2009年10月30日 星期五

Taiwan NTU EMBA獲世界排名40名佳績

英國金融時報(Financial Times)公布2009年全球EMBA排名調查結果:
本校EMBA獲世界排名40名佳績

英國金融時報(Financial Times)最新公布的2009年全球EMBA (EXECUTIVE MASTER OF BUSINESS ADMINISTRATION)排名調查結果,全台有兩所學校進入排名,本校管理學院比去年更進一步,榮獲世界排名第40名的佳績,居全台之冠。

臺大EMBA自2007年接受英國金融時報全球EMBA評比以來,年年都獲得進步的肯定,顯見本校管理學院在國際管理教育發展上的努力,不論在國際化、學術研究成果或是最讓人關心的學生薪資評比都有明顯的進步,因此才能在今年獲得第40名的佳績。

在國際化方面,本校EMBA自2005年起,每年選派專任教師前往哈佛商學院(HBS)研習,導入國際知名商學院個案教學模式,同時邀請國際知名(MIT、美國達頓商學院等)教授定期來台授課,並與境外夥伴學校交流合班上課。在學術研究成果上,該調查資料顯示管院整體老師的研究成果在商學頂尖40個期刊的發表數量有很好的成績,與近期泰晤士報公布臺大排名第95名,擠進世界百大行列的結果一致。薪資評比部分,校友畢業三年後的平均薪資表現優異,在近百所大學中排名第15名,除此之外,臺大EMBA學生在完成學業後,薪資平均提升58%。

過去十三年來,臺大EMBA為社會培育近1800位的社會菁英,構成高價值的資源網絡,連續兩年,本校管理學院獲得天下『Cheers』雜誌EMBA調查知名度與滿意度全國第一名的殊榮,繼而榮獲《金融時報》的肯定,讓管理學院對於未來深耕高階管理終身教育更具信心,在臺大獲得百大榮譽的同時,相信也值得更多高階經理人作為終身教育的投資首選。

本校在2009年英國金融時報EMBA全球排名之重要指標排名資料
Index 2009年 2008年
Salary today (US$) $202,504 $193,732
Salary increase (%) 58% 65%
Work experience rank 21 11
International board (%) 33% 33%
FT doctoral rank 5 20
FT research rank 66 69
Rank 2009 40 43

2009年10月20日 星期二

Dr. Raymond D. Adams, 97

Dr. Raymond D. Adams, 97; Mass. General neurology chief coauthored textbook
By Bryan Marquard, Globe Staff | October 26, 2008
Nearing the end of his long tenure as chief of neurology at Massachusetts General Hospital, Dr. Raymond D. Adams took time off and traveled to Switzerland. There, in a lakeside villa, he picked up a yellow writing pad and his fountain pen and wrote the first page of what would become his legendary textbook, "Adams and Victor's Principles of Neurology."

And then he wrote another page and another until he had a mountainous draft to give to his colleague and coauthor, Dr. Maurice Victor, who added his own insights.

"He wrote the entire book in longhand, one version that was 1,600 printed pages, and it all came from his personal experience," Dr. Allan Ropper, coauthor of recent editions of the book, said of Dr. Adams.

Chief of neurology at Mass. General for 26 years, Dr. Adams was still offering advice and editorial comments for the ninth edition of his widely-used book when he was in his mid-90s. He died Oct. 18 in Brigham and Women's Hospital of complications from congestive heart failure. Dr. Adams was 97 and had lived in the Chestnut Hill section of Brookline after many years in Milton.

"In American medicine he was viewed as really the consummate clinical neurologist," said Ropper, who is executive vice chairman of neurology at Brigham and Women's and also was the last chief resident to serve under Dr. Adams at Mass. General. "He had a longer and deeper influence on neurology than virtually anyone, but was very eager to share the credit with others. The modesty was quite something to behold."

A few years after he was appointed to head the neurology department in 1951, Dr. Adams used a Joseph P. Kennedy Jr. Foundation grant to help create at MGH Joseph P. Kennedy Jr. Laboratories, which supported children's neurology research.

