Sudden cardiac death refers to the natural death caused by various cardiac causes, with loss of consciousness as the forerunner. Sudden cardiac death is often very dangerous when it occurs, and the patient’s life hangs by a thread, and the effective rescue time is extremely short.

　　The relevant person in charge of Shantou Health and Health Bureau said that at present, all relevant departments in the city are working hard to improve the self-help and mutual rescue ability of the whole people, improve the treatment rate of sudden cardiac death and the level of social first aid in the city, improve the construction of social first aid system, reduce the casualty rate caused by natural disasters, production accidents and emergencies, and further protect people’s lives and physical health.

　　make a concerted/united effort

　　Race against time to beat "Death"

　　In the night, a rush of ambulance sirens sounded in front of a gymnasium in Shantou, and an unconscious patient was quickly taken to the ambulance. Before getting on the bus, the patient had received 3 times of AED defibrillation and continuous chest compressions. In Shantou Central Hospital, the first aid team has been in place, and the patients are ready to be rescued immediately after they arrive at the hospital.

　　This tense scene happened on the evening of November 20th. At about 21: 15 on the same day, a badminton friend suddenly fell unconscious, collapsed, convulsed and foamed at the mouth while chatting with others after playing. Fortunately, there happened to be several doctors in the crowd of the nearby stadium, and they responded quickly after hearing the staff calling for help.

　　"We heard it and immediately ran over and immediately started rescue." Wang Jiawei, deputy chief physician of the Department of Nephrology, Shantou Central Hospital, said that the patient had no pulse in the carotid artery at that time, and it was judged as cardiac arrest, so he and his fellow doctors and friends put the patient on a flat ground to take over chest compressions. Considering that the patient has malignant arrhythmia, they asked the venue staff for AED (Automatic External Defibrillator) to defibrillation the patient.

　　After receiving the alarm, Shantou 120 Emergency Command Center immediately assigned Shantou Central Hospital to drive. At 21: 16, the medical staff prepared all kinds of first-aid equipment within 1 minute and went out to the scene for treatment. Guo Shunqi, director of the emergency department of Shantou Central Hospital, said that 120 ambulances are equipped with mechanical cardiopulmonary resuscitation machines, which ensures that vehicles can also perform high-quality cardiopulmonary resuscitation during fast driving; The emergency intensive care unit (EICU) team has made sufficient preparations in the hospital, and the extracorporeal membrane oxygenation (ECMO) team that provides extracorporeal breathing and circulation for patients with severe cardiopulmonary failure has also been put in place, ready to participate in the rescue at any time.

　　Zhao Xianwu, deputy director of the fever clinic, who was admitted to the emergency department that night, said that the emergency team immediately started treatment and collected medical history for emergency assessment as soon as the patient was received. After circulating compression for nearly 10 minutes, the patient recovered sinus rhythm. According to the ECG results, the patient was diagnosed with acute myocardial infarction, so the emergency team immediately started the green channel of the chest pain center, and the cardiovascular intervention team immediately arrived to prepare for interventional surgery and get through the infarcted coronary artery. "The sooner the coronary artery is opened, the better. Time is the heart muscle, and one second earlier can save the patient more dying heart muscle! " Zhao Xianwu introduced that it took only about 30 minutes from the time when the patient was sent to the emergency door to the time when the interventional team first put the balloon to open the infarcted blood vessel, which was far faster than the internationally agreed golden "gateball time" of 90 minutes.

　　From the time when the patient was found abnormal in the venue in time, to the time when the doctor on the scene made accurate judgment and first aid, the staff took the AED for defibrillation; Then go to Shantou 120 to assign the police at the first time, Shantou Central Hospital will leave the car quickly, and all departments will cooperate tacitly after the patient arrives at the hospital. This emergency rescue perfectly explains the seamless connection between pre-hospital first aid and in-hospital first aid. Lu Senrong, deputy director of the Emergency Intensive Care Unit (EICU), said that through the concerted efforts of various departments, the patient’s condition is stable, his mind is awake, and his overall prognosis is good, and he is being further actively treated.

　　Strengthen training

　　Ordinary citizens can also be rescued after training.

　　Guo Shunqi introduced that in this race against time, the seamless connection of all parties is the reason why patients can save their lives in time and achieve a good prognosis. He introduced that after the cardiac arrest, the success rate of patient rescue dropped by about 10% every past minute, that is, the time window for rescue was only 10 minutes. More importantly, 4 minutes after cardiac arrest, brain cells will be irreversibly damaged due to ischemia, so timely rescue within 4 minutes is of great significance to the recovery of patients, which has the saying of "golden 4 minutes".

　　"We appeal to the public to actively participate in first-aid skills training and dare to rescue them in time in case of emergency." Guo Shunqi introduced that ordinary citizens can carry out cardiopulmonary resuscitation and use AED as long as they have received professional first-aid skills training, and can start rescue before professional medical staff arrive.

　　It is understood that at present, Shantou is stepping up the government-led efforts to co-ordinate people’s first aid training. Shantou Health and Wellness Bureau takes the lead in organizing emergency department experts and medical technical backbones from Shantou 120 Command Center, downtown hospital, the Second People’s Hospital, the First Affiliated Hospital of Shantou University Medical College and the Second Affiliated Hospital of Shantou University to form a training expert group and teaching team. According to the specific conditions of different training objects and units, the training content is set up, and the common sense of mass self-help and mutual aid and the basic skills of on-site first aid are highlighted. Through training in cardiopulmonary resuscitation, AED operation and emergency treatment of common family emergencies, it can effectively promote the improvement of citizens’ first aid technology and achieve a win-win effect of self-help or rescue. At the same time, the relevant departments continue to carry out first aid knowledge training, public welfare publicity and theme publicity activities to enhance pre-hospital first aid awareness and public participation rate, and effectively contribute to protecting people’s lives, health and safety.

　　In addition, Shantou Red Cross Society has also established a team of professional ambulance training teachers with professional trainer qualifications certified by the Red Cross Society. With the theme of "Red Cross’ rescue’ at hand", it has continuously carried out the "five-entry" activities of emergency rescue training in communities, enterprises, institutions, schools and rural areas to carry out emergency training for the public, enhance the public’s awareness of safety prevention and improve the people’s emergency rescue ability.

　　Guo Shunqi appealed that citizens and friends should actively participate in first aid training and master first aid skills. He encouraged every citizen with first-aid skills to lend an emergency hand and dare to give first aid in time when someone else’s heart stops. He reminded that Article 184 of the Civil Code of People’s Republic of China (PRC) stipulates that "the rescuer shall not bear civil liability for damage caused by voluntary emergency rescue", which confirms that emergency rescue can be used as an exemption. Therefore, citizens and friends who have received standardized first aid training need not worry too much about emergency rescue.

　　Perfect construction

　　Accelerate the configuration of AED in public places

　　Looking back at the scene of this first aid, when the patient was unconscious, it was Wang Jiawei and his fellow doctors and friends who relayed chest compressions for the patient. All citizens who have received first aid training know that chest compressions are "physical activities": the frequency is about 100 to 120 times per minute. At this critical juncture, the staff of stadiums and gymnasiums took the AED in time, which greatly improved the quality of this tense pre-hospital first aid.

　　Guo Danfeng, deputy director of Shantou 120 Emergency Command Center, said that this is also the first case in which AED was successfully used to save sudden death patients since Shantou was equipped with AED in crowded and influential public places in 2020.

　　At present, Shantou has installed 163 AED163 units in schools, institutions, large commercial complexes, industrial parks, tourist attractions, stadiums, stations and other public places. When the citizens find that the people around them have cardiac arrest, they can use the "Shantou AED" WeChat applet or map navigation software to navigate and access the AED at the first time. Before the arrival of 120 ambulance professional emergency personnel, early cardiopulmonary resuscitation, calling 120 for help and timely use of AED defibrillation are very important to improve the survival rate and clinical prognosis of patients with cardiac arrest outside the hospital.

　　According to Shantou Health and Wellness Bureau, based on the existing 163 AEDs, the bureau will allocate 400 AEDs in crowded public places in the city by the end of 2025 according to the population density, personnel turnover and other factors and the principle of step by step. Among them, in 2023, it is planned to complete the deployment of 100 AEDs in middle and high schools, institutions, communities, large commercial complexes, tourist attractions, farmers’ markets and other public places, and 150 AEDs in 2024 and 2025 respectively.

