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Always aim high, work hard, and care deeply about what you believe in. And, when you stumble, keep faith. And, when you’re knocked down, get right back up and never listen to anyone who says you can’t or shouldn’t go on 💪✨.
.
@andreabeauty_hq
"引體太容易喇，負下重感受度大啲"
"Pull up is too easy for me"
"I should start weight pull up to gain more pulling strength."
When you think normal PULL UP are too easy/boring for you, and you want something different?
Honestly I seldom do weight pull up to aim strength.
Because there are lots more different variations to stimulate your back besides using weight for normal pull up.
Here are few of my favourite exercise❤️
With ONLY your bodyweight.
1️⃣ Open & close grip PULL UP
2️⃣ Archer PULL UP
3️⃣ Typewriter PULL UP
4️⃣ Wide supinated grip PULL UP
5️⃣ High / Explosive PULL UP
Gain muscle memory and control with different variations.
Unleash your BACK today!
"Control your body, not the weight"
#M2HK #街頭健身 #Tutorial
#FitnessHK #HKFitness
#StreetWorkout #Calisthenics #Firm
不少讀者在澳洲生活或者將會移民澳洲，或許會對以下內容有興趣。
最近上了幾個COVID management的課，臨床上遇到不少COVID個案，跟同大家分享下澳洲COVID現時的情況
***以下內容只作參考、分享和討論用途，實際臨床治療請根據個別醫院的指引）***
【澳洲現時狀況】
主要爆發在於NSW，其他States每日確診數目前仍然為個位或雙位數，但Victoria有急速增長的潛力。所以地區的爆發個案以Delta為主。
NSW經歷兩個月封城後，並未能成功把Delta壓下來，現時每日400+個案，累積個案已8000+，ICU使用量約60+。全個NSW有約500到600張ICU病床，政府宣佈如有需要可double ICU病床數量。不過目前已有約11-14%的ICU被COVID病人佔用。未來兩星期及往後的兩個月專家預計每月確診數會升至1000+的四位數字。
為什麼封城好像沒用？很多專家有不同解說，可能是疫苗覆蓋率太低、部分民眾繼續馬照跑舞照跳開BBQ Party、封城以唧牙膏方式逐個Suburb逐個封、一年半後都仍然有人不肯戴口罩或戴不好個口罩、一年半後仍然可以出現院內交叉感染等等。
【臨床上我們學會了什麼？】
最新的研究仍然顯示重症大多是未接種疫苗的民眾，值得注意的是Delta除了傳播率更高外，似乎造成重症的機會比起original/alpha更高，特別是針對年輕群體。不過目前數據很多confounding factors，到底是因為年輕群體大多未打疫苗/未排隊打到疫苗，所以比較容易出現重症定還是delta的殺傷力比較大，相信過多幾個月有更多數據便會更清晰。
感染後一般的disease course是怎樣？
大約80%會是輕症、10-15%會是moderate to severe（大多需要住院治療）、5%是重症（Critical，或需要ICU）。Incubation period大部分3-5日就開始病發，delta似乎更短，但可長至14-21日不等。
具更高風險的群體為男性、長者、本身有心臟病、肺病、免疫系統不良、糖尿病（1/2型）、長期腎病、吸煙等等。
病發後通常day 5-8開始惡化，9-12日就開始peak，常見併發症有肺部、心臟、血栓、炎症性反應等等。
肺部如大家都相當了解，常見的為非典型性肺炎的bilateral peripheral lower zone pattern，但這種pattern亦在老人/COPD群體上的atypical bacterial pneumonia較為常見，所以並不能只靠CXR去判斷，CT Chest的話有更多defining features。不過早期病發的話，imaging未必好conclusive。歐美甚至現時澳洲，基本上你發燒或有呼吸道徵症都會幫你驗COVID。
心臟的話如任何病毒性感染，都有myocarditis的風險，同時如果嚴重的cytokine storm和multi organ failures的話，T2MI亦相當常見。臨床可疑的話ECG和troponin都不會少做。
