Battle between Freedom and Equality | Lee Yee
A netizen left a comment under my article from a couple of days ago, and said that if Trump is re-elected, he would turn “dictatorial”, and pursue “Trump thinking as mainstream”. He said that he “divides the United States and gave birth to racism, white nationalism, and xenophobia”, which is disastrous to human civilization, etc.
Under the constitutional system of the United States, one will have to step down after one re-election, and there is no way to bring about a dictatorship. Moreover, just look at all the stormy attacks mainstream media throws towards him, how is one to become a dictator? In a multicultural America, how could any almighty notion exist? As for racism and xenophobia, the cited example is him crowning the novel coronavirus “Chinese virus”, and the media claimed that this has caused a sharp increase in anti-Chinese speech online. But the virus did originate in China, did it not?
Other than the infiltration of Chinese interests that drove the U.S. media’s anti-Trump campaign, it has also been the “leftard” ideologies that have dominated academia and the press. How does one define “leftard”? Something that So Keng-chit said a few days ago was very appropriate, "the definition of “leftard” is that they replace strong and weak with “wrong and “right”; strong must be “wrong”, and weak must be “right”. Leftards uplift the weak by putting down the bullies to attain moral high grounds. The leftards must oppose the United States, for the see the United States as strong. The leftards sympathize with Saddam Hussein, because compared with the United States, Saddam Hussein is weak. They cannot see that Saddam Hussein is strong compared with the Iraqis. Hence the ‘tard’ in leftard.”
It is not that they cannot see, they are just intentionally not seeing. The mainstream media reports about Iraq after Saddam Hussein had fallen were that there was no longer a stronghold of a government, which led to the loss of societal management. Bombs were exploding daily, and blood flooded the land of the country. People lost homes and livelihoods. However, data showed that in the later phase of Saddam Hussein’s regime, Iraq’s population was 26 million, and the per capita GDP was only US$625, not to mention that the inflation rate was high in the three digits. After the United States attacked Iraq and introduced the democratic system, the Iraqi population has risen to 35 million, the per capita GDP has increased to US$4,600, and the inflation rate has dropped to 6%. Despite the global economic slowdown, the Iraqi economy has grown by an average of 9.9% per year for more than a decade.
In addition, the mainstream media rarely reported the substantial progress in Afghanistan’s economy and people’s livelihood after the United States eradicated the Taliban regime before establishing a democratic system in Afghanistan. It is rarely reported that after South Africa got rid of the white regime, social security was horrifying. It is because such truthful reporting is not politically correct.
Shouldn’t the motto of news publishing be “all news worth reporting”? When political correctness overrides this creed, there is no longer press freedom.
The so-called political correctness stems from anti-discrimination. Anti-discrimination means upholding the concept that “all men are born equal”, and to protect vulnerable groups. Anti-discrimination used to be a kind of progress, since the starting point is not the interests of the majority of society, but the moral and spiritual demands. But when this kind of protection gradually develops into a disregard towards differences and the diversity of human life, it becomes leftards who wave around the banner of political correctness. If the welfare of new immigrants is treated the same as that of local residents, how is that different from obliterating the long-term tax payment of local residents? Using Black Lives Matter to rationalize violence and chaos, you get Black Lives Better, and ignore the fundamental problems of the root causes of issues such as the Black community’s slighting of education; with the police worrying that law enforcement will cause them trouble, the crime in the Black areas will increase. Anti-discrimination has developed into a state where even praising women for being beautiful is discrimination. Obama once praised the Democratic vice presidential candidate Kamala Harris as the most beautiful State Attorney General in the United States, and was then accused of discrimination by feminists. He was forced to apologize. To protect LGBT, many American college toilets no longer distinguish between men and women, making women fearful.
“All men are born equal” is a false proposition. Some people are born with a silver spoon in their mouths, and others are born in the slums of Africa. How are they born equal? American conservative Russel Kirk said that we must pay attention to diversity and differences. Only before God and a fair court can there be true quality; all other attempts to achieve equality will inevitably lead to societal stagnation. If the balance of natural differences and conventions is tipped in order to pursue equality for all, then it will not be long before tyrants or despicable oligarchs start to create new inequalities.
Socialism waves around the banner of equality, and has been breeding tyranny for a whole century. Modern leftards is another form of pursuit of equality, one that is destroying the freedom of human society. Freedom is more important than equality. If there is no freedom, there will be no equality among people who are not free.
This U.S. general election may as well be regarded as a battle between freedom and equality.
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「infiltration rate」的推薦目錄:
infiltration rate 在 賴叔閱事 Facebook 的最佳解答
恐慌嘅時候,更需要睇清楚啲。
肥人知道呢篇文真係寫得遲,本來我乜都唔想寫,依家見到個勢係全世界順水推舟圍堵中共就更加唔想寫,但係姣婆係好難守寡既,尤其是呢排成日俾班極度恐慌既人trigger… 我決定代肥控制員寫,因為我呢邊收視率高過佢。
好,開波!
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“We had better learn to doubt our inflated fears before they destroy us. Valid fear have their place; they cue us to danger. False and overdrawn fears only cause hardship. Even concerns about real dangers, when blown out of proportion, do demonstrable harm.” – Barry Glassner, American sociologist, author of The Culture of Fear.