Years later, he also helped found the Eunice Kennedy Shriver Center on the grounds of the Fernald School in Waltham and was its first director. Dr. Adams was the Bullard professor of neuropathology at Harvard Medical School, and retired in 1977 as chief of neurology at MGH.

His years as head of the department, beginning when he was 41, were a time of great change in the field.

"What Ray Adams did in essence was establish an American style of neurology and broke it away from the dominant European influence of the '20s, '30s, and '40s," Ropper said. "He carved out a much more modern perspective. What he did that really broke the field wide open is that he made maximum use of neuropathology to study diseases. He established neuropathology as the basic science of clinical neurology."

Under the leadership of Dr. Adams, Mass. General became "the place for neurology in the world," said Dr. J. Philip Kistler, director emeritus of the stroke unit at MGH. "It was the place that developed modern thinking about neurology."

The book, meanwhile, went on to reap acclaim from when it was first published in 1977. It "ranks first among textbooks in neurology," a review in the British medical journal The Lancet said of the seventh edition.

"Diving into a new edition of 'Adams and Victor's Principles of Neurology' is like meeting up with an old teacher after several years," began the review, which ended: "One can certainly live without this book, but medical life is far more pleasant with a copy within reach."

In addition to moving the field of neurology forward, Dr. Adams "was extremely loyal," Ropper said. "He was very, very attached to his trainees and looked out for their careers."

"He was intellectually, extraordinarily honest with himself and with others," Kistler said. "You wanted to emulate him and you wanted to strive for the best because of him."

Dr. Adams was born in Portland, Ore., and graduated from the University of Oregon, where he honed his skills as a competitive tennis player. Late into his 60s, he won matches against opponents decades his junior.

In part to impress the family of his girlfriend, Dr. Adams applied to medical school, according to his son-in-law Bud Dudley, a physician in Roanoke, Va.

Dr. Adams ended up at the Duke University School of Medicine and graduated in 1936, just six years after the school was founded. He went to Yale University on a fellowship to study psychology, but grew disenchanted, Dudley said, and moved to Boston. He had worked in the neuropathology laboratories at Boston City Hospital before he was picked to lead the neurology department at Mass. General.

At home in Milton, "he had a carved table, probably eight feet wide and long," said his son, Bill of Chicago. "It was an open table, rather than an ordinary desk, and he sat there writing hour by hour. Behind him was a bay window and he sat on the window seat. He always used a fountain pen, never erased. That mind was obviously a significant one, not only to hold the knowledge, but to modify as he went along."

Dr. Adams's first marriage, to Margaret Elinor Clark, a romance languages scholar, ended in divorce after 33 years. He then married Dr. Maria Salam-Adams, a pediatric neurologist at MGH, who died in 1991.

Though generally reserved, Dr. Adams was very good at telling jokes, said his stepdaughter, Nina Salam of Brookline, and they "would sound all the more funny coming from him, because he was so serious."

"And he loved his dark chocolates, but he was a man of strict habits, even in fun things," she said. "He'd have his cocktail in the evening and have one dark chocolate at the end of the meal. While it was a pleasurable event, there may have been some medicinal reasons, too, from relaxing the arteries with the cocktail to having the dark chocolate, which also could be beneficial."

In addition to his son and stepdaughter, Dr. Adams leaves three daughters, Mary Elinor Dudley of Roanoke, Va., Carol Still of Kalispell, Mont., and Sarah Aldrich of Heber City, Utah; six granddaughters; five grandsons; eight great-granddaughters; and eight great-grandsons.

A service will be announced.

2009年10月15日 星期四

a case of asbestos exposure and bilateral upper lung fibrosis

asbestos exposure 30 years ago in an asbestos-cement factory, work duration of 1 week
temporary worker, non-regular worker in the construction sites, handle the asbestos cement roofing material, including cutting and by-stander in the past


a case of open TB.

