「這個題目源自於和同事的玩笑,因為在美國,假日病人出院量出的比台灣多很多,多到我懷疑比週間還要多,我開玩笑地和同事提起這件事,沒想到我同事跟我說,他去年統計過,我們醫院週間出院 vs 週末出院的 30 天再住院率分析,是沒有顯著差異的,讓我驚覺 #這是一個可以探勘的好題。」
⠀
【賀 🎊】邱家佑醫師團隊,關於周末出院患者預後的統合分析,獲 International Journal for Quality in Health Care 刊登!
⠀
邱家佑醫師趁著要到美國擔任住院醫師前,在新思惟多次進修研究與簡報技術,希望用實力在美國體系中獲得肯定,近年成果相當豐碩。
⠀
這篇統合分析特別之處在於,一開始的分析結果為「沒有差異」,但他注意到了美國的特殊之處,並找到「有差異」的點,並提出他的看法,非常有意思。這樣的發表內容,也顯示他在美國工作一陣子後,對於醫療體系的洞見,能見人所未見,用特殊的 subgroup 方法找到亮點。
⠀
#邱家佑醫師與新思惟
⠀
▪ 邱家佑醫師參加 2018/5/5(六)醫學論文與寫作工作坊
▪ 邱家佑醫師關於氣喘個案在電腦斷層呈現瀰漫性肺部周圍毛玻璃陰影的臨床經驗分享,獲 Case Reports in Pulmonology 刊登!
▪ 邱家佑醫師分享單純皰疹病毒發生於鼻腔的非典型表現個案報告,獲 IDCases 刊登!
▪ 邱家佑醫師參加 2019/5/5(日)統合分析工作坊
▪ 邱家佑醫師團隊,對於艱難桿菌的 Vancomycin 治療劑量之統合分析,獲 Antibiotics 刊登!
▪ 邱家佑醫師團隊,分享一位糖尿病女性患者反覆嘔吐的影像挑戰個案,獲 Emergency Medicine Journal 刊登!
⠀
🎯 克服經費與資源稀少的困境,帶您踏入統合分析的領域!
⠀
☑ 統合分析研究規劃技巧
☑ 正確拆解論文架構
☑ 必學的重要專有名詞
☑ 互動實作:完成一套 Meta-analysis 圖表
☑ 以發表為導向的搜尋文獻
☑ Meta-analysis 圖表優化重點
☑ 給初學者的起步建議
⠀
🔸 【全新梯次】11/7(日)統合分析工作坊
➠ https://meta-analysis.innovarad.tw/event/
免收案、免 IRB,突破資源缺乏困境的機會!
⠀
👨🏫 堅強講者陣容
⠀
#張凱閔,知名復健醫學與超音波學者,台大流病與預防醫學博士,SCI 論文超過 190 篇,並有 25 篇以上為 meta-analysis,探討臨床常見議題。
⠀
#曾秉濤,專業精神科醫師,擅長從臨床工作找到發表議題,並組成研究團隊,SCI 論文超過 85 篇,並有 70 篇以上為 meta-analysis。
⠀
#蔡依橙,專業課程開發與整合者,能迅速理解學門架構,並以初學者能理解的方式,建構學習流程。生涯被 SCI 期刊接受的圖表,已超過 500 張,熟悉學術審閱過程與要求。
同時也有8部Youtube影片,追蹤數超過38萬的網紅華音チャンネル (Kanon),也在其Youtube影片中提到,少しでもいいなと思っていただければ高評価&チャンネル登録お願いします! 華音です。今回はイギリス政府から届いた手紙の開封と、最近コロナが広まってからより多く届くようになった詐欺のメールの紹介や、コロナ太りに効果のある方法を6つ紹介しました。多くのお金を使って首相から手紙が届くなんて思ってもみません...
「emergency medicine」的推薦目錄:
- 關於emergency medicine 在 新思惟國際 Facebook 的最佳貼文
- 關於emergency medicine 在 每天關心黃昭順跳蓮池潭的進度 Facebook 的最讚貼文
- 關於emergency medicine 在 美國在台協會 AIT Facebook 的最讚貼文
- 關於emergency medicine 在 華音チャンネル (Kanon) Youtube 的精選貼文
- 關於emergency medicine 在 Huỳnh Tiểu Hương Youtube 的精選貼文
- 關於emergency medicine 在 Huỳnh Tiểu Hương Youtube 的最佳貼文
emergency medicine 在 每天關心黃昭順跳蓮池潭的進度 Facebook 的最讚貼文
文轉麵攤大叔 #幫擴散
■緊急授權使用 Emergency Use Authorization(EUA)是什麼意思?
