2023年7月31日 星期一

【新盤】Bristol 熱門屋苑 - Ladden Garden Village - Barratt Homes 最靚嘅屋型?【買家免佣】(BS...

St. Helen


2023年7月11日 星期二

明年旅遊歐洲須知

 明年起前往歐洲旅遊,需要事先申請 ETIAS 認證!

從2024年1月1日起,有59個國家的旅客(包括台灣),在入境歐洲前,需要預先申請「歐洲旅行資訊和授權系統」認證。根據歐盟在官網發佈的消息,這個認證系統(European Travel Information and Authorisation System)簡稱ETIAS,是針對可免簽入歐國家的旅客,發出電子簽證豁免,類似美國的ESTA。
ETIAS會負責對申請人的背景進行調查,以保護歐洲的邊境安全。
入境旅客必須要獲得ETIAS認證,18 歲至 70 歲旅客需支付7歐元,就能取得三年認證,上述年齡以外者則是免費。旅客可在任意180天內多次進入歐洲國家或地區,最多總共可停留90天。
需要這些認證入境的歐洲國家主要為:
荷蘭、奧地利、比利時、保加利亞、克羅埃西亞、塞浦路斯、捷克、丹麥、愛沙尼亞、芬蘭、法國、德國、希臘、匈牙利、冰島、義大利、拉托維亞、列支敦士登、立陶宛、盧森堡、馬耳他、挪威、波蘭、葡萄牙、斯洛伐克、斯洛文尼亞、西班牙、瑞典、瑞士等等。完整歐洲國家及地區清單請見https://etias.com/etias/countries/
申請 ETIAS 認證的過程十分快速,提早申請,以免延誤出國行程。
請瀏覽專屬網站:https://etias.com/what-is-etias.

What is ETIAS?

Introduction

ETIAS stands for the European Travel Information and Authorisation System. It was announced by the European Commission in November 2016 and was implemented into legislation in September 2018. The intention of forming the system was to improve the security of EU member states within the Schengen region by capturing data on travellers that currently visit the area without a visa.

The ETIAS will pre-screen travellers from "third-countries", who are citizens from countries not needing a Schengen Visa. The screening would pertain to terrorism or migration related risks. The objective is to identify individuals who pose security threats before they are able to travel to the Schengen area.

ETIAS is not a visa, it is a visa waiver, similar to the U.S. ESTA and Canadian eTA. Travelers currently visiting European Member countries visa-free, will require an ETIAS in 2024 onwards. Passport holders of the EU single market are exempt from ETIAS. 

ETIAS Objectives

Convenience – Reduce border wait-times for travellers and streamline entry into EU member states.

Border efficiency - Improve border management for security personnel screening travellers upon arrival and departure from EU member states.

Transparency - Help the EU toward achieving its goal of a visa liberalisation policy that would enable citizens of more countries to enter the EU without the need of a Schengen Visa.

Immigration - Enable border authorities to spot migration irregularities and abuse of visa-free EU travel.

Security – Help EU member states strengthen their border security processes and procedures against crime and terrorism.

Funding – Provide an additional source of revenue for the EU budget as well as for managing visa-free travel of business, tourism and transit visitors.

Rationale for ETIAS

Currently, a large number of individuals, from countries such as the United States and Canada, who wish to travel to Europe do not need to apply for a visa prior to their arrival. The European Commission, the body that makes the rules for the 27 member European Union have devised a scheme that will mean these citizens (e.g. United States, Canada, Australia, New Zealand, etc.) will need to provide information about themselves and the reason for their travel arrangements via an online application before arriving in Europe. The list of ETIAS eligible countries is frequent to change. Thus, travellers are advised to become familiar with the requirements prior to their departure to an EU country.

The E.U. Commission has proposed the new pre-travel authorisation system because of changes in the numbers of visitors coming to Europe and the reasons why they go there. It is hoped that the system will deter potential criminals and terrorists as well as monitor all those who intend visiting to provide a greater level of security for Europe’s residents.

