ଐຍିጯᄮۢ።඀ᄃଐຍିጯϫᇾ

ߡἼചջో῅ञણᄞ⋀ᶇἄ໽ȭ᪗ᇜ೩Հ᫧ᄞ࿙

Taichung V eterans General Hospital

࣐ߓ౫ᇅུቌঅᢏΚयޠ௒םȄᢏ፭౩ᗊԚ࣐ঐ

΢ޠ੬ኊϟΚȂѠпߩளՍӶޠଇ፤ᄈ౩ᗊޠ ዦནȄ

Ҧαख़ѠޤȂାቺ௒ཏఁᏱҭዀޠႁԚഷಥሰᇅ

ӶᏱಭᐤโϜᆱࡼᏱಭ׺Τޠ२्ӱષȄಓӬঐ΢ቌ অޠ՘࣐Жึၷ஽τޠ௒ᆲЇᔗȂЏڐ࿌၏Ᏹಭٲӈ ቌঅпϲϾԚ࣐ঐ΢੬ኊϟਣȂᏱಭ޲ཽ෉ࡠ၏Ᏹಭ ٲӈޠ๗ݏԚ࣐ϲӶঐ΢Ӳ㔴Ȅ

୤ՃМᝦ

orgas The role o a ect in social cognition n orgas

eeling an thin ing The role o social cognition pp 1- e or a ri ge ni ersit ress

orgas 1 ntro uction ect an social cognition n orgas Han oo o a ect an social cognition pp 1- ah ah a rence rl au ssociates

sen 1 ositi e s ect n T algleish an o er s Han oo o cognition an e otion pp 1- e or ile

rath ohl loo asia 1 6 Ta ono o e ucational e ucational o ecti es Han oo ecti e o ain e or a i c a

innen rin intrich ultiple path a s to learning an

achie e ent The role o goal orientation in ostering a apti e oti ation a ect an cognition n ansone Harac ie ic s ntrinsic an e trinsic

oti ation The research or opti al oti ation an per or ance pp 1 - an iego ca e ic ress

e run 1 The i pact o e otions in learning an achie e ent To ar a theor o cogniti e e otional e iators pplie s cholog n international re ie 1 - 6

e ru Goet T Tit err ca e ic e otions in stu ents sel -regulate learning an achie e ent progra or ualitati e an

uantitati e research ucational s chologist -1

ei ner 1 Test an iet The state o the art e or lenu

ӫ ΢ ᇮ ᓄ

The practice o e icine is an art not a tra e a calling not a usiness a calling in hich our heart ill e e ercise e uall ith our hea

ir illia sler

William Osler

Ta ic c hu u ngng VV etet eer an s Ge ne ral Ho sp it al

ዀᚡȞtitleȟȈ

ose strontiu ranelate re uce the ris o erte ral ractures ᖞטഷ२्ޠ๗፤Ȟclinical otto lineȟȈȪ࡛ឋϸ઼ȫ

Treat ent o post enopausal osteoporosis ith strontiu ranelate re uces the ris o erte ral ractures especiall ithin ears

ᄃᜍ ୱᚡȈ᜹࠯Șݾᕜ șຩᘟ șႲࡤ șڐуȈ

ŮȈ a post enopausal o an ith osteoporosis co plicate ith erte ral racture ŧȈstrontiu ranelate

šȈplace o ŭȈ

1 erte ral ractures non- erte ral

a erse e ects iarrhea an gastritis

Ᏸҡᓺيհࠢ

டড়ຟ፣

ҙẤⵒ̦ずⷪో▼৘॰

ଽ፵౶ᚭᄈ ྒпαޠ΢πՅّ࢑Κঐᝓ२ޠୋ

ஷࡅૐȂЏڐ࢑୅စࡤޠஐυȂѻཽആԚՃԒ΢πᢖଽ І૘ෝଽ׸ॴᓏቩђȂ௄ՅആԚҢࣁᐡ૗ޠോѷȂՅߞ εޠඉୋІ՟ଲຳң؂࢑ަཽୋஷԚҐޠΚτ॓ᐋȄ

ጿᚃ৲ޠ೼጖ TԠӶϸݚstrontiu ranelate

࢑֐૗෶Ўଽ፵౶ᚭޠ୅စஐυȶ૘ෝଽ׸ȷޠॴ ᓏȄҦ Ԓึߓޠ T stu ๗ݏࣽٿȂstrontiu ranelateЩକԋኒᏙȂӶ੿΢Ӥਣٻң໘бІᆱу ڽ ޠ௒ݸίȂစႇήԒޠଢᙺѠп෶Ў૘ෝଽ׸

