維他命D以及魚肝油的效果。

以前讀過: 維他命D可以增強身體的免疫力、抵抗力。這裡報導維他命D還可以對慢性肺疾病有好的效果。

 

我在偶而的機會，二十年前開始每天服用膠囊型魚肝油 (以為可以預防大腸癌)，結果半年後，注意到 以前一年三、四次的重感冒，消失了!!    偶而 "感冒"，症狀也非常輕。 魚肝油內有維他命A及D。當時查過文獻，只查到魚油可能會增強免疫力。

有一次停止服用魚肝油兩星期，結果又得了感冒，感覺會變得嚴重，兩天後馬上再開始每天服用。

在門診勸一位自稱常患感冒的病人，也試魚肝油看看，過一兩個月，再回診時，他說感冒似乎少了。

 

魚肝油是我可以感受到明顯好效果的維他命。維他命C是另一個；可能會促進傷口快速癒合。 據說也可以防止白內障的發生。 其他維他命，應該各自有其效果，不過可能平時攝取量足夠，多服用也感覺不出好效果。

 

Vitamin D Supplementation Boosts COPD Rehabilitation

Nancy A. Melville

May 27, 2011 (Denver, Colorado) — Patients with chronic obstructive pulmonary disease (COPD) who received high doses of vitamin D supplementation during rehabilitation show significant improvements in respiratory muscle strength and exercise capacity, according to research presented here at the American Thoracic Society 2011 International Conference.

The study was also published in the May issue of the American Journal of Respiratory and Critical Care Medicine.

The improvement in respiratory muscle weakness is a key focus of respiratory rehabilitation for COPD patients, and because low circulating vitamin D levels are commonly associated with muscle weakness, researchers in Belgium theorized that vitamin D supplementation would help with COPD rehabilitation.

"Since muscle weakness, the major target for respiratory rehabilitation, is a common phenomenon in COPD, we explored the additional effect of vitamin D supplementation on rehabilitation," said Miek Hornikx, physiotherapist and doctoral student in the Department of Pneumology at the Katholieke Universiteit Leuven, in Belgium.

For the study, 50 COPD patients with a history of exacerbations who were referred for rehabilitation were randomly assigned to receive either a monthly dose of 100,000 IU of vitamin D or placebo.

All subjects participated in a 3-month pulmonary rehabilitation program. At the end of the program, vitamin D levels in the treatment group had increased significantly, compared with the placebo group — from 22.8 ± 15.3 ng/mL at baseline to 53.8 ± 15.6 ng/mL at 3 months.

Patients receiving vitamin D had significant improvements in nearly all measures of COPD. Compared with patients in the placebo group, those receiving vitamin D showed a larger improvement in maximal oxygen consumption (+0.11 ± 0.21 vs –0.02 ± 0.19 L/min; P = .029).

The vitamin D group also showed improvements in maximal workload (P = .060); 6-minute walking distance (36 ± 55 vs 11 ± 74 m; P = .179); quadriceps force (15 ± 16 vs 6.8 ± 19 Nm; P = .121); inspiratory muscle force (–11 ± 12 vs 0 ± 14 cm H₂O; P = .06), expiratory muscle force (P = .376); and Chronic Respiratory Disease Questionnaire score for dyspnea (P = .337).

A small increase in forced expiratory volume in 1 s was similar in both groups (4.70% ± 17.1% vs 2.61 ± 23.8%; P = .727).

The findings offer promising evidence that a nonpharmaceutical therapy might help to improve outcomes in pulmonary rehabilitation, noted Richard Casaburi, PhD, MD, director of Clinical Respiratory Physiology Laboratories at Harbor–University of California at Los Angeles (UCLA) Medical Center, in Torrance, California.

"We have been seeking pharmacologic options to boost the effectiveness of pulmonary rehabilitation for some time," said Dr. Casaburi, who is also associate chief for research and professor of medicine in Harbor–UCLA Medical Center's division of respiratory and critical care physiology and medicine.

"So far, no drugs have been shown to amplify the effects of rehabilitation on exercise endurance," he said. "The trends shown here indicate that vitamin D supplementation is worth pursuing in this context."

"Although the results are encouraging, the largely nonstatistically significant trends cannot be considered definitive. A larger, adequately powered study would be of great interest," Dr. Casaburi noted.

Mr. Hornikx and Dr. Casaburi have disclosed no relevant financial relationships.

American Thoracic Society (ATS) 2011 International Conference: Abstract A2533. Presented May 16, 2011.

Am J Respir Crit Care Med. 2011;183:A2533.

Medscape Medical News © 2011 WebMD, LLC
Send comments and news tips to news@medscape.net.

 

 