網絡世界千奇百趣,好多網上既意見同評論,如果同傳媒製造既輿論結合(不論有心定無意),係會對社會有非常深切既影響。例如以前有政權會向群眾灌輸恐懼,挑起群眾之間既仇恨,或令群眾不知所措,進而控制群眾。呢種手法,不論以前納粹德國、現存或者已覆亡既共產國家、甚至自命民主自由既開放社會如美國都有出現。當政者及其黨羽,就係利用群眾既錯誤認知,以感性因素去扭曲大家既認知同決策能力,咁就可以達到佢地既政治目的啦。咩政治目的?好多種既,下至失敗政府要掩飾施政失誤,上至衝出國際統治全世界都有。
所以唔好話咁樣係「誇張」、「陰謀論」、同「乜都拉埋政治來講」呀,因為人類歷史就係充滿呢種叫 fearmongering既手段-用有目的地散播同誇大一樣不愉快既事情既手法,去引起大家既恐懼來控制群眾。現今世界,庸碌無能之輩當政比比皆是,唔識控制群眾既情緒,點樣遮掩政府既無能同做錯事既後果?不過肥人今次唔講法律,我學下一般既KOL咁「跨界別評論」先,所以呢篇文我講生物醫學,particularly 係將近來我係周遭聽聽埋埋既恐慌言論歸納一齊,逐點解釋。
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首先,等肥人我同大家重溫一下近來有關武漢肺炎既新聞標題:
信報報導「河南超長潛伏期病例疑94天確診」
HK01就話「逾5000疫廈元朗區最多 衛生署拒回應真偽」
Business Focus既報導就恐怖啦,話「肺炎突變新冠腦炎? 北京醫院首證病毒能侵襲中樞神經系統 感染肺炎併發腦炎北京醫院:患者意識曾陷入混亂」
CCTVB報導「私家醫生可收患者呼吸道樣本交政府陳肇始稱可及早減低傳播」
仲有零零星星報導例如:
「伊朗新冠肺炎疫情增至145死55歲國會議員不治」
「伊朗新型冠狀肺炎疫情失控,再有一位高級官員病逝。」
「【新冠肺炎・伊朗】數名官員先後染病身亡 23國會議員確診」
「新型冠狀病毒南韓確診個案累計增至逾7千宗死亡人數維持在44人。」
「【新冠肺炎.最新疫情】意大利確診個案逾萬 美國突破千宗」
上面堆報導實在睇到好多人好恐慌,尤其是本來對科學/病毒/醫療/疾病無咩認知既人,呢兩個月睇新聞就好似睇恐怖熱線咁。於是搞到好多心理質素差,表面受過教育既人墮入恐慌之中。
然後,我聽到身邊好多人竭斯底理咁驚叫:
「個肺花!個肺花!個肺花!個肺花呀!」
「呢個唔係流感呀!唔好再錯誤同流感比較啦!」
「潛伏期變長呀!無病徵既隱形病人都會傳染人架!」
(隔離果個choke到,咳兩聲)「我以後唔同你坐埋一齊呀!我唔想死呀!」
「如果唔係香港人衛生意識好,堅持戴口罩,香港一早淪陷啦!依家已經無新病例!你睇鬼佬幾污糟!又唔戴口罩,病又話唔使入醫院,返屋企休息,依家美國同意大利都爆發啦!」
「呢D廢老唔戴口罩,鬼唔望佢地中招死全家!政府應該強制人戴口罩!」
以上說話我全部聽過人講,最後一句我最撚火滾,你自己恐慌就好啦,咒人死仲要政府好 draconian 咁立法同執法?俾個民主自由既國會你仲可以普選,你都會選班人渣出來,然後大比數通過立法強制抽血抽組織,強制所有人有無問題都要戴口罩,仲可能要將人tag完再限制人出入自由。1984呀!
我日日做mon post狗睇網上既post,好多share出來又會令人恐懼既post,大部份都係有好多空間令人胡思亂想,如果你對科學尤其是 research methods, medical science, microbiology, virology等等唔認識的話,你鐵定會誤讀誤解再誤判… oh wait,睇返上面「利用群眾既錯誤認知,以感性因素去扭曲大家既認知同決策能力」,BINGO! 咁就搞掂你啦。為咩事要搞掂你?唔講啦,因為你會用陰毛論、陳雲信徒、唔好乜都政治化來駁我。
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依家太多post講呢個新型冠狀病毒,例如Facebook有個印度人既 Infographics on Covid-19,好詳盡,但咁又點呢?大家對病毒以致肺炎、流感、醫療系統等等都毫無認識,講到咁深入你地都會誤解或者一頭霧水。咁樣樣,好多人因為無足夠既basic knowledge,又先入為主咁因為自己既恐慌情緒相信左錯既資訊,要同佢地「解毒」,就好似同藍絲講咩叫法治一樣困難,真係太監洞房無撚用。
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好,依家開始【法網肥人講病毒】!
1. 眾所鳩知,武漢肺炎係由新型既冠狀病毒 Covid-19引起。Covid-19係冠狀病毒科 Coronaviridae裡面其中一種,佢係屬於 positive-sense, singled stranded RNA virus (正鏈單股核醣核酸病毒) 。RNA病毒有好高突變率,因為病毒既RNA polymerases缺乏 DNA polymerase 既proofreading能力,所以佢地好難有 nearly identical既 sequence。仲有一點好重要,病毒同病菌唔同,病毒係需要靠 host cell (宿主細胞)先可以生存,離開 host cell 佢地不能複製,不能運作,只有死路一條。所以一開始就話新病毒同SARS個sequence有幾多幾多 percent 相似,我即刻叮左一下,然後好多人傳話新病毒點點點可以生存好耐,我更加叮多兩下…. 邊個放呢D料出來既?
