下載App 希平方
攻其不背
App 開放下載中
下載App 希平方
攻其不背
App 開放下載中
IE版本不足
你的 IE 瀏覽器太舊了 更新 IE 瀏覽器或點選連結下載 Google Chrome 瀏覽器 前往下載

免費註冊
! 這組帳號已經註冊過了
Email 帳號
密碼請填入 6 位數以上密碼
已經有帳號了?
忘記密碼
! 這組帳號已經註冊過了
您的 Email
請輸入您註冊時填寫的 Email,
我們將會寄送設定新密碼的連結給您。
寄信了!請到信箱打開密碼連結信
密碼信已寄至
沒有收到信嗎? 點這裡重寄一次
如果您尚未收到信,請前往垃圾郵件查看,謝謝!

恭喜您註冊成功!

查看會員功能

註冊未完成

《HOPE English 希平方》服務條款關於個人資料收集與使用之規定

隱私權政策
上次更新日期:2014-12-30

希平方 為一英文學習平台,我們每天固定上傳優質且豐富的影片內容,讓您不但能以有趣的方式學習英文,還能增加內涵,豐富知識。我們非常注重您的隱私,以下說明為當您使用我們平台時,我們如何收集、使用、揭露、轉移及儲存你的資料。請您花一些時間熟讀我們的隱私權做法,我們歡迎您的任何疑問或意見,提供我們將產品、服務、內容、廣告做得更好。

本政策涵蓋的內容包括:希平方 如何處理蒐集或收到的個人資料。
本隱私權保護政策只適用於: 希平方 平台,不適用於非 希平方 平台所有或控制的公司,也不適用於非 希平方 僱用或管理之人。

個人資料的收集與使用
當您註冊 希平方 平台時,我們會詢問您姓名、電子郵件、出生日期、職位、行業及個人興趣等資料。在您註冊完 希平方 帳號並登入我們的服務後,我們就能辨認您的身分,讓您使用更完整的服務,或參加相關宣傳、優惠及贈獎活動。希平方 也可能從商業夥伴或其他公司處取得您的個人資料,並將這些資料與 希平方 所擁有的您的個人資料相結合。

我們所收集的個人資料, 將用於通知您有關 希平方 最新產品公告、軟體更新,以及即將發生的事件,也可用以協助改進我們的服務。

我們也可能使用個人資料為內部用途。例如:稽核、資料分析、研究等,以改進 希平方公司 產品、服務及客戶溝通。

瀏覽資料的收集與使用
希平方 自動接收並記錄您電腦和瀏覽器上的資料,包括 IP 位址、希平方 cookie 中的資料、軟體和硬體屬性以及您瀏覽的網頁紀錄。

隱私權政策修訂
我們會不定時修正與變更《隱私權政策》,不會在未經您明確同意的情況下,縮減本《隱私權政策》賦予您的權利。隱私權政策變更時一律會在本頁發佈;如果屬於重大變更,我們會提供更明顯的通知 (包括某些服務會以電子郵件通知隱私權政策的變更)。我們還會將本《隱私權政策》的舊版加以封存,方便您回顧。

服務條款
歡迎您加入看 ”希平方”
上次更新日期:2013-09-09

歡迎您加入看 ”希平方”
感謝您使用我們的產品和服務(以下簡稱「本服務」),本服務是由 希平方 所提供。
本服務條款訂立的目的,是為了保護會員以及所有使用者(以下稱會員)的權益,並構成會員與本服務提供者之間的契約,在使用者完成註冊手續前,應詳細閱讀本服務條款之全部條文,一旦您按下「註冊」按鈕,即表示您已知悉、並完全同意本服務條款的所有約定。如您是法律上之無行為能力人或限制行為能力人(如未滿二十歲之未成年人),則您在加入會員前,請將本服務條款交由您的法定代理人(如父母、輔助人或監護人)閱讀,並得到其同意,您才可註冊及使用 希平方 所提供之會員服務。當您開始使用 希平方 所提供之會員服務時,則表示您的法定代理人(如父母、輔助人或監護人)已經閱讀、了解並同意本服務條款。 我們可能會修改本條款或適用於本服務之任何額外條款,以(例如)反映法律之變更或本服務之變動。您應定期查閱本條款內容。這些條款如有修訂,我們會在本網頁發佈通知。變更不會回溯適用,並將於公布變更起十四天或更長時間後方始生效。不過,針對本服務新功能的變更,或基於法律理由而為之變更,將立即生效。如果您不同意本服務之修訂條款,則請停止使用該本服務。

第三人網站的連結 本服務或協力廠商可能會提供連結至其他網站或網路資源的連結。您可能會因此連結至其他業者經營的網站,但不表示希平方與該等業者有任何關係。其他業者經營的網站均由各該業者自行負責,不屬希平方控制及負責範圍之內。