　　Shantou Health and Wellness Bureau also led the 120 Emergency Command Center to connect AEDs in public places in the city to a unified AED cloud management platform, unified logo identification, unified setting norms and unified management processes, and realized online management of AED location information, configuration units, functional status, daily inspection, maintenance and usage records. With the remote management of "internet plus AED" technology, once someone takes the AED, the chassis will automatically give an audible and visual alarm. When the AED is turned on and used, the management personnel of the AED cloud management platform can inform the on-the-job personnel of the configuration unit to go to the scene for first aid after receiving the alarm information, so as to realize the intelligent and life-cycle remote management of AED equipment.

　　In addition, Shantou Housing and Urban-Rural Development Bureau will also implement the installation of AEDs in new buildings and new residential quarters, and regard the installation of AEDs and the rescue training of property personnel as the basic construction standards for new buildings and new residential quarters, so as to create a safe community integrating first-aid equipment, first-aid skills certification of property personnel and popular science of first-aid knowledge.

In a healthy China, nutrition comes first, and nutrition is the material basis of national quality. With the continuous improvement of people’s living standards in China, the nutrition supply capacity has been significantly enhanced, and the national nutrition and health status has been significantly improved. However, it still faces the problems of frequent nutrition-related diseases and the lack of popularization of a nutritious and healthy lifestyle, which has become an important factor affecting national health. In the past two years, many programmatic documents, including "Healthy China 2030" and "National Nutrition Plan", have made demands on improving national nutrition and quality, and believe that a new era of national health will surely come.

The problem of national undernutrition and excess coexist.

In recent years, the dietary and nutritional status of urban and rural residents in China has changed greatly. Previously, the Report on Nutrition and Chronic Diseases of China Residents released by the National Health Planning Commission analyzed and evaluated the changes of nutrition and chronic diseases of Chinese residents in the past 10 years. The report shows that after years of efforts, the nutritional status of Chinese residents has improved significantly, which is manifested in the following aspects: the physical and nutritional development of residents has improved, the height and weight of residents have increased, and the growth retardation and malnutrition have improved significantly; But at the same time, with the increase of residents’ intake of fat and high-quality protein, the problem of overweight and obesity is becoming more and more serious, which has also become the main cause of hypertension, diabetes and cardiovascular and cerebrovascular diseases in adults.

At the same time, "Healthy China 2030" also pointed out that the overall situation of national nutrition in China at present is that some residents lack micronutrients, some people consume too much high-calorie foods such as oil, and the problems of insufficient nutrition and excess nutrition coexist.

Nutrition science popularization will be more standardized and normalized.

With the continuous development of mobile internet technology, nutrition science popularization has become the norm in citizens’ daily life. When people turn on their mobile phones, they can often see the sharing and pushing of nutrition and health. While spreading nutrition knowledge to the citizens, there are also some false information that has a great misleading effect on the citizens.

In July this year, the State Council issued the National Nutrition Plan (2017-2030), which deployed seven implementation strategies to ensure the work, of which the seventh clearly stated that it is necessary to popularize nutrition and health knowledge and promote the normalization of nutrition and health science education activities.

Liu Ping, deputy director of the National Food Safety Risk Assessment Center, once said in an interview with the media that the popularization of science in nutrition and food safety has been done for many years, such as the annual National Nutrition Week, Food Safety Week, Nutrition and Health Lecture Hall, etc., which has made positive contributions to promoting the dissemination of science, nutrition and health knowledge. At the same time, however, the traditional one-way information dissemination and propaganda mode is still the main mode of nutrition science popularization in China. The information supply is insufficient, and the content and form are relatively simple, which is not enough to meet the nutritional and health needs of the public. It also provides an opportunity for some nutrition pseudo-experts, and some so-called "masters" appear to confuse the audience.

In order to solve these problems, the Plan proposes to innovate the expression forms of popular science information on nutrition, establish a free and shared national popular science platform on nutrition food safety, and adopt various communication modes and channels to provide popular science information to different groups in a targeted and accurate manner. At the same time, it will also strengthen the construction of popular science teams for nutritious food safety, discover and correct pseudo-scientific nutritional information in time, and truly convey scientific and healthy nutritional knowledge to the public.

Grain nutrition has been mentioned in a more prominent position.

Cereals are an important source of human energy, which can avoid the disadvantages of high energy and high fat, and play an important role in promoting human health. In recent years, with the change of lifestyle, the problem of uneven diet among China residents has become increasingly prominent. According to the survey on the Intake of Coarse Grains among Adult Residents in China, which was participated by China Nutrition Association, more than 80% of adult residents in China have insufficient intake of whole grains, and the proportion of grains in the nutritious foods concerned is also small.

In order to adjust residents’ diet structure and balance their diet, in the new version of Dietary Guidelines for China Residents released in 2016, "Variety of food and cereal as the main recommendation" was put forward as the first item, and people were strongly encouraged to change their diet structure and increase their cereal intake. At the same time, the National Nutrition Week held from May 14 to May 20, 2017 took "whole grain, nutrition+"as the theme, and during the nutrition week, a series of activities were launched to help residents choose nutritious and high-quality grains.

At present, all kinds of cereal products have appeared in the market and gradually become a part of citizens’ lives. In the future, grain will certainly play a more important role in the daily life of citizens.

Special medical food will become an effective supplement to national nutrition.

In national nutrition, there is a very important part-the nutrition problem of patients. However, this issue has not been paid enough attention. The National Nutrition Plan puts forward six major actions, one of which is the clinical nutrition action, aiming at strengthening the nutritional diagnosis and treatment of patients and improving their nutritional status.

Professor Shi Hanping, Chairman of the Application Committee of Formulated Foods for Special Medical Use of China Nutrition and Health Food Association, said at the first Guangdong Symposium on Formulated Foods for Special Medical Use in 2017 that nutritional therapy is another treatment method that pays equal attention to surgery, radiotherapy, chemotherapy and other treatments. It should be the basic treatment method or first-line treatment method for patients, and it is a real integrated treatment. However, among the 140 million inpatients in China, less than 1% have received clinical nutrition diagnosis and treatment, while hundreds of millions of patients with chronic non-communicable diseases outside the hospital are still in an unattended state. The incidence rate of malnutrition in major diseases such as cancer patients is 70%-80%, and the needs of tens of millions of patients are not met.

Professor Shi Hanping’s clinical nutrition therapy refers to special medical food, that is, formula food for special medical use, which is specially processed and prepared to meet the special needs of people with limited eating, digestive and absorption disorders, metabolic disorders or specific disease States for nutrients or meals. Generally speaking, special medical food is food for patients, which has a direct promoting effect on patients’ recovery.

China’s special medical food started late, but the state attaches great importance to its development. In recent two years, the relevant policies and systems of special medical food have been intensively introduced, and the industry norms have been continuously improved. In March 2016, the State Food and Drug Administration issued the Measures for the Administration of the Registration of Formulated Foods for Special Medical Uses; In November 2016, the State Food and Drug Administration issued the "Quality Management Standards for Clinical Trials of Formulated Foods for Special Medical Use (Trial)". In September 2017, the State Food and Drug Administration issued an announcement on the items and requirements of application materials for the registration of formula food for special medical use (Trial) and the research requirements for the stability of formula food for special medical use (Trial).

The introduction of this series of measures not only has positive promotion significance for the development of special medical food industry, but also effectively supplements the shortcomings of national nutrition in the past. More importantly, it has played the most direct and effective help for the majority of patients. (Reporter Zhu Fenglan/Wen)

　

Phoenix Auto News "will provide Keliyuan with a total of 3,000 twin engines for Keliyuan hybrid vehicle demonstration and promotion plan." Ping Ye Ya, executive deputy general manager of Automobile Co., Ltd. announced. This means that FAW Toyota and Keliyuan will devote themselves to expanding the hybrid market.

On October 19th, FAW Toyota and Keliyuan signed a green strategic cooperation agreement, aiming at further in-depth cooperation in the operation and promotion of terminal products. It is reported that before this, Keliyuan and FAW Toyota have established a long-term partnership in hybrid product technology, key parts supply and market expansion.