2. 另外,呢隻病毒並非 retrovirus (逆轉錄病毒, class VI single-stranded RNA-Reverse Transcriptase),唔會將自己既RNA用 reverse transcriptase (逆轉錄酶)塞入host cell既基因裡面,然後適時復發。咩係retrovirus呢? 例如會引起 T Cell Leukemia 既 Human T-cell lymphotropic virus type 1 (HTLV-1),或者引起愛滋病既 Human Immunodeficiency Virus (HIV)。呢個病毒,亦唔係好似肝病毒科乙型肝炎咁,唔係 retrovirus 但會有reverse transcriptase去將 viral genome incorporate 入host cell,所以就算不幸中左,都唔會話咩病者會成世帶住個病。所以我每一次聽到人講「就算中左都一世帶病呀」就會好抆,冠狀病毒變愛滋,黐L線!
3. 冠狀病毒既結構好簡單:一個 viral envelope,外面有protein spike,裡面有RNA,that’s it。佢地個replication mechanism (複製機制) 就係病毒接觸host cell後進入 host cell,然後係host cell個細胞核nucleus裡面複製。複製完之後就由host cell cytoplasm (細胞質)裡面製造既 necleocapsid (核蛋白衣) 加埋細胞核既 endoplasmic reticulum (內質網) 既phospholipid membrane (磷脂層)包住病毒RNA,經由host cell 既Golgi apparatus (高氏體)帶出host cell 繼續傳染人。呢個複製過程,當然會破壞甚至殺死 host cell啦。咁知道呢點有咩用?Phospholipid membrane係lipid bilayer (脂質雙分子層),lipid bilayer係怕番梘soap既!咁勤D用番梘洗手就得啦,使撚用甲醇咩屌你,你嫌命長?
4. 有人話:「咁基因突變都得架嘛!個病毒咪做到所有野囉!」喔,係咩?如果咁簡單,呢個世界既大學就唔需要有生物系,而且達爾文應該無人理。首先,病毒點解會有基因變異?簡單講就係 replication 之中,有polymerases 抄錯條 sequence,例如本來係 ATCG 既,抄成 ATTG,跟住無 proofread 就掉出去。又有一種變異,就好似屬於Orthomyxoviridae 既influenza A virus咁,裡面有八條 RNA segments,可以係 replication既時候洗牌。呢種 replication 既錯誤或者洗牌,積埋積埋,小則變成 genetic drift/antigenic drift,大則變成 genetic shift/antigenic shift。前者可能將某一個半個 surface protein 結構變左少少,整體來講人體免疫系統仲認得出,變異後既病毒殺傷力有限。後者可能將原有病毒變成新既 subtype,大部份人既免疫系統都認唔出而死傷無數。假設,新既冠狀病毒係由舊有冠狀病毒(包括 SARS)天然 antigenic shift 變出來既,咁點可能係短短兩三個月再次 antigenic shift 呢?如果基因突變去到呢個地步,肯定顛覆生物學界既認知。但好多本來就無讀過生物既人會唔認同,佢地會搏命咁話基因變異點能夠預測!肥人話你知,唔係預測,而係不符合現實同暫時無人能夠推翻既理論。如果新病毒可以係短時間內變成 retrovirus,可以無任何條件下生存好耐,隨意改變 latent period潛伏期,隨意改變傳染力同殺傷力的話,科學家應該點 classify 佢呢?簡單講,長頸鹿頸長先叫做長頸鹿,如果長頸鹿變成 Mike Tyson 條頸咁短,咁我地應該叫佢做 Mike Tyson 定長頸鹿?如果新冠狀病毒有 HTLV-1既retrovirus能力,有hepatitis B 既 reverse transcriptase,有 flu A 可以 shuffle RNA 既能力,又有 HIV 既超長 latent period,你會叫佢做 coronavirus 定 super virus?
5. 講基因變異,要一個變異既病毒基因可以流傳,病毒本身必須要不斷繁衍,宿主傳宿主咁一代傳一代,病毒先可以續存。呢個就係進化論,survival of the fittest。古代有好多生物不能續存,就係因為被環境淘汰,例如有理論認為三葉蟲因為蛻變機制 (instar and molting) 有問題,結果難以生存,最後被大自然淘汰。如果病毒勁到咩人都可以一野就殺死佢的話,佢點傳播?宿主死左,無人帶佢地去傳染其他人嘛!病毒唔係病菌,可以係環境種生存好耐,病毒只要離開宿主好快就會死,就算有飛沫帶住,我地環境中既太陽紫外光、oxidizing agents、濕度與氣溫等等會令佢地好快收皮。病毒唔係倪匡衛斯理《藍血人》裡面隻「獲殼依毒間」,可以變成游離電波周圍飄。大家明白進化論,就會明白病毒學101既常識,從而 debunk 左一個不斷流傳既流言:「隻病毒好勁,好多人死架,傳播得又快!」傳播得快,不等如勁,而太勁既病毒,難以傳播。係呢度,傳播得快,同隻病毒之間並無關係。病毒殺傷力勁,傳播範圍就會窄,傳播速度都會慢;病毒殺傷力一般如普通流感的話,傳播範圍先會闊,傳播速度先會快。如果新聞瘋狂報導好多人死就等如勁,咁非洲同中東都有好多基督徒男女老幼被人大規模屠殺,你會唔會覺得信耶穌係死路一條?
