Learn the daily question and answer of the Decision | Why should we promote the coordinated development and governance of medical care, medical insurance and medicine?

Xinhua News Agency, Beijing, October 23 rd, the Central Committee of the Communist Party of China’s Decision on Further Deepening Reform and Promoting Chinese Modernization pointed out: "Promote the coordinated development and governance of medical care, medical insurance and medicine." Medical treatment refers to the medical and health services provided by medical and health institutions and medical personnel. It is the core content of medical treatment, health care and rehabilitation for the masses. It has the most direct relationship with the masses and the most concrete feelings of the masses. Medical insurance refers to the medical security system and its level of protection. Medical insurance fund is the "life-saving money" for people to see a doctor, and it is also an important source of financing for medical services and medical products. Medicine refers to Chinese and western medicines, medical devices, medical consumables and other related products. As an important means of medical and health services, it is directly related to the quality, safety and ability of services. The state exercises strict supervision over medical products to ensure quality, safety and effectiveness, and encourages innovation to increase the supply of high-quality medical products. There are three main considerations for the coordinated development and governance of "three medicines".

First, the "three doctors" are interrelated and inseparable. Medical care plays a major role in serving the people’s life, illness, illness, and medical treatment. By deepening the structural reform of the supply side of medical services, we will vigorously develop new quality productivity of health care, mobilize the enthusiasm, initiative and creativity of the majority of medical staff, promote the high-quality development of health care, and better meet the people’s yearning for a better life. Medical insurance is connected with the "demand side" of the people, which reduces the economic burden of patients by exerting the guarantee function; The other end is connected with the two "suppliers" of medical care and medicine, which can not only adjust the supply of medical services, standardize medical service behavior, promote hospital reform and promote graded diagnosis and treatment through payment methods and price policies, but also reduce the price of medical products through centralized procurement of pharmaceutical consumables and exert leverage. The production and supply of high-quality and high-efficiency pharmaceutical products provide necessary technical means and material guarantee for medical and health services, and at the same time get reasonable compensation from payers such as medical insurance to realize the healthy development of the industry. Medical care, medical insurance and medicine jointly protect people’s health. To improve the development level of health undertakings, it is necessary for relevant departments to cooperate closely and make concerted efforts to promote the coordinated development and governance of "three medicines".

Second, the coordinated development and governance of the "three medicines" can further benefit the people and the people and better solve the people’s livelihood problems. Medical and health service is an important part of public service and an important field that people expect for a better life. With the development of economy and society and the continuous improvement of people’s living standards, people hope to obtain more safe, effective, convenient and cheap medical and health services, more comprehensive coverage and higher level of basic medical security, and innovative and advanced medical products. Only by vigorously promoting the coordinated development and governance of the "three medicines" and forming a joint effort can we better meet the people’s new expectations for a better life, improve the people’s sense of acquisition, happiness and security, and deepen the reform of the medical and health system to benefit people’s livelihood more directly.

Third, the coordinated development and governance of the "three medicines" is conducive to promoting the governance of all links in the whole chain of the medical field and correcting unhealthy trends. Influenced by many factors, there are still some phenomena and problems in the field of medicine and health that endanger the interests of the people and harm public welfare and people’s health rights and interests. Among them, there are some problems in medical service, such as big prescription, excessive examination and overuse of drugs, which damage people’s health and waste health resources; There are also fraudulent behaviors in the field of medical insurance, which seriously threaten the safety of medical insurance funds; There are also problems in the field of pharmaceutical production, circulation and sales, such as "sales with gold", price increases at different levels, and imaginary costs. These problems are often intertwined, connecting multiple stakeholders and running through many links of "three medicines". To solve these problems, we must adhere to the party’s leadership, treat both the symptoms and the root causes, strengthen supervision in the whole chain, comprehensively adopt institutional supervision, functional supervision, behavioral supervision, penetrating supervision, continuous supervision and other means, strengthen the linkage between the "three medical" departments, strengthen the connection between discipline and law and execution, and severely crack down on and punish acts that infringe on public rights and interests according to law. The coordinated development and management of the "three medicines" can achieve the above objectives, and play a positive role in controlling unhealthy trends and establishing new trends in the industry, and play a significant role.

Is it not accidental that two Chinese people were arrested for bringing chameleons back to China?

       CCTV News:These days, a storm surrounding Madagascar chameleon has been fermenting. The cause of the incident should also start with a post from a Weibo netizen named @ Daiwa Exploring the World. On February 18th, the day before the Lunar New Year Lantern Festival, this Weibo netizen @ Daiwa explored the world and published an article entitled "Help my mother quickly". This article said that two China men, Wu Mou and Ma Moumou, organized and led a group of 19 parents and children to Madagascar for the New Year in February this year, and participated in outdoor activities such as parent-child popular science tours.

       According to the article, the so-called China men Wu Mou and Ma Moumou claimed to be "entomologists of China Academy of Sciences", but they led their children and parents to "teach children to catch wild animals with their bare hands" and even violated local laws during their travels in Madagascar, regardless of their lives. According to the article, when the group returned to China, they put a live chameleon in the bag of a child’s parents and tried to smuggle it back to China. As a result, the so-called "organizer" Ma Moumou and the parents were arrested by the Madagascar police at the airport, with a maximum of 10 years’ imprisonment and a high fine of up to 200 million Malagasy dollars (about 400,000 yuan).

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       There are many questions to be solved about the private chameleon.

       At present, there are still many doubts about this incident. Are the "Wu Mou and Ma Moumou" mentioned in this net really the so-called "insect experts of China Academy of Sciences"? During the Chinese New Year this year, the 19-member scientific delegation led by them, including parents and children, traveled to Madagascar. Is it really qualified? The most controversial point is whether a China parent who was detained by the Malagasy police involved brought the chameleon back to China privately, or "Wu Mou and Ma Moumou", as mentioned in the article, secretly put the live chameleon in her backpack in an attempt to bring it back to China without the parents’ knowledge. Although these questions haven’t been clearly answered, official website, the Embassy of China in Madagascar, has released the relevant notice of this incident. At present, this incident of "China tourists being detained by Madagascar police on suspicion of taking prohibited items such as chameleons out of the country" is in the judicial review stage, and there is no specific court date.

       There is no specific court date under judicial review.

       China’s Embassy in the Republic of Madagascar, official website, reported on February 18th that tourists from China were detained by Madagascar police on suspicion of bringing chameleons and other prohibited items out of the country. At present, the matter is in the stage of judicial review, and there is no specific court date.

       This outdoor activity was jointly initiated by Wu and Ma, and set off from China on February 6th at the tropical rain forest on the east and west coasts of Madagascar. Most of the members who participated in the outdoor activities were children and parents who liked insects, animals and plants. According to media reports, the wild animals seized this time, including a chameleon, a lizard and fifteen centipedes, were all placed in plastic boxes covered with cotton wool. Lawyers said that those involved may face a fine of 40,000 euros.

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       Malaysia has strict regulations on the exit of "endangered animals and plants"

       Let’s also briefly understand Madagascar’s strict regulations on the entry and exit of endangered animals and plants. Just now, we saw a lawyer say that if you leave the country with endangered animals and plants according to previous local laws, you may face a fine of 40,000 euros, equivalent to about 300,000 yuan. However, we also checked the entry-exit customs office at the airport in Tanana Lifu, Madagascar’s capital, and clearly posted the management requirements for carrying jewelry, herbs, endangered animals and plants, frozen meat, alcohol and other items. The maximum penalty is far more than the 40,000 euros mentioned by lawyers.

