【#重要資訊請廣傳🇮🇹】日前中國官媒、微信、香港藍媒鋪天蓋地宣傳,「武漢肺炎源自意大利」,唯一的source,就是引述意大利醫生Giuseppe Remuzzi接受美國電台訪問的一句話,再斷章取義,昨天我們已經解釋過。
一位手足為了求真,專門發電郵向Dr Remuzzi本人詢問,從這位意大利專家的以下回覆,可明確知道他的原意:不但肯定武漢肺炎源自武漢,而且懷疑早在10月尾,武漢可能已出現武漢肺炎感染,但中國政府沒有公佈,期間可能大量中國人從武漢來到意大利,令意大利出現了一些疑似案例,由於一切來自中國的資訊都不透明,才令疫情失去控制的黃金時機。整個訊息,和中國官媒宣傳的完全相反,fake news之意,莫此為甚。
Dear XXX,
The only thing I said was that some general practitioners candidly told me of having observed a few cases of severe pneumonia already in late November and December, which is not unexpected, since the majority of contagions are coming from asymptomatic people who likely travelled from China before the Chinese authorities communicated that this outbreak had occurred. Attached is my answer to the journalists who have contacted me.
//Quoting the answer:
I repeat, none of these cases have been documented as Covid-19 because there was no evidence yet of the existence of Covid-19.
In any case, we can be certain that the virus emerged in Wuhan first, where it had probably been circulating for some time before it was made public in China, and the genetics confirm this beyond a shadow of a doubt. It arrived in Italy through a German person who had been in contact with a Chinese person, as you can see in the NEJM paper (DOI: 10.1056/NEJMc2001468). The strongest evidence of the fact that the current Covid-19 derives from bats and pangolins is reported in an article in Nature Medicine (https://doi.org/10.1038/s41591-020-0820-9) recently published, which shows almost identical sequences. Commercial activities using bats and pangolins are very well documented in Wuhan market, which was almost certainly the source of the outbreak. The question now is for how long the virus was circulating in China before health authorities understood the dimension of the problem. Considering the incubation period, I would not be surprised if asymptomatic individuals had been moving around China and travelling abroad in December and maybe even earlier.
In my opinion, there is no doubt that the virus arrived in Italy from China based on genetic studies just reported in Nature Medicine. However, one has to consider the possibility that, rather understandably, the emergence of this unfortunate event in China probably occurred long before health authorities realised it,considering the number of asymptomatic carriers, which isnow extremely well documented in the paper published in Science (DOI:10.1126/science.abb3221).//
By the way, I think you should probably investigate an event that was organised in Wuhan at the end of October (see attached). We know from the paper published in Science that 80% of contagions occur through people who are asymptomatic; you can imagine how many people arrived in Italy from Wuhan in that precise period of time.
Please see also a statement by Daniel Lucey, an infectious disease specialist at Georgetown University and the Lancet paper attached.
Best regards,
Giuseppe Remuzzi//
同時也有4部Youtube影片,追蹤數超過16萬的網紅夠維根Go Vegan,也在其Youtube影片中提到,不管事專業運動員或是健身練肌肉的人 吃素需要注意甚麼呢? FB粉絲專頁:https://www.facebook.com/GoVeganTW 提倡一種新的生活態度,透過動畫宣導"動物權利"! 感謝【台灣素食營養學會】整理資料、提供贊助 【台灣素食營養學會 官網】http://www.twvns....
「evidence based medicine」的推薦目錄:
- 關於evidence based medicine 在 堅離地城:沈旭暉國際生活台 Simon's Glos World Facebook
- 關於evidence based medicine 在 MedPartner 美的好朋友 Facebook
- 關於evidence based medicine 在 MedPartner 美的好朋友 Facebook
- 關於evidence based medicine 在 夠維根Go Vegan Youtube
- 關於evidence based medicine 在 Tiger Muay Thai and MMA Training Camp, Phuket, Thailand Youtube
- 關於evidence based medicine 在 MedPartner美的好朋友 Youtube
evidence based medicine 在 MedPartner 美的好朋友 Facebook 八卦
「只罵白因子跟淨淨這些消毒液廠商,卻不罵台大醫院,你們也只是 #醫醫相護 而已!」
寫了消毒液廠商的文章後,收到這樣的批評。雖然心裡真的覺得荒謬,但這樣的論調,似乎還真的得到某些人的認同。因此我們覺得有必要公開跟大家說,MedPartner 團隊對這些事情評論的基礎,到底有什麼不同?搞懂其中的差異,相信對社會整體的思辨力會有幫助。
沒錯,我們的組成有醫師、藥師、營養師、化妝品配方師、博士後研究員 ... 等,甚至有醫師就是前台大醫院員工。但我們在近期台大醫院接錯管路的事件,沒立刻批評台大醫院,絕對不是因為「醫醫相護」,因為消毒廠商的事件,跟台大醫院的事件,在 #惡意的程度 上是有天壤之別的。
我們先說消毒液廠商的問題好了。白因子的產品明明有殘留,說是無殘留完全還原成水。淨淨的病毒檢驗報告,人家學校實驗室都已經事先特別警告他「不能用作效果的宣稱」,結果他還是胡亂宣稱了。甚至白因子幾乎所有的錯誤、不實宣稱,淨淨這家廠商幾乎完全照抄一遍。然後一堆廠商都跟部落客說錯誤的使用方式,誤導民眾可以噴在皮膚上,甚至是「可以食用」。
請問我們該如何解讀這件事情?難道他們是「不小心」做出宣稱?「不小心」放錯報告?「不小心」跟網紅部落客說錯使用方式?這只要稍微動點腦筋,就知道是廠商「故意」這麼做的。如果可以連續發生這麼多的「不小心」,而且一堆廠商一起「不小心」,那這個國家到底是出了什麼問題?
