COVID-19 的兒科急診日記

面對Delta變種病毒，你我心裡都在糾結！

說真的，Delta變種病毒每天都在表現出：它比我們更聰明 !

先看美國；

根據美國CDC在《死亡率和發病率週報》上發表的一項研究，在 7月4日國慶慶祝活動之後，麻州城鎮發生的 COVID-19 感染病例中，有近四分之三是完全接種疫苗的人。

7月3日至17日，在麻州巴恩斯特布爾縣發現的 469 例病例中，發現 74% 的病例發生在完全接種疫苗的人群中。而美國CDC 對取自 133 名患者的樣本進行了基因定序，發現90%是由 delta 變種病毒引起的。

”這個發現，令人美國擔憂，這也是導致美國CDC 修正戴口罩策略的關鍵之一。”

再看中國；

由Delta變種病毒引發的中國江蘇南京祿口機場的疫情，由於Delta變種病毒竄入社區感染，一個禮拜，包括江蘇，遼寧，安徽，廣東，四川等地至少10個市都有疫情，病例迅速破百並持續增加中，此波疫情延燒，將造成新一波中國全國性疫情。

「其中有一對母女在南京祿口機場，轉機停留兩個小時就被感染。」

中國流行病學專家陸靖的團隊在7月12日發布的一篇預印本論文中提到，Delta變種病毒株感染者的病毒載量也比原始毒株感染者最多高了1260倍。

「1260倍」！

正港的大魔王！

研究顯示COVID-19疫苗有望針對有症狀的COVID-19、嚴重甚至死亡的COVID-19可以提供保護。

因此與未接種疫苗的人相比，接種疫苗的人感染 COVID-19 的可能性要低三倍，死於 COVID-19 的可能性要低 10 倍。

在這種情況下，科學家的研究期望是: COVID-19疫苗介導的病毒載量減少被認為在「降低疾病嚴重程度」和「控制人與人之間的病毒傳播方面」能發揮著重要作用。

但是事實上呢?

第一點有達到了！

但是根據 Ct 值，在完全接種疫苗和未接種疫苗的個體之間沒有觀察到Delta病毒載量的顯著差異。

研究結果表明，在完全接種疫苗的人，隨後被 Delta 變種病毒感染，他們也是可以傳播病毒。

原因是?

在「完全接種疫苗」的個體被delta 變種病毒感染後，其病毒載量與「未接種疫苗」的感染個體的病毒載量相似。（圖）

這代表什麼意思?

病毒載量的相似，這對人與人之間的傳播就相當重要‼️

面對Delta變種病毒，你我心裡都在糾結。

圖片來源：
Virological and serological kinetics of SARS-CoV-2 Delta variant vaccine2 breakthrough infections: a multi-center cohort study.

Vaccinated and unvaccinated individuals have similar viral loads in communities with a high prevalence of the SARS-CoV-2 delta variant.

【過敏人生】皮膚痕發作必有原因

⭐每人對發物反應不同
⭐宜做個人飲食記錄
#星期四食材

慎防蔬菜類發物
但凡患有濕疹、瘡、疥、癬等皮膚病，長輩們都會苦口婆心叮囑不要吃牛、鵝、鴨、蝦、蟹、無鱗魚等食物，以免加重病情，這些食物中醫稱之為「發物」，發物有助邪的意思，是指能引起舊患復發、將新病加重的食物，患有暗瘡、濕疹、風疹、皮膚病或容易過敏人士要避免食用。以為多吃蔬菜就萬無一失？！其實蔬菜類亦有不少動風、助火及生痰滯氣發物，容易誘發皮膚瘡瘍腫毒，要小心留意，避免皮膚病發作。

常見蔬菜類發物：
茄子 — 為動風發物，性涼，有清熱活血，寬腸通便的功效，適合三高及有痔瘡人士食用。正因其性涼，脾胃虛寒易腹瀉，有皮膚病如濕疹或皮膚過敏、哮喘、癌症、紅斑狼瘡症患者不宜。

竹筍 — 為動風發物，性涼，具清熱化痰、利二便功效，由於筍含豐富纖維，所以具通便效果。惟注意竹筍容易透發或加重皮膚瘡瘍腫毒症狀，皮膚敏感、濕疹患者或容易出風癩者不宜吃。

