今天連續三篇醫療雜誌不約而同地都報導Vit D與COVID-19的關係： 一.WebMD. 更多維生素D，降低嚴重COVID-19的風險？ 這個故事於2020年10月27日更新，其中包含有關維生素D和COVID-19的新研究。 2020年5月18日-如果您感染了COVID-19 ，那麼健康的血液中維生素D的含量是否可以幫助您避免重症監護病房和死亡？ 更多研究表明，“陽光維生素”可能在您的病情嚴重程度中起作用。 芝加哥西北大學生物醫學工程和醫學教授瓦迪姆•貝克曼（Vadim Backman）博士說，儘管這些研究並不能證明因果關係，但“這些研究支持維生素D可能預防COVID並發症的觀點。”維生素D缺乏與不同國家死亡率差異之間的聯繫。 最新研究中： ．在住院的200例COVID-19患者中，有80％以上患有維生素D缺乏症。維生素D水平較低的患者血液中的炎症標誌物水平也較高。但是研究人員發現低D水平與疾病嚴重程度之間沒有聯繫。 ．西班牙研究人員 測試了維生素D處方藥如何影響COVID住院患者。在接受該治療的50名患者中，只有一名需要重症監護病房（ICU），並且沒有人死亡。在26位未服用維生素的患者中，有13位需要加護病房，其中2例死亡。 ．美國研究人員評估了235例因COVID入院的患者的血液樣本，然後對其進行跟踪以了解其進展情況。維生素D水平適當的患者不太可能失去知覺或死於COVID。（該研究發表後，期刊編輯發表了“擔憂的表情”，質疑樣本量是否足夠大以及如何對數據進行分析。該研究的作者，波士頓大學維生素D研究人員Michael Holick，醫學博士以促進維生素而聞名，並確認需要進行更大的研究。） 將會有更多的研究。倫敦瑪麗皇后大學的研究人員正在啟動Coronavit（為期6個月的研究），該研究將招募5,000人，看看高劑量維生素D是否可以減少冬季呼吸道感染，包括COVID-19。 臨床試驗Trial.gov上列出了其他31項研究。並不是所有人都在招募。 專家說，當免疫系統反應過度並開始攻擊人體自身的細胞和組織時，健康的血液中維生素D的水平可以通過幫助COVID-19的人避免細胞因子風暴來提供生存優勢。 同時，有人說服用維生素作為預防措施沒有害處。 波士頓附近的馬薩諸塞州紐伯里波特市38歲的傑基•威爾科克斯（Jackie Wilcox）說：“我覺得如果現在有什麼事情可以支持我們的身體，我將全力以赴。” 她的家人，包括她的丈夫和兩個孩子，每天都在補充營養。 研究人員如何開始研究維生素D？ 當陽光照射到您的皮膚時產生的維生素D具有許多其他好處，例如骨骼健康。在某些食品和補品中也可以找到它。 當COVID-19大流行開始升級時，西北研究人員Backman說他想提供幫助，但不確定如何做。他說：“還有幾個謎團尚未解決。” 一個是國家之間死亡率的差異。 因此，他的團隊在研究了COVID死亡率差異的可能解釋後，對中國，法國，德國，意大利，伊朗，韓國，西班牙，瑞士，英國和美國的醫院和診所的數據進行了統計分析。 -19，例如衛生保健質量，人口年齡，測試率和不同病毒株的變化，沒有任何變化。 維生素D在調節免疫系統中的作用，包括其抑制危險的細胞因子產生的潛在能力，是眾所周知的。在1918-1919年的流感大流行中，陽光和維生素D與降低死亡率有關。 因此，當有關細胞因子風暴在COVID-19中的作用的研究出現時，Backman的研究小組將更多精力集中在維生素D水平的作用上。 他們根據維生素D缺乏症與C反應蛋白或CRP（嚴重COVID-19的替代標誌物）之間的潛在聯繫，估算了維生素D與嚴重COVID-19之間的關聯。他說，這些蛋白質是肝臟響應炎症而產生的，以減輕感染的損害。 他們估計，維生素D缺乏的患者中約有17％會感染嚴重的COVID-19，但維生素D水平健康的患者中只有約14％。Backman說，差異具有統計意義。他說：“實際上多少會降低死亡率，我們不知道。”因為這些數字是基於統計模型得出的。 尋找維生素D鏈接的其他研究 在最近的研究中，發現維生素D水平與COVID-19的嚴重程度之間存在聯繫： ．英國的研究人員評估了20個歐洲國家的平均維生素D水平和COVID-19病例數以及死亡率。英國國王伊麗莎白女王醫院基金會信託基金研究和創新負責人彼得•克里斯蒂安•伊利醫學博士說，人口中平均維生素D血液平均水平較低的國家的COVID-19病例和死亡人數更高。 ．在西北大學，研究人員使用建模方法估算出，維生素D缺乏者中有17％會發展為嚴重的COVID-19感染，而維生素D水平卻只有14％。他們根據維生素D缺乏症與C反應蛋白或CRP（嚴重COVID-19的替代標誌物）之間的潛在聯繫，估算了維生素D與嚴重COVID-19之間的關聯 ．在一項小型研究中，路易斯安那州和得克薩斯州的研究人員評估了20例因COVID-19住院的患者，發現入住ICU的患者中有11名維生素D缺乏，但是只有4名不需要ICU的患者。 ．印尼研究人員評估了780例記錄在案的COVID-19病例，發現大多數死亡的患者維生素D水平低於正常水平。 ．愛爾蘭研究人員分析了歐洲人口研究和維生素D含量，發現維生素D缺乏症高發國家的COVID-19死亡率也更高。這些研究人員要求政府提高維生素D的建議。 COVID-19之前研究 維生素D的益處 儘管關於維生素D和COVID-19的早期研究才剛剛開始，但其他研究發現維生素D補充劑可以幫助降低呼吸道感染的風險。研究人員回顧了1918-1919年的流感 大流行後，發現具有健康維生素D血液水平的患者死亡的可能性較小。 加利福尼亞杜阿特癌症中心希望之城糖尿病免疫學系主任巴特•羅普博士說，將維生素D水平與COVID-19細胞因子風暴聯繫起來的研究尚處於初期階段，但這並不令人驚訝。他說，維生素D是“談判者”，因為“它不抑制免疫系統，而是調節免疫系統。維生素D使免疫細胞的炎症減少。” 雖然研究發現低維生素D可能會影響COVID-19的嚴重程度，但尚不知道將維生素D恢復至正常水平是否會有助於治療。沒有人可以肯定地說擁有健康的維生素D水平可以幫助您避免這種病毒。 菲律賓東南大學的一位研究人員評估了212名被診斷為COVID-19的人的維生素D血液水平，發現處於危急狀況的人維生素D最低，而感染較輕的人維生素D最高。他的論文的結論（未經同行評審）是，補充劑“可能會改善感染COVID-19的患者的臨床結局”。 英國研究員Ilie說：“我們已經知道，骨骼健康需要它。” “正在等待有關維生素D和COVID-19的證據-我怎麼說-證據來不及提供幫助可能太遲了。” 但是並非所有人都同意維生素D可能對馴服COVID-19有用。循證醫學中心的研究人員於5月1日對證據進行了“快速審查”，得出結論：“沒有證據表明維生素D缺乏會誘發COVID-19，也沒有補充預防或預防維生素的研究。治療COVID-19。” 研究人員還說，儘管某些人群中維生素D含量低的風險與高風險人群中獲得COVID-19的風險存在“重疊”，包括老年人，有色人種和慢性病患者，但這些關聯沒有證明。 在最近的一項同行評審研究中，研究人員對超過348,000人（包括449名確診COVID-19的人）進行了評估，他們發現維生素D水平與感染風險之間沒有聯繫，也沒有解釋種族感染差異的聯繫。 有關維生素D的更多信息 簡單的驗血可以檢測您的維生素D水平是否健康或不足。甲水平需要的每毫升20納克或以上，以保持骨健康; 低於12毫微克/毫升稱為缺陷。 維生素D還有助於調節細胞生長和減輕炎症。一些研究表明它可以幫助預防和治療糖尿病，高血壓和血糖問題，但美國國立衛生研究院認為這項研究並不明確。 為了維持健康的血液中維生素D水平，醫學研究所建議1歲以下的兒童每天攝入400國際單位（IU）的維生素D，1至70歲的人們則攝入600 IU。70歲以上的人每天應獲得800 IU。 很少有食物中天然存在維生素D ，但可以將其添加到其他食物中，也可以作為補充食品。三盎司煮熟的鮭魚有570 IUs，而三盎司虹鱒魚有645 IU。一杯2％維生素D強化的牛奶有120 IU。 但是，在大流行期間，採取更多措施可能是明智的選擇，馬里蘭大學醫學院教授，布萊根婦女醫院預防醫學科主任喬安•曼森（JoAnn Manson）博士說。她在今年早些時候告訴Medscape： “建議的維生素D的飲食津貼為每天600-800 IU，但在此期間，每天含有1,000-2,000 IU的維生素或多種維生素的補充是合理的。” 現在，曼森（Manson）正在啟動一項臨床試驗，以觀察每天補充4周維生素D是否會減少新診斷出COVID的患者住院和/或死亡的風險。她還在研究服用這種藥物是否會減少他們最親密的家庭接觸者的感染風險。參與者在2天之內每天需要9600 IU，然後在第3到28天要花費3200 IU。 專家說，每天服用50,000至60,000 IU可能會發生維生素D毒性。過多會導致血液中鈣的積聚，並伴有嘔吐，虛弱，排尿頻繁和心律不齊。 隨著COVID-19案件的增多，現年45歲的洛杉磯的Tracy A. Pearson是一名博士生和大學僱員，同時擁有法學學位，她開始研究除社交疏散和親身幫助外，還有哪些方法可以降低她的風險-洗滌。 她患有哮喘，正在接受藥物治療。她的肺部可能很脆弱。她說：“當我感冒時，我經常會得肺炎。” 她很快找到了維生素D-COVID-19研究，並與醫生討論了一下。 她過去的維生素D水平較低，並且每週服用50,000 IU即可恢復到健康水平，因此她的醫生在對她進行評估後，同意再次這樣做。因此，她每天開始服用比平常多的4,000 IU。她還採取其他預防措施，例如在丈夫處理外事時留在家裡。而且他每天還需要4,000 IU。 他們在整個大流行中都繼續這樣做。 皮爾森說：“我天生就是一個解決問題的人。” “我試圖弄清楚如何減輕[風險]。這並不是我進入研究時就想到了'維生素D'。” 二.Healthline. 新研究發現80％的COVID-19患者維生素D缺乏 ．一項針對216名COVID-19患者的新研究發現，其中80％的血液中維生素D水平不足。 ．該研究還發現，同時具有COVID-19和較低維生素D水平的人也具有較高的炎症標記物，如鐵蛋白和D-二聚體，這與較差的COVID-19結果有關。 ．另一項研究發現，維生素D水平充足的COVID-19患者死於疾病的風險降低了51.5％，並且並發症的風險顯著降低。 ．醫學專家的理論認為，儘管需要更多的測試，但對於某些人來說，維持足夠的維生素D水平可能有助於降低風險或從嚴重的COVID-19中恢復。 最近的研究可信來源發現維生素D缺乏與較高的COVID-19風險之間存在相關性。現在，另一項新研究發現了相同的現象-指出超過80％的COVID-19患者血液中沒有足夠的“陽光維生素”水平。 作為《臨床內分泌與代謝雜誌》上這項新研究的一部分，研究人員對西班牙一家醫院的216名COVID-19患者進行了研究。科學家將患者與另一個數據集的對照進行匹配。 所有的患者中，82.2％的人維生素d缺乏。 在這項研究中，男性的維生素D水平低於女性。 COVID-19和維生素D含量較低的人也具有較高的炎症標記，例如鐵蛋白和D-二聚體。那些已經已連結可信來源 COVID-19結果差。 維生素D缺乏者的高血壓和心血管疾病患病率更高。研究表明，他們還因COVID-19而住院時間更長。 霍恩海姆大學教授Hans Konrad Biesalski博士說，高血壓，糖尿病和肥胖症等合併症與低維生素D狀態有關，他評估了維生素D和COVID-19。 他告訴Healthline：“看來維生素D狀況不佳的患者可能患有更嚴重的COVID-19”。但是新的研究沒有發現這種關係。 維生素D和COVID-19的恢復 但是，除了維生素D水平與COVID-19風險之間的相關性外，許多人還在研究它如何保護人們或幫助他們從疾病中康復。 