「網。蝦米搜尋」 for Kindle

Amazon的Kindle閱讀器是目前最成功的電子書閱讀器之一，最近推出的Kindle Fire平板也很令人期待，不過二者最大的共通點--不直援中文輸入卻成為中文使用者的一大困擾。
新一代的Kindle有Webkit based的瀏覽器和wifi功能，當然你不會只想搜尋英文的關鍵字，因此有人做了這個Search For My Kindle網頁，幫你把英文的編碼轉換成中文當作關鍵字來搜尋。可惜這個網頁只提供五筆和(漢語)拼音輸入法，對我來說沒什麼用。
於是我就把腦筋動到了Luke Chang的網。蝦米上，在Luke大的同意下把網。蝦米和搜尋功能結合，做成網。蝦米搜尋。
使用說明：
1.在英文模式可以直接用嘸蝦米打字
2.沒有實體鍵盤的Kindle可以用下方的小鍵盤輸入

馬偕甄試

今天到馬偕參加甄試，因為怕塞車就早早出門，結果一路順暢九點多就到了。事前查了一下容額和目前報名人數是86/372，雖然應該有很多人最後是要去其它醫院的，但是看來還是得好好表現才行。
到達會場早到的人其實還不少，大概有一半的男生跟我一樣看頭髮就知道在服役中，還有人剛從軍營背著黃埔包出來，真是辛苦了。台大的同學也不少，向傑、東哥、薛神、店哥、宮百、聖恩，還有很多預官班同梯的同學。
早上筆試是80題選擇，難度其實不會很刁鑽，大部份都是臨床題，小兒科的部份比國考題親切許多(至少不會有一堆奇奇怪怪的基因之類的問題)，中午還有提供好吃的便當真是十分貼心，不過手機沒有照相功能所以就沒有圖可以放了。
下午口試排在第一組第二個，口試時間大概十分鐘左右，一開始三分鐘自我介紹大概就跟給其他醫院的自傳寫得差不多，因為提到對神經科有興趣考官就問了我一個stroke的問題，接著另一位考官又問了糖尿病的問題。後來出來問其他人好像有些人都沒有問到醫學方面的問題不知道是不是考官對我的經歷不太有興趣想不到其他問題問我XD。不過話說回來如果問我本院的宗旨是什麼之類的我可能反而答不出來，所以也不一定是壞事。
整體來說這次甄試給自己90分，之後還有三間甄試希望能越來越順利~

BG-thalamocortical circuit的計算模式

這周讀了一篇用計算模式模擬BG-thalamocoritcal circuit來探討Parkinson’s disease的病人產生bradykinesia的機轉以及Deep brain stimulation的作用機轉的paper (Rachel Moroney, Ciska Heida, and Jan Geelen, “Increased bradykinesia in Parkinson’s disease with increased movement complexity: elbow flexion–extension movements,” Journal of Computational Neuroscience 25, no. 3 (July 10, 2008): 501-519.http://www.springerlink.com/content/l671l99081v5645j/fulltext.html)
覺得其中用的計算模式還滿有趣的，就用matlab實作了一下

(paper中使用的circuit模型，包含direct/indirect和hyperdirect pathyway)

用perl操作netCDF格式的檔案

其實netCDF有perl的package
不過要安裝 package實在有點麻煩
所以就自己寫了幾個script
perl生手，請勿見笑

Arch linux 桌面筆記

Arch Linux 桌面安裝

最近把桌機從Ubuntu換成Arch Linux

筆記一下

行政院勞工委員會職業病相關指引

最近在職業醫學科見習

發現勞委會的網站公告查詢十分不便，所以我把我有找到的部份上傳到 google doc

希望能幫助到需要的人

原始檔案是word檔，有些是我重新排版過再轉成pdf

如果有出入以勞委會公告的原始版本為準

生死學考古題(問答部份)

                                                                              
問答(16%)

1. 試述不予急救醫囑(Do not Resuscitation Order)在我國現今醫療文化下可能造成的
   法律及倫理爭議?
   又，DNR與Advanced Care Planning的差別在哪裡？

答：

DNR醫囑引發的問題包含法律、倫理與文化等多種不同領域的問題

法律方面，目前國內DNR的法源依據為安寧緩和醫療條例，此條例只適用於嚴格定義的末期病人，目前實務上幾乎只有癌症末期病人可以預立意願書，拒絕病危時的心肺復甦術。對於意外事故或各種突發病症，或進展緩慢的不可逆疾病，是否應擴大此條例的適用十分爭議

倫理方面，DNR病人只是放棄無用的急救或維生措施，並非放棄一切醫療行為，故醫事人員應具有足夠的倫理素養，對於DNR的臨終病人，仍應盡最大的努力幫助其平順的走完人生的最後一段

文化方面，我國國情強調家族觀念，不同於於西方強調個人的自主決策與負責。雖然法律上是以病患本人的意願為準，DNR的簽署過程醫師仍應幫助病患與家屬間的溝通與協調，以期最後做出所有人都能接受的決策，減少爭議的產生，讓病人得到真正的善終


Advanced care planning

Advance Care Planning (ACP) is a voluntary process of discussion between an individual and their care providers irrespective of discipline. If the individual wishes, their family and friends may be included in the discussions. With the individual's agreement, this discussion should be recorded, regularly reviewed and communicated to key persons involved in their care.

An ACP discussion might include:

• the individual's concerns
• their important values or personal goals for care
• their understanding about their illness and prognosis
• preferences for types of care or treatment that may be beneficial in the future and the availability of these

2. 試述安寧療護中「幽谷伴行」的意義。（5分）

 能積極時積極，當力有未迨時，仍會盡我所能的陪伴你，扶持你走到最後一刻




3. 請問醫師協助自殺(Physician-assisted Suicide)與安樂死(Euthanasia)之差別的倫
   理爭議？（3分）

reference

Passive Euthanasia: Hastening the death of a person by altering some form of support and letting nature take its course. For example:

	Removing life support equipment (e.g. turning off a respirator) or
	Stopping medical procedures, medications etc., or
	Stopping food and water and allowing the person to dehydrate or starve to death.
	Not delivering CPR (cardio-pulmonary resuscitation) and allowing a person, whose heart has stopped, to die.

Active Euthanasia: This involves causing the death of a person through a direct action, in response to a request from that person. A well known example was the mercy killing in 1998 of a patient with ALS (Lou Gehrig's Disease) by Dr. Jack Kevorkian, a Michigan physician. His patient was frightened that the advancing disease would cause him to die a horrible death in the near future; he wanted a quick, painless exit from life. Dr. Kevorkian injected controlled substances into the patient, thus causing his death. Charged with 1^st degree murder, the jury found him guilty of 2^nd degree murder in 1999-MAR.

Physician Assisted Suicide: A physician supplies information and/or the means of committing suicide (e.g. a prescription for lethal dose of sleeping pills, or a supply of carbon monoxide gas) to a person, so that they can easily terminate their own life. The term "voluntary passive euthanasia" (VPE) is becoming commonly used. One writer ₃ suggests the use of the verb "to kevork". This is derived from the name of Dr. Kevorkian, who has promoted VPE and assisted at the deaths of hundreds of patients. Originally he hooked his patients up to a machine that delivered measured doses of medications, but only after the patient pushed a button to initiate the sequence. More recently, he provided carbon monoxide and a face mask so that his patient could initiate the flow of gas. 


Involuntary Euthanasia: This term is used by some to describe the killing of a person who has not explicitly requested aid in dying. This is most often done to patients who are in a Persistent Vegetative State and will probably never recover consciousness.


   你同意醫師協助自殺嗎？為什麼？（3分）