關於 online art journal ，我們在網路上蒐集到這些相關的討論、資訊與評價

📚安娜 Homeschool 正式開班

真的要說🇺🇸公立學校動作真的超慢的，原本以為小娜的學校算是學區不錯的學校，但是不知為何動作總是慢半拍，放春假前學校並沒有提早準備，而是等政府宣布後才開始計畫 study from home的規劃與執行，所以小娜這次的春假整整放了三個星期，上個星期我還嫌小娜太無聊，去跟朋友要了她小孩的功課（其他公小小一）跟著一起寫功課。前兩天終於收到老師的指示、課程安排以及回家作業，我想說的是....... 不發通知則已，一發驚人啊！😱 每天要做的assignments and homework 實在是有夠多的😆原來小孩雖然上學只有8am-2pm，但是每天真的學了好多東西耶！

看完所有email後我趕緊把所有的東西列印出來、online apps下載完畢log in各個account，我覺得接下來的一個月我有一個硬仗要打了，大家一起來看看小娜的『美國小一 Study from home』安排吧！

1⃣️ 老師很貼心，直接設計一份『行事曆 weekly Schedule』讓家長可以按表操課，每堂課20-40分鐘不等，可以自行調整，做完後就 highlight 起來
2⃣️ 每天的課程包含語文、數學、寫作、科學、social study（社會）、art，有紙本練習stepping stone（老師寄pdf file可列印出來）、也有iPad or Online 練習
3⃣️ 回家一樣有 Homework：（每週教五個新單字）spelling、造句、寫作、數學，我自己再加上IXL的練習
4⃣️ 只有Journal 的部分是需要email給老師改正檢查，其他都是自由心證，有沒有寫老師也不知道，家長要教、要盯、要改作業（數學練習題老師有給答案卷）
5⃣️ 學校老師有提供很多 APP 的帳號，讓孩子們有很多資源可以利用。例如原本就有在使用的 iReady、Kids A-Z，現在又加了 ABC Mouse、Brain Pop Jr.、IXL、Epic! Books。但是這些都是鼓勵多做，老師也不管進度

真不知道明天開始會變成什麼樣的局面，我跟Ｊ大爺都還是要照常上班耶！小娜的這些課表跟功課都是要靠她自己，娜外婆多多少少可以幫一點忙，娜爺爺奶奶就沒辦法了😞，況且他們來顧小孩還得煮午餐、顧小菱，我看小娜也只能自求多福，沒寫完的我們下班後再來解決吧！所以我非常佩服不能上班的爸媽們要在家24/7跟小孩奮鬥，幫小孩上課、教寫作、數學、盯功課、煮三餐、甚至還要顧老二老三，真的是太偉大了（膜拜🙏）。接下來會如何發展，就讓我們繼續看下去吧～～～～

#加州已經延至八月開學
#夏威夷已經351確診4死
#如果我們延至八月開學我也不意外

[那些年你聽過的營養鬼話#11]

有痛風就不能吃豆腐！？
相信在臨床或門診工作的營養師對這句話超熟悉！
只要有痛風的病人，
十個大概有九個都會說他不能吃豆腐。

即使衛教時告訴他們豆腐不是高普林食物，
有些病患還是堅持他一吃豆腐隔天就會發作，
不肯接受就是不肯接受🤣🤣🤣

🌟🌟🌟豆類會引發痛風嗎？🌟🌟🌟

一篇在新加坡進行的研究（Ref 1），
在1993-1998年間招募六萬多名45-74歲的成人，
平均每位受試者的追蹤時間為11年，
經篩選後被留下的有51,114位受試者，
其中2,167位在追蹤期間被診斷罹患痛風。
結果發現，
以家畜、魚類及貝類為主要蛋白質來源，且蛋白質攝取較多的人痛風的風險增加；
黃豆類、豆莢類攝取得較多的人，痛風的風險降低。

另外一篇文獻回顧則提出（Ref 2），
他們回顧的六篇流行病學研究當中，
沒有任何一篇發現黃豆的攝取量與高尿酸、高尿酸血症或痛風相關。

而且有研究發現，
飲食控制約只能使尿酸下降1mg/dL左右（Ref 3）。
因此要把尿酸降下來，其實還是要以服藥為主。

🌞🌞🌞痛風患者的生活及飲食建議（Ref 4）🌞🌞🌞

1. 維持標準的體重及腰圍：若體重過重應慢慢減重，不宜快速減肥或斷食，以免因細胞大量崩解產生尿酸而導致痛風發作。此外應將腰圍維持在標準範圍內 (國民健康署標準：男性 ≤90 cm，女性 ≤80 cm)。

2. 適量增加身體活動：根據國內某大型健診資料庫的分析研究顯示身體活動與高尿酸血症患者死亡率的降低具有顯著相關性；因此宜建議患者進行適度、有效的運動。

3. 維持適當水分補充：水分缺乏不足時可能誘發痛風的發作 ，且在適當和適量的補充水分後 3-4 天，血尿酸值常可回復到正常值。適當和適量的補充水分是痛風發作，或者惡性腫瘤化療後引起急性痛風發作以及減少尿酸結石形成中一項很重要的措施。