大叔講白話文給大家聽。
意思就是你「還沒有準備好」,但是在法律上「獲得同意提早上市」。
這是一個超級簡單的邏輯。
在美國,疫苗公司如果依法完成三期臨床試驗、而且通過審核,FDA會直接了當的批准同意,讓疫苗公司獲得藥證許可。
哪裡還需要搞個 EUA 緊急授權使用?
看到這裡,你明白了
就恭喜你懂事囉!
■但是台灣多數媒體超白痴,朱學恒餵食錯誤資料,PTT、藍白粉4%仔、公關公司拿錢辦事的打手,就會跟著吃餌,到處複製貼上「一知半解、錯誤解讀」的謠言。這些人應該通通被罰 300 萬元。
(已截圖,刪也來不及)
那就開始打臉吧
這事,要從美國總統大選川普說起。
川普的選情一直民調萎靡,因為美國人民死於武漢肺炎的人數已經超越了二次世界大戰,他一方面煽動民粹,另一方面又施壓,希望疫苗趕緊上市,人可以少死一點,救救選情。
大叔印象中,川普在去年9月、11月都威脅過FDA美國食品藥物管理局,說要開除 FDA 局長 Stephen Hahn,逼他趕緊同意讓疫苗上市(類似救救美國,救救川普的概念)。
美國各家疫苗公司早早就接獲通知,在完成二期臨床試驗之後,可以檢附第三期 #進行中 的數據(也就是第三期的 #第一階段,臨床試驗疫苗受試者完成疫苗接種後,至少中位數兩個月以上的追蹤資料),儘速提交給主管機關 FDA(類似預審的概念)。
大叔要特別說明
即使疫苗公司依規定提交 #兩個月 的後續追蹤安全資料(進行中的第三期),
並不表示完成認證、正式獲得FDA藥證許可哦
那只是獲得EUA緊急授權使用的法律要件,讓你上市
一般而言,任何新藥、疫苗如果要獲得 FDA 正式批准藥證,通常還需要檢附第三期臨床試驗 #六個月 的追蹤資料,FDA審核程序繁複,可能會不斷要求補件,至於何時才會通過,要看造化。
就是這麼搞工、就是這麼複雜
如此費事費時,心急如焚的川普,怎麼受得了?他巴不得送美國人民「疫苗」作為聖誕禮物。
11月了,川普再次於推特上,威脅要開除 FDA 局長 Stephen Hahn,FDA妥協了,趕緊召開專家會議
12月初同意了 #輝瑞疫苗 的緊急授權使用(行政命令),理由是「因應緊急公共衛生情事之需要」為由申請專案核准,也就是所謂的EUA,輝瑞疫苗可以直接上市。
但輝瑞最後還是要完成三期全部的資料,才會拿到FDA正式許可(類似追加認證的概念)。
#莫德納 也不是省油的燈!
在得知輝瑞送件EUA後,大約第十天,莫德納沿用這個方式,也順利在12月中旬取得了EUA緊急授權使用,開心上市!
法律上的原因,是為了維護「商業競爭的公平性」;科學上的理由,是莫德納提交的三期臨床數據(的第一階段)都很漂亮,安全有效(大約三萬名志願者,沒有安全疑慮)。
■補充一:
我不認識的那群人
一直貼的文件連結
其實是三期臨床試驗的第一階段「效力分析」(primary efficacy analysis)
哈囉,有看到 primary 這個字嗎?
