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american family physician 在家醫/職醫_陳崇賢醫師 Facebook 的最佳解答

2019-09-04 07:30:00 有 166 人按讚

【家庭醫學】~ 中耳炎的小朋友，能不能游泳？

之前小朋友中耳炎，送去游泳的時候，教練就很緊張的問到：「是不是游泳時耳朵進水，才造成中耳炎呀？」

當然不是囉，外耳道和中耳腔間有個『耳膜』擋住，所以泳池的水不會跑到中耳腔中造成感染 (同理，也不會因為這樣子就腦子進水啦！)

所以，結論就是

［小朋友有中耳炎，還是可以去游泳啦］

另外要注意的是，如果有中耳積水，在做下潛動作時，可能會感到不適，請量力而為。

甚至之前有篇研究指出，在放了中耳通氣導管 (Tympanostomy Tube) 的病患，也不需要常規的預防耳朵進水，如：耳塞，頭帶或避免游泳。

文獻出處：

1. Rosenfeld RM, Schwartz SR, Pynnonen MA, et al. Clinical practice guideline: tympanostomy tubes in children. Otolaryngol Head Neck Surg. 2013;149(1 suppl):S1–S35.

2. Otitis Media: Diagnosis and Treatment - American Family Physician
https://www.aafp.org/afp/2013/1001/p435.html

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家醫/職醫_陳崇賢醫師

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分享在家庭醫學和職業醫學中的所見所聞讓醫學融入生活

american family physician 在家醫/職醫_陳崇賢醫師 Facebook 的最佳貼文

By 家醫/職醫_陳崇賢醫師

2019-09-03 08:00:00 有 167 人按讚

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家醫/職醫_陳崇賢醫師

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分享在家庭醫學和職業醫學中的所見所聞讓醫學融入生活

american family physician 在胡至宜 Facebook 的最佳解答

By 胡至宜

2017-10-11 11:45:18 有 46 人按讚

三位不同國籍的醫學院同學，在多年前的10月10日拍下了這張合照。有些美好的價值觀即使歷經歲月也不會改變的，它能跨越種種的不同，成為人類努力的共同。

The three women pictured in this incredible photograph taken on this day in 1885 -- Anandibai Joshi of India, Keiko Okami of Japan, and Sabat Islambouli of Syria -- each became the first licensed female doctors in their respective countries. The three were students at the Women’s Medical College of Pennsylvania; one of the only places in the world at the time where women could study medicine.

As Mallika Rao writes in HuffPost, "If the timing doesn't seem quite right, that's understandable. In 1885, women in the U.S. still couldn't vote, nor were they encouraged to learn very much. Popular wisdom decreed that studying was a threat to motherhood." Given this, how did three women from around the world end up studying there to become doctors? The credit, according to Christopher Woolf of PRI's The World, goes to the Quakers who "believed in women’s rights enough to set up the WMCP way back in 1850 in Germantown.”

Woolf added, "It was the first women’s medical college in the world, and immediately began attracting foreign students unable to study medicine in their home countries. First they came from elsewhere in North America and Europe, and then from further afield. Women, like Joshi in India and Keiko Okami in Japan, heard about WMCP, and defied expectations of society and family to travel independently to America to apply, then figure out how to pay for their tuition and board... . Besides the international students, it also produced the nation’s first Native American woman doctor, Susan La Flesche, while African Americans were often students as well. Some of whom, like Eliza Grier, were former slaves."

To introduce children to another female medical pioneer Elizabeth Blackwell -- the first woman to receive a medical degree in the US and to register as a physician in the UK -- check out the excellent picture book "Who Says Women Can't Be Doctors?: The Story of Elizabeth Blackwell" for readers 4 to 8 at https://www.amightygirl.com/who-says-women-can-t-be-doctors

For a fascinating book for adults about America's first Native American doctor, Susan La Flesche, we highly recommend "A Warrior of the People" at http://amzn.to/2zdzcDf

To inspire kids with more stories of remarkable women of science and medicine, we also recommend the illustrated biography, "Women in Science: 50 Fearless Pioneers," for ages 9 and up at https://www.amightygirl.com/women-in-science

For many books to show kids that science is for everyone regardless of gender, check out our blog post, "50 Books to Inspire Science-Loving Mighty Girls," at https://www.amightygirl.com/blog?p=13914

And, to encourage your Mighty Girl to make her mark on the world as a doctor or scientist, you can find toys and kits to foster her interest in our blog post, "Top 50 Science Toys for Mighty Girls," at https://www.amightygirl.com/blog?p=10528

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胡至宜

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PPAPER 系列雜誌創辦人兼發行人著作：椅子站起來，帶著獅子在沙漠中行走

american family physician 在 POPA Channel Youtube 的最讚貼文

By POPA Channel

2018-10-24 08:30:00 有 3,669 人看過有 74 人喜歡

這根本就是一宗世紀大騙案！做父母之前，總有過來人跟我們說，BB哭鬧不外乎「食、痾、瞓」，餵飽奶，換完片，抱他一下，自然就不會再哭。但實戰開始，你就發現BB哪有這麼容易「服侍」，有些BB沒病沒痛都會日喊夜喊，哭得父母心煩頭痛，新手父母更可能會質疑自己，是不是自己不懂照顧孩子。

但其實BB無定向歇斯底里地哭三個小時以上，是有學名的，醫學界稱之為「colic」，中文譯作「腸絞痛」，亦是坊間一般所指的「肚風」或「百日哭」。很多人以為這是跟嬰兒飲奶時，肚子入風有關，但原來這個是誤解。「腸絞痛」的真正成因，至今在學術界依然是一個謎。

科學家試過從心理、生理等不同角度去探究，始終都未能有一個完滿的答案。無證據證明腸絞痛跟嬰兒腸胃發育或者腹部健康有直接關係，跟父母育兒技巧亦似乎無關。不過，我們仍然嘗試綜合相關資料，希望有這個煩惱和擔心的父母可以對嬰兒的無故哭鬧有更多了解。

參考資料

Roberts, Donna M., Ostapchuk, Michael, & O'Brien, James G. (2004). Infantile colic. American Family Physician, 70(4), 735-40.