3,000 vehicles will be delivered before June 2017. Based on the obvious fuel saving and emission reduction effect of Corolla dual engine, the demonstration operation of hybrid vehicles in the field of public travel will be more helpful to improve the awareness of hybrid products. At the same time, through complementary resources, we will increase the spread of hybrid technology in China, let more consumers know and understand hybrid products, and let really good products be accepted by the market, thus setting a new example of automobile energy conservation and environmental protection.

Establish a green travel sharing platform

How to realize the sustainable and rapid development of the automobile industry while minimizing environmental damage is a priority issue for every responsible automobile enterprise.

Zhong Faping, chairman of Hunan Keliyuan New Energy Co., Ltd. said: "Keliyuan is not an automobile factory, but it is a leading enterprise in China’s hybrid power industry, and FAW Toyota enjoys Toyota’s world-renowned hybrid power technology products. The cooperation between them can be described as strong cooperation, and the two sides work together to change the current situation of hybrid power technology products in China market, and ultimately promote energy conservation and emission reduction and the improvement of environmental protection, benefiting the world."

The strategic cooperation between the two companies is to solve the "ultimate" problem that puzzles the development of China automobile industry from the most fundamental aspect of car use. Through real customers, we can accumulate a lot of operational data, and then show the advantages of hybrid technology to more consumers, and finally create a relaxed market environment for the hybrid product market that is most suitable for the current situation in China.

Hybrid power has become the main force of energy saving and emission reduction.

As a leader in the global automobile industry, Toyota has always been committed to protecting the environment and solving the problem of energy shortage, and has been deeply involved in the global market of new energy vehicles for a long time. As early as 1992, Toyota issued the Toyota Earth Environment Charter. In 2016, the sales of 9 million hybrid vehicles in the world were achieved, and the emission of carbon dioxide was reduced by 67 million tons to protect the environment.

In China, FAW-Toyota has also been adhering to this environmental protection, and has been committed to the research and exploration of new energy, environmental protection and energy-saving vehicles. From the first introduction to China in 2006 to the Corolla Twin Engine listed in 2015, FAW Toyota has made due contributions as a pioneer. As the most feasible environmental protection solution at this stage, the Corolla Double Engine has been widely welcomed as soon as it was listed, and the "national mixed era" initiated by the Corolla Double Engine has brought real benefits to environmental improvement.

In the future, FAW Toyota will continue to launch energy-saving vehicles equipped with hybrid systems. In addition to the introduction of TNGA platform, from 2018, FAW Toyota will also introduce vehicles with energy saving, high combustion efficiency, low fuel consumption and low cost. By 2020, TNGA platform will launch more than 15 models, of which a considerable proportion are hybrid models.

Green car products should be put to good use.

Through the strategic cooperation of green travel, FAW Toyota will help Keli to penetrate the layout of the all-hybrid industrial chain, build a platform for the promotion and operation of hybrid vehicles, and let more consumers participate in green traffic travel. Choosing Corolla Double Engine means that you will participate in traffic travel as a "green traveler". As a green, energy-saving and environment-friendly vehicle, Corolla Shuangqing paid attention to the protection of the ecological environment from the initial stage of design and production, and it won the White Gold Award for Ecological Design in China in 2016. Corolla twin engines have lower fuel consumption and cleaner emissions, which reduces the environmental damage caused by driving. It does not need to be plugged in, but converts harmful energy into "positive energy" through its own energy conversion, thus making travel cleaner. At the same time, because it does not need to replace the battery for life, there is no secondary environmental damage like pure electric vehicles.

By building a wider shared green travel platform, more people will pay attention to, understand and choose hybrid vehicles, so as to achieve the active participation of the whole social class and fundamentally alleviate the environmental pressure brought by traffic travel, which is the ultimate goal of signing the green strategic cooperation agreement between FAW Toyota and Keliyuan.

Brittany Murphy

　　According to Hong Kong media reports, brittany murphy, the actress of "Eight Miles", died at the heart hospital at her home in Los Angeles on the morning of December 20th, at the age of 32. Aston Coetzee, an old love and partner, expressed deep sorrow and hoped that they would meet again in heaven.

　　At 8 o’clock in the morning of December 20, Murphy fainted while taking a bath in his apartment in Los Angeles. After the mother found out, she called the police and claimed that her daughter had diabetes. Five firefighters and medical staff entered the house for nearly an hour, and then they carried her out on a stretcher and sent her to the hospital. Neighbors said that Murphy, wearing an oxygen mask, was as pale as an old woman when he was carried out, and was rescued by intubation. It seems that there are no signs of life. Murphy was pronounced dead at 10: 04 a.m. at the age of 32.

　　The police went to Murphy’s apartment to investigate and found prescription drugs in the house. It is reported that she caught a cold and took medicine a few days before her death, and she vomited heavily before her illness, and there was vomit in the bathroom. The coroner Ed Winter said that although Murphy’s husband Simon Monjack objected, an autopsy would still be conducted. It is expected that the toxicology report will have results in a few weeks. Initially, it is considered that the cause of death is not suspicious and the possibility of being killed is ruled out.

Old love looks forward to heaven. Goodbye.

　　According to the British "Sun" report, Murphy’s friends said that after undergoing plastic surgery, she became addicted to taking painkillers, and she did not listen to her family’s advice to give up drug addiction, which led to the tragedy, coincidentally similar to the sudden death of Michael Jackson, the king of pop, in June this year. In recent years, Murphy has been reported to take drugs with Simon, and she has anorexia. It is reported that anorexia can cause heart disease, but she has repeatedly denied taking drugs and mentioned heart problems: "I can’t even take drugs. I have had heart problems since I was a child."

　　Murphy’s family issued a statement saying: "Losing Murphy is a terrible tragedy. She is our daughter, wife and beloved shining star. I hope the outside world will give us privacy." Her divorced father, Angelo Bertolotti, also expressed shock, saying that her daughter was born as a doll and praised her talent. Movie stars who worked with Murphy mourned one after another. Aston Coetzee, an old lover and partner, said that the death of his old lover made the world lose a little light and hoped to see you again in heaven. Alicia Silva Si Tong, the co-star of Dominance, said that she felt sad, praised her as a warm and sweet person, and hoped that she would rest in peace at an early date. Lindsay lohan, paris hilton, whoopi goldberg, jessica simpson and the Japanese actor Toshiyuki Nishida who worked together last year also expressed their condolences.

　　Murphy, who has a mediocre career, has often been accused of acting strangely in recent years. At the beginning of the month, she was abandoned because she was in a trance and disturbed the studio when she made the new film The Caller. The funny program "Live Weekend" had earlier played a funny drama to laugh at her, and the clip had been deleted on the Internet. As early as 2004, when Murphy attended the publicity activities, he lay on the ground abnormally and covered his face with paper towels. Until a few weeks ago, when she attended the premiere of the new film "Across The Hall", her footsteps were unstable and the situation was worrying. I didn’t expect that she would die suddenly now.

　　Murphy, who was born as a child star, started acting in stage plays, making TV shows and forming bands at the age of 9. In 1995, she made her debut in the youth film "Leading the Way", and then co-produced The Girl Who Moved the Soul with Angelina Jolie and was invited by michael douglas to play "The Code of Redemption". In 2002, her co-production with Eminem became her masterpiece. It’s a pity that Sin City and the dubbing for Happy Feet all failed, and the legacy Opposite the Hotel Lobby was only shown in a cinema this month, while Stallone’s new film The Expendables and the signing of the contract were just finished.

Produced by iQiyi and Stellar Gravity Media, with Ying Dai, Wang Yixu and Zhang Yucheng as the chief producers and Zhao Yilong as the director, I’m Going Against the Wind, an excellent urban workplace drama adapted from a novel with the same name, was officially launched on December 7, which tells the story of a national brand’s revival under the impact of e-commerce economy. Xu Si, played by Simon, is a cold, rational and sharp-eyed investor. In the play, he will experience entrepreneurship and reform with many like-minded young partners and go to the ideal business road.

The essence of the original works blends with the background of the times and innovates again. Xu Sili’s pioneering work has stood on the forefront through reform.

"I want to go against the wind" is adapted from the work of the same name by the best-selling emotional novel author Wu Zai. The author combines the commercial workplace with urban love, and his writing is solid, the plot is ups and downs, and he can freely accept it, which has won praise from many readers. What fresh highlights will this film adaptation bring?

