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Sepsis Management in Resource-Limited Settings

為了解決Lung protection的問題，作者 這樣論述：

Arjen M. Dondorp is the deputy director of the Mahidol-Oxford Tropical Medicine Research Unit (MORU) in Bangkok, Thailand, and a professor of Tropical Medicine at Oxford University, U.K. and at Mahidol University, Thailand. At MORU he also heads the department of Malaria and Critical Illness. His ma

in research interests include the pathophysiology and treatment of severe malaria, antimalarial drug resistance, and improvement of critical care in resource-poor settings. He has lead large clinical trials on severe malaria and other diseases and, in collaboration with the co-editors, he has organi

zed ICU training programs in Asia. Arjen is a member of the Global Intensive Care working group of the European Society of Intensive Care Medicine (ESICM), and is involved in several WHO and Global Fund committees. He completed his training in infectious diseases and in intensive care medicine at th

e Academic Medical Centre in Amsterdam and obtained his doctorate from the University of Amsterdam, The Netherlands.Martin W. Dünser is vice-director of the Department of Anesthesiology and Intensive Care Medicine of the Kepler University Hospital in Linz/Austria. He was trained in anaesthesia, inte

nsive care and emergency medicine and worked as an intensive care consultant in Bern/Switzerland, Salzburg/Austria and London/United Kingdom. He is a pre-hospital emergency physician for the Austrian Red Cross and worked for London’s Air Ambulance. In addition to his clinical work, Martin is interes

ted in medical work in low- and middle-income countries and has been involved in field work in Africa and Asia. He was co-founder and chair of the Global Intensive Care working group of the European Society of Intensive Care Medicine (ESICM). Martin serves as co-chair of the Sepsis in Resource-Limit

ed Nations initiative of the Surviving Sepsis Campaign. He was deputy chair and chair of the Trauma and Emergency Medicine section and is a past member of the Research as well as the Congress Committee of the ESICM. Martin is a reviewer for numerous journals and author of over 200 scientific article

s.Marcus J. Schultz is an intensivist and one of the Principal Investigators of the Academic Medical Center and professor of Intensive Care Medicine at University of Amsterdam. For 10 years, he was the chair of the ’Laboratory of Experimental Intensive Care and Anaesthesiology’ (L-E-I-C-A), a univer

sity-based laboratory specialized in translational research in the filed of mechanical ventilation. He is a (founding) member of the ’PROtective VEntilation Network’, a worldwide collaboration of intensivists and anaesthesiologist in ventilation research and lung protection. Prof. Schultz has perfor

med over 60 clinical trials, published numerous articles in medical journals and various chapters in scientific books, has received several research awards, and serves as a reviewer and editor of several international journals. His main research interests are in the area of lung injury, pneumonia an

d mechanical ventilation. Marcus Schultz initiated several national and international projects aiming at implementation of intensive care unit strategies in daily critical care practice, both in high-income countries as well as in resource-limited ICUs in middle- and low-income countries in South-ea

st Asia. Marcus Schultz completed his medical degree (cum laude) and residency in internal medicine at the University of Amsterdam and the Academic Medical Center, Amsterdam, The Netherlands. He obtained his doctorate at the same University.

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台中港區微粒、金屬元素之乾沉降污染物預測、排放來源及健康風險評估之研究

為了解決Lung protection的問題，作者高偉順 這樣論述：

本研究是使用PS-1採樣器與乾沉降板來蒐集大氣中的懸浮微粒及其附屬重金屬汙染物之濃度及乾沉降，採樣時間於2020年1月至12月於台中梧棲港區來進行。本研究並藉由使用ICP-OES分析儀來分析附著於懸浮微粒上之汙染物的重金屬濃度及乾沉降。再者，本研究亦使用Global model來推估並比較不同粒徑所計算出來之懸浮微粒及其附屬重金屬汙染物之乾沉降通量，其值並與實際之乾沉降值作一比較。除此之外，本研究並利用逆軌跡分析方法來推測台中港區採樣點之可能汙染源。最後，本研究更以風險評估之方法來計算該特徵採樣點之致癌風險值。研究結果顯示，總懸浮微粒濃度與乾沉降通量其最高值均發生於冬季，而重金屬濃度與乾沉降

