Editor’s note:With the rising living standards, the double pressures of life and work, and people’s irregular and unhealthy lifestyles, more and more people are troubled by chronic diseases such as hypertension, hyperglycemia and hyperlipidemia. What if we prevent chronic diseases?

　　Three high people eat more radish skin.

　　Xia Pengbin, nutritionist in charge of clinical nutrition department of Zhongda Hospital affiliated to Southeast University, pointed out that radish skin is rich in nutrition, especially suitable for people with three highs.

　　In addition to vitamins and minerals, radish peel is also rich in pectin, quercetin, isothiocyanate and other active substances, which helps to regulate blood lipids, blood sugar and blood pressure to some extent, and is an ideal food for people with three highs. In addition, isothiocyanates also have certain anti-cancer effects. Radish skin is best eaten raw, which can retain more active ingredients, such as cold radish skin, pickled radish skin, sweet and sour radish skin and so on.

　　Pay attention to the following points when cooking radish skin: first, if you plan to make cold radish skin, cut the skin thicker and put a layer of radish meat on it, and the mixed food will look good and delicious; Second, before the cold salad, soak the radish skin in ice water for 30 minutes, which will help to remove the odor and make it more crisp. If there is no ice, just put water directly, and the effect is slightly worse; Third, marinate the radish skin with salt for a while in advance, and the taste is better; Fourth, it’s best to eat the radish skin at one time. If you can’t finish it, you must put it in a sealed box and put it in the refrigerator, so as not to bring bad smell to the refrigerator.

　　One or two cereals a day to prevent diabetes.

　　According to a new joint study by Chalmers University of Science and Technology in Sweden and Danish Cancer Society, eating 50 grams of whole grains (endosperm, germ and bran of rye, oats, wheat and other grains) every day can prevent type 2 diabetes.

　　The researchers selected the health data of 55,000 Danes. At the beginning of the study, these people were between 50 and 65 years old. During the following 15 years, more than 7,000 people developed type 2 diabetes. The researchers first counted the total daily intake of whole grains and the types of whole grains (rye bread, oatmeal, assorted porridge, etc.), and then combined the data with the statistics of Danish National Diabetes Register for combing analysis. The results show that the people who eat the most whole grains (at least 50 grams of whole grains every day, equivalent to a small bowl of oatmeal or a piece of rye bread) have the lowest proportion of type 2 diabetes, and the less they eat, the higher the proportion. Specifically, men who eat more than one or two whole grains a day have a lower risk of getting sick than those who don’t eat at all, and women have a lower risk of getting sick.

　　Researchers say that eating more whole grains is one of the most effective dietary methods to reduce the risk of type 2 diabetes. In addition, drinking coffee and eating less red meat can also play a role.

　　There are "three highs", drink some cereal thick pulp.

　　Many people have detected "three highs". Apart from lack of exercise, craving for delicious food and pursuing eating habits of high fat, heavy refined grains and less coarse grains are also the fundamental reasons for the high incidence of symptoms such as "three highs". Zhang Ye, director of the Nutrition Department of the 309 Hospital of the People’s Liberation Army, suggested choosing more coarse grains as your staple food.

　　Zhang Ye pointed out that the dietary guidelines for China residents suggest that you should eat 250-400g of grains every day, including 50-100g of coarse grains and coarse grains. But for the "three highs" crowd, this amount needs to be added, which can account for 1/3 to 1/2 of the staple food. Compared with flour and rice, the energy supplied by coarse grains is not high, but the dietary fiber content is much higher, which hinders the absorption of fat to some extent and can reduce the concentration of low-density cholesterol and triglyceride in blood, thus reducing the risk of hypertension, diabetes and hyperlipidemia.

　　Because coarse grains are more troublesome to make, it takes almost two or three hours, including the time of boiling. Zhang Ye suggested drinking thick grain pulp. When I was young, when I was cooking porridge at home, I would give the rice oil floating on the surface to children and the elderly. This layer of rice oil is actually the fat in grain, and it is mostly unsaturated fatty acid, which is very easy to absorb. Therefore, it is a very healthy diet to boil or mash coarse grains.

　　How to eat the healthiest? Zhang Ye’s secret is: grain+beans+nuts. For example, black rice, black beans and black sesame seeds can be selected in winter, and the black combination of walnut powder has the function of tonifying kidney and strengthening body, and the taste and nutrition are quite good. In summer, you can choose mung bean, coix seed, lily, lotus seed and sago. For girls, you can choose rice, red beans, red dates and medlar, which have the effect of nourishing blood and calming the nerves. People with poor spleen and stomach can choose oats, wheat, peanuts, sesame and other combinations, which have the effect of strengthening the spleen and stomach, promoting digestion and resolving food stagnation. For menopausal women, you can add some soybeans, which has a good auxiliary treatment effect.

　　Most people like to eat coarse grains at night. In fact, coarse grains are not easy to digest, and eating too much at dinner may affect the quality of sleep. Zhang Ye suggested that the form of thick grain pulp is easy to take and eat, and it is better to distribute it reasonably in three meals a day.

　　Drink yogurt, blood sugar is good.

　　A study by the research team of Lingnan University in Korea shows that the intake of yogurt is negatively correlated with the risk of diabetes, that is, the more intake, the lower the risk, among the four groups divided according to the intake. The risk of diabetes in the group with the most intake was 27% lower than that in the group with the least intake. Yogurt is also good for patients with diabetes.

　　Zuo Xiaoxia, director of the Nutrition Department of the Eighth Medical Center of the PLA General Hospital, said that sugar friends usually have different degrees of intestinal microecological disorders. The level of beneficial short-chain fatty acids such as butyric acid and propionic acid produced in the intestine is low, which leads to the decrease of insulin sensitivity, the increase of blood sugar and the imbalance of glucose and lipid metabolism. Eating yogurt can effectively improve the intestinal flora of sugar friends, while drinking yogurt is simpler than supplementing probiotics. Although there are more probiotics in probiotic drinks, there are also a lot of sugar, so this kind of drinks is not suitable for sugar lovers.

　　Zuo Xiaoxia suggested that sugar friends had better drink yogurt after meals, because the strong acidity of gastric acid before meals will destroy most lactic acid bacteria and reduce the effect of yogurt. Many sugar friends think that yogurt is high in sugar, but the lactose in it produces lactic acid after fermentation, which can delay gastric emptying and help control postprandial blood sugar; Even if a small amount of lactose remains, it will be decomposed and absorbed in the small intestine and will not cause blood sugar fluctuation. In China, the minimum package of yogurt products is 100 grams, 2 spoonfuls or one cup per day. For overweight and obese sugar friends, it is best to choose low-sugar or skim yogurt in the supermarket. For yogurt flavored with a lot of jam, it is not recommended to choose.

　　High blood fat, eat half an egg yolk every day.

　　The fat in egg yolk is mainly monounsaturated fatty acid (oleic acid), and the phospholipid content is also high. However, the utilization rate of iron in egg yolk is low, only about 3%, because it contains vitellin, which interferes with the absorption of iron.

　　The weight of eggs is generally between 45 and 55 grams. Dietary Guidelines for China Residents (2016) recommends that the average intake of eggs for adults is 40-50g per day, with one egg per day and no more than 7 eggs per week. Ma Guansheng, director of the Department of Nutrition and Food Hygiene of Peking University College of Public Health, said that for patients with hyperlipidemia, the intake of egg yolk should be appropriately reduced, such as eating an egg white, but the egg yolk can be halved. It is best to arrange eggs to be eaten every day, rather than focusing on a certain meal.

　　Eat more green leafy vegetables and get less fatty liver.

　　A recent Swedish study published in the Proceedings of the National Academy of Sciences found that eating more green leafy vegetables is very important to prevent fatty liver.

　　Dr Matthias Karstrom, a researcher at Karolinska Institute in Sweden, and his team fed a group of mice with high-fat and high-sugar foods, which increased their risk of fatty liver. After that, some mice were supplemented with nitrate (green leafy vegetables contain a lot of nitrate), and it was found that the risk of fatty liver in these mice was significantly reduced. The researchers also studied the culture of two different human liver cells, which verified the results of mouse experiments. In addition, the researchers also found that the blood pressure of type 2 diabetic mice decreased and the insulin level improved after nitrate supplementation. Previous studies have shown that nitrate from vegetables can help improve mitochondrial function and improve physical endurance.