該研究的共同作者說：“一種方法是識別和治療維生素D缺乏症，尤其是在老年人，合併症患者和療養院居民等高危人群中，這些人群是COVID-19的主要目標人群。”西班牙桑坦德坎塔布里亞大學的何塞•埃爾南德斯（JoséL.Hernández）博士。 他說，患有COVID-19的高風險人群-老年人，患有潛在疾病的人群以及療養院的人們-可以使用維生素D治療。 ‘’在血液中循環的維生素D水平低的COVID-19患者中，建議維生素D治療，因為這種方法可能對肌肉骨骼和免疫系統都有有益的作用，”埃爾南德斯在一份聲明中說。 保護自己 許多美國人維生素d缺乏，根據以前的研究。這是全球性的健康問題，其他研究可信來源 筆記。 您是否應該檢查維生素D水平？服用補充劑是否足以保護自己，或者至少降低您獲得COVID-19的機會？ 研究維生素D並領導波士頓大學骨骼保健診所的Michael F. Holick博士說，《內分泌學會實踐指南》不建議對所有人進行篩查。 Holick告訴Healthline，合理地控制那些患有脂肪吸收不良綜合徵，肥胖症患者或其他醫療問題的人的維生素D水平。 內分泌學會建議，嬰兒每天應攝入400-1,000 IU，兒童每天應攝入600-1,000 IU，成人每天應攝入600-2,000 IU。所需的數量取決於您當前的水平或您是否嘗試提高它們。 Holick指出，肥胖的成年人可能需要增加2至3倍。 Biesalski同意，如果維生素D含量低，補充可能會有所幫助。 Holick解釋說，有幾篇出版物建議維生素D缺乏與上呼吸道感染（包括流感和冠狀病毒）的風險增加有關。 他的團隊的研究可信來源 在191,000名COVID-19陽性患者中，維生素D缺乏症使罹患該疾病的風險增加了54.5％。 Holick說：“在所有50個州和所有種族中都觀察到了這種情況。” 在 另一個小書房可信來源 Holick指出，維生素D水平足夠的COVID-19患者死於疾病的風險降低了51.5％，並發症的風險也大大降低了。 對於患有COVID-19的人，霍里克說，除非一個人患有罕見的疾病，例如結節病和其他肉芽腫性疾病，否則增加維生素D的攝入就沒有任何弊端。 根據文獻和他自己的經驗，按照內分泌學會的建議，兒童和成人合理攝取足夠量的維生素D有助於降低感染病毒的風險，並降低兒童或成人的發病率和死亡率。他說，它開發了COVID-19。 得克薩斯大學奧斯汀分校的兒科學教授史蒂文•艾布拉姆斯（Steven Abrams）博士指出，我們不知道維生素D對身體有預防作用。 他告訴健康熱線說：“非常低的維生素D狀態會帶來很多負面後果，COVID-19可能就是這種情況，但這與說常規補充維生素D可以預防嚴重感染並不相同。” 展望未來 需要更多的研究來更好地了解維生素D和COVID-19之間的聯繫。 已經有證據表明攝取足夠的維生素D可以調節免疫系統，從而實現最佳健康。霍利克說，知道與疫苗一起服用維生素D是否會提高疫苗的有效性將是很有趣的。 他說，比薩爾斯基想知道維生素A和D的平衡將如何影響疫苗的成功，正如針對流感和麻疹所顯示的那樣。 三.Medscape. 維生素D可以預防COVID嗎？我們之前被燒死了 2020年10月28日 在Medscape的冠狀病毒資源中心中找到最新的COVID-19新聞和指南 。 為了清楚起見，此成績單已經過編輯。 歡迎使用影響因子，這是您對新醫學研究的每週評論。我是耶魯大學醫學院的F. Perry Wilson博士。 我和維生素D有點愛恨交織的關係。 簡短搜索我的博客將顯示我如何質疑維生素D與多發性硬化症，腎臟疾病，精神分裂症，跌倒和童年受教育程度之間的關係。 因此，在COVID時代，維生素D再次出現也就不足為奇了。安東尼•福西博士（Anthony Fauci博士）在這次大流行期間曾有過清醒而負責任的聲音，報告了他個人使用維生素D的情況，這讓我很感興趣。維生素D也是特朗普在沃爾特•里德（Walter Reed）逗留期間收到的總統雞尾酒的一部分。 我決定在這裡研究數據。但是在我們這樣做之前，我想告訴你為什麼我天生對維生素D研究持懷疑態度。有兩個主要問題： 1.維生素D含量低與許多因素有關。維生素C缺乏會引起壞血病-很好。但是，低維生素D與從阿爾茨海默氏症到百日咳的一切因素都有關係。它既是世界上最重要的維生素，又是其他重要事物的替代品。 2.當我們通過隨機試驗測試了所有這些引人入勝的聯繫時，給了一些人維生素D和一些安慰劑，它們幾乎總是沒有效果。 我有點喜歡查理•布朗（Charlie Brown）在這裡踢足球。維生素D曾經燒過我們。幾個例子： 多項觀察性研究發現，維生素D含量較低的人更容易患上癌症和心血管疾病。這些都是不錯的研究，適合於適當的混雜因素-整個交易。 然後，我們進行了26,000名患者的隨機臨床試驗。兩種結果均無影響。 觀察性研究表明，低維生素D水平與糖尿病的發展有關。然後，我們進行了2400例糖尿病前期患者的試驗。補充維生素D無效。 觀察性研究發現，維生素D含量低與摔倒有關。在隨機試驗發現沒有這樣的效果。（不過，運動確實可以防止摔倒。） 維生素D是否能拯救生命？並不是的。該婦女健康倡議試驗隨機36000絕經後婦女維生素D與安慰劑並沒有看到生存利益。 我並不是說維生素D沒有用途，或者它的益處有限。隨機試驗很少像觀察數據那樣具有戲劇性。但是我想不出另一種在觀察數據和隨機數據之間有如此大的脫節的情況。 這是為什麼？ 因為您的維生素D水平是您生活類型的標誌，因此很難，真的很難適應。當然，您可以詢問人們獲得了多少陽光和運動，飲食有多變化，賺了多少錢，但是這些都是很鈍的工具。 好的。牢記所有這些，我們對COVID中的維生素D了解多少？ 就在本週，在《臨床內分泌與代謝雜誌》上，我們從西班牙進行了這項研究，發現在216名住院的COVID-19患者中，有80％缺乏維生素D。僅有40％的對照品缺乏。當然，這些控件沒有住院。實際上，還是生病了。 但是，好的，更好地學習。早在9月份，即截至10年前的記錄時，我們就從芝加哥進行了這項研究，結果表明，在489位接受過維生素D測試的患者中，維生素D缺乏症的患者患COVID-19的風險高1.77倍。 在PLOS One中進行的這項研究發現，在235名住院患者中，維生素D含量低於30 ng / mL的患者死亡率為20％，而維生素D含量較高的患者為9.7％。我應該指出，對於某些數據怪異，本文標記為“關注表達”。 好吧，所以我們進行了多次觀察性研究-安東尼•富奇（Anthony Fauci）大聲喊叫-說我們應該考慮維生素D。 為什麼不呢？很便宜 它具有相當不錯的副作用（儘管我的腎髒病專家擔心腎結石）。 但是當涉及到COVID時，與低維生素D水平相關的多種因素也與COVID-19感染和嚴重程度有關：年齡較大，BMI，黑人，貧困，合併症。從統計上適當地考慮所有這些東西真的很困難。 所以我對維生素D不太滿意。我希望進行一次隨機試驗。現在，我們有一個。二，如果你斜視。 來自西班牙的一項隨機試驗是該試驗。 一項小型研究（76例住院了COVID-19的患者）被隨機分配為2：1的維生素D +阿奇黴素+羥氯喹（不讓我開始服用）與阿奇黴素+羥氯喹的比例。維生素D組的50人中只有1人去了ICU。將其與非維生素D組的26種藥物中的13種進行比較。 維生素D組的死亡人數為零，非維生素D組的死亡人數為2。我應該注意，非維生素D組在基線時風險較高，患有糖尿病和高血壓的人群更多。但老實說，正是這種效果的大小令我感到驚訝。我的意思是將入ICU的風險從50％降低到2％？這只是一個驚人的數字。因此，我們處於以下情況：這是一種奇蹟藥物，還是我們不知道的研究存在問題？如今，奇蹟供不應求。 只是為了給該研究加些冷水，我們有一個仍在預印本中的研究，該研究使用孟德爾隨機法研究了維生素D是否可能與400,000多人的COVID嚴重性有因果關係。 在本研究設計中，您將遺傳上傾向於維生素D水平較低的人與非維生素D較低的人進行比較。這將生活方式的東西排除在外。有趣的是，遺傳上註定維生素D水平低的人不太可能因COVID-19住院或發生嚴重疾病。尚未經過同行評審，鹽粒等。 底線？我們知道維生素D水平低的人在COVID-19中有不良結果的高風險。我們仍然不知道補充維生素D是否會改變這種風險。這裡有一些希望，但是生活方式維生素早已燒傷了我們，因此請繼續謹慎使用400個國際單位。 F. Perry Wilson，醫學博士，MSCE，醫學副教授，耶魯大學應用翻譯研究計劃主任。他的科學傳播工作可以在《赫芬頓郵報》，NPR和Medscape上找到。他發了@methodsmanmd的推文，並在www.methodsman.com上託管了他的交流工作的資料庫。 參考文獻與資料： 1.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7456194/ 2.https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0240965 3.https://www.eurekalert.org/pub_releases/2020-10/qmuo-ctt101320.php 4.https://clinicaltrials.gov/ 5.https://www.webmd.com/vitamins/index 6.https://www.researchsquare.com/article/rs-21211/v1 7.https://www.medrxiv.org/content/10.1101/2020.04.08.20058578v4 8.https://www.webmd.com/diet/guide/vitamin-d-deficiency 9.https://imj.ie/vitamin-d-and-inflammation-potential-implications-for-severity-of-covid-19/ 10.https://www.bmj.com/content/356/bmj.i6583 11.https://pubmed.ncbi.nlm.nih.gov/20592793/ 12.https://www.sciencedirect.com/science/article/pii/S1871402120301156?via%3Dihub 13.https://clinicaltrials.gov/ct2/show/NCT04536298 14.https://www.webmd.com/lung/news/20200518/more-vitamin-d-lower-risk-of-severe-covid-19?ecd=wnl_cvd_102820&ctr=wnl-cvd-102820_nsl-LeadModule_cta&mb=hxEvbwELBF19ah1Iz%2fe9viGBU564IW3UVodLxPg2KGo%3d 15.https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2770157 16.https://academic.oup.com/jcem/advance-article/doi/10.1210/clinem/dgaa733/5934827 17.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3068797/ 18.https://www.healthline.com/health-new 19.https://academic.oup.com/jcem/advance-article/doi/10.1210/clinem/dgaa733/5934827 20.https://www.medscape.com/viewarticle/939759