姓名: 葉oo (5501011)十日內--檢驗結果

  B4 SPUTUM (EXPECTORATED) No:0004528 ( 98.10.14 14:47登記) (98.10.14 19:59報告)

 
趨勢圖 項目 數值 詳細資料 單位 標準值 說明
AFS+Culture #1 Acid fast bacilli - positive( 3+) *
AFS+Culture #2 *
AFS+Culture #3 *
AFS+Culture #4 *
AFS+Culture #5 *

  B4 SPUTUM (EXPECTORATED) No:0004527 ( 98.10.14 14:47登記) (98.10.14 19:59報告)

 
趨勢圖 項目 數值 詳細資料 單位 標準值 說明
AFS+Culture #1 Acid fast bacilli - positive( 3+) *
AFS+Culture #2 *
AFS+Culture #3 *
AFS+Culture #4 *
AFS+Culture #5 *

  B4 SPUTUM (EXPECTORATED) No:0004526 ( 98.10.14 14:47登記) (98.10.14 19:59報告)

 
趨勢圖 項目 數值 詳細資料 單位 標準值 說明
AFS+Culture #1 Acid fast bacilli - positive(3 +) *
AFS+Culture #2 *
AFS+Culture #3 *
AFS+Culture #4 *
AFS+Culture #5 *

2009年9月23日 星期三

20090923台大醫院植入兒童型迷走神經器新聞稿

what is the mechanism of autonomous [parasympathetic] on seizure control?

臺大醫院 > 最新消息 > 20090923台大醫院植入兒童型迷走神經器新聞稿



公告日期
2009/9/23
標題
20090923台大醫院植入兒童型迷走神經器新聞稿
本文
台大醫院新聞稿

2009 年 09 月 23 日
台大醫院植入兒童型迷走神經刺激器治療頑固型癲癇病童

台大醫院於今年1月14日針對無法以外科顱內手術或抗癲癇藥物,也無法使用生酮飲食來輔助治療之頑固型癲癇病童,植入兒童型迷走神經刺激器,採用連續24小時,定時經由左側迷走神經傳送微量電刺激到腦幹NTS(孤立束狀核)的部分,抑制病灶處異常放電,術後病童癲癇的情況獲得大幅改善,亞洲國家在此案例之前並無植入兒童型迷走神經刺激器之前例。

迷走神經刺激器,是在胸口皮下植入一個刺激器,將刺激器的神經導線纏繞於左側頸部迷走神經上,植入迷走神經刺激器後,兩週內須定期回診微調刺激器的刺激參數。透過每天定時定量的釋放微量電刺激,利用電刺激方式來改變腦部不同區的血流量,以降低癲癇發作。

本案為頑固型癲癇之4歲病童,因頻繁發作導致神經發展及語言學習退步、認知障礙、和過動行為,且一旦發作病童會跌倒,故需要戴鋼盔預防頭部外傷,走路也退化成必須以推車代步。今年1月即使服用4種抗癲癇藥物,每日癲癇發作仍高達20-40次。藥物劑量增加並未使抽筋減少,反而增加副作用,經MRI等腦部影像及腦波檢查結果,評估病童不適合使用傳統外科手術切除病灶來控制或降低癲癇發作,因此轉至小兒神經外科接受迷走神經刺激器植入手術來改善病症。

患童於98年1月14日植入兒童型的迷走神經刺激器,並於元月底開機使用。開機三個月後,大發作情況消失,但每日仍有7到15次小發作;患童開始可以墊腳尖行走,認知方面增加視線交會的溝通,同時開始聽得懂部分的指令。開機五個月後,白天的發作消失,每週約4次發作;人際關係的互動頗有進展,患者開始會對人笑。六個月後患者不再有癲癇的發作,即便發高燒生病時也未見復發,腦波檢查的結果也發現原本頻繁的癲癇放電波已消失;同時患者的步態漸趨穩定,可以自行走路及跑步;認知方面則進步到會和其他小朋友玩,同時會發出一些聲音,原本過動的他也變得乖巧聽話許多。

2009年9月19日 星期六

who will be the neurologist that take care of P. Lee

it may reflect the weakness of the cerebral blood vessels, chronic hypertension without appropriate control? plus the pulse impact from the Chi-gon?, also probably triggered by the stress, which may be explored with the tool of heart rate variability, autonomic control of brain on the heart?

what about the proportion of contribution of work/job strain on his hemorrhagic stroke?

