【美台醫學研究合作新里程碑】

近年來肺癌及上呼吸道癌症病率不斷上升，為美國和台灣癌症死亡率最高的癌症。2019年美台簽署了肺癌及上呼吸道癌症研究的合作協定，由 #美國國家衛生研究院、#台北榮民總醫院 和 #國立陽明交通大學共同參與此項研究計畫，並在台灣建立了#史蒂芬索拉茲國際研究實驗室。

該合作突顯出東西方肺癌及上呼吸道癌症患者的差異，並加速開發診斷、治療和預防肺癌及上呼吸道惡性腫瘤的新方法。這些惡性腫瘤每年在全世界共造成200萬人死亡。臨床試驗即將在美國國家衛生研究院臨床中心與台北榮民總醫院同時展開。美國國家衛生研究院臨床中心是世界上從事醫學研究最大的專門醫院，台北榮民總醫院也是亞洲最大、最負盛名的醫院之一。

美國在台協會很高興於9月24日在見證了這個位於台北榮民總醫院的國際實驗室正式啟用。這類型的國際科學合作不僅將造福於人類，而且還提供訓練給肺癌及上呼吸道腫瘤醫學和轉化性癌症研究人員。

The number of people diagnosed with thoracic cancer has been increasing in recent years and its mortality rate is the highest in the United States and in Taiwan. In 2019, the United States and Taiwan signed an agreement to collaborate on thoracic cancer research and establish the Stephen J. Solarz International Research Laboratory in Taiwan. This international standard laboratory will conduct research to characterize distinct features that cause thoracic cancers in Asian versus Caucasian patients and accelerate the development of novel methods to diagnose, treat, and prevent thoracic malignancies that collectively account for two million deaths a year worldwide. Clinical trials will begin simultaneously at the U.S. National Institute of Health Clinical Center, the largest hospital in the world dedicated solely to medical research, and Taipei Veterans General Hospital (TVGH), one of the largest and most prestigious hospitals in Asia, in the near future. On Friday, AIT Economic Officer Neevy Laningham participated virtually in a ceremony to launch the Stephen J. Solarz International Research Laboratory, located in TVGH. This U.S.-Taiwan collaboration will not only benefit patients but will also provide training to future researchers in thoracic oncology and translational cancer.

昨天 #百靈果之友 和劉董直播聊天的時候，提到滿多媽媽們會在生產完問醫生「男寶寶的雞雞長度」。當下我們覺得超怪，雞雞是會長大的（應該），人家才剛出生幹嘛那麼關心

結果有聽眾來私訊，原來男寶寶的雞雞長度是有 #醫學標準範圍 耶！如果小雞雞太短，在醫學上叫「micropenis or disorder of sex development」，是需要轉到大醫院給 #小兒內分泌科醫師 檢查的

真的長知識了😂

這是阿培曾經在我巴褲的書裡面寫的，這文章是阿培本身養狗的經驗，對每個養狗的人都有很大的幫助，希望大家有時間可以把它看完，我翻譯成英文讓大家看：
Apei wrote many things into my Baku book. Mainly how to raise dogs, his life experience with dogs and about dog breeds. Its very useful information so please take a look. I translated it into English for everyone to read.

想要養全世界最大的狗，所有的大狗養過一輪，最後情定獒犬。
I wanted to raise all the big dogs available around the world. I wanted to takes turns raising all the big dogs, but I fell for Mastiff.

我從小就有個心願，要養全世界最大的狗。十幾歲開始工作，慢慢把大狗養了一輪：紐波利頓獒犬、大丹、高加索——最後才把重心放在西藏獒犬上。
Ever since when I was very young, I had a dream to raise all the big dogs available throughout the world. I started working at a very young age. Over the years, I had owned a Neapolitan Mastiff, Great Dane, Caucasian Shepherd, and finally now I am totally focused on taking care of my Tibetan Mastiff.

其實每種狗都可愛，只是養著養著，慢慢摸索出自己最喜歡的樣子——
To be honest, no matter what the breed, each dog is cute & lovable in its own way. Having own so many dogs, I slowly figured out what I like the most.

比方紐波利頓，嘴巴皮垂皺加上毛短，吃完東西不馬上擦乾淨，很容易過敏有皮膚病，照養上很費功夫。
Neapolitan Mastiff, for example, has saggy faces and very short hair. If you don’t clean him up after a meal, the dog can very easily have allergic reactions or skin diseases. It’s quite a chore taking care of this breed of dogs.

大丹漂亮修長，但我更喜歡粗勇的體型。
Great Danes are beautiful and usually possesses a lengthy body, but I like ones with a thicker and wider body.

高加索犬算是最貼近我期待的，但是，高加索犬野性比較強，對其他小狗比較不友善。
Caucasian Shepherd is perhaps a breed that is closest to my ideal type. However, shepherds are more primitive, they are not that friendly to small dogs.