2010十大新物種 一個比一個怪

這篇因為附帶新物種的英文學名，所以收錄在部落格內。 2010十大新物種 一個比一個怪 〔國際新聞中心／綜合報導〕鰭像手臂、外型像極煎餅的魚；會鑽進人類鼻子、身長僅5公分牙齒卻異常巨大的水蛭；以吞噬鐵達尼號存活的微生物……科學家23日發表的「2010年10大新物種」各個外型奇特，再次證明我們一直以來對於生物多樣性的了解，其實只是九牛一毛。 暴君水蛭下顎長鋸齒 吸吮能力驚人 美國亞利桑納州立大學國際物種勘測協會公布的這10大物種，第一個是在一名秘魯小女孩鼻子內發現的水蛭。這種身長不到5公分的水蛭，因牙齒異常巨大被命名為「暴君水蛭」（Tyrannobdella rex）。「暴君水蛭」的下顎長了鋸齒，吸吮能力驚人，一旦鑽入人類鼻孔裡吸吮，會讓人前額感到頭痛。 鐵達尼鹽單胞菌 能噬光廢沉船油井 加拿大達爾豪斯大學與西班牙塞維爾大學團隊，在鐵達尼號船身的柱狀鐵鏽上發現一種吞噬氧化鐵為生的細菌，他們將之命名為「鐵達尼鹽單胞菌」（Halomonas titanicae）。科學家認為，這種最終將把鐵達尼號殘骸吞噬殆盡的細菌，可用於處理深海沉船與廢棄油井。 2010年墨西哥灣漏油事件前不久發現的一種新種魚類「Halieutichthys intermedius」，身體扁圓、形似煎餅，能用身體下半部類似手臂的鰭，在海底彈跳前進。 舊金山大學科學家在巴西聖保羅附近森林發現的新種蘑菇「發光蘑菇」（Mycena luxaeterna），乍看與一般蘑菇沒啥兩樣，不過一到夜晚，這種蘑菇就會散發明亮的黃綠光。科學家發現它根莖部有種黏液，能讓根莖在炎熱溫度下也能保持潮濕，其在夜晚釋放的螢光也能吸引夜間活動的昆蟲，不知情的昆蟲很容易黏著在根莖部，有助傳播蘑菇的孢子。 另一種入榜的奇特蘑菇，則是在奧勒岡州羅格河上游清澈河水中發現的「水生小脆柄菇」（Psathyrella aquatic）。科學家觀察這種蘑菇長達11週之後，發現這是唯一一種在水裡繁殖的蘑菇。 在南非發現的有腳蟑螂Saltoblattella montistabularis跳躍能力媲美蚱蜢，其半球型的眼睛突出、長長的觸角有助跳躍時保持穩定。在牠被發現之前，有腳蟑螂僅存在於侏羅紀時期末期。 碧塔塔瓦巨蜥大而輕 華特小羚羊僅存標本 新發現的物種多半體型偏小，唯有在菲律賓呂宋島發現的果食蜥蜴「碧塔塔瓦巨蜥」（Varanus bitatawa）異常龐大。其體色鮮豔，藍黑色的皮膚上有著黃綠斑點，身長雖達198公分，不過體重相對輕盈，僅9.9公斤。 在非洲市集發現的羚羊「華特小羚羊」（philantomba walteri），可惜這種羚羊已經不存在，僅存標本。 馬斯克林群島上的蟋蟀glomeremus orchidophilus，因為是留尼旺群島珍貴蘭花Angraecum的唯一授粉昆蟲，因而榜上有名。 最後一種是在馬達加斯加發現的「達爾文吠蛛」（Caerostris darwini）。這種蜘蛛會結超大的網，科學家曾發現牠們在一條河面上結了近25公尺大的網，上頭掛了30隻蜘蛛，而且牠們結的蜘蛛絲比其他已知蜘蛛結的網還堅固兩倍，更比同樣大小的合成纖維克維拉（Kevlar）堅固10倍。

這篇是報紙上看不到的報導

有很多敢發言的中國人支持台灣民主，只有在台灣的馬統台奸在暗算台灣主權，為的甚麼??

Chinese views on Taiwan’s elections

By Gerrit Van der wees

A few days ago I was a guest on the Voice of America television program Issues and Opinions to discuss the upcoming presidential election in Taiwan. The program was broadcast to China and aside from a lively discussion about various issues in the elections, it was made very interesting by many calls from listeners and viewers from all over China.

Here is a brief summary of some of those calls, with the aim of giving some insight into what people in China say and think about relations with Taiwan. Of course, these views are never mentioned by the rulers in Beijing and are also quite at odds with what the Chinese Nationalist Party (KMT) administration presents as being the position of the Chinese people.

One questioner from Hubei Province said: “The Taiwanese election is the right of the 23 million people of Taiwan. Right now, we don’t have that right here.”

A second caller from Shanghai said: “I have a suggestion. I think the ROC [Republic of China] should be changed into the People’s Republic of Taiwan.”

A caller from Yunnan Province: “Taiwan is working toward mature democracy. I personally prefer President Ma Ying-jeou (馬英九), but that doesn’t matter, because it is the choice of the 23 million people of Taiwan.”

Another caller from Hubei: “The DPP [Democratic Progressive Party] in the past gave us the impression that they want to go for independence while Ma wants to unify with China. But for Taiwan’s future, you need to find a balance between those two positions. A critical point in finding this balance is keeping a strong democracy. As for the ‘one China’ policy, they will have to change it, because the people in Taiwan and China don’t like it. And the WHO/WHA [World Health Association] incident treating Taiwan as a ‘province of China’ shows that Ma has been very weak and inconsistent in his policies.”

A gentleman from Tianjin was rather clear in stating his preference for the Taiwanese presidential election: “Ms Tsai Ing-wen (蔡英文) should become the next president of Taiwan, period.”

A Mr Chang from Hunan Province: “I am going to Taiwan in January, but I will not interfere in the elections. That is for the people in Taiwan to decide.”

A Mr Liu from Hubei: “I support Ma, but in support of him, I do not have the right to decide — that is the right of the 23 million people of Taiwan. If Tsai and the DPP win, they should really know what they are doing, because it is very hard to deal with the [Chinese] Communist Party [CCP].”

A gentleman from Zhejiang Province: “I don’t think we can let President Ma stay in power because if he stays, Taiwan will be swallowed up by China and there will be no more Taiwan. That will be the end of Taiwan.”

This is just a small selection of calls received from China, but it shows that a significant majority of them feel that it is up to the 23 million people of Taiwan to decide their own president. They may have different views on who to support, but several mentioned that this didn’t matter: It is up to the people in Taiwan to decide.

Several viewers from China also felt that Ma had been a weak president, one giving the example of the WHO/WHA episode where the WHO instructed its institutions to refer to Taiwan as a “province of China.” Many of them urged Taiwan to be strong on its democracy and indicated it needs to be firm in resisting pressure from the CCP, otherwise it would be swallowed up by Beijing.

So these are the real voices of China. Is Taiwan listening to them?

Gerrit van der Wees is editor of Taiwan Communique, a publication based in Washington.

 

這篇社論有錯誤。 馬統是國共合作欺騙台灣人，執行其父遺志哪!

