在昨日受臺灣公衛學生聯合會 FPHSA|Taiwan 和中華民國藥學生聯合會PSA-Taiwan邀請
很榮幸在第二屆藥學公衛學生聯合學術研討會成為首場講者
題目著重在 #公衛師 的發展
當然實質而言,推動公衛的工作不必然是公衛師
但是參考台大公衛學院陳保中教授對於公衛師的歸納
是希望能夠更能導正台灣過於注重末端治療與執行細節
前端不健康預防的專業視野是普遍缺乏的
更別說預防方案的評估、分析和推動
這在醫院機構感染管制、校園健康、職場安全、社區環境都需要建立這樣的角色
這也不是單純的管理、與收案管理的個管師也不同
而是需要具備基本的生物知識才有辦法做方案的規劃
我一直記得在非常久以前,有參加一場邀請各國職安專家的講座
其中有一位芬蘭的專家就說“Prevention and Promotion is the best policy“ (預防和促進是最佳策略)
因為把問題養大到下游再處理才是成本最大的
但是如果是既定的體制因素,把大家習慣養成為:
每個人都只扮演自己的角色、事前溝通不夠評估也不夠、最冤枉的是大家其實都沒有錯
那就顯然我們很注重事情後端執行面
在事情前端我們有缺乏一個恰當可以跟大家溝通的角色
除了問題養大、也會造成既定問題一而再、再而三重複發生
以健保為例,健保推動之初在政治上被視為社會福利
一度造成有些民眾的濫用,偏離實質上是社會保險的事實
要後來能導正民眾就醫行為和預防疾病,靠的是分級醫療計劃案和健康存摺的推動
新計劃的推動與依據結果一再修正,這勢必又會有大量的協調工作,這就是公衛的特色
大家對於公衛師的想像除了協助疫調工作
其實公衛本身與臨床不同,是以注重制度面、打組織戰作為推動健康的方式
在WHO有一個疫情後改善問題的guideline稱為After Action Review
AAR希望有領導者組隊將所列問題相關者彙整搜集意見後提出完整改善方案
所以大量的溝通、提出有效方案並且有明確的成效追蹤方法與預備修正機制
這很明顯就是Certified in Public Heath的工作
不必是主管或長官,有這相關技能與知識背景的都可以去做
更何況不同層級與單位,可能都會有突發要溝通處理的公共衛生問題
我想未來的第一屆公衛師是在這種期待下誕生
不必太擔心未來職涯規劃如何,持著持續學習與建立實質能力的心態
很快公衛師就會在找到最適當的位置發揮改變環境的功能,得到社會更大的支持
同時也有16部Youtube影片,追蹤數超過250萬的網紅Joanna Soh Official,也在其Youtube影片中提到,Download My Fitness App & Get 25% Off All FIO Premium Plans: https://www.fiolife.com/go-premium/FIOWITHJO SUBSCRIBE: http://bit.ly/SUBJoannaSoh | Fol...
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who guideline 在 國家衛生研究院-論壇 Facebook 的最佳貼文
《年長者疫情期間之照護應變策略建議》
📣感染COVID-19後增加重症的風險:
年長者感染COVID-19後產生重症的風險增加。重症意味著感染COVID-19後,年長者可能需要住院、重症監護或使用呼吸器輔助呼吸,甚至可能死亡。
50歲後產生重症的風險會隨著年紀增長而風險增加。85歲以上的人最有可能出現重病。其他危險因子如:原本患有的疾病,也可能使您更容易在感染 COVID-19後出現重症。
如果您原本就患有疾病,應繼續遵循原有的治療計劃,除非您的醫療保健提供者有不同的建議。
📣為了防止感染COVID-19,有以下五點建議事項:
1. 勤洗手並徹底擦乾
建議使用肥皂徹底清潔雙手,不方便洗手時或無明顯髒污時可使用酒精乾洗手。勤洗手能防止病毒殘留在手上而造成感染。
2. 注意咳嗽禮儀
咳嗽或打噴嚏時應用手或紙巾遮住口鼻。並記住立即將用過的紙巾扔進帶蓋的垃圾桶中並洗手,避免潛在的病毒傳播以保護他人。
3. 避免觸摸您的眼睛、鼻子和嘴巴
雙手會接觸許多可能已被病毒污染的物品。避免觸摸眼睛、鼻子或嘴巴以防止進一步的感染。
4. 保持社交距離
在疫情警戒期間請遵守衛福部的公共衛生規範。戶外運動對您的身心健康有益,但疫情警戒期間仍應減少外出並在符合規範的前提下進行。
外出時,請避開擁擠的場所,並與他人保持至少1.5公尺以上的距離。避免不必要的家訪,若需要探訪(如,看護、醫療人員等),請讓您的探訪者定期篩檢並要求他們遵循這五點建議,包括在進入您家時先洗手以避免感染情況發生。
5. 每天清潔和消毒經常接觸的物品
相關物品如:桌子、門把、電燈開關、檯面、把手、書桌、電話、鍵盤、馬桶、水龍頭和水槽等。如果表面有髒污,請先使用清潔劑或肥皂清潔完畢再消毒。
📣年長者接種新冠肺炎疫苗的相關資訊:
