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Never ever have I regret breaking a SWEAT 🔥💦 There are times where I move more or move less, but in general I tell myself: Don’t THINK too much, DO what FEELS GOOD to you. No need to have fancy workout gear and thousand of supplements. Just make „moving daily“ become a HABIT, play around with different intensity and activities, enjoy the challenges you encounter and most of all - FEEL what it changes in you. Not only our BODY, but our MIND will benefit of an active balanced lifestyle💜
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Training and discipline comes in different forms... Training your body, training your mind, training your heart, your patience, even your confidence and courage. Don‘t we owe ourselves (and our moms☺️) to become the best version we can be? 🔥♥️☀️ LOVE and RESPECT💕 #yougotthis #motivationalmornings
我每流一滴汗水從來沒有後悔過,沒有人運動完會覺得後悔💧有時我會多動一點或是少動一點,但我總是告訴自己:不要想太複雜,什麼事情讓你身心感覺是良好的 就去做吧!我們無需購買花俏的健身器材或數千種營養補品,但是我覺得我們要讓“每天活動”成為一個習慣!找一些會讓你開心舒服的幾項運動,玩不同的強度跟訓練內容,享受你當下遇到的挑戰,最後感受到你的變化。不僅我們的身體,還有我們的思想將會受益於健康與平衡的生活方式💜 我覺得訓練本身就有很多不同的形式......訓練你的身體,訓練你的思想,訓練你的心靈,訓練你的耐心,甚至訓練你的信心和勇氣。我們就只擁有這一生,不就該好好做出我們個人最好的版本嗎?😉🔥♥️☀️🌈#你可以的 #正能量 #love
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Taiwan Social Welfare Organizations support Taiwan’s meaningful participation in the 2018 WHA
As declared in the WHO Constitution, “The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition.” In light of this founding principle, we submit that every Taiwanese citizen has the fundamental right to participate in the WHA and the WHO.
The WHO has long espoused Universal Health Coverage (UHC) and promoted children’s early development as well as adolescents’ health and welfare around the world. In this spirit, Taiwan was the first Asian country to institute UHC, and has achieved an insurance coverage rate of 99.9% through relatively low annual health expenditures of 6.3% of GDP. Taiwan is willing and able to share the lessons it has learned from this successful experience with other nations at the WHA. Without Taiwan’s attendance at the WHA, and participation in the WHO’s technical meetings, co-operations and activities, the global health system would certainly lose a crucial and valuable collaborative partner, and significantly delay the implementation of the WHO’s central objective: improving the health and welfare of all people.
In a statement issued on Rare Disease Day 2018, the WHO emphasized that the concept of UHC embraces access to needed health care for all people, including sufferers of rare disease, without imposing undue financial hardship. Taiwan was the only nation to have officially incorporated rare disease prevention and patient welfare into its Rare Disease Act legislation. Its National Health Insurance system provides full reimbursement for all needed medication, and subsidizes special nutritional supplements and emergency medication for rare disease patients. Taiwan’s outstanding accomplishments and experience in the care of rare diseases should be shared internationally to galvanize the advancement of UHC.
Over the past decades, Taiwan government and social welfare organizations also have dedicated to seeking necessary resource as healthcare, medicines-supply and social caring for disadvantaged groups through legislation, advocacy or group-interaction which to construct a solidity and energetic social welfare system. To ensure every disadvantage people can be taken care of under a proper medical system. No necessary considering potential financial risks among families to secure basic health and security.
Taiwan has been actively participating in international health care organizations for a long time. Taiwan’s non-governmental organizations have spread across the world. There are more than 73 countries, 336 major plans and international exchanges have been implemented and there is countless substantive diplomacy happened. The step-by-step, pragmatic, and true occurrence means that Taiwan has the ability to make substantial contributions to help the disadvantaged groups around the world.