       According to Malaysian customs regulations, if you carry "endangered animals and plants", you need to apply for the import and export license allowed by the Convention on International Trade in Endangered Species of Wild Fauna and Flora, and you need to apply for an epidemic prevention certificate if you carry "live animals"; Once violations are found, those who transport endangered animals and plants without permission will be punished with 2 to 10 years’ imprisonment and a fine of up to 200 million Arial (equivalent to about 400,000 yuan). Although not all kinds of chameleons, lizards and centipedes are endangered animals, the corresponding criminal punishment of "transporting endangered animals and plants" is the heaviest compared with illegal transportation of drugs, weapons and illegal food in Malaysian customs regulations.

       Not by chance? The organizers involved are frequently exposed.

       What is the truth of this case, we have to wait for the Malaysian judicial review and court session to come to the bottom. However, some background about this "China tourists are suspected of bringing chameleons back to China privately" has also attracted great media attention. After the incident, some media found that this did not seem to be an accident. Because the so-called "organizers" Ma Moumou and Wu Mou, who went to Madagascar for a popular science parent-child tour, were previously exposed to abetting and luring children and parents to hunt protected wild animals and bring them into the country, not only "teaching children to catch bats with their bare hands", but also "teaching children to catch wild animals". At the same time, another "organizer" Wu Mou also flowed out on the Internet, and in Weibo, he exposed various "intimate photos" of Malaysian animals and plants such as chameleons during his trip to Malaysia, but the legality could not be confirmed; However, after the incident, Wu Mou, the organizer of the group, deleted a large number of Weibo words and pictures. In addition, as far as Ma’s identity is concerned, some media have revealed that he is an "expert who impersonates a member of the Science Education Alliance of the Chinese Academy of Sciences", but in fact he is an insect dealer who sells wild animals and plants, but this statement has not been verified. In this regard, on February 19, the official micro "Voice of the Chinese Academy of Sciences" of the Chinese Academy of Sciences also forwarded "Ma Moumou pretends to be Weibo, a so-called expert of Chinese Academy of Sciences.

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       Expert Interpretation: Wild animals and plants should be "viewed from a distance"

       In recent years, popular science parent-child travel is very popular, but what should we pay attention to when we are in close contact with wild animals? Come and listen to the expert’s analysis.

       Experts said that ecotourism, as a new way of tourism, is deeply loved by parents and friends because it is close to nature and entertaining. However, wild animals often carry viruses themselves and their temperament is elusive. It is very dangerous to reach out and touch without isolation measures, not to mention catching them by hand or even bringing exotic species back to China. Experts say that in addition to violating the Convention on International Trade in Endangered Species of Wild Fauna and Flora, bringing exotic species back to China will also lead to species invasion, which will damage biodiversity protection and ecological environment.

       So how should we treat wild animals? Experts suggest that tourists should respect all life in nature and get to know them without disturbing their normal life.

       Zhang Na, an expert in animal and plant protection, said, "I think we should follow the principle of three noes when dealing with wild animals, that is, no trapping, no touching and no disturbing. We should know from an early age that wild animals belong to nature and are our friends, so we should respect them. We will observe them and understand them without disturbing their normal life, and then we hope that everyone can respect all life in nature. "

Huawei PURA 70/Pro is on sale today: starting from 5499 yuan!

Huawei Pura 70 seriesIt is on sale today, starting at 5499 yuan.

On April 22nd, Huawei officially launched Pura. 70Series two models, including Pura. 70And Pura 70 Pro. In terms of selling price, the starting price of Pura 70 is 5499 yuan, and the starting price of Pura 70 Pro is 7999 yuan.

Huawei Pura 70/Pro is on sale today: starting from 5499 yuan!

Pura 70 Pro configuration upgrade

Compared with Pura 70, Pura 70 Pro is equipped with a more durable.Xuanwu toughened Kunlun glassScreen, storage capacity is also larger. The machine offers two configurations: the 16GB+512GB version costs 7999 yuan, and the 16GB+1TB version costs 8999 yuan.

Pura 70 has a straight screen design and does not support satellite communication.

Pura 70 adoptsStraight screen and straight edge designThe front is equipped with a 6.6-inch straight screen and second-generation Kunlun glass. The rear three-camera combination includes a 50-megapixel super spotlight camera, a 13-megapixel super wide-angle camera and a 12-megapixel periscope telephoto camera. In addition, the machine is equipped with a 4900mAh battery, which supports 66W wired fast charging, 50W wireless fast charging and 7.5W wireless reverse charging.

It is worth noting that Pura 70 Standard Edition does not support satellite communication and star flashing functions.

Huawei Pura 70/Pro is on sale today: starting from 5499 yuan!

(reporting)

Four archaeological discoveries focus on the early urban appearance of the middle reaches of the Yellow River

  Guangming Daily, Beijing, September 17th (Reporter Li Yun and Wang Xiaofei)Recently, National Cultural Heritage Administration held a working meeting on the important progress of the major project "Archaeological China" in Beijing. The four archaeological projects of this workshop are the latest achievements in the excavation and research of early city sites in the middle reaches of the Yellow River, which are all in the early development stage after the formation of Chinese civilization. These latest achievements show the historical process of China’s prehistoric civilization and the formation and development of early countries.

Four archaeological discoveries focus on the early urban appearance of the middle reaches of the Yellow River

  Excavation site of Xiaoyuliang stone building in Bicun site, Xing County, Shanxi Province Xinhua News Agency issued

   Shicheng Site in Houchengzui, Hohhot, Inner Mongolia: Prehistoric Prototype of "Tunnel War"

  ■ Project introduction:The Shicheng site of Houchengzui is located in Qingshuihe County, Hohhot City, Inner Mongolia Autonomous Region, with an area of about 1.38 million square meters. Archaeological findings show that this site of Longshan period, which is more than 4,000 years ago, has a triple defense system: the first defense system consists of the outer urn city wall, horse face, abutment and outer ring trench; The second defense system consists of the urn city wall, the abutment and pier arranged on the urn city wall, and the inner ring trench; The third defense system consists of the main city wall, the main city gate and two horse faces arranged on both sides of the main city gate.

  The most amazing thing is that two underground passages were found under the outer urn. Sun Jinsong, dean of the Institute of Cultural Relics and Archaeology of Inner Mongolia Autonomous Region, said that the two tunnels have both offensive and defensive functions. The widest part of the passage is 3.4 meters, the deepest part is 6.3 meters, and the top of the passage is 2.4 meters, so that people can travel without hindrance. After deduction, it can be seen that people outside the city can enter the urn through the tunnel at that time, and then shunt into the city wall to reach the interior of the main city. Of course, the reverse is also possible. Are these two tunnels the remains of "tunnel warfare" more than 4,000 years ago?

  ■ Expert comment: Song Jianzhong (researcher of National Cultural Heritage Administration Archaeological Research Center)

  In recent ten years, archaeology has continuously promoted fine excavation and multidisciplinary cooperation. There are three levels in the area of Shenmu Shigao site in Shaanxi, Shicheng site in Houchengzui, Inner Mongolia and Bicun site in Xingxian, Shanxi. Shigao site has the largest area and the highest level, while Bicun site has the smallest area. Moreover, the three sites are all buildings made of stone and wood, and they are similar in cultural appearance. Therefore, I think Shanxi, Shaanxi and Inner Mongolia should work together, adhere to the problem orientation, study the context of the three sites, and make clear whether there is synchronicity among them. These will certainly promote the study of the large regional form in the north.