Today, the official blog "I want to go against the wind" released a lineup poster and a short film. From many materials, we can see that Xu Si, the male actor played by Simon, has sharp eyes, a strong gas field, and a business elite temperament. His eyes look calm and firm between light and shadow. Among them, the two editions of posters indicate that the characters are about to sail against the wind, and they are going up and down to seek last stand.

The previous works of the cast of "I want to go against the wind" have been widely praised, and the heartfelt comments from netizens such as "Fairy Casting" and "Conscience Cast" have made this urban theme work highly anticipated. The old opera bones and many powerful actors joined in, and the original author made great efforts to ensure the quality of the works, and created high-quality works with more characteristics and tone of the times on the basis of retaining the essence of the original works. "I want to go against the wind" will certainly be worth looking forward to.

Simon breaks through the interpretation of cold and sharp business upstart Xu Si sailing against the wind to protect the revival of national brands

The character of Xu Si, the hero of I Want to Go Against the Wind, is quite different from the role played by Simon before. Xu Si is purer and more rational; He is young and successful, decisive and crisp, conceited and confident about the business language he insists on, and even a little cold and sharp. In business, he is an investor who pays more attention to the return on investment. Between Xu Si and the heroine, from the opponent to the comrades who walk side by side, it is like a contest and a competition. The collision of his values and career views with the Jianghu in the process of starting a business, the differences and reconciliation of career ideas and personal feelings are the true portrayal of every ordinary person who rushes into the sea and spreads his arms against the current in the great era. Xu Si changed from a businessman who only looked at the dividends of the times to a guardian of national manufacturing, which not only showed the insight and national feelings of a new generation of entrepreneurs, but also reflected the patriotism of contemporary young people.

This year, Gong Jun has received extensive attention because of the popularity of many works. In the choice and interpretation of works, he has been constantly breaking through, and the roles in each work are different. In this "I want to go against the wind", I believe that Simon will give full play to the different aspects of the characters’ personalities within his control. Riding the wind, traveling thousands of miles, let’s look forward to the wonderful performance of actor Simon in "I want to go against the wind"!

　　Legal Daily reporter Qi Jianrong

　　The National Office for Combating Pornography and Illegal Publications introduced today that during the winter vacation, the national "anti-pornography and illegal publications" departments comprehensively inspected the publication market and cultural business places around the campus, focusing on investigating and dealing with the dissemination of harmful information in the fields of learning and education App, online games, online literature, online comics and portals, and promptly and strictly investigated a large number of cases. Today, the National Office for Combating Pornography and Illegal Publications publicly reported seven typical cases:

　　Beijing investigated and dealt with the case of a post bar in Baidu spreading obscene pornographic cartoons.

　　In January 2019, according to the report clues transferred by the national office of "eliminating pornography and illegal publications", the Beijing office of "eliminating pornography and illegal publications" deployed cultural law enforcement departments to investigate and deal with the case. After investigation, from April 2014 to January 2019, Baidu Post Bar Channel’s "Forced Top Device Bar" provided online comics that promoted obscene and pornographic content that induced minors to imitate, violate social morality and commit crimes. In February 2019, the Beijing Cultural Market Administrative Law Enforcement Corps ordered Baidu to correct the illegal acts within a time limit and imposed an administrative fine of 20,000 yuan. At present, Baidu deletes the comics involved and closes the corresponding post bar.

　　Kunshan, Jiangsu Province, investigated and dealt with the case of "assistant of operation god" spreading harmful information

　　In January 2019, according to the clue of the office of "eliminating pornography and illegal publications" in Jiangsu Province, the department of "eliminating pornography and illegal publications" in Kunshan carried out investigation and punishment. After investigation, since April 2017, Kunshan Red Reading Information Technology Co., Ltd. has not been allowed to develop and operate the "Red Fruit Reading" website and App, and published some online novels containing contents that endanger social morality and induce minors to imitate and violate social morality. At present, the "Working God Assistant" App has been ordered to correct the illegal behavior, the "Red Fruit Reading" website and App have been shut down, and the two companies have been fined for administrative punishment.

　　Nanchang, Jiangxi investigated and dealt with the illegal business case of "Sword Fighting the World" online game

　　In January 2019, according to the clue of the national office of "eliminating pornography and illegal publications", the office of "eliminating pornography and illegal publications" in Jiangxi Province deployed Nanchang Cultural Law Enforcement Brigade to investigate and deal with it. After investigation, Jiangxi Longluo Network Technology Co., Ltd. developed the online game "Sword Fighting the World", which was launched on October 28, 2018 without obtaining the version number. As of November 14, 2018, the illegal business income was 20,690 yuan. In accordance with relevant regulations, Nanchang Cultural Law Enforcement Brigade ordered the company to immediately go offline and delete the game, and imposed an administrative penalty of a fine of 100,000 yuan.

　　Bozhou, Anhui investigated and handled two cases of online games spreading harmful information.

　　In December 2018, cultural law enforcement officers in Bozhou City, Anhui Province inspected and found that the game "Yu Xiang" and "Super Killing the Walking Dead" operated by a network technology company was suspected of providing content that promoted obscenity and pornography and violated social morality, and the city’s "anti-pornography and illegal publications" department quickly investigated and dealt with it. In January 2019, the law enforcement department ordered the network technology company involved to make immediate corrections, and imposed an administrative penalty of confiscation of illegal income and a fine of 10,000 yuan.

　　Shanghai investigated and dealt with the case of pornographic information in winter vacation homework, a private SMIC middle school.

　　In January, 2019, the "anti-pornography and illegal publications" department in Shanghai immediately carried out a check on the media’s report that the English winter vacation homework of Shanghai Private SMIC School was "pornographic". After investigation, winter vacation homework English (NJ) [Grade 8] is an illegal publication with prohibited content and obscene content, which was published by Shanghai Oriental Laser Education and Culture Co., Ltd. without publication qualification. The Municipal Cultural Market Administrative Law Enforcement Corps punished the company according to law, confiscated all publications involved and imposed a fine; For the illegal acts of publishing publications containing prohibited contents, its "Publication Business License" shall be revoked. The printing unit Shanghai Great Wall Drawing Printing Factory and the issuing unit Shanghai Lianchen Book Co., Ltd. involved in the case were handled separately according to law.

　　Nanjing, Jiangsu investigated and dealt with the case of publishing obscene novels on the Chinese website of Reading Ming.

　　Recently, according to the clue of the national office of "eliminating pornography and illegal publications", the office of "eliminating pornography and illegal publications" in Jiangsu Province deployed the Nanjing cultural law enforcement department to investigate and deal with the case. After investigation, Nanjing Yueming Culture Communication Co., Ltd. engaged in online publishing services without obtaining the Network Publishing License. Since January 2017, an obscene novel has been published on the open Reading Chinese website. The novel takes the campus as the scene and openly promotes obscene and pornographic content. In November 2018, the novel was ordered by the law enforcement department to be immediately removed. On January 15, 2019, Nanjing Cultural Market Comprehensive Law Enforcement Corps ordered Yueming Company to stop its online publishing activities, and imposed an administrative penalty of confiscating the computer mainframe involved and fined 50,000 yuan.

　　Hebei Hengshui cracked the case of spreading obscene articles on the website of Lolita Bar Forum.

　　At the end of 2018, the public security organ of Jizhou District, Hengshui City, Hebei Province successfully detected a case. After investigation, in May 2018, Zhou Moumou established the website of Lolita Bar and served as an administrator, uploading obscene pornographic videos downloaded from the Internet to different sections of the website, and netizens can watch or download them online after paying. It has been identified that there are 168 obscene videos in the website of Lolita Bar and 254 obscene videos in the website of card issuing platform. At present, the police have arrested six suspects and the case is under further investigation.

　　The person in charge of the national office of "combating pornography and illegal publications" pointed out that the spring school year is just around the corner, all localities will especially strengthen the rectification of the cultural environment around primary and secondary schools, comprehensively inspect bookstores, newspaper stalls, stationery stores, electronic product repair shops and other places, and strictly investigate and deal with all kinds of illegal and harmful children’s publications and information, so as to create a healthy and good cultural environment and atmosphere for the start of primary and secondary schools.　