意思是 初期的(第一階段的概念)
interim analysis
臨時的分析
#根本通通沒有完成第三期
斗大的標題,連結點入就會看見
不認識英文,可以問懂的人
根本不是正式完成三期
目前都還在進行中
輝瑞、莫德納、AZ 都尚未完成三期
■補充二:
藥廠 #葛蘭素史克 的疫苗「單克隆抗體藥物 sotrovimab」,在本周也獲得了美國FDA緊急使用授權,以治療12歲及以上人士的輕中度Covid-19
■補充三:
過去疫苗開發時程至少十年,甚至數十年、百年都有可能,但國際間武漢肺炎疫苗開發在不到一年之間就核准施打;實際上,在疫情中施打的許多疫苗,其實還在臨床2/3期試驗階段。
#直接證據
美國國家醫學圖書館 U.S. National Library of Medicine 是世界上最大的醫學圖書館 ,由美國聯邦政府經營管理
根據它的官網 ClinicalTrials.gov
查詢記錄
莫德納 Moderna 疫苗的狀態是
Active, not recruiting
(三期)進行中,尚未收錄認證許可
https://reurl.cc/ogLGdl
BNT 輝瑞疫苗的狀態是
Active, not recruiting
(三期)進行中,尚未收錄認證許可
https://reurl.cc/3aDVY0
AZ 疫苗的狀態是
Active, not recruiting
(三期)進行中,尚未收錄認證許可
https://reurl.cc/Lb3G7X
emergency medicine 在 美國在台協會 AIT Facebook 的最讚貼文
【防災救援倡議活動:宣導教育—建立韌性—採取行動】
當前的世界各國面臨諸多跨國挑戰。本著美台在人道援助及災害防救領域的穩健合作,美國在台協會推出「防災救援倡議活動:宣導教育—建立韌性—採取行動」(HADR)系列活動,期望能夠提升公眾對災難的認識,並支持台灣內外強化個人及社區的災害防救能力。
美國在台協會與壯闊台灣聯盟、台灣緊急應變管理協會、台灣醫療救護學會、消防員工作權益促進會攜手在台北舉辦「後盾計畫韌性工作坊」,聚焦討論緊急應變和公共安全等議題。美國在台協會副處長谷立言在面對現場120位與會者致詞時,特別強調建立社區抗災韌性的重要,並談到自己對2011年日本311震災的觀察及日本人民如何戰勝困境、展現韌性。除此之外,副處長也分享了美國在台協會與台灣在人道援助及災害防救領域的合作關係,以及社會大眾可以如何建立應對天災人禍的能力與精神。
副處長谷立言致詞請見: https://www.ait.org.tw/zhtw/remarks-ait-deputy-dir-greene-at-forward-alliance-workshop-zh/
#防災救援倡議活動 #韌性
【Partners in HADR: Awareness – Resilience – Action】
Nowadays the world faces many challenges that are transnational in nature. Building upon the robust U.S.-Taiwan cooperation in the Humanitarian Assistance and Disaster Relief (HADR) space, AIT’s “Partners in HADR: Awareness – Resilience – Action” campaign aims to raise public awareness and support activities that foster personal and community resilience within and beyond Taiwan.
AIT has partnered with the Forward Alliance, the Taiwan Emergency Medicine Association, the Taiwan Society of Paramedicine, and the National Association for Firefighters’ rights in hosting a one-day resilience workshop on emergency response and public safety in downtown Taipei. Speaking to a group of 120 workshop participants, AIT Deputy Director Raymond Greene emphasized the importance of communities fostering a sense of resilience. He described his own personal observations of the 2011 triple disaster in Japan and how its people demonstrated resilience to overcome adversity. He also shared information about AIT and Taiwan’s partnership in humanitarian assistance and disaster relief, and how members of a society can build the skills and spirit to respond to both natural and man-made crises.
Read Deputy Director Greene's remarks: https://www.ait.org.tw/remarks-ait-deputy-dir-greene-at-forward-alliance-workshop/
#PartnersinHADR #Resilience副處長谷立言
emergency medicine 在 華音チャンネル (Kanon) Youtube 的精選貼文
少しでもいいなと思っていただければ高評価&チャンネル登録お願いします!
華音です。今回はイギリス政府から届いた手紙の開封と、最近コロナが広まってからより多く届くようになった詐欺のメールの紹介や、コロナ太りに効果のある方法を6つ紹介しました。多くのお金を使って首相から手紙が届くなんて思ってもみませんでした。今こそ皆で一丸となって乗り越えようというメッセージは、どこでも言っていることだけど手紙という形で受け取るのはまた違った重みがあるなと思いました。
こちらがイギリスの首相が書いた手紙の原文です。
--------------------------------------------------------------------------------
I am writing to you to update you on the steps we are taking to combat coronavirus.
