Topic4—B17447

Day 12

Vocabulary

Cardiac arrest

heart failure, especially in a potentially functional heart. Electric shock and drowning cause cardiac arrest.

The cardiac arrest lasted 18 minutes, according to the emergency services.

Synonyms:
asystole, cardiopulmonary arrest

Cardiopulmonary resuscitation

an emergency procedure consisting of external cardiac massage and artificial respiration; the first treatment for a person who has collapsed and has no pulse and has stopped breathing; attempts to restore circulation of the blood and prevent death or brain damage due to lack of oxygen
Synonyms:
CPR, cardiac resuscitation, kiss of life, mouth-to-mouth resuscitation

In a demonstration of cardiopulmonary resuscitation, or CPR, a technician pushed down hard on the chest of a dummy

Grubby

1
Adj:-thickly covered with ingrained dirt or soot
grubby little fingers
Synonyms:
begrimed, dingy, grimy, grungy, raunchy
dirty, soiled, unclean

• soiled or likely to soil with dirt or grime
• infested with grubs
• worthy of contempt : base

value chain

the series of activities that a company carries out as it designs, makes, sells, and delivers a product or service, with each activity adding value
价值链（Value chain），又名价值链分析、价值链模型等。由迈克尔·波特（刚刚写了一个论文和他有关，嘤嘤开心，这人我认识！）（en:Michael Porter）在1985年，于《竞争优势》一书中提出的。波特指出企业要发展独特的竞争优势，要为其商品及服务创造更高附加价值，商业策略是解构企业的经营模式（流程），成为一系列的增值过程，而此一连串的增值流程，就是「价值链」。
一般企业的价值链主要分为：
主要活动（Primary Activities），包括企业的核心生产与销售进程：
进货物流（Inbound Logistics），即来料储运，缔属资源市场
制造营运（Operations），即加工生产，缔属制造商市场
出货物流（Outbound Logistics），即成品储运，缔属中间商市场
市场行销（Marketing and Sales），即市场营销（4P），缔属消费者市场
售后服务（After sales service）
以上为产生价值的环节。
支持活动（Support Activities），包括支持核心营运活动的其他活动，又称共同运作环节：
人力资源管理（Human resources management）training
技术发展（Technology development），即技术研发（R&D）
采购（Procurement），即采购管理
以上活动利于资产评估，为辅助性增值环节

Topic4—B17447

genomic sequencing

DNA测序（DNA sequencing，或译DNA定序）是指分析特定DNA片段的碱基串行，也就是腺嘌呤（A）、胸腺嘧啶（T）、胞嘧啶（C）与鸟嘌呤的（G）排列方式。快速的DNA测序方法的出现极大地推动了生物学和医学的研究和发现。
在基础生物学研究中，和在众多的应用领域，如诊断，生物技术，法医生物学，生物系统学中，DNA串行知识已成为不可缺少的知识。具有现代的DNA测序技术的快速测序速度已经有助于达到测序完整的DNA串行，或多种类型的基因组测序和生命物种，包括人类基因组和其他许多动物，植物和微生物物种的完整DNA串行。
RNA测序则通常将RNA提取后，反转录为DNA后使用DNA测序的方法进行测序。目前应用最广泛的是由弗雷德里克·桑格发明的Sanger双脱氧链终止法（Chain Termination Method）。新的测序方法，例如454生物科学的方法和焦磷酸测序法。

Topic4—B17447

reimbursement

A reimbursement is a repayment for money you've already spent. When you travel for work, you get a reimbursement for your work-related expenses, like hotel bills and plane tickets, but you'll have to pay for that trip to the circus yourself. compensation paid (to someone) for damages or losses or money already spent etc.
word family：reimburse: reimbursed, reimbursement, reimburses, reimbursing/reimbursement: reimbursements
he received reimbursement for his travel expenses

deride

to make remarks or jokes that show you think someone or something is silly or useless SYN mock → derisive:
You shouldn’t deride their efforts.
deride somebody as something
The party was derided as totally lacking in ideas.

backdrop

1 literary the scenery behind something that you are looking at

backdrop to
The sea made a splendid backdrop to the garden.
2 the conditions or situation in which something happens
against a backdrop of something
a love story set against a backdrop of war and despair
3 a painted cloth hung across the back of a stage

hedge

A hedge is a living fence made of closely planted bushes, which, as they grow and get trimmed and shaped, form a wall of green.
Hedge can also be used as a verb. If you someone asks you a question and you hedge, you're avoiding a straight answer. If you hedge your bets, you're trying to minimize risk or loss — that is, you're trying to cover yourself no matter what happens. If you're not sure, for instance, what your boss's political views are, you can hedge your bets by not revealing yours.Something that is a hedge against something unpleasant will protect you from its effects.
Gold is traditionally a hedge against inflation.