　　Researchers say that overweight and excessive drinking are the two main causes of fatty liver, and there is no effective drug to treat fatty liver at present. This new study shows that eating more green leafy vegetables and increasing nitrate intake can help reduce fat accumulation in the liver and reduce the risk of fatty liver, heart disease and diabetes.

　　Whether cross-year illegal scoring is the basis for driver’s license demotion, Xiaobian provides you with relevant information, hoping to help you.

　　First, whether the cross-year illegal score is the basis for the demotion of driver’s license.

　　According to the principle of non-retroactivity of the law, illegal scoring and traffic accidents that have occurred before the implementation of the new regulations are not used as the basis for demotion. Only the illegal scores, accidents and verification records that occurred after January 1, 2013 will be used as the basis for demotion.

　　It is worth noting that drivers of large and medium-sized vans (with a driver’s license above B2) have recorded 12 points during the internship period, and the internship model does not belong to the highest quasi-driving model. In addition to canceling their internship model driving qualifications in accordance with the internship management regulations, they must also cancel their highest quasi-driving model qualifications in accordance with the demotion regulations.

　　Second, what conditions will be downgraded in the new traffic law?

　　1. A driver with a driver’s license for a large bus, tractor, city bus, medium-sized bus or large truck has a traffic accident that causes death and bears the same or more responsibilities, which does not constitute a crime;

　　2. Holders of driver’s licenses A1,,, B1 and B2 have recorded 12 points in one scoring cycle or have not participated in the verification for three consecutive scoring cycles;

　　Article 68 of the Regulations on the Application and Use of Motor Vehicle Driving Licenses revised by the Ministry of Public Security stipulates that from January 1, 2013, drivers with driving licenses of A1, A2, A3, B1 and B2 are allowed to drive, and traffic accidents cause deaths and bear the same responsibilities, which does not constitute a crime; There is a record of 12 points in a scoring cycle; If the driver fails to participate in the certification for three consecutive scoring cycles, under any of the above three circumstances, the vehicle management office will cancel the driver’s license for the highest permitted driving type, and notify the motor vehicle driver to go through the business of demotion and replacement within 30 days.

　　In addition, the new regulations put forward clear requirements for applying for the driving records of drivers of large and medium-sized vans: those who have the same responsibility for causing fatal traffic accidents and have drunk driving records may not apply for life; No application shall be made within 10 years after being sentenced to revoke or revoke the driver’s license record; You may not apply for a driver’s license for a large bus within 5 years after you have scored 12 points, and you may not apply for a driver’s license for a tractor or a medium bus within 3 years.

　　3. Which driver’s licenses can be applied for demotion?

　　According to the new provisions of the Traffic Law, if a driver still drives a motor vehicle without taking part in the examination as required, the traffic control department of the public security department will impose a fine of 200 to 200 500 yuan. Therefore, drivers of large buses, tractors, city buses, medium-sized buses and large trucks can take the initiative to apply for being reduced to a small car driver’s license if they do not have the need to drive large and medium-sized vans, so as to avoid being punished for failing to verify within the time limit.

　　In addition, drivers of small cars, motorcycles and other models who bear the same or more responsibilities for death due to traffic accidents should go to the public security traffic control department for verification within 30 days after the end of the scoring cycle; When the driver’s license is transferred to a different place or renewed at the expiration of its validity period, it shall be examined by the traffic control department of the public security bureau, and the physical condition certificate issued by the medical institution shall be submitted.

　　To "downgrade" Class A and Class B driver’s licenses to Class C driver’s licenses, you only need to submit relevant documents and add 10 yuan’s production fee. "However, although the initiative to downgrade is simple, it seems that the driver is responsible for himself and others by" doing what he can ". However, the relevant person in charge of the vehicle management office still reminded that once the driver’s license is "downgraded", it will be re-tested if it is promoted back. Therefore, drivers must be cautious when applying for demotion.

　　CCTV News:The sharp edge of the new asset management regulations hanging over the wealth management market has finally fallen, and the 100 trillion-scale asset management industry has officially ushered in a milestone of compliance.

　　On April 27th, the People’s Bank of China, the Insurance Regulatory Commission of the Bank of China, the China Securities Regulatory Commission and the State Administration of Foreign Exchange jointly issued the Guiding Opinions on Regulating the Asset Management Business of Financial Institutions (hereinafter referred to as the Opinions).

　　China’s asset management products span different financial markets and have the characteristics of channels. The contradictions between various industries engaged in asset management business and cross-market areas are concentrated. Some financial institutions still have problems such as excessive leverage, multi-layer nesting and rigid redemption in the process of asset management business.

　　With the increasing scale of asset management products, the risks also rise rapidly. If left unchecked, once the risk erupts, it will be transmitted across industries and markets, affecting not only China’s financial market, but also the real economy and ordinary financial consumers.

　　Therefore, the implementation of this new asset management regulation is of great significance, which is not only related to the national financial stability at the macro level, but also affects the entire financial market structure. From the perspective of ordinary investors, the new asset management regulations will also have a certain impact on the short-term stock market and bond market. How exactly will that affect our "money bag"?

　　What is asset management?

　　According to the Opinions, asset management business refers to financial services that banks, trusts, securities, funds, futures, insurance asset management institutions, financial asset investment companies and other financial institutions are entrusted by investors to invest and manage the entrusted investors’ property.

　　Generally speaking, asset management is asset management, and we hand over money to professional institutions for investment and management, that is, financial management on behalf of customers. So, have you asked relevant institutions to help manage assets?

　　The data shows that in recent years, the scale of asset management business of China’s financial institutions has been rising. By the end of 2017, regardless of cross-holding factors, the total scale has reached tens of billions of yuan, mainly including seven categories of asset management products, namely off-balance-sheet wealth management of banks (22.2 trillion), trust (21.9 trillion), asset management plan of securities companies (16.8 trillion), asset management plan of funds and their subsidiaries (13.9 trillion) and Public Offering of Fund (.

　　But as long as there is wealth management, it can’t escape the 100 trillion asset range. In other words, as long as you have financial management, you will definitely be related to asset management products.

　　Just broke the exchange, Say No to protect the capital and interest!

　　Bank wealth management occupies the largest scale in the entire wealth management market, and the biggest impact of the new asset management regulations is bank wealth management, which is also the area with the highest participation of ordinary people. Many ordinary people choose bank financing, the main reason is not only to protect the income, but also the income is higher than the deposit interest. However, after the implementation of the new asset management regulations, bank financing is no longer allowed to protect the income.

　　The "Opinions" clarify that financial institutions shall not promise to protect capital and income when conducting asset management business. When it is difficult to pay, financial institutions shall not advance payment in any form.

　　Article 19 of the Opinions also clarifies what behavior belongs to rigid redemption. To sum up simply, the behavior of financial institutions to deal with the principal-guaranteed income when the wealth management products cannot be redeemed as scheduled or are difficult to redeem is defined as rigid redemption. Figuratively speaking, financial institutions borrow money from you at a fixed interest rate, and give you the principal and interest at maturity. If you earn more, the institutions keep it, and if you lose, the institutions post it to you.

　　In fact, not long ago, Guo Shuqing, Chairman of China Banking and Insurance Regulatory Commission, reminded investors that they should report the statement of "capital preservation and high returns", because it is impossible to achieve high returns with capital preservation. This statement belongs to financial fraud. The new regulations also express the determination to break the rigid redemption: any unit or individual who finds that a financial institution has a rigid redemption behavior can report it to the financial management department, and if the verification is true and the contents of the report are not mastered by the relevant departments, appropriate rewards will be given.

　　"Rigid redemption deviates from asset management products ‘ Entrusted by others to manage money on behalf of others ’ The essence of raising the risk-free rate of return and interfering with the price of funds not only affects the decisive role of the market in resource allocation, but also weakens market discipline, leading some investors to take risks and speculate, financial institutions are not conscientious, and moral hazard is more serious. " The relevant person in charge of the central bank said when answering a reporter’s question.

　　Therefore, if there is an organization that publicizes that its own wealth management products protect the capital and income, everyone should be careful! Then, with the restrictions on the usual behaviors in financial market propaganda such as "capital preservation", how do people’s financial management concepts and behaviors need to adapt? Yin Zhentao, deputy director of the Law and Finance Research Office of the Institute of Finance of the Chinese Academy of Social Sciences, said: "Wealth management products and asset management products are inherently risky, not deposits, and high returns are doomed to high risks. Only by adhering to this principle, financial institutions will not take risks or regulatory arbitrage for rigid redemption. For ordinary people to manage their finances, they must strengthen their risk awareness and financial management knowledge. "

　　Short-term financial management will become a thing of the past.

