快樂小藥師 Im pharmacist nichts glücklich

（圖片引用自畫新聞http://www.8news.com.tw） 

常常聽到人家說，美白最重要的就是防曬，那防曬最重要的是什麼呢？

之前也有跟各位介紹過這顆藥，本篇只是文獻摘要

Modafinil

American Family Physician. Kansas City: Sep 1, 1999. Vol. 60, Iss.  3;  pg. 973

An indirect comparison of the new oral anticoagulant drugs, with all the caveats that such comparisons entail, suggests there is no profound difference between apixaban (Eliquis, Pfizer/Bristol-Myers Squibb), rivaroxaban (Xarelto, Bayer/Johnson & Johnson), or dabigatran (Pradaxa, Boehringer Ingelheim) in terms of efficacy [1]. The higher dose of dabigatran, 150 mg, was superior to rivaroxaban in terms of lowering the risk of stroke or systemic embolism, while the risk of major bleeding was significantly lower with dabigatran 110 mg or apixaban when compared with rivaroxaban.

這是什麼問題？內建就是了呀。

的確，當你沒有安裝adobe reader或是acrobat前，根本不需要擔心，但是當你裝了以後，你會發現adobe reader的捲動速度和縮放行為非常不理想，這時候你就會想換回來了。

原本是開開心心的買了Sandisk cz80 64G想說可以當做隨身工具，哪知道那個隨身碟一整個問題多多，每次送修又要花一兩個禮拜，所以就直接降級買了j2c這款，不過卻意外的驚喜

Tigecycline Use Brings Risks

A meta-analysis confirms higher mortality with the drug.

ICU的同仁如果有用過老虎黴素，應該都隱隱約約的發現，使用這個藥的患者，雖然還是有不少案例獲得改善，多半都非死即傷，現在有研究告訴我們了。

Dry eye syndrome. Limited revision.

American Academy of Ophthalmology Cornea/External Disease Panel. Dry eye syndrome. Limited revision. San Francisco (CA): American Academy of Ophthalmology (AAO); 2011. 28 p. [免費全文下載 Free full-text: Guidelines at AAO website | Guideline Summary at National Guideline Clearinghouse]

你可能有時候會看到運動員身上貼著一些花花綠綠的膠帶，那個叫做肌內效貼布，現在台灣正確的授權名稱為肌能系貼布

官網：http://www.kinesiotaping.com/global/corporation.html

正牌kinesio taping照片

你可以參考這邊：Kinesio Tex Gold (Kinesio taping) 肌能系貼布 (景誠醫療用貼布) 介紹

幸運騰達見本性，艱難挫敗看人格

Diagnosis of DVT: antithrombotic therapy and prevention of thrombosis, 9th ed: American College of Chest Physicians evidence-based clinical practice guidelines. 

Metformin is accepted widely as first-line treatment for patients with type 2 diabetes, but no clear guidelines exist on how to proceed when metformin monotherapy fails. In three new industry-supported studies, researchers compared available second-line treatments.

CLINICAL CONTEXT

Lorcaserin is a serotonin 2C receptor agonist indicated for chronic weight management in adults when used in conjunction with a caloric restriction diet and increased physical activity. The effect of lorcaserin on cardiovascular morbidity and mortality has not been established.

一般來說，遇到糖尿病患者都會請他隨身攜帶一下糖果在身上，最好是升糖指數篇高的糖果，以備不時之需（當然不是要他帶一大包來吃的）

如果對升糖指數沒有概念，可以參考這邊：升糖指數 Glycemic index

升糖指數（Glycemic index，簡稱GI），又譯糖生成指數，用於衡量糖類對血糖量的影響。

美國食品藥物管理局(FDA)以孤兒藥方式核准thymalfasin注射劑，用於治療第2b期到第4期的惡性黑色素瘤，以及核准sorafenib tosylate 錠劑用於治療肝細胞癌。

Description

對於荷爾蒙受體陽性轉移乳癌的停經婦女，在延緩疾病病程和改善存活方面，併用anastrozole (商品名Arimidex)和fulvestrant (商品名Faslodex)優於單用anastrozole。 

 巴瑞特或巴氏食道症（Barrett’s esophagus ）是下食道之鱗狀上皮被柱狀上皮所取代的一種病變，此病變乃是依據一位英國醫師－諾門‧巴瑞特（Norman Barrett ）的名字而命名

100名國際專家對於診斷及治療食道癌前病變和初期癌症之最佳方式的共識聲明刊載於8月版Gastroenterology期刊。在最近幾十年，Barrett氏食道症(BE)患者中越來越常發現有食道腺癌(EA)，但是EA依舊罕見，如何治療或預防這個致命癌症的協議仍少見。

瑜伽也減少對跌倒的恐懼

根據美國預防服務工作小組更新的指南，如果心臟疾病的風險低，並沒有胸痛等症狀的話，你並不需要常規的心電圖（EKG或ECG）檢查。

iphone上面雖然很多醫學軟體，但是對於一般民眾應該幾乎沒有用處，所以這次就來介紹一個可能對你看病找醫生有點功能的軟體：Wa健康

市售生理食鹽水沖洗液可概分為以下三類

INTRODUCTION

There is increasing recognition of the similarities in the etiology of constipation predominant irritable bowel syndrome (IBS-C) and chronic constipation (CC), and a more inclusive terminology is emerging of constipation-related functional gastrointestinal (GI) disorders, which embraces both conditions. This is partly driven by the increasing appreciation that IBS-C and CC share a number of common underlying causes and presenting symptoms, which are described below.

Aflibercept (Zaltrap, Regeneron/Sanofi) has been approved by the US Food and Drug Administration (FDA) for use in the treatment of metastatic colorectal cancer.