Tuesday, March 23, 2010
Sunday, March 14, 2010
WPPI Las Vegas 2010
High End Photography & Wine
Sunday, August 16, 2009
紐約現代藝術館: 宋冬「物盡其用」
Obsessional Compusive Disorder (OCD) is one such condition that many families prefer to cope with secretly and often for many many years.
In a chapter in The Cockroach Catcher called: Who Is The Real Patient?
Mother never threw away anything. Nothing at all!
Except wet waste, which was a relief.
This was a serious case of OCD (Obsessional Compulsive Disorder). It was still a great shock to have the full extent of the things that were kept detailed to you. Even a five bedroom house soon ran out of space.
Wayne told me that as far as he knew, mother had always been reluctant to throw away anything but it seemed to get out of control about five years ago when she discovered that father kept a woman in a port in the Far East. She moved out of the master bed-room and the rubbish moved in. Everything was neatly put in big rubbish bags and properly tied up. Some were in apple or other supermarket boxes. Even vacuum cleaner bags were kept.
Mother did a good job of it so that there was no bad smell at all,
All these months, I had been thinking that the bullying was the cause of
Perhaps he needed that time to find out if I was going to send his mother to an asylum. Perhaps he needed all that time to trust me enough to talk about the sickest person in the family. Perhaps he never had any plan but the secret just came out.
Perhaps these were all valid explanations, but what could we as a clinic do?”
紐約現代藝術館: 宋冬「物盡其用」
新浪周靜然紐約報道
驟眼看上去,以為是拾荒者檢來人家的棄物,當這所有棄物整整齊齊地置放一起,充斥一片大空間後,就逞現了一種獨有的歷史味道,尤其是中國文化大革命時期的生活氣息,那一代人的生活種種。
這是中國藝術家宋冬「物盡其用」(projects 90: Song Dong)的裝置藝術展,也是紐約現代藝術館(The Museum of Modern Art, 簡稱MoMA)第一次為中國當代藝術家舉辦的個展。
。
宋冬表示,這其實不單止是他的個展,而且是他與年初過身的母親趙湘源在2005年起共同創作的。他母親一向都不喜歡扔東西,所有不合用都收藏起來,而他有一個大家庭,宋冬與姐姐不但與父母及祖父母同住,更與叔伯親戚共住在北京四合院中,因此多年下來,所累積物品不計其數。宋冬表示,「物盡其用」的靈感始於2002年父親去世後,為了試圖令母親從悲痛中走出來,母親把曾經她家用過的東西一一安排的過程中,打開舊有的包袱,解開過程中賦予新生命。今年年初母親也過世,因此展覽場的牆上,以藍色霓紅燈寫上「爸爸,別擔心,我們和媽媽都挺好的。」流露了作者對親情的懷念。
Grand Rounds, Vol. 5.47 - Cost Containment In Healthcare: Covert Rationing Blog.
Old and New: Multiple Sclerosis & Elgar
Madness and Modernity, Bobby Baker & The Peril of Diagnosis
Teratoma: One Patient One Disease?
A Brief History of Time: CPR (Cardiopulmonary Resuscitation)
House M.D. : 95% vs 5%
Picasso, Medicine and Lloyds
Picasso and Tradition
Thursday, July 30, 2009
流感:雙城記
那是最美好的時代,那是最糟糕的時代
雙城記 查爾斯·狄更斯
“Today, we seem to be experiencing A Tale of Two Cities in reverse when it comes to swine flu.
“On Thursday, the British government fired up a special swine flu website, designed to ease the burden for doctors and hospitals. It crashed within minutes as millions rushed to log on.
“On the same day in
The question was asked as to the difference in reaction between the two countries:
Swine Flu figures: UK : 100,000 VS France: 793
Population: each with around 60 million people, and are of similar prosperity.
And
The speculations:
“
“But I for one am dismissive of this, given the excellence of the French health system (regularly ranked in the world's top three) and especially its alert system.”
“Are the British genetically more susceptible to swine flu than anyone else?” Perhaps not.
So assuming the data on both sides of the Channel are accurate, the Guardian article continued:
--
-- The massive spread of swine flu in
-- The British government's flu awareness and prevention campaign didn't work for some reason.
“Finding out what happened is essential, as it will help flu experts to understand how and why flu propagates and how to better advise the public about how to prevent infection.”
The answer may indeed be elsewhere:
New H3N2 flu variant detected in HK
Medical science in
衞生防護中心總監曾浩輝表示,本港發現變異的 H3N2流感病毒,源自布里斯本流感病毒。而目前本港出現的季節性流感, 43%屬 H3N2流感, 49%屬甲型 H1N1流感。
曾浩輝又說,今年的流感疫苗配方,包括針對布里斯本流感,及對 H3N2流感,可發揮交叉保護作用。他建議高危人士,包括患有慢性疾病、長者及幼童注射。
The question must now be asked as Jeremy Clarkson did of Mercedes Benz on the A Class and the Elk Test Failure:
“Did they not know or did they not tell us? If they did not, they have no business making cars and if they did, well…….”
Perhaps the simpler question is:
“Did they Look?”
