❓醫生,我該不該打COVID-19 疫苗❓
最近,台灣疫情持續三級。許多 備孕中、懷孕中、哺乳中的朋友紛紛詢問,是否可以接種疫苗?疫苗原本的設計與產出,就是為了 緩解疫情、中斷傳遞鏈、保障民眾的健康、維持人類社會文明。因此,「接種疫苗」的策略本身是沒有疑慮的。如今,會有這樣的提問,最主要的原因是,當初各種疫苗臨床試驗都刻意避開 備孕中、懷孕中、哺乳中的族群, 導致無法有足夠的臨床數據,來說明這些族群施打的安全性。
當醫生給予病人諮詢意見時,必須遵循醫學倫理的準則。即 行善原則:在實證、嚴謹、透明和負責的臨床判斷下,醫師提供給病人的臨床處置必須 在預期上 會帶給病人臨床利益的。同時,也要尊重病人的自主權:也就是,透過提供給病人這些善意的臨床判斷訊息,要能夠讓患者就其病情的臨床處置,做出知情和自願的決定。並且,也應遵循謹慎原則:即 當對危險有疑問時,應想辦法預防危險、謹慎行事。
於是乎,世界上不同的政府、不同的專業醫學會,依據醫學倫理的認知與控制疫情的著眼點,對於這三類族群是否施打疫苗,也有不盡相同的指引。
🎈美國疾病管理局(CDC)宣布:如果 被建議接種COVID-19 疫苗的民眾,恰巧又懷孕,可以接種。若有問題,與醫師討論。
🎈美國婦產科醫學會:懷孕中、哺乳中的民眾, 如果在優先接種名單中,可以接種COVID-19 疫苗。
🎈母嬰醫學會(SMFM):懷孕中、哺乳中的民眾, 如果合乎接種COVID-19 疫苗 的條件, 應予施打。
🎈美國生殖醫學會(ASRM):接受不孕症治療或懷孕中的病人,應該被鼓勵接種疫苗。但是,在諮詢時,仍應考量醫學倫理的原則,即自主權原則、行善原則、 不傷害原則。
🎈加拿大婦產科醫學會(SOGC):對懷孕中或哺乳中的民眾,如果不接種COVID-19疫苗的危險機率超過接種的危險機率的話,就應該接種。
🎈奧地利:懷孕或哺乳中的婦女不應該接種COVID-19疫苗。但是其配偶應該接種。
🎈法國:懷孕中的婦女不建議接種,因為安全的資訊仍不足夠。
🎈德國:因為資訊仍嫌不足,懷孕中或哺乳中的婦女必須經過利與弊的評估後,才給予建議。
🎈英國:先前看法,孕婦不應該接種(as of December 30, 2020)。現在的看法,如果孕婦屬於高危險群,應該與醫師討論,考量是否接種。
🎈紐西蘭:孕婦應該延後接種。
🎈以色列:備孕中、懷孕中、哺乳中的婦女應該接種COVID-19疫苗。
🎈日本:因為疫苗的安全資訊不足,孕婦不建議施打。
🎈世界衛生組織 (WHO):如果是孕婦並且是高危險族群,與醫師討論後,決定是否接種COVID-19疫苗。
✅ 歐洲生殖醫學會 (ESHRE) 與時俱進,於這個月(June 2021) 更新了指引。 對於疫苗的施打,從較謹慎,變成較寬鬆,的建議。大家可以參考我以下的 slides。
[參考文獻]:
1. Adhikari EH and Spong CY. COVID-19 Vaccination in Pregnant and Lactating Women. JAMA 2021: 325; 1039-1040.
2. Beharier O, Plitman Mayo R, Raz T, Nahum Sacks K, Schreiber L, Suissa-Cohen Y, Chen R, Gomez-Tolub R, Hadar E, Gabbay-Benziv R, et al. Efficient maternal to neonatal transfer of antibodies against SARS-CoV-2 and BNT162b2 mRNA COVID-19 vaccine. J Clin Invest 2021.