Taiwan social welfare organizations are willing to share the mission and experience in the caring of disadvantaged groups internationally to galvanize the advancement of UHC. Taiwan social welfare organizations have shared our experiences through Pragmatic Diplomacy internationally, so please don’t ignore our efforts. Therefore, we strongly urged Taiwan to be treated fairly. Just as the people with rare diseases cannot be left behind in global health coverage, the health issues of Taiwan’s 23 million people should not become “outside of universal health coverage”. Taiwan should have meaningful participate in the 2018 World Health Assembly, share Taiwan’s experience with the world, help other countries to promote policies that take care of the disadvantaged, face potential health challenges, and jointly realize the health of the World Health Organization as a basic human rights.
臺灣社會福利團體聯合國際記者會 中文聲明
【支持臺灣有意義參與2018年世界衛生大會】
誠如世界衛生組織(WHO)憲章所揭櫫的宗旨:「健康是基本人權,是普世價值,不因種族、宗教、政治信仰、經濟或社會情境而有所分別。」爰此,參與世界衛生大會(WHA)與世界衛生組織(WHO)乃是臺灣每位人民的基本權利。
世界衛生組織長久以來戮力於實踐「全民健康覆蓋(Universal Health Coverage)」的願景,並倡議特殊及弱勢族群的健康與福祉。而臺灣是亞洲地區最早落實全民健康保險制度的國家,納保率達99.9%、醫療花費僅佔GDP約6.3%,有意願也有能力在世界衛生大會向各國分享相關經驗。然而臺灣無法出席世界衛生大會及全面參與世界衛生組織相關技術性會議、機制及活動的結果,將使全球衛生體系失去一個重要的合作夥伴,延宕世界衛生組織提升全球人類健康水準的目標。
根據世界衛生組織在2018年世界罕見疾病日發布聲明中所強調:「全民健康覆蓋」意味著所有人皆能在免於財務困難的情況下獲得其所需的醫療衛生服務,其中即包括能確保社會各角落的民眾都能獲得所需的醫療照護及關懷服務。而臺灣對於特殊及弱勢族群的完善照護向來是國際衛生領域的表率,在2000年成為全球第一將罕見疾病防治與福利保障正式立法之國家,因此在臺灣,這些罹患罕見疾病的孩童,都能在妥善的醫療體系下被照護,所以臺灣儼然是世界衛生組織推動「全民健康覆蓋」目標的重要典範。
數十年來,臺灣政府與民間社福團體不遺餘力結合多方資源,透過立法、倡議或團體互動等方式,保障特殊及弱勢族群必要的醫療照護、藥物供給及社會關懷服務,齊力建構功能健全、服務能量滿載之醫療及社會福利體系,讓每位特殊及弱勢朋友都能在妥善的醫療體系下被照顧、在免於財務風險的家庭中成長,保障其應有的基本健康與安全。
臺灣長久以來積極參與國際健康照護組織,台灣民間團體的足跡遍佈全球,目前已經超過73個國家、重大計畫案次數超過336次其他大小國際交流、實質外交不計其數。一步一腳印的、務實的、真實的發生,亦即代表臺灣有能力、有使命為幫助全世界弱勢族群做出實質貢獻。
臺灣的社會福利團體願意將照護每位特殊及弱勢朋友的使命與經驗分享到全世界,用於協助世界衛生組織推動「全民健康覆蓋」的願景,台灣社福團體用實質外交交流,將經驗貢獻至全球,請世界衛生大會不要忘了我們民間團體的努力,所以我們強力支持並呼籲臺灣應該被公平對待之,正如極少數的罕見疾病患者不容見棄於全球健康覆盖之外,台灣2300萬人的健康議題,更不應該成為「全民健康覆蓋」之外的世界孤兒,讓臺灣有意義參與2018年世界衛生大會,將臺灣的經驗分享給全世界,協助其他國家推動照顧弱勢之政策及面對潛在的衛生挑戰,共同為實現世界衛生組織所揭示健康為基本人權之願景而努力。
Co-signatories:
社團法人台灣社會福利總盟(Taiwan Social Welfare League)
財團法人罕見疾病基金會(Taiwan Foundation for Rare Disorders)
財團法人勵馨社會福利事業基金會(The Garden of Hope Foundation)
財團法人陽光社會福利基金會(Sunshine Social Welfare Foundation)
財團法人伊甸社會福利基金會(Eden Social Welfare Foundation)
社團法人中華民國身心障礙聯盟(Disability Alliance of Republic of China)
社團法人中華民國智障者家長總會(Parents Association for Persons with Intellectual Disabilities)
社團法人臺灣社會工作專業人員協會(Taiwan Association of Social Workers)
社團法人台灣社會心理復健協會(Taiwan Association for Psycho-Social Rehabilitation)
財團法人基督教芥菜種會(The Mustard Seed Mission)
社團法人台灣少年權益與福利促進聯盟(Taiwan Alliance For Advancement of Youth Rights And Welfare)