謊話連篇！

大家應該記憶猶新，上週中國解放軍總參謀長陳炳德在美國公然謊稱：他可以很負責地說，中國對台灣沒有作戰部署，更沒有飛彈部署。但所有的資訊證明，陳炳德不僅對飛彈一事說謊，他在中美聯合記者會還說了其他的謊，可以說，他根本是謊話連篇，而且說謊不打草稿。只不過，美國政府可不像馬政府之於世界衛生組織密件那般，硬生生地把中國的霸道作風吞下去，讓中國在國際上混淆視聽，讓國際社會誤以為美國已同意中國擁有台灣主權。

就在陳炳德說完謊，自我感覺良好之後，美國方面便一一予以駁斥了。首先，美國國防部反駁說，美國歷年來發表的中國軍力報告，對中國飛彈部隊在台灣對岸的規模、位置、能力和部署，都做了正確的描繪。根據中國軍力報告，至二○○九年十二月，中國對台部署了一○五○至一一五○枚短程彈道飛彈，主要是東風十一型及十五型，對台殺傷力明顯增加。陳炳德睜著眼睛說瞎話，顯是企圖為阻止美國軍售台灣張本，比笑裡藏刀還險惡。

其次，當天陳炳德還自言自語，美國國務卿希拉蕊對他表示，台灣是中國的一部分。對此，美國國務院澄清指出，希拉蕊當時是重申，美國基於美中三個公報及台灣關係法的一個中國政策。中國官員在解釋美國的一個中國政策時，總是故意忽略美國一再強調的台灣關係法，以便移花接木地栽贓美國也同意中國擁有台灣主權。事實上，三個公報與台灣關係法等量齊觀，不啻暗示美國所承認的一個中國並不包括台灣，否則美國出售防禦武器給台灣就是自打嘴巴了。

再者，美國參謀首長聯席會議主席穆倫在記者會所說的和平統一也經證實屬於口誤，美國的政策並未改變，它支持和平解決台灣與中國的爭議，而非和平統一。據稱，美國在台協會理事主席薄瑞光，經過慎重查證之後，還特別向過境紐約的蕭萬長副總統當面解釋。以上三點美國方面的澄清，針鋒相對地反駁了陳炳德代表中國提出的兩個主張，一是台灣是中國的領土，二是台灣既然是中國的領土，為什麼美國要出售武器給台灣。

儘管如此，還是不能忽視陳炳德所釋放的錯誤訊息可能衍生的後遺症。尤其是他故意扭曲希拉蕊的談話，經過中國與統派媒體大肆宣傳之後，往往令沒有注意後續發展的人誤以為，美國對台灣的政策真的已經發生變化了。在新聞處理上，澄清性質的新聞張力通常比它澄清的對象的新聞張力來得小，這也是中國對外進行宣傳戰的老手法。中國以先聲奪人的方式推出別有目的的謊言，只要每次騙得幾個人相信也就穩賺不賠了。

可惜的是，馬英九總統至今還看不透中國的騙術，被中國騙得團團轉還替它在台灣免費宣傳，最著名的例子便是所謂的「九二共識」。馬英九的「一個中國、各自表述」，中國始終只承認「一個中國」，不承認「各自表述」，但馬英九卻自我感覺所謂的「九二共識」，中國應該也容許他「各表」的空間。而實際上，中國只允許馬英九拿「各表」在台灣內銷，一旦想要外銷便一點「各表」的空隙也沒有，世界衛生組織的密件接二連三證明這一點，馬英九依舊執迷不悟，真是可悲。

納粹德國時代，希特勒的宣傳部長戈培爾曾言：謊話說一千遍，便成為真理。看來，中國專制政權就是戈培爾的信徒，他們到處說謊，在美國也說，在台灣也說，在中國也說，到處都說，而且說謊絕不認錯，如果無法看穿謊言的人愈來愈多，最後中國的謊言就有可能成為真理。因此大家要警覺，「台灣是中國的一部分」的謊話，現在中國正以各式各樣的方法強力傳播，馬英九也在推銷這個謊話，如果因此有更多人不察這是個謊話，則這個謊話就向真理邁進了一步。

 

(自由時報 2011-05-24 社論)

美國CDC對 預防靜脈導管感染的 新指引

CDC Updates IV Catheter Infection Prevention Guidelines

Laurie Barclay, MD

April 4, 2011 — The Centers for Disease Control and Prevention (CDC) and the Healthcare Infection Control Practices Advisory Committee (HICPAC) have updated intravascular catheter infection prevention guidelines. The new recommendations and review of underlying supporting evidence, entitled "Guidelines for the Prevention of Intravascular Catheter-Related Infections," will also appear in a special supplement of the American Journal of Infection Control and are published online in the March 30 Advance Access issue of Clinical Infectious Diseases. The American Journal of Infection Control will also present a video roundtable highlighting the viewpoints of healthcare professionals on the anticipated effects of this new guideline on infection prevention practices.

"The updated CDC guidelines are rich with new recommendations that are based on additional scientific research that has emerged since the prior version was published," said Russell N. Olmsted, MPH, CIC, 2011 president of the Association of Professionals of Infection Control and Epidemiology (APIC), in a news release. "This is an important resource to support efforts toward the elimination of catheter-related bloodstream infections [CRBSIs].... The timing for this updated guideline is perfect because, starting this year, hospitals that accept Medicare patients are required to report their central line–associated bloodstream infections to the Centers for Medicare & Medicaid Services, or risk losing 2 percent of their Medicare payments."

Collaborative Project

The updated recommendations replace previous guidelines published in 2002 by the CDC and were formulated by a working group led by the Society of Critical Care Medicine. In addition to the CDC and HICPAC, also collaborating on this project were the Infectious Diseases Society of America, Society for Healthcare Epidemiology of America, Surgical Infection Society, American College of Chest Physicians, American Thoracic Society, American Society of Critical Care Anesthesiologists, APIC, Infusion Nurses Society, Oncology Nursing Society, American Society for Parenteral and Enteral Nutrition, Society of Interventional Radiology, American Academy of Pediatrics, and Pediatric Infectious Diseases Society.

Goals of New Recommendations

"The goal of an effective prevention program should be the elimination of CRBSI from all patient-care areas," write Naomi P. O'Grady, MD, from the National Institutes of Health in Bethesda, Maryland, and colleagues from HICPAC. "Although this is challenging, programs have demonstrated success, but sustained elimination requires continued effort. The goal of the measures discussed in this document is to reduce the rate to as low as feasible given the specific patient population being served, the universal presence of microorganisms in the human environment, and the limitations of current strategies and technologies."