In just a few short weeks, everyday life in this country has changed dramatically. We all feel the profound impact of coronavirus not just on ourselves, but on our loved ones and our communities.
I understand completely the difficulties this disruption has caused to your lives, businesses and jobs. But the action we have taken is absolutely necessary, for one very simple reason.
If too many people become seriously unwell at one time, the NHS will be unable to cope. This will cost lives. We must slow the spread of the disease, and reduce the number of people needing hospital treatment in order to save as many lives as possible.
That is why we are giving one simple instruction - you must stay at home.
You should not meet friends or relatives who do not live in your home. You may only leave your home for very limited purposes, such as buying food and medicine, exercising once a day and seeking medical attention. You can travel to and from work but should work from home if you can.
When you do have to leave your home, you should ensure, wherever possible, that you are two metres apart from anyone outside of your household.
These rules must be observed. So, if people break the rules, the police will issue fines and disperse gatherings.
I know many of you will be deeply worried about the financial impact on you and your family. The government will do whatever it takes to help you make ends meet and put food on the table.
The enclosed leaflet sets out more detail about the support available and the rules you need to follow. You can also find the latest advice at gov.uk/coronavirus
From the start, we have sought to put in the right measures at the right time. We will not hesitate to go further if that is what the scientific and medical advice tells us we must do.
It's important for me to level with you - we know things will get worse before they get better. But we are making the right preparations, and the more we all follow the rules, the fewer lives will be lost and the sooner life can return to normal.
I want to thank everyone who is working flat out to beat the virus, in particular the staff in our fantastic NHS and care sector across England, Scotland, Wales and Northern Ireland. It has been truly inspirational to see our doctors, nurses and other carers rise magnificently to the needs of the hour.
Thousands of retired doctors and nurses are returning to the NHS - and hundreds of thousands of citizens are volunteering to help the most vulnerable. It is with that great British spirit that we will beat coronavirus and we will beat it together.
That is why, at this moment of national emergency, I urge you, please, to stay at home, protect the NHS and save lives.
Boris Johnson
--------------------------------------------------------------------------------
🌱YouTube
【http://www.youtube.com/c/kanonchannel】
(私の日常を丸ごと。インタビューや旅もするかな)
🌱Instagram
【https://www.instagram.com/kanon_act/】
(心惹かれた場所や服で自由気ままに)
🌱Twitter
【https://twitter.com/kanon_act】
(思っていることを呟くよ!)
【使用楽曲など】
DOVA-SYNDROME: https://dova-s.jp/
Purple planet: https://www.purple-planet.com
(動画によって使っていないものもあります。)

emergency medicine 在 Huỳnh Tiểu Hương Youtube 的精選貼文
Tieu Huong was born from street children, lived with many difficulties, homeless, without relatives, had no food, hunger and thirst, was ill, had no medicine, The 22-year-old loved it and raised me up to protect the disabled, the orphans and the less fortunate. Tieu Huong's wish is to nurture and give love to the less fortunate, to help children learn, vocational education, vocational training, and create jobs for them to integrate into the community. But for Tieu Huong personally, Tieu Huong can not do anything without your help and love for.
Ladies and Gentlemen, With 10 cents can feed a child for 1 day, 30 cents can save a child in emergency. medical supplies, clothes, books and tuition. The $ 10 donation can help you get paid for one day per year.
Hope that through your care and help you can receive love and joy. May your thanks for your intercession pay you back. The center is looking forward to your help. One half of the center would like to wish you good health!
Que Huong Humanitarian Center
Address: 1210 DT 743A, Tan Long Quarter, Tan Dong Hiep Ward, Di An Town, Binh Duong.
Phone: 0274.3740808 - 0974.3729249 - 0903.803908 - 0983.803908
Trung Tâm Nhân đạo Quê Hương chúng con tri ân tấm lòng của các ân nhân xa gần đã yêu thương đùm bọc che chở chúng con, chúng con có ngày hôm nay tất cả nhờ vào tình yêu thương của Quý vị, chúng con xin kính chúc Quý vị cùng gia đình luôn vui khỏe an lành, thành công phát triên trên con đường còn lại...và thương yêu chúng con đừng rời xa chúng con,..hãy hướng dẫn cho chúng con những điều tốt đẹp chúng con sẽ cố gắng học hỏi...