　　Usually, the longer the term of wealth management products, the higher the income. However, at this stage, there are a large number of short-term non-guaranteed wealth management products for less than three months, which are favored by market investors because of their high yield and are often very popular. But in fact, these short-term bank wealth management are all investing in long-term assets, but banks invest in long-term assets with short-term funds through maturity mismatch.

　　In this new asset management regulation, there are new provisions for this kind of situation, that is, the cycle of wealth management products: financial institutions should strengthen the long-term management of asset management products, and the term of closed asset management products should not be less than 90 days.

　　The restriction of this cycle will have a certain impact on investors with high liquidity requirements. For ordinary people, the biggest difficulty is to make a choice between liquidity and income, and short-term liquidity must be given up if income is to be obtained. Therefore, it may attract some short-term financial management funds to turn to the more liquid money fund field, or enter the current savings.

　　The investment threshold has increased.

　　Investors in asset management products are divided into two categories: unspecified public and qualified investors. Unspecific people are well understood by the public, that is, ordinary people who do not need professional financial knowledge, investment experience or a lot of money. In addition to bank wealth management, the wealth management that ordinary people have more contact with is the fund.

　　According to the Opinions, public offering products and open private offering products are not allowed to be graded. Therefore, the implementation of the new regulations will greatly increase the threshold of private placement products issued by banks, brokers, funds and other institutions, because the threshold of qualified investors has increased.

　　According to the new regulations on assets, the specific conditions of qualified investors are clearly defined as follows: (1) Having more than 2 years of investment experience and meeting one of the following conditions: family financial net assets are not less than 3 million yuan, family financial assets are not less than 5 million yuan, or my average annual income in recent 3 years is not less than 400,000 yuan. (2) A legal entity with a net asset of not less than 10 million yuan at the end of the latest year. (3) Other circumstances that the financial management department regards as a qualified investor.

　　For the relevant standards of qualified investors, the new regulations clearly define the investor groups and sources of funds, and the entry threshold for investment has also been greatly improved. This means that people who do not meet the corresponding standards cannot make relevant investments.

　　Wealth management income is expected to increase and the transition period will be extended to the end of 2020.

　　According to the new asset management regulations, with the net management of bank wealth management, net wealth management may become a product that cannot be underestimated in the wealth management market.

　　At present, most bank wealth management products are expected rate of return, that is to say, a good investment period and rate of return, regardless of capital preservation or non-capital preservation, are basically paid together with the income. Net worth products are different, just like buying a fund, which needs to be valued every day. If you earn more, it will be yours, and if you lose, there will be no subsidies. If the net value is 0.8, your money will be 80,000 yuan, and you will lose 20,000 yuan. On the contrary, if the net value is 1.3, you will earn 30,000 yuan.

　　Compared with traditional capital preservation financing, the expected return of net worth financing is more volatile, and investors need to have certain risk tolerance, but the return may be higher. Through the management of net worth, people can know the risk of products and their own income space, and will gradually establish the investment concept of "the buyer is responsible".

　　Since the release of the draft of the new regulations on asset management, a considerable number of investors have begun to worry about what to do with their old products after the introduction of the new regulations. Will it "draw water with a sieve" because it does not meet the requirements?

　　The new regulations have made it clear that the transition period for the setting of "new and old products" will be extended from June 30, 2019 in the draft for comments to the end of 2020 in the official Opinions. It can be said that the extension of this transition period is a positive adjustment beyond expectations.

　　In the long run, the new regulations will help accelerate the transformation of asset management products and services, guide the asset management business back to the essence of "entrusted by people and managing money on behalf of others", and promote the asset management business to be more standardized and healthy. However, there is a long way to go to standardize asset management business and prevent and control financial risks. Financial institutions, regulatory authorities and all sectors of society must further form a joint force and pay more wisdom and efforts to help the industry enter a stage of steady development. (Text/Li Shanshan Comprehensive Editor from: People’s Daily Xinhua News Agency)

Autumn is a season of moderate temperature and abundant food in a year.

There is a folk saying that snake meat in autumn is more tender and helps to enhance physical strength and immunity. howeverGuangzhou Forestry and Landscape Bureau recently published "It is a rumor that snakes can be eaten! ",responded that:

Recently,There is a rumor from the media that "you can eat snakes from March 1 ST" There are also a number of self-media promotion, processing and sales of dishes with snakes as ingredients, which have attracted the attention of some catering enterprises and citizens, and they have called the wildlife protection department to ask: Can snakes be eaten?

Guangzhou Forestry and Landscape Bureau reminded that,Snakes are not edible!

Whether it’s wild snakes or farmed snakes, They have not been listed in the National Catalogue of Genetic Resources of Livestock and Poultry (2021 Edition) (referred to as the Catalogue), so all business units are not allowed to use snakes as ingredients to process meals.

However, the reporter found that,

People still spread on social platforms.

The message "You can eat snakes this autumn".

So what is the situation in Guangzhou?

Are there any restaurants that still serve snake meat and game?

When the reporter made an unannounced visit ↓

The network still spreads snake-eating information

Some well-known restaurants have recently heard of "closing their hands"

The reporter noticed that since the beginning of this year, some self-media bloggers have recommended restaurants in Guangzhou and surrounding Shunde from time to time on the short video platform to attract diners to taste snake dishes. When autumn comes, some videos are accompanied by slogans such as "autumn wind is the best time to eat game" and "cooking snake family".

Recommend the copywriting of snake meat restaurant on the Internet.

At the same time, the reporter found that there are many restaurants serving snake products in Guangzhou, and these restaurants have a certain popularity among local diners. Among them, there are many recommended copybooks related to a restaurant located in Machang Road, Tianhe. The reporter found that,Although some of the manuscripts were referred to by names such as "big eel", "rongeel" and "water eel", on October 16th, some people still shared their experience in eating snake food.

In addition, the store also launched the package group purchase links of "Classic Dragon and Phoenix Turtle Pot" and "Big Monopterus albus Sanpinhuang". As of October 20th, the above two packages can still be purchased. However, when the reporter called the restaurant to ask if the set meal was sold normally,The staff of the restaurant said that there were no snakes to make in recent days, and they could directly apply for a refund if they bought a set meal.

The reporter’s investigation found that some restaurants have sold snake meat in the past, and there are still relevant dishes and comments in the menu column on the platform. However, when the reporter called for consultation, the other party said: "It is not clear whether the policy allows eating snake meat, so we will not provide it first."

Behind refusing game

Snakes can still be eaten in restaurants.

Then, in the case that many restaurants selling snake meat have "closed their hands", are there any restaurants still selling snake food?

The reporter contacted a restaurant named "Eternal Jibei Water Snake Porridge" near Longmei Paifang in Panyu District through the ordering platform. The waiter of the restaurant said on the phone that he could serve all kinds of snake food, including all kinds of "game". In the restaurant’s recommendation menu,There are many ways to choose from just "snake food", such as ginger oil, salt and pepper, delicious food and spicy food.

In order to understand the situation in depth, the reporter came to the store for an unannounced visit on October 19. When approaching the store, the reporter found that the signboard at the door of the store was suspected of removing sensitive words such as "snake". Not only that, there is a poster on the glass on the left side of the store.It reads the slogan "Protect wild animals and refuse game", and the menu is clearly marked "No taking pictures".

It is suspected that some words have been removed from the signboard of the restaurant.

When further questioning the clerk, the reporter got a clear answer.Snakes can still be eaten in the store. "Yes, for example, in the case of’ Water Law’, if you don’t invoice 190 yuan per catty, it will cost you 10 yuan per catty." The reporter learned that,"Water law" usually refers to the squirrel snake, which is one of the "three protected animals" in China. In addition, the waiter also said that there are many other snakes in the store.Including "poisonous snakes", but did not disclose the specific source channels of snakes.

Expert: Snakes of unknown origin are at risk of spreading diseases.

There are food safety hazards.

Why are there still restaurants that can get ingredients and sell them when snakes are banned? In this regard, Hu Huijian, a researcher and doctoral supervisor at the Institute of Zoology, Guangdong Academy of Sciences, gave an answer in an interview.