台大教授葉丙成臉書留言 【Zoom 好危險、好可怕？！】 最近好幾位朋友問我對於 Zoom 視訊會議軟體資安問題的看法。但我一直沒有想說什麼。主要的原因是，我對 Zoom 台灣帳號的收費比美國帳號貴，拎北覺得很不爽。所以當 Zoom 被譙的時候，我也懶得說什麼。 但這段期間，網路上對於視訊會議資安問題的報導沸沸揚揚，甚至還變成反對數位教學的人士用來反對線上補課的論述。而且所謂的「資安威脅」，我看到有很多點是過度解讀，甚至有的說法已經到了反智的地步。 有的學校還因此被教育局處長官要求不能用 Zoom，原先的數位準備全部被打亂。 這一切實在讓我看不下去。 所以雖然我知道跟風向不同，我想我還是要說一下我的看法。 先看一下國外知名科技網站 Tom's Guide 針對 Zoom 的資安問題所做的報導，結論是： "We disagree with that decision, because we think Zoom is safe to use for meetings that aren't highly sensitive. For school classes, after-work get-togethers, or even workplace meetings that stick to routine business, there's not much risk in using Zoom." 結論就是，除非你是英國國防部、SpaceX、或是高科技公司、等這類要討論高度機密的人，不然對於教學、或是一般商務的會議而言，用 Zoom 沒有太大風險 (quote: not much risk in using Zoom）。 那大家一直在傳的資安問題，到底是怎麼回事？這裡面有很多，坦白說真的很瞎，我先抓幾點來說： 1. Zoom Booming： 不是說有什麼 Zoom Bombing 很可怕，用 Zoom 開會上課到一半，會出現有駭客駭入會議突然丟色情照片擾亂。Zoom 也太糟糕了，居然會被人這樣駭入，太糟糕了！ 等等，你有沒有去了解過 Zoom Bombing 是怎麼來的？Zoom 的會議室可以設密碼。但為了方便大家連進來開會，大部分使用者都省略不設密碼，直接把會議室號碼/連結傳給大家。有的人把會議室號碼/連結流出給不相干的人，不相干的人進來亂。這叫做「駭入」？ 靠杯喔，你在外面租「小樹屋」的房間開會，門有鎖可以鎖而你不鎖，被無聊人士闖進來丟色情圖片，這叫被駭入？你叫小樹屋要負責？！ 以臉書社團為例，你開一個臉書社團，然後你自己不設成私密而設公開讓每個人都可以進得來。然後有人進來亂貼直銷廣告、色情照片，你怎麼不說是臉書資安有問題被人「駭入」？明明就是你自己社團權限沒管控好，不是臉書害你被駭啊。 那為什麼你 Zoom 要開屬於你們自己人的會議，然後你都不設密碼，也沒有告誡大家會議室號碼不要給不相干的人。然後被不相干的人闖進來，你才在哭說是軟體有問題害你被駭？ 我也是傻眼了。 根本就是使用者貪圖方便不設會議室密碼啊！ （據說 Zoom 已經自動生成密碼了，以後這種使用者自己不設防的問題應該就會解決） 2. 安裝檔有惡意軟體： Tom's Guide 上面有說到，有的 Zoom 安裝軟體可能會被連帶偷裝幫人挖礦的程式，造成系統的問題。但 Tom's Guide 也說，這個責任不是 Zoom 的錯，因為任何人都有可能製作出這種惡意的安裝檔給別人下載安裝。 許多人說這是資安問題，我又傻眼了。 每個人都應該要有最基本的資安素養：要安裝軟體，要從官方網站下載，不要從非原廠網站下載來源不明的程式安裝。 Zoom 你不去人家官方網站下載來裝，你偏偏要偷懶從人家給你的來源不明的安裝檔去安裝，結果電腦免費幫人挖礦，你說是誰的錯？如果你就是有這種糟糕習慣的人，你用其他軟體也會幫人家免費挖礦，不會只有 Zoom。 這根本就是使用者偷懶不去官方下載啊！ 要安裝軟體，請從官方網站下載。這是常識，OK？ 3. 聊天室點了惡意連結，導致系統被駭中毒： 講到這個，我又傻眼了。來源不明的連結不可以點，這你不知道嗎？你在 Line、在 Chrome、在 IE、在 Safari 點了來源不明不該點的連結，會不會中毒？你都知道來源不明連結點了會出問題，那你為什麼在 Zoom 聊天室還要去點來源不明的連結，然後出事了才說是 Zoom 資安有問題被駭？ 這根本是使用者手癢亂按不明的連結啊！ ------------ 最後，我再來談談真正最重要的資訊安全原則是什麼。 真正的資訊安全，就是要假定任何地方都可能出錯，有機密性的東西都完全不該在網路上跟人家談。 你今天用 Meet 或 Team 跟別人視訊會議，就會安全？我也是笑笑了。你今天跟人家視訊會議，說的任何話，都能夠被人錄製桌面而錄下來，事後流出去。 所以真相是，只要你是用視訊會議或網路軟體跟人談事情，不管你是用哪一家的，你都沒有真正的資訊安全。真正的安全是，機密的事情要跟真人實際面對面的口頭談，才會安全。 喔是嗎？你確定對方身上沒有偷裝錄音機？你要不要搜身一下才能確定真正安全？ 如果你是做高科技技術的公司、或是高階政府單位，有高機密性的資訊，原本就不應該用任何視訊會議來傳達。很多國際大企業都用美國思科 Cisco 的 Webex 系統，相對比較安全。話說 Webex 是誰開發的？就是 Zoom 的創辦人當年所開發的，他離開 Cisco 之前去創立 Zoom 之前，是副總裁。國際大企業過去十幾二十年都用這個人的東西，這個人有沒有問題，這是個參考指標。 任何軟體都有洞，你個別搜尋各家軟體公司的名字 Google, Microsoft, Line, Facebook, Apple 再加上「資安漏洞」，你都會看到每個軟體都有洞。越多人用的軟體，越有機會被大家找出洞來，也越有機會讓洞被補起來，而變得越安全。 以最多人用的微軟為例，這麼多年來的「資安漏洞」、「被駭風險」的新聞不多嗎？ Zoom 這段期間因為許多人大量使用，所以被看到的洞自然就比較多（雖然有很多洞我認為根本上是使用者習慣的問題），之後就看他們是否有補起來。現在的觀察是，我看他們最近的更新滿頻繁，看起來是有努力在把一些洞補起來。 ------------ 最後的最後，你問我說我會不會改用其他會議軟體？ 從資訊安全的角度來說，如同國外網站說的，並沒有太大的風險。但在台灣，卻被炒作到好像用了電腦就完了。更別說當中很多的風險，都是使用者自己資安習慣不好，用其他軟體也會遇到的。 我的看法是，在台灣，Zoom 的資安問題，已經不是技術問題，而是政治問題。 Zoom 的創辦人來自中國，但他的主要資金來源還是美國的資本市場，Zoom最大外部股東是Emergence Capital，持股12.5%。紅杉資本持股11.4%。跟華為的資金來自政府是不同的。我不覺得 Zoom 有必要亂搞去得罪他在美國的眾多金主投資人。 有人提到，如果中國政府要求 Zoom 提供使用者資料，他們敢不從嗎？ Google 當初退出中國就是這個原因，因為公司的決策要求的是公司最大利益。在大陸，目前大多數的人用的是阿里巴巴跟微信的會議軟體，用 Zoom 的很少。美國跟其他國家市場，才是 Zoom 的主要利基來源。如果 Zoom 在大陸同意把使用者資料交給政府，他在美國的市場絕對雪崩，這也是為什麼當初 Google 寧可全面退出大陸也不把資料給大陸官方。 董事會成員在乎的是公司的最大利益。Zoom 的主要股東是來自美國資本市場，這些人不會由著公司去做傷害公司利益的事。這是為什麼前述的假設狀況，出現的機會不大。當然，我也有可能是錯的。 但同樣的問題，為什麼大家會認為如果中國政府要求，微軟就不會就範呢？特別微軟在大陸投入很多的資源，也有很大的市場。微軟中國分公司就不會就範？我反而覺得微軟若不從，要冒的風險比 Zoom 大很多。 所以，我會繼續用。反正我的課程教學沒有什麼機密。真正有什麼很機密的事，還是來找我喝咖啡再當面聊吧！ 如果你有真正很機密的事情，我會勸你，別說 Zoom，其他的視訊軟體通通都不該用。那才是真正的安全！ 註：Tom's Guide 評論全文連結：https://bit.ly/2Rg3b8n （歡迎分享）

轉分享： 這是中研院生醫所所長郭沛恩院士 (他也是UCSF 教授）寫給前副總統陳健仁及時中部長，関於目前COVID-19 的一些建議，希望政府能夠接納。 Dear VP Chen, Hope that things are going well. I just completed my 9th quarantine after my 9th trip to Taipei during the pandemic and see that the Omicron variant of COVID-19 is now firmly established in Taiwan. While the CECC is moving quickly to address the widening spread of COVID-Omicron and is heading in the right direction, I find that the current policy is unsustainable and the messaging can be much improved. Since I was told that the CECC would welcome my suggestions, I have decided to do so. Please forward this message to the CECC for their consideration. 1. It is now very clear that COVID-Omicron is a very different disease than COVID-ALPHA/BETA/DELTA. Current vaccines are developed from COVID-ALPHA and cannot prevent INFECTION by COVID-Omicron even though they lower significantly the risk of SEVERE DISEASE and DEATH for those who are fully vaccinated and received booster shots recently. In addition, COVID-Omicron is highly contagious and has a very short incubation time; but it causes a milder disease, including shortened disease course and contagious period. 2. Because of the above, contact tracing does not work and avoiding infection is futile except one is in strict isolation or wears a PROPERLY FITTED N95 mask around others (see a very nice article about this in the NYT attached). This means that COVID testing in asymptomatic people is a waste of resources and is justified only in a limited set of situations (such as someone who works closely with vulnerable populations - e.g., nursing home and hospital workers - who has been in close contact with a positive case and needs to test negative to return to work). 