血栓風險其實不低，如任何嚴重炎症性疾病或感染，COVID的PE風險視乎人種和Studies，都有差不多1-3%。歐美加澳等白人為主的國家以往多數有hospital policy, for any hospital admission > 24 hours都會建議打40mg SC enoxaparin作DVT prophylaxis，但有趣的是亞洲人血栓的風險其實低好多，亞洲地區甚少打prophylactic enoxaparin，但somehow日常都會照幫亞洲病人打，到底是否合適，就值得商榷。不過因為COVID，現時不少臨床建議感染COVID住院的話都打prophylactic enoxaparin。不過therapeutic enoxaparin (1mg/kg BD）就發現似乎對outcome沒有重大影響，更可能增加出血風險。
亦有個別指引建議如有臨床懷疑的話定期驗一驗D-dimer，但不少不幸染上COVID的病人都有underlying disease本身都會增加d-dimer，如果你d-dimer positive你都基本上要CTPA，但CTPA你照完1個COVID病人又要deep clean間房，下個照CT的病人便要等一輪，到底驗還是不驗，仍然是臨床上不簡單的選擇。
【目前治療的選擇】
目前有較多證據支持的藥物有Dexamethasone，類固醇似乎永遠不會令人類失望。NEJM鼎鼎大名的RECOVERY Trial發現6mg PO/IV daily可以減低重症患者28 days mortality，特別對於需要氧氣支援和插喉患者最為有用，亦可減小ARDS的機會。但對沒有氧氣需求的患者來說並無重大分別。所以輕症並不建議使用Dexamethasone
Remdesivir早期被譽為神藥，NEJM研究發現對輕症並無重大作用，但對中等至嚴重患者來說則有縮短住院時間的好處，特別在需要氧氣支援的患者上。但似乎對已插喉的患者身上無重大幫助，可能由於插喉已是最後手段而插得喉時抗病毒或許已非最重要的因素，而是應對那可惡的ARDS
Tocilizumab (IL-6 inhibitor），以往用在自體免疫系統炎症性疾病，如類風濕關節炎等。近一兩年在COVID的臨床研究其實都相當controversial，有些研究顯示有用，有些顯示無重大分別，但最近似乎又有新數據對於重症病人來說在控制cytokine storm上有不錯的效果。不過仍然需要更多數據、在使用時機和跟其他藥物配合上。
另外亦開始有研究使用Baricitinib (JAK inhibitor），跟Tocilizumab一樣，原是用在自體免疫系統炎症性疾病，如類風濕關節炎等。目前研究亦是似乎有控制cytokines storm，在重症上有正面效果。不過仍然需要更多數據、在使用時機和跟其他藥物配合上。
在美國亦有時會用到Regeneron的monoclonal antibodies，不過美國外的地方基本上都未引入，相信一來天價、二來貨量亦不足供應全球。有興趣可以自己google一下。
最後就是回歸病毒感染大多都是依賴支援性療法，人類到目前為止都仍然未有方法可以有效地殺死病毒，大多只能靠免疫系統，用藥物抑制病毒生成速度，讓免疫系統和抗體清除病毒。
於COVID治療中最常見的便是氧氣，如mild to moderate的一般只要nasal cannula支，大部分病人aim saturation >90%。但嚴重或重症時便要考慮high flow或NIV或插喉。不過NIV或插喉大多需要ICU支援，而插喉後比較麻煩的是好多時都wean不甩條喉，所以一般除非到最後階段都避免插喉，而當病人惡化到必須插喉時，Tocilizumab和Baricitinib似乎未有非常好的效果，可能已經miss the boat？這需要更多數據和研究
另外就是有趣的是intermittent prone position似乎對血含氧量有改善。不過到底對預後有無幫助就仍然未明。
今日暫時講到呢到，最近澳洲大爆發，作為前線醫生都遇到不少COVID病人，如果大家有興趣，下篇跟大家分享一下前線醫護面對的困難和壓力。
สายการผลิต 2022 Audi e-Tron GT production รถสปอร์ตซีดานพลังไฟฟ้า พละกำลังสูงสุด 640 แรงม้า ก่อนเปิดตัวในเมืองไทย
ก่อนที่จะมีการเปิดตัวในเมืองไทยอย่างเป็นทางการ ในอีกไม่กี่วันข้างหน้า เราขอพามาชมสายการผลิต Audi e-Tron GT รถสปอร์ตซีดานหรูพลังงานไฟฟ้า จากตระกูล e-Tron ซึ่งในต่างประเทศเพิ่งมีการเปิดตัวในวันที่ 9 กุมภาพันธ์ที่ผ่านมา โดยทำตลาดใน 2 รุ่นด้วยกันคือรุ่น e-Tron GT quattro และรุ่น RS e-tron GT
With an energized driving demonstration and a world premiere featuring high-caliber participants, Audi has presented its new electric spearhead – the Audi e-tron GT. In two events on the digital Day of Progress, the Four Rings showcased the highlights of this fully electric Gran Turismo: dynamic driving performance, emotional design, and sustainability.