會發生這種事情,可能是因為政府對這些亂講的宣稱沒有足夠的懲罰機制(也或許是查核人力不足),也可能是因為利益太大風險太小,所以廠商在利益的誘因下,就紛紛這麼做。
如果我們要 #系統性解決問題 ,就只能透過揭露事實,並在之後努力整理防疫相關的正確知識,藉由民眾正確認知的建立,以及對各類消毒產品優缺點的理解,讓大家更有機會選到相對優質的產品,才有可能產生產業良性的競爭,讓社會往正面的方向發展。這就是我們不得不批判的原因。
那為什麼以前沒人做這件事?因為擋人財路就是白目啊。你是這個產業的專家,別人唬爛賺大錢,你可以選擇一起唬爛賺大錢,或者是講些實話讓人討厭,但自己也沒賺錢,正常狀況下,多數人會選擇哪一個?
今天我們會敢出來講,就是因為 MedPartner 團隊根本不收任何廠商的錢,我們的資源,全都是從 3000 多位網友每個月的小額訂閱支持,還有團隊負責醫師每個月自己再貼上十幾萬的收入來的。團隊負責醫師給整個編輯團隊的原則只有「#憑著你的良心跟專業,#說該說的話,#做該做的事」。有事情的話,就由團隊負責醫師來扛責任、承擔風險。
媒體被產業影響的問題還不夠大嗎?大家自己看看,出了這麼大的廣告不實、甚至是亂解釋檢驗報告的問題,正常狀況下,媒體早就爭相報導了。但這次事件,各大媒體有做什麼報導嗎?為什麼他們幾乎都沒報導呢?
大家只要動動手,去 google news 上搜尋相關的關鍵字,就可以看到,這些廠商買了多少商業置入新聞,收了這麼多錢,你如果是媒體老闆,會讓這些負面的消息被放上去嗎?
再來回到台大醫院洗腎護理師接錯管路事件。這是不是個錯誤?當然是個錯誤!但這個錯誤是怎麼發生的?根據台大醫院的調查以及公佈的結果「該名護理人員過去主要是服務於該院洗腎室,後來才調到加護病房,出事的加護病房洗腎機新改為2條管路,出事時是該名護理人員第二次進入加護病房,可能對加護病房沒有這麼熟悉,這是我們的推測。」
另外台大醫院也開記者會公開道歉,承認這是院方的錯誤,並且呼籲民眾不要肉搜該名護理人員,並且已經將該名護理人員暫時調離加護病房工作,並徹查護理人員有沒有超時工作,或者是事發前、事發後的身心壓力狀況。
醫院也強調「台大醫院是有錯的,我們覺得很沉重,也深切體會社會大眾對台大要求與一般醫院是不同的,我們不只要做到很好還要做到完美,希望藉此事件的省思,台大醫院未來能得到更好的精進。」
這就是醫界犯錯的時候,標準的 RCA (root cause analysis,根本原因分析)流程。我們不會去責怪犯錯的「個人」,除非這件事情是「嚴重的故意」。我們會全盤去思考整個流程,到底哪裡出了問題,並且想辦法優化流程,讓問題發生的機會下降。
如果要省事,台大醫院只要把這個出錯的護理師推上祭壇,跟大家說就是他的錯,把他革職查辦,眾多鄉民覺得爽了氣消了,那不就皆大歡喜。但負責任的組織,是不能這麼做的!如果台大醫院真的這麼對待這名護理師,我們才會出來發文譴責台大醫院!