The new recommendations are addressed to healthcare personnel responsible for intravascular catheter insertion as well as those involved in surveillance and containment of infections in hospital, outpatient, and home healthcare settings.

Multidisciplinary strategies and topics addressed in the updated guidelines include education, training, and staffing; selection of catheters and sites; peripheral catheters and midline catheters; central venous catheters (CVCs); hand hygiene and aseptic technique; maximal sterile barrier precautions; skin preparation; catheter site dressing regimens; patient cleansing; catheter securement devices; antimicrobial/antiseptic impregnated catheters and cuffs; systemic antibiotic prophylaxis; antibiotic/antiseptic ointments; antibiotic lock prophylaxis, antimicrobial catheter flush and catheter lock prophylaxis; anticoagulants; replacement of peripheral and midline catheters; replacement of CVCs, including peripherally inserted central catheters (PICCs) and hemodialysis catheters; umbilical catheters; peripheral arterial catheters and pressure-monitoring devices for adult and pediatric patients; replacement of administration sets; needleless intravascular catheter systems; and performance improvement.

Recommendations

Some of the specific recommendations include the following:

• For peripheral and midline catheters, an upper-extremity site is preferred in adults. In pediatric patients, the upper or lower extremities or the scalp (in neonates or young infants) can be used.


• Steel needles should be avoided when administering fluids and medications that might cause tissue necrosis if extravasation occurs.


• When the duration of intravascular therapy is likely to be more than 6 days, a midline catheter or PICC is preferred to a short peripheral catheter.


• The catheter insertion site should be evaluated daily, and peripheral venous catheters should be removed if signs of phlebitis develop.


• Risks and benefits of a central venous device to reduce infectious complications should be weighed against the risk for mechanical complications.


• In adult patients, use of the femoral vein for central venous access should be avoided. For nontunneled CVC placement, a subclavian site is preferred to a jugular or a femoral site. To avoid subclavian vein stenosis, the subclavian site should be avoided in hemodialysis patients and patients with advanced kidney disease.


• For patients with chronic renal failure, a fistula or graft instead of a CVC for permanent access for dialysis should be used.


• Ultrasound guidance by those fully trained in its technique should be used to place CVCs.


• A CVC should have the minimal number of ports or lumens essential for patient treatment.


• Any intravascular catheter that is no longer essential should be promptly removed.


• When adherence to aseptic technique cannot be ensured, such as for catheters inserted during a medical emergency, the catheter should be replaced as soon as possible (within 48 hours).


• Systemic antimicrobial prophylaxis before insertion or during use of an intravascular catheter is not routinely recommended to prevent catheter colonization or CRBSI.

More information on the guidelines is available on this particular CDC Web site.

Some of the study authors have disclosed various financial relationships with the ABIM Subspecialty Board for Critical Care Medicine, Infusion Nurses Society, 3M, Becton Dickinson, Smiths Medical, Institute of Healthcare Improvement, Theradoc, Medline, APIC, Clorox, Merck, Baxter, Ortho-McNeil, Targanta, Schering-Plough, Optimer, Cadence, Cardinal, BDGeneOhm, WebEx, Cerebrio, Tyco, Medscape, ASHP, IDSA, ASM, American College of Surgeons, NQF, SHEA/CDC, HHS, Trauma Shock Inflammation and Sepsis Meeting, University of Minnesota, Ethicon, Angiotech, Astellas, Theravance, Pfizer, Ash Access, CorMedix, Catheter Connections, Carefusion, Sage, Bard, Teleflex, Cubist, Enzon, Basilea, Great Lakes Pharmaceuticals, Inventive Protocol, Cook, Inc, American Medical Systems, Cook Urological, TyRx, Medtronic, Biomet, Eisai Pharmaceuticals, Discovery Laboratories, Molnlycke, Cardinal Healthcare Foundation, Sanofi-Pasteur, Semprus, and/or Society for Healthcare Epidemiology of America.

Clin Infect Dis. Published online March 30, 2011. Extract

Medscape Medical News © 2011 WebMD, LLC
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外國媒體露骨地質疑馬統是否已進入最後階段，要賣台給專制的中國

