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在principles of clinical research這個產品中，有3篇Facebook貼文，粉絲數超過1萬的網紅當張仲景遇上史丹佛，也在其Facebook貼文中提到， 加拿大溫哥華 第三屆國際傳統醫學大會暨中醫大會 – 日程更新 即將在八月下旬舉辦的加拿大第三屆國際傳統醫學大會暨中醫大會，在舉辦單位不斷地和各方溝通協調下，正式的日程表及各個講員的講題總算是固定下來了，畢竟安排近二十位來自世界各地的專家齊聚一堂，並非一件容易的事。這次大會，有幾位專家被安排演講三個...

principles of clinical research 在 當張仲景遇上史丹佛 Facebook 的最佳解答

當張仲景遇上史丹佛 By 當張仲景遇上史丹佛

2019-08-07 05:00:21 有 193 人按讚
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加拿大溫哥華 第三屆國際傳統醫學大會暨中醫大會 – 日程更新

即將在八月下旬舉辦的加拿大第三屆國際傳統醫學大會暨中醫大會，在舉辦單位不斷地和各方溝通協調下，正式的日程表及各個講員的講題總算是固定下來了，畢竟安排近二十位來自世界各地的專家齊聚一堂，並非一件容易的事。這次大會，有幾位專家被安排演講三個小時，其他專家的演講從半個小時到兩個小時不等。感謝大會的重視，幫我安排在大的會場上演講三個小時，也幫我把原訂晚上的演講時段改成下午，雖然舉辦單位表示晚上的聽眾會比較多，我還是喜歡晚餐後放輕鬆、看看書、做運動、並早點就寢，謝謝大會的體諒，這樣我也就不用幫忙收拾會場了，莞爾！

第三届国际传统医学大会暨中医大会

语言: 中英双语同声翻译
时间: 2019年8月24日(周六)-25日(周日)上午9点到晚上9点
地点: Hilton Vancouver Metrotown, 6083 McKay Ave, Burnaby, BC V5H 2W7, Canada
举办单位: Canadian Institute of Complementary and Alternative Medicine Research
电话: 1-604-6201908
邮箱: [email protected]
网站: https://www.ictmhw.com
微信: qingcheng545445

2019年8月24日(星期六)活动详细议程 Agenda on Day 1 August 24th 2019

第一会场 (A&B Ball Rooms)

09:00-11:00 1. 頭針治療腦出血，腦血栓，眩暈，耳鳴，老年癡呆等症 Systematic application of scalp acupuncture in clinical treatment 焦顺发教授 Prof. Shunfa JIAO

11:00- 11:02 开幕式 Opening Ceremony 严庆蘋医生 Dr.Peggy Yu

11:03- 11:08 致开幕词
Opening & Welcome Remarks 王福麟教授 Prof. Fuling Wang

11:09- 11:30 嘉賓致辭 VIP Speech 宣读贺信 Greeting Letters 严庆蘋医生 Dr. Peggy Yu

11:30- 12:30 1. 頭針治療腦出血，腦血栓，眩暈，耳鳴，老年癡呆等症 Systematic application of scalp acupuncture in clinical treatment 焦顺发教授 Prof. Shunfa JIAO

12:30- 13:00 午餐及请教专家和看论文摘要展示 Lunch/Expert consultation/Post Presentation

13:00- 16:00 2. 針灸在美容減肥等方面的特殊方法與技法，針灸除雙下巴，皺紋，眼袋，面部緊 緻，減肥，瘦臀等 Special acupuncture methods and techniques for beauty and weight loss, etc. 崔兰英医生 Dr. Lanying CUI

16:00- 17:30 3. 中醫舌診在臨床診斷治療不孕不育等疑難 雜症 New principles and methods in application of TCM tongue diagnosis in clinical practice 熊旻利医生 Dr. Minli XIONG

17:30- 18:00 晚餐及请教专家和看论文摘要展示 Dinner/Expert consultation/Poster Presentation

18:00- 21:00 4. 飛經走氣針法及針氣療法治療子宮肌瘤， 內膜增生，乳腺增生等 Miracle effect of Feijingzouqi and Zhenqi acupuncture techniques for intractable diseases 吴泓德医生 Dr. Hung- Te Wu

2019 年 8 月 25 日(星期日)活动详细议程 Agenda on Day 2 August 25th 2019

第一会场 (A&B Ball Rooms)