Four archaeological discoveries focus on the early urban appearance of the middle reaches of the Yellow River

  Pottery unearthed from Bicun site in Xing County, Shanxi Province, Xinhua News Agency issued

   Bicun Site in Xing County, Shanxi Province: An Important Guancheng along the Yellow River around 4000 years ago.

  ■ Project introduction:Bicun Site is located in Xingxian County, Luliang City, Shanxi Province, dating from 4000 to 3700 years ago. It is the first confirmed large-scale Shicheng settlement in Longshan period along the Yellow River in Shanxi Province, and it was also an important Guancheng at that time.

  Xiaoyuliang site is the core area of Bicun site. Archaeologists have discovered a group of stone buildings, the second house in the middle is the central house, and the houses on the other two sides are arranged progressively to the west on this axis. The walls and floors of these houses have been carefully treated, and the walls are smeared with grass and mud. There is a ground stove in the house, and the maximum diameter of the stove reaches 2.6 meters. In addition to the house in the central building, there is a house in the northwest corner, which was a large studio in the early stage and divided into small compartments in the later stage. "It is particularly noteworthy that there are steps in the northwest corner of the room near the north wall. We speculate that this may be a post." Zhang Guanghui, a researcher at Shanxi Institute of Archaeology, introduced. Bicun site is located at the key road between the west and the Central Plains, and the inner and outer city walls have a relatively strict defensive layout. The city gate is backed by the Yellow River and faces the east, and checkpoints are set up everywhere. Therefore, "we speculate that this is an important checkpoint". In addition, the gate of the site is composed of three large piers in the shape of "pin" in the east, south and north, which shows a unique gate shape of Shicheng site in Hetao area.

  ■ Expert comment: Han Jianye (Professor, School of History, Renmin University of China)

  The gate structure of Bicun Ruins is not only practical in layout, but also very neat in symmetrical structure, with a ceremonial nature. Houchengzui site and Bicun site are similar in age, and both are in the early development stage of Chinese civilization, which may be closely related. The next step should be to explore the relationship between sites in a wider scope in the north, such as what is the relationship between Bicun site and Shimao site? What is the relationship between Bicun Site and Shimao Site and Xia Dynasty? What is the relationship between cattle and sheep unearthed from Bicun site and Eurasian grassland? These relationships still need to be sorted out.

Four archaeological discoveries focus on the early urban appearance of the middle reaches of the Yellow River

  Gold Covered Surface Unearthed from M2 of High-grade Noble Tomb in Zhengzhou Shangcheng Site Xinhua News Agency

   Erlitou Site in Yanshi, Henan Province: How many more pieces are added to the Wangdu puzzle?

  ■ Project introduction:Erlitou site is located in Yanshi District, Luoyang City, Henan Province, with an existing area of 3 million square meters, which is generally considered as the capital site in the late Xia Dynasty by academic circles.

  Before, I only knew the "Jiugongge" layout of Erlitou site, but the details were not clear. The latest archaeological excavations show that there are rammed earth walls on both sides of roads in many cities, and the outer sides of many areas outside the palace area and workshop area are also separated and protected by fences. There are different levels of buildings and tombs in different grids, and each grid may be inhabited by different people. Zhao Haitao, an associate researcher at the Institute of Archaeology, Chinese Academy of Social Sciences, said that all these indicate that Erlitou Capital probably has a layout of "living in different areas, living outside the area, and integrating residence and burial".

  The latest excavation also found the remains of pottery making for the first time in the site, and unearthed more than 800 pieces of pottery with red paint on the surface, suggesting that there may be lacquer making workshops around; Nearly 100 square meters of bone and horn processing workshops were found in the southwest corner of Miyagi. The discovery of these new workshops is helpful to study the manufacturing process and technology of handicraft industry.

  ■ Expert comment: Lei Xingshan (Professor, School of History, Capital Normal University)

  The discovery of Erlitou site "Jiugongge" is a major breakthrough in Xia cultural archaeology. Lifang system was once an important system in the city, but it appeared relatively late. The "Jiugongge" in Erlitou is the "Li" that can be confirmed.

  In the past archaeological work, turquoise workshops were found. Now, workshops for making bone horns and lacquerware have been found, which has strengthened some characteristics of Erlitou as the capital. It can also be seen from archaeological discoveries that although the ages and crowds are not the same, there are similar cultural features in the ruins far and wide. The similarity and continuity of cultural characteristics and the identity and inheritance of cultural genes are vivid examples of the pluralism and continuity of Chinese civilization.

Four archaeological discoveries focus on the early urban appearance of the middle reaches of the Yellow River

  The remains of the bone-making workshop, which was carefully excavated for the first time at Erlitou site in Yanshi, Henan Province, were issued by Xinhua News Agency.

   Shang Dynasty Cemetery in Shuyuan Street, Shangdu, Zhengzhou: First Discovery of Gold Covering in the Early Shang Dynasty in Central China

  ■ Project introduction:The Shang Dynasty cemetery in Shuyuan Street, Shangdu, Zhengzhou is located in the southeast of the inner city of Zhengzhou Shopping Mall site. It is a high-grade aristocratic cemetery in the early and middle period of Shang Dynasty, where a rare gold overlay was unearthed.

  Two east-west trenches were found on the north and south sides of the cemetery, and the tombs were mainly distributed between the two trenches. Tomb No.2 is the tomb with the largest number, the richest variety and the highest level of funerary objects found at present. Besides a large number of bronzes, there are also gold coverings with a gold content of 88% and a weight of 40 grams, as well as gold ornaments such as gold bubbles and gold foils, which provide new reference materials for discussing the gold masks appearing in Sanxingdui and the cultural style of gold decorations in southwest China. Huang Fucheng, a researcher at Zhengzhou Institute of Cultural Relics and Archaeology, said that the phenomenon of dog martyrdom at the bottom of Tomb No.2 was very rare in the early and middle Shang cultures, which provided a new understanding of the source of dog martyrdom culture in later high-level tombs such as Yin Ruins in Anyang.

  ■ Expert comment: Chen Xingcan (researcher, Institute of Archaeology, Chinese Academy of Social Sciences)

  The age of Shang Dynasty cemetery in Shuyuan Street, Shangdu, Zhengzhou is in a critical period between the early Shang Dynasty and the middle Shang Dynasty, one period earlier than the Yin Ruins and one period later than the lower culture in Erligang, Zhengzhou. In the past, tombs were rarely found in the early and early stages of the Shang culture in Zhengzhou, especially high-grade large tombs, so the discovery of this large tomb is of great significance. Gold wares began to appear in Shang Dynasty, but they were very few. Such a large number of gold ornaments, such as the gold overlay unearthed in M2 tomb, provided us with new research materials to study the relationship between the appearance of gold wares and Eurasia grassland and the West.

Four archaeological discoveries focus on the early urban appearance of the middle reaches of the Yellow River

  Schematic diagram of the Shicheng site in Houchengzui entering the city through the tunnel Photo courtesy of National Cultural Heritage Administration

Dry goods! Key points of updating 2020AHA cardiopulmonary resuscitation guidelines

       Recently, AHA has just released the 2020 Cardiopulmonary Resuscitation (CPR)-Cardiovascular First Aid (ECC) Guide. The guide is divided into five parts, namely, basic and advanced life support for adults, basic and advanced life support for children, life support for newborns, resuscitation education science and rescue system.

