In 2018, I will post more book reviews!
To all bookworms out there, stay tuned! <3
I am ready glad to see that a lot of people share the love for books with me 😍 Reading has always been one of my favorite hobbies since I was really young. In the summer holiday, my family and I would spend time at my grandma's house in the south and I would read and read all day, always having a book by my side. I would go to my cousin's house to borrow her books and enjoyed my time there.
During the school year, the library had been my favorite place to be, but my school didn't really have that many interesting books. I borrowed from my friends and cousins. I read fictions online. I started reading online articles and went on websites to find out more information about things I was interested in. Things like Harry Potter, lyrics meaning, and Avril Lavigne.
When I went to America for the first time at the age of 16, I was absolutely awestruck to see how big the school library was. The local library was amazing too. I borrowed so many fictions to read during that year. My host family also bought some books for me. I think that was around the time I actually started reading fictions in English. My reading speed improved significantly that year. I gave up using the dictionary and decided to just go with flow, trying to understand words according to the context. That year I finished reading the Twilight series and Percy Jackson. I read many more books for classes, including some classics like The Great Gatsby, Huckleberry Finn, and The Scarlet Letter. It was a challenging year, but I plowed through.
Now, many years later, my love for books still remains. But I don't need to borrow from anyone anymore. Now I work hard and save money so that I can buy all the books I would like to read. I am happy and proud that I can do that. They say that money can't by happiness, but it sure can buy you things that make you happy.
Now I read not only for my own happiness. I read to share. I read to reflect. I read to discuss. I read to connect. I read to grow as a person. And I read to show others that they too can do it.
I read to learn more about the world and about myself, one page at a time.
#ความสุขของอิซีม #booksmakemehappy
#dailyreflection #zeemisreadingthis
twilight meaning 在 陳鈺萍醫師 Facebook 的最佳解答
【產科評估產程進展奉為圭臬的產程圖】
當年住院醫師時期值產房班,最重要的功課就是把每個產婦的產程圖畫出來。但是近年連Friedman教授本人接受ACOG(美國婦產科醫學會)訪問時都強調,這在當年只是一個統計數據的呈現,沒想到被拿來當成產程遲滯的判斷標準,每個產婦都該有自己獨一無二的產程進展。
日前接生一個第一胎的產婦,從進入產程到寶寶出生,收縮間隔都是5至7分鐘,有時甚至長達10分鐘,所以從上午9點收住院的1指半到寶寶出生將近一天。若要依照產科教科書的建議,這樣的案例,要不就加催生藥或人工破水,要不就以產程遲滯開刀了。但這就是這個產婦與寶寶獨特的產程進展,「慢慢來」。如何靜心等待不介入,對我而言是很重要的學習案例。
這個1955年的統計數據,當時的產婦生產條件為何?那是大量使用產鉗的年代,而今被真空吸引器所取代。剖腹產率1.8%!讓人嚇到吃手手,懷疑小數點有沒有點錯,認真想想或許這才是自然該有的剖腹產率?阿萍醫師要朝這個目標邁進。催生藥物的介入13.8%不算多,但看了之後很難想像,96%的產婦用了鎮定藥物,在神智不清甚至是睡著的狀態下生孩子。而今雖有硬膜外注射的減痛分娩,不至於影響到清醒程度,但那還是一種藥物介入,對母嬰一定有影響。
Who were the women in Friedman’s Curve?
Dr. Friedman’s study focused on 500 first-time mothers who gave birth at term in 1954. Their age ranged from 13 to 42 years old, and 70% were between the age of 20-30. More than half of the women had forceps used on them during delivery (55%), and only nine people (1.8%) gave birth by Cesarean. There were 14 breech births (2.8%), four twin births (0.9%), and four stillbirths or newborn deaths. The babies ranged in weight from 4 lbs. 9 oz. to 10 lbs. 6 oz., with most babies falling into a normal weight range (5 lbs. 8 oz. to 8 lbs. 13 oz.). Pitocin was used to induce or augment labor in 69 people (13.8% “Twilight sleep” was common practice at the time, and so 117 of the women (23%) were lightly sedated, 210 (42%) were moderately sedated, and 154 (31%) were deeply sedated (sometimes “excessively” sedated) with Demerol and scopolamine—meaning that 481 (96%) of the women were sedated with drugs (Friedman 1955)
參考資料
https://evidencebasedbirth.com/friedmans-curve-and-failure…/
twilight meaning 在 Twilight Meaning - YouTube 的推薦與評價
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