medline Abstracts · Medical Journals · Law Review Healthcare Articles · Healthcare Law Newsletters · Healthcare in the News · Medical & Health Blogs.

#56. Ethical Principles in Patient-Centered Medical Care to Support ...

It is one of the primary goals of medical care to secure good quality of life (QoL) ... (2014) 9:e112392. doi: 10.1371/journal.pone.0112392.

#57. Emergency Care Journal - PAGEPress Publications

In addition to general topics, ECJ also publishes articles on out-of-hospital emergency medical services, pediatric emergency medicine, injury ...

#58. Excess Medical Care Spending: The Categories, Magnitude ...

To this end, we performed a review and crosswalk analysis of the literature to retrieve comprehensive estimates of wasteful medical care ...

#59. Delay or Avoidance of Medical Care Because of COVID-19 ...

However, medical care delay or avoidance might increase morbidity and ... the International Committee of Medical Journal Editors form for ...

#60. Tzu Chi Medical Journal

For over 42 years, the foundation has been contributing to better social and community services, medical care, education and humanism in Taiwan ...

#61. Quality Improvement and Patient Safety Journals

American Journal of Medical Quality ... Health Care: The Journal of Delivery Science and Innovation ... International Journal for Quality in Health Care.

#62. Journal of Urgent Care Medicine

URGENT CARE PHYSICIAN OPPORTUNITIES. Hudson, MA. Emerson Hospital. Seeking Family Medicine, Emergency Medicine Physicians, and Primary Care Sports Medicine!

#63. Health Science Journals | High Impact Articles List

Health Care Journal Articles, International Journal of Research in Health ... International Journal of Medical and Public Health, American Journal of ...

#64. Journal of Transition Medicine - De Gruyter

Besides medical doctors, all disciplines working with or committed to improving transitional care, e.g. sociologists, psychologists, social workers, nurses or ...

#65. The US Health Care Non-System, 1908-2008 | Journal of Ethics

During the 1920s, the cost of medical care rose due to growing demand and higher quality standards for physicians and hospitals. Families had more money to ...

#66. Journal of Hospital Management and Health Policy: Home

Addressing financial toxicity in oncology care. Steven S. Coughlin, Justin Xavier Moore, Jorge E. Cortes. Journal of Hospital Management and Health Policy.

#67. Journal of Primary Health Care - CSIRO Publishing

The Journal of Primary Health Care (JPHC) is the peer-reviewed, open access research journal of The ... why, and how we need the medical profession to act.

#68. Creating a Personal Health Journal (Health Diary)

Contact your doctor's office to get information from your medical records. This can fill in information about past health issues. If you don't ...

#69. Journal of Family Medicine and Health Care - Science ...

Journal of Family Medicine and Health Care (JFMHC) is an international, ... of Hospice Care Demonstration Center Under the Hierarchical Medical System in ...

#70. Safe medical care research - CMPA

Today, we are also sharing our findings by publishing in peer-reviewed journals. We look forward to making our research available to physicians and researchers ...

#71. Hospital Practice: Vol 49, No 4 - Taylor & Francis Online

Publishes research on in-hospital treatments and protocols to advance best practice, improve patient care, and aid physicians in solving clinical problems.

#72. Prehospital and Disaster Medicine | Cambridge Core

The principal mission of the journal is the distribution of information relevant to the practice of out-of-hospital and in-hospital emergency medical care, ...

#73. Interactive Journal of Medical Research

i-JMR is a general medical journal with a focus on innovation in health, health care, and medicine - through new medical techniques and innovative ideas ...

#74. Annals of Emergency Medicine: Home Page

Care of Sexual and Gender Minorities in the Emergency Department: A Scoping Review ... Emergency Medical Services/Original Research ... Journal Club Archive.

#75. Critical Care - MedlinePlus

Critical care is medical care for people who have life-threatening injuries and illnesses. It usually takes place in an intensive care ...

#76. Correlation between hospital finances and quality and safety ...