  1. There are four principal reasons behind the introduction of ETIAS:
  2. There are many more people visiting Europe, with around 50 million individual visitors last year and over 200 million entries.
  3. The number of refugees and people seeking asylum for a variety of reasons, including persecution, war, economic benefits etc., has risen sharply in recent years.
  4. Terrorist incidents have become more frequent and this has had a disturbing and unsettling effect on Europe’s citizens. Countries that have recently been affected are France, Belgium, Germany and Spain.
  5. Advances in electronic communication technology as well as the use of the Internet by travellers world-wide has made an electronic form of pre-travel authorisation a realistic and practical way of obtaining the sort of information that would prove useful to Europe’s collective border authorities and security personnel.

What countries are in the Schengen Area?

There are three different country categories, or groupings, of the European Schengen area. The 26 Schengen countries are essentially the same as the 27 countries in the European Union itself, but there are few that are in Schengen and not in the E.U. and vice versa. The Schengen countries have uniform immigration rules and freedom of movement for each other’s nationals.

The first of the three groups are E.U. and Schengen nationals. These people are free to visit, live and work in each other’s countries, so there are no restrictions.

In the second group are nationals of a large number of non-European countries.  They do not need a visa to visit Europe, but there are restrictions on how long they can stay and what they can do there, particularly if they want to study, work or live or longer than 3 months at any one time. It is this group that will be affected by the ETIAS. Americans, Canadians, Australians, Japanese, Malaysians and many others are in this group. This group is likely to be the one that will require the ETIAS visa waiver.

The third group consists of nationals of non-European countries that need visas before they go to Europe. Most of the people in this group are nationals of poorer third world countries or those that have less strong links culturally and economically with the E.U.

Similarities With Other Electronic Authorisation Systems

Several other countries have already introduced electronic authorisation systems which are applied for online and issued before travel commences.

Australia introduced its own eVisitor and electronic travel authority, or eTA, in 1996. This was principally to speed up visa processing for the large number of tourists who wish to visit Australia.

The U.S. introduced an automatic electronic system for Travel Authorisation (ESTA) in 2007 for certain passport holders. This is a visa-waiver system for nationals of countries regarded as of relatively low risk to U.S. security.

Canada is the most recent country to introduce a similar system as the U.S. called the eTA.

ETIAS Application

ETIAS is only relevant to travellers who travel visa-free to EU member states. The application process is aimed at taking approximately 10 minutes or less. The website processing ETIAS applications will support mobile, desktop and mobile devices. The types of information requested includes:

  • Biometric and personal data such as name, date of birth and gender
  • Applicant contact details such as home address email address
  • Education history, such as primary, secondary, vocational schooling, university, or no education
  • Travel document information, such as a passport or other document, including data such as the document number, issue date, expiry date, and country
  • Current occupation or job, including title as well as contact details
  • First EU member state of arrival
  • Background questions relating to previous criminal activity, drug use, travel to conflict zones, as well as EU and non-EU immigration history.

Third parties may apply on behalf of applicants, yet this must be disclosed at the time of submitting the application. Third parties will also need to provide their name and company information, where relevant, as well as their contact details and relationship to the applicant. More information on the ETIAS application form can be found here: https://etias.com/articles/what-will-be-on-the-etias-application-form

Payment

The ETIAS fee charged on applications for travellers between the ages of 18 and 70 is €7. There is no ETIAS fee for travellers under the age of 18, or over the age of 70. Every traveller, regardless of their age, will require an approved ETIAS prior to their arrival to the Schengen Area.

Processing

An ETIAS application is automatically processed based on the following three factors:

  • Identity – Does the applicant’s identity match their passport?
  • Travel document – Do the travel document details match the information provided by the applicant in other sections? Is it a valid travel document issued by an ETIAS eligible country?
  • Background questions – Do the answers match the data held in the databases checked by the ETIAS Central Unit?

The applicant identify, travel document and background questions are then checked against Schengen Information System (SIS), Visa Information System (VIS), EUROPOL DATA, Interpol Stolen and Lost Travel Document database (SLTD) and the Interpol Travel Documents Associated with Notices database (TDAWN), EURODAC and others, in addition to the ETIAS Central Unit’s own screening rules and watchlist. A positive match detected by the automated processing system that deems the applicant as a possible security or migration risk, it will result in the ETIAS application being manually processed. Manual processing is performed by the ETIAS Central Unit and ETIAS National Units where relevant. If additional information is required from the applicant, they will be contacted within days of receiving notification that their ETIAS requires additional processing. The ETIAS system will provide all applicants notification of their “approved”, “refused” or “manual processing” ETIAS status within 96 hours of application submission.