blockbuster

an unusually successful hit with widespread popularity and huge sales (especially a movie or play or recording or novel)
Synonyms:
megahit, smash hit
a large bomb used to demolish extensive areas (as a city block)
James Patterson, the novelist whose blockbuster books have sold more than 300 million copies, is setting his sights on another medium: Internet television.

insulin

Similar to caloric restriction, the treatment results in improved physical performance, increased insulin sensitivity and reduced low-density lipoprotein and cholesterol levels.

relevance

To know the relevance of something is to know why it matters or how it is important. I don't understand the relevance of this discussion: it doesn't seem important to me.
If you don't understand the relevance of the word "relevant" to the discussion of the meaning of the word relevance, we're gonna have some trouble. When something is "relevant," it matters. Its relevance is clear. Relevance is simply the noun form of the adjective "relevant," which means "important to the matter at hand." Artists and politicians are always worried about their relevance. If they are no longer relevant, they may not keep their job. Someone without relevance might be called "irrelevant."

Topic4—B17447

admission

1 a statement in which you admit that something is true or that you have done something wrong SYN confession
admission that
The Senator’s admission that he had lied to Congress shocked many Americans.
admission of guilt/defeat/failure etc
Silence is often interpreted as an admission of guilt.
Reese, by his own admission, lacks the necessary experience.
2 [uncountable] permission given to someone to enter a building or place, or to become a member of a school, club etc:
No admission after 10 pm.
The young men tried to enter a nightclub but were refused admission.
Women gained admission to the club only recently.
admission to
those applying for admission to university
3 admissions [plural] the process of allowing people to enter a university, institution etc, or the number of people who can enter
university/college/school admissions
admissions policy/procedures etc
The college has a very selective admissions policy.
the admissions officer
4 [uncountable and countable] the process of taking someone into a hospital for treatment, tests, or care:
There are 13,000 hospital admissions annually due to playground accidents.
5 [uncountable] the cost of entrance to a concert, sports event, cinema etc → admittance:
Admission: $10 for adults, $5 for children.
The cost includes free admission to the casinos.
The Museum has no admission charge.

inpatient

a hospital patient who receives lodging and food as well as treatment — compare outpatient
a photograph of the breasts made by X-rays; also : the procedure for producing a mammogram

spell

A spell is a series of words that has magical powers. If you’re under a spell, then what you do is out of your control — your thoughts and actions are dictated by the spell.
Spell can refer to the magic words you say, or it can describe being under the influence of those words. You probably don’t encounter many magic spells in real life, but the word is often used figuratively to describe those times when you feel like a magical power controls your action. Of course, this word can also mean the verb "to spell" which refers to reciting the letters in a word, like the competitive spellers in a spelling bee.

stream

That little rolling brook in your back yard is a stream. If it starts rising and threatens to flood, your father might let out a stream of expletives. A stream is a steady flow of something.
As a verb, stream means to flow out. If water streams from a faucet, it is pouring out. After a concert people stream out of a stadium and into the parking lot. On the web, you'll hear about something connected with music and video called streaming. This means that instead of having to download it to play, it is sent through your computer to listen to or watch, sort of like the way radio and TV work. If something such as a new factory or a new system comes on stream or is brought on stream, it begins to operate or becomes available.To stream pupils means to divide them into groups according to their ability.

concussion

A concussion is a violent blow, especially to the head, that often injures the brain or causes a loss of consciousness — an all-too-frequent occurrence, unfortunately, in contact sports like football or boxing.

contraceptive

an agent or device intended to prevent conception
Synonyms:
birth control device, contraceptive device, preventative, preventive, prophylactic device

onerous

If one teacher gives you three hours of homework a night, that's rough. But if all of your teachers do it, that makes the task of completing your homework an onerous one, to say the least. If something is onerous, it is very difficult to deal with or do.
A near synonym is burdensome. In legal usage, onerous describes a contract or lease that has more obligations than advantages.