接種疫苗不僅是保護自己,也可以保護身邊的人,當有疫苗可以接種的時候,應儘快去接種。
已經有許多研究顯示,新冠肺炎疫苗是安全而且可以有效的預防感染新冠肺炎所帶來的嚴重症狀,您並不會因為接種疫苗而得到新冠肺炎。
根據接種疫苗的種類不同,在打完第一劑疫苗之後,隔三到四周可能需要再打第二劑。
接種疫苗之後,有些人可能會出現一些副作用,包括:
■ 接種部位有紅腫、疼痛的現象
■ 感到疲累
■ 頭痛
■ 肌肉痠痛
■ 全身發冷
■ 發燒
■ 噁心、嘔吐感
📣冠狀病毒和新冠肺炎: 對於年長者的照顧:
由新型冠狀病毒導致的新冠肺炎,對年長者較容易引發嚴重的症狀。研究顯示60歲以上的成年人,特別是原本有罹患疾病的族群,例如: 心臟病、肺病、糖尿病或是癌症,比其他人感染新冠肺炎較容易出現嚴重的症狀,甚至死亡。如果你是一個年長者的照顧者,應更加注意。
📣保持自己的健康:
身為一個年長者照顧者,最重要的就是儘可能地做好防護措施,避免自己被感染,以下提供一些方法:
■ 勤洗手,並且用肥皂搓洗至少20秒以上,在照顧年長者前後、準備食物前、如廁後,或是在公共場所有接觸到物品,都需要洗手。
■ 避免群聚,如果有咳嗽或打噴嚏,要用紙巾或是手肘內側摀住口鼻。
■ 避免觸摸臉部、眼睛或嘴巴。
■ 時常清潔家中手會常接觸到的地方,也包括年長者所使用的醫療輔具,例如助行器、拐杖、扶手等。
📣與年長者保持聯絡的方法:
為了幫助年長者在這段疫情期間生活能夠有目標、減少孤獨感,有以下三點建議:
■ 教導年長者如何使用手機、電腦或平板來進行視訊通話。
■ 對聽力障礙的年長者,使用可以提供字幕的應用程式,幫助溝通。
■ 鼓勵朋友和家人多多打電話、寫信或寫卡片來鼓勵年長者,與年長者互動。
📋參考資料
(CDC)美國疾病控制與預防中心:https://ww.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/older-adults.html
World Health Organization (WHO) (世界衛生組織):
https://www.who.int/news-room/q-a-detail/coronavirus-disease-covid-19-risks-and-safety-for-older-people
Johns Hopkins University (約翰·霍普金斯大學):https://www.hopkinsmedicine.org/health/conditions-and-diseases/coronavirus/coronavirus-caregiving-for-the-elderly
(林口長庚紀念醫院PGY何佳樺醫師、國立清華大學醫科系沈昆樺、林口長庚紀念醫院兒童內科部姚宗杰教授、群體健康科學研究所蔡慧如研究員摘要整理)
👉更多照護指引文章:
https://forum.nhri.edu.tw/covid19/tag/guideline/
衛生福利部
衛生福利部護理及健康照護司
衛生福利部護理諮詢會
台灣護理學會
中華民國護理師護士公會全國聯合會
護理正義
護理人護理魂-hi,I'm CC
林口長庚紀念醫院
國立清華大學
財團法人國家衛生研究院
國家衛生研究院-論壇
who guideline 在 Milton Goh Blog and Sermon Notes Facebook 的精選貼文
God is Not Like Man
“Pilate therefore went out to them, and said, “What accusation do you bring against this man?” They answered him, “If this man weren’t an evildoer, we wouldn’t have delivered him up to you.” Pilate therefore said to them, “Take him yourselves, and judge him according to your law.” Therefore the Jews said to him, “It is not lawful for us to put anyone to death,” that the word of Jesus might be fulfilled, which he spoke, signifying by what kind of death he should die.” (John 18:29-32 WEB)
Look how the religious leaders of Israel had murder in their hearts but were unable to do it because they were restricted by the Law.