3. Although the rate of hospitalization and death due to COVID-Omicron is low, when large populations are infected, the number of severe cases and severe disease is still significant (0.4% of 23 million people hospitalized = 92,000 in the hospital; 0.04% of 23 million people can die = 9,200 deaths) so the key is to keep the vulnerable people from developing severe disease. Medications used for COVID-ALPHA/BETA/DELTA variants such as antibody treatments and Remdesivir, etc., do not work for COVID-Omicron but the oral antivirals from Pfizer and Merck work amazingly well for preventing death (>85% reduction) and hospitalization. Paxlovid has done better in clinical trials to prevent hospitalization but it has many drug-drug interactions so many elderly people cannot use it. Molnupiravir has the theoretical risk of mutagenesis in pregnant women but for the elderly who are past reproductive age, it is a very safe and effective drug to use. I encourage the CECC to contact their counterparts in Japan, Singapore, Israel and the UK to get their experience in using these two oral anti-virals in the recent COVID-Omicron surge. [Full Disclosure: Dr. Dean Li, President of Merck Research Laboratories, is my brother-in-law so I am not pushing the Merck pill for obvious conflict of interest reasons.] Based on the above, my suggestions on messaging are: 1. Tell the country that COVID-Omicron is an entirely different disease than the previous COVID variants so the whole country IS NOT IMMUNE to getting the infection. However, through the sacrifice and cooperation of everyone in Taiwan, the country succeeded in preventing disease and death during the previous waves of infection that caused a lot of problems around the world. This is shared success that the CECC and everyone in Taiwan should take credit, be proud of, and very relieved by. 2. Despite the fact that no one is protected from infection, but because COVID-Omicron is mild, public health policy needs to be adjusted to focus on treating the vulnerable rather than preventing infection of all. 3. Acknowledge that some segments of society have been severely affected by COVID policies so the recovery of these sectors is taken in consideration in updating the public health policy. 4. Acknowledge that some COVID policies were confusing to the public in the past so the new policies will be more consistent and logical. For example, the policy of requiring masking outdoors while people eating at restaurants indoors are not required to mask makes no sense. My suggestions for the new policy are geared towards lowering hospitalization and death rates while avoiding unnecessary disruptions in people's lives: 1. Push vaccination for vulnerable groups (the elderly and those with pre-existing conditions that make them more prone to severe disease). Send vaccination nurses to the nursing homes and neighborhoods with elderly people to get everyone fully vaccinated (including booster shots). Getting the 30% of those 65-75 and 44% of elderly >75 who have not been fully vaccinated and boosted should be a high priority 2. Use the "test positive and treat" strategy for those in vulnerable groups. As I mentioned before, Paxlovid for all but Molnupiravir for those who cannot take Paxlovid. Treat them before their symptoms get worse because it is cheaper to give them the medicine than risk their need for hospitalization. 3. No more putting those with mild disease in special facilities or hospitals so that there are plenty of capacity for those who need hospitalization. 4. Recommend (not mandate with threat of punishment) those who have close contact with COVID-Omicron patients to mask around others for 5 days (no need to do so with household members because they are already given it to them) if they are asymptomatic. 5. No testing of asymptomatic people unless their job requires it (nursing home, hospital, etc.). 6. No more closing schools, factories, or offices because of positive COVID-Omicron cases. 7. No more mandatory masking except for those described in #4 above. People here are so used to masking that many will still do so with the threat of punishment. 8. No more mandatory quarantine, even for those who test positive. Highly recommend those who test positive to wear a mask when around people and not eat with others but not make it a punishable offense. [Treat them like people who have a bad flu, not like criminals.] 