According to Hu Huijian, as early as 2020, some southern provinces, including Guangdong, had successfully cultivated a variety of snakes, such as the squirrel snake, the Zhoushan cobra, and the silver ring snake, with relatively high output. At that time, most of the snakes sold in the market were artificially cultivated individuals. "Everyone is eating snakes, and the capture of individuals in the wild is relatively less, which is also a protection for wild snake resources." Hu Huijian said.

"From a legal point of view,It is illegal to process and sell snakes as food. However, snake farming for medicinal and leather materials has not been banned. Hu Huijian said,At present, the source of snake ingredients in some restaurants may come from snake farms used for medicine and leather goods. At the same time, due to the maturity of breeding technology, some farmers may raise snakes privately without filing and registration. He also pointed out that due to the reduction of breeding scale, snakes circulating in the market may also be wild individuals who are illegally hunted.

Hu Huijian told reporters that the source of snakes sold in restaurants is unknown at present, and from the perspective of food safety, it is also highly recommended for the public to eat. "Because of the lack of official supervision, inspection and quarantine,After eating, there is a high risk of infection with diseases and parasites. At this stage, not eating snakes of unknown origin is also responsible for your health. "

　　When listening to the work report of the Shaanxi Provincial Party Committee and the provincial government recently, General Secretary of the Supreme Leader pointed out that the most arduous and arduous task of building a socialist modern country in an all-round way and solidly promoting common prosperity is still in the countryside, and the gap between urban and rural areas must be gradually narrowed. The General Secretary of the Supreme Leader also stressed that it is necessary to improve the system and mechanism of urban-rural integration development, improve the policy system of equal exchange and two-way flow of urban and rural elements, promote the orderly flow of urban resource elements to the countryside, and enhance the vitality of agricultural and rural development.

　　The integration of urban and rural development is an important symbol of national modernization. In the process of industrialization and urbanization in China, a large number of factors of production flow from rural areas to cities, and cities have developed rapidly due to the accumulation of resource factors, while the development of vast villages has lagged behind due to the outflow of resource factors, which has caused problems such as unbalanced urban-rural development and insufficient rural development.

　　At present, the problem of insufficient imbalance between urban and rural development in China still exists, and the contradiction between urban and rural dual structure is still prominent, which has become one of the main obstacles restricting the integration and development of urban and rural areas in China.

　　Report to the 20th CPC National Congress, the Communist Party of China, put forward that priority should be given to the development of agriculture and rural areas, and the integration of urban and rural areas should be adhered to, so as to smooth the flow of urban and rural factors. Accelerating the integration of urban and rural development is not only the meaning of building a socialist modern country in an all-round way, but also the only way to achieve common prosperity.

　　The imbalance between urban and rural development is not sufficient, which is the inevitable result of the imbalance of urban and rural spatial structure and the unreasonable allocation of resource elements. To fundamentally break the institutional barriers that hinder the equal exchange and two-way flow of urban and rural factors, it is necessary to establish and improve the system and mechanism of urban-rural integrated development, promote more development factors and various services to the countryside, take the lead in breaking the dual structure of urban and rural areas in the county, and accelerate the equalization of basic public services.

　　To explore a new road of urban-rural integration and development, it is necessary to speed up the establishment and improvement of institutional mechanisms and policy systems conducive to the two-way flow of factors between urban and rural areas. It is necessary to improve the multi-input guarantee mechanism, increase investment in agricultural and rural infrastructure construction, accelerate the interconnection of urban and rural infrastructure, and provide support for promoting the two-way flow of talents, land, capital and other factors between urban and rural areas. It should be pointed out that rural development can not be achieved only by rural areas, but by promoting the orderly flow of urban resource elements to rural areas and enhancing the vitality of agricultural and rural development.

　　To explore a new way of urban-rural integration and development, and to smooth the urban-rural economic cycle, the core lies in developing county economy. Industrial revitalization is the top priority of rural revitalization and the starting point of practical work. In rural areas without industrial development, it is difficult for farmers to increase their income, which is not only difficult to gather popularity, but also difficult to attract talents. It is necessary to rely on the advantageous resources with rural characteristics, with the help of leading enterprises, family farms, new rural collective economic organizations and other main bodies to enhance the carrying capacity of counties in building agricultural industrial chains and characteristic industrial clusters, promote the new urbanization process through the development of county economy, and make up for the gap in the level of factor development between urban and rural areas.

　　To explore a new road of urban-rural integration, we should increase the supply of basic public services and promote the integration of urban-rural basic public services and social security systems. In recent years, China’s rural construction has achieved certain results, but the rural infrastructure is still not perfect, the level of public services is not high, and there are still many historical debts. In fact, the long-term imbalance in the allocation of public goods between urban and rural areas is one of the main reasons why the urban-rural dual structure is difficult to crack. Therefore, based on the inclusive characteristics of basic public goods, we should focus on rural basic old-age care, basic medical care and basic education, and narrow the gap between urban and rural basic public goods supply.

　　Urban-rural integration is a basic direction of future development, and attention should be paid to overall coordination and classified policies in the process of promotion. First of all, the flow of urban and rural factors involves many aspects, such as cities and villages, economy and society, population, resources and environment, etc. We should not make a sudden progress in policy guidance, but build a more systematic policy system to promote the free flow of urban and rural factors in a coordinated and efficient manner. Secondly, integration is not to eliminate the spatial functional differences between urban and rural areas, nor to pursue simple and uniform development, but to promote the complementary functions of urban and rural areas and smooth economic cycle by building a new type of urban-rural relationship, so as to achieve high-quality development in the coordinated progress of urban and rural areas. (Author: Jin Guanping Source: Economic Daily)

"Never Imagine" failed to achieve a box office counterattack.

　 　 Special feature of 1905 film network Xiaoxing Yi, a master of popular jokes, was called the beast. In an exclusive interview with the 1905 movie network, he mentioned a word in a pretentious way: "Time is also destiny". Of course, the topic he talked about at that time was how he changed from an engineer to a "spoof video master", and later became a director of online drama and even had his own big screen debut. On the weekend of the twelfth lunar month, "Never Imagine" hit a record at the box office, and the word-of-mouth was then polarized. As of the evening of December 21st, the film had a box office of 276 million in four days. This is a mediocre achievement, and calling the beast has not achieved the year-end counterattack as predicted by many people in the industry.

　 　 With the expansion of the number of screens and the large-scale rise of cinemas in small towns, China has entered a period of rising enthusiasm for watching movies. When people buy necessities, they have to wait until half price of Double Eleven, but they are more and more generous in the face of movie tickets with tens of dollars. Nowadays, the film market is like a huge whirlpool, and the powerful gravity launched by interests calls for all kinds of new gadgets to come in and rotate together. For example, the disruption of the Internet, such as the serious proliferation of the word IP, and another wonderful vocabulary that was frequently mentioned in 2015: counterattack. Before "Pancake Man" was released, no one could have imagined that Dapeng, who came from the north to sing but became an editor of Sohu, could enter the billion directors’ club, which was called a counterattack. Before the release of "goodbye mr. loser", Shen Teng and Mary would say very earnestly everywhere: What we are most afraid of is that because we are not wrists in the film circle, this film will be neglected.

　 　 What happened afterwards?

The humor in Pancake Man is still network humor.

Peripheral wisdom: Who’s in charge of whether it’s a movie or not?

　 　 The counterattack of Pancake Man may be related to the marketing idea of Dapeng Ghost Horse, the crazy roadshow, the young and dangerous, Jean-Claude Van Damme, and the crazy whale swallowing market in summer. The objective analysis of Monday morning quarterback is not worth mentioning. Subjectively speaking, Pancake Man highly transformed the number of comedies born out of the online drama diors man: in the movie, Deng Chao was kidnapped and thought it was his wife who wanted to "play some excitement", just like in the online drama, Tang Wei asked the waiter for a coffee refill with an oversized vessel with bottled water, which was a simple and rude flip, a network humor and fresh blood in the Chinese film market.

The highlight of goodbye mr. loser comes from the accumulation of the drama team for many years.

　 　 The highlight of "goodbye mr. loser" lies in the theatrical foundation accumulated by Mahua FunAge’s team over the years: Uncle Vest deliberately couldn’t hear Ma Dongmei’s name but was splashed with water by Ma Dongmei, which is the rhythmic feature of the stage and also comes from the comic wisdom on the periphery of the film. Anyway, it provokes your taste buds like a chemical spicy element, and you laugh, so it wins. A reasonable situation is that when a new gadget from the peripheral culture stirs up a pool of spring water in traditional movies, someone will definitely stand up and say: you are just "something else in the movie version", in short, it is not a movie.