菇菌 — 為動風食品，一般性平或偏涼，生長在潮濕陰暗處，屬於濕氣重的食物。

南瓜 — 為生痰滯氣發物，性溫，有補中益氣、解毒消腫、潤肺益氣、平喘化痰的功效，對久病後氣虛、乏力、便溏及脾胃虛弱尤其適合。由於屬性溫熱，本身有胃熱、濕熱、氣滯，及易有胃脹的人就要少吃。

芋頭 — 為生痰滯氣發物，性平，能健脾胃及化痰散結，適合淋巴腫大、婦女乳腺增生者服用。脾胃氣虛及有習慣性便秘等人士都適合。

洋蔥 — 為助火發物，性溫，具祛風發汗、行氣化痰、降血壓、降血脂功效，特別適合風寒感冒患者食用。便秘、發熱口渴、皮膚瘡癢、濕疹患者等不宜進食。

韭菜 — 為助火發物，性熱，具健胃暖中、溫腎助陽、散瘀活血功效，適合偏寒體質、陽虛怕冷、腰膝酸軟、男士陽事衰弱、尿頻人士；女士陽氣不足以致行經小腹冷痛食用。由於性熱，陰虛火旺者不宜食用。

薑 — 為助火發物，薑性溫，有發汗散寒、溫中止嘔的功效，對於虛寒體質如陽虛的人士尤其適合，可紓緩因風寒感冒而引起的怕冷頭痛、胃寒引起的胃痛，以及虛寒型經痛等症狀。

蔥 — 為助火發物，性溫，有發汗解表、健胃殺菌、通陽氣散陰寒的作用，能紓緩初起的風寒感冒、鼻敏感、頭痛、胃寒等症狀。體質偏熱、陰虛火旺人士不宜多吃。

蒜 — 為助火發物，性溫，具暖脾胃、行滯氣、降血脂、殺菌功效，適合感冒病人食用，能舒緩初起的風寒感冒、食滯等症狀。由於屬性溫熱，陰虛火旺、身體有偏熱症狀如口瘡、暗瘡、喉嚨痛者不宜食用。

留言或按讚👍🏻支持一下我們吧！❤️ 歡迎 Follow 我們獲得更多養生資訊。

Beware of vegetables that are stimulating
The elders will often advise young people not to eat beef, goose, duck, prawn, crab, and fish without scales if they suffer from skin diseases like eczema, scab, scabies, and ringworm. Eating these foods, they believe, can exacerbate the problems.

According to Chinese physicians, these foods can trigger pathogenic factors to react, causing a relapse of a pre-existing condition and, to a certain extent, might worsen the problem. Individuals with acne, eczema, rubella, and sensitive skin or any skin diseases should avoid eating them.

How about vegetables? In fact, there are certain vegetables that can also induce phlegm, stagnate the qi, and lead to heat accumulation in the body, triggering old wounds to relapse. To prevent skin diseases from occurring, we have to be extra mindful.

Common stimulating vegetables:
Eggplant – wind activated stimulant. Cool in nature, can clear heat and promote blood circulation, loosen the bowels to relieve constipation. Suitable for those with hyperglycemia, hyperlipidemia, hypertension, haemorrhoids. Because of its cold nature, those with asthenic and cold spleen and stomach, those prone to diarrhea, skin diseases such as eczema or skin allergies, and those with asthma, cancer, and lupus should not eat.

Bamboo shoots - wind activated stimulant. Cool in nature, can clear heat and relieve phlegm and is healthy for urine and bowel movement. The high fibre content can relieve constipation. Please note bamboo shoot is a wind activated stimulant and can trigger skin sores issues so those skin allergy, eczema, and those prone to hives should avoid.

Mushroom - wind activated stimulant. Generally mild or cool in nature. It grows in a humid and dark place, and it has heavy dampness.

Pumpkin - food that induces phlegm and qi stagnation. Warm in nature, can replenish vital energy and strengthen qi, detoxify and relieve swelling, and moisten the lungs. It has healing effects to relieve asthma and decrease phlegm. It is especially suitable for those recovering from chronic illness with qi deficiency, those with loose stool and asthenic spleen and stomach. Although it is full of benefits and nutrients, pumpkins are warm in nature, so those with heat in stomach, damp heat, qi stagnation, or prone to abdominal bloating should avoid pumpkins.

Taro - food that induces phlegm and qi stagnation. Mild in nature, can strengthen the spleen and stomach and reduce phlegm. It is suitable for those with lymphatic swelling and eccyclomastoma. Those with asthenic spleen and stomach or chronic constipation can also have taro.