Adult basic and advanced life support 

       Despite the progress in recent years, less than 40% of adults received CPR initiated by non-professionals, while less than 12% received AED first aid before EMS arrived. AHA adult IHCA and OHCA survival chain

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(Click to enlarge, the same below)

Emergency procedures for adult cardiac arrest

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Opioid-related emergency procedures for non-professional emergency personnel

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Opioid-related emergency procedures for medical staff

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Flow chart of treatment after recovery of spontaneous circulation in adult cardiac arrest

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Suggested methods for multimodal neural prediction of adult patients after cardiac arrest and recovery of autonomic circulation

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ACLS flow chart of pregnant women with cardiac arrest in hospital

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Main new and updated suggestions in 2020    

Non-professional rescuers should start as soon as possible.

CPR2020 (updated)We recommend that non-professionals perform CPR on patients with possible cardiac arrest, because if the patient is not in a state of cardiac arrest, the risk of injury to the patient is low.

2010 (old): If the adult suddenly falls down or the unresponsive patient’s breathing is abnormal, the non-professional rescuer should not check the pulse, but assume that there is cardiac arrest. The medical staff should check the pulse within no more than 10 seconds. If the pulse is not clearly touched within this time, the rescuer should start chest compressions.

Reason: New evidence shows that patients who receive chest compressions when they are not in cardiac arrest have a lower risk of injury. Non-professional rescuers cannot accurately determine whether the patient has a pulse, and the risk of not performing CPR on patients without a pulse exceeds the harm caused by unnecessary chest compressions.

Physiological monitoring of CPR quality

2020 (updated): It may be reasonable to use physiological parameters such as arterial blood pressure or ETCO2 to monitor and optimize CPR quality when feasible.

2015 (old): Although there is no clinical study to investigate whether adjusting resuscitation operation according to physiological parameters during CPR can improve the prognosis, it may be reasonable to use physiological parameters (quantitative carbon dioxide waveform, arterial diastolic pressure, arterial pressure monitoring and central venous blood oxygen saturation) to monitor and optimize CPR quality, guide vasopressor drug treatment and detect ROSC when feasible.

Reason: Although it is an established concept to monitor the quality of CPR by physiological monitoring methods such as arterial blood pressure and ETCO2, new data support its inclusion in the guidelines. According to the data of AHA’s "Follow the Guide-Resuscitation" registration study, the possibility of ROSC is increased when using ETCO2 or diastolic blood pressure to monitor CPR quality.

The monitoring depends on the existence of endotracheal intubation (ETT) or arterial catheterization. Adjusting the compression target so that the ETCO2 value is at least 10 mm Hg, ideally 20 mm Hg or higher, may be useful as a CPR quality marker. The ideal goal has not yet been determined.

Dual continuous defibrillation is not supported.

2020 (new):The usefulness of dual continuous defibrillation for refractory shockable rhythm has not been determined.

Reason: Double continuous defibrillation refers to the practice of using two defibrillators to perform electric shock almost simultaneously. Although some case reports show a good prognosis, the ILCOR system review in 2020 found no evidence to support dual continuous defibrillation, so routine use is not recommended. There are many forms of bias in existing studies, and observational studies have not shown improvement in prognosis. A recent experimental RCT shows that changing the direction of defibrillation current by repositioning electrode pads may be equivalent to the effect of dual continuous defibrillation, while avoiding the risk of injury caused by energy increase and defibrillator damage. According to the current evidence, it is not clear whether dual continuous defibrillation is beneficial.  

Venous access takes precedence over intraosseous access.

2020 (new):It is reasonable for practitioners to try to establish venous access for drug administration in patients with cardiac arrest first.

2020 (updated):If venous access is not successful or feasible, we can consider using intraosseous access instead.

2010 (old):If there is no ready-made venous (IV) access, it is reasonable for practitioners to establish intraosseous (IO) access.

Reason: In 2020, ILCOR systematically reviewed and compared intravenous and intraosseous administration during cardiac arrest, and found that venous pathway was related to better clinical prognosis in five retrospective studies. RCT subgroup analysis focusing on other clinical problems also found similar results when intravenous or intraosseous routes were used for drug delivery. Although venous access is the first choice, intraosseous access is also a reasonable choice for the situation that it is difficult to establish venous access.  

Treatment and support during rehabilitation

2020 (new): We suggest that survivors of cardiac arrest undergo multimodal rehabilitation evaluation and treatment in terms of physical, neurological, cardiopulmonary and cognitive impairment before discharge.

2020 (new): We suggest that cardiac arrest survivors and their caregivers receive a comprehensive multidisciplinary discharge plan to incorporate medical and rehabilitation treatment suggestions and expected goals of activity/work recovery.

2020 (new): We suggest a structured assessment of anxiety, depression, post-traumatic stress response and fatigue for survivors of cardiac arrest and their caregivers.

Reason: Patients with cardiac arrest need to go through a long rehabilitation period after initial hospitalization. Support is needed during rehabilitation to ensure the best physical, cognitive and emotional health and restore social/role functions. This process should start from the initial hospitalization period and continue as needed. These topics are discussed in more detail in the 2020 AHA scientific statement.

Analysis and summary of rescuers

2020 (new): After cardiac arrest, it may be beneficial to organize non-professional rescuers, EMS implementers and hospital medical staff to analyze and summarize and provide follow-up for them in the follow-up for emotional support.

Reason: The rescuer may feel anxious or have post-traumatic stress reaction because of providing or not providing BLS. Hospital medical staff may also encounter emotional or psychological influence when treating patients with cardiac arrest. Team analysis and summary can review team performance (education and quality improvement) and identify natural stress factors related to the treatment of dying patients. It is expected that an AHA scientific statement dedicated to this topic will be released in early 2021.  

Cardiac arrest in pregnant women

2020 (new): Because pregnant women are more prone to hypoxia, oxygenation and airway management should be given priority during the resuscitation of pregnant women’s cardiac arrest.

2020 (new): Because it may interfere with the recovery of pregnant women, fetal monitoring should not be carried out during the cardiac arrest of pregnant women.

2020 (new): We suggest that pregnant women who are still unconscious after cardiac arrest and resuscitation should be managed by target temperature.

2020 (new): During the management of target body temperature for pregnant patients, it is suggested to continuously monitor the fetus for the possibility of bradycardia, and consult obstetrics and neonatology.

Reason: Reviewed the recommendations on the management of cardiac arrest in pregnant women in the guideline update in 2015 and AHA scientific statement in 2015. Due to the increase of maternal metabolism, the decrease of functional residual capacity caused by pregnant uterus and the risk of fetal brain damage caused by hypoxemia, airway, ventilation and oxygenation are particularly important in the context of pregnancy.

       It is not helpful to evaluate the fetal heart during the period of maternal cardiac arrest, and it may also distract attention from the necessary resuscitation operation. In the absence of contrary data, pregnant women who survive after cardiac arrest should be managed by the target temperature like other survivors, and the condition of the fetus who may stay in the uterus should be considered.

Basic and advanced life support for children 

The causes of cardiac arrest in infants and children are different from those in adults, and more and more pediatric specific evidence supports these suggestions.

AHA children’s IHCA and OHCA survival chain

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Flow chart of cardiac arrest in children

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Flow chart of bradycardia in children with pulse

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Flow chart of pulse tachycardia in children

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Checklist of treatment after spontaneous circulation recovery in children with cardiac arrest

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Important Issues, Major Changes and Enhancements in the 2020 Guide  

The flow chart and visual AIDS were modified to incorporate the best scientific knowledge and provide clearer information for PBLS and PALS resuscitation implementers.

According to the latest data of children’s resuscitation, it is suggested that the frequency of auxiliary ventilation should be increased to once every 2-3 seconds (20-30 times per minute) for all children’s resuscitation scenarios.