“The e-tron GT is a stand-alone Gran Turismo, reinterpreted for the future. Its looks are a testament to premium automotive design.Bringing impressive driving performance, this is electro-mobility in the most emotive way. And with its sustainable concept, it takes a stand,” explains Markus Duesmann, CEO of AUDI AG. “Because it’s not just the drive concept that is sustainable. The entire production at our Böllinger Höfe site now has a carbon neutral energy balance.This sends an important signal – for the site, our workforce and the future viability of Audi.”
Audi also set a new benchmark with the digital world premiere, the Day of Progress. Two digital events presented the Audi e-tron GT: in the Sprint of Progress, the Formula E driver Lucas di Grassi and the sustainability entrepreneur and Formula 1 world champion Nico Rosberg demonstrated the dynamic driving performance of the Audi RS e-tron GT alongside the current Formula E racing car of the Four Rings, the Audi e-tron FE07. In a trip on the circuit of the Audi Driving Experience Center in Neuburg an der Donau, the spotlight was on the dynamic performance of the new model.
In the Celebration of Progress, the brand with the Four Rings introduced the Audi e-tron GT to the public for the first time. In the hour-long virtual show, Markus Duesmann and Hildegard Wortmann, Board Member for Sales and Marketing, together with further Audi protagonists such as Henrik Wenders, Senior Vice President for the Audi Brand, and Marc Lichte, Head of Design, presented the highlights of the new model.
A varied program emphasized the forward-looking attitude of the Four Rings brand. With reference to the importance of design, sustainability and performance, the actor and producer Tom Hardy, the designer Stella McCartney and Nico Rosberg added their personal insights. Themusical accompaniment to the unveiling of the car was performed by the US-American singer and songwriter Janelle Monáe, while Steven Gätjen as moderator guided the audience through the show.
The GREENTECH FESTIVAL and Audi, a founding partner of this platform for sustainability, together presented the GREEN FUTURE Award for the first time as part of the world premiere of the Audi e-tron GT. The prize, part of the festival’s GREEN AWARDS, is given to projects and persons that promote environmentally compatible urbanization and at the same time make an important contribution to improving the quality of life in urban infrastructure. The winner is the start-up Zencity, based in Tel Aviv, with an algorithm that collects and analyzes social media posts and local news from cities.
Both events are still available to be accessed online.
Quotes from the Celebration of Progress
“The Audi e-tron GT is the beginning of a new era for Audi. Our aim is to shape the future of electric premium mobility. Love of detail, maximum precision, and design that points the way to the future show how much passion we at Audi put into designing and making vehicles.”
Hildegard Wortmann, Board Member for Sales and Marketing, AUDI AG
“With the Audi e-tron GT we are putting the DNA of Audi on the road. The Gran Turismo superbly reflects our innovative strength and our pioneering spirit. For us it is already part of a line of icons of the brand, alongside the Audi TT and the Audi R8.”
Henrik Wenders, Senior Vice President, Audi Brand, AUDI AG
“For me, progress means creating something new. Something that no one has ever done before in this form. Designing a fully electric vehicle is like this: the entire design process has to be thought through anew.”
Marc Lichte, Head of Design, AUDI AG
“The Audi RS e-tron GT is a milestone in the development of electrified high-performance models.”
Lucas di Grassi, Formula E driver and entrepreneur
“Electric mobility is the future. Of course the path to the goal is a long one. It’s great to see that Audi is taking this path with determination.”
