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關鍵報告讀書筆記，避免老人失智用
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讀書筆記，避免老人失智用
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關鍵報告: 九月 2010
http://jfliu-chestman.blogspot.com/2010_09_01_archive.html
How we judged a primary care physician? 美國認為pay for performance很重要…不過好的病人群才是拿高分的原因之一. 不過衡量primary care physician的HEDIS指標，比起我們健保局的各項品質指標. 拿慢箋開立率好了，為了達成這個目標，常常一拿三個月藥，multiple co-morbidities的病人哪有那麼易與的? 地區醫院還好住院容易，常常要幫醫學中心的病人cover倒是真的……嚴重妨害醫療品質，真是蛋頭指標，省錢指標…. How can you judge a man by these stupid fiugures? Clinical Performance Rankings of Primary Care Physicians. Rankings are influenced by socioeconomic characteristics of patient panels. 8212; Thomas L. Schwenk, MD. HEDIS 指標如下…和本國健保局的指標相比，太容易達成了. Blood test...
關鍵報告: 十一月 2010
http://jfliu-chestman.blogspot.com/2010_11_01_archive.html
中年時抽煙，和Alzheimer dz 有關. 257 to 2.72倍. Dementia Associated with Heavy Smoking in Midlife. Midlife cigarette smoking of two packs per day or more portends an elevated risk for overall dementia, Alzheimer disease, and vascular dementia in later life. 8212; Brandy R. Matthews, MD. Published in Journal Watch Neurology November 16, 2010. 減少42%VAP rate, 這一根管子要價多少? 這個study可以顯示出VAP的減少，但無法顯示出2nd endpoint(mortality, MV days, ICU stay的減少). 作者預期case number夠多，大約可減少ICU mortality 1-3%. 5 days) VAP. Eleven occurrence...
關鍵報告: 六月 2010
http://jfliu-chestman.blogspot.com/2010_06_01_archive.html
Statin 當primary prevention仍存疑(Jupitor substudy做HSCRP的人被認為有問題). Archives' Studies Call into Question Statins for Primary Prevention. Two papers in the Archives of Internal Medicine cast doubt on the benefits of statins for primary prevention. Archives of Internal Medicine meta-analysis (Free). Archives of Internal Medicine editorial on statins (Subscription required). Archives of Internal Medicine article on JUPITER reappraisal (Free abstract). JAMA 進一步打擊rosiglitazone(Avandia) - 下市呼籲. For more than 10 yea...
關鍵報告: 一月 2011
http://jfliu-chestman.blogspot.com/2011_01_01_archive.html
Http:/ general-medicine.jwatch.org/cgi/content/full/2010/1230/3? 老年糖尿病患者，嚴格血糖控制，對ESRD, retinopathy沒有用，neuropathy有一點點用. 唯一一個明確的答案是BP control SBP 130mmHg 即可. In older diabetic patients, clinical microvascular endpoints were unaffected by tight glycemic control. 8212; Allan S. Brett, MD. Published in Journal Watch General Medicine December 30, 2010. Http:/ general-medicine.jwatch.org/cgi/content/full/2010/1230/2? Long standing type 2 DM, age 60 - BP 130即可,fenofibrate沒啥用. These two substudies are incredibly ...
關鍵報告: 三月 2011
http://jfliu-chestman.blogspot.com/2011_03_01_archive.html
What Should Physicians Wear? After 8 hours of wear, physicians' white coats and freshly laundered short-sleeved uniforms showed similar levels of bacterial contamination. Evidence that physicians' white coats and other long-sleeved garments can be contaminated with bacteria including methicillin-resistant Staphylococcus aureus. This study did not directly address the question of whether physicians' clothing affects patients' risk for exposure to pathogens, but the findings do not suggest that clinicians ...
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ENGLISH 200
Tuesday, September 10, 2013. Posted by James Fox. Thursday, March 10, 2011. Please post any questions in the comments section of this post. Here is the essay question that will appear on the exam:. Also, here is a list of poems which may appear on the exam:. In a Station of the Metro. To His Coy Mistress. The Passionate Shepherd to His Love. Flags Vex a Dying Face. Ode to a Grecian Urn. Dulce et Decorum Est. The Charge of the Light Brigade. The Love Song of J. Alfred Prufrock. The Road Not Taken. Reading...
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關鍵報告
11月 05, 2015. 上課前很怕自己是網頁白癡，聽不懂。但許宏志兄都聽過了，被推坑也是剛好而已。幸好，XDite把自己的水準降到地球人，剛剛好 :). 這是一個思想解放理念傳達的實作課程，雖然XDite滿嘴$ $ $，推坑哪，出賣人格啊，好像滿滿銅臭味，但從課後Q&A的內容可以發現，重要的是價值的傳遞，洗腦的過程。 洗腦的過程制式化以後，各種由下而上的宣傳成為常態，個人理念得以彰顯的門檻降低很多。 A/B Testing 裏不斷改網頁測試，我不禁覺得自己像星野之宣 2001 裏老派太空人碰到太空站裏新生一代太空人的感覺，從此，改網頁變成中打英打一般的生活必備技能，無誤。 即便是用IGRA, 有時也要等大於三個月才能決定TB contact. 7月 25, 2011. 接觸TB後，TST大抵上2-12週轉陽，IGRA大抵上6-10週，但IGRA可以長到3個月以上. 7月 25, 2011. Porvoked VTE - 吃3個月即可. 最近有一位病人，CVA長期臥床約一年前hip fracture, 三個月後DVT(provoked VTE). 7月 25, 2011.
jflivingvictoriously.blogspot.com
Jody Ferguson - living victorious with CML
Friday, May 20, 2011. Hello Again, Hello. Good ol' Neil Diamond. Remember that song? So that is where I am not with my CML. Now would you like to know what is up with me and the family besides that? Well, here it is anyway. Links to this post. Labels: Chronic Mylogenous Leukemia (CML) Dr Gingrich. Wednesday, September 29, 2010. I am currently at 300mg and so they would put me up to 400mg. I don't know what the highest dosage is on this drug (Tasigna/Nilotinib). Now at the time of my last visit my Liver c...
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