Johnson, J., Cocker, K., & Chang, E. (2015). Infantile colic: Recognition and treatment. 92(7), 577-82.

Anabrees, J., Indrio, F., Paes, B., & Alfaleh, K. (2013). Probiotics for infantile colic: A systematic review. BMC Pediatrics, 13(1), 186.

Ockwell-Smith, S. (2016, March 22). Worried your baby is suffering from colic? This revelation will BLOW your mind. Retrieved from EXPRESS

Batlivala, S. (2017). Colic: An Evolutionary Selective Pressure for Good Parents? Clinical Pediatrics, 56(8), 705-706.

POPA Channel

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幾個家長走埋一齊，將從閱讀所得的知識整合，化繁為簡，與大家分享正面育兒(POSITIVE PARENTING)的資訊。 ===================================== 幾年前，初為父母，第一次抱住自己的孩子，發覺養育、教育孩子，是一門高深學問。時代不同，父母對我們的一套，應用在自己孩子身上，亦未必適合。因而開始閱讀育兒書籍、兒童心理學等文獻，發現學術界近年對兒童成長發展的深入了解，其實對家長們極為實用。但現今父母日日為口奔馳、回家要湊BB都已經筋疲力竭，哪有餘暇、精力去搜尋、閱讀又長又悶的學術文章？於是，我們幾個家長，以正面態度去養育孩子為前題，將自己從閱讀所得的知識，透過輕鬆易明的手法，與各位關心孩子成長發展的父母，分享實用資訊。 POPA Channel 亦因而誕生！ ===================================== Official Homepage: http://popa.hk Facebook Page: www.facebook.com/popachannel

american family physician 在 POPA Channel Youtube 的最佳解答

By POPA Channel

2017-03-15 08:30:01 有 18,446 人看過有 490 人喜歡

小朋友難以入睡或半夜驚醒的情況好普遍，辛苦的不止是孩子，大人一樣頭痛，所以有人說要從小讓小朋友自己一間房一張床就最好，還可以訓練出獨立性格；但大家都知道香港土地問題多嚴重，不少家庭都是親子同房甚至同床，到底怎樣安排小朋友睡，會否就是困擾的根源？

參考資料

Thiedke, C. C. (2001, January 15). Sleep Disorders and Sleep Problems in Childhood. Retrieved from American Family Physician

Ramos, K. D., Youngclarke, D., & Anderson, J. E. (2007). Parental perceptions of sleep problems among co-sleeping and solitary sleeping children. Infant and Child Development, 16(4), 417-431. doi:10.1002/icd.526

Okami, P., Weisner, T., & Olmstead, R. (2002). Outcome Correlates of Parent-Child Bedsharing: An Eighteen-Year Longitudinal Study. Journal of Developmental & Behavioral Pediatrics, 23(4), 244-253. doi:10.1097/00004703-200208000-00009

Keller, M. A., & Goldberg, W. A. (2004). Co-sleeping: Help or hindrance for young children's independence? Infant and Child Development, 13(5), 369-388. doi:10.1002/icd.365

Germo, G. R., Chang, E. S., Keller, M. A., & Goldberg, W. A. (2007). Child sleep arrangements and family life: perspectives from mothers and fathers. Infant and Child Development, 16(4), 433-456. doi:10.1002/icd.521

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To find a board certified family doctor, visit the American Board of Family Medicine online directory. To check if a physician you may be considering is board ...

#92. What's your specialty? New data show the choices of ...

American Indian or Alaska Native — Family medicine/general practice, preventive medicine, pain medicine and pain management; Multiple races ...

#93. American Health Network

American Health Network is a large physician group practice driven to provide high-quality, cost-effective exceptional care to our patients in Ohio and ...

#94. First Physicians Group: Home Page

FPG Internal Medicine & Family Medicine at Venice ... Cardiovascular Surgery Thoracic Surgery. American Board Certified: Surgical Critical Care , General Surgery.

#95. Find a Doctor

... American Academy of Family Physicians and the American Medical Association. Dr. Joseph specializes in family medicine and provides ...

#96. JAMA Network | Home of JAMA and the Specialty Journals of ...

#97. The American Family Physician: Or, Domestic Guide to Health ...

Or, Domestic Guide to Health Prepared Expressly for the Use of Families, in Language Adapted to the Understanding of the People ... AMERICAN FAMILY PHYSICIAN .

#98. Billing and insurance

Wound Care and Hyperbaric Clinic (1415 E. State St.) Wisconsin locations. American Family Children's Hospital Clinics (1675 Highland Ave.) American Family ...

#99. The American Family Physician, Or, Domestic Guide to Health

... general debility , together with a constant state of irritation ; from these causes the system becomes relaxed , and more prone ... AMERICAN FAMILY PHYSICIAN .

#100. Primary Care

Our providers include board-certified family medicine, internal medicine, and pediatric physicians along with advanced practice clinicians. ... America's 50 Best ...

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