美國聯邦大亂鬥。「多布斯v傑克森婦女健康組織」一案後遺症 美國司法墮胎篇

Women cannot refuse to give birth even if they are raped.

It is difficult to believe that RU-486, an oral abortion pill which has been using for more than 23 years in the U.S. was banned by a federal district judge in Texas. This medicine became more and more popular after the Dobbs v. Jackson Women's Health Organization judgement made by the federal Supreme court on June 24, 2023. Biden’s administration cabinet has asked the Supreme court to hear this case.

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美國司法毒品篇

Safe Injection Sites to Protect People from Drug Overdose.

Xylazine and Fentanyl have become the emerging threat for American people’s lives. US federal government regarded the drug of simple possession as a crime. However, US has been the top one country of drug abuse in the world. Overdose death tolls raised dramatically in recent years in the US. New York City was the first city to open supervised injection sites in Manhattan in 2011. The sites functions as the followings: to exchange needles, to provide strip to test the strength of the drug, to secure people with oxygen and AED. No one died from overdose between 2014-2019.

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偷盜$950美元以下不用抓去關，「加州州長布朗v普拉塔案」的後遺症? 美國司法系統 監獄篇

A Robbery under $950 USD is just a misdemeanor.

A group robbery was noticed in Philadelphia on Sep 26, 2023. Ober 100 teens who were social media-fueled smashed into stores and grabbed merchandise without payment. This was called “zero dollar shopping” which was started in San Francisco. California passed the proposition 47 in 2014 and then switched some crimes from felony to misdemeanor. “Zero dollar shopping” was found getting more and more since then and even worse to spread to other cities.

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美國司法遊民篇（二）

The strategy on homeless people from the Harvard Law Review

•Homelessness is obvious a big issue in San Francisco. The ninth circuit court announced a temporary injunction in December 2022 to bar the removal of homeless camps in San Francisco. However, San Francisco downtown area has been abandoned by quite a few business groups such as Hilton Hotel, Parc 55 Hotel, Westfield Mall, Walgreen stores and Nordstorm flagship store. The mayor and governor have tried hard to clean the city and to settle down the homeless people in order to regain the beauty of this city.

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舊金山崩壞是「馬丁v.博伊斯城案」後遺症？ 美國司法遊民篇（一）

Streets or Shelters for Homeless People?

The ninth federal appeal court ordered a preliminary injunction to ban the removal of homeless people who camped on the streets or in the parks. Coalition of homelessness sued the city and county of San Francisco and won the lawsuit. The city and county of San Francisco lost the trial and ramped up cleaning the encampment of homeless people.

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Sarcopenia includes low muscle power, low muscle mass and low physical performance. Poor cognition function was associated with sarcopenia due to the common pathological mechanism such as high oxidative stress, IL-6, TNF α, poor nutrition and hormonal problems. Sarcopenia was found in the early stage of Alzheimer’s disease. It was also associated with poorer cognition function and higher risk of dementia.

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完整荷爾蒙補充療法改善肌少症 康倍肌喚中心專輯(九)

Comprehensive hormone supplementation may prevent and improve sarcopnia.

Hormones are found to be very important to work on muscle mass maintenance. Testosterone can be the core hormone on the protein synthesis. Growth hormone and IGF-1 are also associated with the muscle function. Less thyroid hormone can result in less muscle fibrils. Insulin deficiency or insulin resistance may cause the gluconeogenesis in liver and reduce the glucose metabolism in skeletal muscle. Insulin promotes protein anabolism and insulin resistance causes protein catabolism. Comprehensive hormone supplementation may prevent and improve sarcopenia.

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Sarcopenia worsens pulmonary function in COPD patients.

Chronic obstructive pulmonary disease can combine severe oxidative stress, chronic inflammation and less nutritional intake which reduce protein synthesis and increase the turnover rate of protein.

COPD combining Hypoxia also induced increased myostatin which inhibits the muscle growth.

Protein intake should be added up to 1.2-1.5g/kg/d. Vitamin D should be monitored and supplemented. Resistance exercise is always the most effective way to improve sarcopenia. Oxygen inhalation can be applied while exercising.

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癌症朋友經歷的可不只是肌肉流失的危險….. 康倍肌喚中心專輯(六)

Cancer combined with sarcopenia, more than just muscle loss!

Cancer combined with sarcopenia can be a worse condition than without sarcopenia. So far, sarcopenia was considered as a independent prognosis marker for all kinds of cancer diseases.

Sarcopenia can increase the mortality rate, hospitalized days, recurrence rate, chemo-radiologic toxicities, 5- year survival rate and overall survival rate.

Exercise ,resistance exercise and nutrition support should be added to treatment regimen as early as possible.

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愈多肌肉的人愈少心臟病，可能減少81%風險 康倍肌喚中心專輯(五)

Higher muscle mass has lower risk of CVD.

Sarcopenia and cardiovascular disease share the similar pathologic pathway which is chronic low-grade inflammation. Sarcopenia may cause cardiovascular disease. Cardiovascular disease may cause sarcopenia. Sarcopenia may speed up the progress of cardiovascular disease including coronary artery disease, peripheral vascular disease and heart failure. Cardiovascular disease also reduces the exercise performance and nutritional intake which may result in sarcopenia.

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