6. 又有人話:「呢隻病毒唔同流感呀!唔好再同流感比啦!呢隻病毒會死人架!呢隻病毒無藥醫架!」首先,除左冠狀病毒同流感病毒,仲有 Respiratory Synctical Virus (人類呼吸道合胞病毒) 同 Rhinovirus (鼻病毒) 都會引起呼吸道感染疾病,隻隻都係病毒,病毒一向未必有有效既藥物醫治,隻隻都會死人。你地以為流感有得醫?用 Tamiflu 都未必得架,而且有可能有嚴重副作用。咁冠狀病毒同流感病毒有咩唔同? 有人話death rate高,無vaccine,latent period又長又短,病人無病徵,但呢堆因素唔係用來分別病毒勁唔勁囉。Death rate 高低由咩決定,點計?Vaccine有咩用,target 咩?latent period 點解會長短不一?有無病徵同嚴重性有咩關係,係咪好似異形咁,你怕有人無病徵但會 sudden death?你地睇得太多 WhatsApp D人無啦啦訓低既片段啦,你又知人地係武漢肺炎死?New England Journal of Medicine 有篇叫 First Case of 2019 Novel Coronavirus in the United States既文,提到美國華盛頓州有個病人1月19日入廠,20日確診,一直都係 supportive care,直到染病第11日,即係入廠第7日,醫生先用 IV 俾 remdesivir (瑞德西韋),然後佢就退燒,其他症狀都消失或者減輕。咁又點解會係無得醫?大家記住remdesivir (瑞德西韋),遲下會再講。
7. 仲有,我最憎既「個肺花!個肺花!個肺花!個肺花呀!」呢句,我想同講呢句既人講,肺花,係因為照 X-ray 既時候個肺有 consolidation/infiltration,呢個問題唔單止係肺炎,肺癆甚至cancer都會肺花。你怕咩肺花?流感去到嚴重的話,都可能肺花,因為你有 pulmonary consolidation or infiltration。肺花係因為你個肺 filled with liquid, exudate, pus 甚至 blood from hemorrhage。理性少少,冷靜D,肺花講一次就得,repeat 幾次無幫助。
8. 孤勿論點,呢隻病毒都只係一隻呼吸道感染既病毒,一隻真病毒,一隻同流感一樣會令人病,亦會令人死既病毒,只係流感令人鼻塞,但一樣有機會令人肺炎。呢個新病毒佢所有既威力都係傳媒、WhatsApp片段、社交媒體既報導俾佢,就好似有D 人,你聽佢大名如雷灌耳,一見到真人原來係柒碌又無料到一樣(我懷疑我自己都係咁)。其實有無人真正去了解上面我所講既野?無人話你聽你可以當呢隻病毒無到,話之佢死,但係一開始就進入恐慌狀態,咁你係咪俾人耍緊呢?
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講完上面既病毒既基本知識,不如講多少少基本病毒檢測既知識。好,依家開始【法網肥人化身肥控制員】!
外面成日有人話:「哎呀,個病人21日後先確診呀!」「哎呀,佢隻狗弱陽性呀!」「哎呀,本來係陰性依家係陽性呀!」「哎呀,南韓同意大利爆發,突然好多人確診呀!」Now TV 更報導「鑽石公主號在日確診香港人 康復回港後再檢測呈陽性」
究竟,呢堆確診數字信唔信得過?我意思唔係話邊個國家信唔信得過,而係呢個 test method 同個 protocol 信唔信得過,會唔會有 uncertainty 或者error? 一開始,我地可以睇下 Journal of the American Medical Association 3月9日既文章,Diagnostic Testing for the Novel Coronavirus,裡面有講到 false positive/false negative 既問題,仲有病毒測試既regulation,測試既 guideline等等。文中有提到,開初發展出來既病毒測試有 false negative,顯示出呢個測試既設計應該係有問題。另外,FDA,CDC與美國各州政府之間都有分歧,州政府當然想為居民檢驗啦,但因為個測試係新開發,有大量問題同 uncertainy,所以FDA “made clear that laboratories were encouraged to develop tests but could not use them for clinical diagnosis without FDA’s “approval, clearance, or authorization during an emergency declaration.” 咁 what does that means? 如果你讀 law 的話,我expect你可以 read between the lines。
講返個測試,檢驗新病毒一般都係會用 RT-PCR (Reverse transcriptase-polymerase chain reaction 逆轉錄聚合酶鏈式反應)。好多人,包括肥人好多行家與同事甚至客仔,一聽到咩DNA測試,就以為呢個 test 無L敵啦,一定準確啦。Oh Sorry,no! 撇除所有「中國的會爆炸」同「中國有咩係真」呢兩個因素,一個test既結果是否可信係建基於樣本收集同檢驗方法,無論你係美國,意大利,南韓,日本定中國,樣本收集同檢驗方法先係 main point!