之最高值則分別為重金屬Cu，Ni。此外，乾沉降模式之研究結果顯示，Global collection model之模式推估乾沉降通量以重金屬元素Pb可得到最佳之乾沉降推估結果。再者，重金屬元素Pb 乾沉降通量之最佳預測結果則出現在 以16 μm 的微粒尺寸作為計算之乾沉降速度則其乾沉降通量能有最佳之推估結果。而逆軌跡分析之結果顯示，本研究之主要汙染氣團於6、7、8月是來自採樣點的南方，其餘月份皆來自於採樣點之北方。而在健康風險評估結果顯示該採樣點之金屬元素Cr的致癌風險值結果高於1×10-4，上述值高於致癌風險監管機構US/EPA之標準。因此，未來宜持續監測觀察上述重金屬Cr元素於台中港區之濃

度及致癌風險值。

The Trend of Corporate Social Responsibility in the EU

為了解決Lung protection的問題，作者 這樣論述：

　　歐盟歷經一甲子以上的統合發展，至今仍屹立不搖，歐盟結合了28個會員國的經濟實力，且已經成為全球最大的經濟實體，在國際經貿社會舉足輕重，並扮演領頭羊的角色。 　　本書詳細闡述歐盟企業社會責任的新趨勢，內容新穎，可供我國政府、產業界與學術界研究歐盟貿易政策的參考。  

大台北地區冬季期間細懸浮微粒中水溶性離子組成特徵探討

為了解決Lung protection的問題，作者杜育誠 這樣論述：

本研究探討冬季期間大台北地區大氣中細懸浮微粒的水溶性離子組成特性及逐時變動趨勢。於2021年1月1日至2021年3月31日在新北市泰山區明志科技大學校園內利用氣體與氣膠同步採樣連續監測儀(2060 MARGA R)分析每小時HNO3、SO2及NH3氣體與NH4+、Na+、K+、Ca2+、Mg2+、Cl-、NO3-及SO42-離子濃度。結果顯示HNO3、SO2及NH3在採樣期間的平均濃度分別為0.39 μg/m3、0.26 μg/m3及3.24 μg/m3。陽離子NH4+、Na+、K+、Ca2+及Mg2+的平均濃度分別為1.73、0.30、0.17、0.08及0.06 μg/m3。陰離子SO4

2-、NO3-及Cl-的平均濃度分別為3.12、2.32及0.40 μg/m3。其中Na+、Ca2+、K+及SO42-分別約有49.06%、10.65%、5.83%及2.30%是來自於海鹽飛沫。採樣期間水溶性離子占PM2.5質量濃度約42.44%，其中以SO42-、NO3-及NH4+為主要組成，占總水溶性離子約84.06%。採樣期間的硫氧化率(SOR)與氮氧化率(NOR)平均值分別為0.91與0.78，顯示採樣期間微粒中所含的SO42-及NO3-主要來自衍生性硫酸鹽及硝酸鹽。而本研究採樣期間的中和率(NR)平均值為1.02，顯示微粒接近於中性。採樣期間共有180小時PM2.5質量濃度超過35

μg/m3，事件小時(PM2.5≥ 35 μg/m3)的水溶性離子由高到低依序為NO3-、SO42-、NH4+、Cl-、K+、Na+、Ca2+、Mg2+。在事件小時中，除了Na+以外，其餘水溶性離子平均質量濃度皆高於非事件小時(PM2.5< 35 μg/m3)。但若依照水溶性離子占PM2.5比例來看，除了NO3-及NH4+占比有所提升外，其餘水溶性離子占PM2.5皆為下降趨勢。同時NOR在事件小時期間顯著增加，可見在事件小時期間所增加的衍生氣膠主要以NH4NO3微粒為主。另外藉由NR中和率來看，在事件小時的NR較非事件小時略高，相較而言較偏鹼性，表示有較多量的NH3可以中和大氣中HNO3及H2

SO4。