　　CCTV News:On September 11th, International Sharp Review, the general radio and television station of China, broadcasted an article entitled "Russia’s" Looking East "and Seeing Three Great Scenery", which was reprinted or quoted by many overseas media.

　　From September 11th to 13th, Georgian 1TV and Vietnam National TV Channel 1 quoted relevant contents or materials. Siberian News Network, Czech Today Information Network, Buchrest China Review facebook account of Tananana Radio Station in Romania, website of Industry News in Kazakhstan, website of Turkish Economic Watch, website of Daily Morning News in India, Iranian People’s Road News Network, facebook account of DZME Radio Station in Philippines, website of Nepal Urban FM Station, Facebook account of Myanmar opinion leader media, facebook account of French LCF Radio, German website of European Times, website of Radio Spain International, website and facebook account of Rainbow FM in Lisbon, Portugal, Iberian APP, website and facebook account of Brazil’s Rio headlines, website and facebook account of Brazil’s Sao Paulo World Broadcasting Station, Nigeria’s Leader website, Tanzania’s Africa Media Group website facebook account, Los Angeles Post website, Nordic Times website, Portuguese New Newspaper APP(facebook account, twitter account), Chinese headline APP, European Union Chinese website, China-Europe United Times website, West Africa online website, Africa Times website, Japanese Chinese business website, and Xizhong website. On September 12th, Hong Kong Ta Kung Pao and Hong Kong Business Daily also published and forwarded this article.The main reports are as follows:

　　The 4th Eastern Economic Forum was held in Vladivostok, the Russian Far East city, from September 11th to 13th. The supreme leader of president, China, and many heads of state or government from Northeast Asia, as well as delegations from more than 60 countries, attended the forum with high specifications and large scale, all of which were the highest in the history of the forum.

　　The Eastern Economic Forum was personally initiated by Russian President Vladimir Putin in 2015, and it was one of many "look east" decisions made by Russia in the context of the rapid deterioration of relations with the United States and Europe. Russia’s policy of "looking east" was once regarded by the west as a "temporary strategic adjustment" to ease the pressure of sanctions. Some media even questioned "Looking east, can Russia see its future?" However, with the acceleration of Russia’s eastward pace in recent years, "looking eastward" is increasingly showing the characteristics of Russia’s long-term national strategy.

　　Looking eastward, Russia saw that Sino-Russian cooperation created huge dividends. As Russia’s largest trading partner, China has sent a large-scale and high-standard delegation to attend the first Eastern Economic Forum in 2015 every year. The presence of the Chairman of the Supreme Leader at the forum is the first appearance of China’s head of state at the Eastern Economic Forum, which fully demonstrates China’s positive attitude of participating in the cooperation in the East.

　　The cooperation between China and Russia in the Far East is playing an increasingly important role in the comprehensive strategic cooperative partnership between the two countries. At present, China is Russia’s largest trading partner and the largest source of foreign investment in the Far East, with a total investment of about US$ 4 billion. Twenty-six Chinese-funded enterprises have settled in Russia’s "Advanced Development Zone" and Vladivostok Freeport specially set up for the development of the Far East. At the same time, the two sides are also jointly promoting the construction of a river across the Sino-Russian border — — Railway and highway bridge projects in Heilongjiang to comprehensively improve the interconnection level of infrastructure in the border areas of the two countries. Undoubtedly, deepening Sino-Russian cooperation is an important part of Russia’s "looking eastward".

　　Looking eastward, Russia sees the expansion space of regional cooperation in Northeast Asia. The Eastern Economic Forum has been successfully held for three times, which has had a positive impact in Northeast Asia. During the forum last year, a total of 2.5 trillion rubles were signed, and this figure is expected to exceed 3.5 trillion this year.

　　Northeast Asia is rich in resources, mature in market and huge in potential. In addition to the Chairman of the Supreme Leader, the leaders of Northeast Asian countries attending this Eastern Economic Forum also include Mongolian President Battulga, Japanese Prime Minister Shinzo Abe and South Korean Prime Minister Lee Luoyuan, which fully shows the willingness of countries in the region to strengthen cooperation. At present, several bilateral or multilateral cooperation frameworks in Northeast Asia are gradually taking shape: the construction of China-Russia-Mongolia Economic Corridor has achieved initial results, the negotiation of China-Japan-ROK Free Trade Agreement is accelerating, and the ROK and the DPRK are expected to formally carry out economic cooperation. At the same time, the positive attitude of countries in the region towards the "Belt and Road" has gradually condensed into a consensus. In this context, the presence of the Chairman of the Supreme Leader and leaders of many countries in Northeast Asia at the Eastern Economic Forum is expected to further enhance regional cooperation and further promote the "Belt and Road" in Northeast Asia. This is undoubtedly a major positive for Russia to revitalize the Far East.

　　Looking eastward, Russia sees the development opportunities brought by the "express train" of the Asia-Pacific economy. The Far East is rich in natural resources and is known as "the only treasure house in the world that has not been dug deep". However, due to problems such as slow economic growth, backward infrastructure and serious population loss, this "treasure house" has so far failed to reflect its due strategic significance and economic value. Based on the strategic consideration of the balanced development between the east and the west, Russia has promoted the development of the Far East to the height of national strategy in recent years.

　　Behind this strategy is the rapid economic growth in Asia-Pacific region. As one of the most active and fastest growing regions in the global economy, the Asia-Pacific economic circle is a huge consumer market and a potential source of investment for Russia. Developing the Far East is not only an internal demand of local economic and social development, but also a way to let Russia catch the "express train" of rapid economic development in the Asia-Pacific region. According to Russian customs statistics, the proportion of trade between Russia and APEC member countries in Russia’s foreign trade has increased from 20% 10 years ago to 31% in 2017. According to a poll in 2016, 70% of Russians believe that cooperation with countries in the Asia-Pacific region "has more advantages than disadvantages".

　　It should be pointed out that Russia’s "looking eastward" is not the product of western sanctions against Russia, but the deterioration of relations with the West has accelerated the pace of Russia’s eastward advancement to some extent. Even so, Europe is still an important trading partner of Russia. In 2017, the trade volume between Russia and EU countries still accounted for more than 40% of Russia’s foreign trade. Therefore, "looking east" does not mean that Russia will give up the West, especially its cooperation with Europe. Russia, like the double-headed eagle on its national emblem, will always focus on both the east and the west, but from the development trend, looking eastward, the vision is wider and the scenery is more beautiful.

　　Many overseas media quoted and forwarded "International Sharp Review" articles:

　　On September 12, 2018, Georgia 1TV quoted relevant content or material.

　　On September 12, 2018, Vietnam National Television Channel 1 quoted relevant content or material.

　　Siberian News Network forwarded on September 11, 2018

　　The Facebook account of Bucharest China Review on Tananana Radio in Romania was forwarded on September 11, 2018.

　　India’s "Daily Morning News" website was forwarded on September 11, 2018

　　Iranian People’s Road News Network forwarded on September 11, 2018

　　Facebook account of Myanmar opinion leader media was forwarded on September 12, 2018.

　　The Los Angeles Post website was forwarded on September 11, 2018.

　　The website of Europe-China United Times was forwarded on September 12, 2018.

　　Hong Kong Ta Kung Pao was published on September 12, 2018

The cute "Sugar Bean Man: The Ultimate Elimination" seized the hot tail of summer, and this game, which won the steam weekly sales list for three times, ranked third in the number of people online after "DOTA2". Easy, interesting, fast-paced variety play, chicken eating mode and lovely painting style can be said to be the "secret of success" of this work.

At present, PS4 and steam are the first platforms on which Sugar Bean Man logs in. Many players think this game is very suitable for mobile platforms, such as Nintendo’s NS handheld and mobile phone tablet.

However, it has been confirmed that NS version and mobile version will be launched in the future. Players still need to wait for a while. Of course, players who don’t want to play this game in front of the computer can also play on their mobile phones through the cloud game platform of the handheld Internet cafe ~

Pocket Internet Cafe is a cloud game platform based on X86 architecture. It connects high-performance computers in the cloud through the network, so that players can play any PC game on their mobile phones in the form of streaming, making the players’ mobile phones change into handhelds every second. Therefore, it is no longer necessary to play "Sugar Bean Man" on the mobile phone.