檢驗呼吸道感染疾病,你地話收集咩樣本好呀?Saliva? Sputum? Nasopharyngeal aspirate (NPA)? Bronchial lavage? 如果係上呼吸道病毒,咁 NPA都足夠既,sputum 都可以,但saliva 就應該要reject。但有時呢類既樣本都未必有足夠既病毒樣本去驗,病毒深入氣管去到肺氣泡(alveoli),樣本可能要係bronchial lavage先夠做。仲有,收集樣本既手法,部位,儲存方式,收集時間與檢驗時間既差距,樣樣都會影響結果。支棉花棒「了」得唔好,你或者都會無 result。
好啦,到講 RT-PCR啦。RT-PCR係需要 medical scientist 去砌一段 primer 出來開始做test。為左檢驗結果既可靠性,scientist通常會係新病毒入面抽一段比較穩定既 RNA segment 出來做 primer。可惜,有好多情況下,RT-PCR會俾個錯既答案你。
第一,primer 既設計好影響結果,上面都話段 primer 要係抽病毒一段比較穩定既 RNA segment 出來做,咁如果你抽錯左呢?第二,樣本既 DNA/RNA sequence 既integrity好差,甩頭甩骨咁,結果就會受影響。即係上面所講既樣本收集出現問題呀!第三,樣本純度低,或者份量少,又即係上面所講既樣本收集出現問題呀!咁個 tech 或者 scientist 要係咁加 PCR cycle去 amplify 個 sample,咁 amplify 出來既樣本就有好大機會係 false positive,呢點會影響所謂確診既可信度,亦係咁肥人我見到漁護處話瑞士花園個阿婆患者隻狗呈現弱陽性反應,我當下笑 L97 左出來。大佬呀,你是咪無足夠 sample 就鳩 amplify,然後個 result 根本有問題你都聽長官意志,鳩簽個名話係弱陽性呀?陽就陽,陰就陰。Result 唔 significant 或者 inconclusive,你出咩報告jack? Invalid 啦!仲有呀,病毒係 host specific 架,會傳染人既病毒,又點會無啦啦傳染狗? 眾所鳩知冠狀病毒係靠人類細胞上既 ACE2 (Angiotensin-converting enzyme 2,血管收縮素轉化酶2)來進入人體細胞啦,狗 ACE2既同人既一樣?
寫下寫下,喂,原來未寫數據演繹同政策問題,太長啦,下次再續!
#跨界別吹水
#本來要免於恐懼唔跟隨共匪起舞
#依家又俾共匪睇穿你班人既心理
#個勢變啦全世界同共匪切割了
infiltration rate 在 隆安動物醫院 Facebook 的精選貼文
***********開始開放報名************
***********招生課程.預告中**********
***2018/8/4(六) 23:00正式招生(重新貼文.附上報名連結)***
2018年新北臨獸醫繼續教育課程:貓咪專題超音波實操課程
課程簡介
隨著大眾增加對貓這動物種的認識及居住空間的限制,寵物貓的飼養普及率亦隨著升高。因此貓咪的影像診斷學在協助疾病診療上扮演著不可或缺的角色,隨著獸醫臨床醫療的進步及精緻化,超音波影像診斷學亦是同步進步提升。此外,貓不是小型犬,是獨立特殊的動物種,各系統的器官組織都有異於狗之處。同理,各系統會發生的疾病好發率及特異性亦不同。
影像學檢查是臨床獸醫師每天所面臨到的工作,動物因為焦慮或疼痛往往無法安靜配合獸醫師的檢查而造成拍攝過程的人員與動物的受傷或無法得到良好影像品質。鎮靜在小動物臨床醫學之應用十分普遍,但鎮靜用藥亦有心血管及呼吸系統副作用,且鎮靜之動物所能進行之生理監控與支持較為受限。臨床上選擇鎮靜計劃時, 藥物和特定的搜尋計畫中所潛藏的關係需被好好衡量。討論擬好的鎮靜麻醉方案和搜尋到藥物可能相應的藥理性質是很重要的。良好的鎮靜可以提供化學性保定,減少動物的焦慮,從而減少兒茶酚胺分泌和心律不整的風險,減少在強力物理保定下造成人員與動物的傷害。
因此,藉由貓咪專題的臨床實際病例分享及全程鎮靜麻醉充足的臨場操作時間,讓獸醫師更精準確實的熟悉貓超音波之適用時機、掃描技巧、臨床應用及影像判讀。
課程設置為上午超音波正課,下午麻醉正課及操作(對應上午正課貓的各系統鎮靜麻醉),接下來超音波實操。
課程大綱 - 主要將會著重於與狗不同之處及貓較特別的疾病
PARTI
主題I 簡述掃描前準備及如何優化影像品質
超音波檢查環境的設置
適合貓的超音波探頭
優化超音波影像品質及超音波鍵盤操作
主題 II 泌尿生殖系統超音波學
主題III肝膽系統,脾臟及腎上腺超聲波學
簡述超音波評估適用時機及優缺點分析
貓特有正常解剖構造、超音波影像及掃描方法
貓常見疾病的超音波影像
麻醉
如何運用鎮靜藥物於影像診斷流程中 PARTI
PART II
主題 IV消化道系統超聲波學
主題 V胰臟超音波學
主題 VI腹腔淋巴結系統超音波學
簡述超音波評估適用時機及優缺點分析
貓特有正常解剖構造、超音波影像及掃描方法
貓常見疾病的超音波影像
麻醉
如何運用鎮靜藥物於影像診斷流程中 PARTII
課程日期及時間
PART I: 11月17日(星期六)
PART II: 12月15日(星期六)
兩天皆為09:00 ~ 18:00,共16小時,上午超音波正課三小時,下午麻醉正課及實操兩小時,以及超音波實操三小時。
報名資訊
人數: 24名(四人一組,分六組實際操作)
費用: 含早餐及午餐(採登記制)
非會員:32,000元
新北臨會員及老學員:28,000元
課程含點心、講義乙本及結業證書,完成報名後因事無法上課者不再退費
地點及地址:
馥都飯店3樓(板橋區縣民大道一段189號 02-29658003)
繳費方式:
匯款銀行
帳號:玉山銀行. 新板特區分行(代號808) 0587-940-005608
戶名: 新北市獸醫臨床醫學會 蔡志鴻
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講師簡介
陳冠升DVM, MVS, PhD, MANZCVS (Veterinary Radiology)
學經歷
國立中興大學獸醫學系學士 1999
澳洲墨爾本大學獸醫影像學碩士 2003
澳洲墨爾本大學獸醫系博士 2009
澳洲暨紐西蘭獸醫專科學院考試認證合格 獸醫影像診斷學專科 2010-
國立中興大學獸醫學系助理教授 2011-2018
國立中興大學獸醫教學醫院 影像診斷科主任 2011-
台灣大學獸醫系友會小動物超音波工作營 超音波學 講師 2012
中華民國醫用超音波學會 動物超音波研習會 講師 2013, 2014
台灣獸醫外科專科醫學會(TCVS) 進階影像學 講師 2014, 2015
第六屆 FASAVA電腦斷層影像學 講師 2015
第五屆 中國小動物醫師大會-海口 影像學 講師 2016
上海寵物醫療暨學術研討會 影像學 講師 2016
拜耳臨床獸醫學院 影像學 講師 2016
新北市獸醫臨床醫學會 超音波實作班 講師 2017-
高雄福爾摩沙獸醫臨床醫學會 超音波實作班 講師 2017-
第三屆 高雄福爾摩沙獸醫年會 影像學 講師 2017
國立中興大學獸醫學系副教授 2018-
雲林暨嘉義獸醫臨床讀書會 獸醫超音波臨床實操課程講師 2018
中台灣春季聯合國際學術研討會 影像學 講師 2018
現職
國立中興大學獸醫系 副教授
國立中興大學獸醫教學醫院 影像診斷科主任
期刊發表
1. Wu RS, Liu YJ, Chu CC, Heng HG, Chia MY, Wang HC, Chen KS*. (2017, accepted). Ultrasonographic features of insulinoma in six ferrets. Vet Radiol Ultrasound. (SCI) 本人為通訊作者.