社團法人台灣南方社會力聯盟(Social Power from Southern Taiwan)
社團法人台灣婦女團體全國聯合會(National Alliance of Taiwan Women's Associations)
社團法人中華民國社區重聽福利協會(Taiwan Association for Community Hard-Of-Hearing People And Welfare)
社團法人中華民國白化症者關懷協會(Taiwan Albino Caring Association)
財團法人靖娟兒童安全文教基金會(Jing Chuan Child Safety Foundation)
社團法人中華民國老人福利推動聯盟(Federation for Welfare of the Elderly)
社團法人中華民國自閉症總會(Autism Society of Taiwan)
社團法人台灣健康人權行動協會(Taiwan Health Right Initiative)
財團法人台灣兒童暨家庭扶助基金會(Taiwan Fund for Children and Families)
社團法人中華民國家庭照顧者關懷總會(Taiwan Association of Family Caregivers)
社團法人台灣多發性硬化症協會(Multiple Sclerosis Association Taiwan)
health supplements中文 在 眼科陳慶隆醫師-視網膜的大小事 Facebook 的最佳貼文
術後可調整度數及散光的人工水晶體 RxSight,正式被美國FDA通過,如果未來能在台灣上市,將是眼科醫師與患者的一大福音!
美國食品藥物管理局(FDA)昨(22)日批准了RxSight的光調節水晶體(light adjustable lens)和光傳遞設備(light delivery device, LDD),這是第一個可以在白內障手術後,對人工水晶體(intraocular lens, IOL)進行小幅度調整的醫療器械系統,幫助患者不戴眼鏡也能擁有良好視力。
白內障通常是由於年紀增長,水晶體變硬或混濁,影響患者視力。也有些是由於外傷性、併發性(如青光眼)、代謝性(如糖尿病)等引起的白內障。
解決療法之一便是進行人工水晶體置換手術,然而許多患者會有些微屈光不正,需要使用眼鏡或隱形眼鏡矯正。
為了替患者解決人工水晶體不當聚焦的問題,RxSight 建構獨特材料IOL,在手術後17至21天,對LDD發出的紫外線進行反應。根據所需調整量,患者在1到2周內接受3或4次光照治療,每次約40-150秒。
白內障手術開始到光療結束,患者必須配戴特殊眼鏡防護紫外線,保護新水晶體免受紫外線照射影響。
FDA批准是基於針對此產品所做的試驗成果,該研究隨機性地在17個研究地點挑選600名患有散光的患者,比較了光調節水晶體與現有的單焦點水晶體。
使用光調節水晶體的患者接受輕度LDD治療,術後6個月的裸眼視力(uncorrected visual acuity, UCVA)達到20/20或更高,是接受單焦點水晶體患者的兩倍。與使用傳統IOL相比,患者平均遠距離裸眼視力在視力表上可多看清楚一行。
75%的患者散光也有所減少,91.8%使用光調節水晶體的患者也達到目標驗光球鏡度數(manifest refraction spherical equivalent)0.5D以內的結果,這與近期LASIK研究中所見屈光準確性相似。
FDA醫療器械暨輻射健康中心(Center for Devices and Radiological Health)眼科和耳鼻喉科部門主任Malvina Eydelman表示,到今天為止,白內障手術常見的屈光不正問題,都還得透過眼鏡矯正。不過這個系統為部分患者提供了一個新的選擇,使醫生在初次手術後,可進行多次,可在辦公室內操作的步驟,對植入的水晶體做些調整,提高不戴眼鏡的視力。
RxSight執行長Eric Weinberg指出,我們很高興全球首個手術後可調式IOL成功到達另一個里程碑,這對期待屈光人工水晶體技術再度突破的患者、外科醫生和驗光師來說,是一個相當令人振奮的機會。我們很感謝所有參與這項工作的人員,包括協助研究的臨床工作人員,以及準備審查監管報告的雙方(RxSight和FDA)工作人員。
感謝 David 提供中文翻譯。
資料來源:
https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm586405.htm
The U.S. Food and Drug Administration today approved the RxSight Inc. Light Adjustable Lens and Light Delivery Device, the first medical device system that can make small adjustments to the artificial lens’ power after cataract surgery so that the patient will have better vision when not using glasses.
Cataracts are a common eye condition where the natural lens becomes clouded, impairing a patient’s vision. Following cataract surgery, during which the natural lens of the eye that has become cloudy is removed and replaced with an artificial lens (intraocular lens, or IOL), many patients have some minor residual refractive error requiring use of glasses or contact lenses. Refractive error, which is caused when the artificial lens does not focus properly, causes blurred vision.