9. No more testing or quarantine requirements for visitors from abroad. As the local infection rate is now higher than that many other countries, there is no reason to require new arrivals to do anything different when they are asymptomatic. It's confusing to many that I can go anywhere in the world without quarantine but have to do quarantine plus multiple tests when arriving in Taiwan (and a handful of Asian countries). The benefit of the policies listed above is that the resources of the country are directed toward saving lives rather than collecting lots of infection data. It will reclaim the international travel hub status of Taoyuan International Airport (and not let Singapore and Seoul dominate the air travel sector) and revive the tourism, convention, airline, hotel businesses. It will simplify everyone's life and reduce anxiety. It may be counter intuitive but if you look at the data from the US university campuses and European countries, it is better to get as many young people infected as quickly as possible to shorten the surge while building up herd immunity for COVID-Omicron without a lot of severe cases. The old policy for flattening the curve is to prevent overwhelming the hospitals but with oral antivirals and milder disease, there is no need to flatten the curve. It is better to get the whole surge completed in 2 months like in most countries that pursue a more open policy. I am convinced that when the messaging is clear and based on current understanding of the situation, the people will embrace it and praise the CECC's leadership. Best, Pui -- Pui-Yan Kwok, MD, PhD Director, Institute of Biomedical Sciences Academia Sinica

Singapore news: Everyone is advised to wear a mask because the new COVID-Omicron XBB variant coronavirus is different, deadly and not easily detected properly. Symptoms of the XBB virus are as follows: 1. No cough. 2. No fever. There will only be: 3. Joint pain. 4. Headache. 5. Neck pain. 6. Upper back pain. 7. Pneumonia. 8. General loss of appetite. XBB is 5 times more toxic than Delta variant and has a higher mortality rate. It takes a shorter time for the condition to reach extreme severity, and sometimes there are no obvious symptoms. This strain of the virus is not found in the nasopharyngeal region, and it directly affects the lungs, the "windows," for a relatively short period of time. Nasal swab tests are generally negative for COVID-Omicron XBB, and false-negative cases of nasopharyngeal tests are increasing. This means the virus can spread in the community and directly infect lungs, leading to viral pneumonia, which in turn causes acute respiratory stress. XBB has become highly contagious, highly virulent and lethal. Avoid crowded places, keep a distance of 1.5m even in open spaces, wear a double-layer mask, wear a suitable mask, wash hands frequently even when everyone is asymptomatic (no coughing or sneezing). Don't keep this information to yourself, share as much as possible with other relatives and friends, especially yours.

Below is medical advice from Albert’s doctor friend regarding Wuhan pneumonia. Please read through as this disease is spreading quickly in Asia. Dr. Yuen Kwok Yung, a highly respected doctor during the previous SARS period gave the following advice in a speech yesterday. 1. He suggests Hong Kong people should try to avoid going to China during this period of time. 2. If going on a flight, make sure you wear a mask. 3. Always have antiseptic cleanser or towel readily available. 4. The virus “Coronavirus” is similar type of virus like the previous SARS or MERS. This time it is OC43. There is still no known method of tackling this virus. 5. If you have to go to the market, make sure you wear a mask. Be very vigilant. 6. Health Authority announced that this virus is very serious. However, as the virus is found to be able to enter your body if your throat or throat mucous is dry, the one precaution they suggest which can be taken is to ensure your throat or throat mucous is always in a moist condition. In fact, they suggest not to allow your throat to become dry, as in 10 minutes of being dry, the virus will find ways to enter into your body. So do not refrain from drinking water, always have a bottle handy. For adults, they suggest drinking 50-80cc of warm water; for children 30-50cc. Just drink if you feel your throat is dry. Do not hesitate. However drinking more than the amount recommended is not necessary, as it will just want to pass through your system. The idea is to “Keep your Throat Constantly Moist” 7. Before end of March, try not to enter crowded places, MTR or public Transport, and wear a mask if necessary. 8. Avoid eating too much deep fried food and take plenty of Vitamen C. 9. Control Centre advice on symptoms of this virus: - fast and high fever, hard to lower, but if successful, the fever will return very soon. - next stage is coughing, in long duration, people affected are mainly children. - Adults has mainly throat symptoms, together with headaches and physical discomforts. - the virus is “highly” contagious. - elderly and young children are most susceptible, so take super precaution. I am afraid this is best I know how in translating for my dear friends and family’s benefits. Good health to everyone.