　 　 With awe of the film, Xiaoxing Yi, the beast, attracted much attention, but also appeared trembling. Just like Pancake Man, Never Imagine is also a spoiler for the film carrier by the secondary subculture in online drama. However, after Pancake Man, the stem of online drama is not so fresh. When writing the screenplay of "Never Imagine", the point that the beast has been fighting between man and nature is: between the two different carriers of online drama and film, how much he is good at can be kept and how much he is not good at will be added. Calling the beast thinks that it is not ergonomic to watch the online drama for 120 minutes on the big screen, so he tried his best to plan a story about the Monkey King, in which a little guy became a hero. This should be the safety card for commercial films, but some film critics still say that "Never Imagine" is just a movie version of the online drama.

　 　 The word-of-mouth of "Unexpectedly" is polarized. During the roadshow, fans gave him confidence with great enthusiasm. In the online community where keyboard man such as Douban haunts, a large number of bad reviews still make him exhausted. He also took out the joke that Kurosawa wanted to commit suicide that year, and the result was even more unpleasant. But what does it matter? Let’s look at the story inside the movie.

Grassroots resonance: The poorer and frustrated you are, the closer you are to king of comedy.

　 　 As early as the online drama period, Never Imagine set Wang Dachui, the protagonist, as a diaosi image that "has been unlucky and has never been knocked down". In the movie, Wang Dachui is an ordinary little demon. Facing his beloved girl and a strong competitor (that is, Ray Ma, who is said to let teenage fans compete for licking the screen), he tries to make some changes. Of course, there were setbacks in the process, and they were regarded as spies by the villagers, and then they mercilessly reviled and attacked them. During the performance of this play, the actor Ke Bai wept bitterly. Ke Bai was originally a small planner and amateur voice actor in Call Beast Company. In Call Beast’s eyes, he is just like Stephen Chow in the movie: he has to study the script when he plays a dead body, and his action expressions are richer than those in the picture.

　 　 The diaosi culture of Pancake Man is even more ambitious. Imagine this scene: in the early morning, Xiao Wang got up in a hurry, bought a set of pancake fruit (or egg-filled cakes) downstairs and ate it quickly. After squeezing into the subway, he watched a hilarious online drama that could relieve the pressure of morning rush hour with his mobile phone. It can be "Never Imagine" or "diors man". In "Pancake Man", Dapeng is desperately filming the so-called movie, and Mabel Yuan is dreaming of a star with incomparably bad acting skills — — The loveliest thing about diaosi culture is that there is no restriction, and it is all poor and poor.

　 　 Mary said that when she first met Shen Teng many years ago, Shen Teng was the director of the drama Crazy Stone. Shen Dao fights the landlord with a poker in his hand in the background, while playing a killing game with another wave of people. In the early years, Mahua FunAge Opera Troupe also experienced extraordinary poverty. Only four tickets were sold for a performance, so it was impossible to pay the performance cost and had to be cancelled. In the heavy snow, the whole crew stood at the entrance of the theater waiting for the arrival of these four audiences, and bowed deeply one by one. What is Charlotte’s trouble in goodbye mr. loser? It is nothing more than a grassroots singer’s dissatisfaction with mediocre life and indifferent marriage. After a daydream, people’s fear of middle-aged crisis was paralyzed, and they returned to Ah Q-style daily necessities with the method of spiritual victory.

　 　 If we have to discuss what is advanced, China and Wan Guopeng will eventually fail to become Wang Baoqiang, which is quite advanced; In "king of comedy", Yin Tianchou put all his possessions on the willow fluttering coat, and chased out "I support you", which is very advanced. People’s disappointment is largely due to the fact that Xú Zhēng expressed too much anger in an elite manner this time; When we evaluate a comedy, it is not necessary to just pay attention to whether the box office is counter-attacking, or to entangle the chemical changes of drama and online drama on the big screen. No matter "Never Imagine", which has not achieved a box office counterattack, or "Pancake Man" and "goodbye mr. loser", which have become a counterattack phenomenon, the emotional resonance of the bottom losers they have completed in the text is valuable.

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　 　 Very simple, it is best not to look at the power of grassroots with colored glasses. Geniuses are rare, and usually neither you nor I are.

Notice on printing and distributing the influenza diagnosis and treatment plan (revised version in 2018)

Guo Wei Ban Yi Han [2018] No.1019

All provinces, autonomous regions, municipalities directly under the central government and the Health and Health Committee of Xinjiang Production and Construction Corps (Health and Family Planning Commission) and the Administration of Traditional Chinese Medicine:

In order to further standardize and strengthen the clinical management of influenza, reduce the occurrence of severe influenza and reduce the mortality rate, combined with the recent research results at home and abroad and the previous experience of influenza diagnosis and treatment in China, the Influenza Diagnosis and Treatment Plan (2018 Edition) was adjusted and improved, and the Influenza Diagnosis and Treatment Plan (2018 Edition Revised Edition) was formed. Is issued to you, please local health administrative departments at all levels (including the competent department of traditional Chinese medicine) attach great importance to the medical treatment of influenza.

General Office of National Health and Wellness Commission

Office of the State Administration of Traditional Chinese Medicine

November 19, 2018

Influenza diagnosis and treatment plan

(2018 revision)

Influenza (hereinafter referred to as influenza) is an acute respiratory infectious disease caused by influenza virus, which breaks out and spreads all over the world.

The onset of influenza is acute, although most of them are self-limited, but some of them can develop into severe influenza due to complications such as pneumonia, and a few severe cases progress rapidly and may die due to acute respiratory distress syndrome (ARDS) and/or multiple organ failure. Severe influenza mainly occurs in high-risk groups such as the elderly, young children, pregnant women or those with chronic basic diseases, and can also occur in the general population.

The results of previous influenza surveillance in China show that China is about to enter the influenza epidemic season. In order to further standardize and strengthen the clinical management of influenza, reduce the occurrence of severe influenza and reduce the mortality rate, this diagnosis and treatment plan is formulated on the basis of the Influenza Diagnosis and Treatment Plan (2018 Edition), combined with recent research results at home and abroad and previous experience in influenza diagnosis and treatment in China.

I. Etiology

Influenza virus belongs to orthomyxoviridae and belongs to RNA virus. According to nuclear protein and matrix protein, it can be divided into four types: A, B, C and D.

At present, people are mainly infected with H1N1 and H3N2 subtypes of influenza A virus and Victoria and Yamagata strains of influenza B virus.

Influenza virus is sensitive to common disinfectants such as ethanol, iodophor and tincture of iodine. Sensitive to ultraviolet rays and heat, it can be inactivated at 56℃ for 30 minutes.

Second, epidemiology

(1) the source of infection. Influenza patients and recessive infected people are the main sources of influenza infection. It is contagious from the end of latent period to the acute period. Viruses generally detoxify in human respiratory secretions for 3-6 days, and children and patients with impaired immune function can detoxify for more than 1 week.

(2) means of transmission. Influenza is mainly spread by droplets such as sneezing and coughing, and is directly or indirectly infected by mucous membranes such as mouth, nose and eyes. Contact with items contaminated by viruses can also be infected through the above channels.

(3) Susceptible population. People are generally susceptible. Vaccination with influenza vaccine can effectively prevent influenza virus infection of corresponding subtypes.

(4) High-risk groups of severe cases. The following people infected with influenza virus are more likely to develop into severe cases, so they should be given great attention, treated with antiviral drugs as soon as possible, and tested for influenza virus nucleic acid and other necessary examinations.

1. Children under 5 years old (children under 2 years old are more likely to have serious complications);

2. Older people over 65 years old;

3. Those who are accompanied by the following diseases or conditions: chronic respiratory diseases, cardiovascular diseases (except hypertension), nephropathy, liver diseases, hematological diseases, nervous system and neuromuscular diseases, metabolic and endocrine system diseases, and immunosuppression (including immunosuppression caused by immunosuppressants or HIV infection);

4. Obese people [body mass index (BMI) is greater than 30, BMI= weight (kg)/ height (m) 2];

5. Pregnant and perinatal women.

Third, the pathogenesis and pathology

(1) Pathogenesis. Influenza A and B viruses initiate infection by binding HA to the surface of respiratory epithelial cells containing sialic acid receptors. Influenza virus enters cells through endocytosis, and the virus genome is transcribed and replicated in the nucleus. A large number of new progeny virus particles were replicated, which spread through respiratory mucosa and infected other cells. After influenza virus infects human body, it can induce cytokine storm, lead to systemic inflammatory reaction, ARDS, shock and multiple organ failure, and children may have acute necrotizing encephalopathy.