Trung tâm Nhân đạo Quê Hương
Địa chỉ: 1210 đường ĐT743A, Khu phố Tân Long, Phường Tân Đông Hiệp, Thị xã Dĩ An, Bình Dương.
Điện thoại: 0274.3740808 - 0274.3729249 - 0903.803908 - 0983.803908
Văn phòng tại Tp.Hồ Chí Minh: 17/15/11/13 Gò Dầu, Phường Tân Quý, Quận Tân Phú, Thành phố Hồ Chí Minh
Email: huynhtieuhuong@yahoo.com - trungtam_quehuong@yahoo.com
Website: www.huynhtieuhuong.org - www.huynhtieuhuong.org.vn
Thông tin tài khoản: Chủ tài khoản: Trung tâm Nhân đạo Quê Hương
- Ngân hàng Á châu Tp.Hồ Chí Minh
Tài khoản VNĐ: 897109 Ngân hàng Á Châu ACB Tp.Hồ Chí Minh
Tài khoản USA: 897099 Ngân hàng Á Châu ACB Tp.Hồ Chí Minh
Số swift code của ACB: ASCBVNVX
- Ngân hàng TMCP Ngoại thương Việt Nam - CN Tp.Hồ Chí Minh (Vietcombank)
Tài khoản: 007.1.00.0641457
Số swift code của Vietcombank: BFTV VNVX

emergency medicine 在 Huỳnh Tiểu Hương Youtube 的最佳貼文
Episode 2 -The woman who adopted a child was abandoned
Tieu Huong was born from street children, lived with many difficulties, homeless, without relatives, had no food, hunger and thirst, was ill, had no medicine, The 22-year-old loved it and raised me up to protect the disabled, the orphans and the less fortunate. Tieu Huong's wish is to nurture and give love to the less fortunate, to help children learn, vocational education, vocational training, and create jobs for them to integrate into the community. But for Tieu Huong personally, Tieu Huong can not do anything without your help and love for.
Ladies and Gentlemen, With 10 cents can feed a child for 1 day, 30 cents can save a child in emergency. medical supplies, clothes, books and tuition. The $ 10 donation can help you get paid for one day per year.
Hope that through your care and help you can receive love and joy. May your thanks for your intercession pay you back. The center is looking forward to your help. One half of the center would like to wish you good health!
Que Huong Humanitarian Center
Address: 1210 DT 743A, Tan Long Quarter, Tan Dong Hiep Ward, Di An Town, Binh Duong.
Phone: 0274.3740808 - 0974.3729249 - 0903.803908 - 0983.803908
Office in Ho Chi Minh City: 17/15/11/13 Go Dau, Tan Quy Ward, Tan Phu District, Ho Chi Minh City
Email: huynhtieuhuong@yahoo.com - trungtam_quehuong@yahoo.com
Website: www.huynhtieuhuong.org - www.huynhtieuhuong.org.vn
Account information: Account holder: Que Huong Humanitarian Center
- Asia Bank Ho Chi Minh City
Account: 897109 ACB Bank Ho Chi Minh City
Account USA: 897099 Asia Commercial Bank ACB Ho Chi Minh
ACB swift code: ASCBVNVX
- Joint Stock Commercial Bank for Foreign Trade of Vietnam - Ho Chi Minh City Branch (Vietcombank)
Account: 007.1.00.0641457
Swift code of Vietcombank: BFTV VNVX

emergency medicine 在 Annals of Emergency Medicine: Home Page 的相關結果
Under Dr. Callaham's leadership, Annals became the number one journal in emergency medicine. The search process for a new Editor in Chief will be launched soon. ... <看更多>
emergency medicine 在 台灣急診醫學會 的相關結果
Taiwan Society of Emergency Medicine. 登入/註冊 · 首頁; 關於學會. 理事長的話 · 理事長大會致詞 · 學會簡介 · 組織章程 · 理監事名單 · 委員會名單 · 政策聲明專區 ... ... <看更多>
emergency medicine 在 Emergency Medicine Journal (EMJ) - An acute care journal by ... 的相關結果
A global medical journal covering pre-hospital, hospital emergency medicine and critical care. EMJ publishes original research, evidence-based reviews ... ... <看更多>