3. Chervenak FA, McCullough LB, Bornstein E, Johnson L, Katz A, McLeod-Sordjan R, Nimaroff M, Rochelson BL, Tekbali A, Warman A, et al. Professionally responsible coronavirus disease 2019 vaccination counseling of obstetrical and gynecologic patients. Am J Obstet Gynecol 2021: 224; 470-478.
4. Chmielewska B, Barratt I, Townsend R, Kalafat E, van der Meulen J, Gurol-Urganci I, O'Brien P, Morris E, Draycott T, Thangaratinam S, et al. Effects of the COVID-19 pandemic on maternal and perinatal outcomes: a systematic review and meta-analysis. Lancet Glob Health 2021: 9; e759-e772.
5. Collier AY, McMahan K, Yu J, Tostanoski LH, Aguayo R, Ansel J, Chandrashekar A, Patel S, Apraku Bondzie E, Sellers D, et al. Immunogenicity of COVID-19 mRNA Vaccines in Pregnant and Lactating Women. JAMA 2021.
6. Cosma S, Carosso AR, Corcione S, Cusato J, Borella F, Antonucci M, Marozio L, Revelli A, Preti M, Ghisetti V, et al. Longitudinal analysis of antibody response following SARS-CoV-2 infection in pregnancy: From the first trimester to delivery. J Reprod Immunol 2021: 144; 103285.
7. Davanzo R, Agosti M, Cetin I, Chiantera A, Corsello G, Ramenghi LA, Staiano A, Tavio M, Villani A, Viora E, et al. Breastfeeding and COVID-19 vaccination: position statement of the Italian scientific societies. Ital J Pediatr 2021: 47; 45.
8. Male V. Are COVID-19 vaccines safe in pregnancy? Nat Rev Immunol 2021: 21; 200-201.
9. Shimabukuro TT, Kim SY, Myers TR, Moro PL, Oduyebo T, Panagiotakopoulos L, Marquez PL, Olson CK, Liu R, Chang KT, et al. Preliminary Findings of mRNA Covid-19 Vaccine Safety in Pregnant Persons. N Engl J Med 2021.
10. Stafford IA, Parchem JG, and Sibai BM. The coronavirus disease 2019 vaccine in pregnancy: risks, benefits, and recommendations. Am J Obstet Gynecol 2021: 224; 484-495.
11. ESHRE : COVID-19 vaccination and assisted reproduction – update June 2021
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林時羽醫師の合好之旅 – 向不孕告別
http://www.xn--kjvo3a634c.com/
#試管嬰兒 #胚胎植入 #療程 #林時羽 #醫師 #SuccessIVF #防疫 #疫情 #三級 #COVID19 #疫苗
同時也有13部Youtube影片,追蹤數超過2,210的網紅DJ Macky Suson,也在其Youtube影片中提到,There are plenty of benefits from remitting through Singtel Dash. Aside from getting the best exchange rates, lowest transaction fees, and avoiding t...
「transfer of benefits」的推薦目錄:
- 關於transfer of benefits 在 林時羽醫師 試管嬰兒 不孕症 生殖醫學 Facebook 的最讚貼文
- 關於transfer of benefits 在 Thames Malerose Facebook 的最佳貼文
- 關於transfer of benefits 在 GamingDose Facebook 的精選貼文
- 關於transfer of benefits 在 DJ Macky Suson Youtube 的最佳解答
- 關於transfer of benefits 在 DJ Macky Suson Youtube 的精選貼文
- 關於transfer of benefits 在 DJ Macky Suson Youtube 的最讚貼文
- 關於transfer of benefits 在 Valuation of Ecosystem Services: Benefits Transfer Study 的評價
transfer of benefits 在 Thames Malerose Facebook 的最佳貼文
📣 Fan Meeting Ticket is available to purchase now!