台灣民眾要如何反應? 自由、法治、民主、主權、人權重要到甚麼程度? 其實民智水準就是看這一點吧?! 可以看看下一段youtube: http://www.taiwanus.net/news/press/2011/201105161730111947.htm 看了這一段，不知道有哪些台灣人不會感到深受污辱?  馬桶是否已經賣台了? 還有百分之四十幾的婦女票支持呢! 不知道她們是否真的不想當台灣人了?   【金恒煒專欄】德媒、日媒與「密件」 「馬統」執政三年，離大選還不到一年時間，國際媒體已聚焦在二○一二年大選台灣會不會再度政黨輪替；或者再說得明白一點，二○一二年馬英九會不會下台。不是國際媒體特別關注台灣內部政黨走向，尤其民主國家中誰上台誰下台司空見慣，沒啥了不起，國際媒體其實是觀察並追索台灣人民同不同意馬英九與中國如此的「緊密關係」，終而走上「終極統一」之路。 四月下旬德國《明鏡》週刊訪問馬英九，重點只有一個：台灣前途會不會毀在馬英九手中？尖銳地追問台灣與中國的統一是不是「甚至可能是在明年你追求連任的第二任任期內？」《明鏡》的核心議題就在這裡，從媒體採訪角度看，「馬統」怎麼回、怎麼辯解，其實都無關宏旨了。 日本《朝日新聞》更狠，直截了當地質問馬英九國內對他「親中賣台」的指控，這是非常不客氣而且不禮貌的提問，甚至可說帶著污辱性。試想，如果有記者問美國總統歐巴馬會不會「親開打賣美國」？歐巴馬勢必拂袖而去，恐怕連訪問都要中斷。有趣的是，馬英九還厚顏反詰「到現在為止，對方無法舉例我哪裡賣台」。哪需要台灣人再舉例？日本名記者山際澄夫在電子媒體中公開表示：「台灣是台灣，中國是中國，這是事實。」（見高佳芬文，刊於「自由廣場」五月十一日）日本人的認知既是這樣，難怪《朝日新聞》會咄咄逼人當面給「馬統」難堪。 馬英九有沒有「親中賣台」？事實會說話。立委管碧玲亮出世界衛生組織去年九月的密件，完全坐實。原來在「九二共識」、「一中原則」下，台灣已成為中國的一省了；更可怕的是，重點已從「中國台灣」滑到「中國台灣省」了。馬英九要「對方」舉例，例子已然出現了。 更重要的是，依管委員的說法，這個「密件」是因為國際組織「看不下去」，才洩漏給台灣。根據報導，ＷＨＡ進行內部追查，要揪出洩密者；可見此一密件目的只在討好中國、欺壓台灣、矇蔽台灣。如果沒有適時曝光，恐怕「馬統」誇耀「平起平坐」的謊言，也沒有踢爆的可能。 要追問的嚴肅課題是，「看不下去」的國際組織理應把「密件」交給執政的中國國民黨去抗議才對，為什麼反而透露給在野黨？難道因為早知道執政黨是「共犯」？還是怕執政黨「吃案」？無論如何，國際組織在ＷＨＯ開議之前、台灣大選起步之際，丟出密件，當然是在幫助台灣、幫助台灣人民。重要的訊息是，國際組織也如日本記者山際澄夫一樣，不容台灣成為中國一省。 從德國媒體到日本媒體到世衛密件事件，正看出國際關注台灣危機之所在。《朝日新聞》在專訪中直攻「馬統」的七寸，問道：三年來在兩岸政治及經濟成長方面，建立良好功績，但總統個人支持度不見相對成長。為什麼？《朝日新聞》要點出的，正是「馬統」「親中賣台」得不到人心；主觀答案正蘊涵於客觀問題之中。國際都替台灣說話了，台灣人自己呢？（作者金恒煒現任《當代》雜誌總編輯）

美國眾議員要求 "台灣" 以正式會員資格參加WHO

  

眾議員遺憾台灣所受到中國及世界衛生組織的打壓

要求「正式會員」資格，而不是「有意義的參與」

 

世界衛生組織大會下週將在日內瓦展開。紐澤西州共和黨眾議員蓋瑞特(Rep. Scott Garrett)及紐約州民主黨眾議員唐斯(Rep. Edolphus Towns)在開幕之夜，將在美國國會紀錄中發表延伸發言，要求台灣擁有「正式會員」資格，而不是「有意義的參與」。

 

蓋瑞特眾議員指出:「我相信有2,300萬人民的台灣，身為一個有主權的國家，應該得到在聯合國及其相關組織的完整代表資格。也因此，台灣應該在世衛組織獲得有完整投票權的會員資格。」

 

他並表示:「今年，台灣再一次以『中華台北』的名義參與。我會希望台灣是以『台灣』的名稱來參與，而不是附屬中國之下。」

 

他的結論為: 「與其支持『有意義的參與』，我相信美國應該要支持台灣在國際組織，如世衛組織中的完整會員資格。因此，我呼籲我的同僚與我一齊支持台灣在聯合國、世衛組織及其他國際組織中，完整且平等的會員資格。」

 

台灣人公共事務會會長楊英育博士表示:「稍早這週，我們發現國際衛生條例的內部密件指出，世衛組織現在稱台灣為『中國的一省』。這明顯地是台灣政府2009年與中國用靈魂與魔鬼交易的結果。台灣人今天成為馬英九政府在兩年前與中國達成不負責任且天真的協議的受害者，令人無法接受。」

 

他補充:「我擔憂台灣因為中國的認可，而能夠參與國際會議，會變成一個潮流及可以接受的現象。這會成為台灣，及想要見到台灣獲得更多國際承認的台灣支持者的絆腳石。」

 

楊會長最後指出：「中國的領導人不能相信。現在是台灣的領導者認清這個事實的時候了。」

 

US Congressmen Lament Treatment of Taiwan by China and the W.H.O.

 

Call for "Full Membership" Instead of "Meaningful Participation"

 

On the eve of the opening of the annual World Health Organization assembly in Geneva next week, US Congressmen Scott Garrett (R-NJ) and Edolphus Towns (D-NY) inserted an extension of remarks in the Congressional Record calling for full membership for Taiwan in international organizations instead of "meaningful participation."

 

Rep. Garrett stated: "I believe that a sovereign state such as Taiwan, with a population of 23 million people, deserves full representation in United Nations and its affiliated organizations.  As such, Taiwan should be recognized as a full voting member of the WHO."

 

He continued: "Taiwan is participating again this year as Chinese-Taipei'.  I would prefer to see Taiwan recognized under its name "Taiwan" rather than as a subsidiary of China."

 

The Congressman concluded: "Rather than supporting "meaningful participation," I believe the U.S. should promote Taiwan's full membership in international organizations such as the WHO. I therefore urge my colleagues to join me in supporting Taiwan's full and equal membership in the United Nations, the WHO, and other international organizations."

 

FAPA President Bob Yang, PhD says in a reaction: "Earlier this week we found that in an internal memo on International Health Regulations, the WHO now refers to Taiwan as a "Province of China." This is clearly a result of the Faustian bargain that Taiwan's government made with China in 2009. It is unacceptable that the people of Taiwan become the victims today of irresponsible and naive deals the Ma Ying-jeou government made with China two years ago."

Dr. Yang continues: "I am concerned that Taiwan attends international meetings only because Taiwan gets the nod from China will become a trend and an accepted norm. It will mark a slippery slope for Taiwan and for Taiwan's supporters who want to see Taiwan receive greater international recognition."

 

Dr. Yang concludes: "The Chinese leadership cannot be trusted. It is high time that Taiwan's leadership recognize this as well."

 

千秋大業??? 原來台灣是已經被這些 maggots 出賣了啦!