病後感言 走出生命富有的路 李嗣涔
日前嗣涔因身體不適住院,經臺大醫療團隊悉心診治,順利完成手術,術後恢
復情形良好,並已到校上班。這段期間承蒙社會各界賢達先進及本校師生同仁
校友給予深切的關懷與沛然的祝福,讓嗣涔復原更加迅速,謹以最誠摯的心致
上由衷謝忱!

嗣涔平日雖有做點身體保健,日前或因校務繁忙而疏於休息,於7月13日主持會
議時突感不適,隨即送醫,在被診斷出輕微腦中風後,由臺大醫院腦神經外科
團隊立刻施行手術,術後並悉心照顧,而於7月23日出院,癒後亦頗為良好,已
於8月10日返校上班。臺大醫院醫護同仁的醫術精湛,其明確果決的診斷以及無
微不至的照料,讓嗣涔銘感五內!

在住院期間,來自各界的關心源源不絕,也讓嗣涔備覺溫馨。特別感謝馬英九
總統、蕭萬長副總統、連戰前副總統伉儷、監察院前院長錢復、立法院長王金
平、行政院長劉兆玄、教育部長鄭瑞城、國防部長陳肇敏、國科會主委李羅
權、政務委員曾志朗、張進福、中研院長翁啟惠、前校長虞兆中、孫震、陳維
昭等人,以及各大學校長、各界先進和臺大師生、同仁與校友們,對嗣涔之殷
殷關切。尤其在看到來自各界如雪片般的卡片與電子郵件,當中盡是安慰與鼓
勵時,讓嗣涔充分感受到人情溫暖,也激勵我要盡快恢復健康、重新回到工作
崗位上。除了感謝,在此也要以過來人經驗,期盼各界為民服務之前輩同儕能
在身體健康與社會奉獻之間找到平衡。

嗣涔自2005年接任校長一職以來,為實踐所提出之教育卓越、研究卓越與社會
關懷等三大理念,日夜兢業以對。尤其,近年為執行政府五年五百億計畫,以
及達成進入全球百大的目標,臺大師生同仁齊心致力於校園基礎建設、改善教
學品質與提升研究水準,你們的努力有目共睹,相信成果指日可待。言及此,
嗣涔要特別感謝諸位同仁,因為有你們的協助,讓本校各項業校務不致停頓、
而能持續運作;因為有你們的支持,讓嗣涔得以暫時卸下工作、安心靜養。你
們的合作無間彰顯出臺大是一個大家庭,這個大家庭在面臨危機時展現了支撐
的力量,嗣涔深受感動,更確定這是臺大挺進的強力後盾。所以,嗣涔要再次
叮嚀,請各位同仁在全心推動校務同時,務必不忘維護自身健康;因為,唯有
健康的體魄才有堅強的意志,才能承擔如此繁重的壓力,進而完成不平凡的任
務。

當然,嗣涔還要特別感謝臺大校友們,因有你們熱心回饋,讓母校得以興建館
舍、充實各項教研設施,你們是支持臺大前進不可或缺的助力。《窮得只剩下
錢》作者王陽明牧師在書中指出,人生道路有兩種:生活的路與生命的路;生
活的路追求的是物質滿足,生命的路則是追求平安喜樂;你們不僅工作表現傑
出,成為社會各階層領導人,你們也樂於付出,生命更是富有的。

嗣涔在病榻中,有機會重新審視過往,思索生命的意義,深刻體認到肉體的軟
弱、人生的無常,慶幸有親人日夜陪伴,同仁鼎力支持,臺大醫療團隊專業照
護,以及各界紛至沓來的關愛加持,讓嗣涔能在最短時間內恢復健康,感激之
情,無以言表。謹與各位朋友共勉:活在當下,要為家人珍惜健康,要為社會
奉獻才能,要為人類謀最大幸福。

感謝大家!祝福大家健康、平安、如意!

2009年9月11日 星期五

Aspirin in the primary and secondary prevention of vascular disease

a recent paper published in the Lancet and several correspondence letters which may deserve a look and ask for any practical implication in prevention of stroke

caution about the risk of bleeding, especially the ICH

individualized-medicine

http://download.thelancet.com/pdfs/journals/lancet/PIIS0140673609605031.pdf?id=aeaa5a245ca1fddb:-3eff16a0:123aae4eadb:b7b1252705979563