From Toronto The virus is back, this time with more energy, tactics and camouflage. We don't cough No fever, it's joint pain, weakness, Loss of appetite and Covid pneumonia! Of course, the death rate is higher, it takes less time to get to the extreme. Sometimes no symptoms ... let's be careful ... The strain is not domiciled in our nasopharyngeal region! It directly affects the lungs, which means window periods are shortened. I have seen a number of patients without fever, but an x-ray report shows moderate chest pneumonia! The nasal swab is often negative for COVID19! There are more and more false pharyngeal nasal tests COVID19) ... which means that the virus spreads directly to the lungs causing acute respiratory distress due to viral pneumonia! This explains why it has become acute and more fatal !!!Covid21 Be careful, avoid crowded places, wear a face mask, wash our hands often. *WAVE* more deadly than the first. So we have to be very careful and *take every precaution.* Please become an alert communicator among friends and family ... __________ DO NOT keep this information to yourself, share it with your family and friends. Please take care and stay safe ! 🙏❤ 由多倫多傳來的訊息 病毒变形又回來了，這次的"新新冠"病毒更活耀，有技巧和偽裝。 我們不咳嗽, 沒有發燒，只是關節疼痛，渾身無力， 食慾不振和新冠肺炎！ 當然，死亡率更高，達到重症所需的時間更少。 有時沒有症狀...要小心... 該病毒不在我們的鼻咽區域停留！ 它直接影響肺部，這意味著能救命的窗口時間縮短了。 我見過許多不發燒的患者，但是X光檢查顯示中度胸肺炎！ 鼻拭子測試通常是新冠病毒陰性！ 越來越多的錯誤的鼻拭子測試檢查 ...這意味著該病毒直接傳播到肺部， 由於病毒性肺炎而引起急性呼吸窘迫！ 這解釋了為什麼它變得急性和致命得多！ 注意，避免人擠的地方，戴上口罩，經常洗手。 "新新冠病毒" 比第一個新冠病毒更致命。 因此，我們必須非常小心並*採取一切預防措施*。 請成為朋友和家人之間的警惕溝通者... __________ 不要將這些信息只留給自己，要與家人和朋友分享。 請保重並確保安全！ 🙏❤（Google翻譯再加修訂）

Welcome to the Reuters.com BETA. Read our Editor's note on how we're helping professionals make smart decisions. June 30, 202110:11 AM CSTLast Updated 2 months ago Healthcare & Pharmaceuticals U.S. Commerce chief says Taiwan's TSMC asked for help getting COVID vaccines Reuters 3 minute read U.S. Secretary of Commerce Gina Raimondo takes a question during a press briefing at the White House in Washington, U.S., April 7, 2021. REUTERS/Kevin Lamarque/File Photo The logo of Taiwan Semiconductor Manufacturing Co (TSMC) is pictured at its headquarters, in Hsinchu, Taiwan, Jan. 19, 2021. REUTERS/Ann Wang/File Photo U.S. Secretary of Commerce Gina Raimondo takes a question during a press briefing at the White House in Washington, U.S., April 7, 2021. REUTERS/Kevin Lamarque/File Photo 1/2 The logo of Taiwan Semiconductor Manufacturing Co (TSMC) is pictured at its headquarters, in Hsinchu, Taiwan, Jan. 19, 2021. REUTERS/Ann Wang/File Photo WASHINGTON, June 29 (Reuters) - U.S. Commerce Secretary Gina Raimondo on Monday said she had spoken with the chief executive of Taiwan Semiconductor Manufacturing Co Ltd (2330.TW) (TSMC) and that he had asked for help getting access to COVID-19 vaccines. Raimondo told Reuters in an interview "he asked for help in that regard, he has spoken to high level officials in the White House. We have responded and we definitely want to be a good partner and I do think it's helping." Taiwan said two weeks ago it will allow officials from Taiwan's Foxconn and TSMC to negotiate on its behalf for COVID-19 vaccines. read more Mid-June the United States shipped 2.5 million COVID-19 vaccine doses to Taiwan, more than tripling Washington's previous allocation of shots for the island. read more TSMC said in a statement to Reuters that they believed "getting vaccines for Taiwan would help to protect the communities and ensure normal operations." Taiwan has been trying to speed up the arrival of the millions of vaccines it has on order as it deals with a rise in domestic cases, although infections remain comparatively low. The request from TSMC, the world's biggest manufacturer of semiconductors on contract, coincides with a global chip shortage that has slowed production of manufacturers around the world, including in the U.S. auto industry where it is forecast the crisis will hit the production of 3.9 million vehicles. Raimondo has a key role in resolving the crisis for U.S. companies. Although there has been no major impact so far on chip production in Taiwan since domestic cases began rising in the middle of May, some U.S. auto executives have told Reuters privately earlier this month they were concerned COVID-19 in Taiwan could impact the flow of semiconductors to U.S. factories. Reporting by David Shepardson in Washington; Additional reporting by Ben Blanchard in Taipei; Editing by Simon Cameron-Moore Our Standards: The Thomson Reuters Trust Principles. More from Reuters Credit Suisse to U.S. staff: get shot, or go home Credit Suisse to U.S. staff: get shot, or go home Credit Suisse to U.S. staff: get shot, or go home German business morale dips on new health worries German business morale dips on new health worries Xiaomi sees revenue surge, eyes EV-market debut Xiaomi sees revenue surge, eyes EV-market debut Toshiba reviewing new strategic ideas - sources Toshiba reviewing new strategic ideas - sources J&J says booster shot vastly increases antibdody J&J says booster shot vastly increases antibdody Qantas aims for international travel in December Qantas aims for international travel in December Air NZ suspends outlook as borders stay shut Air NZ suspends outlook as borders stay shut Japan suspends 1.6 mln doses of Moderna shot Japan suspends 1.6 mln doses of Moderna shot Shakes off menu at UK McDonald's as milk runs dry Shakes off menu at UK McDonald's as milk runs dry Legal Lookahead: Purdue Pharma makes final push to exit bankruptcy Legal Lookahead: Purdue Pharma makes final push to... Read Next United States Illinois Governor to order statewide mask mandate and order masks and vaccines for schools - media 7:55 PM CST Europe EU says COVID boosters may have higher legal risks without EMA approval 7:34 PM CST World Qatar offering COVID vaccines to Afghanistan evacuees yet to transit 7:29 PM CST Americas Brazil's Eurofarma to make Pfizer COVID-19 shots in Latin America 7:10 PM CST Sign up for our newsletter Subscribe for our daily curated newsletter to receive the latest exclusive Reuters coverage delivered to your inbox. Healthcare & Pharmaceuticals Healthcare & Pharmaceuticals · 8:04 PM CST Illinois governor to announce mask mandate, order vaccines for schools - reports Illinois Governor J.B. Pritzker is expected to announce a new COVID-19 policy for the state on Thursday, requiring eligible students and school staffers to be vaccinated and to wear masks in schools and colleges, the Chicago Tribune and other media reported. Healthcare & Pharmaceuticals EU says COVID boosters may have higher legal risks without EMA approval 7:34 PM CST Healthcare & Pharmaceuticals Japan suspends 1.6 mln doses of Moderna shot after contamination reports 8:05 PM CST Healthcare & Pharmaceuticals Sydney hospitals erect emergency tents as COVID-19 cases hit record 12:32 PM CST Healthcare & Pharmaceuticals New Zealand's Ardern says lockdown working to limit Delta spread 3:10 PM CST Latest Home Media Videos Pictures Graphics Browse World Business Legal Markets Breakingviews Technology Investigations Lifestyle About Reuters About Reuters Careers Reuters News Agency Brand Attribution Guidelines Reuters Leadership Reuters Fact Check Reuters Diversity Report Stay Informed Download the App Newsletters Information you can trust Reuters, the news and media division of Thomson Reuters, is the world’s largest multimedia news provider, reaching billions of people worldwide every day. 