For patients of any age who need to be intubated, it is recommended to use a cuff ETT to reduce air leakage and the need to change tubes.

The routine use of cricoid cartilage compression during intubation is no longer recommended.

In order to maximize the chances of obtaining a good resuscitation prognosis, epinephrine should be given as soon as possible, and ideally it should be given within 5 minutes after cardiac arrest with non-shockable rhythm (cardiac arrest and pulseless electrical activity).

For patients with arterial catheterization, the feedback from continuous measurement of arterial blood pressure can improve the quality of CPR.

After Rosc, the patient’s seizure should be evaluated; Status epilepticus and any convulsive seizures should be treated.

Patients with cardiac arrest need to go through a long rehabilitation period after their initial hospitalization, so their physiological, cognitive and psychosocial needs should be formally evaluated and given corresponding support.

When epinephrine or norepinephrine is infused when vasopressor drugs are needed, it is appropriate to adopt titration liquid management method for resuscitation of septic shock.

According to adult data, it is generally inferred that the balanced blood component resuscitation scheme is reasonable for infants and children with hemorrhagic shock.

Opioid overdose management, including seizures by non-professional rescuers or trained rescuers, should be treated.

Patients with cardiac arrest need to go through a long rehabilitation period after their initial hospitalization, so their physiological, cognitive and psychosocial needs should be formally evaluated and given corresponding support.

When epinephrine or norepinephrine is infused when vasopressor drugs are needed, it is appropriate to adopt titration liquid management method for resuscitation of septic shock.

According to adult data, it is generally inferred that the balanced blood component resuscitation scheme is reasonable for infants and children with hemorrhagic shock.

Opioid overdose management includes CPR by non-professional rescuers or trained rescuers and timely administration of naloxone.

Children with acute myocarditis with arrhythmia, cardiac block, ST segment changes or low cardiac output are at higher risk of cardiac arrest. It is important to be transferred to the intensive care unit as soon as possible. Some patients may need mechanical circulatory support or extracorporeal life support (ECLS).

Babies and children with congenital heart disease and single ventricular physiological function need special consideration in the management of PALS if they are in the process of staged reconstruction.

The management of pulmonary hypertension may include the use of inhaled nitric oxide, prostacyclin, analgesic drugs, sedative drugs, neuromuscular blocking drugs, induced alkalosis or ECLS rescue treatment.

Neonatal life support

Newborn resuscitation needs to be predicted and prepared by the implementers who have received individual and team training.

Most newborns do not need umbilical cord ligation or resuscitation immediately, but can be evaluated and monitored during the skin contact between mother and baby after birth.

Preventing hypothermia is an important concern of neonatal resuscitation. As a way to close the parent-child relationship, promote breastfeeding and maintain normal body temperature, the importance of skin contact nursing for healthy infants is strengthened.

For newborns who need support after birth, lung dilatation and ventilation are the primary tasks.

The increase of heart rate is the most important index of effective ventilation and response to resuscitation intervention.

Pulse oxygen saturation is used to guide oxygen supply and achieve oxygen saturation target.

Routine endotracheal suction is not recommended for active or inactive infants born in meconium-contaminated amniotic fluid (MSAF). Endotracheal aspiration is only applicable when airway obstruction is suspected after providing positive pressure ventilation (PPV).

If proper ventilation correction steps are taken (preferably including tracheal intubation), but the heart rate does not respond well to ventilation, chest compressions can be performed.

Electrocardiogram should be used to monitor the response of heart rate to chest compressions and drugs.

When newborns need vascular access, umbilical vein pathway should be the first choice. When venous access is not feasible, the intraosseous approach can be considered.

If the response to chest compressions is not good, it may be reasonable to provide epinephrine, preferably through the intravascular route.

If there is no response to adrenaline and there is a history or examination consistent with blood loss, the newborn may need to expand.

If all these resuscitation steps have been effectively completed, but there is still no heart rate reaction after 20 minutes, we should discuss with the team and the family members of the child to adjust the treatment direction.

        Survival after cardiac arrest depends on the establishment of an organic system covering personnel, training, equipment and organization. Willing bystanders, owners equipped with AED, emergency service telecommunication personnel and BLS and ALS implementers working in EMS system can all contribute to the successful recovery of OHCA.

       Within the hospital, the work of doctors, nurses, respiratory therapists, pharmacists and other professionals also provides support for the prognosis of resuscitation. Successful recovery also depends on the efforts of equipment manufacturers, pharmaceutical companies, recovery teachers, guide compilers and many others. Long-term survival depends on the support of family members and professional nurses, including experts in cognitive, physical and psychological rehabilitation and recovery. All links in the whole system are striving to improve the quality of treatment in an all-round way, which is very important for achieving a successful prognosis.

159,800 cases of "specialized" treatment are the first choice for urban white-collar commuters who are not rich.

It can be seen from the outline that there is still an obvious Buick family design language. Regal’s front grille is exquisite, and it is matched with the "Buick" logo, which makes the front face of the vehicle look radical. The headlights on both sides are quite unique in shape, and they look very energetic after being lit. Judging from the waistline, the new car is still an atmospheric shape design, and the tradition of wide C-pillar can be continued. In the design of the tail, this model has created a sporty posture, and the details of the tail light lighting have become more unique after being redrawn.

In terms of the interior of the car, the car is also very exquisite. The new car is also equipped with Buick’s latest three-piece model. The central control panel is made of plastic and leather materials, which greatly enhances the sense of grade of the whole vehicle. The 8.0-inch large-size central control panel is simple in screen design, but fully functional. The front row is also equipped with a dual-temperature automatic air conditioning control system, which can freely debug the most comfortable space atmosphere. .

Regal has a car length of 4913mm, a car body width of 1863mm and a wheelbase of 2829mm, which is quite satisfactory. In the same class, the wheelbase of Regal ranks 18th. As a medium-sized car, its body size does not occupy much advantage in its class, and its internal seating space is only basically enough. After all, it is limited by the length and shape of the body. The design of skylight also increases the subjective space feeling of front and rear passengers. Regal’s trunk volume ranks 12th among the models of the same price and class. Spatial performance is limited by vehicle positioning, and the performance is acceptable, and the flatness is no problem, but the total space is average.

Regal is equipped with a 2.0 engine with a maximum output of 174kW and a maximum torque of 350Nm. The whole power parameters are superior in power performance among engines of the same class, which can provide better power performance. Regal’s official measured zero-hundred-acceleration score is 7.1S, ranking 27th among the medium-sized car models with more than 800,000.

Regal’s active/passive safety configuration is complete, includingAutomatic parkingZero tire pressure endurance tireAutomatic parkingSteep slope descenthill start assist controlknee airbagHUD head-up displayAnti-lock braking (ABS)Braking force distribution (EBD/CBC, etc.)Brake assist (EBA/BAS, etc.)Traction control (ASR/TCS, etc.)Active noise reductionEngine start and stopSide safety air curtainWireless charging of mobile phonenight vision systemLED daytime running lightsForward reversing radarTire pressure monitoringSteering wheel heatingBody stability control (ESP/DSC, etc.)Rear reversing radarFatigue reminderRemote parkingChild seat interfaceLane keeping (LKAS)Equal configuration.

Among them,Automatic parkingYou can avoid stepping on the brakes for a long time or needing to pull frequently;Steep slope descentCan safely pass through steep slope road conditions at low speed;knee airbagReduce the injury of the car interior to the occupant’s knees in the secondary collision.