For players who haven’t bought Sugar Bean Man, the Pocket Internet Cafe provides a game account for free. Players can play this game in seconds when they enter the APP, buy it early and enjoy it early, and don’t buy it 100%! Play ~

The variety play of "Sugar Bean Man" can be said to be the essence of the game. I believe that many players have watched live-action programs on TV. Sometimes players often make mistakes in seemingly simple levels, and many players who look across the screen think it is easy for me to get on. Is that really the case?

In fact, seemingly simple hurdles test each player’s physical strength and quick response ability.

The game "Sugar Bean Man" just provides a "personal challenge" opportunity for players who are eager to try through the screen. In fact, this game seems simple without complicated operation, but each player has to face 59 other players, and it is not easy to eat chicken in the end ~

Sometimes many players will be eliminated at the first level, but it is such a relaxed and interesting gameplay that players can always enjoy this and lose again and again.

Players can play this interesting game anytime and anywhere through the handheld Internet cafe cloud game platform, just like playing a mobile game. In terms of operation, although the Pocket Internet Cafe supports external keyboard and mouse, since it is necessary to have the experience of mobile game version, the virtual keyboard function of the Pocket Internet Cafe is more convenient, and it also has the taste of mobile game ~

In terms of practical operation, when entering the game, the handheld internet cafe has already preset the key positions to be used in the game. Of course, players can also customize the layout according to their mobile phone screen size and operating habits. This will also help you to go through five levels between square inches, cut six generals, and control your "love beans" to eat chicken smoothly!

In terms of game experience, although it is a form of cloud game, the game runs in the cloud, and the game screen is compressed and manipulated to stream to the user’s mobile phone in the form of video stream, but the actual game screen and color reproduction will not be lost. At the same time, the handheld Internet cafe can automatically adjust the image quality according to the player’s network environment, and the delay will be well controlled, and the operation is very smooth, just like playing on a local device.

Finally, you like the game "Sugar Bean Man" and don’t want to be confined to sitting in front of the computer to play. Perhaps the handheld Internet cafe is a good choice, and the sense of sight like a mobile game will make you rush on your mobile phone ~

General Office of the State Council on Printing and Distributing Drugs Organized by the State

Notice of centralized procurement and use of pilot programs

Guo Ban Fa [2019] No.2

People’s governments of all provinces, autonomous regions and municipalities directly under the Central Government, ministries and commissions and institutions directly under the State Council:

"The pilot program of centralized drug procurement and use organized by the state" (hereinafter referred to as the "program") has been approved by the State Council and is hereby issued to you, please implement it carefully.

All pilot cities should formulate implementation plans and supporting policies in accordance with the requirements of the "Program", strengthen organizational leadership, compact responsibilities at all levels, do a good job in publicity and guidance, and prevent risks to ensure the implementation of pilot tasks. Relevant provinces should closely follow the implementation of the pilot, actively create conditions, give support to pilot cities, and strengthen guidance, supervision and assessment.

All relevant departments and units should, in accordance with the requirements of division of labor, further decompose and refine the work involving their own departments and units, pay close attention to formulating specific measures, clarify the schedule, and promote implementation item by item. Involving multiple departments, the lead department should strengthen coordination and the relevant departments should cooperate closely. It is necessary to strengthen the overall concept, strengthen communication and cooperation, and achieve layout, supervision and results. The office of the pilot working group for centralized drug procurement and use organized by the state shall, jointly with relevant departments, do a good job in monitoring and analysis, regular notification, supervision and inspection, summary and evaluation, etc., and carry out key supervision in the pilot areas with slow progress and no obvious results, and report major issues to the State Council in a timely manner.

the General Office of the State Council 　 　 　 　 　

January 1, 2019　　　　　　　　　　

(This piece is publicly released)

The state organizes a pilot program for centralized drug procurement and use.

According to the deployment of the CPC Central Committee and the State Council, this plan is formulated in order to deepen the reform of the medical and health system, improve the drug price formation mechanism, and carry out the pilot project of centralized drug procurement and use organized by the state.

I. General requirements

(1) objectives and tasks.Eleven cities, including Beijing, Tianjin, Shanghai, Chongqing, Shenyang, Dalian, Xiamen, Guangzhou, Shenzhen, Chengdu and Xi ‘an, were selected to select pilot varieties from generic drugs that passed the consistency evaluation of quality and efficacy (including the consistency evaluation according to the new registration classification of chemical drugs, hereinafter referred to as consistency evaluation), and the state organized the centralized procurement and use of drugs to realize the obvious reduction of drug prices and reduce the burden of patients’ drug expenses; Reduce the transaction cost of enterprises, purify the circulation environment and improve the industry ecology; Guide medical institutions to standardize drug use and support the reform of public hospitals; Explore and improve the centralized drug procurement mechanism and the market-oriented drug price formation mechanism.

(2) General idea.According to the general idea of national organization, alliance procurement and platform operation, that is, the state formulates basic policies, scope and requirements, organizes pilot areas to form alliances, and explores cross-regional alliance centralized procurement with quantity by taking public medical institutions in alliance areas as the main body of centralized procurement. On the basis of summarizing and evaluating the pilot work, we will gradually expand the coverage of centralized procurement and guide the society to form long-term stable expectations.

(3) Basic principles.First, adhere to the people-centered, ensure the demand for clinical drugs, effectively reduce the burden on patients, and ensure the quality and supply of drugs. Second, adhere to compliance with laws and regulations, strictly implement relevant policies and regulations, and ensure that special procurement procedures are standardized, open and transparent, and accept supervision from all parties throughout the process. Third, adhere to the combination of market mechanism and government role, not only respect the market-oriented drug price formation mechanism, but also give full play to the role of the government in building a platform, promoting docking, ensuring supply and strengthening supervision. Fourth, adhere to a smooth transition and proper convergence, and handle the relationship between the pilot work and the existing procurement policy.

Second, the scope and form of centralized procurement

(a) to participate in the enterprise.Any pharmaceutical manufacturer approved by the State Drug Administration and listed in Chinese mainland area within the scope of centralized procurement (the national general agent of imported drugs is regarded as a manufacturer) may participate.

(2) scope of drugs.Select pilot varieties from generic drugs corresponding to generic drugs that have passed the consistency evaluation.

(3) shortlisting criteria.Including quality shortlisting criteria and supply shortlisting criteria. The quality shortlisting criteria mainly consider the clinical efficacy, adverse reactions, batch stability, etc., and are based on the consistency evaluation in principle. The supply shortlisting criteria mainly consider the production capacity and supply stability of enterprises, and enterprises that can ensure the procurement volume in the pilot areas can be shortlisted. The specific indicators of shortlisting criteria shall be drawn up by the Joint Procurement Office.

(4) The form of centralized procurement.According to the number of short-listed production enterprises of each drug, the corresponding centralized procurement method is adopted: if there are three or more short-listed production enterprises, the bidding procurement method is adopted; If there are two short-listed production enterprises, they shall adopt the way of bargaining purchase; If there is only one short-listed production enterprise, it shall be negotiated and purchased.

Third, specific measures

(1) Purchase with quantity, and exchange price with quantity.On the basis of the purchase quantity submitted by public medical institutions in the pilot area, the total purchase quantity is estimated according to 60%-70% of the total annual drug consumption of all public medical institutions in the pilot area, and the centralized purchase price of drugs is formed. The public medical institutions in the pilot cities or their representatives sign a purchase and sale contract with the production enterprises according to the above purchase price. For the remaining amount, public medical institutions can still purchase other net-hanging varieties with appropriate prices for centralized procurement of drugs at the provincial level.

(two) the combination of recruitment and adoption, to ensure the use.Public medical institutions in the pilot areas should give priority to the use of centralized procurement products determined by different forms such as bidding, bargaining and negotiation, so as to ensure that the contract dosage is completed within one year.

(3) Ensure quality and supply.It is necessary to strictly implement the quality shortlisting standards and supply shortlisting standards, effectively prevent low-priced bids regardless of quality, and strengthen the whole chain quality supervision of the production, circulation and use of selected drugs. On this premise, establish a system of investigation, evaluation, assessment and monitoring of the product quality and supply capacity of the shortlisted enterprises. The production enterprises independently select the operating enterprises with distribution ability and good credibility to distribute the centralized procurement products, and establish the emergency reserve, inventory and shutdown reporting system of the production enterprises according to the purchase and sale contracts. In case of non-delivery according to the contract and failure to guarantee the quality and supply, compensation, punishment, withdrawal, alternative and emergency safeguard measures should be taken accordingly to ensure the quality and supply of drugs.