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🇺🇸 The United States has officially announced that the standard blood pressure is 150/90 over 65 years old, and 160 or even 170 for normal elderly over 80 years old. 2020/10/27 CCIT EE 👏 twice Over the years, we have all been greatly affected by the "old standard" (not more than 120) that focused on medical business interests in the past, which has caused a great unnecessary psychological burden of hypertension on the elderly over 60 or 70! From now on, it is time to correct the wrong ideas taught by doctors. Please see the following report. 〖Please refer to sharing blood pressure〗: Subvert our understanding of normal blood pressure! What should be the normal blood pressure for various ages? Normal systolic blood pressure = Wu's calculated systolic blood pressure = (82+age) Example: 75 years old = 82 + 75 = 157 【in conclusion】 Normal systolic blood pressure: male = 82 + age, female = 80 + age, Health (normal) index: measured systolic blood pressure = normal systolic blood pressure. Dr. Guo Mingxiong (Zong Qi) 102, Dean of the Third Hospital of Beijing Medical College, told that people over 70 years of age cannot have high blood pressure lower than 130, otherwise they are prone to postural hypotension and fainting. Hypertension between 150 and 130 is safer, and it is better to be higher. , Don't be low. The same is true for blood sugar. The standards should be relaxed appropriately with the increase of age. The fasting blood sugar of diabetic patients over 60 years old should be controlled at around 6.5, those over 70 years old should be controlled around 7.5, and most of the time over 80 years old should not exceed 8.0, occasionally around 8.5. The harm of hypoglycemia is even more terrible. 😱Wish every family has a healthy person! There are "anti-intestinal cancer" substances in rice! Do you eat rice? Eat it while it's hot? Better to let it cool? I used to make rice, but I was always afraid of the cold, so I asked my family to eat it while it was hot. wrong! There is a substance in rice that can fight bowel cancer, called resistant starch; cooked rice will only produce more resistant starch when it is cooled. Therefore, after the rice is cooked, open the lid and use a spoon to loosen the rice to let the rice dissipate heat. When the rice reaches a mild temperature, eat it again, and resistant starch will be produced. This kind of rice, because there are more resistant starches, it is not easy to convert the resistant starches into sugars, which is good for weight loss and easier to control blood sugar. It is also very good for preventing bowel cancer. *Hurry up and change the old concept of eating! Starting today, let’s change our old habit of eating while it’s hot! This reminds me that eating sushi is also good. No wonder the Japanese live a long life. Not only do they eat a lot of sea fish, but it is also scientific to eat rice. It's rice balls, sushi and cold cakes. PS. After reading it, please don't be stingy and forward it to your friends as soon as possible. 🇺🇸美國已正式公告：65歲以上標準血壓150/90，80歲以上的正常老人，160甚至170也可以。 2020/10/27 CCIT EE 👏二次 多年來我們統統受過去著重醫療商業利益“老標準”（不能超過120）的數字影響太大了，對六七十歲以上的老人造成極大不必要的高血壓心理負擔！ 從今起要更正被醫師教錯的觀念了，請看下列報導。 〖分享血壓請參考〗： 顛覆我們對正常血壓的認知！各種年齡正常血壓應該是多少？ 正常收縮壓=吳氏計算收縮壓=（82+年齡） 例：75歲= 82 + 75 = 157 【結論】 正常收縮壓：男性= 82 +年齡，女性= 80 +年齡， 健康（正常）指標：實測收縮壓=正常收縮壓。 北醫三院院長郭銘雄(璁琦)102大夫告訴，70歲以上的人高血壓不能低於130，否則極易產生體位低血壓暈倒，高血壓在150〜130之間較為安全，寧可高一點，別低。 血糖也是如此，隨年齡的增加適當放寬標準，60歲以上糖尿病人空腹血糖控制在6.5左右，70歲以上控制7.5左右，80歲以上大多時間不超過8.0，偶爾在8.5左右就可以了，老年人低血糖危害更可怕。😱願每個家庭都有一個懂健康的人！ 米飯裡有“抗腸癌”物質哦！ 你吃米飯嗎？趁熱吃好？還是放凉一點好？ 以前做好了米飯，總是怕涼了，招呼家人趁熱快吃。 錯了！米飯中有一種可以對抗腸癌的物質，叫抗性澱粉；煮熟的米飯，只有放涼之後，才會產生更多抗性澱粉。 所以米飯煮熟後，要打開鍋蓋，用勺子把米飯攪鬆，讓米飯散熱；待米飯到溫和的溫度後再吃，就會產生抗性澱粉了。這樣的米飯，因為抗性澱粉較多，抗性澱粉不容易轉化成醣類，有益減肥及較易于控制血糖，對預防腸癌也非常好。 *趕快改變吃飯的老觀念吧！ 今天起，我們開始改變趁熱吃的老習慣吧！這使我聯想到吃壽司也很好。難怪日本人長壽，不光是他們吃海魚多，而且吃米飯也科學。又是飯糰又是壽司又是涼糕。 PS. 看完後，請不要吝嗇，盡快轉寄給你的朋友。

《 疫苗快報/8.31.2021： 美國疾管局(CDC)主任承認，打過疫苗的人，隨著時間的增加，感染新冠病毒的狀況正在惡化中…… 》 ___________________________________________________ (筆者註記：下文是英文原版的摘要，英文原版附於中文摘要的下方) 注射新冠疫苗後，已有幾萬、幾十萬的不良反應與猝死事件提報到「美國疫苗不良反應通報系統」(VAERS)。 根據美國CDC的統計，自2020年12月14日至2021年8月13日，提報到「美國疫苗不良反應通報系統」的不良反應共595,700起，其中猝死者共13,068人。［註：不過，這是美國公衛官僚系統竄改真實數據之後，所發佈的大外宣。真相為何呢？ 據哈佛大學去年一項研究，真實數據約為大外宣數據的100倍，另據席連科醫師(Dr. Zelenko)較保守的估計，美國因打了疫苗而猝死的人數應有43萬5,600人之譜－ 平均每月死亡人數多達48,400人。］ CDC主任在最近一次的記者會中被問道，美國疫情惡化的趨勢，一如大家觀察到的以色列的趨勢，是否跟人們打了疫苗後的發生的「抗體依賴的增強效應」(ADE)*有關，他避而不答，顧左右而言他。 ………………………………………………………………………………………… * 人們打了疫苗後發生足以致命的「抗體依賴的增強效應」(ADE)，愈來愈頻見，一如席連科醫師等世界級免疫、傳染病專家先前所預測。讀者諸君，倘你被大藥廠、大媒體詐欺而打了一劑進口疫苗，請勿再被騙打第二次，同時，請務必傾聽專家的良心建議：您得立即每天補充Z-配方保命！【 ●♡ 我們獨家提供國人Dr. Zelenko配方-套組，由 (槲皮素＋維他命C) x 3瓶＋鋅 x 1瓶組成。我們也提供國人專案優惠價5,900元/組－ 節省920元。［註：每天服用本套組內的槲皮素、維他命C三餐後各1粒、礦物質鋅每日1粒，典型足敷3個月使用，適合所有人。打過疫苗者、及糖胖症、心臟病患者、癌症患者尤其需要。］ 】， ————————————————————————————— ( 英文原版/8.30.2021刊出) Tens of thousands of adverse reactions and 的death following COVID shot reported to VAERS, and CDC director admits vaccinated individuals having “worsening infections over time” In a recent press interview, CDC Director Rochelle Walensky admitted that people who have had the COVID shot could experience “worsening infections over time.”  Walensky does not offer any insight into whether this trend, currently observed in countries like Israel, could be related to antibody-dependent enhancement (ADE).  ADE happens when antibodies generated during an immune response to an immunization recognize and bind to a pathogen but cannot prevent infection and could actually increase the severity of symptoms if a person does become infected. Instead, Walensky and other CDC officials use this “worsening infections” trend as a call to get the booster shot into the arms of jabbed people 8 months after their second dose. And yet, reports of adverse health reactions and deaths following COVID shots continue to roll in.  According to the CDC, over 595,700 adverse events have been reported to Vaccine Adverse Event Reporting System (VAERS) since December 14, 2020 (as of August 13, 2021), including 13,068 deaths. There’s no doubt, based on the evidence, this whole situation is going to get much worse before it gets better.  Do your own research and never forget the importance of a nurturing a strong immune system. Sources for this article include: Childrenshealthdefense.org Childrenshealthdefense.org Childrenshealthdefense.org Reuters.com CHOP.edu KHN.org

