走讀地質窺看地球 大地溝博物館

大地溝博物館（Fossa magna）位於系魚川市的美山公園內，展示「糸魚川—靜岡構造線」大斷層上獨特的地質、地形，不僅可觀察到地質、礦物、學習到地球、大地是如何形成的之外，還展示有極其罕見的古生代地質、礦石、化石和隕石，是長知識的好地方。
https://kywu.pixnet.net/blog/post/35702629

【拒絕顯老】頸紋是曝露真實年齡的破綻

⭐不想靠樽領衫遮頸紋
⭐趁年輕時勤力保養
#星期一踢走BlueMonday

預防顯老頸紋
頸部皮膚薄，皮脂腺相對少所以保水力較弱，加上終日低頭看電話，缺乏保養下頸紋就出現了！頸紋分橫紋和直紋，橫紋被稱為「年輪」，看樹的年輪可以看出樹齡，而頸的「年輪」就因為老化、肥胖、常低頭、坐姿差等原因而造成；直紋被稱為「火雞紋」，因為皮膚衰老鬆弛而造成。頸紋一旦形成就很難完全消除，所以預防勝於治療，以下給你一些頸部保養小貼士。

1. 防曬
別小看無處不在的紫外線，它會令皮膚提早老化，下次用防曬霜時勿忘塗抹頸部。

2. 護膚
皮膚一旦缺水就容易老化，平日護理臉部時就把護膚品順手抹一抹頸部吧！

3. 穴位按摩
塗抹護膚品時順道給頸部來個按摩，從天突穴（胸骨上窩中央）開始往上推至廉泉穴（頸前正中線喉結正上方），由下向上輕推，旁邊由鎖骨向上推至耳背， 促進 氣血運行有助預防皺紋出現。

4. 換姿勢
如果固定一個姿勢太久便容易產生皺紋，例如低頭玩電話、習慣 傾向一側睡 ，最好不時轉換姿勢。

5. 臟腑調理
中醫理論認為臟腑功能失調就容易令皮膚乾燥，皺紋提早出現，所以要注意臟腑健康，可從每日一杯米水開始健脾養胃。

✔️CheckCheckCin 米水推介：朝米水
材料：紅米、薏米、白米
功效：去水腫、消胃脹、改善面黃
備註：懷孕期間不宜飲用。

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Prevent neck wrinkles
The skin on our neck is quite thin, and it has fewer skin appendages like sebaceous glands. Hence, it could not effectively retain moisture in the neck region. Besides, the habit of tilting down our heads to look at our phones could also lead to neck wrinkles if we do not take care of it!

There are horizontal and vertical neck creases. Horizontal neck creases are also known as the ‘growth ring’, which is a reference to the scientific method of dating tree rings to the exact year they are formed. The causes are mainly aging, obesity, tilting the head downwards, and bad sitting posture.

Vertical creases are also referred to the ‘turkey neck’, which is caused by sagging skin. It is very difficult to get rid of these wrinkles once they are formed, hence, it is better to prevent it in advance. Here are some tips for you to take care of your neck.

1. Apply sunscreen
Do not underestimate the power of UV ray as it can cause the skin to age faster. Do not forget to apply sunscreen on your neck.

2. Take care of the skin
The skin will age fast if it lacks moisture, so apply some facial cream on your neck too!

3. Massage the acupoints
After applying skincare products on your neck, give it a massage. Start by massaging the ‘Tian Tu’ acupoint (the middle of the suprasternal fossa) and move up to ‘Lian Quan’ acupoint (the centre of the neck and above the Adam’s apple). Gently massage upwards. Then, massage from the collarbone all the way up to the back of the ears as this can improve the circulation of the qi and the blood to prevent wrinkles from forming.

4. Adjust posture regularly
It is easy for wrinkles to develop if we remain in the same posture for a long period, for instance, tilting our heads downwards when playing with our phones and sleeping on one side. It is best for us to adjust our posture regularly.

5. Take care of the internal organs
Chinese Medicine believes that our skin would dehydrate if the internal organs failed to perform optimally, hence contributing to the formation of wrinkles. We need to take care of the health of our internal organs, and drink a cup of rice water a day to strengthen the spleen and nourish the stomach.