(four) to ensure the payment, reduce transaction costs.As the first person responsible for drug payment settlement, medical institutions should settle accounts with enterprises in a timely manner according to the provisions of the contract, so as to reduce the transaction costs of enterprises. Strictly investigate the problem that medical institutions do not settle drug payments on time. On the basis of the total budget, the medical insurance fund shall be paid to the medical institution in advance at not less than 30% of the purchase amount. Conditional cities can pilot direct settlement of medical insurance.

Fourth, policy convergence, three medical linkage

(a) to explore the coordination of medical insurance payment standards and purchase prices in pilot cities.For centrally purchased drugs, within the scope of the medical insurance catalogue, the centralized purchase price is taken as the medical insurance payment standard. In principle, the medical insurance fund will settle the original research drugs, reference preparations and generic drugs that have passed the consistency evaluation under the same general name according to the same payment standard. If the price of drugs used by patients is higher than the payment standard, the part that exceeds the payment standard shall be paid by the patients themselves. If the price of drugs used by patients is quite different from the centralized purchase price of selected drugs, the payment standard can be adjusted gradually, and it will be adjusted in place within 2-3 years, and supporting policies and measures will be formulated; Patients who use drugs with a price lower than the payment standard shall be paid at the actual price. On the basis of ensuring quality and supply, guide medical institutions and patients to form reasonable medication habits.

(2) Promote the reform of medical institutions through mechanism transformation.Through the pilot, we will gradually squeeze out the water content of drug prices, improve the structure of drug use, reduce the proportion of drugs in medical institutions, and make room for the reform of public hospitals. It is necessary to deepen the reform of medical insurance payment methods, establish an incentive and risk sharing mechanism of "balance retention and reasonable cost overruns sharing" between medical insurance agencies and medical institutions, promote medical institutions to use selected drugs with appropriate prices, and reduce the operating costs of public medical institutions. If the balance of medical service income and expenditure of public medical institutions is formed, it can be used as a whole for personnel salary expenditure in accordance with the requirements of "two permits" (allowing medical and health institutions to break through the current wage control level of public institutions, allowing medical service income to deduct costs and withdraw various funds according to regulations).

(3) Compacting the responsibility of medical institutions to ensure the dosage.Encourage the use of drugs selected in centralized procurement, and incorporate the use of selected drugs into the performance appraisal of medical institutions and medical personnel. All relevant departments and medical institutions shall not affect the rational use and supply guarantee of selected drugs on the grounds of cost control, drug proportion, and drug specifications and quantity requirements of medical institutions. Medical institutions that fail to purchase and use drugs according to regulations shall be punished in the indicators of total medical insurance, bonus funds for the reform of public hospitals, grade evaluation of medical institutions, designated medical insurance qualifications, and target responsibility assessment of medical institutions’ responsible persons. Medical personnel who do not use drugs in accordance with the regulations shall be dealt with severely in accordance with the corresponding provisions of the Prescription Management Measures and the Hospital Prescription Review Management Specification (Trial). It is necessary to further improve the guidelines for clinical application of drugs, strengthen the monitoring of drug use in medical institutions, strictly review and comment prescriptions, strengthen the publicity and training of Yamatonokusushi, organize comprehensive clinical evaluation of drugs, promote scientific and rational drug use, and ensure the safety of patients.

(four) clear departmental responsibilities, do a good job of policy convergence.In order to ensure that the national organization of centralized drug procurement and use pilots can achieve the purpose of reducing drug prices and promoting reform, the competent departments of medical insurance, medical care and medicine should perform their respective duties and coordinate with each other. The National Medical Insurance Bureau undertakes the responsibility of formulating the pilot scheme, relevant policies and supervising the implementation, and guides local medical insurance departments to do a good job in medical insurance payment, settlement and total budget management; Health departments at all levels are responsible for guiding and supervising the use of selected drugs in medical institutions, monitoring and early warning information on drug shortage, and guiding the reform of public hospitals; National Medical Products Administration is responsible for identifying the varieties that have passed the consistency evaluation and the relevant qualifications of pharmaceutical production enterprises, and the provincial drug supervision departments should strengthen the supervision and inspection of the quality of the selected drugs, and urge the production enterprises to implement the measures of stopping production.

V. Organizational form

(a) the establishment of a pilot working group and office.The general office of the State Council, the National Medical Insurance Bureau, the National Health and Wellness Commission, and National Medical Products Administration form a national pilot working group for centralized drug procurement and use (hereinafter referred to as the pilot working group) to lead the pilot work, study major issues, and deploy and implement key tasks. The office of the pilot working group is located in the National Medical Insurance Bureau, and is attended by personnel selected by the National Medical Insurance Bureau, the National Health and Wellness Commission, National Medical Products Administration and the Joint Procurement Office. It is specifically responsible for organizing the pilot, coordinating relevant work between departments and between departments and localities, and strengthening publicity and guidance and policy interpretation.

(2) Establish a joint procurement office.Under the leadership of the pilot working group and its office, a joint procurement office was established to carry out centralized procurement on behalf of the alliance area. The joint procurement office is composed of one representative from each pilot city, and the director candidate is determined by the pilot area. As the deputy director, the representatives of each pilot area are responsible for implementing centralized procurement on behalf of public medical institutions in the pilot area, organizing and supervising the implementation of centralized procurement results. Shanghai Pharmaceutical Centralized Bidding and Purchasing Affairs Management Office undertakes the daily work of the joint purchasing office and is responsible for the specific implementation. The joint procurement office consists of a supervision group, an expert group and a centralized procurement group.

1. Monitoring Group. Responsible for the supervision of centralized drug procurement, timely acceptance and handling of relevant reports and complaints.

2. Expert group. Organize experts in several fields (including experts recommended by national academic organizations, experts from Hong Kong Hospital Authority and relevant experts recommended by pilot areas) to set up expert groups to provide technical advice on relevant policies, clinical use and procurement operations.

3. Centralized purchasing team. Responsible for the specific implementation of centralized procurement, the joint procurement office will train the members of the centralized procurement team, and sign a commitment letter of honesty and confidentiality and a statement of interest avoidance.

VI. Organization of work

The Joint Procurement Office summarizes the drug consumption information of public medical institutions in the pilot areas, further improves the implementation plan, drafts and issues centralized procurement announcements, carries out specific work on centralized drug procurement, announces procurement results, urges the pilot areas to implement the results of centralized procurement, and strengthens supervision and inspection. In the pilot area, the network was completed on the provincial procurement platform according to the centralized procurement price, and the centralized procurement subject signed a quantity purchase and sale contract with the enterprise according to the centralized procurement price and implemented the procurement. The centralized procurement results were implemented in early 2019, with a period of one year. The office of the pilot working group shall guide and supervise the whole process of centralized procurement and use. In case of major problems in the joint procurement office and the pilot area, report to the office of the pilot working group in a timely manner.

　

　In a small restaurant specializing in mala Tang in Wangjing area, employees are cooking food. Photo/Reporter Lin Hui

　　　　Internet rumor: "The waitress in Changchun died from eating mala Tang for a long time and the rice noodles were full of bacteria and insects." The reporter found that-(Figure)

　　　　Mala Tang kills people? This statement is not reliable

　　　　Expert: There is no such thing as "bacterial worm" in medicine. It is impossible for bacteria to multiply in high-temperature food.

　　　　Network: This matter originated from a QQ message.

　　　　Recently, in major domestic forums, the rumor that "a waitress died of mala Tang in a certain place in Changchun" was forwarded by many netizens, and the media in Changchun, Qingdao and other places also followed up on it.

　　　　For a time, the question of whether mala Tang can still be eaten has become the focus of public discussion.

　　　　After investigation, the reporter found that the origin of this matter was actually a message on QQ. Medical experts said that "mala Tang eats people to death" has no scientific basis.

　　　　Online rumor

　　　　Changchun girls eat hot spicy dip to death.

　　　　Yesterday, my friend forwarded an email to Miss Wang entitled "I can’t eat mala Tang and rice noodles in the future". After reading it, Miss Wang was shocked because the content of the email was absolutely sensational.