(2) Pathological changes. Pathological changes are mainly manifested as cluster shedding of ciliated epithelial cells in respiratory tract, metaplasia of epithelial cells, congestion of mucosal cells in lamina propria, edema with monocyte infiltration and other pathological changes. Diffuse alveolar damage can occur in severe pneumonia. Diffuse congestion, edema and necrosis of brain tissue occur when encephalopathy is complicated. Acute necrotizing encephalopathy in children is characterized by symmetrical necrotizing lesions mainly in thalamus, and there is no obvious inflammatory reaction in the local area. Inflammatory reactions such as myocardial cell swelling, interstitial hemorrhage, lymphocyte infiltration and necrosis occur when heart damage is complicated.

Four, clinical manifestations and laboratory examination

The incubation period is usually 1-7 days, mostly 2-4 days.

(1) Clinical manifestations. The main symptoms are fever, headache, myalgia and general malaise. The body temperature can reach 39-40℃, and there may be chills and chills, accompanied by systemic symptoms such as sore muscles and joints, fatigue, loss of appetite, and often sore throat, dry cough, nasal congestion, runny nose and post-sternal discomfort. Facial flushing, conjunctival congestion.

Some of them are characterized by vomiting, abdominal pain and diarrhea, which are common in children infected with influenza B.

Without complications, the course of the disease is self-limited. After 3-4 days of onset, the body temperature gradually subsides and the general symptoms get better, but it usually takes 1-2 weeks for cough and physical recovery.

(2) Complications. Pneumonia is the most common complication of influenza. Other complications include nervous system damage, heart damage, myositis, rhabdomyolysis syndrome and septic shock.

1. Pneumonia

Pneumonia complicated by influenza can be divided into primary influenza virus pneumonia, secondary bacterial pneumonia or mixed pneumonia. The illness worsened 2-4 days after the onset of influenza, or worsened after the recovery of influenza, with high fever, severe cough, purulent sputum, dyspnea, moist rales in the lungs and signs of lung consolidation. The total number of white blood cells and neutrophils in peripheral blood increased significantly, mainly streptococcus pneumoniae, Staphylococcus aureus and Haemophilus influenzae.

2. Nervous system injury

Including encephalitis, meningitis, acute necrotizing encephalopathy, myelitis, Guillain-Barre syndrome, etc.

3. Heart damage

Heart injury is not common, mainly myocarditis and pericarditis. It can be seen that creatine kinase is elevated and ECG is abnormal, and heart failure may occur in severe cases. In addition, the risk of hospitalization and death related to myocardial infarction and ischemic heart disease increased significantly after being infected with influenza virus.

4. Myositis and rhabdomyolysis

The main symptoms are myalgia, myasthenia, renal failure, increased serum creatine kinase and myoglobin, and acute kidney injury.

5. Septic shock

It is characterized by high fever, shock and multiple organ dysfunction.

(3) Laboratory inspection.

1. Peripheral blood routine: the total number of white blood cells is generally not high or low, and the lymphocyte count in severe cases is obviously reduced.

2. Blood biochemistry: hypokalemia occurred in some cases, and creatine kinase, aspartate aminotransferase, alanine aminotransferase, lactate dehydrogenase and creatinine increased in a few cases.

3. Etiology related examination:

(1) Detection of virus nucleic acid: Detect influenza virus nucleic acid in respiratory tract samples (throat swab, nose swab, nasopharyngeal or tracheal extract, sputum) by RT-PCR (preferably real-time RT-PCR). The specificity and sensitivity of virus nucleic acid detection are the best, and it can distinguish virus types and subtypes.

(2) Virus antigen detection (rapid diagnostic reagent detection): colloidal gold and immunofluorescence can be used for rapid antigen detection. Because the sensitivity of rapid antigen detection is lower than that of nucleic acid detection, the interpretation of the results of rapid antigen detection should be combined with the patient’s epidemic history and clinical symptoms.

(3) Serological detection: The dynamic detection of IgG antibody level in recovery period is 4 times or more than 4 times higher than that in acute period, which has retrospective diagnostic significance.

(4) Virus isolation and culture: influenza virus was isolated from respiratory tract samples. During the influenza epidemic season, patients with negative rapid antigen diagnosis and immunofluorescence detection of influenza-like cases are advised to isolate the virus.

(4) Imaging findings. Imaging examination of patients complicated with pneumonia showed patchy, ground glass shadow and multilobal exudative lesions in the lung; Those who progress rapidly can develop into diffuse exudative lesions or consolidation in both lungs, and pleural effusion can be seen in some cases.

In children complicated with pneumonia, the patchy shadows in the lungs appear earlier, with multiple and scattered distribution, which is easy to be inflated, and the imaging manifestations change rapidly. When the disease progresses, the lesions expand and fuse, and signs such as pneumothorax and mediastinal emphysema may appear.

V. Diagnosis

The diagnosis is mainly combined with epidemiological history, clinical manifestations and pathogenic examination.

(1) Clinically diagnosed cases. The above-mentioned clinical manifestations of influenza have epidemiological evidence or positive detection of influenza rapid antigen, and other diseases causing influenza-like symptoms are excluded.

(two) to determine the diagnosis of cases. Have the above-mentioned flu clinical manifestations, and have one or more of the following pathogen test results positive:

1. Influenza virus nucleic acid test is positive.

2. The isolation and culture of influenza virus were positive.

3. The level of influenza virus-specific IgG antibody in acute phase and recovery phase increased by 4 times or more.

Six, severe and critical cases

(a) one of the following circumstances is a severe case.

1. Persistent high fever > 3 days, accompanied by severe cough, expectoration of pus, blood sputum, or chest pain;

2. Rapid breathing, dyspnea and cyanosis of the lips;

3. Mental changes: unresponsiveness, lethargy, restlessness, convulsions, etc.

4. Severe vomiting, diarrhea and dehydration;

5. pneumonia;

6. The original underlying diseases are obviously aggravated.

(two) one of the following circumstances is a critical case.

1. Respiratory failure;

2. Acute necrotizing encephalopathy;

3. Septic shock;

4. Multiple organ dysfunction;

5. There are other serious clinical conditions that need to be monitored and treated.

Seven, differential diagnosis

(1) The common cold. The general symptoms of influenza are more serious than the common cold; Tracking the epidemiological history is helpful for identification; The influenza pathogen test of the common cold is negative, or the corresponding evidence of infection pathogen can be found.

(2) Other types of upper respiratory tract infections. Include acute pharyngitis, tonsillitis, rhinitis and sinusitis. Infection and symptoms are mainly confined to the corresponding parts. The local secretion was negative for influenza etiology.

(3) Other lower respiratory tract infections. Influenza with cough symptoms or complicated with tracheobronchitis should be differentiated from acute tracheobronchitis; Pneumonia should be differentiated from other pneumonia, including bacterial pneumonia, chlamydia pneumonia, mycoplasma pneumonia, viral pneumonia, fungal pneumonia and tuberculosis. According to the clinical features, a preliminary judgment can be made, and the diagnosis can be made by pathogenic examination.

Eight, treatment

(1) Basic principles.

1. The clinically diagnosed cases and confirmed cases should be treated in isolation as soon as possible.

2 hospitalization standards (meet one or more of the following standards):

(1) women in the middle and late pregnancy and perinatal period.

(2) The basic diseases are obviously aggravated, such as chronic obstructive pulmonary disease, diabetes, chronic cardiac insufficiency, chronic renal insufficiency and liver cirrhosis.

(3) Meet the diagnostic criteria for severe or severe influenza.

(4) accompanied by organ dysfunction.

3. Non-hospitalized patients are isolated at home and keep the room ventilated. Get enough rest, drink plenty of water, and the diet should be easy to digest and nutritious. Closely observe the changes of the disease, especially children and elderly patients.

4. High-risk groups infected with influenza virus are prone to severe influenza. Early antiviral treatment can alleviate symptoms, reduce complications, shorten the course of disease and reduce mortality.