In addition to the above description, we can also go to the Easy Car Forum to browse more real car feedback from actual buyers, or use our experience.

Reuters: Pyongyang may have the ability to independently develop missile engines.

  CCTV News:In response to the news reported by the US media on the 14th that the Ukrainian Southern Design Bureau sold missile engines to North Korea, the Ukrainian side voiced for two consecutive days, firmly denying the incident and suggesting that Russia was behind the scenes. In this regard, Russia also responded strongly: criticizing Ukraine for wanting to "shabu-shabu".

RD-250 engine

RD-250 engine

  On 14th, The New York Times quoted a military expert as saying that North Korea successfully tested an intercontinental ballistic missile last month, probably because it bought missile engines from Ukrainian enterprises in the arms black market. A research report published by the Institute for International Strategic Studies in London, UK, further pointed out: "No other country can develop from having medium-range missiles to having intercontinental ballistic missiles in such a short time. This speed means that North Korea has obtained a high-performance liquid fuel engine from abroad, and only the RD-250 engine manufactured by the Southern Design Bureau of Ukraine meets the external characteristics of North Korea’s new engine. "

  In this regard, the Ukrainian side voiced for two consecutive days and denied the incident.

Ukrainian Prime Minister Groisman

  Ukrainian Prime Minister Groisman said that this is aimed at sowing dissension against Ukraine. I believe the statement of the National Security and National Defense Commission, and I can assure you that there is no such thing at all.

  The Southern Design Bureau of Ukraine was established in 1954, and its full name is the Southern Machinery Manufacturing Scientific Research and Production Consortium, located in Dnepropetrovsk, Ukraine. Its original purpose was to design ballistic missiles for dropping nuclear warheads. After the American media reported, the Southern Design Bureau has issued a statement that Ukraine has not provided military missile engines to any country since its independence in 1991.

  The Ukrainian Space Agency hinted that Russia was behind the scenes.

  The Ukrainian National Space Agency further issued a statement, suggesting that Russia is behind the scenes.

  Yuri Radcenco, head of the Ukrainian National Space Agency, said that this kind of engine was produced in Ukraine before 2001 and was widely used in two projects, namely "Cyclone 2" and "Cyclone 3", which were supplied by the Southern Machinery Factory for Russian projects, but not produced for Ukraine itself.

  When this statement came out, it was immediately countered by the Russian side.

  The host of Russia’s first channel reported that what they mean is that Russia disassembled the "Cyclone" missile into components and gave the most precious engine to North Korea without feeling distressed. That’s ridiculous!

  On 15th, the general manager of Southern Design Bureau suggested that RD-250 could be "copied" by 3D printing technology to meet the demand of North Korea. In this regard, Russian Deputy Prime Minister Dmitry rogozin said categorically that this is absolutely impossible.

  Russian Deputy Prime Minister Dmitry rogozin said that some portraits can be reproduced, but the engine is the most advanced technical structure, which requires not only detailed technical documents, but also test stands and various tests. Strictly speaking, what is needed most is professionals who know everything about engines, so this time either the technical documents were leaked or someone sold them directly.

  Just as the two sides were at loggerheads, a piece of news disclosed by the British Reuters on the 16th was quite a "rescue". According to Reuters, Pyongyang may already have the ability to manufacture missile engines, and it does not need to rely on the support of other countries at all.

  A reporter from Reuters, UK, said that the research of the London Institute for International Strategic Studies was only based on the measurement of the engine photos released by North Korea, and there was a heated discussion among experts who had been concerned about the North Korean nuclear issue. Some experts’ judgments were consistent with the assessment of American intelligence agencies, that is, North Korea may have the ability to independently develop and build missile engines.

Ready Player One topped Black Panther in the first week and set another box office record.


1905 movie network news  On the Easter holiday weekend (03.30-04.01), the box office revenue in North America totaled $132.4 million, up 1.9% from the previous month. Ready Player One, Spielberg’s latest film about VR virtual world, grossed $53.21 million at the local box office in 4,234 cinemas in the first week, which was close to $50 million in Jurassic Park in 1993, but not as good as $64 million in War of the Worlds in 2005. With a good reputation, it is considered as a "noisy adventure". At present, the global box office of the film has reached 180 million US dollars. The other two new films are relatively weak. tyler perry’s all-black marriage revenge drama "The Endless" cost $17.1 million in the first week, which was considered as "a waste of Taraji P hansen’s acting skills" (the film critics of "Proud Mary" also said so); The belief theme "God is not dead: light in the dark" fell below the new low of three series in the first week, reaching 2.63 million dollars, and was accused of being "completely boring".


It is worth mentioning that Marvel superhero Black Panther, who has been in the cinema for the seventh week, has made a domestic box office of 650 million US dollars this week, becoming the fastest film in the history of cinema to achieve a domestic box office achievement of 650 million US dollars after Star Wars: The Force Awakens. It is expected that this week will surpass the 652 million US dollars of Jurassic Park in 2015 and become the fourth highest domestic box office.


 

ranking

film

Weekend box office

(USD)

Cumulative box office

(USD)

Number of release weeks

this week

last week

one

new

41.21 million

53.21 million

one

2

new

17.1 million

17.1 million

one

three

2

11.26 million

650.6 million

seven

four

three

10.75 million

55.57 million

three

five

one

9.2 million

45.67 million

2

six

four

7 million

22.82 million

2

seven

seven

4.8 million

32.14 million

three

eight

five

4.7 million

50.5 million

three

nine

six

4.69 million

83.25 million

four

10

eight

3.5 million

11.53 million

2

11

15

2.81 million

5.91 million

2

twelve

new

God is not dead: light in the dark

2.63 million

2.63 million

one

Source: boxofficemojo

 

Ready Player One’s $180 million global media refers to "targeting adrenaline"


Recommended star rating: ★★★★☆.


Ready Player One

The dystopian sci-fi novel by Warner and Weixiu Pictures won $41.21 million at the box office in North America in the first three days of the weekend, plus a total of $53.21 million at the box office on Thursday, of which 35% came from 3D screening. This figure makes it the highest box office movie in Steven Allan Spielberg in the first week after 2008, slightly exceeding the box office of $40.5 million (three days) in the first week of "Special Forces 2: Total Strike Back", close to $50 million in 1993, but less than $64 million in 2005. The production cost of Ready Player One is between $150 million and $175 million, and the global publicity cost exceeds $100 million. At present, the global box office has reached US$ 181 million, which is particularly popular in China. The box office on Saturday is 80% higher than that on Friday, and the box office on the weekend is US$ 61.7 million. The US media expects that Ready Player One may reach US$ 250 million in China, which is about 1.55 billion yuan.

Although Spielberg’s biographical themes, such as The Post and bridge of spies, have been remarkable at the box office in recent years, his fantasy themes, such as The Dream of a Giant and The Adventures of Tintin, have failed one after another. This time, Ready Player One is the first time that Spielberg has chosen to open a film in the spring when the competition is not so strong after "Running on the rampage" in 1974. This strategy not only makes it win back a city at the box office, but also causes heated discussion and public praise, and also becomes his highest and best film after "Minority Report" in 2005.


At present, Ready Player One’s cinema score in North America is A-, IMDb score is 8.0, MTC score is 64, and the freshness of rotten tomatoes is 76%. The Wall Street Journal said: "Ready Player One is aiming at your adrenaline." Hollywood Reporter: "A noisy adventure between desolation and fantasy. Although Spielberg has made great changes to Ernest Klein’s original work, it still retains the complete main spirit and thrilling elements." Variety: "This is a very complete and occasionally intoxicating film. But you feel occupied more often than you are involved. "


"The last straw" makes people "the last straw" and "God is not dead 3" come to an end.