Nico Rosberg, sustainability entrepreneur and Formula 1 world champion
So, you want to start an online business. But where to start? What should you sell? What else do you have to consider? In this video, Dan Lok shares the 2 things you can sell online, as well as the 3 questions you have to ask yourself before starting an online business.
Have Unique Capabilities, Looking For New Opportunities? Discover The Top Supplier Opportunities Here:
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Alibaba March Expo Trend Hunter: https://allsha.re/a/alibabaexpothdan
Alibaba March Expo Elite Partner: https://allsha.re/a/alibabaexpoepdan
For the buyers who are looking for products and high-quality suppliers that give them a competitive edge you can easily access it all in one place; a vetted group of global suppliers with innovative, new technologies and products in various categories. Aim to help you enhance your competitive edge and achieve your global business goal. Make sure to check in every month to see what new suppliers, products, and technologies in your target category have been added!
Also Check Out Alibaba.com Buyers Central YouTube Channel For Valuable Information: https://www.youtube.com/channel/UCSoIxtP6J6oNo_d1njSluxw?sub_confirmation=1
▬▬▬▬▬▬▬▬▬▬ Video Highlights ▬▬▬▬▬▬▬▬▬▬
0:00 - Intro - How To Start An Online Business
0:45 - 3 Most Important Questions To Ask Before Starting A Business
3:18 - How To Find Trending Products To Sell
▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬
? SUBSCRIBE TO DAN'S YOUTUBE CHANNEL NOW ?
https://www.youtube.com/danlok?sub_confirmation=1
? UNLOCK A Better Version Of Yourself, Check Out My Shop: https://shop.danlok.link ?
Check out these Top Trending Playlists -
1.) Boss In The Bentley - https://www.youtube.com/playlist?list=PLEmTTOfet46OWsrbWGPnPW8mvDtjge_6-
2.) Sales Tips That Get People To Buy - https://www.youtube.com/watch?v=E6Csz_hvXzw&list=PLEmTTOfet46PvAsPpWByNgUWZ5dLJd_I4
3.) Dan Lok’s Best Secrets - https://www.youtube.com/watch?v=FZNmFJUuTRs&list=PLEmTTOfet46N3NIYsBQ9wku8UBNhtT9QQ
Dan Lok has been viewed more than 1.7+ billion times across social media for his expertise on how to achieve financial confidence. And is the author of over a dozen international bestselling books.
Dan has also been featured on FOX Business News, MSNBC, CBC, FORBES, Inc, Entrepreneur, and Business Insider.
In addition to his social media presence, Dan Lok is the founder of the Dan Lok Organization, which includes more than two dozen companies - and is a venture capitalist currently evaluating acquisitions in markets such as education, new media, and software.
Some of his companies include Closers.com, Copywriters.com, High Ticket Closers, High Income Copywriters and a dozen of other brands.
And as chairman of DRAGON 100, the world’s most exclusive advisory board, Dan Lok also seeks to provide capital to minority founders and budding entrepreneurs.
Dan Lok trains as hard in the Dojo as he negotiates in the boardroom. And thus has earned himself the name; The King of Closing.
If you want the no b.s. way to master your financial destiny, then learn from Dan. Subscribe to his channel now.
★☆★ CONNECT WITH DAN ON SOCIAL MEDIA ★☆★
YouTube: http://youtube.danlok.link
Dan Lok Blog: http://blog.danlok.link
Dan Lok Shop: https://shop.danlok.link
Facebook: http://facebook.danlok.link
Instagram: http://instagram.danlok.link
Linkedin: http://mylinkedin.danlok.link
Podcast: http://thedanlokshow.danlok.link
#eCommerce #OnlineBusiness #Alibaba
Please understand that by watching Dan’s videos or enrolling in his programs does not mean you’ll get results close to what he’s been able to do (or do anything for that matter).
He’s been in business for over 20 years and his results are not typical.
Most people who watch his videos or enroll in his programs get the “how to” but never take action with the information. Dan is only sharing what has worked for him and his students.
Your results are dependent on many factors… including but not limited to your ability to work hard, commit yourself, and do whatever it takes.
Entering any business is going to involve a level of risk as well as massive commitment and action. If you're not willing to accept that, please DO NOT WATCH DAN’S VIDEOS OR SIGN UP FOR ONE OF HIS PROGRAMS.