09:00-12:00 1. 骨盆與健康(全身關節錯位引起的急慢性內外病痛治療) Pelvis and Health (treatment of acute and chronic external and internal diseases caused by joint disorder) 徐星凱醫生 Dr. Xingkai Xu

12:00-13:30 2. 中醫舌診在臨床診斷治療不孕不育等疑難 雜症 New principles and methods in application of TCM tongue diagnosis in clinical practice 熊旻利医生 Dr. Minli XIONG

13:30-14:00 午餐及请教专家和看论文摘要展示 Lunch/Expert consultation/Post Presentation

14:00-17:00 3.中醫經方治疗重症、急症及特殊复杂疾病的临床病例討論 Clinical case discussions of classic Chinese medicine applications on severe and urgent health conditions 李宗恩医生 Dr. Andy Lee

17:00-17:30 闭幕式 Closing Ceremony 严庆蘋医生 Dr. Peggy Yu

16:45 – 17 :30 闭幕感谢词 Closing & Thank you Remarks 程霞院长 Dr Xia Cheng

17:30-18:00 晚餐及请教午餐及请教专家和看论文摘要展 示 Dinner/Expert consultation/Post Presentation

18:00-21:00 4.針靈技法及針灸治療各種有形包塊，糖尿 病，高血壓，皮膚病等 Dao of TCM — Zhenling of Needle conscious technique and Pingmai of Pulse normalization demonstration 潘晓川教授 Dr. Xiaochung Pan

第二会场( Ball Room C)

09:00-11:00 1. 針灸美容，瘦臉，減肥，祛黃褐斑等 Treatment of facial defect with acupuncture 刘宁教授 Prof. Ning Liu

11:00-12:00 2. 中醫治療抑鬱，狂躁，躁鬱症，焦慮症 Clinical effects of TCM in treating emotional and mental disorder 杨常青医生 Dr. Changqing Yang

12:00-13:00 3. 迷你刃針治療偏頭痛，血管性頭痛，足底足跟痛 The potential and value of Microblade acupuncture in clinical treatment 黄国健博士 Dr. Guojian Huang

13:00-13:30 4. 脊柱相關問題的有效診斷和條理方法 黃偉醫生 Dr. Wei Huang

13:30-14:00 午餐及请教专家和看论文摘要展示 Lunch/Expert consultation/Post Presentation

14:00-15:00 5. 針灸與芳療精油治療頭，眼，耳，鼻，口痛 Application of aromatherapy essential oil to acupuncture treatment 梅和詠医生 Dr. Heyon Mei

15:00-16:00 6.針灸與埋線治療肥胖症，胸膜痛，手臂痛 Obesity & embedding techniques Dr. Amir Hooman Kazemi

16:00-17:00 7.燒山火透天涼治療男性不育，鼻敏感，中風 Clinical application of feeling point, Burning Mountain Fire, and Cooling Sky needing techniques in reinforcing and reducing method 陆飚医生 Dr. Biao Lu

17:00-17:15 闭幕式 Closing Ceremony 严庆蘋医生 Dr. Peggy Yu

17:15 – 17 :30 闭幕感谢词 Closing & Thank you Remarks 程霞院长 Dr. Xia Cheng

17:30-18:00 晚餐及请教午餐及请教专家和看论文摘要展示 Dinner/Expert consultation/Post Presentation

18:00-19:00 8. 針藥結合靶向治療乳腺癌，腦腫瘤，膀胱 癌等 Diagnosis of three-level targets and on-target treatment of cancers using Acupuncture and Chinese herbal medicine 刘金洪教授 Prof. Jinhong Liu

19:00-20:00 9. 夏桂成老師治療不孕症，子宮肌瘤，更年 期綜合症 Typical successful cases of infertility and other gynecological diseases treated with the TCM principles: sharing from my supervisor, Dr. Guichen XIA 谈勇教授 Prof. Yon Tan

20:00-20:30 10. 頭針成功治療兒童自閉症和腦癱疾病的臨床經驗分享 Scalp acupuncture for autism and other developmental disorders in children 史灵芝医生 Dr. Lingzhi Shu

20:30-21:00 11. 近視眼，乾眼症，眼底出血，黃斑水腫，葡萄膜炎等眼疾的中醫治療 Treatment of eye diseases such as myopia with TCM 王育良教授 Prof. Yuliang Wang

*:上述活动日程会根据具体情况做适当调整
Events are subject to changes, will be verified and confirmed as required.