The last straw recommended star rating: ★☆.

"God is not dead: light in the dark" recommended star rating: ★


The last straw

Second in the new film is tyler perry’s latest all-black movie "The Endless", which grossed $17.1 million in 2,006 theaters in North America last weekend. It was lower than tyler perry’s first week box office of 21.64 million (the final box office was $51.97 million) in 2013. However, it is much higher than Taraji P hansen’s earlier "Proud Mary". The first week of "Proud Mary" in North America was only 9.95 million US dollars, and the final box office was 20.87 million US dollars. The last straw will be the last film released by Lionsgate in tyler perry, and they will cooperate with Paramount instead. At present, the reputation of "The Endless" is not high. IMDb score is 4.7, MTC30 score is 30, rotten tomato freshness is 28%, and audience freshness is 50%. Entertainment Weekly believes: "Hansen’s anger for more than 20 minutes is not enough to keep the film’s reputation or worth the ticket price." Rolling Stone magazine said: "The last straw will make you unbearable, so it wastes Hansen’s acting talent and your ticket money." The New York Times: "In addition to endorsing the explanation of Stockholm syndrome in marriage, it also provides you with a guide to survival in a bad economic environment."


Last week, the last large-scale new film was God’s Not Dead: A Light in Darkness, which earned $2.63 million in 1,693 theaters in North America last weekend. It is not as good as the first box office of $9.16 million in 2014, and it is not as good as the $7.62 million in "God is not dead 2" in 2016. In recent years, movies with good faith themes have basically come from major studios such as Fox, Sony and Lions Gate, such as the current list and the previous "Paradise Really Exists", which have relative box office potential. God is not dead: light in the dark. At present, IMDb score is 3.1, MTC score is 33, and the freshness of rotten tomatoes is 15%. "Hollywood Reporter" thinks: "Although this film is not as strong as the first two, it is also completely boring."


This week’s preview: Escort Parents, Quiet Place, Chappaquiddick, Miracle Season, etc.


This weekend (04.06-04.08), Escort Parents, Quiet Place, Chappaquiddick and Miracle Season will be widely opened in North America. Warner Bros.’ documentary "Pandas" and andrew haigh’s "Horse Racing Pete" will be shown on a small scale.

Escort parents

The R-rated comedy "Escort Parents" is the director’s debut of a series of screenwriters kay cannon. It tells the funny story that the parents of three high school girls start their detective nerves and monitor that their daughters plan to give their first night at the graduation dance, so they rush to the party to stop it. Because it involves the topic of sex and growth, the words are more explicit. The production cost of the film is $21 million. A few days ago, the film was shown at the South-by-Southwest Film Festival (SXSW) and won a lot of praise from the media. "Variety" commented: "This is a dance comedy that combines elegance, humor and vulgarity." It is estimated that the box office of the film will be between 13 million yuan and 21 million dollars in the first week. Universal Pictures has had many successful R-rated comedies earlier, such as the cost of $32.5 million in 2011 and the local box office of $169 million. The cost in 2015 was $35 million, and the local box office was $110.2 million; Last year, the cost was $19 million, and the local box office reached $115.1 million.

Quiet Place, a Paramount horror film, also won a good reputation at the South-by-Southwest Film Festival (SXSW), which depicts a dystopian world in the future, in which giant insect monsters who have lost their vision hunt humans through their super-sensitive response to sound. A year after most human beings were extinct, only the remaining people learned to adapt to life without sound. A family of five in the movie basically relies on sign language to complete daily communication. Forbes commented: "The film allows you to see humanity and goodwill in danger, especially the warmth between father and daughter." Quiet Place will open paintings in 3,200 theaters in North America this week.


Director John Curran’s new film is a political biographical film, which tells how Ted Kennedy, the youngest of the Kennedy brothers, ruined his political future because of a car accident on Chappaquiddick Island. The film will open in 1500 theaters in North America this week. Sean mcnamara, the director of Soul Surfer, is a new work, which tells the inspirational story of how an American high school volleyball team rallied to win the state championship after the unexpected death of its main player Caroline. The film will open in 1700 theaters across the United States this weekend.

Prince haman dan of Dubai | The list of the sexiest royal family members in the world is worth hundreds of billions.

  Lead: Some time ago, a video on INS attracted millions of people to watch and like it, because a sheep was saved by the prince. He is.The Second Prince of Dubai, currently the Crown Prince of Dubai-Sheikh haman dan. At the same time, he is also calledWang Zizhong’s Daniel Wu, worth hundreds of billions, owns 200 Rolls Royce and 20 private jets, and is also restricted from entering the country because he is too handsome. …

  It’s really a prince! The thing is this-

  One day, a sheep was trapped in a net and bumped around. As a result, I bumped into the prince who went out with his entourage.

  The prince chased it for several kilometers, put it down with light anesthesia, and then helped it untie the net cover and treat it carefully.

  The whole process fascinated millions of netizens and called him "the real bond." Because the prince looks like this-

  His identity is the Second Prince of Dubai, and he is currently the Crown Prince of Dubai-Sheikh haman dan.

  Haman dan, born in 1982, has an incomparable handsome appearance, and she was as beautiful as a doll when she was a child.

  All along the way, I was honored by off the charts.

  It is said that he wanted to go to Saudi Arabia, and the local police restricted him from entering the country for fear that he would be too handsome and cause chaos. . . . . .

  His handsome, even in the eyes of foreign media, is very famous, and he even describes him with "shock", "everyone loves him" and "perfection". It is also a frequent visitor to the list of "the sexiest royal family members in the world".

  At the same time, he is the most powerful man in Dubai and the richest prince in the world.

  Then how rich is he? It is estimated that his family assets exceed 100 billion dollars, which is only a conservative estimate.

  His uncle’s assets alone are about 76000000000 RMB. Let’s count them, nine hundred and seventy-six billion RMB. When the prince succeeds as chief, the whole Dubai will be his.

  With so much money, how can we spend it?

  Of course, it is to satisfy your hobbies!

  First of all, we should build our own exclusive racecourse, select all the most precious breeds, and the most expensive BMW with a price of 3 million dollars. From then on, the favorite thing to do is to stay with horses. (little pin suddenly feels that people are not as good as horses. )

  Because the whole family likes horses, we have to order a Boeing 747 to transport horses. . . . . .

  When I was free, I sent five private jets to find all kinds of horse racing masters around the world as sparring partners. This is Prince Charming.

  Secondly, cool luxury cars are also to be collected. His garage is full of privately-made limited editions. The family alone has more than 200 Rolls Royce cars and gold sports cars.

  "The original color is not good-looking, so design and customize it yourself."

  It is also necessary to spend 96 million RMB to buy a unique royal license plate for the car ~

  "It’s so special! Buy another one! "

  Running around the world every day, how can you not have a private jet? So with the concerted efforts of Qi Xin, their family bought more than 20 planes!

  During the Dubai Air Show, Prince spent $15 billion to buy 40 Boeing aircraft to improve Dubai’s aviation business.

  When you go out to sea, you should also have a super yacht ~

  In addition to the expensive sea, land and air equipment, the prince also has his own pet-African lion.

  Well, there are leopards, white tigers, elephants and peacocks. . . You can open a zoo at home.

  Rich and willful, he can’t catch up with the stars.