This video is about How To Start An Online Business.
https://youtu.be/LQ_Dc1DNRt4
https://youtu.be/LQ_Dc1DNRt4
「UNLOCK」專輯 第三波舞曲主打 「Run To Me」
這次拍攝一個純舞蹈的版本 呈現演會的感覺
3/20 就在高雄舉辦最後一場簽唱會!!!
KK Box：► https://kkbox.fm/Xa6U2P
MyMusic：► https://bit.ly/349knTa
friDay：► https://bit.ly/3oOPsU5
Apple：► https://apple.co/3gMKQLu
Spotify：► https://spoti.fi/386zsWQ
LINE MUSIC：► https://bit.ly/3nl16Wx
．Song Lyrics．
作詞 田亞霍
作曲 田亞霍
編曲 秦瀚(秦天)
他們說我是 Psycho
把握每一分鐘從不 怠惰
總能夠把壞心情給 Recycle 拜託
再說 我的經歷比你吃過的飯 還多
管它多少 Money
管它節目效果到底Fun不 Funny
歡迎 光臨 這是新的 時代
不懂品嘗成功也得要享受 失敗
他們想跟我Take a picture
想要我的 簽名
就跟我保持 聯繫
讓我Pull the trigger
Aim & Fire
有天世界Gotta know my name
不必多說 I’m on my way
何須逆來順受
Just Run to me Run to me Run to me Run
Buddy Buddy Buddy Hey
Buddy Buddy Buddy Hey
Buddy Buddy Buddy Hey
何須逆來順受
Just Run to me Run to me Run to me Run
管它IG多少 追蹤
我只想讓現實追上 美夢
讓腦袋 放空 讓思想 放縱
把那些失敗的過程當 享受
我的周圍就是good vibe
跟loser說聲good bye
I’m ready to fight
我的理想never too high
隨時斬腐除敗
I’m ready to fight
多大的風浪我都 挺得過
多少的混沌 依然 醒著走
我所有的作品 都要freakin’ dope
讓全世界都 記得我
他們想跟我Take a picture
想要我的 簽名
就跟我保持 聯繫
讓我Pull the trigger
Aim & Fire
子彈 上了膛 我站在 槍口上
看前 方路上 有沒有阻擋
何須逆來順受
Just Run to me Run to me Run to me Run
Buddy Buddy Buddy Hey
Buddy Buddy Buddy Hey
Buddy Buddy Buddy Hey
何須逆來順受
Just Run to me Run to me Run to me Run
管它IG多少 追蹤
我只想讓現實追上 美夢
讓腦袋 放空 讓思想 放縱
把那些失敗的過程當 享受
把那些失敗的過程當 享受
我早已 無懼無畏
我早已 無堅不摧
・Song Credit・
作詞 田亞霍
作曲 田亞霍
編曲 秦瀚(秦天)
製作人 田亞霍
和聲編寫 田亞霍
和聲 田亞霍,賴晏駒 小賴
錄音師 田亞霍
後期製作: Wayson.H @ChillEntertainment
OP/SP
大鵬傳播事業股份有限公司/豐華音樂經紀股份有限公司 Forward Music Publishing Co., Ltd.
TW-ED1-20-00036
攝影師 D.O.P ｜CchennHao
燈光師 Gaffer｜KT Lin. Simon
剪接 Editor 調光 TC｜Dozkuo
編舞｜Andy Hsu 徐聖展
舞者:
陳亞棣
莫天昀
Dozkuo
HUGO
#RunToMe #賴晏駒 #UNLOCK
aim high 在 [請益] aim high shoot low - 看板Eng-Class - 批踢踢實業坊 的推薦與評價
"aim high shoot low"
到底是褒義詞還是貶義詞呢?
有人是翻作"志存高遠 腳踏實地"
也有翻作"眼高手低"
看了很多討論 還是不確定到底哪個說法是對的...
是不是其實2種說法都可以?
--
※ 發信站: 批踢踢實業坊(ptt.cc), 來自: 203.64.181.37
※ 文章網址: https://www.ptt.cc/bbs/Eng-Class/M.1426221910.A.EC9.html
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