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How differently are Prestige Evergreen Floor Plans designed?
Prestige Evergreen floor plans are designed with a focus on maximizing space, natural light, and ventilation, featuring efficient layouts with zero dead corners and options for 1, 2, 3, 4, and 5 BHK apartments. Each layout includes details like carpet area, and features like balconies and a Vaastu-compliant arrangement for natural light and air flow throughout the year. The overall design is intended to be functional and stylish, with some units offering views of the landscaped gardens and Varthur Lake.
Key design differences and features- Variety of options:
The project offers a range of unit sizes and configurations, from 1, 2, 3, 4, and 5 BHK apartments, to cater to different family needs. - Space efficiency:
Designs prioritize efficiency by incorporating zero dead corners and maximizing the carpet area within the total footprint. - Natural light and ventilation:
Each floor plan is designed to allow ample natural light and cross-ventilation, ensuring a bright and airy living environment. - Vaastu compliance:
The layouts are aligned with Vaastu principles to promote a harmonious living space. - Outdoor spaces:
Many apartments include one or two balconies, providing residents with private outdoor spaces. - View-oriented design:
Some layouts are strategically positioned to offer views of the project's landscaped gardens and the nearby Varthur Lake. - Functional interiors:
The interiors are designed for modern living, featuring spacious rooms, well-planned kitchens, and high-quality fittings.
- Variety of options:
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小心安眠藥上癮
使蒂諾斯(Zo l p i d em;Stil n o x®)是 新 一 代 非 苯 二 氮 平 作 用 劑 ( n o n -Benzodiazepine;non-BZD),目前在臺灣,這類藥物還有「宜眠安」(Zopiclone;Imovane®)、「贊你眠」(Z aleplon;SONATA®)。這三種藥物在化學結構上與過去的苯二氮平作用劑(Benzodiaze pine;BZD)類藥物不同,他們都可以有效的作用在神經傳導物質GABA-A受體上,讓腦神經放鬆,而有良好的安眠效果。不過這三種英文名稱都是Z開頭的「3Z」藥品,非常容易被濫 用,管制藥品管理局將這三種安眠藥列為第四級管制藥。
使蒂諾斯(Zolpidem;Stilnox®)能夠維持正常睡眠時間,藥效在推薦的治療劑量(五到十毫克)下就能出 現安眠效果,至於抗焦慮、抗驚瘚或肌肉鬆弛效果非常微弱。另外,與傳統的苯二氮平類比較,使蒂諾斯不會對睡眠週期或快速動眼期造成損害,記憶的損害也少見。突然停藥,可能造成反彈性失眠現象,但不像傳統的 苯二氮平類那麼嚴重。
使蒂諾斯的藥效快、持續時間短,類似BZD之中的酣樂欣錠(triazolam;Halcion®),透過口服,在 胃腸道內會被迅速吸收,兩三個小時內就會達到藥物濃度的巔峰,而半生期也只有兩到三個小時,隨即遭到肝臟破 壞,失去效力。所以非常適合「入睡困難型」失眠的治療。
另 一 種 藥 物 是 「 宜 眠 安 」 (Zopiclone;Imovane®),跟傳統苯二氮平類藥物以及使蒂諾斯的化學結構不一樣。但是它與使蒂諾斯的藥理作用卻相似,比較不同的是,它的代謝較慢,半生期可達六個小時, 比較適合「易醒型」的失眠。至 於 「 贊 你 眠 」 ( Z a l e p l o n ;SONATA®)是目前最短效的安眠藥之一,作用快,適合必須快速入睡者,例如工作不定時、日夜顛倒的輪班族、夜 班族,常需克服時差的空中飛人。此 外,服藥者睡醒後不易殘留宿醉感,但 缺點就是睡到一半容易醒,適合「難以 入睡」之失眠病人。健保給付僅適用於 嚴重、病人功能障礙或遭受極度壓力之 失眠症患者,用於六十五歲以上病患, 起始劑量為每日五毫克。 不管哪一種安眠藥,服藥後如果不能 立即入睡,就容易出現無意識的四處行 走,拿東西,搬東西、甚至到外面購物 的瘋狂行為,但事後則完全不記得這段 經過。此外,少數患者會有短暫失憶、 自制不能、類似夢遊般的狀況。建議服 藥後應盡快上床就寢。 -
使蒂諾斯可能導致夢遊