They keep the Law outwardly just for the public eye, and looked for ways to get around the Law to execute their murderous schemes.
While they looked for any loophole to commit murder, God used His infinite wisdom and knowledge to find a way to save mankind.
Under the Law, God said that the soul who sins must die. In Paul’s words, “the wages of sin is death”.
There was only one way for us to be saved because we cannot fulfill the demands of the Law by ourselves. Someone else must die in our place as a substitute.
This person must be a member of mankind, sinless, and his life has to be worthy enough to pay for all the sins of the world.
That is why the only begotten Son of God had to become a man, bleed, and die as our atoning sacrifice for sins.
Today, we are saved, blessed, and favored by God not because of our own obedience towards the Law, but because of the shed blood of Jesus Christ. His sinless, divine blood is a massive overpayment for all our sin debts, purchasing every spiritual blessing of God for us.
I read someone write that “your sin can hinder your prayers”. If that were true, then no Christians would have any answered prayers because we still fail God daily, in thoughts and deeds. We may not be able to live a completely sinless life, but thankfully our prayers are answered based on Jesus’ obedience at the cross. His shed blood is the only reason why we can always enjoy God’s favor.
Let no one deceive you that sin is causing God to ignore your prayers. If God is omniscient, then He already knew all the sins you would commit in your life, and He still chose to let Jesus bear the punishment for your sins at the cross.
What hinders us from receiving God’s promises today is only unbelief. When you have a bad opinion of God and see Him angry, demanding, and unapproachable, you will be unable to freely receive all that Jesus died for you to enjoy.
Paul taught that no one can be justified through the works of the Law. Not before salvation, and not after salvation. God is so gracious that He made us the righteousness of God in Christ when we believed in Jesus as Lord.
Abba God has the perfect, righteous reason to lavish His goodness upon you. Through your prayers of intercession, the people around you are also blessed.
Some well-meaning Christians want to live godly through keeping the Law as a moral guideline, but it only serves to stir up sin’s rebellion in our flesh. They will experience short-lived victories ,only to fall back into sinful patterns when the willpower runs out.
When you place your faith in God after receiving His Word, you will be progressively transformed to live a righteous life. The goal of godly living is the same, but the only way to get there is by beholding Jesus and trusting in Him.
Live by the new and better covenant that is built upon better promises, and you will reign in life through the one Lord Jesus Christ!
The four gospels written by Matthew, Mark, Luke, and John, are full of precious revelations of God’s truths and promises. When you get this four eBook bundle, you will learn the meaning of every one of Jesus’ miracles, parables, words, and deeds. Let this resource replace wrong legalistic beliefs, and position you to receive the abundance of God’s Grace through unhindered faith!
A customer, Linda B, said this about the eBook bundle: “Well worth the money. Wish I had done it sooner. Wonderful study.”
Get “Understand the Four Gospels Through the Lens of Grace” now ===> https://www.miltongoh.net/store/p18/understand-the-four-gospels-through-the-lens-of-grace.html
who guideline 在 Joanna Soh Official Youtube 的最佳解答
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Post Covid: How to Get Back in Shape (4 Weeks Exercise Guide) | Joanna Soh
This video is meant to offer you a guideline on how you can get back into exercising after Covid-19, for those who have had mild to moderate symptoms. While exercise is important for your health and recovery journey, it is also essential to AVOID pushing yourself too far. Doing so could slow down your recovery or cause your symptoms to worsen by increasing the levels of inflammation in the body. So listen to your body, take it slow, and follow these 4 phrases by gradually reintroducing exercise into your routine.
If at all you have any concerns, ALWAYS refer to a health care professional for advice.
I’ve included 4 exercises for each week, a total of 4 weeks. Try to exercise at least 3 - 4 times weekly. All the workouts are home-based with minimal equipment.