They did in
Related:
EBM: Masks, Cathay Pacific Airline, SARS and Influenza A(H1N1)
Learning From History: 1918 Flu Pandemic, Hong Kong SARS, Swine Flu & Influenza A(H1N1) Swine Flu: WHO Level 5 & The 1976 Vaccine Disaster.
缳生防護中心正監測變異流感H3N2病毒
流行性感冒
Wednesday, July 29, 2009
醫療 歷史: 豬流感與抗生素
With so much emphasis now on not using antibiotics it may be time to look at the evidence in the current pandemic of Influenza A H1N1 (to Who) and to the UK- Swine flu. News of death from Streptococcal septicaemia of a girl is reported in the Times. Should we not look at the role bacteria might play? Given a choice would you rather have Tamiflu or a broacd spectrum antibiotic?
Predominant Role of Bacterial Pneumonia as a Cause of Death in Pandemic Influenza: Implications for Pandemic Influenza Preparedness
David M. Morens, Jeffery K. Taubenberger, and Anthony S. Fauci
National Institute of Allergy and Infectious Diseases, National Institutes of Health,
Background. Despite the availability of published data on 4 pandemics that have occurred over the past 120 years, there is little modern information on the causes of death associated with influenza pandemics.
Methods. We examined relevant information from the most recent influenza pandemic that occurred during the era prior to the use of antibiotics, the 1918–1919 “Spanish flu” pandemic. We examined lung tissue sections obtained during 58 autopsies and reviewed pathologic and bacteriologic data from 109 published autopsy series that described 8398 individual autopsy investigations.
Results. The postmortem samples we examined from people who died of influenza during 1918–1919 uniformly exhibited severe changes indicative of bacterial pneumonia. Bacteriologic and histopathologic results from published autopsy series clearly and consistently implicated secondary bacterial pneumonia caused by common upper respiratory– tract bacteria in most influenza fatalities.
Also: NIH Review, NPR, PBS
News: Times. Swine flu misery.
Learning from SARS : Dr Yannie Soo, Tom Buckley.
Useful link:
EBM: Masks, Cathay Pacific Airline, SARS and Influenza A(H1N1)
Learning From History: 1918 Flu Pandemic, Hong Kong SARS, Swine Flu & Influenza A(H1N1)
Swine Flu: WHO Level 5 & The 1976 Vaccine Disaster.
Saturday, July 25, 2009
EBM: Masks, Cathay Pacific Airline, SARS and Influenza A(H1N1)
It is claimed that there is no evidence that the wearing of face mask is useful. So I tried to search for the evidence.
New Scientist
Face masks are best protection against SARS
02 May 2003 by Shaoni Bhattacharya
"Face masks offer the best protection in the fight against SARS, reveals a new hospital-based study from
SARS HK 2003 Medical Staff in Hospital Virgin Media
"Wearing a mask can give a person dealing with SARS patients in hospital up to 13 timesmore protection compared with not wearing one, says Wing Hong Seto, study lead and chief microbiologist at the Queen Mary Hospital in Hong Kong.
"However only surgical masks and N95 masks - designed to block airborne particles - will work. These masks protect the face from droplets coughed out by infected people, which the team believes is the primary mode of spread. Seto says droplets are probably the main mode of transmission of SARS outside hospitals as well. He says the findings confirmed SARS is not spread through the air - if so only the N95 masks would have been protective.
"Face masks have become a morbid symbol of the impact of SARS in the worst-hit parts of the world. The virus has now killed 416 people across the globe, with over 6000 infections in 29 countries.
"Wearing masks in public places has become commonplace in the
"But Seto told New Scientist: "Masks seem essential for protection. This finding fits well with droplet transmission, because droplets are generated at the face level."
Statistically significant
"Seto and colleagues from five Hong Kong hospitals and the
"Most of the 13 staff who became infected did wash their hands, and a handful also wore gloves or a paper mask, but none had used a surgical or N95 mask. Analysis of the data showed that the use of surgical or N95 masks was the only measure to give statistically significant protection.
"Paper masks offered little protection, says Seto. 'Such masks, being easily wet with saliva, are never recommended as a precaution against droplets.'
"However, not one of the 69 staff who had used all four recommended protection measures - wearing a mask, gloves, gowns and washing their hands - contracted the virus."
"Seto believes the risk of contracting SARS in public places is 'very low' and so does not wear a mask himself. 'However, I have it ready if I am in a crowded place,' he says. 'I see someone consistently coughing, then I put it on. If I see he is febrile, I strongly advise him to go home and see a doctor. Then I wash my hands and take a good shower on coming home.'
Journal reference: The Lancet (vol 361, p 1520)
It has to be accepted that there is virtually no rubbish collecting facility in public places in the
In any case, Hong Kong has now a second case of of Influenza A (H1N1); a passenger on Cathay Pacific flying in from the
SARS ACCOUNTS: Dr Yannie Soo, Tom Buckley.
Useful link:
Other Posts:
Learning from History: Swine Flu & Antibiotics
Learning From History: 1918 Flu Pandemic, Hong Kong SARS, Swine Flu & Influenza A(H1N1)
Swine Flu: WHO Level 5 & The 1976 Vaccine Disaster.