See you all on 13/03/2021 at 7-10PM ICT
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Fan Meeting Online 4 Guests - THAMES MALEROSE, GESHA PETROVICH, YAO x ALMA Information:
- Date: 13/03/2021
- Time: 19PM - 22PM (GMT+7)
Ticket info:
- Normal ticket: 100.000VND available on https://fan8.club/event/QLYZMD
- Combo ticket: 169.000VND – 1 normal ticket and 1 A3 poster
- V.VIP ticket: only 15 slots available. Includes all the benefits of the Combo ticket and will have a special 3-minute Facetime (via Messenger) with your beloved guests. There will be 3 V.VIP packages for you to choose from:
V.VIP 1: 350.000VND. Special fan-meeting ticket for Thames Malerose’s fans.
V.VIP 2: 350.000VND. Special fan-meeting ticket for Gesha Petrovich’s fans.
V.VIP 3: 700.000VND. Special fan-meeting ticket for Yao and Alma’s fans.
Combo and V.VIP tickets can only be purchased via bank transfer.
Bank transfer:
Account number: 19036247518016
Bank: Techcombank - Branch: Bac Hai, District 10, HCMC
Account holder: Vo Thi Nhu Quynh
After transferring, please send a detailed message including "Full Name - Phone Number - Email - Package of your choice" via phone number 0368466200 or direct message to the fanpage of Matsuri Series to confirm the transfer information.
*Note:
- A3 poster and 3 minutes Facetime will need to be chosen from one of your favorite guests. For the couple Yao x Alma, the facetime time is 4 minutes.
- Please keep the receipt or take a photo of the transfer information for internet banking to compare the information when transferring to buy Combo tickets and V.VIP tickets.
transfer of benefits 在 GamingDose Facebook 的精選貼文
God of War สามารถรองรับเฟรมเรต 60FPS บน PS5 และสามารถย้ายเซฟจาก PS4 ไปเล่นต่อได้
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ทีมพัฒนาเกม Santa Monica Studio ประกาศผ่านทวิตเตอร์ส่วนตัว เผยว่าหากเล่น God of War ผ่านเครื่องเกมคอนโซล PlayStation 5 ด้วยระบบ Backward Compatibility ตัวเกมจะมีโหมดกราฟิก "Favor Performance" สามารถรันเกมด้วยภาพเฟรมเรตลื่นไหล 60FPS
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นอกจากนี้ เกมเมอร์สามารถนำไฟล์เซฟ God of War และ God of War III Remastered ในเครื่อง PS4 ไปโอนเล่นต่อบน PS5 ได้อีกด้วย แต่อย่างไรก็ตาม Santa Monica Studio ยืนยันว่า God of War ยังไม่มีเกมเวอร์ชัน PlayStation 5 ณ เวลานี้
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อย่างไรก็ตาม ทีมงานไม่ได้เปิดเผยรายละเอียดเพิ่มเติมเกี่ยวกับประโยชน์จากการเล่น God of War บน PS5 ผ่านระบบ Backward Compatibility แต่เรามั่นใจว่าตัวเกมจะต้องโหลดเร็วขึ้นด้วยขุมพลัง SSD ที่ทาง Sony ออกแบบมาเพื่อสำหรับเครื่อง PS5 อย่างแน่นอน
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God of War ออกวางจำหน่ายแล้ววันนี้บนแพลตฟอร์ม PlayStation 4 และเกมอยู่ใน PlayStation Plus Collection อีกด้วย
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ที่มา: https://www.gematsu.com/…/god-of-war-to-support-60-frames-p…
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https://twitter.com/SonySantaMon…/status/1320766939736625152
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#ข่าวเกม #GamingDose #GodofWar #PlayStation5
God of War can support 60 FPS frame on PS5 and can move the safe from PS4 to continue playing.
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The game development team Santa Monica Studio announced via private Twitter that if you play God of War through PlayStation 5 console with Backward Compatibility, the game will have graphic mode ′′ Favor Performance ′′ can run game with a framework. slippery 60 FPS
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In addition, Gamer can use the God of War and God of War III Remastered in PS4 to transfer on PS5 but however, Santa Monica Studio confirms that God of War is still not available for PlayStation 5 version game at this time.