sedentary

Scientists believe that one of the causes of the obesity epidemic sweeping the US is our sedentary lifestyle. Sedentary means sitting a lot and refers to a person or job that is not very physically active.
This adjective has a specialized meaning when referring to certain types of birds that stay in one area and do not migrate

exacerbate

For a formal-sounding verb that means to make worse, try exacerbate. If you're in trouble, complaining about it will only exacerbate the problem.
Exacerbate is related to the adjective acrid, often used to describe sharp-smelling smoke. Think of exacerbate then as a sharp or bitter thing that makes something worse. A drought will exacerbate a country's food shortage. Worsen, intensify, aggravate and compound are similar, but exacerbate has the sense of an irritant being added in to make something bad even worse.

unicorn

A unicorn is a mythical horse-like creature which has one horn on its forehead. During the Middle Ages, a unicorn horn was said to have magical healing properties.
Unicorns show up in many cultures' traditions of folklore and mythology, reaching as far back as Bronze Age civilizations and ancient Greece. Usually, unicorns are presented in art and stories as looking just like horses — or sometimes goats — aside from their long, spiraling horn. The root of the word unicorn is the Latin adjective unicornis, "having one horn," from uni, or "one," and cornus, "horn."

day 13

mindmap

Topic4—B17447

day 14

新补一下知识点

unicorn

估值为10亿美元以上的初创公司 比如滴滴 专有名词哟

pharmacy-benefit managers

公司雇员健康福利主管（问安妮一下子解决了我两个问题：一开始还以为是pharmacy company）

answer to the name of

自己后来做思维导图的时候才发现这个词儿
再查了查，be called eg：I answer to the name of Vincci Shaw

Topic4—B17447

GPs

那不是GPS，印刷错误，那是GPs。 就是General Practitioners 也就是家庭医生（百病都看的医生，general嘛，不是专科）专科医生一般是GP 推荐了才能看上， specialist，比如癌症专科，oncologist， 妇产科ob/gyn

关于阅读的习惯：

这篇文章看似很简单，是我以前会看的文章类型吧（除了经济学人上China的版本和leader的版本外），但是不做思维导图觉得文章很好理解，换作以前会觉得又学到了一点事情，可能看完之后的感觉就如我第一天看的时候，噢原来医学界也开始进入科技化时代，开始做思维导图之后，并按照安妮的tips
才发现内里大有乾坤，而这开始让我反思自己的阅读习惯，看完就过去了，就翻篇儿的泛读只是让我们多了一个和别人聊天的点，而没有真真实实了解这一领域。阅读的习惯很难说好与不好，在于一个人究竟对这个世界葆有多少好奇心。

关于这篇文章

这篇文章里有很多的细节会很容易忽视，比如这篇文章不是在讲这个趋势的发展，更多的是在描述科技化后的医疗界对各方造成的影响，首先是三大group抢占value-chain
以及对医院病人的影响.三大group里最主要的就是科技巨头，未来的策略和发展如何调解才有利于发展呢，比如苹果的保密系统非常完善，就有利于提供一个平台进行医疗信息储存，那么医疗信息的泄露侵犯个人隐私，文章有一点我觉得说得特别好，app上常常会有不明所以的同意书，我们使用时常常懒得看，那是否某些方面的确存在侵权呢。还有一个value-based reimbursement，这一点不仔细看都会被带跑偏～里面主要涉及的是保险公司和政府是站在一个角度，如果药效不好的话，也不会付账。

对比mindmap

Topic4—B17447
Topic4—B17447

终于有一篇自己的思维导图和安妮的有点像了，就是有点丑，不过在digital development上的发展还是少了一点吧,可能很多对细节的把握还不够好，就缺了点
关于我这篇思维导图的制作

Topic4—B17447 #

真的超尴尬，水瓶座想事情比较天马行空，就容易跑啊跑，也许只有自己看得懂了，发出来是为了立个flag
下次下次一定整齐一点！！

关于群里的讨论

这是我第一次上甘比的课吧，觉得很棒，因为很多考察的都是自己的动手能力和反思能力～而且从一开始踌躇满志地加群到后来看到群里很多大神，觉得自己比较贴地了，期待接下来的课程～很多问题其实自己平时都没有去好好思考，文理分科这一点的确是束缚了很多人，很多时候，觉得自己会有一种固化思维，嗯这件事男生做比较好，这个程序这么复杂不懂哎，以前也许不是这样，但后来慢慢视野就变得很狭窄了。
王尔德有一句话我很喜欢，每个人生下来都是王，而大多数人都在放逐中死亡。everyone is a born king，and most people die in exile。
我一直认为这种死亡是指心的死亡，也就是让人无法成为王，每个人也都从独一无二，伟大之下变成了穷尽一生去适应生活，或者说对一切都不好奇，后来都变成了再普通不过的平凡人。看山是山，看水是水，看山不是山，看水不是水还是有区别的。