Applicant Notifications

ETIAS Approvals

Most ETIAS applicants will be notified either instantly or within a few hours of their approved authorisation. A valid ETIAS travel authorisation is linked to the applicant’s passport and have its own unique application number. An ETIAS will be valid for three years or until the date of passport or travel document expiry, whichever date comes first.

ETIAS Manual Processing

An application will be manually processed if the traveller’s data matches a hit in one of the EU databases. The applicant may contacted by the ETIAS Central Unit or ETIAS National Teams to provide additional documentation to process the application. Furthermore, the applicant may also be given the option to attend an interview at a nearby EU member state consulate if the documentation alone is not sufficient to process the applications.

ETIAS Refusals

Applicants who are denied an ETIAS will receive reasons of their refusal. This will include information on the particular EU member state that decided on the application.

Applicants who have been denied an ETIAS have the right to appeal. Appeals will need to be submitted to the EU member state that refused the ETIAS. The processing of appeals will also take place in this same EU member state.

ETIAS at the airport

Travellers arriving to the Schengen area by air, land or sea will be required to present a valid travel authorization. Using an Entry-Exit System (EES) check, EU border authorities will check a traveller’s passport, visa or ETIAS to determine admissibility. Traveller’s without a passport from an EU member state, a valid ETIAS or a valid Schengen visa will not be allowed entry.

ETIAS Revocations and Annulments

An approved ETIAS does not guarantee entry into an EU member state. Admissibility is determined by EU border officials. Furthermore, an approved ETIAS can be revoked if the traveller was deemed to have obtained using fraud or deception.  ETIAS applications will also be revoked as new alerts are received in the EU’s security databases due to a traveller being refused entry, or reports of lost or stolen travel documents. Each member state, through its relevant ETIAS National Unit, are responsible for revoking approved ETIAS authorisations if an alert matches a traveller’s authorisation.

Similarly, an ETIAS can be annulled if an ETIAS applicant’s circumstances change in regards to their eligibility, such as a recent criminal conviction, terrorist activity, or travel to conflict areas. An ETIAS will also be annulled in the case of passport expiry, or name change of a traveller.

ETIAS Structure

The structure of the ETIAS system is comprised of seven core components, each of which has their own systems and teams in place to facilitate the processing of ETIAS applications and the management of the system and related processes.

ETIAS Central Unit

The ETIAS Central Unit is under the management of the European Border and Coast Guard Agency. Maintains records of current application data as well as ensures its accuracy. Also validates applications where there is a against one of the databases used to screen travellers. Responsible for defining, evaluating, testing and reviewing ETIAS screening rules and their risks, alongside the ETIAS Screening Board. Responsible for conducting audits of ETIAS application management and adherence to ETIAS screening rules with considerations of applicant privacy and data protection.

ETIAS National Units

Each EU member state is a part of the ETIAS National Units. The ETIAS National Units will assess and decide on applications where the ETIAS Central Unit is unable to automatically process an ETIAS application. The ETIAS National Units will need to provide reasons for authorising or denying applications. Also, the ETIAS National Units can provide opinions and share information amongst member states via their national unit.

European Union Agency for Law Enforcement Cooperation (Europol)

Europol is an EU law enforcement agency that deals with organised crime and terrorism amongst EU member states. Europol is responsible for managing the ETIAS watchlist, in cooperation with the ETIAS National Units. In the instances where an ETIAS applicant’s data matches Europol data during the automated processing stage, the ETIAS National Units will act to assist on determining if the application should be approved, denied, or require additional documentation from the applicant.

European Union Agency for the Operational Management of Large-Scale IT Systems in the Area of Freedom, Security and Justice (eu-LISA)

The eu-LISA is an agency that operates large-scale IT systems for the EU. eu-LISTA is responsible for the technical design, development and management of the ETIAS. This entity will also be responsible for maintaining the privacy and security of all applicant data submitted through the digital information systems of the ETIAS.