  At that time, Jackie Chan filmed Kung Fu Yoga in Dubai. As a fan of Jackie Chan’s eldest brother, how could he not support it? With a wave of his hand, the prince lent 70 luxury cars for free, among which three supercars were the most expensive in the world.

  These limited-edition luxury cars cost millions of dollars to change the bumper casually, but who let the other side love beans? The prince said: hit it casually, and there is a spare if it is damaged. . .

  Although there is endless money, haman dan has been diligent and low-key since childhood, and he is gifted and intelligent. After finishing his private school in Dubai, he went to the Royal Military Academy in Sandhurst, England, and became an alumnus with William and Prince Harry.

  Haman dan, who is docile and low-key, was met by chance in the London underground. Netizens don’t forget to send greetings: does a famous person like you take the subway himself?

  As the super online celebrity of ins, haman dan is also an all-round prince.

  He loves sports: gliding, surfing, diving, skydiving, football and volleyball. . . No, he won’t.

  Can go to heaven.

  Can hike glaciers.

  Turning around and underwater, the "Prince’s Water Story" was truly staged.

  Water sports are also amazing.

  You can shoot a live-action version of The Prince of Tennis.

  Every moment is a big movie.

  What he is best at is equestrian. When attending the Royal Jockey Club, he looks like a handsome man coming out of an oil painting.

  He is also a frequent visitor to equestrian events. In 2006, he represented the UAE in the 15th Asian Games and won the gold medal.

  He also won the championship in the endurance race that was very affordable.

  In addition, he also called on the UAE to regain the traditional aristocratic movement-Falcon.

  Haman dan is a falcon expert, and he himself, like an eagle, is hard to tame and loves freedom and adventure.

  Haman dan likes photography. In order to train more people to play photography with him, he founded the Hamdan International Photography Award, with a prize of several hundred thousand dollars.

  And he himself is also a young literary man who loves to travel and take photos. He is simply the most frequent travel blogger who updates ins.

  Welcome the first sunshine in Paris in the morning.

  Shuttle through the valleys of the Faroe Islands.

  Sitting in a tree in Canada overlooking the forest.

  He is photographing the scenery, and he is someone else’s scenery.

  He traveled all over the world, experienced different cultures and captured the beauty of the world with his lens.

  Under his lens, he is always full of love for animals and care for the environment. Before he became a prince, he was more valuable as a natural guardian.

  But his favorite place is Dubai.

  After all, the prince’s perspective on Dubai is different from ours, so he must fly to see it.

  Such a beautiful angle must be seen by everyone.

  His favorite photo is the Burj Khalifa opposite his home.

  And the Dubai Financial Street downstairs.

  What you must do every day is to stand on the balcony at home, look out at Dubai under the clouds and gently say good morning to the world!

  On holidays, it is a greeting like a screen.

  This year’s once-in-a-century "blue moon", the prince waited at home earlier and shouted excitedly: The moon is too big tonight.

  Because there are many clouds in Dubai’s high-rise buildings, aircraft routes often rub shoulders with clouds. The prince said again, please change the course of the plane, or the clouds will not be beautiful.

  Think this is the whole life of the prince? NO!

  Haman dan is also an affectionate poet, who often publishes poems under the pseudonym of Fazza.

  In private, he is also a warm man, and he is crazy about pets. Children of nephews, nephews, friends. . . It’s basically a child’s pet.

  I believe many people will ask: he has a mine at home, has an extraordinary appearance, is friendly and versatile, and with the identity of the Crown Prince, he is definitely not single, right?

  In this regard, Xiao pin loudly emphasized three times: single! Single! Single!

  In the polygamous UAE royal family, haman dan is legendary. Not only is it very exclusive, but it also opposes polygamy. There is another romantic past on me.

  According to the royal custom, all princes have appointed engagement, and haman dan also has an engagement partner appointed by his father.

  But haman dan canceled her engagement early because she had a goddess in her heart. But under the protection of haman dan, no one knows who this woman is until now, because she refuses to marry into the royal family!

  I have to let Xiao pin sigh that this is a fairy tale plot. Besides, I am willing to marry the prince instead of her. . .

People’s Network Comment: "online celebrity" should not be reduced to vulgar "pronoun"

  Some people say that this is an era of "everything is born in red". With the development of Internet, Internet celebrities have been born, and "online celebrity" industry and "online celebrity" economy have emerged. Many teenagers even set "online celebrity" as their most desirable career in the future.

  Objectively speaking, "online celebrity" is not a scourge. In this era, standing on the Internet, pigs can fly, not to mention the "online celebrity" with something to watch and speculation. The atomization of society, the madness of entertainment, the diversity of values and the division of public opinion … … It provides the best soil for the prosperity and popularity of online celebrity. "online celebrity" can also be "the most beautiful" with three views and integrity; But once it falls into the "vanity fair" of eyeball economy, at this time, the "online celebrity" economy will be easily possessed with a little eye-catching.

  At present, "online celebrity" is full of chaos, involving drugs, violence, vulgarity, pornography, scams and rumors … … It’s hard to say, especially the live webcast. In 2016, webcasting in China developed rapidly, with more than 400 webcasting platforms in China. Some large-scale webcasting platforms have over 100 million registered users and over 10 million monthly active users. However, vulgarity, pornography and other content have been repeatedly banned. On August 27th, CCTV took "Webcast ‘ Huang ’ With ‘ Black ’ " A 15-minute special report was made on the topic. Famous live broadcast platforms such as Cat Pup, Yingke, Panda TV, Tiger Tooth and so on were impressively listed because of spreading vulgar pornographic content and cheating and interest bundling. For the sake of being red, it’s really quite a fight: the bottom line of the law is gone, and the underwear of morality is no longer worn. A few "online celebrity" use network technology as the engine to reverse civilized society for hundreds of years — — Either physical temptation, crazy racing, or obscene conversation, each of them goes further and further on the road of selling three customs.

  When shame becomes the joke of vulgarity, it’s not just children’s career aspirations that "online celebrity" brings bad effects. First, it ruthlessly dispels the core values and positive energy of this society. In Entertainment to Death, Pozmann has long expressed his warning and anxiety about the rampant pan-entertainment culture. If everything is deconstructed by the "online celebrity" culture, the boundaries between right and wrong are vague, the beauty and ugliness are unclear, how to have fun, and how to be "out of position", then online carnival will become another kind of spiritual ecstasy.

  Secondly, it provides an imposing model for bourgeois thinking such as quick success and instant benefit, mercenary and so on, and promotes and revives money worship and kitsch, which should have become rats crossing the street. Overnight fame, once profiteering, impetuous mentality in the "online celebrity" nouveau riche thinking interpretation of an alternative "peak of life." Gentle and honest civic rationality, resolute and sonorous public order and good customs will all encounter persistent provocations in the realization thinking of "online celebrity" economy.

  In addition, the "online celebrity" line, which caters blindly and only exaggerates, is also mocking the spirit and style of Chinese culture; Especially in public events and public interests, the mysterious voices and extreme words of a few "online celebrity" have harmed the security and stability of social order.

  For all kinds of "online celebrity" chaos at present, the supervision and platform should be managed, and the "online celebrity" should be self-respecting and self-reliant. Whether it is the tangible online celebrity Convention or the intangible force of rules, if the "online celebrity" and the platform can abide by the bottom line of morality and civilization, abide by the "red line" of laws and regulations, and take the initiative to assume social responsibilities under the temptation of immediate interests, they will be able to draw a new sky in the territory of "online celebrity" in China. In a word, online celebrity should not be reduced to vulgar "pronoun", and self-control and self-cleaning should become the "standard" of "online celebrity" phenomenon.