（http://andylee.pro/wp/?p=6132）

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當張仲景遇上史丹佛

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關於部落格 我本來是個科技人，也是一個科技管理與投資人，受過現代化邏輯分析訓練，從量子物理的嚴密數學推衍，無線通訊軟硬體的系統設計，到複雜的公司購併與投資財務模型，無一不是嚴格的「科學分析」與「實事求是」。換句話說，我本來跟中醫一點關係都沒有， 也跟很多不了解中醫的人一樣，覺得中醫很不科學，甚至覺得中醫已經該被淘汰了。 我為什麼會走到中醫的領域呢？十年前左右，正當我頂著史丹佛電機博士及柏克萊MBA的光環在矽谷汲汲營營時，我父親得到了肝癌。一開始醫生說仍不嚴重，只有1.2公分，栓塞手術即可去掉腫瘤。第一次栓塞後，果然腫瘤迅速縮小，可是不到三個月，新的肝腫瘤冒出來，竟然有5～6公分。又再次栓塞，第二顆腫瘤也縮小，然而，又不到三個月，再度有新的肝腫瘤冒出來，這一次成為11公分，連醫生都不相信腫瘤可以長得這麼快，只能說那叫做「多發性肝癌」。 我一方面不能理解這樣的病情發展及醫療方式，另一方面想幫助父親，我開始作研究，查詢各種資料，請教各類醫學專家。很快的，我了解到現代西醫學對慢性病的處理是很有限的，就連美國疾病管理中心 (Centers of Disease Control and Preventions, CDC)，美國國家衛生研究院(National Institute of Health, NIH)， 世界衛生組織 (World Health Organization, WHO) ，以及很多其它世界頂尖醫學研究組織都表示，現代西醫學沒有辦法有效治療癌症，心血管疾病，關節炎，失眠，憂鬱症，體重過重等等慢性疾病，標準醫療程序有很多的爭議及副作用。這讓我很驚訝，深入了解後才明瞭，現代西醫學在分子生物學層面上，或許很科學，但是在臨床治療，並非我以前認為那般邏輯化，而且臨床治療往往非常局部化，缺乏整體理論與模型，而是以嘗試錯誤 (trial and error)及鬆散的統計數據為主。以一個科技人的背景而言，這樣的一門學問，似乎達不到「科學」的條件。同時，我發現，和我有相同想法與疑問的人其實很多，甚至有好幾位史丹佛大學的西醫專家教授，當面指出西醫臨床上的缺失，並大聲質疑西醫學上的很多問題。 就在我對現代西醫學感到無助時，有朋友及西醫專家要我去多了解中醫，這些人都有見證過或親身經歷過中醫治療的效果 。我一開始時，無法接受這樣的建議，就連現代西醫學都達不到嚴謹的科學標準，古老的中醫又如何能提供一條大道呢？然而，人的緣分是很難解釋的，在這個時間點上，我碰上了中醫經方派大師倪海廈中醫師。倪先生病人案例讓我很驚訝，我保持科技人懷疑的精神，去了解去查驗。我慢慢的對中醫有了很不一樣的認識，開始愛上中醫，而倪先生也成為我中醫的啟蒙老師，帶領我進入了中醫的世界，我從一個不懂中醫的人，轉變成一個中醫的支持者與實踐者，經過很多很多的臨床驗證，我實在不得不讚歎古老中醫的偉大。 中醫其實是一門很嚴謹的科學，非常俱有邏輯性，臨床效果往往超過一般人的想像。然而，很多人對中醫有很多的誤解，更有很多人利用中醫的名號做不肖的生意，讓中醫背負了很多的罪名。所以，我想寫個部落格，來說明我所認識的中醫，這當然無法闡述整個中醫學問，更無法代表整個中醫界對中醫的看法。然而，希望藉由我嚴謹的科學與科技背景，以及我在臨床上做到很多人認為中醫無法做到的病例，來喚醒一般人對中醫的誤解與懷疑。 以現代科學方法來闡述中醫，至少有兩條路。第一條路是用現代的醫學、生命科學、分子生物學等等來說明中醫古書中的理論及治療方法。很多人試著使用這個方法來解釋中醫，我也曾花費不少心思與力氣在這條路上。然而，我認為這樣的方法雖然有其一定的價值，它可能不是最好的方法，這種使用一門學問去解釋另一門渾然不同學問的方法，就好像硬要用化學的化學反應去解釋物理學的萬有引力，看起來都是在解釋自然現象，兩者的出發點和基本定律(axioms)完全不同，即使在最終的理論上或許可以聯結，但在實際生活應用上不是很有效率的 。 另一條以現代科學方法來闡述中醫的路，是利用基本科學的精神，以及邏輯推理的方法，把中醫當作完全獨立的學問，先不要想證明中醫的基本定律，而是想辦法從那些基本定律推衍，看看是否能在人體現象與治病上得到相符合的結果，如果在多次應用上得到很好的相符性，那麼這些中醫基本定律就有很高的科學價值。也就是說，我們先不要急著用現代醫學來解釋中醫古書中的理論，我們把中醫古書中的基本定律條列整理出來，利用邏輯推理，應用在臨床治療上，看看人體的反應及治療效果是不是和我們推理預測的相符合，如果符合性很高，那這些經典中的基本定律就值得我們尊敬與接受，即使我們不能解釋這些基本定律，那只代表「現代醫學」這項「工具」還不夠先進，畢竟「現代物理學」不能解釋的自然現象也仍然太多太多。 至於部落格為何取名為「當張仲景遇上史丹佛」，這得提到一本書「當孔子遇上哈佛 」。前輩元大創投董事長李克明先生是哈佛大學嚴格訓練出來的法學博士及企業管理碩士（MBA），是位專精跨國商務及企業購併的國際律師，更是國際金融企業的頂級專業經理人，經歷過無數次的商場鬥智。 十年前，李董事長因緣際會重新拾起論語孟子等等中國經典，他驚然發現，他幾十年來累積無數的商場心得與智慧，竟然早在幾千年前就被古人討論過，而這些經典書籍裡的智慧更遠遠超過他的想像，於是李董事長以他哈佛企管與法律所貫輸的邏輯思維 ，全心投入中國經典研究，也因此寫了「當孔子遇上哈佛」。當我向李董事長請益時，了解到我個人從西方教育轉向中國古老智慧的歷程與李董事長頗為相似，一個講治人心，一個講治人體，而我寫這部落格時，也受到李董事長的大力鼓勵。因此，我也就沿著李董事長的書名，把孔子換成中醫醫聖張仲景，把哈佛換成我的母校史丹佛，成了「當張仲景遇上史丹佛」。
當「中醫醫聖張仲景的經典學說」遇上「現代大學史丹佛的科學思維」 (www.D
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principles of clinical research 在 台灣光鹽生物科技學苑 Facebook 的最佳貼文