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However, the team doesn't reveal more details about the benefits of playing God of War on PS5 through Backward Compatibility, but we are confident that the game will be loaded faster with SSD power that Sony is designed to be for xỳāng næ̀nxn devices.
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God of War is available today on the PlayStation 4 platform and games are on PlayStation Plus Collection.
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Source: https://www.gematsu.com/2020/10/god-of-war-to-support-60-frames-per-second-on-ps5
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https://twitter.com/SonySantaMonica/status/1320766939736625152
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#ข่าวเกม #GamingDose #GodofWar #PlayStation5Translated
transfer of benefits 在 DJ Macky Suson Youtube 的最佳解答
There are plenty of benefits from remitting through Singtel Dash.
Aside from getting the best exchange rates, lowest transaction fees, and avoiding the crowd, you can get 100 Dash Points every time you remit trough the Dash app.
Additionally, you can earn Dash Points by using the Dash app to pay for your daily public transportation.
You can redeem Dash reward points to pay or offset your bills at 7Eleven and more.
https://dash.com.sg/remit
#Shorts
![post-title](https://i.ytimg.com/vi/K-kWjbhfvMU/hqdefault.jpg)
transfer of benefits 在 DJ Macky Suson Youtube 的精選貼文
How to Use Singtel Dash Reward Points Redeem Your Points and Spend at 7Eleven Stores in Singapore
This video shows on how you can use your earned Singtel Dash Rewards Points, redeeming at 7Eleven Singapore.
If you have not yet, this is how you can earn Singtel Dash Reward Points:
Every dollar spent on your purchases and remittance made earns you reward points.
Unlimited reward points to earn, and a variety of rewards to choose from.
Shop, dine, commute, remit and redeem rewards, all with your Dash app
Remember:
Spend and remit to start earning points. For a limited time only, Singtel Dash Points offer: Earn DOUBLE Dash reward points whenever and wherever you Dash.
100 Points PER REMIT
800 Points FIRST PAYMENT TRANSACTION
#SingtelDash #SingtelDashRewardsPoints #RemittanceServiceSingapore
__
How To Pay Rides in Singapore Using Singtel Dash Visa Virtual Card
How do I pay and ride with Dash?
Did you know, Singtel Dash is seamlessly integrated with Visa.
To pay, simply tap and pay wherever Visa Contactless is accepted, just look for the Singtel Dash Logo. All you need is a compatible iOS or NFC-enabled Android phone.
Remember that every time you pay, you earn Dash Points.
Visit: https://dash.com.sg/pay/pay-to-commute to learn on how you can:
How do I pay and ride with Dash?
Taxis
Scan QR code
Tap the scan button on the home page to start scanning
Confirm payment
Check for the correct amount and tap ‘CONFIRM’.
Bus
Tap your mobile device against the fare reader
Activate tap-and-pay or Apple Pay.
Tap your phone against the fare reader as you board and exit the bus or train.
Singtel Dash must be set as your default mode of payment.
#SingtelDashVisaVirtualCard #SingtelDashApplePlay #PaywithSingteldash #SetupSingtelDash
____
Hi, fellow Overseas Filipino Workers in Singapore!
I have been using Singtel Dash for a while now and I can honestly tell you that its benefits are unprecedented
Benefits of downloading Singtel Dash App:
You can enjoy lower fees: The fees are the best you can get in Singapore. Comparing that to remittance services like:
Remitly, WorldRemit, CurrencyFair, TransferWise, InstaReM, Skrill
above's services can be used when transferring to a bank.
Better exchange rates when you remit to MLhuillier, Cebuana Lhuillier, Palawan and LBC Express, as well as directly to the accounts of major banks, like BPI, Security Bank, Union Bank, UCPB. Check out the rest of the banks here: https://dash.com.sg/remit
You will earn Dash Points where you can use it to redeem for purchases at Cold Storage, 7 Eleven, Grab, Food Panda, Zalora and more!
