發表文章

Growth Hack 心得

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 :)

感想一:
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。

感想二:
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。

感想三:
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

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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
TB Tests Can Have a Lengthy Window Period Two studies suggest that interferon- release assay conversion sometimes occurs more than 3 months after exposure to active tuberculosis. Increasingly, interferon- release assays (IGRAs) are being used for diagnosing latent tuberculosis (TB). Although the tuberculin skin test (TST) traditionally used for this purpose converts to positive within 2 to 12 weeks after an individual is exposed to someone with active TB, the interval for IGRA conversion has remained unclear. Current guidelines recommend repeating an initially negative IGRA after 6 to 10 weeks, but this recommendation is not based on controlled studies. Two recent investigations address this issue. Anibarro and colleagues conducted a longitudinal prospective analysis among contacts of TB patients in Spain. The 152 contacts received a TST and an IGRA at first visit; for individuals with negative or conflicting results, testin…

provoked VTE,吃coumadin吃三個月即可

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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)
在長庚吃coumadin吃到現在 -> 應該不用吃了
Summary and CommentMinimizing Recurrence of VTEInitial presentation of venous thromboembolism and duration of previous anticoagulation were associated with risk for recurrence.How does clinical presentation of venous thromboembolism (VTE) and duration of anticoagulation affect risk for recurrent VTE after anticoagulation is stopped? In this pooled analysis of data from seven randomized trials that involved 2925 participants, investigators addressed this question.Twenty percent of the patients had isolated distal deep venous thrombosis (DVT), 52% had proximal DVT, and 29% had pulmonary embolism (PE). VTE was provoked by a temporary risk factor (e.g., immobilization) in 40%. During mean follow-up of 1.4 years, 312 episodes of recurrent VTE occurred. Risk for recurrent VTE in patients with isolated distal DVT was about half that of patients with proximal DVT or PE. Risk …

TG無用論,不用吃fenofibrate了,除非> 500mg/dl

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不用管TG levels,除非高到>500好好吃東西,好好運動,比吃藥重要!!