所以這位朋友,你搞懂這兩個事件,雖然都是錯事,但其中的差異有多大了嗎?看到這,你還真的覺得「兩邊都錯, #兩邊都一樣爛嗎?」
這個社會這麼理盲,根本的問題就包含了,很多人根本缺乏深入思辯的能力。但一個社會要進步,需要的就是「整個社會」集體深入反省,共同除錯的能力。
這篇文章這麼長,能看到這裡的朋友,我們要對你深深致敬。社會就是需要有你們這種人,才有機會逆轉我們持續和稀泥、不長進、向下沈淪的困境。
關於消毒產品,這個產業的亂象,已經長年累積的問題了,不是一天兩天可以解決。團隊在開會後決定,接下來會持續針對這些產品的各項問題、優缺點,以及更完整的防護正確知識,撰寫一系列文章。因為臉書的觸及真的很爛,建議大家除了對我們粉專設定按讚搶先看以外,也可以加入我們的Line@ 即時收到通知。加入連結:http://line.me/ti/p/%40wyt3898a
如果你也覺得我們說得有道理,請分享給你的朋友吧。只有你們這些人醒著是不夠的,我們還需要更多、更多願意動腦,也願意行動的人。
□ 延伸閱讀:認識實證醫學金字塔
https://www.medpartner.club/evidence-based-medicine-debate…/
□ 延伸閱讀:提升媒體識讀能力 3 關鍵
https://www.medpartner.club/research-aprraisal-media-liter…/
--
面對媒體失能的年代,我們還能做些什麼?
https://youtu.be/ewMJ4T0qQ5c
--
一天不到 5 元,為台灣拼出全球第一的中文醫療保健新媒體!
美的好朋友 #訂閱集資計畫 ▶︎ https://bit.ly/2s0CibA
現在就動手,讓我們成為彼此的夥伴吧!
更多實用的資訊:
https://www.medpartner.club
知識講解實驗破解影片:
https://www.youtube.com/MedPartner
立即查詢醫藥營養資訊:
http://line.me/ti/p/%40wyt3898a
evidence based medicine 在 MedPartner 美的好朋友 Facebook 八卦
昨天對 ZOOCCi 質物系的恐嚇行銷提出指正後,想不到對方不但沒改進,反而是指控我們「抹黑」、是「特定醫美陣營在鏟除異己的工具」,真的很讓人失望。針對對方所回應的,我們完整回應在這篇文章裡面,希望 ZOOCCi 質物系可以再想一下,你們真的要繼續這麼做嗎?
大家也可以去看看對方的回應:
https://www.facebook.com/…/a.36544843690…/1473597722755940/…
對方態度基本上是「我講的都是書上寫的跟網路寫的,這樣是有憑有據的。」但對於真正的科學與事實卻視而不見⋯⋯
這篇文章,我們會透過 ZOOCCi 質物系的選物標準,來看看如何用錯誤科學推論來搞恐嚇行銷的真相。
◆延伸閱讀:
Zoocci質物系經皮毒恐嚇行銷的完整真相
https://www.medpartner.club/zoocci-transdermal-absorption-…/
提升媒體識讀能力3 大關鍵
https://www.medpartner.club/research-aprraisal-media-liter…/
實證醫學金字塔
https://www.medpartner.club/evidence-based-medicine-debate…/
#ZOOCCi質物系
--
沒有即時看到 MedPartner 推出的新知破解嗎?
把 MedPartner 設定搶先看!最新資訊不漏接!
--
一天不到 5 元,為台灣拼出全球第一的中文醫療保健新媒體!
美的好朋友 #做夥辦報計畫 ▶︎ https://backme.tw/ref/GsHuB/
現在就動手,讓我們成為彼此的夥伴吧!
更多實用的資訊:
http://www.medpartner.club
立即醫師線上提問(每天回覆但不即時喔):
http://line.me/ti/p/%40wyt3898a
evidence based medicine 在 夠維根Go Vegan Youtube 的評價
不管事專業運動員或是健身練肌肉的人
吃素需要注意甚麼呢?
FB粉絲專頁:https://www.facebook.com/GoVeganTW
提倡一種新的生活態度,透過動畫宣導"動物權利"!
感謝【台灣素食營養學會】整理資料、提供贊助
【台灣素食營養學會 官網】http://www.twvns.org/
------------------------------------------------------------------------------------
【參考資料】
肌肉男女如何吃純素? http://goo.gl/f2Wzcj
草食男女健身必讀 [懶人包] https://goo.gl/v5H4sN
吃素跑對馬拉松有影響嗎? http://goo.gl/4MlOsa
1.肯亞少肉:
Olympic vegetarians: the elite athletes who shun meat http://goo.gl/J8GgkL
2.運動選手氧化速度快:
Fuhrman J, Ferreri DM. Fueling the vegetarian (vegan) athlete. Curr Sports Med Rep. 2010 Jul-Aug;9(4):233-41. doi: 10.1249/JSR.0b013e3181e93a6f. Review. Erratum in: Curr Sports Med Rep. 2010 Sep-Oct;9(5):313.