Onion - fire activated stimulant. Warm in nature, can dispel wind and promote perspiration, promote qi circulation and relieve phlegm, lower blood pressure and blood Iipids. It is especially suitable for those with cold-wind flu. Those with constipation, heat and thirst, itchy skin, sores on skin and eczema should avoid.

Chives - fire activated stimulant. Hot in nature, can warm the stomach, warm the kidneys and nourish yang, relieve bruising and promote blood circulation. Suitable for those with cold body types, yang deficiency, aversion to cold, weak and sore lower back and knees, men with frequent urination, insufficient yang qi that leads to abdominal pain. Due to its hot nature, those with asthenic yin should avoid.

Ginger - fire activated stimulant. Warm in nature, has the effects to promote perspiration and dispel cold, warm the body and relieve vomiting. It is especially suitable for those with asthenic cold body types such as yang deficiency, as it can relieve aversion to cold and headache caused by cold wind flu, stomach pain caused by cold stomach, and asthenic cold type menstrual pain.

Spring onion - fire activated stimulant. Warm in nature. Induces sweating, activates yang qi to dispel yin chill. Relieves early symptoms of wind-chill flu, nasal allergies, headaches, and cold stomach. Not suitable for those with heat-related symptoms, with yin deficiency and excessive internal heat.

Garlic - fire activated stimulant. Warm in nature, can warm both the spleen and the stomach, improve qi stagnation, and help relieve cold and flu at the initial stage. Nevertheless, individuals with heat related symptoms should not consume garlic, such as canker sores, acne and sore throat.

Comment below or like 👍🏻 this post to support us. ❤️ Follow us for more healthy living tips.

#男 #女 #濕疹 #暗瘡

更新，後來我去找了訪問的原文，我覺得這邊其實是有爭議的。請大家閱讀測驗一下。
　
我看過之後認為，佛奇實際的意思，是說，你們這些參議員說得太扯了，美國沒有參與中國研發病毒。而他支持更多的調查。
　
但因為記者剛剛問他，你覺得病毒是自然產生的嗎？而他第一句就回：不，這就是我說過的重點。出現的時機很不好。
　
就字面上，跟就前後文意，的確有兩種解讀方式。
　
PolitiFact: That has been the subject of a lot of our fact checking on the coronavirus for the past year. And like you said, there's a lot of cloudiness around the origins of COVID-19 still. So I wanted to ask, are you still confident that it developed naturally?
　
Fauci: No, actually, that's the point that I said. And I think the real unfortunate aspect of what Sen. Paul did is he was conflating research in a collaborative way with Chinese scientists, which was, you know, you'd almost have to say, if we did not do that we would almost be irresponsible because SARS-CoV-1 clearly originated in China, and we were fortunate to escape a major pandemic. So we really had to learn a lot more about the viruses that were there, about whether or not people were getting infected with bad viruses. So in a very minor collaboration as part of a subcontract of a grant, we had a collaboration with some Chinese scientists. And what he conflated is that therefore we were involved in creating the virus which is the most ridiculous majestic leap I've ever heard of. But no, I'm not convinced about that. I think that we should continue to investigate what went on in China until we find out to the best of our ability exactly what happened. Certainly the people who've investigated say it likely was the emergence from an animal reservoir that then infected individuals, but it could have been something else. And we need to find that out. So, you know, that's the reason why I said I'm perfectly in favor of any investigation that looks into the origin of the virus.
　
https://www.politifact.com/article/2021/may/14/transcript-what-dr-fauci-told-politifact/
　
--
　
反川陣營，把川普換掉後，漸漸地也走上了川普本來走的道路。
　
「曾再三堅決反對川普政府關於中國病毒實驗室起源論的美國國家過敏與傳染病研究院（NIAID）院長佛奇（Anthony Fauci），如今改口稱，他「不相信」病毒起源於自然。」
　
「佛奇曾經在《國家地理》雜誌2020年5月的一篇文章中聲稱，所有的證據都「強烈表明」病毒來自於自然，同時他「基於科學證據」，不接受病毒的實驗室逃逸論。
　
他的這一番講話，被當時的主流媒體解讀為對川普政府認為武漢病毒研究所與病毒來源有關的斥責。」

第一個單字是 joint、j-o-i-n-t、joint 共同的，例句是：
The US, Japan, Canada, the UK, France, Germany, Australia, and New Zealand have written a joint letter to the WHO.