[看到這個 "總統"，自己秘密簽訂出賣自己國家的契約，又在電視上握拳說是 "要嚴厲抗議"，做憤怒要抗議狀，實在全身起毛!!! 這是比那次恐龍法官的提名更要惡劣千萬倍的欺騙行為，台灣有這種動物被選來執政，好可怕!!!  還是他真的以為台灣人這麼笨???]

秘密賣國的集團，在其他國家會被如何處置? 如果秘密賣國的人是一國總統，國人該如何處置他?? (不是叛國罪，是甚麼???)

有人說，這是台灣人自己選的政府嘛! 這個集團那麼有錢! 你看他那麼無辜! 妳(你)說呢??

有人說，這種賣國台奸集團還是有全國公教人員支持哦。這些人員寧可享有既得利益，也不要民主、自由、人權、主權、法治。妳(你)說呢??

有人說，受中國專制政權管制，只要不出聲，權貴出現就跪下去，"喳!" ，有甚麼不好? 妳(你)說呢??

這種 "人"、這個台奸集團，暗中出賣國家主權，可是選舉時機一到，又是口口 "捍衛台灣"，用 "無恥"、"無品"等字眼的最低級語氣也無法形容這種人樣動物的 "格"!!! 恐怕連中國中南海人士都驚訝於這干集團的這種騙術!! 這種沒有誠信的動物，以後誰能相信啊?? 

這個 maggot可能是把台灣人當作是好欺騙、好安撫的傻瓜吧。這些人恐怕不知道自己才是 "郭冠英般"白癡低能兒。

連非洲回教國家都掀起一股民主抗專制潮流了，台灣人還要進入中國專制統治之下嗎??

 

 

喪權辱國、貪功諉過

◎ 張傳賢

民進黨立委管碧玲日前接獲國際組織提供的世衛內部機密文件中顯示，早在二○○五年世衛與中國已簽訂備忘錄，要求世衛會員國要稱我國為中國台灣省。對於這樣喪權辱國、矮化國格的對待，本人認為馬政府早已經十分清楚，但為了騙取選票與民眾支持，只刻意凸顯「成功積極參與聯合國外圍組織」，而迴避究竟是以什麼樣的身分參加ＷＨＯ。

二○○九年五月，葉金川率隊出席ＷＨＡ大會。此行當時被媒體譽為是我國自退出聯合國三十八年後首度重返聯合國相關組織的「破冰之旅」。馬政府以此做為其外交上豐碩政績的同時，還不忘抨擊民進黨執政時期的鎖國政策。然而當時葉金川在日內瓦面對台灣學生的簡單問題：究竟是以什麼身分參加ＷＨＡ大會，卻是迴避再三不肯正面回答。如今看來，這個答案已非常的明確。當時的葉署長已經知道他是以「中國的一省」的地方衛生官員代表參加ＷＨＡ大會。

外交部沈呂巡次長對於此事件的回應，更顯示馬政府內部很早就知悉ＷＨＯ刻意矮化我國格的事實。沈次長指出從一九七一年世衛內部就將我列中國一省。並認為現在台灣能參與世衛大會，在大會中發言，都應該感謝馬政府。換言之，馬政府早就知道在ＷＨＯ中，我國僅是中國的一省，卻避重就輕，不肯正視我國在該組織中的定位與地位，並將這樣的事實告知國人，反而以在ＷＨＡ中能以「中國的一省」發言而自豪。

孟子離婁下篇中有個故事叫「齊人」，是說有個男子欺騙妻妾是和達官顯要交往吃飯，但實際上卻是去鄰人祭典裡吃飽喝足。馬政府爭功諉過，只把參與ＷＨＡ當成外交上的重大突破，但卻不告知國人其實是以「中國的一省」參加。這樣的行為，和那名厚顏無恥的良人何異？這樣的政府，又豈是人民可以「仰望而終身者也」？

（作者為中央研究院政治所助研究員）

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馬總統消滅中華民國

◎ 黃帝穎

早在二○○九年五月，女留學生黃海寧在日內瓦就曾質問代表馬政府參加世衛的葉金川「以什麼名義參加ＷＨＡ」，葉無力解釋，惱羞成怒。主張「一中」的馬總統對此同樣沒有正面回應，只敢對媒體空喊「遵守憲法」、「我哪裡賣台？」等語。

日前立委管碧玲踢爆世衛密件，內容指出去年世衛對所有會員發出「世衛條例對中國台灣省之執行作業準則」秘密信函，把台灣在國際條約上定位為「中華人民共和國的一省」，直接證實我國參與世衛的代表權確有問題，馬總統的「違憲」賣台犯行，也因此事跡敗露。

依據我國憲法第三十五條規定，總統對外代表中華民國，但是馬總統任派參與世界衛生組織的官員卻不是代表中華民國，而是代表「中華人民共和國台灣省」，這當然導致世界各國誤認台灣是中華人民共和國的一部分，馬總統接受這樣的名義參與世衛，即是閹割台灣主權、消滅中華民國，公然違反憲法第三十五條規定，馬總統居然還敢高喊「遵守憲法」、「我哪裡賣台？」實在諷刺。

（作者為律師）

如果今天總統是李、扁

◎ 邱炳進

民進黨立委管碧玲爆料，世衛組織把台灣在國際條約上定位為「中國的一省」，外交部五月九日反駁，認為我們是以Chinese Taipei（中國的台北）名義參加，我們的主權未被矮化、國格未受辱云云。

真的以Chinese Taipei的名義參加，對台灣是一件光彩的事嗎？國際社會認知的Chinese Taipei，是「中國的台北」，光彩何在？現在曝光的密件，更顯示台灣參加世衛必須經過中國的賜准。如此一來，國際社會當然越來越相信，台灣是中華人民共和國（中國）的一省。這是馬政府上台快三年以來的「最大成就」嗎？

難怪，印尼外交部網站將台灣列為中國的一省；難怪，菲律賓將台灣嫌犯送往中國。不用怪人家，他們只是在順應馬政府的台灣對外政策而已。假定今天的總統是李、扁，國際社會起碼知道，台灣人力爭國格，與中國互不隸屬的堅定立場。