3.藍莓提升選手抗氧化機能:
McAnulty LS, Nieman DC, Dumke CL, Shooter LA, Henson DA, Utter AC, Milne G,McAnulty SR. Effect of blueberry ingestion on natural killer cell counts,oxidative stress, and inflammation prior to and after 2.5 h of running. Appl Physiol Nutr Metab. 2011 Dec;36(6):976-84.
4.澱粉才是主要能量來源:
Thomas DT, Erdman KA, Burke LM. Position of the Academy of Nutrition and Dietetics, Dietitians of Canada, and the American College of Sports Medicine: Nutrition and Athletic Performance. J Acad Nutr Diet. 2016 Mar;116(3):501-28.
5.健身選手蛋白質需求量:
Helms ER, Aragon AA, Fitschen PJ. Evidence-based recommendations for natural bodybuilding contest preparation: nutrition and supplementation. J Int Soc Sports Nutr. 2014 May 12;11:20. doi: 10.1186/1550-2783-11-20. eCollection 2014. Review. PubMed PMID: 24864135; PubMed Central PMCID: PMC4033492.
6.植物性與動物性蛋白質之比較:
Van Vliet S, Burd NA, van Loon LJ. The Skeletal Muscle Anabolic Response to Plant- versus Animal-Based Protein Consumption. J Nutr. 2015 Sep;145(9):1981-91. doi: 10.3945/jn.114.204305. Epub 2015 Jul 29. Review. PubMed PMID: 26224750.
7.素食選手與葷食選手的營養狀況一樣好:
Eisinger M, Plath M, Jung K, Leitzmann C. Nutrient intake of endurance runners with ovo-lacto-vegetarian diet and regular western diet. Z Ernahrungswiss. 1994 Sep;33(3):217-29.

evidence based medicine 在 Tiger Muay Thai and MMA Training Camp, Phuket, Thailand Youtube 的評價
A new addition to the ever popular Combat Conditioning classes is a pool recovery session ran by strength and conditioning coach, Andrew Wood. A various number of workouts from swimming to shadow boxing underwater can part of the session.
Coach Andrew Wood has been using this method for years with our fighters and has added it to our Combat Conditioning Classes.
Recovery in any sport is a crucial aspect of training. While some athletes have a preferred method or routine that fits their training program, recent studies have provided some scientific evidence that aquatic-based recovery workout method may actually be more beneficial over another.
Any pain-inducing inflammation from MMA, Muay Thai or any other various types of training -- whether it be muscle soreness, contusions or joint pain-- has to be flushed out of the area. Because you float in water, you can work your muscles and engage in movement, intense or relaxed, while submerged without adding further wear and tear to the troubled areas as you would on land.
An aquatic-based recovery workout reduces muscle fatigue and post-exercise pain, partly because the hydrostatic properties of water help decrease inflammation, according to a study in the “International Journal of Sports Medicine.” Dynamic range-of-motion exercises combined with diaphragmatic breathing also decrease muscular tension and increase relaxation.
A Jeff Sainlar film
http://www.jeffsainlar.com/
http://www.tigermuaythai.com/

evidence based medicine 在 MedPartner美的好朋友 Youtube 的評價
Do you remember when you’ve lost all trust for the media?
We collected and compacted a great amount of information to make this video. This video shows how mass media works and changes. We hope every viewer of this video can make a difference in the world with us.
We have a long road ahead of us, but with you, we have the faith to keep moving towards our goal.
Join our subscription project ► https://bit.ly/2qy8xyn
中文版影片 ► https://youtu.be/ewMJ4T0qQ5c
--
MedPartner consists of doctors, pharmacist, nutritionists and cosmetic formulators. We believe in evidence-based medicine, as well as product placement free media. We share our knowledge with easy to understand wordings, infographics and videos to the general public.
--
► 追蹤最新知識與破解
https://www.facebook.com/MedPartnerTW/
► 立即醫師線上提問
http://line.me/ti/p/%40wyt3898a
► 更多實用資訊
http://www.medpartner.club
--
"Like a Dream" Music by MATTIA VLAD MORLEO
"Successful And Happy" Music by PLASTIC3

evidence based medicine 在 The Centre for Evidence-Based Medicine: Home - 2020 的相關結果
The Centre for Evidence-Based Medicine ... Oxford COVID-19 Evidence Service · Transmission Dynamics COVID-19 · Visit the main CEBM website. Latest evidence ... ... <看更多>
evidence based medicine 在 Evidence-based medicine - Wikipedia 的相關結果
Evidence -based medicine attempts to objectively evaluate the quality of clinical research by critically assessing techniques reported by researchers in their ... ... <看更多>
evidence based medicine 在 BMJ Evidence-Based Medicine 的相關結果
BMJ Evidence-Based Medicine publishes original evidence-based research, insights and opinions on what matters for health care. We focus on the tools, ... ... <看更多>