兒童及青少年之保護 兒童及青少年上網已經成為無可避免之趨勢,使用網際網路獲取知識更可以培養子女的成熟度與競爭能力。然而網路上的確存有不適宜兒童及青少年接受的訊息,例如色情與暴力的訊息,兒童及青少年有可能因此受到心靈與肉體上的傷害。因此,為確保兒童及青少年使用網路的安全,並避免隱私權受到侵犯,家長(或監護人)應先檢閱各該網站是否有保護個人資料的「隱私權政策」,再決定是否同意提出相關的個人資料;並應持續叮嚀兒童及青少年不可洩漏自己或家人的任何資料(包括姓名、地址、電話、電子郵件信箱、照片、信用卡號等)給任何人。

為了維護 希平方 網站安全,我們需要您的協助:

您承諾絕不為任何非法目的或以任何非法方式使用本服務,並承諾遵守中華民國相關法規及一切使用網際網路之國際慣例。您若係中華民國以外之使用者,並同意遵守所屬國家或地域之法令。您同意並保證不得利用本服務從事侵害他人權益或違法之行為,包括但不限於:
A. 侵害他人名譽、隱私權、營業秘密、商標權、著作權、專利權、其他智慧財產權及其他權利;
B. 違反依法律或契約所應負之保密義務;
C. 冒用他人名義使用本服務;
D. 上載、張貼、傳輸或散佈任何含有電腦病毒或任何對電腦軟、硬體產生中斷、破壞或限制功能之程式碼之資料;
E. 干擾或中斷本服務或伺服器或連結本服務之網路,或不遵守連結至本服務之相關需求、程序、政策或規則等,包括但不限於:使用任何設備、軟體或刻意規避看 希平方 - 看 YouTube 學英文 之排除自動搜尋之標頭 (robot exclusion headers);

服務中斷或暫停
本公司將以合理之方式及技術,維護會員服務之正常運作,但有時仍會有無法預期的因素導致服務中斷或故障等現象,可能將造成您使用上的不便、資料喪失、錯誤、遭人篡改或其他經濟上損失等情形。建議您於使用本服務時宜自行採取防護措施。 希平方 對於您因使用(或無法使用)本服務而造成的損害,除故意或重大過失外,不負任何賠償責任。

版權宣告
上次更新日期:2013-09-16

希平方 內所有資料之著作權、所有權與智慧財產權,包括翻譯內容、程式與軟體均為 希平方 所有,須經希平方同意合法才得以使用。
希平方歡迎你分享網站連結、單字、片語、佳句,使用時須標明出處,並遵守下列原則:

  • 禁止用於獲取個人或團體利益,或從事未經 希平方 事前授權的商業行為
  • 禁止用於政黨或政治宣傳,或暗示有支持某位候選人
  • 禁止用於非希平方認可的產品或政策建議
  • 禁止公佈或傳送任何誹謗、侮辱、具威脅性、攻擊性、不雅、猥褻、不實、色情、暴力、違反公共秩序或善良風俗或其他不法之文字、圖片或任何形式的檔案
  • 禁止侵害或毀損希平方或他人名譽、隱私權、營業秘密、商標權、著作權、專利權、其他智慧財產權及其他權利、違反法律或契約所應付支保密義務
  • 嚴禁謊稱希平方辦公室、職員、代理人或發言人的言論背書,或作為募款的用途

網站連結
歡迎您分享 希平方 網站連結,與您的朋友一起學習英文。

抱歉傳送失敗!

不明原因問題造成傳送失敗,請儘速與我們聯繫!
希平方 x ICRT

「Maryn McKenna:抗生素失效時,人類該怎麼辦?」- What Do We Do When Antibiotics Don't Work Any More?


框選或點兩下字幕可以直接查字典喔!

This is my great uncle, my father's father's younger brother. His name was Joe McKenna. He was a young husband and a semi-pro basketball player and a fireman in New York City. Family history says he loved being a fireman, and so in 1938, on one of his days off, he elected to hang out at the firehouse. To make himself useful that day, he started polishing all the brass, the railings on the fire truck, the fittings on the walls, and one of the fire hose nozzles, a giant, heavy piece of metal, toppled off a shelf and hit him. A few days later, his shoulder started to hurt. Two days after that, he spiked a fever. The fever climbed and climbed. His wife was taking care of him, but nothing she did made a difference, and when they got the local doctor in, nothing he did mattered either.

They flagged down a cab and took him to the hospital. The nurses there recognized right away that he had an infection, what at the time they would have called "blood poisoning," and though they probably didn't say it, they would have known right away that there was nothing they could do.