以色列卫生部｜辉瑞疫苗杀死的老年人比疾病本身杀死的老年人多40倍 2021年3月5日 摘要 以色列卫生部的最新分析得出结论，在最近5周的疫苗接种期间，辉瑞公司的新冠病毒疫苗导致的死亡人数”大约是该病毒本身导致死亡人数的40倍”，而年轻人的死亡人数则是病毒导致死亡人数的260倍。 以色列卫生部｜辉瑞疫苗杀死的老年人比疾病本身杀死的老年人多40倍 New analysis from the Israeli Health Ministry concluded Pfizer's COVID vaccine killed"about 40 times more(elderly)people than the disease itself would have killed"during a recent five-week vaccination period,and 260 times more younger people than would have died from the virus. 以色列卫生部的最新分析得出结论，在最近5周的疫苗接种期间，辉瑞公司的新冠病毒疫苗导致的死亡人数"大约是该病毒本身导致死亡人数的40倍"，而年轻人的死亡人数则是病毒导致死亡人数的260倍。 While in January a group of independent doctors concluded that experimental COVID-19 vaccines are"not safer"than the virus itself,a new analysis of vaccine-related death rates in Israel demonstrates that this may indeed be the case to dramatic levels. 今年1月，一组独立医生得出结论，实验性的2019冠状病毒疾病疫苗并不比病毒本身更安全，但对以色列与疫苗相关的死亡率进行的一项新分析表明，情况可能确实如此，达到了惊人的水平。 A re-analysis of published data from the Israeli Health Ministry by Dr.Hervé Seligmann,a member of the faculty of Medicine Emerging Infectious and Tropical Diseases at Aix-Marseille University,and engineer Haim Yativ reveal,in short,that the mRNA experimental vaccine from Pfizer killed"about 40 times more(elderly)people than the disease itself would have killed"during a recent five-week vaccination period.Among the younger class,these numbers are compounded to death rates at 260 times what the COVID-19 virus would have claimed in the given time frame. 艾克斯-马赛大学医学新兴传染病和热带疾病学院的 hervé Seligmann 博士和工程师 Haim Yativ 对以色列卫生部公布的数据进行了重新分析，简而言之，辉瑞公司的 mRNA 实验疫苗在最近五周的疫苗接种期间造成的死亡人数比疾病本身造成的死亡人数多40倍。在年轻一代中，这些数字加起来的死亡率是2019冠状病毒疾病病毒在给定时间范围内的死亡率的260倍。 While the full mathematical analysis may be found in the article itself,the authors demonstrate how among"those vaccinated and above 65,0.2%…died during the three-week period between doses,hence about 200 among 100,000 vaccinated.This is to be compared to the 4.91 dead among 100,000 dying from COVID-19 without vaccination." 虽然完整的数学分析可以在文章本身中找到，但是作者证明了"那些接种疫苗和超过65,0.2%的人......是如何在三周期间死亡的，因此在100,000接种疫苗的人中大约有200人。"。这个数字可以和没有接种疫苗的100,000名死于2019冠状病毒疾病中的4.91人相提并论 "This scary picture also extends to those below 65,"the researchers continued.During the five-week vaccination process"0.05%,meaning 50 among 100,000,died.This is to be compared to the 0.19 per 100,000 dying from COVID-19(who)are not vaccinated…Hence the death rate of this age group increased by 260(times)during this five-week period of the vaccination process,as compared to their natural COVID-19 death rate." 研究人员继续说:"这种可怕的情况也延伸到了65岁以下的人群。"在为期五周的疫苗接种过程中，"0.05%，即10万人中有50人死亡。因此，在这五周的疫苗接种过程中，这个年龄组的死亡率比他们的自然死亡率增加了260倍，而他们的自然死亡率为每100,000人中有0.19人，没有接种2019冠状病毒疾病......因此，这个年龄组的死亡率比他们的自然2019冠状病毒疾病死亡率增加了260倍 As reported by IsraelNationalNews(INN),Seligmann is of Israeli-Luxembourg nationality,has a biology degree from Hebrew University of Jerusalem,and has written more than 100 scientific publications.INN reports the researchers"have no conflicts or interests other than having children in Israel." 据以色列国家新闻报道，塞利格曼是以色列-卢森堡国籍，拥有希伯来大学的生物学学位，并发表过100多篇科学论文。国家旅游局报告说，研究人员"除了在以色列生孩子之外，没有其他利益冲突。" Yativ and Seligmann stipulate that even these"estimated numbers of deaths from the vaccine are probably much lower than actual numbers as it accounts only for those defined as COVID-19 deaths for that short time period and does not include AVC and cardiac(and other)events resulting from the inflammatory reactions." Yativ 和 Seligmann 规定，即使这些"估计的疫苗死亡人数也可能远远低于实际数字，因为它只包括那些在短时间内被定义为2019冠状病毒疾病死亡的人，而不包括由炎症反应导致的动静脉畸形和心脏(以及其他)事件。" Nor do these numbers"account for long-term complications,"they write. 他们写道，这些数字也不能"解释长期并发症"。 In addition,within several months they expect"mid-and long-term adverse effects of the vaccination as ADE(Antibody-dependent Enhancement)"begins to become manifest in those who have received the experimental Pfizer vaccine. 此外，在几个月内，他们预计"中期和长期的不良反应疫苗接种作为 ADE(抗体依赖性增强作用)"开始成为明显的那些已经接受实验辉瑞疫苗。 As explained by America's Frontline Doctors(AFLDS),ADE"is when anti-COVID antibodies,created by a vaccine,instead of protecting the person,cause a more severe or lethal disease when the person is later exposed to SARS-CoV-2 in the wild.The vaccine amplifies the infection rather than preventing damage." 正如美国前线医生(AFLDS)解释的那样，ADE"是指当人后来在野外暴露于 SARS-CoV-2时，由疫苗产生的抗Covid 抗体，而不是保护人体，导致更严重或致命的疾病。这种疫苗加重了感染，而不是防止了损害。" AFLDS provides an example of a vaccine produced to fight the Dengue fever,which resulted in deaths of 600 children in the Philippines due to ADE,and the filing of criminal charges against the decision-makers in 2019. 菲律宾儿童和青少年司提供了一个为防治登革热而生产疫苗的例子，登革热在菲律宾造成600名儿童死亡，2019年对决策者提出了刑事指控。 For these reasons and more,AFLDS and many other doctors strongly discourage the use of these experimental vaccines for most people while only acknowledging that it may be plausible for those over 70 years of age,yet acknowledging that such injections are"a higher risk than early or prophylactic treatment with established medications"(sources here, here, here, and here). 由于这些原因以及更多的原因，AFLDS 和许多其他医生强烈反对大多数人使用这些实验性疫苗，同时只承认这对70岁以上的人来说可能是合理的，但也承认这种注射"比早期或使用现有药物进行预防性治疗的风险更高"(来源是这里、这里、这里和这里)。 Given these death rates,Yativ and Seligmann also have harsh criticism for the severe pressure being imposed upon the population by Israeli authorities to receive these shots.According to INN,the researchers call these draconian efforts"a new Holocaust." 鉴于这些死亡率，Yativ 和 Seligmann 也受到严厉批评，因为以色列当局对居民施加了接受这些射击的严厉压力。国际犹太人学院称，研究人员将这些严酷的努力称为"新的大屠杀" In the past weeks,Israel's government made headlines when they adopted a"green pass"system,allowing people who have been injected to receive a green code,which then grants them entry into places such as entertainment and leisure facilities. 过去几周，以色列政府采用了"绿色通行证"制度，允许被注射者获得绿色代码，然后允许他们进入娱乐和休闲设施等场所。 As the country reopens after a two-month lockdown,the green pass would be given only to those who had been injected,not to people who tested negative for the virus.The proposed benefits include access to"non-essential"businesses as well as not being required to self-isolate if identified as a close contact of a confirmed case of COVID-19,and not having to self-isolate after a return from what the government calls a"red location." 随着这个国家在两个月的封锁后重新开放，绿色通行证将只发给那些被注射的人，而不是那些病毒检测呈阴性的人。拟议的好处包括可以进入"非必要"的企业，如果被确认为确诊的2019冠状病毒疾病病例的密切接触者，不必自我隔离，也不必在从政府所谓的"红色地点"返回后自我隔离 Despite there being no proof that these experimental vaccines actually prevent transmission of the virus,Israel's minister for health,Yuli Edelstein,said upon the release of the vaccine"passport"that"(g)etting vaccinated is a moral duty.It is part of our mutual responsibility."He went further,declaring,"Whoever does not get vaccinated will be left behind." 尽管没有证据表明这些实验性疫苗实际上能够阻止病毒的传播，但以色列卫生部长 Yuli Edelstein 在疫苗"护照"发放时表示，"(g)接种疫苗是一种道德义务。这是我们共同责任的一部分。"他更进一步，宣称:"不接种疫苗的人将被留下。" The green pass needs renewing every six months,and despite holding one,an individual must still abide by masking and physical distancing rules.The Jerusalem Post also reported that legislation is being considered to grant employers the right to refuse unvaccinated people entry into the workplace. 绿色通行证需要每六个月更新一次，尽管持有绿色通行证，个人仍然必须遵守伪装和物理距离规则。《耶路撒冷邮报》还报告说，正在考虑通过立法给予雇主拒绝未接种疫苗的人进入工作场所的权利。 Such measures prompted Business Insider to describe the country as"waging a war on the unvaccinated."Meanwhile,Dr.Anthony Fauci,chief medical adviser to President Joe Biden,has styled Israel's vaccination response as"extraordinarily good." 这些措施促使商业内幕组织将这个国家描述为"向未接种疫苗的人发动战争"与此同时，总统乔·拜登的首席医疗顾问安东尼·福奇博士将以色列的疫苗接种反应形容为"非常好" 来源： https://www.lifesitenews.com/news/experimental-vaccine-death-rate-for-israels-elderly-40-times-higher-than-covid-19-deaths-researchers