（作者從事教職，台北市民）

以後誰幫台灣說話？

◎ 周振英

因中國無理阻撓台灣加入國際組織時，美日歐各國常常為我們仗義執言。如今，各國知悉這種「世衛模式」是台灣自願接受、中國也不再阻撓時，那麼以後他們還會再幫我們講話嗎？

台灣人若自己吞下這劑「麻藥」而變成麻木不仁時，以後，再也不會有人想幫我們脫離共產黨魔爪了。

（作者為在日台僑，醫師）

*********************************************************

刻意不作為的千秋大業

◎ 李佳曄

立委表示，世衛秘書長陳馮富珍辦公室在去年九月對世衛所有會員發出「世衛條例對中國台灣省之執行作業準則」秘密信函，把台灣在國際條約上定位為「中國的一省」。就此行政院發言人楊永明九日表示，政府不接受此一稱呼，將表達抗議。行政院表示將表達抗議，究竟係真正之抗議，抑或在國內虛晃一招，誠值得國人密切注意。

據立法委員與官員詢答時，官員表示馬總統早已知悉此項事實。如馬總統與行政部門官員早已知悉此項事實，為何不於知悉時即向世界衛生組織提出抗議？反而於立委踢爆此事時，始輕輕表達將提出抗議？換言之，如果立委未將此事全盤托出，則馬總統與行政院官員是否即將裝聾作啞？

如同傅建中先生所言：「馬必須把握時機，展現果決的領導能力，造成既成的事實，使後之來者無法改變，這就是所謂千秋大業了。馬應以此自我期許，否則必是夜長夢多，時不我待，到頭來一場空、一事無成。」此種說法若為馬總統與現任政府官員之內心真正意思表示，則台灣將面臨極為嚴重之危機。

而以本案之發展觀察，吾人不得不強烈質疑，馬總統於知悉相關案情後並未有所舉措，直致立委驚爆此事始表達將要抗議，即為馬總統為創「千秋大業」之刻意不為作為。

台灣的住民有兩千三百萬餘人，台灣之前途應由全體住民共同決定。就此，提醒馬總統千萬不可為創一己或一黨之「千秋大業」，而將兩千三百萬人推向火坑！（作者為家庭主婦，台中市民）

您，表不表？

◎ 洪浦釗

第七屆國共論壇甫閉幕，中國政協主席賈慶林及國台辦主任王毅在會中，皆一再重申「反台獨、堅持九二共識」，而馬政府也在台灣隔海唱和，還直言民進黨若不接受「以九二共識、一中各表為協商基礎」，將使兩岸重回對立。現在，傳出世衛組織發函所有會員，將台灣明確定位為中國的一省，嚴重傷害台灣主權的獨立。我們要問問馬先生，這時候，您的「各表」在哪裡？

事實上，就算馬先生您是總統，也沒權力代表台灣人民出賣主權，承認「一個中國」。如今馬政府凡事向中國靠攏，向中國看齊，不但工資倒退，連新聞自由都倒退，結果就是造成台灣主權虛無化、民主嚴重倒退。馬先生是台灣民主化發展的反動者，已是一件不容否認的政治事實。

（作者為群策會研究處副處長）

白話馬英九賣國

◎ 陸念慈

馬英九之賣國與無恥，從ＷＨＡ將我國列為中國一事可以完全證明。連馬政府的外交部都承認知道ＷＨＡ將我國列為中國的一省，卻以默認同意的方式，換取ＷＨＡ的觀察員身分？

不僅如此，馬英九還把這種賣國的行為，當成什麼天大的「政績」來欺騙民眾，並且以此倒打前朝一耙，痛批民進黨在外交上沒有進展，在二○○四、二○○七年明知票數不足，還強推ＷＨＡ提案投票，導致以票數懸殊收場，「那才叫喪權辱國」！

問題是，民進黨執政無法加入ＷＨＡ的原因在哪裡？如果同意台灣是中國的一個省，哪還輪得到馬英九執政才能當個「觀察員」？如果當年蔣介石不搞什麼「漢賊不兩立」的蠢事，不要說ＷＨＡ了，台灣還可能是聯合國的正式會員國！

更可惡的是，明明被列為中國的一省，馬政府還欺騙人民說現在是以「國家級的身分」與會？鐵證如山還睜眼說瞎話，根本就是無恥到了極點！

馬英九一定會硬拗，說「為了國人的權益」，參加總比沒參加好。事實正好相反，向ＷＨＡ承認台灣為中國的一省，等於被劃為中國疫區，一旦中國發生疫情，沒事的台灣也會受到牽連，對於台灣的觀光、進出口等都會造成非常嚴重的傷害。此外，ＷＨＡ的重大訊息也必須透過中國才能取得，而中國又習慣隱匿，在這種情況下，台灣的權益會受到什麼樣的損害，更是無法估計。

最重要的是，馬英九與中國暗盤交易所搞出來的「觀察員」，對於ＷＨＡ必須有國家主權才能參與的重大會議根本無法參加，只能「觀察」一些不涉主權又無關緊要的事務，說穿了只是「花瓶」，還必須付出以上種種重大代價，這樣的「觀察員」除了讓馬英九當成假政績來騙選票之外，對台灣其實有害無益，不要也罷！

（完整版請見http://blog.libertytimes.com.tw/ntlutw/，作者業商）

國民黨終於承認亡國

◎ 鄧鴻源

民進黨立委管碧玲表示，她接獲一份世衛組織內部的機密文件，得知世衛組織與中國在二○○五年簽訂備忘錄，將台灣定位成中國的一省。

對此，外交部次長沈呂巡在面對媒體詢問時表示，自從一九七一年中華民國退出聯合國開始就是這樣子，現在我們真正能用Chinese Taipei進去，並在世衛大會中發言，反而要謝謝馬政府。而過去民進黨政府時期，兩度在申請參與世衛大會的問題上做正面對抗，獲得國際間支持的程度卻越來越低。