5. Avoid blind or improper use of antibacterial drugs. Use antibacterial drugs only when there are indications of bacterial infection.

6. Children should avoid aspirin or aspirin-containing drugs and other salicylic acid preparations.

(2) symptomatic treatment. People with high fever can carry out physical cooling or apply antipyretic drugs. Patients with severe cough and expectoration are given antitussive and expectorant drugs. According to the degree of hypoxia, oxygen therapy is carried out in an appropriate way.

(3) antiviral treatment.

1. Timing of anti-influenza virus treatment

Patients with severe or high-risk factors of severe influenza should be given anti-influenza virus treatment as soon as possible, without waiting for virus test results. Antiviral treatment within 48 hours of onset can reduce complications, mortality and hospitalization time. Severe patients with onset time over 48 h can still benefit from antiviral treatment.

Patients who are not severe and have no high risk factors for severe influenza may also consider antiviral treatment within 48 hours after the onset of the disease and after evaluating the risks and benefits.

2. Anti-influenza drugs

Neuraminidase inhibitor (NAI) is effective for influenza A and B..

(1) oseltamivir (capsule/granule): The adult dose is 75mg each time, twice a day. Children aged 1 year and above should be given drugs according to their weight: those weighing less than 15Kg should be given 30mg twice a day; Those who weigh 15 ~ 23 kg are given 45mg twice a day; Those weighing 23 ~ 40kg were given 60mg twice a day; Those who weigh more than 40Kg are given 75mg twice a day. The course of treatment is 5 days, and the course of treatment for severe patients can be extended appropriately. Patients with renal insufficiency should adjust the dose according to renal function.

(2) Zanamivir: suitable for adults and adolescents over 7 years old, usage: twice a day with an interval of 12 hours; 10mg each time (inhaled twice). However, inhalants are not recommended for patients with severe illness or complications.

(3) Paramivir: the dosage for adults is 300-600 mg, 6mg/kg for newborns less than 30 days, 8mg/kg for infants 31-90 days, and 10mg/kg for children aged 91-17 years, once a day for 1-5 days, and the course of treatment for severe cases can be appropriately extended. At present, the clinical application data is limited, and the adverse reactions should be closely observed.

Ion channel M2 blockers amantadine and rimantadine are only effective for influenza A virus, but the current monitoring data show that influenza A virus is resistant to them, so it is not recommended to use them.

(4) Treatment of severe cases.

Treatment principle: actively treat the primary disease, prevent and treat complications, and provide effective organ function support.

1. In case of hypoxemia or respiratory failure, corresponding treatment measures should be given in time, including oxygen therapy or mechanical ventilation.

2. Give corresponding anti-shock treatment when combined with shock.

3. When other organ functions are damaged, give corresponding support and treatment.

4. When secondary infection occurs, give corresponding anti-infection treatment.

(5) Chinese medicine treatment

1. Treatment scheme based on syndrome differentiation for mild symptoms.

(1) Wind-heat invasion.

Main symptoms: early onset, fever or no fever, red throat discomfort, mild cough with little phlegm, and no sweat.

Tongue pulse: red tongue, thin or greasy fur, floating pulse.

Treatment: dispelling wind and relieving exterior syndrome, clearing away heat and toxic materials.

Basic prescription: Yinqiao powder combined with Sangju drink.

Honeysuckle 15g forsythia 15g mulberry leaf 10g chrysanthemum 10g

Platycodon grandiflorum 10g burdock 15g bamboo leaves 6g reed rhizome 30g

Mint (bottom) 3g raw licorice 3g

Decocting method: decoct with water, 400 ml for each dose, 200 ml for each oral administration, twice a day; If necessary, you can take 2 doses a day, once every 6 hours, 200 ml each time.

Addition and subtraction: thick and greasy fur with 10g of Pogostemon and 10 g of Eupatorium odoratum;

10g almond and 10g roasted loquat leaves are added to cough;

6g of Coptidis Rhizoma and 3 g of Radix Aucklandiae are added for diarrhea;

9g of Brocade and 15g of Scrophularia are added for sore throat.

If you vomit, you can first take 6g of Rhizoma Coptidis and 10g of Folium Perillae with water.

Commonly used Chinese patent medicines: dispersing wind and relieving exterior syndrome, clearing away heat and toxic materials, such as Jinhua Qinggan Granule, Lianhua Qingwen Capsule (granule), Qingkailing Granule (capsule, soft capsule, tablet), dispersing wind and toxic materials, Yinqiao Jiedu Granule, Sangju Colds, etc.

Children can choose children’s anti-flu granules and children’s chiqiao Qingre granules.

(2) Heat toxin attacks the lungs.

Main symptoms: high fever, cough, sticky and uncomfortable phlegm, thirst, sore throat and red eyes.

Tongue pulse: red tongue, yellow or greasy fur, and slippery pulse.

Treatment: clearing away heat and toxic materials, dispersing lung and relieving cough.

Basic prescription: Maxing Shigan Decoction.

Roasted ephedra 5g almond 10g gypsum Fibrosum (fried first) 30g.

Anemarrhena rhizome 10g Fritillaria thunbergii 10g Platycodon grandiflorum 10g Scutellaria baicalensis 15g

Bupleurum chinense 15g raw licorice 10g

Decocting method: decoct with water, 400 ml for each dose, 200 ml for each oral administration, twice a day; If necessary, you can take 2 doses a day, once every 6 hours, 200 ml each time.

Addition and subtraction: 6 g of raw rhubarb (lower back) for constipation;

10g of Rhizoma Atractylodis and 10g of Cortex Magnolia Officinalis are added for thick and greasy fur;

15g of Artemisia annua and 10g of Cortex Moutan are added for continuous high fever.

Commonly used Chinese patent medicines: clearing away heat and toxic materials, dispersing lung and relieving cough, such as Lianhua Qingwen capsule (granule), Yinhuang preparation, Lianhua Qingre preparation, etc.

Children can choose Xiaoer Feire Kechuan Granule (oral liquid), Xiaoer Kechuanling Granule (oral liquid) and antelope horn powder.

2. Severe syndrome differentiation treatment scheme.

(1) Toxic heat blocks the lung.

Main symptoms: persistent high fever, severe cough, little or no phlegm, shortness of breath, head and body pain; Or accompanied by palpitations, irritability.

Tongue pulse: red tongue, thin yellow or greasy fur, and numerous pulse strings.

Treatment: detoxification and heat clearing, purging lung and activating collaterals.

Basic prescription: Xuanbai Chengqi Decoction.

Roasted Ephedra 6g Gypsum Fibrosum (fried first) 40g Almond 9gAnemarrhena 10g

Houttuynia cordata 15g Lepidium 10g Scutellaria baicalensis 10g Fritillaria thunbergii 10g

Raw rhubarb 6g Artemisia annua 15g Radix Paeoniae Rubra 10g Radix Glycyrrhizae 3g

Decocting method: decoct with water, 400 ml for each dose, 200 ml for each oral administration, twice a day; If necessary, you can take 2 doses a day, once every 6 hours, 200 ml each time. Can also be nasal feeding or colon drip.

Addition and subtraction: continuous high fever plus antelope horn powder 0.6g (separately) and Angong Niuhuang Pill 1;

Abdominal distension and constipation are added with 9g of Fructus Aurantii Immaturus and 6g of Sodium Sulfate (separately);

Ten grams of American ginseng and six grams of Schisandra chinensis are added to patients with dyspnea and sweating fatigue.

(2) Toxic heat invaginates, and the toxic heat invades.

Main symptoms: vague and indifferent knowledge, dark lips and claws, shallow breathing, pink blood, burning chest and abdomen, cold limbs, sweating and less urine.

Tongue pulse: red or dull tongue, heavy and thready pulse.

Treatment: Yiqi Gutuo, Qingre Jiedu.

Basic prescription: Shenfu decoction.

Sun-dried ginseng 15g processed aconite root (fried first) 10g coptis root 6g

Honeysuckle 20g raw rhubarb 6g Artemisia annua 15g

Cornus officinalis 15g Fructus Aurantii Immaturus 10g

Decocting method: decoct with water, 400 ml for each dose, 200 ml for each oral administration, twice a day; If necessary, you can take 2 doses a day, once every 6 hours, 200 ml each time. Can also be nasal feeding or colon drip.