“Until now, refractive errors that are common following cataract surgery could only be corrected with glasses, contact lenses or refractive surgery,” said Malvina Eydelman, M.D., director of the Division of Ophthalmic, and Ear, Nose and Throat at the FDA’s Center for Devices and Radiological Health. “This system provides a new option for certain patients that allows the physician to make small adjustments to the implanted lens during several in-office procedures after the initial surgery to improve visual acuity without glasses.”
The RxSight IOL is made of a unique material that reacts to UV light, which is delivered by the Light Delivery Device, 17-21 days after surgery. Patients receive three or four light treatments over a period of 1-2 weeks, each lasting about 40-150 seconds, depending upon the amount of adjustment needed. The patient must wear special eyeglasses for UV protection from the time of the cataract surgery to the end of the light treatments to protect the new lens from UV light in the environment.
A clinical study of 600 patients was conducted to evaluate the safety and effectiveness of the RxSight Light Adjustable Lens and Light Delivery Device. Six months after the procedure, patients on average saw an improvement of about one additional line down the vision chart, for distance vision without glasses, compared to a conventional IOL. Six months after surgery, 75 percent also had a reduction in astigmatism.
The device is intended for patients who have astigmatism (in the cornea) before surgery and who do not have macular diseases.
The device should not be used in patients taking systemic medication that may increase sensitivity to UV light such as tetracycline, doxycycline, psoralens, amiodarone, phenothiazines, chloroquine, hydrochlorothiazide, hypercin, ketoprofen, piroxicam, lomefloxacin and methoxsalen. Treatment in patients taking such medications may lead to irreversible eye damage. The device is also contraindicated in cases where patients have a history of ocular herpes simplex virus.
The FDA approved the Vision Light Adjustable Lens and the Light Delivery Device to RxSight Inc.
The FDA, an agency within the U.S. Department of Health and Human Services, protects the public health by assuring the safety, effectiveness, security of human and veterinary drugs, vaccines and other biological products for human use, and medical devices. The agency is also responsible for the safety and security of our nation’s food supply, cosmetics, dietary supplements, products that give off electronic radiation, and for regulating tobacco products.
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