ETIAS Screening Board

The ETIAS Screening Board is a collection of representatives from the ETIAS National Units, European Border and Coast Guard Agency and Europol. They decide on the risk indicators to manage the ETIAS watchlist, as well as the management of criteria used for defining, evaluating and revising the risk indicators.

European Border and Coast Guard Agency

The European Border and Coast Guard Agency is an EU agency, that is responsible for the border control of the Schengen Area, with the help of border authorities in each individual member state. The European Border and Coast Guard Agency will manage the ETIAS Central Unit. The European Border and Coast Guard Agency, alongside the eu-LISA, are the primary overseers of the ETIAS.

ETIAS Fundamental Rights Guidance Board

Members of the European Border and Coast Guard Agency, the European Data Protection Supervisor, and the Fundamental Rights Agency form an independent advisory committee for the purposes of ensuring applications are processed efficiently, fairly, and securely. Their recommendations are then passed onto the ETIAS Screening Board for possible implementation in a future ETIAS update.

https://tinyurl.com/25o72bbe

https://www.youtube.com/watch?v=An7kta-ocwM

BNO簽證需付的IHS大增六成!一家四口要廿萬!仲趕唔趕得切?去加拿大要幾錢?香港會打風嗎?


2023年7月10日 星期一

如何更換房門把手,點樣圈電線唔會黐線? / DIY / 英國南威爾斯 / South Wales / UK




2023年7月9日 星期日

吳永安 : 怎樣預防及延緩黃斑退化?

如果心臟是人體生命的泉源,那黃斑就是眼睛的心臟。
黃斑區內的感光細胞,將光線轉化為神經訊號,再由大腦將訊號轉化為影像。所以黃斑是視力之始,一方面要維持高效的轉化能力,另一方面要承受紫外線及藍光的氧化,這個實際得幾毫米的組織,我們可以如何保護,避免提早退化呢?
年紀越大,黃斑退化機會就越來越高,超過五十歲人士,就需要多加留意。另外,黃斑退化亦與以下因素有關:家族遺傳,深近視,糖尿病,長時間於日光下活動及吸煙人士。當中,可改變的因素就是我們的生活習慣,例如吸煙人士患黃斑退化機會比正常高兩倍
早期黃斑退化的視力基本未受影響,難以察覺,需要透過詳細的眼睛檢查才能發現,當黃斑結構進一步影響,視力逐漸模糊或出現彎曲變形,而最終晚期黃斑退化可導致失明。所以定期檢查對預防黃斑退化相當重要,要準確評估黃斑健康,除了透過眼底圖像檢查黃斑表面色素變化外,最理想是使用 #光學相干斷層掃描#OCT)作黃斑深層結構分析,因為早期的 #黃斑退化,普遍都是由底層視網膜色素上皮層變化開始。
早期黃斑退化未涉及到治療階段,患者可使用 #阿姆斯勒方格表 定期自行監察視覺變化,每一年安排最少一次詳細眼睛檢查。另外調適生活習慣亦可以延緩退化,例如多做運動,避免吸煙,配戴太陽眼鏡預防紫外線及多進食含胡蘿蔔素,維他命C及E的食物(如紅蘿蔔,綠葉菜或水果),根據美國“年齡相關性眼病研究(#AREDS)”報告指出,適當補充眼睛營養,可降低晚期黃斑退化的機會百分之廿五。
AREDS由美國國家衛生研究院資助,於1992年展開的五年追蹤性研究,招募臨床實驗人數達四千人,探討營養配方包括胡蘿蔔素,維他命C及E,鋅及銅,對黃斑退化發展的影響。研究發現服用此營養配方的患者,可降低晚期黃斑退化風險達百分之廿五,此結果或者令黃斑退化重新定義 -- 黃斑退化可以被視為“營養性疾病”,通過AREDS眼睛營養配方,可舒緩黃斑退化的進展。到2006年,開始AREDS2另外五年研究,因為部分研究指出,胡蘿蔔素會增加吸煙者患肺癌的風險,AREDS2重整營養配方,利用葉黃素及玉米黃素代替胡蘿蔔素,亦調整鋅的含量。新配方有助於針對吸煙者或進食蔬菜不足夠人士控制黃斑退化,至於為何葉黃素及玉米黃素可強化黃斑健康,則留待下回分解。