✔ Recommendation: Dawn Rice Water
Ingredients: Red Rice, Coix Seed, White Rice
Effects: Reduce water retention, relieve abdominal bloating, improve yellowish complexion
Note: Not suitable for pregnant women.

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#男 #女

🧠早期腦部結構異常 - 第一孕期🧠

太久沒有學術文章，過年前碰到傷心的案例，藉此整理一下早期超音波。

—-

胎兒的中樞神經異常發生率約1%。

第二孕期(20-24週)的異常篩檢很重要，不過近期開始流行把異常篩檢時程往前，也就是越來越強調第一孕期超音波的重要性。

以往的第一孕期超音波，大致上就看寶寶頭臀徑(看寶寶大小是否符合生長)，是否有明顯頸部透明帶過厚，確定心跳ok，行有餘力還會看看四肢是否有發育，還有沒有明顯腹部或腦部異常。

第一孕期會最仔細看超音波的時候就是在做 #第一孕期唐氏症篩檢(頸部透明帶)時。此時應該要能看得到的結構，包含 #顱骨、 #大腦中線 還有 #脈絡叢及側腦室(此時的側腦室應該要被脈絡叢填滿)。

—-

如果依據這樣的超音波掃描下來，可以檢驗出大部分嚴重腦部異常：

✔️無腦/顱畸形(acrania)
✔️前腦無裂畸形(holoprosencephaly)
✔️嚴重神經管缺損(neural tube defect)

🔎當然腦膨出(encephalocele)或後顱窩畸形(posterior fossa malformation)有時並不是那麼容易判斷，甚至需要幾次超音波的追蹤。

✏️在掃瞄NT的切面，自從大師Rabih Chaoui在2009年提出intracranial translucency ( #IT，也就是第四腦室)的觀念，之後也有文獻提出量測腦幹厚度(#BS)及腦幹到枕骨的距離(#BSOB)比例，對於判斷神經管缺損及後顱窩畸形(嚴重如Dandy-Walker)有所幫助，比例通常是1:1。

📖文獻可參考：
Assessment of intracranial translucency (IT) in the detection of spina bifida at the 11-13-week scan
First‐trimester fetal neurosonography: technique and diagnostic potential

—-

🔎另外看到一個表格整理得還不錯跟大家分享一下（照片的第二張，有各種腦部異常的超音波直接和間接徵象可供參考）

1️⃣Open spina bifida

🔎直接徵象: 脊椎側彎或型態異常、背部出現凸出(Myelomeningocele)
🔎間接徵象: BS/BSOB比例、腦幹過寬、腦室大池消失、小頭症、IT消失

2️⃣Dandy-Walker malformation
🔎直接徵象: 後顱窩擴大
🔎間接徵象: IT消失、BSOB變寬

3️⃣Agenesis of corpus callosum
🔎間接徵象: Pericallosal artery消失

4️⃣Holoprosencephaly
🔎間接徵象: 脈絡叢囊腫異常(butterfly sign消失)

—-

早期的超音波也可以看很多喔！

雖然很多結構異常還是需要等到後期大一點再追蹤，才能判斷較準確的預後與諮詢；不過如果可以在早期就先偵測到這些非常嚴重甚至致死的異常，早點接受終止妊娠，或許可以降低對於心理和身體上的傷害。

#早期超音波
#第一孕期篩檢
#nuchaltranslucency
#intracranialtranslucency
#早期腦部異常篩檢

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วันพีช - 16หัวหน้าหน่วยแห่งกลุ่มจักรพรรดิหนวดขาว [KOMNA CHANNEL]

หน่วยที่ 1 มัลโก้
หน่วยที่ 2 เอส
หน่วยที่ 3 โจส
หน่วยที่ 4 ซัจ
หน่วยที่ 5 วิสต้า
หน่วยที่ 6 บลาเมนโก้
หน่วยที่ 7 ราคุโย
หน่วยที่ 8 นามู
หน่วยที่ 9 เบลนไฮม์
หน่วยที่ 10 ครูเอล
หน่วยที่ 11 คิงดิว
หน่วยที่ 12 ฮารูตะ
หน่วยที่ 13 แอทมอส
หน่วยที่ 14 สปีดจิรุ
หน่วยที่ 15 ฟอสซ่า
หน่วยที่ 16 อิโซ