There was nothing they could do because the things we use now to cure infections didn't exist yet. The first test of penicillin, the first antibiotic, was three years in the future. People who got infections either recovered, if they were lucky, or they died. My great uncle was not lucky. He was in the hospital for a week, shaking with chills, dehydrated and delirious, sinking into a coma as his organs failed. His condition grew so desperate that the people from his firehouse lined up to give him transfusions hoping to dilute the infection surging through his blood. Nothing worked. He died. He was 30 years old.

If you look back through history, most people died the way my great uncle died. Most people didn't die of cancer or heart disease, the lifestyle diseases that afflict us in the West today. They didn't die of those diseases because they didn't live long enough to develop them. They died of injuries—being gored by an ox, shot on a battlefield, crushed in one of the new factories of the Industrial Revolution—and most of the time from infection, which finished what those injuries began.

All of that changed when antibiotics arrived. Suddenly, infections that had been a death sentence became something you recovered from in days. It seemed like a miracle, and ever since, we have been living inside the golden epoch of the miracle drugs.

And now, we are coming to an end of it. My great uncle died in the last days of the pre-antibiotic era. We stand today on the threshold of the post-antibiotic era, in the earliest days of a time when simple infections such as the one Joe had will kill people once again. In fact, they already are. People are dying of infections again because of a phenomenon called antibiotic resistance. Briefly, it works like this. Bacteria compete against each other for resources, for food, by manufacturing lethal compounds that they direct against each other. Other bacteria, to protect themselves, evolve defenses against that chemical attack. When we first made antibiotics, we took those compounds into the lab and made our own versions of them, and bacteria responded to our attack the way they always had.

Here is what happened next: Penicillin was distributed in 1943, and widespread penicillin resistance arrived by 1945. Vancomycin arrived in 1972, vancomycin resistance in 1988. Imipenem in 1985, and resistance to it in 1998. Daptomycin, one of the most recent drugs, in 2003, and resistance to it just a year later in 2004.

For 70 years, we played a game of leapfrog—our drug and their resistance, and then another drug, and then resistance again—and now the game is ending. Bacteria develop resistance so quickly that pharmaceutical companies have decided making antibiotics is not in their best interest, so there are infections moving across the world for which, out of the more than 100 antibiotics available on the market, two drugs might work, with side effects, or one drug, or none.

This is what that looks like. In 2000, the Centers for Disease Control and Prevention, the CDC, identified a single case in a hospital in North Carolina of an infection resistant to all but two drugs. Today, that infection, known as KPC, has spread to every state but three, and to South America, Europe and the Middle East. In 2008, doctors in Sweden diagnosed a man from India with a different infection resistant to all but one drug that time. The gene that creates that resistance, known as NDM, has now spread from India into China, Asia, Africa, Europe and Canada, and the United States.

It would be natural to hope that these infections are extraordinary cases, but in fact, in the United States and Europe, 50,000 people a year die of infections which no drugs can help. A project chartered by the British government known as the Review on Antimicrobial Resistance estimates that the worldwide toll right now is 700,000 deaths a year. That is a lot of deaths, and yet, the chances are good that you don't feel at risk, that you imagine these people were hospital patients in intensive care units or nursing home residents near the ends of their lives, people whose infections are remote from us, in situations we can't identify with. What you didn't think about, none of us do, is that antibiotics support almost all of modern life.

If we lost antibiotics, here's what else we'd lose: First, any protection for people with weakened immune systems—cancer patients, AIDS patients, transplant recipients, premature babies. Next, any treatment that installs foreign objects in the body: stents for stroke, pumps for diabetes, dialysis, joint replacements. How many athletic baby boomers need new hips and knees? A recent study estimates that without antibiotics, one out of every six would die.

Next, we'd probably lose surgery. Many operations are preceded by prophylactic doses of antibiotics. Without that protection, we'd lose the ability to open the hidden spaces of the body. So no heart operations, no prostate biopsies, no Cesarean sections. We'd have to learn to fear infections that now seem minor. Strep throat used to cause heart failure. Skin infections led to amputations. Giving birth killed, in the cleanest hospitals, almost one woman out of every 100. Pneumonia took three children out of every 10.

More than anything else, we'd lose the confident way we live our everyday lives. If you knew that any injury could kill you, would you ride a motorcycle, bomb down a ski slope, climb a ladder to hang your Christmas lights, let your kid slide into home plate? After all, the first person to receive penicillin, a British policeman named Albert Alexander, who was so ravaged by infection that his scalp oozed pus and doctors had to take out an eye, was infected by doing something very simple. He walked into his garden and scratched his face on a thorn. That British project I mentioned which estimates that the worldwide toll right now is 700,000 deaths a year also predicts that if we can't get this under control, by 2050, not long, the worldwide toll will be 10 million deaths a year.