【視力轉變心慌慌 可能有糖尿病黃斑水腫!】
「糖尿上眼」一般泛指糖尿病視網膜病變,但「糖尿病黃斑水腫」就係「糖尿上眼」嘅嚴重併發症。糖尿病人如有黃斑水腫會對生活有好多影響,視力變差、影響日常閱讀,唔及早發現,視力可能會長期或永久受損。
糖尿病黃斑水腫有咩病徵?
• 視力模糊
• 中央視力影像變得彎曲及變形
• 影像中央出現黑點
• 夜間視力下降
鑒於疫情問題,糖尿病患者可能難以外出進行定期眼科檢查,但其實患者亦可透過進行自我監察步驟,留意自己有無視力轉變。

黃斑病變有乾性、濕性 症狀:視力模糊、視物扭曲 惡化可致盲 中醫:與肝腎不足勞神過度有關

初步檢測——利用「阿姆斯勒方格表」(左圖)初步檢測黃斑病變,當凝視中心點時,中心區出現空缺或扭曲(右圖),應盡快找眼科醫生詳細檢查。(設計圖片,TAK、Edwin Tan@iStockphoto/明報製圖)

(編者按:老年黃斑病變【age-related macular degeneration】是一種視網膜退化的疾病,按西醫分類黃斑病變有乾性和濕性兩種,臨牀上雖然大多數患者病情都屬於乾性,可是一旦惡化成濕性,便有可能迅速致盲。兩者常見的症狀有什麼呢?)眼睛是我們的靈魂之窗,一旦患上眼疾,對日常生活帶來很多不便。黃斑病變是個好發於中老年人的眼病,初期可見視力模糊、視物影像扭曲變形,嚴重時可致迅速失明。中醫認為肝腎精虧是引致老年黃斑病變的核心病機,而脾胃虛弱導致氣血不足,以及陰虛火旺,將會影響病情惡化。中醫通過調整臟腑機能,糾正失調,藉此穩定病情,盡可能保住患者的視力。

黃斑病變多屬乾性 常見症狀:中央視力減退 視物扭曲 惡化至濕性可致盲

老年黃斑病變(age-related macular degeneration)是一種視網膜退化的疾病,好發在50歲後。黃斑病變按西醫分類有乾性和濕性兩種,臨牀上雖然大多數患者病情都屬於乾性,可是一旦惡化成濕性,便有可能迅速致盲。乾性期的常見症狀包括中央視力逐步減退,表現為中央視力模糊、視野中心出現暗點、視物扭曲變形等;濕性黃斑病變主要牽涉眼底脈絡膜的血管增生、滲漏、出血,使視網膜的感光細胞受到永久破壞,或令玻璃體混濁,引致失明。

肝腎精虧 妨礙眼睛氣血運行

中醫對黃斑病變的認識,主要是根據患者的症狀表現來診斷分析。乾性黃斑病變一般屬於中醫「視瞻昏渺」的範疇,濕性黃斑病變一般屬於中醫「暴盲」的範疇。兩者均屬於中醫眼科「五輪學說」中的「瞳神疾病」(見表),與腎臟關係密切。

中醫認為肝腎不足,是導致眼底黃斑出現退化病變的根本原因。肝主目、肝藏血、腎藏精,肝受血而能視,隨年齡增長肝腎之精血自然虧虛,如果再加上勞神過度、休息不足、情志鬱鬱寡歡等,將導致精血暗耗,有可能令眼目失養,妨礙眼睛氣血運行與新陳代謝機能,而血管分佈較疏落的黃斑部位常首當其衝受影響。於是患者便可能出現中心視力下降、中央視野變暗。利用阿姆斯勒方格表(amsler grid)測試會看到線條扭曲變形。

黃斑病變有乾性、濕性 症狀:視力模糊、視物扭曲 惡化可致盲 中醫:與肝腎不足勞神過度有關
(明報製圖)