根據印度醫師發表於近期出刊之International Medical Journal of Eating Disorders上之文章,發現有一名印度民眾連續服用含Zolpidem成分藥品,服藥後第10天夜晚 ,家人發現他不自知的夢遊到離家2公里外的店鋪大吃甜食,這名病患停止服安眠藥後,未再出現夢遊症狀。醫師認為,這樣的夢遊行為與其正服用的Zolpidem藥品有關。
澳洲TGA也曾於2008年2月21日發布加強含zolpidem成分之鎮靜、安眠劑類藥品(商品名:使蒂諾斯,Stilnox)之仿單標示,標示之警語內容為病患服用該藥品後可能出現怪異之行為(夢遊走路、開車或吃 食物…等)而使病患暴露於危險情況。
經查,衛生署核准使蒂諾斯藥品之適應症為「失眠症」,其列屬於醫師處方及第4級管制藥品,病患必需經由醫師 診治後才能夠開立處方,並應遵循處方服用。衛生署曾於96年3月15日與97年2月25日發布新聞提醒醫師 及病患使用鎮靜、安眠藥品應小心監視其引起夢遊或行為怪異之不良反應,且該類經衛生署審慎評估其風險效益後,於96年7月30日衛署 藥字第0960326114號公告鎮靜安眠藥仿單加刊「服用本品可能出現夢遊行為,例如開車、打電話及準備或食用食物」之警語。
衛生署呼籲醫師為睡眠障礙病患處方鎮靜、安眠藥品時應審慎評估其用藥之風險與效益,同時宜提醒病患家屬或其健康照護者嚴密監視病患服藥後之情形。過年期間, 倘若飲酒也應避免與鎮定安眠藥品一起服用,以免導致嚴重不良反應。
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減肥藥是什麼
醫生處方的減肥藥的確可以輔助減重,但需要經醫生指導服用,避免胡亂自行購買服用。許多人對減肥藥的種類、原理及副作用一知 半解,導致濫用或效果未如預期。本文將詳細介紹減肥藥的定義、種類、原理、效果、常見成分、副作用、注意事 項,以及改善飲食與運動是否比服藥更好。
減肥藥是指用於幫助減少體重或體脂的藥物或保健品,旨在通過影響代謝、食慾或脂肪吸收來達到瘦身效果。一般而言, 減肥藥可大致分類為處方藥(經註冊西醫處方的藥物)及非處方藥(如市售減肥保健品)需用於BMI≥30的肥 胖患者,或BMI≥27伴有併發症者。
定義:減肥藥是經科學驗證或傳統使用的物質,輔助飲食及運動減重,非獨立解決方案。
歷史:減肥藥可追溯至20世紀初,如安非他命類藥物,現代藥物更注重安全,如GLP-1受體激動劑。
須留意的是,減肥藥不是「仙丹」,即使服用亦需要結合生活方式改變,長期服用者亦建議由註冊醫生監測身體狀 況。
減肥藥種類多樣,根據作用機制分類,主要種類包括:
食慾抑制劑:如Phentermine,抑制腦部饑餓信號,減少進食量。適合食慾旺盛者。
脂肪吸收抑制劑:如Orlistat(Xenical),阻礙腸道吸收脂肪,排出多餘油脂。適合高脂飲食者。
代謝促進劑:如綠茶萃取或咖啡因保健品,研究顯示可輕微增加產熱與能量消耗,但對體重的效果小且不穩定;多 見於非處方保健品,效果不及藥物。
GLP-1受體激動劑:如Semaglutide(Ozempic),模擬腸道激素,延緩胃排空並降低食慾。屬於近 年最熱門的種類。
其他:如Bupropion/Naltrexone組合,影響腦部獎勵系統,但務必注意禁忌與不良反應。 -
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Why Everest trekking does it feel like Tibet?
Everest trekking feels like Tibet because the Northern side is located within Tibet, and the surrounding landscape is a stark, high-altitude Tibetan plateau, which is drier and browner than the greener landscapes of the Nepali side. Trekkers on this side encounter characteristic Tibetan scenery, monasteries, and cultural elements, and the atmosphere can feel spiritually profound.
Landscape and terrain- Dry and arid:
The landscape on the Tibetan side of Everest is often described as much drier, with rolling brown hills that are less jagged than those on the Nepal side. - High-altitude plateau:
The trek takes place on the Tibetan Plateau, a high-altitude region with unique and surreal scenery. - Striking views:
You can experience stunning views of Everest, with the north face being considered by some to be more impressive than the south face views from Nepal.
- Monasteries:
A key element is the presence of monasteries, such as the Rongbuk Monastery, which is the world's highest and offers a quiet and spiritual experience. - Tibetan culture:
The trek allows for an immersion in Tibetan culture, which is present in the surrounding areas. - Unique atmosphere:
There's a distinct atmosphere on the Tibetan side that can be described as serene, with a different feeling than the more bustling Sherpa villages found in Nepal.
- Dry and arid: