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    • T

      [2017醫師國考詳解-臨床醫學] 勘誤彙整區
      公告區 • 二階國考 • • TinyNotes  

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      Hey, A few days ago, I was reading an article about effective SEO techniques that work best these days. It was a great article. I've made some notes and bookmarked it -- it might come in handy someday... However, there was one thing that I didn't like. They claimed that spun content was dead. From now on, they said, you should manually rewrite ALL your articles. Is this the end of Internet Marketing as we know it?! Not for me. I need TONS of content every day. I publish it on my 100+ websites. I build support sites. I set up Web 2.0 sites, I do social bookmarking... It's simply IMPOSSIBLE to manually write that much content. Day in and day out. Luckily, the author of the article is VERY wrong. It's true that poorly spun content is dead. Google can detect it. Nothing new here. But, if the content is spun with the ENL semantic spinning algorithm, Google can't detect it. Why? Because it looks just like a native speaker had rewritten it. Here is an example of ENL algorithm's work: ORIGINAL TEXT: John can relax and read a book because his kids can book the vacation for him. Once it's booked, he will enjoy an excellent movie and drink wine, beer, or whiskey. GENERATED SPUN VARIATIONS: (!!!) Since his kids can easily schedule the vacation for him, John can read a book and unwind. He will definitely enjoy an impressive film and drink draught beer, whiskey, or red wine once it's reserved. You can find more examples here: https://www.alecpow.com/spin-rewriter-official No Copyscape issues. No duplicate content penalty. Completely readable. FREE of charge. Without any work. All thanks to Spin Rewriter. Still, there's more! The guys over at Spin Rewriter have just launched a BRAND-NEW version. With even more great features -- and with a brand new article generating algorithm, Spin Rewriter now makes sure that only the most UNIQUE articles are generated. You may want to take a look at it: https://www.alecpow.com/spin-rewriter-official I'm using it every day. It helps me generate more than 200 unique articles every day. In just 10 minutes. At no cost. You should try it, it costs less than 10 manually written articles. P.S.: You can try it out for FREE for 5 full days. No strings attached:
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      [2016醫師國考詳解-臨床醫學]105-2 醫學三 題號頁碼對照表
      公告區 • 二階國考 國考詳解頁碼對照表 • • TinyNotes  

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      SOLVED 請問大家是否有推薦的網路醫學學習資源?
      JustAsk • • aspire4810tg  

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      JAMA network用不少圖文影片來介紹醫學的最新資訊,還是AMA(美國醫學會)創辦的刊物 裡面有個子分類learning可做為學習的參考 相關介紹: http://vip.flysheet.com.tw:8080/mednews/077/item/489-077-news.html
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      UNSOLVED 一階國考
      JustAsk • • orthoman  

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      準備期太早(半年以上)不會比短時間衝刺(1-2個月狂念)好 內容FC趙俊彥 要訂目標,高還是過? 高:全念+解剖病理題海+讀>2遍以上 過:前測一定做,按照個別程度,可以放1-2科(病藥之類),解剖微免讀熟比較穩。甚至有的人考古題導向學習就夠了。
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      UNSOLVED 如何在資源有限的地區診斷並治療甲狀腺問題?
      JustAsk • • greatgordon  

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      @greatgordon By 黃峻偉醫師 這個問題放到新代科社團中,有兩位前輩給意見: 蔡吉力醫師建議先確認單位和正常值,因為他給的參考值和單位與我們台灣用的單位對不上。 陳煥文醫師說functional nodule通常TSH不會這麼正常,而且大小更大。 請參考。
    • T

      橫紋肌溶解(Rhabdomyolysis)
      每日 Notes • 腎臟科 創傷科trauma 橫紋肌溶解 • • TinyNotes  

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      @omm uptodate是這樣寫的,你可以參考看看 If bicarbonate is given, the arterial pH and serum calcium should be monitored every two hours during the infusion. The bicarbonate infusion should be discontinued if the urine pH does not rise above 6.5 after three to four hours, if the patient develops symptomatic hypocalcemia, if the arterial pH exceeds 7.5, or if the serum bicarbonate exceeds 30 mEq/L. If the bicarbonate solution is discontinued, volume repletion should be continued with isotonic saline. 但我必須說,我沒有在臨床上實際照顧過rhabdomyolysis的病人,還希望有遇過的學長姐能夠分享一下實際的臨床處置
    • L

      SOLVED 見習建議書單
      JustAsk • • leeboylle  

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      @raymondseed 非常謝謝你詳細的答覆。
    • T

      CVC放置經驗談
      每日 Notes • 經驗分享 cvc 蘇楷森投稿筆記 • • TinyNotes  

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      Tien-Hsin Jeng

      真的感謝蘇醫師的整理,非常詳細完整,彷彿又回到品堂醫師"我教你絕招"的課堂上。相信可以幫助許多學弟妹少走冤枉路!!
    • R

      SOLVED ARDS筆記提問
      JustAsk • • rain776779  

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      @rain776779 希望這樣有解決你的問題~~
    • 謝頂立

      UNSOLVED 病人抱怨全身不舒服,但又說不上來哪裡不舒服,該做什麼檢查?
      JustAsk • • 謝頂立  

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      Ching Ju Chan

      不知道他打的regimen是什麼?大概多久前打完?一些化療的副作用可能可以考慮,像是5fu 會有 hyperammonemic encephalopathy ,可以抽ammonia看看
    • T

      若病人出現Asystole和PEA,要找哪些可能的原因?
      PGY‧面試襲來 • 心臟科 面試襲來 5h5t acls • • TinyNotes  

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      小補充: Tension pneumothorax的插針位置有二--- 鎖骨中線與第二肋間交叉(2nd intercostal space in the midclavicular line) 腋前線與第四、五肋間交叉(4th, 5th intercostal space in the ant. axillary line) 又有文章指出1.優於2.(https://www.sciencedirect.com/science/article/pii/S0020138320308883)
    • M

      慢性腹瀉 Chronic dirrhea
      每日 Notes • 肝膽腸胃科 腹瀉diarrhea • • MegaNote  

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      @endzone 我沒有遇過欸~~
    • puppypuppy278

      SOLVED 一階國考資源
      JustAsk • • puppypuppy278  

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      日新

      @smallblack 看到這個網站有些不錯的口訣 可惜無法用搜尋功能 因為口訣都是圖片,不是文字 造成我想查例如CN9的口訣,無法找到 所以沒辦法再用,可近性不高
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      2017 第二次活動抽獎辦法(修正版)
      公告區 • • MegaNote  

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      我們會先從網站上符合的名單抽出,再請中獎者提出 FB 分享貼文的證明
    • M

      台大實習經驗分享
      經驗分享 • intern 台大醫院 • • MegaNote  

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      @martinsue 你好~ 值班的時候每個病房都會有自己的值班室,通常都會待在那,我是還沒有聽說過有人回去宿舍睡的,因為宿舍其實蠻遠的,而且如果不是一線科的話,其實待在值班是有會有不錯的品質。 外宿的話其實也沒有特別要多近,也是有人每天花個40分鐘在通勤,總之只要你準時到就好。台大intern都有提供宿舍,基本上都是免費的。 中午有時候病房會訂便當,價格大概也在100上下,醫院美食街的話,因為是微風地下街,所以其實花起來也不便宜,大概都100-200之間,不過你也可以選擇員工的自助餐,大約60-70都可以解決
    • T

      鈣離子通道阻斷劑(CCB)
      每日 Notes • 心臟科 藥物介紹 鈣離子通道阻斷劑ccb • • TinyNotes  

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      @Raqsky 謝謝勘誤!!的確是Nicardipine!!
    • T

      ScvO2與 SvO2
      每日 Notes • 重症醫學icu 麻醉科 血液動力學監測 • • TinyNotes  

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      @王品方 因為要考慮靜脈血混合的問題 ScVO2是只測上腔靜脈(血氧比較低) SVO2則會是上腔靜脈(相對較低)+下腔靜脈(相對較高)的混合,最後的SVO2會高於SCVO2 細節可參考連結:https://litfl.com/svo2-vs-scvo2/
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      SOLVED 詢問早產而相關問題
      JustAsk • input output preterm smof • • peggy8511  

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      我問小兒科的CR也是說早產兒SMOF持續性輸注,而不需要休息 早產兒器官相對較不成熟,如果熱量不夠,反而會讓器官成熟更晚更不好 一個月Follow up一次肝功能即可 成人如果使用SMOF反而要一周Follow up 一次,因為兒科是按照體重滴注SMOF所以不怕給過量,成人往往不論體重直接吊一包run 60ml/hr,反倒要擔心給過頭
    • T

      脫離呼吸器(Weaning)簡介
      每日 Notes • 胸腔科 重症醫學icu 脫離呼吸器weaning • • TinyNotes  

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      @omm 打Decardron是我之前去北榮呼吸加護病房時的做法~ 每間醫院的做法可能都還是有所差異XD
    • T

      傷口重建Reconstruction
      每日 Notes • 整形外科 傷口重建 • • TinyNotes  

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      @YiHsuan-Ho 關於重建階梯的內容,我有看過非常多種講法。secondary closure的定義為 closure by secondary intention,我想兩者應該意義接近。可參考連結的內容