台灣光鹽生物科技學苑 By 台灣光鹽生物科技學苑

2018-10-23 14:43:49 有 240 人按讚
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2018/11/17(六)【臨床試驗系列】
從案例探討看臨床試驗品質與稽/查核缺失之因應實務培訓班(進階課程)

#稽核端vs被稽核端 #AuditFindings # #矯正預防措施CAPA的構成原則 #矯正預防措施CAPA的流程 #FDA #EMA #iInspectionFindings #缺失因應實務

主辦單位：台灣光鹽生物科技學苑

課程地點：光鹽會議中心

課程地址：台北市復興北路369號7樓

課程日期：107年11月17日 (六) 09:00至17:00

授課師資：
*陳品汝 友霖生技醫藥股份有限公司 品保處經理
*江君敏 台灣雙健維康生技顧問有限公司 品保部經理

學員對象：
(1)臨床試驗相關工作者
(如CRA,PI,PM,RA,RD,MA,DM,ST,CRC,QC,QA,MW等…)
(2)生技公司/新藥公司/藥廠或CRO現職人員

【授課大綱】
一、從缺失看品質：臨床試驗常見缺失與稽核經驗分享 (陳品汝)
(1)關於品質About quality
(2)案例分析: 稽核常見缺失Case study - Audit findings
(3)案例分析: 歐美查核案例Case study - US FDA & EMA inspection findings
(4)可接受與不被接受的回應Acceptable/unacceptable responses to findings
(5)矯正預防措施的構成原則 Principles of developing acceptable CAPAs

二、臨床試驗稽核/查核準備與因應 (江君敏)
(1)試驗醫院如何準備clinical site audit/inspection (Sponsor稽核/主管機關查核)
(2)CRO如何準備CRO audit (Sponsor稽核)
(3)臨場應對稽核員/查核員技巧
(4)矯正預防措施CAPA的流程
(5)回覆/因應audit finding/inspection finding