Results Among the 108 New York State acute care facilities for ... PLoS ONE 14(8): e0219124. https://doi.org/10.1371/journal.pone.0219124.

#77. Swiss Medical Weekly - Current issue

SMW is an international peer-reviewed medical journal, established in 1871 following the Public Service Open Access model (also known as Diamond or Platinum ...

#78. MEDICAL CARE影响因子- 期刊投稿经验分享 - SCI论文修改

Rated as one of the top ten journals in healthcare administration, Medical Care is devoted to all aspects of the administration and delivery of healthcare. This ...

#79. Medical Care Costs Associated With Cancer in Integrated ...

In this study, we used recent data to estimate the medical care costs of the 4 most commonly diagnosed invasive cancers in the United States—breast, colorectal ...

#80. Journal of Health and Care

Journal of health & care. Ardabil Faculty of Nursing and midwifery. The scientific-research rank of the commission of medical journals of the country

#81. Medical Care期刊最新论文, 化学/材料

Medical Care 期刊最新论文，,顶级期刊最新论文图文内容，出版社网站每日同步更新， ... The Centers for Medicare & Medicaid Services Bundled Payments for Care ...

#82. Big data in healthcare: management, analysis and future ...

Previously, the common practice to store such medical records for a ... A framework for integrating omics data and health care analytics to ...

#83. Mayo Clinic - Mayo Clinic

Seamless care that revolves around you: more than 4700 physicians and ... U.S. News & World Report ranks Mayo Clinic as the #1 hospital overall and #1 in ...

#84. Medical Care. (eJournal / eMagazine) [WorldCat.org]

Get this from a library! Medical Care.. -- " ... Is devoted to all aspects of the administration and delivery of healthcare. This scholarly journal ...

#85. Set Free Alliance team provides basic medical care to 507 ...

Subscribe for the Greenville Journal's free weekly digest of community stories. Subscribe. By checking this box, you confirm that you have read ...

#86. Medical and health information

Medical news and health news headlines posted throughout the day, every day.

#87. Veterinarians call for medical care for 2 Pakistan elephants

KARACHI, Pakistan (AP) - The head of a team of veterinarians on Tuesday called for urgent medical care for a pair of elephants in Pakistan's ...

#88. Do Children Have the Right to Contribute to Medical ...

The right to participate in medical decision making ... medical care), especially in administrative and institutional settings.

#89. Health Policy Briefs

Project HOPE is a global health and humanitarian relief organization that places power in the hands of local health care workers to save ...

#90. Medical Care (journal) - Wikipedia

Medical Care journal Language Watch Edit This article is about the journal Medical Care For the journal Medical Care Research amp Review see Medical Care ...

#91. Medical Journal Directory | SpecialtyCare

Their expertise and high-level research in the area of perfusion and intraoperative neuromonitoring continue to impact the quality of patient care. Below is a ...

#92. John Fleck taken to hospital after 'urgent medical care' during ...

Sheffield United midfielder John Fleck was taken off on a stretcher after a serious-looking incident in the second half of the Championship ...

#93. Excess Administrative Costs Burden the US Health Care System

In a 2003 article in The New England Journal of Medicine, ... billion 5 —roughly $569 billion today when adjusted for medical care inflation. 6 ...

#94. Cochrane Library: Cochrane Reviews

Applying an equity lens. Read the Editorial · Group of medical professionals. De-implementation of low-value health care. Read the Special Collection ...

#95. A List of High-Impact Medical Education Journals - Osmosis

The most important medical education journals. Academic Medicine. Impact factor: 5.083 (source: journal website). Frequency: 12 issues per year.

#96. Undergrad's papers published in prestigious medical journals

The history of science concentrator is still a few years from his planned career in medicine, but he has already begun tackling health care ...

#97. How a Study Gets Published in a Medical Journal - Business ...

The Journal of the American Medical Association accepts just 4% of the papers it receives. JAMA and other reputable medical journals ...