ޠॴᓏȇดՅःف๗ݏ૗ϸݚޠڨၑ޲ϛژ঩Ґ୥

ᇅᓎᐡϸಣ΢኶ޠ Ȟ1 6 16 6 ȟȂѠ

૗ആԚ๗ݏޠᇳৰȄѫΚঐ ԒึߓޠT

stu Ȃ᜹ծޠ੿΢ఋထйԥၷӼޠ੿΢኶Ȃ๗ݏᇅ T stu ᜹ծȂήԒޠଢᙺึ౫strontiu ranelate Щ କ ԋ ኒ Ꮩ Ѡ п ෶ Ў ߩ ૘ ෝ ᇅ ૘ ෝ ଽ ׸ ޠ ॴ ᓏ ȇ ด Յ ׈ Ԛ ή Ԓ ଢ ᙺ ޠ ڨ ၑ ޲ ϛ ژ ঩ Ґ ΢ ኶ ޠ Ȟ 1 6 ȟȄጿᚃ৲ЖңޠഷߗΚঐ Ԓึߓޠःف๗ݏȂ੿΢ఋထᇅࠊڎঐःف᜹ծȂଢ

ᙺϥԒޠਣ໣ηึ౫strontiu ranelateЩକԋኒᏙѠ п෶Ўߩ૘ෝᇅ૘ෝଽ׸ޠॴᓏȂѬ࢑؂ߞਣ໣ޠः

فηᏳय؂ାЩ౦ޠ੿΢ѷџଢᙺȂ׈ԚϥԒଢᙺޠ ڨၑ޲ϛژ঩Ґ΢኶ޠ6 Ȟ 1 1 ȟȄ

Ҧ೼ංঐᓎᐡȃᚗޢȃпԋኒᏙձ࣐ᄈྲಣޠ ᖞטၑᡜ๗ݏȂጿᚃ৲୉Πпί๗፤Ȉٻңstrontiu ranelateήԒѠп෶Ўଽ፵౶ᚭޠ୅စஐυϟ૘ෝଽ

׸ॴᓏȞᜍᐄ઼๊Ȉ ȟȄดՅѬԥ T stu п૘

ෝଽ׸࣐pri ar en -pointйԞᓄޠ੿΢఩ӈ҇ሰԥ

૘ෝଽ׸ޠ੿ѭȂڐᎸڎঐःفഎ࢑пߩ૘ෝଽ׸࣐

pri ar en -pointйԞᓄޠ੿΢఩ӈϛєࢃ૘ෝଽ׸

ޠ੿ѭȂӤ፵ܓծоϛ٘Ȃӱԫᜍᐄ઼๊೪࣐ ծо ၷ࣐࡭࿌Ȅѫѵᖞטᔗңα҇໹ݨཏȂ೼ٳःفޠڨ ၑ޲л्࢑Ҫᆎ΢Ȃӱԫ๗ݏᔗңӶ༂ᆎ΢ཽϛཽԥ ৰ౵ȉߞ෉ޠ᛿ޑٻңԋӓܓԄեȉഎ࢑ҭࠊޠःف ๗ݏณݳණٽ๏਱ޠӵРȂӶԥڐу᛿ޑѠпݾᕜଽ

፵౶ᚭޠ௒ݸίȂᖞטᔗң҇໹؂ђᙲབྷȄ

ᅘづ˩⨀Ấʙᗶⷪోȭ᪗;⎟ⷪో

၁෠ᗁጯ.ҝੰᗁरᐹ։үݡ

Taichung V eterans General Hospital

ș ochrane Ș u e ș ournal lu șڐуȈ ཫ൷ᜱᗥԆȞsearch ter sȟȈ

ཫ൷ᐤโȈ

௄Ϝࢆᒶڸשউޠ੿΢ഷࣻߗޠःفᄈຬІୱᚡޠःف л्ຠቸНᝧ papers appraise Ȉ

The ects o trontiu anelate on the is o Verte ral racture in o en ith ost enopausal s-teoporosis T

ierre eunier et al ngl e -6

ःف೪ॏȞthe stu esignȟȈ

ŮȈ ost enopausal o en o ith osteoporosis an a histor o erte ral racture 16 intention-to-treat population 1

ŧȈ trontiu ranelate g šȈ lace o

ŭȈ ri ar outco e erte ral ractures

ȁȁ econ ar outco e non- erte ral ractures lu ar spine e oral nec an total hip

tu esignȈ rospecti e ulti-centers centers in 11 uropean countries an ustralia T o 1 6 to ul 1