友邦寫聯合信，支持台灣加入世界衛生大會～昨晚，你有看世衛直播嗎？看到習大大在台上攻白賊，實在是讓人整腹肚火！台灣今年還是無法參加大會，有點哀傷。不過，有好多國家支持台灣加入喔！他們還共同寫了聯合信給世界衛生組織，說台灣應該要參加大會～感謝他們 ❤️ 這個共同的信，就是 joint letter。
https://focustaiwan.tw/politics/202005180007

第二個單字是 tariff、t-a-r-i-f-f、tariff，關稅，例句是：Australia is disappointed by China’s high barley tariffs.

中國用大麥關稅，叫澳洲閉嘴？武漢肺炎害得全球超級慘，很多國家希望成立獨立調查小組，到中國查查，這病毒到底哪裡來的，而「澳洲」也支持調查。然後，中國就在這個節骨眼，提高大麥關稅，拉到超級高，嗯 ... 這有可能是在報復澳洲喔！

什麼意思呢？因為澳洲生產大麥，主要就是賣給中國啦！那中國現在的態度就是，來來來，澳洲你想來賣大麥是不是，先繳超～大把銀子再說，我看你聽不聽話！中國大大提高關稅，這個關稅就是 tariff 。

https://www.abc.net.au/news/2020-05-19/china-barley-tariff-australia-reacts-trade/12261928

第三個單字是 team up with、t-e-a-m 空格 u-p 空格 w-i-t-h、team up with，跟某人或組織合作，例句是：He has teamed up with the Muslim Community Center (MCC) in Brooklyn to provide food to homeless individuals.

回教徒幫助街友，療癒自己～今年的齋戒月碰上武漢肺炎封城，回教徒不能一起聚餐禱告了，很孤單。不過呢，一位紐約的回教徒想到好方法！他與紐約的伊斯蘭社區中心合作，煮飯給街友吃，幫助別人、也療癒自己孤單的心。是不是很溫暖又勵志！跟社區中心「合作」，就是 team up with。

小補充：你聽過回教的「齋戒月」嗎？你可以先想像成回教徒的農曆新年啦，大家會歡聚在一起、聯絡感情。

https://www.aljazeera.com/indepth/features/mosques-closed-nyc-muslims-find-ways-observe-ramadan-200518171405932.html

第四個單字是 in a bid to、i-n 空格 a 空格 b-i-d 空格 t-o、in a bid to，為了，例句是：
The Philippines' largest television network is heading to the Supreme Court in a bid to fight off a shutdown order.

菲律賓新聞台被關掉，這國家機器轉得可厲害啊菲律賓有個超大新聞台，一直批評菲律賓總統，總統看新聞台不順眼，就要他們關門，不准營業。這個超大新聞台當然就很不爽啊，大喊「妨礙新聞自由」！為了撤掉總統的命令，新聞臺要告上最高法院去。這個「為了」撤掉命令，就是 in a bid to。

https://www.aljazeera.com/news/2020/05/forced-air-philippines-duterte-abs-cbn-turns-court-200518070447372.html

最後一個單字是 helm、h-e-l-m、helm，領導地位：A record high number of female CEOs are at the helm of companies on this year's Fortune 500 list.

越來越多女性 CEO 了！你聽過「財富雜誌美國前 500 大企業」嗎？今年的女性 CEO 數量破紀錄，來到新高 🎉 一方面很高興，另一方面有點失望。為什麼呢？這個新高，竟然才 37。500 家企業裡，只有 37 家是女性當家！哎呦希望比例可以更高一點～～～ helm 是「船舵」的意思，當你站在「掌舵位置」，就是站在領導地位囉。

https://abcnews.go.com/Business/record-number-women-ceos-years-fortune-500-list/story?id=70741589

恭喜你！今天學了 5 個新單字，還聽了 5 則國際大事！喜歡我們的 podcast 的話，記得訂閱，然後為我們留 5 顆星的評價。如果有什麼意見，歡迎留言，也可以到 IG 搜尋賓狗單字，私訊我聊聊喔～今天的節目就到這邊，謝謝收聽，下次通勤見 ❤️

#紀錄籃球生活
#永不放棄的籃球精神
#呼吸不止籃球不停

1. I’ll do whatever it takes to win games, whether it’s sitting on a bench waving a towel, handing a cup of water to a teammate, or hitting the game-winning shot.
我願意做任何能夠贏得比賽的事，即使只是坐在板凳上擰毛巾、遞茶水給隊員，或投出致勝一球。
_
2. Everything negative — pressure, challenges — is all an opportunity for me to rise.
每件負面的事 – 壓力、挑戰 – 都是一個讓我提升的機會。
_
3.There’s a choice that we have to make as people, as individuals. If you want to be great at something, there’s a choice you have to make. We all can be masters at our craft, but you have to make a choice. What I mean by that is, there are inherent sacrifices that come along with that. Family time, hanging out with friends, being a great friend, being a great son, nephew, whatever the case may be. There are sacrifices that come along with making that decision.
人生中有很多我們要選擇的事。如果你想精通某件事情，你必須做出一個選擇。我們都可以在我們的領域成為大師，但你必須做出選擇。我的意思是每一個我們的決定都會伴隨著犧牲。和家人相處、和朋友出去玩，身為一個好朋友，一個好兒子、侄子，依據情況而定。這些決定都會伴隨著其他事情的犧牲。
文章引用：https://www.cool-style.com.tw/wd2/archives/488859
_
【2019聖誕節特別企劃 】偷偷摸摸喬裝打球 到陌生人的球場 打到褲子都破了#14
➡️https://www.youtube.com/watch?v=h1HLP...
【2019得恩街頭素人組合單元第二彈 】人稱小飛人 跳豆 『 只有打球 我才能快樂 』#13
➡️https://www.youtube.com/watch?v=4y-Zn...
【2019 第十二部 當然要獻給我們偶像 】沒看過他 別說你打過台灣街頭 野獸12號 林志傑#12
➡️https://www.youtube.com/watch?v=RoaiI...

喜歡我們的影片的話 ，記得幫我們『 按讚 』『 分享 』及『 追蹤 』呦。
感謝各位觀看 MR.JD Channel ～
我們是熱愛籃球的Youtuber～
喜歡打球的你們以及有很多話想分享的
誠徵邀請你們一起與我們互動打球紀錄～

ANDY臉書‣https://reurl.cc/e5xXMR
ANDY Instagram‣https://reurl.cc/gv7ZRp
EASON Instagram‣https://reurl.cc/Yl18Y4
Music from : Hall of Fame by: The Script
剪輯片段引用：https://reurl.cc/A15O4e 『 BI52 Youtuber 』。

Beautiful Brunei

Thanks to sizeable deposits of oil and gas, the tiny tropical sultanate of Brunei Darussalam has one of the highest standards of living in the world. Its two non-contiguous territories, situated on the northern coast of Borneo in South-East Asia, are home to some of the region's most pristine rain forest habitats.
The country only gained independence in 1984, but has the world's oldest reigning monarchy and centuries of royal heritage. At the helm of the only remaining Malay Islamic monarchy in the world, the Sultan of Brunei comes from a family line that dates back over 600 years. The current sultan, His Majesty Sultan Haji Hassanal Bolkiah, has been on the throne for 43 years and is one of the world's richest individuals.
Visitors to the "Abode of Peace" (the literal translation of darussalam) will find the country surprisingly laid-back and relaxing. In addition to admiring the gilded domes, towering minarets and extraordinary ornamentation of two landmark mosques in the capital, Bandar Seri Begawan, tourists can explore water villages by boat and on foot, learn about local culture in several interesting museums, sample delicious Malay cuising (some of the best can be found at open-air markets), and experience the incredibly biodiversity of the Bornean rain forest in Ulu Temburong National Park.

得益於大量的石油和天然氣，汶萊達魯薩蘭國的熱帶小蘇丹國成為世界上生活水平最高的國家之一。它的兩個非毗連領土位於東南亞婆羅洲北部海岸，是該地區一些最原始的雨林棲息地的所在地
汶萊直到1984年才獲得獨立，但擁有世界上最古老的君主立憲制和幾個世紀的皇家遺產。 汶萊蘇丹是世界上僅存的馬來伊斯蘭君主制的掌舵者，其家族血統可追溯到600年前。現任蘇丹國王已登基43年，是世界上最富有的人之一。
參觀“和平之地”(達魯薩蘭國的字面意思)的遊客會發現該國出乎意料地悠閒自在。除了欣賞首都的鍍金圓頂聳立的宣禮塔和兩個地標清真寺的非凡裝飾之外，遊客還可以乘船和步行探索水上村莊，在幾個有趣的博物館中了解當地文化，品嚐美味的馬來人美食，一些最好的產品可以在露天市場找到，並在烏魯天布瑯國家公園體驗婆羅洲雨林的生物多樣性。