You may think that you are in good health and there will be no major problems, but you know what? Some people suddenly fell down and never woke up because of temporary excitement or fatigue. This is sudden death, an unpredictable fatal event.

There seems to be nothing wrong. Why did you die suddenly?

Is there any rule of sudden death? Is there any warning? Can we avoid it? To answer these questions, let’s take a look at a recent study.

This study was published in the journal chinese journal of critical care medicine in April, 2020, entitled "Analysis of Epidemiological Characteristics of 5,516 Cases of Autopsy Sudden Death in China". The researchers dissected the bodies of 5516 cases of sudden death and found the following important findings:

1. Emotional excitement and fatigue are the most common causes.

The study found that among the causes of sudden death, emotional excitement accounted for 26%, fatigue accounted for 25%, and blood volume change accounted for 8.95%. Other inducements include drinking, satiety and minor injuries.

2. Heart problem is the main reason.

It was found that among the causes of sudden death, cardiogenic sudden death accounted for 57.76%, pulmonary sudden death accounted for 21.63%, and brain-derived sudden death accounted for 9.21%. Sudden cardiac death is mainly caused by coronary heart disease, myocardial infarction and arrhythmia.

3. There are often some uncomfortable signals before sudden death.

It is found that people with symptoms and signs in sudden death are most often manifested as sudden attack (20.10%), rest and sleep (16.71%), followed by vomiting (7.49%), dyspnea, chest tightness and sweating, dizziness, chest pain, abdominal pain, convulsion, headache, palpitation, cough and disturbance of consciousness.

People with chronic diseases are more prone to sudden death.

It was found that hypertension (37.95%), heart disease (30.02%) and diabetes (23.79%) were the most common among those with past history. Followed by dysplasia, hyperlipidemia, tumor, infection, hyperthyroidism and so on.

5.30 ~ 63 years old is the high incidence age of sudden cardiac death.

People in this age group are at an important stage of their career and family, with high work pressure, fast pace of life, irregular diet, and addiction to cigarettes and good wine, which may easily lead to "three highs" and coronary heart disease.

How to avoid sudden death? Please do the following three points.

From these laws, we can get some enlightenment:

Middle-aged people should pay attention to controlling their emotions!

Do you often get angry and quarrel with others because of some small things? Are you sometimes so excited that you get carried away and even laugh until you cry? You may think these are normal emotional expressions, but you know what? These mood swings may bring fatal danger to your heart!

A media person once witnessed such a tragedy. Her father-in-law was taken to the hospital because of a sudden acute myocardial infarction, and survived after the rescue. However, she found that in her father-in-law’s ward, the other six patients have one thing in common: they are all quick-tempered and short-tempered, and they are emotional, angry and angry when things happen.

She learned a lesson from it: these people are all out of control because of their emotions, which leads to heart problems!

Why is emotional excitement harmful to the heart?

It turns out that when we are angry or excited, the body will secrete a lot of hormones such as adrenaline and cortisol, which will double the blood flow of the heart, strengthen the contractility of the heart and accelerate the heartbeat. At the same time, blood vessels will contract, blood pressure will increase and blood viscosity will increase. In this way, the heart will bear a greater burden, prone to arrhythmia, myocardial ischemia, chest tightness, palpitation and other symptoms. If the duration is too long or the frequency is too high, it may induce serious cardiovascular events such as angina pectoris or myocardial infarction.

Therefore, middle-aged people should learn to adjust their emotions and maintain peace. Don’t vent or suppress things that don’t go your way, but find a suitable way to release the pressure. For example, you can chat with friends, listen to music, do sports and read books. This can not only relax the body and mind, but also enhance the physical fitness, which is beneficial to the heart.

Middle-aged people should rest moderately and avoid overwork!

Are you often so busy with work and family that you even ignore your physical discomfort? You may think it’s your responsibility and responsibility, but you know what? This lifestyle may make your heart stop beating at any time!

Research shows that many sudden deaths have experienced high pressure, long-term and high-intensity working conditions. This kind of work will make your sympathetic nerves overexcited, leading to heart overload, arrhythmia and myocardial ischemia. If the duration is too long or the frequency is too high, it may lead to fatal cardiovascular events such as arrhythmia or myocardial infarction. Some people die suddenly because of working overtime overnight, mood swings and nervous stress, which leads to neurological dysfunction, coronary artery spasm and sudden stop of blood supply to the heart.

Therefore, middle-aged people should arrange their work and rest reasonably, don’t be overworked, and don’t stay up late to hurt themselves. It is necessary to do some aerobic exercise properly to relax and enhance physical fitness. It is necessary to have a regular physical examination to find and treat chronic diseases in time. Keep good living habits and stay away from alcohol, tobacco and greasy food. Only in this way can you protect your heart from the threat of sudden death.

Middle-aged people should pay attention to body signals and seek medical treatment in time!