3. Treatment scheme based on syndrome differentiation in recovery period.

Deficiency of both qi and yin, failure to restore healthy qi.

Main symptoms: fatigue, shortness of breath, cough, scanty phlegm and anorexia.

Tongue pulse: dark or reddish tongue, thin and greasy fur, thin pulse string.

Treatment: benefiting qi and nourishing yin.

Basic prescription: Shashen Maimendong Decoction.

Adenophora adenophora 15g Ophiopogon japonicus 15g Schisandra 10g Fritillaria thunbergii 10g

Almond 10g Artemisia annua 10g roasted loquat leaf 10g

Jiao Sanxian 10g each.

Decocting method: decoct with water, 400 ml for each dose, 200 ml for each oral administration, twice a day; If necessary, you can take 2 doses a day, once every 6 hours, 200 ml each time. Can also be nasal feeding or colon drip.

Note:

1. When pregnant women get sick, the treatment should refer to the adult plan, avoid using contraindications for pregnancy, treat the disease and prevent miscarriage simultaneously, and pay attention to the dosage, so as to stop the middle disease.

2. Children can refer to the adult treatment plan and adjust the dosage according to pediatric regulations. Chinese patent medicines without indications for children should not be used.

IX. Prevention

(1) Vaccination. Vaccination against influenza is the most effective means to prevent influenza, which can significantly reduce the risk of influenza and serious complications. It is recommended that people aged 60 and above, children aged 6 months to 5 years, pregnant women, family members and caregivers of children under 6 months, patients with chronic diseases and medical staff be vaccinated with influenza vaccine every year.

(2) drug prevention. Drug prevention can not replace vaccination, but can only be used as an emergency temporary preventive measure for high-risk groups of severe influenza who have not been vaccinated or have not gained immunity after vaccination. Oseltamivir, zanamivir, etc. can be used.

(3) General preventive measures. Maintaining good personal hygiene habits is an important means to prevent respiratory infectious diseases such as influenza. The main measures include: enhancing physical fitness and immunity; Wash your hands frequently; Keep the environment clean and ventilated; Minimize activities in crowded places and avoid contact with patients with respiratory infections; Maintain good respiratory hygiene habits, cover your mouth and nose with your upper arm or paper towel or towel when coughing or sneezing, wash your hands after coughing or sneezing, and try to avoid touching your eyes, nose or mouth; If you have symptoms of respiratory infection, you should rest at home and seek medical treatment as soon as possible.

　　Since the beginning of this year, the Finance Bureau of Chengde City, Hebei Province has focused on standardizing the procurement process management, making full use of standardized template methods, focusing on three aspects of work, and promoting the scientific, accurate, transparent and efficient development of government procurement in the city.　

　　The first is the standardization of the preparation of the procurement plan demand plan.On the basis of fully implementing the electronic filing of government procurement plans, Chengde Finance Bureau issued the Notice on Standardizing the Planning of Government Procurement Plans according to the relevant requirements of Hebei Provincial Department of Finance, which put forward detailed requirements on internal control management, capital requirements, demand review, policy implementation, contract management, performance acceptance, etc., and made a planning template, and the purchaser made multiple-choice questions or fill-in-the-blank questions one by one according to the actual project to improve the planning of procurement plans.　

　　The second is the standardization of filing materials for government procurement plans.In view of the different situations involved in the filing, review and approval of government procurement projects, Chengde Municipal Finance Bureau has separately compiled the One-time Notice of Government Procurement Plan Filing, the One-time Notice of Government Procurement Import Product Auditing and the One-time Notice of Government Procurement Plan Approval, so as to clarify the materials required for filing of procurement plans of various procurement projects. All procurement projects in Chengde have been upgraded from paper filing to electronic filing and then to one-time standardized electronic filing. The purchaser can complete the preparation and filing of procurement plan requirements within 1-2 working days after completing the investigation and review of procurement requirements, and the procurement efficiency is obviously improved.　

　　The third is to optimize the standardization of business environment policy implementation.In order to further compact the purchaser’s main responsibility, strictly implement the government procurement policy, strengthen the preparation of procurement documents, and determine the qualification conditions of suppliers according to laws and regulations, Chengde Finance Bureau began to implement the commitment system for optimizing the government procurement business environment policy on August 1 this year, and produced the Commitment for Optimizing the Government Procurement Business Environment Policy, which requires the purchaser to strictly implement it before carrying out procurement activities, and the main person in charge of the unit makes a commitment to ensure the full implementation of the policies for optimizing the business environment from the source.　

As early as 2019, when Laotoule had not been rectified, some manufacturers took a fancy to the blank of the electric pickup market and launched an electric pickup truck with a start of 16,800: Kaiyun electric pickup truck. This model belongs to mini electric pickup truck, which is only slightly longer than some four-door mini cars today. Because it does not meet the licensing requirements, Kaiyun electric pickup truck does not need a driver’s license and cannot be licensed.

Limited by the price of 16,800 yuan, the cost of Kaiyun electric pickup truck is very limited. The vehicle is equipped with a motor with only 4 horsepower, and the maximum speed is only 40 km/h. It uses a lead-acid battery pack of 30kWh, with a nominal battery life of 110 km.

In addition, the maximum load weight of Kaiyun electric pickup truck is only 300KG, and the length, width and height of the cargo compartment are 1620x1245x300mm respectively. Although the volume of the cargo compartment is quite large and the vehicle load has reached 300KG, considering that its motor horsepower is only 4 horses, it is estimated that it can’t hold much, and the identity of the old man Le also makes it clear that Yundian pickup truck can only drive in rural areas.

In the electric pickup market, besides Kaiyun electric pickup, there are several other new energy pickup trucks worth recommending. The following are the details of several new energy pickup trucks:

1. Radar RD6

Radar car is a brand of pure electric pickup truck under Geely. The first new energy pickup truck is Radar RD6, which is a medium-sized pickup truck with four doors and five seats. The body length, width and height are 5260x1900x1830mm, the cargo compartment length, width and height are 1525x1450x540mm, and the maximum load weight of the vehicle is 430KG. Compared with other new energy pickup trucks, the load capacity of Radar RD6 is basically the worst.

At present, the battery life of this model is divided into 400/410/550/632 kilometers. The whole system comes standard with fast charging and free home filling piles. It takes only half an hour to charge from 30% to 80% with fast charging, and it takes 7 hours to charge slowly.

2. Great Wall Gun EV

The Great Wall Gun EV is a new energy pickup truck based on the fuel version of the Great Wall Gun, which has a calibrated cruising range of 405 kilometers. It may be because it is equipped with a large-capacity battery pack, and the price of the gun EV is much more expensive than the fuel version of the gun of 9.78-25.98 million.

The body structure of the Great Wall Gun EV is 4 doors and 5 seats, which is divided into standard box version and long box version. The difference between them mainly lies in the length of the cargo compartment and the length of the whole vehicle. The vehicle length of TEU version is 5.3 meters, and the cargo compartment length is 1.5 meters. The vehicle length and cargo compartment length of long box version are 5.6 meters and 1.76 meters respectively, and the maximum load mass is 480KG.

3. General Fukuda EV

Fukuda General EV is also a medium-sized pickup truck based on the fuel version of General Electric, equipped with 88.55kWh lithium iron phosphate battery from Contemporary Amperex Technology Co., Limited, with a calibrated cruising range of 500/536 km. It is one of the pure electric pickup trucks with the longest cruising range on the market at present.

General Fukuda EV is divided into engineering version and ordinary version. The main difference between them is that the cargo compartment of the engineering board is closed, mainly for municipal engineering and other related departments, while the cargo compartment of the ordinary version is open like other pickup trucks.

4. SAIC Chase T90 EV

As a well-known brand of commercial vehicles, SAIC Datong launched a new energy pickup truck T90 EV as early as 2021, positioning it as a four-door and five-seat medium-sized pickup truck with a calibrated cruising range of 535 kilometers, but the maximum speed of the vehicle can only reach 105 km/h.

The cargo compartment size of this model is 1485x1510x530mm, and the maximum load mass is as high as 900KG. It is understood that SAIC Chase T90 EV is mainly oriented to overseas markets and has recently started to land in some European countries and regions.

Generally speaking, new energy pickup trucks have improved in body size, load capacity and cruising range, and are suitable for driving in urban and rural areas. If you want to buy an electric pickup truck, you can choose the model that suits you according to your own needs and budget.