這是什麼「鳥」話？其意思是，我們在喪失主權的條件下，能夠在世衛發言，就是多麼風光，不像扁政府，為了爭取主權，老是與人家對抗。

這也間接證明國民黨政府的官員，終於承認一九七一年中華民國已經亡國的事實，那麼之後國民黨所編的一切中華民國始終獨立存在的話，難道不都是謊言嗎？

其實兩中與台灣有何關係？畢竟二戰結束後，日本只是單方面放棄台澎主權，並沒有明確說交給誰？國民黨一廂情願說他們合法收回台灣，那麼所有權狀在哪裡？

民進黨執政時期，已明確說明我們應以台灣進入世衛與聯合國，不是用那會與人家主權衝突的中華民國，畢竟連國民黨官員也終於承認一九七一年中華民國已經亡國的事實。（作者為物理博士，現任大學副教授）

感謝馬政府？

◎ 阮愛里

民進黨立委蔡煌瑯質疑馬政府另外拿Chinese Taipei來騙台灣，外交部政務次長沈呂巡則堅持說，名稱是Chinese Taipei，還說，現在能在世衛大會中發言，反而要謝謝馬政府。

然而，我們要感謝馬政府什麼？感謝以失去國家主權、國家名號，成為「中國的一省」，換取以「中華台北」身分擠進世界衛生大會ＷＨＡ、弄個旁聽席嗎？

馬總統說要捍衛國家主權，吹噓兩岸關係改善、國際關係改善，然而事實如何？事實是，馬政府默默接受「中國的一省」這個安排，換取世界衛生大會ＷＨＡ旁聽席。較之以前這不但沒進步，而且退步，讓步到國家主權、國家名號都黯而不彰，都快要消失殆盡了。

當台灣或是中華民國變成「中國的一省」，這要感謝馬政府嗎？

（作者為退休教師，新北市民）

hematogenous vertebral osteomyelitis: 骨的biopsy前是否給抗生素?

The impact of prebiopsy antibiotics on pathogen recovery in hematogenous vertebral osteomyelitis.

Clin Infect Dis.  2011; 52(7):867-72 (ISSN: 1537-6591)

Marschall J; Bhavan KP; Olsen MA; Fraser VJ; Wright NM; Warren DK
Division of Infectious Diseases.

Background. Biopsy specimens are often obtained in the evaluation of hematogenous vertebral osteomyelitis. The effect of prebiopsy antibiotic exposure on pathogen recovery is unknown. Methods. We conducted a retrospective cohort study of adult inpatients with hematogenous vertebral osteomyelitis at a tertiary care hospital from 1 January 2003 through 31 July 2007. Antibiotic exposure within 14 days before biopsy was evaluated. Results. Of 150 patients with hematogenous vertebral osteomyelitis, 92 (61%) underwent a biopsy (60 [65%] needle and 32 [35%] open biopsies). The median time from admission to biopsy was 3 days (range, 0-69 days). Patients who underwent biopsy were more likely to have weakness (53 [58%] biopsy vs 15 [26%] no biopsy; P < .001) and sensory loss (27 [29%] vs 6 [10%]; P = .006), but were less likely to have a positive blood culture result (28 [30%] vs 30 [52%]; P = .01). Pathogens were recovered in 61 patients (66%). Open biopsy had a higher yield than needle biopsy (29 [91%] of 32 vs 32 [53%] of 60; P < .001). Sixty patients (65%) who had biopsies performed received antibiotics ≤14 days before the procedure (median duration, 4 days; range, 1-37 days). Open biopsy predicted positive biopsy culture results (adjusted odds ratio, 8.4; 95% confidence interval, 2.2-31.8), but there was no association of prebiopsy antibiotics with culture results (adjusted odds ratio, 2.3; 95% confidence interval, 0.8-6.2). Conclusions. A pathogen was recovered from 61 (66%) of 92 patients who had biopsies performed in this cohort of hematogenous vertebral osteomyelitis. Open biopsies had a higher microbiological yield than did needle biopsies. Antibiotic exposure before biopsy did not negatively impact pathogen recovery and should not be the sole reason for foregoing biopsies.

·        PreMedline Identifier: 21427393

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

 

GB Syndrome following Primary CMV Infection

Guillain-Barre Syndrome following Primary Cytomegalovirus Infection: A Prospective Cohort Study.

Clin Infect Dis.  2011; 52(7):837-44 (ISSN: 1537-6591)

Orlikowski D; Porcher R; Sivadon-Tardy V; Quincampoix JC; Raphaël JC; Durand MC; Sharshar T; Roussi J; Caudie C; Annane D; Rozenberg F; Leruez-Ville M; Gaillard JL; Gault E
Service de Réanimation.

Background. Little is known about the epidemiology and the prognostic factors of Guillain-Barré syndrome (GBS) following primary infection with cytomegalovirus (CMV-GBS). Methods. We prospectively followed up 506 patients with cases of GBS who were admitted to our center from 1996 through 2006. We diagnosed 63 (12.4%) CMV-GBS cases by immunoglobulin (Ig) M detection and IgG avidity. Plasma CMV DNA was detected at hospital admission. Patient subgroups were compared using Fisher's exact test and the Wilcoxon rank-sum test. Temporal variations were analyzed with time series methods. Results. Patients with CMV-GBS were mostly young (median age, 32 years; sex ratio, 0.85), but we also identified a subpopulation of patients consisting of women aged >50 years. Sensory defects (in 72% of cases) and facial palsy (49%) were frequent, and test results positive for CMV DNA in plasma at hospital admission (found in 62% of cases) tended to be associated with objective sensory defect (P = .052). The main factors associated with long-term neurological sequelae (21%) were older age (P < .001) and assisted ventilation during hospitalization (P = .005). The number of CMV-GBS cases decreased between 1996 and 2006 (P = .019) and displayed an annual periodicity between the months of July and October. The incidence of CMV-GBS was estimated to be between 0.6 and 2.2 cases per 1000 cases of primary CMV infection (versus 0.25 to 0.65 cases per 1000 cases of Campylobacter jejuni infection). Conclusions. This study provides new insights about the epidemiology of CMV-GBS and shows that the risk of developing GBS is similar following primary CMV infection or C. jejuni infection. Our results also suggest a direct or indirect involvement of viral replication in the neuropathological processes of CMV-GBS.

·        PreMedline Identifier: 21427390

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.