There are two ways to sign up:
Employers of Foreign Domestic Workers/Workers
https://dash.com.sg/remit#how-for-foreign
Working in Singapore
(SP WP EP LOC)
https://dash.com.sg/remit#how-for-worker-sg
#remittancesingapore #ForeignDomesticWorkersRemittanceSingapore #ofwremittancesingapore #overseasfilipinoworkerssingapore
sendin
![post-title](https://i.ytimg.com/vi/VGFEFY2C4F8/hqdefault.jpg)
transfer of benefits 在 DJ Macky Suson Youtube 的最讚貼文
How to Use Singtel Dash Reward Points Redeem Your Points and Spend at 7Eleven Stores in Singapore
This video shows on how you can use your earned Singtel Dash Rewards Points, redeeming at 7Eleven Singapore.
If you have not yet, this is how you can earn Singtel Dash Reward Points:
Every dollar spent on your purchases and remittance made earns you reward points.
Unlimited reward points to earn, and a variety of rewards to choose from.
Shop, dine, commute, remit and redeem rewards, all with your Dash app
Remember:
Spend and remit to start earning points. For a limited time only, Singtel Dash Points offer: Earn DOUBLE Dash reward points whenever and wherever you Dash.
100 Points PER REMIT
800 Points FIRST PAYMENT TRANSACTION
#SingtelDash #SingtelDashRewardsPoints #RemittanceServiceSingapore
__
How To Pay Rides in Singapore Using Singtel Dash Visa Virtual Card
How do I pay and ride with Dash?
Did you know, Singtel Dash is seamlessly integrated with Visa.
To pay, simply tap and pay wherever Visa Contactless is accepted, just look for the Singtel Dash Logo. All you need is a compatible iOS or NFC-enabled Android phone.
Remember that every time you pay, you earn Dash Points.
Visit: https://dash.com.sg/pay/pay-to-commute to learn on how you can:
How do I pay and ride with Dash?
Taxis
Scan QR code
Tap the scan button on the home page to start scanning
Confirm payment
Check for the correct amount and tap ‘CONFIRM’.
Bus
Tap your mobile device against the fare reader
Activate tap-and-pay or Apple Pay.
Tap your phone against the fare reader as you board and exit the bus or train.
Singtel Dash must be set as your default mode of payment.
#SingtelDashVisaVirtualCard #SingtelDashApplePlay #PaywithSingteldash #SetupSingtelDash
____
Hi, fellow Overseas Filipino Workers in Singapore!
I have been using Singtel Dash for a while now and I can honestly tell you that its benefits are unprecedented
Benefits of downloading Singtel Dash App:
You can enjoy lower fees: The fees are the best you can get in Singapore. Comparing that to remittance services like:
Remitly, WorldRemit, CurrencyFair, TransferWise, InstaReM, Skrill
above's services can be used when transferring to a bank.
Better exchange rates when you remit to MLhuillier, Cebuana Lhuillier, Palawan and LBC Express, as well as directly to the accounts of major banks, like BPI, Security Bank, Union Bank, UCPB. Check out the rest of the banks here: https://dash.com.sg/remit
You will earn Dash Points where you can use it to redeem for purchases at Cold Storage, 7 Eleven, Grab, Food Panda, Zalora and more!
There are two ways to sign up:
Employers of Foreign Domestic Workers/Workers
https://dash.com.sg/remit#how-for-foreign
Working in Singapore
(SP WP EP LOC)
https://dash.com.sg/remit#how-for-worker-sg
#remittancesingapore #ForeignDomesticWorkersRemittanceSingapore #ofwremittancesingapore #overseasfilipinoworkerssingapore
sendin
![post-title](https://i.ytimg.com/vi/3wxz9Y1Tpi0/hqdefault.jpg)
transfer of benefits 在 Valuation of Ecosystem Services: Benefits Transfer Study 的推薦與評價
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