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MiiCraft Optical 3D Printers can provide high accuracy printed parts, from soft materials to tough materials, which is suitable for using in digital dentistry and medical applications, such as teaching aids for surgery practice.
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《為何我們唔應該講「我舊時都係咁捱嫁啦」》
相信90後或00後對「我舊時都係咁捱嫁啦」呢句說話絕不陌生。
近十幾年醫學發展愈來愈逢勃，對病人和醫護權益亦愈來愈重視，例如實習醫生要3日1call、on call要28-36小時、護士病人比例1:14-18等等一直都被批評。不少新世代醫生護士都會lobby system reformation令工作環境更人性化更友善，改善病人權益。
但是！！！我們總是會聽到上一代前輩們以奇異的眼光看我們，以下對白大家定必不會感到陌生
「班後生愈來愈唔捱得」
「當年邊有抽血員、我一個人要抽哂成個病房嘅血」
「當年我實習醫生已經做chest drain、LP、BM 等等，班後生依加做咁少又要supervision，一代不如一代」
「當年邊有post call half day、邊有咁多teaching session，依加d trainee已經好幸福」
下刪幾十種當年醫護有多勇猛而新世代有多whiny $ sheltered又唔捱得又嬌生慣養。
時移世易，的確相對以前，醫護待遇好了小小，但是廿年後的今日，我們可以講
「廿年前邊有咁多paper work，咁多張assessment forms？」
「廿年前邊有咁多”醫療事故”會有議員開記招響你全名鞭屍+蘋果A1頭條？」
「廿年前邊有咁多資助基金要assessment + 填無限張form？」
「廿年前邊有holistic care同biopsychosocial呢個概念？依加興MDT同allied health input去做best possible care，難度不用花多點時間？」
「廿年前authoritative care，醫生叫病人做咩佢地都會做，依加要shared decision + fully inform個病人做同唔做嘅風險，都係要時間。」
「廿年前讀醫學院好多病同藥都係mechanism poorly understood，依加淨係novel agent for cancer & autoimmune + pathway都已經係兩個世界」
無錯，時代不同環境不同，大家的觀點與角度注定都不會同。以前一路都咁運作不代表我們要接受，時代要進步，我們對醫護的職安健和病人權益的想法都要一齊進步。
你覺得一個24小時沒有睡覺的實習醫生去幫病人做入侵性檢查是合理的事情嗎？
你覺得一個醫生巡房或門診只能花3-5分鐘（連開藥+documentation）做得到biopsychosocial + holistic care嗎？
你覺得到2020的今日仍然3日1 call + on call 28-36小時對醫生的精神和身體健康無問題嗎？
踏進2020年的今日，我們不能再舊時舊時舊時，舊時中HIV注定變AIDS再等死，今日都起碼講緊Depot PrEP / 全民Truvada PrEP / PEP，感染後治療都可以U=U, normal CD4 + normal life span。你Stage IV metastatic lung cancer大概都會想用新世代TKI / immunotherapy而不會想用「舊時的化療」吧？
我們不是廢青，我們只是渴望改變這崩壞中的醫療環境、令醫護和病人的生活變得更好。而這份責任我覺得無論邊個世代的人都應該一同負擔。
#唔好再舊時舊時舊時
#MetastaticCa都可以completeremission
#點解個制度唔可以隨時代改變
—————————————————————
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[英文學習] 到底該如何閱讀英文？
Extensive, intensive, or narrow reading? What is skimming and scanning?
英語學習者經常被要求在課堂上以多種方式閱讀。有些學習者被要求開口朗誦，讀出每個單詞。有些學習者則默念於心以理解文本。但默讀時，學習者該略讀其要義還是掃讀關鍵細節？抑或專注於語言功能還是練習閱讀策略？
English learners are often asked to read in diverse ways in the classroom. Some are asked to read orally and sound out each word. Others are told to read silently for comprehension. However, when reading silently, should learners skim for essential meanings or scan for key details? Or should they focus on linguistic features and practice reading strategies?
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Oral Reading
在找到一種閱讀方法之前，讓我們來檢視一下不同的閱讀類型。朗誦需要老師或學生大聲地朗讀，並幫助學生掌握聲韻，幫助他們改進語調、腔調、重音與節奏。默讀則包含精讀、泛讀以及窄式閱讀。
Before we can address these questions and find a suitable reading approach, let’s examine what the different reading types are.
Oral reading involves the teacher or students reading aloud and helps students to develop prosody, improving their intonation, tone, stress, and rhythm. Silent reading consists of intensive, extensive, and narrow reading, amongst others.
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Intensive Reading
精讀需要學習者在特定的學習目標與任務中進行精細的閱讀。這通常是課堂上的要求，學生須專注在文法及標示語等細節。同時學生還須辨別關鍵詞彙，並在老師的指導下仔細且反覆地閱讀文本。其目的在於建立語言知識以及對字面意涵、言外之意與修辭關係的理解。閱讀材料通常是少於５００字的文本，因為較長的文本可能導致閱讀時難以關注到所有細節。
Intensive reading refers to reading in detail with specific learning aims and tasks. It is typically classroom-based, and students focus on features such as grammar and discourse markers. Students also identify key vocabulary, and text is read carefully and repeatedly with instructor input. The aim is to build language knowledge and understanding of literal meaning, implications, and rhetorical relationships. The materials used are usually shorter texts of 500 words or less at a time because it might be too difficult to focus on so many details with longer texts.