　　　　Subsequently, Miss Wang searched for "Mala Tang, Waiter" on the Internet and found 200,000 pieces of relevant information. In addition, Shi Jing, who works near Zizhuqiao, also received a similar reminder from QQ group. The original record of rumors

　　　　"A 20-year-old waitress in Changchun-Li Ning Store in Chongqing Road Times Town (Editor’s Note: Li Ning Clothing Store) died ten days ago. The woman felt unwell and went to the hospital. The doctor was frightened after watching the X-ray. It is said that the woman’s internal organs and skin are all bacterial worms, and her liver has been eroded only a little.

　　　　"The doctor told her directly that she could prepare for the funeral. The cause of the disease is that the woman eats mala Tang and rice noodles all the year round. The doctor said that the bacteria in these two foods are seriously exceeding the standard, and it is easy to grow bacteria after processing. It has nothing to do with the hygiene of the store. Please ask people who love these two foods to eat less or not in the future. "

　　　　Beijing reaction

　　　　Some diners have heard of it.

　　　　The reporter’s search found that this rumor exists in some large forums in China, and there are many versions, among which the most widely circulated is this "Li Ning Store Employee Edition". In this regard, some netizens said in their messages that they were scared. Many netizens said in their replies that they would rather believe it, but some netizens questioned it.

　　　　Last night, in Xuanwu and Fengtai, the reporter found that the business of mala Tang stalls on the roadside was not bad. Although the weather was cold, many citizens still ate small bowls in front of the stalls.

　　　　The reporter visited more than ten small stalls, and most of the stall owners said that they had never heard of "Mala Tang eats people to death". "My family is cooked!" A stall owner stressed after hearing the reporter’s inquiry.

　　　　The reporter has asked more than a dozen citizens, most of whom don’t know about this matter, and a few people have heard that "someone in Changchun ate and died". But some people remember what they eat as spicy crayfish or mutton kebabs.

　　　　Changchun aspect

　　　　No patients with "bacteria in the body"

　　　　Yesterday afternoon, Mr. Li, a staff member of Changchun Center for Disease Control and Prevention, told reporters that he had never heard of the online waitress in his jurisdiction, and no hospital had accepted patients with "bacterial worms" in recent days.

　　　　There is no "Li Ning Store" in Times Town.

　　　　The reporter called the Chongqing Road Sub-district Office in Changchun, and the staff on duty said that they had heard the rumor, but it was absolutely false. The staff revealed that there is no Li Ning store in the shopping mall of "Chongqing Road Times Town" claimed in the post.

　　　　The industry and commerce department will investigate the matter.

　　　　Yue Jingtao, the propaganda staff of Changchun Industrial and Commercial Bureau, told the reporter that they had seen reports on the incident in the local media, but they had not received complaints from the masses about the sanitary conditions of Mala Tang restaurant, and they were going to investigate the incident.

　　　　Sichuan side

　　　　There may be exaggeration in this matter.

　　　　The reporter learned from the Sichuan Food and Beverage Association that from Yibin, Sichuan to Wushan in the Three Gorges, after pulling the fiber, the porter picked up a few stones on the riverside, set up a crock, scooped up a few scoops of river water, lit a fire on the bucket, and added wild vegetables, sea peppers, peppers and other seasonings to the jar to rinse and eat. This is the origin of mala Tang.

　　　　Ms. Wang of Sichuan Food and Beverage Association told the reporter that this incident is too strange and exaggerated. In Sichuan, residents eat malatang almost every day, and they have never heard of the death caused by bacterial invasion caused by eating malatang.

　　　　However, Ms. Wang also believes that the soup used to cook mala Tang, if used repeatedly, can really cause some bacteria to breed.

　　　　Yunnan side

　　　　There has never been a fatal incident of rice noodles in recent years.

　　　　This morning, Director Liu of the Office of Yunnan Catering Association said that Yunnan rice noodles produced in accordance with the food hygiene regulations will never have food hygiene problems, and there has never been any death caused by eating rice noodles in Yunnan in recent years.

　　　　Director Liu told the reporter that the rice noodle snack originated in Yunnan, but its safety and health inspection work is the responsibility of the relevant state departments, and the specific incidents in specific places should be handled and solved by local departments.

　　　　Event influence

　　　　Rumors spread to other cities in China.

　　　　According to Zhou Bo, a reporter from Changchun local media "City Evening News", the rumor has been widely circulated among Changchun citizens recently. There are more than 10 mala Tang shops around Chongqing Road business district, and the business has been greatly affected.

　　　　Zhou Bo said that the small shops that used to be full of guests are now very deserted. Some mala Tang restaurants have added other snacks such as buns and pancakes to maintain their business.

　　　　Zhou Bo told reporters that the reporter of Qingdao Morning Post had also asked Changchun about this matter. It is understood that at present, Qingdao netizens have rewritten this matter as "Qingdao version" and posted it online. This rumor has also spread in Shanghai.

　　　　medical expert

　　　　There is no "bacterial worm" and there is no scientific basis for "death"

　　　　The reporter consulted Liu Qingchun, deputy director of the nutritionist of the Armed Police General Hospital, and he said that there was no such thing as "bacterial worm" in medicine.

　　　　Deputy Director Liu said that there are zoonotic parasitic diseases in medicine, among which liver fluke disease, which mainly attacks the liver, shows symptoms in the gastrointestinal tract, and can cause pain in the liver area, hepatomegaly and even cirrhosis, but there is no way that the so-called "liver is only slightly eroded by bacteria and worms".

　　　　Deputy Director Liu said that it is easier for bacteria to reproduce in an environment with relatively high humidity and moderate temperature, and there will be no large-scale reproduction of bacteria in such a high temperature state as malatang soup.

　　　　Deputy Director Liu also reminded that when people eat snacks such as mala Tang and rice noodles, there is indeed a possibility of bacterial pollution, and they can ensure a healthy diet from the following aspects.

　　　　Healthy edible hot spicy dip

　　　　Before processing and making snacks, we should pay attention to hygiene from storage, transportation and other aspects, and at the same time choose good quality raw materials.

　　　　In the cooking process, we should pay attention to adequate processing to prevent food poisoning caused by insufficient heating time or temperature.

　　　　The bottom fire of hot pot must be strong. If you eat it before boiling and scalding, germs and parasitic eggs will not be completely killed, which will easily cause digestive tract diseases.

　　　　Eating hot pot should not be too hot. Generally, the mouth, esophagus and gastric mucosa can only tolerate the temperature of 50℃-60℃. Too hot food will damage the mucosa, leading to acute esophagitis and acute gastritis.

　　　　Time point survey

　　　　Before November 10th, rumors appeared.

　　　　After searching in several forums, the reporter found that before November 10th, when the rumored post appeared, it only said that "someone ate mala Tang and got sick and died", and did not point out the identity and location. The reporter did not search for related posts between the 11th and 13th.

　　　　Details appear after November 14th.

　　　　However, in the post after November 14th, the content of the post was all changed to "A waiter in Changchun ate mala Tang to death", and many netizens began to believe it because of such detailed details. Many posts are from the health section of various forums.

　　　　Origin of a QQ message

　　　　However, the reporter noticed that in the posts before the 14th, the posters all claimed that they learned about it from a QQ message.

　　　　In addition to telling about "Mala Tang eats people to death", this QQ message also requires netizens to forward 20 articles, which is said to get a "sun" sign in front of the screen name, but this is actually a common QQ prank.

　　　　On November 16th, on the forum of Sohu, a netizen posted that he knew the deceased in the "Mala Tang Gossip", and the woman’s death had nothing to do with eating Mala Tang. The origin of this myth is fabricated by a restaurant owner who deals in other types of snacks for business competition.

　　　　Subsequently, the reporter sent an email to the poster, but as of press time, the other party has not yet replied.

　　　　Lawyer’s attitude

　　　　The rumor maker is suspected of committing a crime.

　　　　This morning, the reporter contacted Bing Shen, a lawyer of Putiancheng Law Firm. Lawyer Shen said that those who made rumors were suspected of committing the crime of spreading false terrorist information.

　　　　Merchants affected by this can claim compensation from the rumor maker if there is sufficient evidence.

　　　　Text/Reporter Liang Qianli Chen Kun Legal Evening News

Editor: Sun Jie