Here's the playlist with all the workouts in order: https://youtube.com/playlist?list=PLyP8pbBMxcsgwc3-Bv3de2LOc-gQzmMMS
WEEK 1
15-Minute Gentle Morning Stretch: https://youtu.be/fTuEG7MYqbI
15-Minute Firm & Flat Abs: https://youtu.be/jEED_shbms4
15-Minute Standing Ab Exercises: https://www.youtube.com/watch?v=OPNNA5IEKTk
Low Impact Knee Friendly Beginner Workout: https://youtu.be/DUSEIGMAQco
15 Minute Express Morning Workout to Boost Metabolism: https://youtu.be/hJDCqq7s7XA
WEEK 2
30-Minute Low Impact Bodyweight HIIT: https://www.youtube.com/watch?v=LI9yb8HRkRo
Fat Burning Walking Waistline Challenge: https://youtu.be/mLzCVfSsK9Q
Get Strong! No Weights Strength Training at Home: https://youtu.be/LhhWNixj5zE
30-Minute Toning Chair Workout: https://youtu.be/VmrjukolSAo
WEEK 3
35-Minute Total Body Strength Training with Dumbbells: https://youtu.be/9GASeOEr0Hk
3KM Fat Burning Indoor Walk (Burn up to 400 Calories!!*): https://youtu.be/vrfpqgev0ZE
40-Minute Total Body Strength Training (Low Impact): https://youtu.be/mwUcAe6ABI8
Low Impact CORE Functional Training (No Weights, No Jumping!): https://youtu.be/s4swVrc3fYA
WEEK 4
Intense Cardio & Core Kickboxing: https://youtu.be/035mDnFLvJ0
500 Plank & Crunch Challenge: https://youtu.be/r5QtfrmH4-Q
No Equipment Strength & Explosive Cardio (Burn & Build): https://youtu.be/7e37GVeWVss
30-Minute Strength & Sculpt Fat Burning Circuit (Burn 300Cals!) https://youtu.be/TfvZpZ8a5Zg
________________
Record a video or take a picture of you doing the workout, tag me @JoannaSohOfficial #JSohActive #postcovidexercise #covid19
I'm a certified Personal Trainer (ACE), Women’s Fitness Specialist (NASM) and Nutrition Coach, with over 10 years of experience.
Stay connected and follow me:
Joanna Soh:
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(Subscribe to my website for printable workouts & recipes)
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Post Covid: How to Get Back in Shape (4 Weeks Exercise Guide) | Joanna Soh
who guideline 在 Jing Jing Beh 妗妗 Youtube 的最讚貼文
#PenangHokkien #MC02
::: MOVEMENT CONTROL ORDER (MCO 2.0) :::
STATES: Penang, Selangor, Kuala Lumpur, Putrajaya, Labuan, Melaka, Johor, and Sabah
DURATION:
14 days from 13 January 2021 (12.01am) until 26th January 2021
Restrictions:
•No interstate and interdistrict travels.
•No social gatherings, such as weddings, wedding receptions, conferences, religious processions (including Thaipusam), meetings, seminars, courses, and group sport activities.
•Roadblocks will be mounted; movements limited to 10km radius to people in a vehicle.
•Only two people per household allowed to head out to purchase groceries at nearby supermarkets or grocery stores.
•Only two people allowed per vehicle
•Anyone who violates these rulings will be subjected to a maximum fine of RM1,000 under the Prevention and Control of Infectious Diseases Act 1988 (Act 342)
•Only 5 essential economic sectors allowed to operate: manufacturing; construction; service; trade and distribution; and plantations and commodities.
•Only 30 per cent of workers within a company’s management group are allowed to go in to office; employers to determine number of employees permitted in office at any one time (taking into consideration standard operating procedures compliance)
•Ensure total adherence to SOP, observe physical distancing at all times.
•Non-essential services staff to work from home; employers must comply with this ruling.
•Eateries and hawker stalls may operate but only take-aways allowed.
•Food delivery serviced allowed.
•Supermarkets, healthcare services (including clinics, hospitals and pharmacies), banks allowed to operate with strict SOP compliance: always wear masks ; use hand sanitisers frequently; observe physical distancing at all times.
•Stay at home if there is no immediate or urgent need to head out.
STUDENTS: Candidates due to sit for SPM in 2020 and 2021 are allowed to attend school with strict SOP. Education Ministry will detail this SOP.
RELIGIOUS ACTIVITIES: Only a maximum of 5 mosque/houses of worship committee members allowed at these premises.