至於西藏獒犬，牠忠實、對小孩、女人和小型動物又溫和——尤其是冬天，西藏獒犬換上一身長披毛，站出來威風凜凜、霸氣十足。
As far as Tibetan Mastiff goes, they are loyal, and gentle around kids, women, and other small animals. Especially during winter, a Tibetan Mastiff would change into a long fur coat, appearing so confident and proud, as if everything else is beneath them.
養到西藏獒犬，我心中就有「中」的感覺——所以一路養到現在。
When I got to owning a Tibetan Mastiff, that’s when my heart and mind went: “This is the one!” And so… I have been raising one ever since.

之前養的每隻狗，我都是養到牠們老死——大型狗的平均壽命比中小型犬還要短的許多，大概10年到15年。
All the dogs I had previously, I have always had them until they passed away peacefully in my arms due to old age. The average lifespan of large-sized dogs are usually a lot shorter than small-sized dogs. 10 -15 years, I would say, is probably the max.

要駕馭大型狗，教法是重點。我常跟人說，「狗的主人要有霸氣，要比狗兇」。從小規矩就要訂下——如果主人希望能帶大狗去散步，一定要從小帶牠出門，讓牠習慣走在你腿旁邊，讓牠早早社會化。
To manage a large-sized dog, the key is on teaching. I often tell my friends: “As a dog owner you have to be dominant, you have to be more dominant than your dog.” Show ‘em who’s the boss in the house, so to speak lol. As a dog owner if you wish to take your large dog out for a walk, you have to start taking them for a walk when they are still very small, let them get used to walking alongside you, this is basically to socialize them.

你帶領狗去散步，不是牠帶你去散步——讓牠們見多視廣，狗就不會有初見陌生事物激動暴衝的時候。
Remember tho, you are taking them for a walk, not the other way around. You have to let them see more, let them become familiarize with what’s happening on the outside. This way, it will lessen the occurrence of your dog having violent reactions to unfamiliar or unknown objects.

基本上，除非是生病，要不然狗咬人，都是基於「恐懼」。牠怕主人被攻擊，所以擺出戰鬥姿態——當然，社會化不足或主人威嚴感比較差的狗，就比較容易出在驚慌狀態下而暴衝咬人。
Basically, unless your dog is sick, a dog only starts biting people out of “fear.” They fear that his owner will be attacked, that’s why he goes into “combat mode.” Of course, a dog that is less socialized or a dog with a less dominant owner will more likely become violent (including biting) when they feel threatened or panicking.

這部分是主人的問題，比較不是狗狗本身的問題。改善了狗主人的牽法與教育狗的方式，狗的暴衝、易怒問題就可以得到改善。
This is the owner’s fault, and not on the dog. Once you improve upon the way you walk the dog and educate the dog the right away, the dog’s violent behavior and violent tendencies will show an improvement.

獒犬還有一個別稱，「栓犬」。讓獒犬待在同個地方大概30分鐘，牠就會覺得那是牠地盤，開始會對經過的路人兇，這點要特別注意。
Mastiff also goes by another name, “guardian dogs.” If you let a Mastiff stay in one place for over 30 minutes, he’ll think that this place is his place, his territory, and will starting defending it by being aggressive to passerby, this is something to be aware of.

我最常被問到的，獒犬吃很多三餐費用很高吧？
The question that I was asked the most is… “Mastiffs eat a lot, don’t they? So you must’ve spend a lot of dog food, right?”

我自己對狗比較捨得，讓牠吃好——牛肉全雞羊肉，但是也不一定要跟我一樣餵法。讓牠們吃飽，有時間去跑跑步，偶爾洗一下澡，牠們就很開心了。
I am more catering to my dog, that’s for sure. I’ll let him eat the good stuff --- beef, full chicken, lamb… But you don’t have to do it like me, tho, just feed him regularly so your dog is not hungry. If you have the time, take him for a walk or a jog, or bathe him, he is going to be really really happy if you do so.

最後要提醒的是，大型犬因為身體重腳的負擔大，狗主人最好是把牠們養在不滑的地板上，跟，6個月以前的小狗，髖關節還沒發育完全，不要讓牠們大量跑跳。這兩點注意一下，加上每天帶花時間帶牠們去散步運動，這樣就能保持牠們四隻腳的健康，減少很多腿部問題。
Lastly, I want remind everyone, as far as large dogs go, because of their huge physique they have tons of pressure on their feet, so it’s best for a dog owner to raise a large-sized dog on a non-slippery floor. Also, for a dog that is not yet 6 months old, don’t let the dog do too much jumping and running because his hip joint isn’t fully developed yet. That’s two things you should keep in mind. So as long as you take the time to walk your dog and do a bit of exercise, you’ll be able to keep their legs healthy, which will reduce a lot of the dog’s leg problems.

不管大狗小狗，牠們都是我們的家人，養了，就好好照顧牠一輩子。最後還是那句話.如何對待如何回報.
No matter big or small, a dog is family. If you got one, please take care of him/her for the rest of its life. Lastly, just want to say, You reap what you sow.

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