4. 醣類方面：所有五穀根莖類皆可食用。

5. 蔬果類方面：蔬菜類除曬乾香菇和紫菜不宜大量食用外，如豆芽、豆苗皆可食用，水果則無禁忌。

6. 蛋白質方面：對含有高嘌呤的食物如內臟，海鮮類 (海參、海蜇皮除外)，宜減少攝取。

7. 乳製品方面：文獻指出每日攝取超過兩杯玻璃杯量的牛奶可以降低 50% 的痛風發生率。另外一個為期四週時間之臨床試驗發現，完全無乳製品的飲食 (dairy-free diet)，會增加血尿酸濃度。

8. 油脂方面：由於高脂肪食物會抑制尿酸排泄，在急性痛風發作期需避免大量食用。

9. 酒精及含果糖飲料：酒精及含果糖飲料在體內會代謝為乳酸影響尿酸排泄，並且本身會加速尿酸的形成，故患者應避免酒精及含果糖飲料 (碳酸飲料、柳橙汁等)，尤其是啤酒最容易導致痛風發作。咖啡及茶則無限制。

Reference:
1. Teng, G.G., Pan, A., Yuan, J.‐M. and Koh, W.‐P. (2015), Food Sources of Protein and Risk of Incident Gout in the Singapore Chinese Health Study. Arthritis & Rheumatology, 67: 1933-1942. doi:10.1002/art.39115
2. Messina, Mark; Messina, Virginia L and Chan, Pauline. Soyfoods, Hyperuricemia and Gout: A Review of the Epidemiologic and Clinical Data [online]. Asia Pacific Journal of Clinical Nutrition, Vol. 20, No. 3, 2011: 347-358.
3. Burns, C.M. and Wortmann, R.L. Latest evidence on gout management: what the clinician needs to know. Ther Adv Chronic Dis, 2012. 3 (6): p. 271-86.
4. 台灣痛風與高尿酸血症2016診治指引。社團法人中華民國風濕病醫學會。http://www.rheumatology.org.tw/news/newsupload/N20161014151627_2016%E7%97%9B%E9%A2%A8%E6%8C%87%E5%BC%951014.pdf

#營養麵包 #那些年你聽過的營養鬼話 #歡迎分享

凃瑞峰教授：謝志偉全職為蔡辯護，半工做大使

謝志偉的全職工作是為權力者蔡英文總統做護衛士，半工是做駐德國大使。謝志偉的邏輯思考能力和法學訓練都很差。（Hsieh is a full time "escort" of Tsai, but only a part-time "ambassador" to Germany. Hsieh also "apparently" is poor with logic thinking and basic legal training.）

正文：

Came across this article by Hsieh Chih-Wei, the "apparent" escort of Tsai but a part-time "ambassador" to Germany. I am quite amazed by Hsieh's skill to scream and to stretch. His main argument:

"林環牆教授指控蔡英文沒有將博士論文交給 Senate House Library (SHL)的根據是一封2019年6月4日署名R.O.的倫敦政經學院圖書館助理給林教授回函裏的這一句話:
“ Unfortunately Senate House apparently never received a copy （and the IALS are unable to find their copy）.” (林環牆“獨立調查報告” ， 頁19)."

According to Hsieh, the fact that LSE library never had a copy of Tsai's "thesis" is not important. The most important thing is about how to interpret the word "apparently". According to Hsieh's dictionary:

"我劍橋字典的幾個說明及例句如下：
1，
used to say you have read or been told something although you are not certain it is true"

From here, Hsieh basically accuses Hwan Lin and Dennis Peng of
being poor in English or blinded by hatred to smear Tsai.

I looked up Cambridge dictionary online, but I could not find the definition Hsieh quoted. The actual explanation by Cambridge dictionary is:

"according to what seems to be true or what is likely, based on what you know"

I google the quote by Hsieh and only found it from a facebook helper.

Apparently, Hsieh willfully neglects the ultimate truth from the reply by R.O. of LSE. R.O. was clear that LSE never received Tsai's thesis based on her research and all the evidences she had gathered.

We need to know that, when it comes to legal matters, no one knows the real truth with 100% certainty. A jury can convict as long as it is beyond reasonable doubt. There can be still some lingering doubts. However, R.O. was certain that the LSE never had Tsai's thesis, but she wanted to hedge a bit by indicating her conclusion was derived from all the evidences she had by using this word "apparently". Using the word "apparently" does not mean that she was not sure or had doubts, but simply that she could not claim 100% certainty, as nobody could.

This is called the art of hedging in English writing. Scientists do that in journal publications all the time. Apparently, Hsieh has never learned hedging in English or German writing.

From there, if Hsieh is still wondering what R.O. meant, he apparently (based on all the evidences I see) is a full time "escort" of Tsai, but only a part-time "ambassador" to Germany. Hsieh also "apparently" is poor with logic thinking and basic legal training.

I wonder who is actually with a heavily blurred vision of justice.

S-H Toh

（凃瑞峰為美國北卡大學教授。他讀完蔡英文送交台灣圖書館的所謂博士論文後，寫了讀後感：蔡英文的“論文”像電視肥皂劇——http://taiwanus.net/news/press/2019/201909300522521238.htm）

——原載《台灣海外網》2019年10月18日

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