2. Feng YC, Chen KS, Chang SC*. (2016, Nov). Reconstruction with latissimus dorsi, external abdominal oblique and cranial sartorius muscle flaps for a large defect of abdominal wall in a dog after surgical removal of infiltrative lipoma. J Vet Med Sci. 78: 1117-1121. (SCI)
3. Wu RS, Chu CC, Wang HC, Chen KS*. (2016, Jun). Clinical diagnosis and surgical management of diaphragmatic retroperitoneal peri-renal fat and kidney herniation in a pet rabbit. J Am Vet Med Assoc. 248:1399-1403. (SCI) 本人為通訊作者.
4. Chang AC, Cheng CC, Wang HC, Lee WM, Shyu CL, Lin CC, Chen KS*. (2016, Apr). Emphysematous pyometra secondary to Enterococcus avium infection in a dog. Tierärztl Prax. 44:195-199. (SCI) 本人為通訊作者.
5. Chou HI, Chen KS, Wang HC, Lee WM*. (2016, Apr). Effects of cranberry extract on prevention of urinary tract infection in dogs and on adhesion of Escherichia coli to Madin-Darby canine kidney cells. Am J Vet Res. 77:421-427. (SCI)
6. Wang HC, Hung CT, Lee WM, Chang KM, Chen KS*. (2016, Jan). Effect of intravenous dexmedetomidine on cardiac characteristics measured using radiography and echocardiography in six healthy dogs. Vet Radiol Ultrasound. 57:8-15. (SCI) 本人為通訊作者.
7. Jen CC, Wang HC, Lin JL, Chen KS*. What is your diagnosis? (2015, Dec). Gastric dilation and volvulus. J Am Vet Med Assoc. 247:1233-1235. (SCI) 本人為通訊作者
8. Lin YL, Wang HC, Lin CC, Chen KS*. (2015, Apr). What is your diagnosis? Hepatic neoplasia. J Am Vet Med Assoc. 246:733-735. (SCI) 本人為通訊作者
9. Lin CC, Chen KS, Lin YL, Chan JPW*. (2015, Jan). Multiple subluxations and comminuted fracture of the cervical spine in a sheep. Tierärztl Prax. 2015; 43:44-48. (SCI)
王咸棋 DVM, MS, PhD
學經歷
國立中興大學獸醫學系學士 1994-1999
國立中興大學獸醫研究所博士 1999-2005
國立中興大學獸醫教學醫院 住院醫師 1999-2004
美國俄亥俄州立大學獸醫學院 短期進修 2000.7
日本麻布大學 短期進修 2004.2
行政院農委會家畜衛生試驗所 博士後研究 2006-2007
中國醫藥大學分子醫學中心 博士後研究 2007-2009
日本酪農大學 短期進修 2010.1
國立中興大學獸醫系 助理教授 2009-
國立中興大學獸醫系 副教授 2015-
國立中興大學獸醫教學醫院 麻醉暨重症加護科主任 2011-
國立中興大學獸醫教學醫院 小動物外科主任 2015-
現職
國立中興大學獸醫學院獸醫學系副教授
國立中興大學獸醫學院獸醫教學醫院麻醉暨重症加護科主任
國立中興大學獸醫學院獸醫教學醫院小動物外科主任
台灣獸醫外科專科醫學會(TCVS) 理事暨外科會員
獸醫內科醫學會理事
動物醫學基金會執行董事
新北市獸醫臨床醫學會顧問
醫療對象
小動物包括犬、貓
臨床專長
小動物臨床麻醉學、小動物症加護醫學
近五年期刊發表
1. Lee, C.H., S.L. Lin, T.T. Chi, S.H. Chang, and H.C. Wang. 2013. Effect of Topical
Adminstration of 0.8% Nalbuphine on the Cornea in Dogs after phacoemulsification. J Vet Med
Sci. 75: 1041-1047.