ŲȈ ears

e uate se uence generationȈunclear onl entione @ @ prospecti e ran o i e ou le lin place o-controlle trial ɇ

llocation conceal entȈunclear onl entione @ @ prospecti e ran o i e ou le lin place o-controlle trial ɇ

lin caregi er Ȉunclear onl entione @ @ prospecti e ran o i e ou le lin place o-controlle trial ɇ lin patient Ȉunclear onl entione @ @ prospecti e ran o i e ou le lin place o-controlle trial ɇ lin utco e access Ȉ es @ ll ra iographs ere assesse at a central acilit ra iologists ere tol the ti e se uence o each ra iograph ut ere una are o the treat ent assign ent ɇ

nco plete outco e ata a ressȈno lost to ollo upȈ 16 6 strontiu ranelate place o 1 1

ree o selecting reportȈno @ The ata an assess ents collecte in this stu ere hel er ier an statistical anal ses ere per or e er ier ɇ

ther iasȈunclear

שউޠ੿΢ഷࣻߗޠःفᄈຬІୱᚡޠःف

Taichung V eterans General Hospital

๗ݏȞresultsȟȈ

1 e erte ral ractures occurre in e er patients in the strontiu ranelate group than in the place o group ith a ris re uction o percent in the ¿rst ear o treat ent an 1 percent uring the

three-ear stu perio Ȟrelati e ris percent con¿ ence inter al to ȟȞ ig ȟ

trontiu ranelate increase one ineral ensit at onth 6 1 percent at the lu ar spine an percent at the e oral nec Ȟ 1 or oth co parisonsȟȞ ig ȟ

uring the three ears o the stu the rates o a erse e ents serious a erse e ents an ith ra al ue to a erse e ents ere si ilar in the t o groups iarrhea as the ost re uent gastrointestinal a erse e entȞoccurring in 6 1 percent o the strontiu ranelate group an 6 percent o the place o group ȟ There as a lo er inci ence o gastritis as iagnose clinicall the in estigators in the strontiu ranelate group than in the place o groupȞ 6 percent s percent ȟ nal tic ias ӱ࣐lost to ollo up Ȃस೼ٳ΢኶ηђΤಜॏѠ૗Ᏻय๗ݏޠϛӤȄ

ree o selecting reportȋ@ The ata an assess ents collecte in this stu ere hel er ier an statistical anal ses ere per or e er ier ɇ Ѡ૗዗Ӷselection iasȄ

ڐѻ୥ՄНᝧȞcitations in co entsȟȈȞܼ፝ؑΚНᝧ׏ӗαᜍᐄ઼๊ȟ

1 ects o long-ter strontiu ranelate treat ent on the ris o non erte ral an erte ral ractures in post enopausal osteoporosisȈ esults o a ¿ e- ear ran o i e place o-controlle trial eginster

- eginster et al rthritis heu un 6 Ȉ16

trontiu ranelate re uces the ris o non erte ral ractures in post enopausal o en ith osteoporosisȈTreat ent o eripheral steoporosis T stu

- eginster et al lin n ocrinol eta a Ȉ 16- pu e trontiu ranelate or pre enting an treating post enopausal osteoporosis

- onnell et al ochrane ata ase st e 6 ct 1 Ȉ 6 e ie

Taichung V eterans General Hospital

1 ear erte ral racturesȞ eginster- ears T an T - earsȟȈٻң tron-Ȉٻң tron- tron-tiu ranelate ӶࠊήԒѠ݃ᡘ७մ erte ral ractures ޠึҢȂկژಒϥԒਞݏᡑϛ݃ᡘ

ears non- erte ral racturesȞ eginster- ears T an T - earsȟȈ trontiu ranelate ڸ place o ЩၷȂᄈܼ෶Ўnon- erte ral racturesޠึҢณᡘ຀ৰ౵

erse e ects-gastritisȈڎಣءԥ݃ᡘৰր

erse e ects- iarrheaȈ trontiu ranelate ಣึҢဝᘭޠ௒ם݃ᡘӼܼplace o ಣ

ຠ፤Ȟ o entsȟȈ

ᄈpost enopausal osteoporosis ੿ொȂ਴ᐄࠊख़ᜍᐄᆤӬՅّȋstrontiu ranelateЩplace o ݃ᡘ

෶Ў erte ral racturesޠึҢȂկ࢑ဝᘭޠ୚ձңѠ૗ཽኈ៫ொ޲ޠ݉᛿໸௄ܓȄሰ्؂ӼІ؂ߞ෉

ޠःفݾᕜਞݏІ୚ձңȂѫѵڸڐуݾᕜଽ፵౶ᚭ᛿ޑޠЩၷȞҭࠊુЎөᆎ᛿ޑ hea -to-hea stu ȟȂᗚԥ੿ொޠစᔽӱષȞҭࠊԫ᛿ۧณୋߴ๞рȂѬ૗Ҧᚃ৲೏РՍຳᗋຶٻңȟ๊എ࢑ໍΚؐ

ݾᕜ؛๋ຠզ໷ҭȄ

ᇨձ޲Ȉጿஏے ࡿᏳఁ৲Ȉݔਣ໌лӉ եᘅⵤлӉ ᇨձС෉Ȉ ࡛ឋ؂ུС෉Ȉ 1

Taichung V eterans General Hospital