RECREATIONAL ACTIVITIES:
•Outdoor recreational activities allowed among people within same household.
•Individuals must keep 2m-distance at all times.
•No more than 2 people allowed to jog at any one time.
•Cycling not allowed in groups; only one person allowed.
::: CONDITIONAL MOVEMENT CONTROL ORDER (CMCO) :::
STATES: Pahang, Perak, Negri Sembilan, Kedah, Terengganu and Kelantan
DURATION: 14 days from Jan 13 (12.01am) to Jan 26
Restrictions:
•No interstate travels.
•No social gatherings, such as weddings, wedding receptions, conferences, religious processions (including Thaipusam), meetings, seminars, courses, and group sport activities.
RELIGIOUS ACTIVITIES: Allowed with the minimum number of attendees stipulated in the SOP to ensure physical distancing. State religious authorities are advised to provide appropriate guideline in determining the number of attendees allowed.
::: RECOVERY MOVEMENT CONTROL ORDER (RMCO) :::
STATES: Perlis and Sarawak
DURATIONS: 14 days from Jan 13 (12.01am) to Jan 26
Restrictions:
•No interstate travels. Social gatherings allowed, provided in full compliance of the standard operating procedures.
RELIGIOUS ACTIVITIES: Allowed with the minimum number of attendees stipulated in the SOP to ensure physical distancing. State religious authorities are advised to provide appropriate guideline in determining the number of attendees allowed.
ROADBLOCKS
• Effective Jan 13 (12.01am)
•Mounted at all district and state borders
********************************************************
Talent 演员:
Jing Jing 妗妗
https://www.instagram.com/jingjingbeh
How to speak Penang Hokkien? 如画讲槟城福建话?
https://www.youtube.com/playlist?list=PLfRlIk28_INunK5BfN4foae9C2hmxgT5t
Jing Jing Challenge 挑战
https://www.youtube.com/playlist?list=PLfRlIk28_INtvKfWE6R0LfpEx2RNesVql
who guideline 在 Antariksha Phadnis Youtube 的最讚貼文
Step-By-Step Basic Makeup Tutorial | How To Do Simple Makeup For Beginners | Eye Makeup Steps
Last video: https://youtu.be/nprBpo2ZL1E
Showing you how to do very simple makeup for parties, events in steps along with the purpose of each product. You will also get the information and details about the tools and brushes used. This is made keeping in mind a beginner who doesn't know how to do makeup. It's a very detailed video so it's longer so you can watch in parts. Do watch till the end to see the final look.
Products Used:
============
Skin Prep:
----------------
Toner : Pixi Glow Tonic
Mist : Glow Recipe Watermelon Mist
Moisturiser : Innisfree Jeju Pomegranate Cream
Lip Balm : Laneige Lip Sleeping Mask
Makeup Products:
------------------------------
Benefit POREfessional Hydrate Primer
Too Faced Shadow Insurance Eye Primer
MAC Studio Fix Fluid Foundation "NC44"
Pat McGrath Skin Fetish Sublime Concealer "M18"
Urban Decay Stay Naked Concealer "50WY"
Maybelline Fit Me Powder "128 Warm Nude"
Laura Mercier Powder Foundation 18 as Bronzer (Use a regular bronzer instead of this product)
Smashbox Cali Kissed Palette
Too Faced Born This Way Natural Nudes Palette
Mistine Maxi Black Eyeliner
Essence Lash Princess Mascara
Lakme Eyeconic Kajal
Inglot Eyebrow Pencil 502
Half Caked Lip Fondant "Supreme" Liquid Lipstick
Tools Used:
-------------------
Original Beauty Blender
Zoeva Silk Finish 102 Brush (Foundation)
Zoeva Face Shape 110 Brush (Concealer)
Wet 'n' Wild P65 Brush (Powder Setting Brush)
Zoeva Powder 106 Brush
Real Techniques Contour Brush (I used this for contour and bronzing, you can also use a bronzer brush separately)
Wet 'n' Wild Blush Brush
Real Techniques Setting Brush (Highlighter)
Sigma Precision Firm Blender E42
Makeup Revolution Brush Kit
Zoeva Luxe Crease 228
Sigma Eye Shading E55
Kaleidos Makeup s5 (Brush Set)
Sonia Kashuk Brow Fill
Real Techniques Detailer brush
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Antariksha
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