2. Chan, F.T., G.R. Chang, H.C. Wang, and T.H. Hsu. 2013. Anesthesia with isoflurane and
sevoflurane in the crested serpent eagle (Spilornis cheela hoya): minimum anesthetic
concentration, physiological effects, hematocrit, plasma chemistry and behavioral effects. J Vet
Med Sci. 75: 1591-1600.
3. Liao, P.Y., S.C. Chang, K.S. Chen, and H.C. Wang. 2014. Decreased postoperative C-reactive
protein production in dogs with pyometra though the use of low-dose ketamine. J. Vet. Emerg
Crit Car. 24: 86-290.
4. Hung, Y.P., Y.P. Yang, H.C. Wang, J.W. Liao,W.L. Hsu, C.C. Chang, and S.C. Chang. 2014.
Bovine lactoferrin and piroxicam as an adjunct treatment for lymphocytic-plasmacytic gingivitis
stomatitis in cats. Vet J. 202:76-82.
5. Lin, Y.L., H.C. Wang, C.C. Lin, and KS. Chen. 2015. What Is Your Diagnosis? - Gastric
gastrointestinal stromal tumor in a dog. J Am Vet Med Assoc. 246: 733-735.
6. Lin, Y.L., H.C. Wang, C.C. Lin, and KS. Chen. 2015. What Is Your Diagnosis? Chronic gastric
dilation and volvulus in a dog. J Am Vet Med Assoc. 247:1233-1235.
7. Cheng, Y.C., J.L. Lin, S. H. C. Su, P.C. Shih, K.S. Chen, H.C. Wang and W.M. Lee. 2015. Case
report: Efficacy of Combination of Electroacupuncture and Aquapuncture Using Vitamin B
Complex on Promotion of Ambulation Perception in 15 Dogs with Hansen Type I Intervertebral
Disc Disease Undergoing Hemilaminectomy . Thai J Vet Med. 45: 463-468.
8. Huang, H.Y., J.Y. Hsu, S.C. Chang, K.S. Chen, T.H. Hsu, and H.C Wang. 2015. Alteration in
Serum Matrix Metalloproteinase-9 Gelatinase Activities in Lymphoma-Bearing Dogs with
Chemotherapies . Thai J Vet Med. 45: 373-380.
9. King, H.H., H.C. Wang, K.S. Chen and W.M. Lee. 2015. Trivalent Chromium Attenuated
Corticosterone Secretion and Actions in Adrenocorticotropic Hormone-Stimulated. Pak Vet J. 36:
41-44.
10. Wu, R.S., C.C. Chu, H.C. Wang, and K.S. Che. 2016. Clinical diagnosis and surgical
management of diaphragmatic retroperitoneal perirenal fat and kidney herniation in a pet rabbit.
J Am Vet Med Assoc. 248: 1399-1403.
11. Chou, H.I., K.S. Chen, H.C. Wang, and W.M. Lee. 2016. Effects of cranberry extract on
prevention of urinary tract infection in dogs and on adhesion of Escherichia coli to Madin-Darby
canine kidney cells. Am J Vet Res. 77: 421-427
12. Chang A.C., C.C. Cheng, H.C. Wang, W.M. Lee, C.L. Shyu, C.C. Lin, and K.S. Chen. 2016.
Emphysematous pyometra secondary to Enterococcus avium infection in a dog. Tierarztl Prax
Ausg K Kleintiere Heimtiere. 44: 195-199.
13. Wang, H.C., C.T. Hung, W.M. Lee, K.M. Chang, and K.S. Chen. 2016. Effects of intravenous dexmedetomidine on cardiac characteristics measured using radiography and echocardiography in six healthy dogs. Vet Radiol Ultrasound. 57: 8-15.
14. Wu, R.S., Y.J. Liu, C.C. Chu, H.G. Heng, M.Y. Chia, H.C. Wang and K.S. Chen. 2017. Ultrasonographic features of insulinoma in six ferrets. Vet Radiol Ultrasound. 58: 607-612.
非JCR期刊論文
1. Su, W.L., C.C. Cheng, W.Y. Shia, T.H. Hsu, K.S. Chen, H.C. Wang, and W.M. Lee. Effect of trivalent chromium on growth hormone and insulin-like growth factor-I in ovariohysterectomized rats. 2016. Taiwan Vet J. 42: 159-163.
2. Wang H.J., S.C. Chang, W.M. Lee, K.S. Chen, and H.C. Wang. 2017. Comparison of infiltration analgesia and constant rate infusion for postoperative analgesia in dogs with mammary tumors undergoing bilateral radical mastectomy and ovariohysterectomy. Taiwan Vet J. 43:177-183.
3. Hu C.H., T.H. Hsu, K.S. Chen, W.M. Lee and H.C. Wang. 2018. Pleth variability index-guided fluid therapy lowers podt-operative lactate levels in dogs undergoing elective abdominal surgery: a randomized controlled trial. Taiwan Vet J. 44:7-14.