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Narrow Reading
窄式閱讀可被視為一種特殊的精讀，它是基於「可理解輸入」此一概念，意即學生閱讀略高於自身語言能力的材料。如此一來，在老師的協助下，學生得以輕鬆地專注於新的語言特徵。在練習窄式閱讀時，教師通常會找同一作者或同一主題的文章。因此，關鍵詞彙與文法結構會重複出現，學生便有更多機會在稍異的文本中看到這些特徵。這是一種非常成功的方法，因為它可以增進學生對文本的理解。
Narrow reading can be classified as a specific type of intensive reading. It is based on the concept of comprehensible input, in which students read materials slightly above their current linguistic abilities. In this way, students can easily focus on new language features with the aid of their teacher. When practicing narrow reading, teachers can find texts by the same author or the same topic. Thus, key vocabulary and grammatical structures repeat themselves, and students get many opportunities to see these features in slightly different contexts. It is a highly successful method because the comprehension of the text is enhanced due to learner familiarity with the author and subject matter.
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Extensive Reading, Scanning & Skimming
另一方面，泛讀需要學習者閱讀較長的文章，甚至閱讀整本小說以自娛並發展一般的閱讀技巧。泛讀經常是課外活動，因為老師可能會覺得這無法有效利用課堂時間，或者老師不希望課堂上太過安靜。
泛讀可能需要兩項技能：掃讀與略讀。我們可以掃讀關鍵細節或略讀要義。略讀與掃讀可使讀者大致掌握文本涵意。這並非意味著您在精讀時就不能略讀或掃讀，只是精讀通常專注在學習並理解語言特徵。當代的教育政策格外強調泛讀，因為我們期許學習者可以自主學習，並在課外進行閱讀。就其核心理念而言，泛讀鼓勵語言學習者讀其所愛！
On the other hand, extensive reading involves learners reading longer texts and even complete novels for enjoyment, and it aids learners in developing general reading skills. Extensive reading is usually done outside the classroom because teachers might feel it is not an effective use of class time, or are just uncomfortable with the extended silence.
Scanning and skimming are two skills commonly used in extensive reading. Readers can scan for key details or skim for essential meaning. Reading quickly with skimming and scanning can give readers a global or general understanding of the materials. This does not mean students cannot skim or scan when reading intensively, but typically, intensive reading focuses on learning and understanding linguistic features. Extensive reading is stressed in contemporary education policies, as learners are expected to be autonomous and read outside of class. At its core, extensive reading encourages language learners to read what they like!
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How should you read?
既然您已大致瞭解這幾種閱讀方式，您決定好要使用哪一種了嗎？答案是——您需要視情況而定！若您想進行泛讀，可閱讀更多有趣的新聞。若想精讀，您可以分析段落並與老師以及同學們回答問題。若想使用窄式閱讀，您可以找同一作者的同一主題文章，並專注在語言特徵。有些人甚至想以朗誦的方式來加強韻律或是重複閱讀來增加流暢度。
Now that you have a glimpse of different reading approaches, have you decided which you will use? The "answer" is that you need each for a different situation! You can practice extensive reading when reading for pleasure, or intensive reading when analyzing paragraphs with your teachers and peers. As for narrow reading, you can find articles by the same author on the same topic and focus on language features. Some might even want to practice oral reading to improve prosody or repeated reading to increase fluency.
訓練有素的老師可以傳授您各種不同的閱讀方法與策略，如此您便可自行練習。但即便您知道該怎麼做，您是否有足夠的決心與毅力？您該如何選擇閱讀材料並且積累閱讀策略呢？
A trained teacher can provide you with approaches and strategies for each situation so you can practice them on your own. However, even when you know how to read, do you have the determination and perseverance to read or do so much? How do you select the right materials, and how do you acquire reading strategies?
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Narrow Reading Course
如果您需要這些閱讀技巧與學習方法，也想練習窄式閱讀，那麼王梓沅老師的英文課程可以幫助到您。王梓沅老師將窄式閱讀拓展為窄式學習法，在不同的媒體上關注同一作者的同一主題資料。他的課程還使用「成長心態」與「恆毅力」學習法，傳授學習者如何開始並持之以恆，而後成為自己成功路上的最佳導師！
If you need these reading and learning strategies and want to practice narrow reading, Alexander Wang’s course is the one for you. Alex expands the narrow reading approach into narrow learning, focusing on effective language learning by using materials from the same author, the same theme, but different media. His class also guides students in developing a growth mindset with an emphasis on grit, teaching learners how they can start and sustain their learning.
The class aims to help learners become their own teachers on their English learning journey!
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Check out his class here:
限時折扣，最後倒數 >>> https://bit.ly/34DG64O
推薦該課程的所有收益將捐獻給慈善機構。在收到資金並完成捐贈後，我將會發表一個公告。
All proceeds from the referral of the class will be donated to charity. I will make an announcement when the funds are received and donated.
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References
Gardner, D. (2008). Vocabulary recycling in children's authentic reading materials: A corpus-based investigation of narrow reading. Reading in a Foreign Language, 20(1), 92-122.
Krashen, S. (2004). The case for narrow reading. Language Magazine 3(5):17-19.
MacLeod, M. (2013). Types of Reading. Retrieved April 14, 2020.
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#DIY #TeachingAids #PreschoolLearning #EngSubtitle
这是上一集【1到6岁的孩子怎么教？看这里就知道啦！】的续集哦！
这集我们会继续分享我这位ECE同学手工制作给孩子们的一些小游戏和活动。
再次谢谢我的这位ECE同学的无私分享。
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幼教系列的影片又回来啦！
这次很开心可以邀请到ECE的同学来参与我的影片，也感谢她的无私
愿意跟大家分享她的各种教材，而且全部都是自己手工制作的哦！
#DIY #TeachingAids #PreschoolLearning #EngSubtitle
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