快樂小藥師 Im pharmacist nichts glücklich

研究認為，依賴網路可能使你的記憶能力降低。

你經常聽說趕流行節食只能讓體重短暫下降，但對那些真的需要快速減掉一些體重的人該如何做呢？當你要把自己擠進新衣服去參加聚餐、婚禮或其他特別活動時，很難不去用那些檸檬水、白菜湯節食、或是21天減21磅等應急食物的承諾。

這些內疚對你毫無幫助，我們將告訴你如何回到正軌。

最近因為雲端科技很熱門，所以我也參考了一下這個產品

Special Considerations in Elderly Patients With Chronic Obstructive Pulmonary Disease

第一次為人父母是令人驚奇，但也是嚇人的，尤其是寶寶第一次生病時。小小的咳嗽或是起疹子就會感到驚慌失措，要怎麼知道嚴重與否？可以等到下次健康檢查嗎？

其實，人取名字也很重要...........................

寵物的名字不只是跟樂趣與創造力有關，對訓練也很重要，會影響到寵物的安全和健康。

一整個讓人充滿疑問的結果......

The risk for Guillain-Barré syndrome is not increased after use of adjuvanted pandemic influenza (H1N1) 2009 vaccine, but the upper limit does not exclude a potential increase in risk up to 2.7-fold, according to the results of a multinational case-control study reported online July 12 in the BMJ.

讓蘋果迷們從去年一直等待到今年的作業系統出現了，當然，上面是我用勇者王去合成的

如果你對軟體相容性有疑慮，可以去這邊查一下：http://roaringapps.com/apps:table

Epinephrine，學醫的人最先接觸的藥物之一，甚至很多常看醫學相關連續劇的人，都不時會聽到他的名字。

或許你聽到的不是Epinephrine，是Adrenaline或是Bosmin等等的，要不然，你就會聽到一個最熟悉的中文：腎上腺素。

大部份的人都聽過巧克力會讓狗生病，但風險有多大呢？

根據線上糖尿病照護期刊的一篇研究，使用噴射注射取代傳統的注射筆，可使達到適當降血糖效果的時間減半。

Helen L. Figge, RPh, PharmD, MBA, Lean Six Sigma Certified
Senior Director, Career Services
HIMSS
Chicago, Illinois

急性外耳炎，又名游泳耳，指的在耳膜以外到耳殼之間發炎。 門診常看到病人抱怨，耳朵痛、外耳道腫脹或造成聽力障礙，甚至嘴巴一張開就會疼痛的情形。

好發於濕熱的夏季，因為游泳後(或挖耳不當)，如產生下列症狀時，如：耳朵發癢、被異物塞住的感覺、轉動頭部或拉耳朵時耳朵感到疼痛或聲音聽不清楚時，便可能得到外耳炎。

Question

Why is swimmer's ear so common in the summer months, and how should it be managed in primary care?

High-dose docosahexaenoic acid (DHA) supplementation in preterm infants is associated with lower risk for bronchopulmonary dysplasia (BPD) in the smallest infants and in male infants, according to the results of a multicenter, randomized controlled trial published online June 27 in Pediatrics.

Nancy H. Hope, PharmD

Question:

Can an amiodarone drip be converted to twice-daily IV bolus dosing if the patient is unable to take anything by mouth or nasogastric tube?

你在高中或是結婚時，是否一直努力減肥但卻沒有成功？你真的需要減掉這麼多重量嗎？專家們表示，你是可以超過理想體重卻依然健康的，更不用說快樂了。

嬰兒兩頰紅通通，彷彿天生蘋果臉，乍看很可愛，但醫師提醒，寶寶可能罹患了皮膚疾病「口水疹」，宜儘快就醫，避免輕微皮膚炎擴散為全身性感染。

Patients with type 2 diabetes treated for 84 weeks with injected extended-release once-weekly exenatide (Bydureon; Amylin Pharmaceuticals, Lilly, and Alkermes) demonstrated superior ongoing glycemic control, sustained overall weight loss, and a lower risk for hypoglycemia than patients treated with insulin glargine, according to new data from the DURATION-3 trial.

This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 55-year-old woman with severe, persistent asthma requiring glucocorticoid therapy for the past 3 months presents for care. Her medications include albuterol, inhaled fluticasone with salmeterol, montelukast, and prednisone (at a dose of 10 mg per day). In the past, she received several intermittent courses of prednisone at a dose of 15 mg or more per day. Her weight is 45.5 kg (100 lb), and her height 157.5 cm (62 in.); the body-mass index (the weight in kilograms divided by the square of the height in meters) is 18. Scattered wheezing is heard during expiration. Findings on vertebral percussion and rib-cage compression are unremarkable. How should her case be evaluated and managed to minimize the risk of fractures?

BACKGROUND

Treatment of latent tuberculosis in patients infected with the human immunodeficiency virus (HIV) is efficacious, but few patients around the world receive such treatment. We evaluated three new regimens for latent tuberculosis that may be more potent and durable than standard isoniazid treatment.

Raffaele De Caterina, M.D., Ph.D.

N Engl J Med 2011; 364:2439-2450June 23, 2011

什麼是落磯山斑疹熱？ 
　屬於斑點熱群立克次體的疾病。致病菌為立克次氏立克次體（Rickettsia rickettsii），為斑點熱群立克次體（spotted fever group）的代表。

你也可以直接上協會查：http://www.turnersyndrome.org/

Turner's Syndrome 特納氏症或是透那氏症，端粒綜合症，也稱為性腺發育不良或先天卵巢發育不良，是一種先天性的染色體異常疾病，是由性染色體全部或部分缺失引起的（正常人有46個染色體，其中2個是性染色體）。一般女性有2個X染色體，但Turner綜合征患者的性染色體缺失或有其他異常。在某些情況下，有些細胞中有缺失的染色體，而了一些沒有，這稱為嵌合體（mosaicism）。