*上課達滿時數六小時，將核發本課程結業證書。

課程費用： 每人2,500元(中午供餐及中場休息點心)
報名方式：<線上報名> https://goo.gl/forms/7Pt65LFG16TppNLn1

【師資介紹】

#陳品汝

現職：
友霖生技醫藥股份有限公司 品保處 經理
台灣生醫品質保證協會 理事
美國品保協會 註冊之GCP品保專業人員
(Society of Quality Assurance, Registered Quality Assurance Professionals in GCP)

經歷：
佳正國際股份有限公司 品保經理
佳生科技顧問股份有限公司 資深品保稽核員
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2015-10-16 17:37:57 有 8 人按讚
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Post-resuscitation care: ERC–ESICM guidelines 2015 - EDITORIAL

The ERC-ESICM guidelines on post-resuscitation care are intended to be practical and more didactic, i.e. they tell the clinician exactly what to do. They cover the whole post-cardiac arrest patient pathway and include elements of pre-hospital care, in-hospital treatment and finally rehabilitation.
Animal studies suggest that after return of spontaneous circulation (ROSC), hyperoxia may worsen neurological injury. Clinical data on neurological injury are conflicting but a recent study of air versus supplemental oxygen in ST-elevation myocardial infarction showed deleterious effects of oxygen treatment. As soon as arterial blood oxygen saturation can be monitored reliably, the ERC-ESICM recommendation is to titrate the inspired oxygen concentration to maintain the arterial blood oxygen saturation in the range of 94–98 %. As yet, there are no prospective data defining an optimal plasma carbon dioxide target in the post-cardiac arrest patient, and observational data are inconsistent. Until further data are available the recommendation is to aim for normocarbia.
If cardiac arrest has been caused by an acute coronary occlusion, achieving coronary reperfusion as soon as possible is a high priority. Emergent cardiac catheterisation laboratory evaluation (and immediate percutaneous coronary intervention (PCI) if required) should be performed in adult patients with ROSC after out-of-hospital cardiac arrest (OHCA) of suspected cardiac origin with ST-elevation (STE) on the ECG. This recommendation is relatively non-controversial; the management of those patients with a likely cardiac cause of their cardiac arrest but without STE on the ECG is less well defined. In general, it is reasonable to discuss and consider emergent cardiac catheterisation laboratory evaluation after ROSC in patients with the highest risk of a coronary cause for their cardiac arrest. The ERC-ESICM guidelines include recommendations on the timing of computed tomography (CT) scanning in relation to coronary catheterisation and these are summarised in a post-cardiac arrest algorithm.
The prevention of post-ROSC hyperthermia and the implementation of targeted temperature management (TTM) remains a strong recommendation in the ERC-ESICM guidelines. There is no international consensus on the precise target temperature—the current recommendation is to maintain a constant temperature in the range 32–36 °C for 24 h.
Predicting the final neurological outcome of those who remain comatose after resuscitation from cardiac arrest is problematic and it is now generally accepted that decisions about withdrawal of life-sustaining treatment (WLST) have been made far too early. The ERC and ESICM have already published guidelines on prognostication after cardiac arrest and these have been incorporated into the 2015 post-resuscitation care guidelines. The principles of prognostication are that it is generally delayed until at least 3 days after cardiac arrest and it is multimodal.
Many cardiac arrest survivors have cognitive and emotional problems long after hospital discharge. To date, there have been few structured programmes to rehabilitate these patients and this is a component of the patient pathway that can be improved considerably. The ERC-ESICM guidelines provide recommendations on the follow-up care for post-cardiac arrest patients.
Since 2010, considerable progress in clinical research has created important advances, making these post-resuscitation guidelines immediately applicable in many patients. However, there are still knowledge gaps, which require further investigation. Temperature management is probably the field in which most questions remain unsolved. Should we use a specific cooling technique? What is the best sedation strategy during cooling? Who are the best candidates for a lower target temperature target (32–34 °C)? Should we start cooling during transport to hospital? As early pneumonia is very frequent in cooled patients, should we give prophylactic antibiotics? Ongoing clinical studies might provide definitive conclusions in the very near future. The optimal management of post-resuscitation circulatory failure also remains controversial. Although some clinical data suggest 75 mmHg as a target for mean arterial pressure, this should be further investigated in prospective studies. The use of steroids during the post-resuscitation shock also requires further exploration. Brain injury is the cornerstone of outcome: new imaging and electrophysiological investigations will help to refine the neuroprognostication strategy that has been proposed. Finally, follow-up care for survivors is now recommended but we need high-level evidence for this rehabilitation phase.
While further science is awaited, we sincerely hope that these 2015 guidelines will help intensive care clinicians to treat their post-cardiac arrest patients.

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