頭眩虛浮 精神委靡

除此之外,患者有可能出現頭眩伴虛浮感、耳鳴、健忘、精神委靡、腰膝痠軟的全身症狀。在這個階段中醫療法可集中補肝腎、益精血,使精血恢復濡養眼目,改善視力,穩定病情。常用方藥如《審視瑤函》中記載的四物五子丸、當歸、熟地黃、白芍、枸杞子、菟絲子、桑椹等。

若乾性黃斑病變持續惡化,勞傷積損日久,中醫認為當肝腎精血耗損日益加重,基於氣血互根互用的原理,有可能引致中氣虧虛,達到一個程度可能出現「氣不攝血」。患者亦可以因為氣血虛弱,無力推動血脈運行,而導致脈絡瘀滯,瘀血停積,臨牀便可見到血管出現滲漏,血管周圍出現瘀斑或瘀點、血絡增生的現象。

陰虛火旺 眼底出血

在最壞情况下,當肝腎精血虧損日久,由於精血一類物質屬性為陰,當陰虛到達一個程度,因陰血耗損劇烈而陽氣相對偏亢時,便會出現「陰虛火旺」、「陰虛內熱」的虛火問題。虛火熾盛將有可能引致血液離經妄行,在本病中即為眼底出血。虛火上炎的狀態亦可令患者產生口乾、皮膚乾燥、煩躁、手足心熱、盜汗、多夢易醒、舌紅少津等全身症狀。

針對氣血俱損的問題,中醫治療可補益氣血,常用方藥如補中益氣湯、黃芪、當歸等。中醫有「補氣可以生血」的說法,即藉着運用補氣藥物達到氣血並補的目的,可避免單純用補血藥容易留瘀之弊。

針對陰虛火旺的問題,中醫治療可以滋陰降火,常用方藥包括知柏地黃丸、黃柏、枸杞子、石斛等。如患者同時伴有瘀血阻絡的問題,證見眼底、皮膚、唇舌有瘀斑瘀點、舌色暗、脈象艱澀不暢,可適度配合活血化瘀,如使用丹參、鬱金、桃仁、紅花等中藥。鑑於黃斑病變的病機核心為肝腎精血虧損,故無論在乾性或濕性階段,在治療方面都要同時貫徹補益肝血、滋養腎精的策略。

■食療:熟地杞子桑椹烏雞湯 滋養肝腎

預防黃斑病變,平日要避免過度耗傷精血,例如要保持充足的睡眠休息,減少長時間用眼勞神,避免經常注視強光或閃動的光源,保持樂觀心境,勿過度憂傷思慮。在飲食方面,應少吃辛辣、煎炸、溫熱等會傷陰助火的食物,多飲開水,多吃蔬果。一旦不幸出現黃斑病變視瞻昏渺的症狀,要積極治療,調整體質,並且堅持養生調攝,盡力挽救視力,爭取不要讓病情惡化至無法逆轉的境地。

中老年人由於臟腑機能日漸衰退,陰津精血難成易虧,容易出現肝腎陰虛的問題,常見症狀包括精神不振、視物昏花、頭眩、口乾、耳鳴、多夢等。患者在養生食療方面宜滋養肝腎、補肝血、益腎精,可飲用熟地杞子桑椹烏雞湯。

■熟地杞子桑椹烏雞湯

材料:熟地黃20克、淮山30克、枸杞子12克、龍眼肉10克、桑椹12克、大棗2枚、陳皮6克、烏雞1隻

製法:將烏雞洗淨、汆水,其餘材料洗淨。所有材料放入鍋中加水,先用大火煮沸,再轉小火煮2小時,調味後即可飲用

功效:滋養肝腎

(本網發表的作品若提出批評,旨在指出相關制度、政策或措施存在錯誤或缺點,目的是促使矯正或消除這些錯誤或缺點,循合法途徑予以改善,絕無意圖煽動他人對政府或其他社群產生憎恨、不滿或敵意。)10/7/2023

文:邱宇鋒(註冊中醫)

編輯:梁小玲

https://tinyurl.com/2bdjuejx

https://tinyurl.com/22ol3c7l

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