How did we get to this point where what we have to look forward to is those terrifying numbers? The difficult answer is, we did it to ourselves. Resistance is an inevitable biological process, but we bear the responsibility for accelerating it. We did this by squandering antibiotics with a heedlessness that now seems shocking. Penicillin was sold over the counter until the 1950s. In much of the developing world, most antibiotics still are. In the United States, 50 percent of the antibiotics given in hospitals are unnecessary. Forty-five percent of the prescriptions written in doctor's offices are for conditions that antibiotics cannot help. And that's just in healthcare. On much of the planet, most meat animals get antibiotics every day of their lives, not to cure illnesses, but to fatten them up and to protect them against the factory farm conditions they are raised in. In the United States, possibly 80 percent of the antibiotics sold every year go to farm animals, not to humans, creating resistant bacteria that move off the farm in water, in dust, in the meat the animals become. Aquaculture depends on antibiotics too, particularly in Asia, and fruit growing relies on antibiotics to protect apples, pears, citrus, against disease. And because bacteria can pass their DNA to each other, like a traveler handing off a suitcase at an airport, once we have encouraged that resistance into existence, there is no knowing where it will spread.

This was predictable. In fact, it was predicted by Alexander Fleming, the man who discovered penicillin. He was given the Nobel Prize in 1945 in recognition, and in an interview shortly after, this is what he said, "The thoughtless person playing with penicillin treatment is morally responsible for the death of a man who succumbs to infection with a pencillin-resistant organism." He added, "I hope this evil can be averted."

Can we avert it? There are companies working on novel antibiotics, things the superbugs have never seen before. We need those new drugs badly, and we need incentives: discovery grants, extended patents, prizes, to lure other companies into making antibiotics again. But that probably won't be enough. Here's why: Evolution always wins. Bacteria birth a new generation every 20 minutes. It takes pharmaceutical chemistry 10 years to derive a new drug. Every time we use an antibiotic, we give the bacteria billions of chances to crack the codes of the defenses we've constructed. There has never yet been a drug they could not defeat.

This is asymmetric warfare, but we can change the outcome. We could build systems to harvest data to tell us automatically and specifically how antibiotics are being used. We could build gate keeping into drug order systems so that every prescription gets a second look. We could require agriculture to give up antibiotic use. We could build surveillance systems to tell us where resistance is emerging next.

Those are the tech solutions. They probably aren't enough either, unless we help. Antibiotic resistance is a habit. We all know how hard it is to change a habit. But as a society, we've done that in the past. People used to toss litter into the streets, used to not wear seatbelts, used to smoke inside public buildings. We don't do those things anymore. We don't trash the environment or court devastating accidents or expose others to the possibility of cancer, because we decided those things were expensive, destructive, not in our best interest. We changed social norms. We could change social norms around antibiotic use too.

I know that the scale of antibiotic resistance seems overwhelming, but if you've ever bought a fluorescent light bulb because you were concerned about climate change, or read the label on a box of crackers because you think about the deforestation from palm oil, you already know what it feels like to take a tiny step to address an overwhelming problem. We could take those kinds of steps for antibiotic use too. We could forgo giving an antibiotic if we're not sure it's the right one. We could stop insisting on a prescription for our kid's ear infection before we're sure what caused it. We could ask every restaurant, every supermarket, where their meat comes from. We could promise each other never again to buy chicken or shrimp or fruit raised with routine antibiotic use, and if we did those things, we could slow down the arrival of the post-antibiotic world. But, we have to do it soon. Penicillin began the antibiotic era in 1943. In just 70 years, we walked ourselves up to the edge of disaster. We won't get 70 years to find our way back out again. Thank you very much.

播放本句

登入使用學習功能

使用Email登入

HOPE English 播放器使用小提示

  • 功能簡介

    單句重覆、上一句、下一句:顧名思義,以句子為單位重覆播放,單句重覆鍵顯示橘色時為重覆播放狀態;顯示灰色時為正常播放狀態。按上一句鍵、下一句鍵時就會自動重覆播放該句。
    收錄佳句:點擊可增減想收藏的句子。

    中、英文字幕開關:中、英文字幕按鍵為綠色為開啟,灰色為關閉。鼓勵大家搞懂每一句的內容以後,關上字幕聽聽看,會發現自己好像在聽中文說故事一樣,會很有成就感喔!
    收錄單字:用滑鼠框選英文單字可以收藏不會的單字。
  • 分享
    如果您覺得本篇短片很有趣或很喜歡,在短片結束時有分享連結,可以分享給朋友一同欣賞,一起看YouTube學英文!

    或是您有收錄很優秀的句子時,也可以分享佳句給大家,一同看佳句學英文!