專書
1. 獸醫麻醉學手冊(5版). Elsevier. ISBN 9789866052743
2. 小動物外科學. 2015. Elsevier. ISBN 9789865666958
3. 寵物醫師臨床手冊第二版
4. 動物醫院分科與臨床技術手冊. Elsevier. ISBN:9789869367011
5. 犬貓的麻醉與相關疾病. 狗腳印出版有限公. ISBN:9789869481625
吳叡璇DVM, MS, MANZCVS (Veterinary Radiology)
學經歷
國立中興大學獸醫學系學士 2004-2009
國立中興大學獸醫臨床碩士 2009-2011
國立中興大學獸醫教學醫院 實習醫生 2011-2012
國立中興大學獸醫教學醫院 影像診斷科住院醫師 2012-2015
國立中興大學獸醫教學醫院 影像診斷科總醫師 2015-2018
澳州墨爾本大學獸醫教學醫院影像診斷科研習 2012
中華民國醫用超音波學會 動物超音波研習會 講師 2013, 2014
第六屆FASAVA 放射線學、超音波學 口譯 2015
上海寵物醫療學術研討會 超音波學 講師 2016
新北市獸醫臨床醫學會例會 超音波學 講師 2016
新北市獸醫師公會學術研討會 超音波學 講師 2016
台中市獸醫師公會例會 影像學 講師 2016
高雄市福爾摩沙獸醫臨床醫學會特殊寵物年會 影像學 講師 2016
蘇州市動物診療協會年會 超音波學 講師 2016
第45屆獸醫師節慶祝大會暨國際學術研討會 異寵影像學 講師 2017
中華民國內科獸醫醫學會 影像學 口譯 2017
澳州墨爾本大學獸醫教學醫院影像診斷科研習 2012
澳洲暨紐西蘭獸醫專科學院考試認證合格 獸醫影像診斷學專科 2017-
新北市獸醫臨床醫學會 超音波實作班 講師 2017-
高雄福爾摩沙獸醫臨床醫學會 超音波實作班 講師 2017-
雲林暨嘉義獸醫臨床讀書會 獸醫超音波臨床實操課程講師 2018
雲林暨嘉義獸醫臨床讀書會例會影像學講師 2018
第十屆東西部小動物臨床獸醫師大會影像診斷學講師 2018
國立中興大學獸醫教學醫院 影像診斷科主治醫師 2018-
現職
國立中興大學獸醫教學醫院 影像診斷科主治醫師
醫療對象
小動物包括犬、貓
珍奇寵物包括小型哺乳類、爬蟲類等
臨床專長
影像診斷學(放射線學檢查、超音波、電腦斷層掃描及採樣)
期刊發表
1. Wu RS, Liu YJ, Chu CC, Heng HG, Chia MY, Wang HC, Chen KS. (2017, accepted). Ultrasonographic features of insulinoma in six ferrets. Vet Radiol Ultrasound. 58(5), 607-612. 2017. (SCI) 本人為第一作者.
2. Wu RS, Chu CC, Wang HC, Chen KS. Clinical diagnosis and surgical management of diaphragmatic retroperitoneal perirenal fat and kidney herniation in a pet rabbit. J Am Vet Med Assoc. 248, 1399-1403. 2016. (SCI) 本人為第一作者.
3. Kung YY, Chu CC, Wu RS. Bilateral ovarian cysts and diffuse cystic endometrial hyperplasia of uterus in a sugar glider (Petaurus Breviceps). Proceeding of International Conference on Avian, Herpetological and Exotic Mammal Medicine. 2015. 本人為通訊作者.
4. Chu CC, Chen YW, Wu RS. Successful diagnosis and surgical management of gastric volvulus in a domestic rabbit (Oryctolagus cuniculus). Proceeding of International Conference on Avian, Herpetological and Exotic Mammal Medicine. 2015. 本人為通訊作者.
5. Chu CC, Wu RS, Chen KS. Idiopathic hepatic cyst in a preovulatory egg binding domestic gould’s monitor (Varanus G. flavirufus). Proceeding of International Conference on Avian, Herpetological and Exotic Mammal Medicine. 2015.
6. Chu CC, Wang HC, Wu RS. A rare case: Surgical management of cystolithiasis in a domestic bowsprit tortoise (Chersina angulata). Poster. Association of Exotic Mammal Veterinarians Conference. 2014. 本人為通訊作者.
7. Chu CC, Chen KS, Wu RS. Suspected dietary associated cystolithiasis in 2 sugar gliders (Petaaurus Breviceps). Proceeding of International Conference on Avian, Herpetological and Exotic Mammal Medicine, 311-313. 2013. 本人為通訊作者.
8. Chan IP, Wu RS, Huang HM, Lin MC, Lin SH. Case Report: First Report of Transcatheter Helical Coil Occulsion for Treatment of Patent Ductus Arteriosus in a Dog in Taiwan. Taiwan Vet J. 35(4), 283-291. 2009.
麻醉實操助教簡介
黃欣瑜DVM, MS
學經歷
私立中國醫藥大學護理系學士 1999-2003
國立中興大學獸醫系學士 2005-2010
國立中興大學獸醫臨床碩士 2016-2018
台中永昌動物醫院 獸醫師 2011-2012
中興大學獸醫教學醫院 麻醉暨重症加護科住院醫師 2012-2015
中興大學獸醫教學醫院 麻醉暨重症加護科總醫師 2015-
雙鏡聯合微創手術課程研討會實作課程 專任麻醉醫師 2015
第九屆上海寵物醫療學術研討會 麻醉學講師 2016
新北市獸醫師公會學術研討會 麻醉學講師 2016
新北市獸醫臨床醫學會 麻醉學講師 2017
現職
國立中興大學獸醫教學醫院 麻醉暨重症加護科總醫師
期刊發表
1. Huang HY, Hsu JY, Chang SC, Chen KS, Hsu TH, & Wang HC. Alteration in Serum Matrix Metalloproteinase-9 Gelatinase Activities in Lymphoma-Bearing Dogs with Chemotherapies. Wetchasan Sattawaphaet 45(3), 373. 2015.
infiltration rate 在 4. INFILTRATION 的推薦與評價
Soil water movement (percolation) is the process of water flow from one point to another point within the soil. Infiltration rate is the rate at which the water. ... <看更多>