You may not know that before sudden death, your body actually gave you many warnings. If you can find and deal with it in time, it is possible to avoid the tragedy.

So, what are the signals before sudden death? According to research, the most common symptom before sudden death is chest discomfort, which mainly has the following three manifestations:

Angina pectoris. This is a feeling of pain or oppression in the chest or precordial area, which usually lasts less than 15 minutes and is often accompanied by dysphagia or chest tightness. This is caused by heart ischemia and hypoxia.

Flustered. This is a feeling of rapid or irregular heartbeat, which usually lasts less than 10 minutes and is often accompanied by discomfort such as chest tightness, fatigue and dizziness. This is due to cardiac electrophysiological dysfunction.

Low blood pressure. This is a state in which blood pressure drops below the normal value, which generally lasts less than 5 minutes, and is often accompanied by symptoms such as cold sweat and dyspnea. This is because the pumping function of the heart is weakened.

These signals mostly occur after physical activity, emotional excitement or satiety. If they can be relieved after rest, it means a mild heart problem. However, if it still doesn’t improve after rest, or there are frequent or persistent signals, it means that it is a serious heart problem and needs immediate medical attention.

In addition to these signals, there are some less obvious signals, such as left arm pain, sore throat or toothache. These signals may be nerve reflexes caused by heart problems, which also need attention.

In short, middle-aged people should pay special attention to their physical changes. If there is any chest discomfort, dull pain or fatigue, they should go to the hospital for examination in time and don’t take it lightly. Only early detection and treatment of heart problems can effectively prevent and reduce the risk of sudden death.

Paper materials: Analysis of Epidemiological Characteristics of 5516 Cases of Autopsy Sudden Death in China, chinese journal of critical care medicine Journal in April 2020.

Original title: "Doctors dissected more than 5,000 cases of sudden death and found that people who died suddenly had these rules! 》

Read the original text

Beijing Medical Insurance No.41 [2022].

The medical insurance bureaus of all districts, the Social Affairs Bureau of Beijing Economic and Technological Development Zone, and the designated medical institutions:

　　In order to continuously improve people’s sense of gain, happiness and security in medical treatment settlement in different places, according to the spirit of the Notice of the National Medical Insurance Bureau and the Ministry of Finance on Further Improving the Direct Settlement of Medical Treatment in Different Provinces of Basic Medical Insurance (No.22 [2022] of Medical Insurance), this Municipality further improves the direct settlement of medical treatment in different provinces of basic medical insurance (hereinafter referred to as direct settlement) and regulates the management of direct settlement services. The relevant matters are hereby notified as follows:

　　First, improve the direct settlement policy

　　(a) unified hospitalization, general outpatient and outpatient chronic diseases direct settlement fund payment policy. The medical expenses for inpatient, general outpatient and outpatient chronic and special diseases directly settled by the insured shall, in principle, implement the payment scope and relevant regulations (payment scope of basic medical insurance drugs, medical service items and medical consumables) stipulated by the insured place, and implement the relevant policies such as the basic medical insurance fund Qifubiaozhun, payment ratio, maximum payment limit and outpatient chronic and special diseases.

　　(two) to clarify the scope of medical records in different provinces. Insured persons in this city can apply for inter-provincial medical record when they need medical treatment in different places. After the record, the insured persons can enjoy direct settlement service in the inter-provincial networked designated medical institutions where medical treatment is filed.

　　(3) Standardizing the validity period of inter-provincial medical records in different places. Insured persons in this Municipality may, when filing medical treatment in different places across provinces, choose their own effective period of filing according to actual needs, and the effective date and deadline of filing shall be subject to the date of system registration. When the insured person’s place of filing for medical treatment or unit, insurance type and other insured relationships change, it is necessary to go through the filing procedures again, and the original filing validity period will automatically expire after re-filing.

　　(4) It is allowed to re-submit medical records in different provinces and places, and the injured insured without third-party liability can enjoy direct settlement services. Before the settlement of the insured’s inter-provincial medical treatment in different places, the inter-provincial networked designated medical institutions shall provide direct settlement services for the insured. If the insured person who goes to different provinces for medical treatment goes through the filing formalities according to the regulations after being discharged from hospital at his own expense, he can apply for manual reimbursement of medical insurance according to the regulations of the insured place. At the same time, the medical expenses of trauma without third-party liability that meet the management regulations of medical treatment places can be included in the direct settlement scope.

　　Two, standardize the direct settlement management services

　　(a) simplify the inter provincial medical record. Insured persons in this city need to go through the inter-provincial medical record before seeking medical treatment in different places. The filing procedures can be handled through online and offline channels, such as the national medical insurance service platform APP, the national remote medical filing applet, the the State Council client applet or the window of each district agency, by registering my information and signing a personal commitment letter.

　　(two) clear the scope of direct settlement. When the insured persons in this city apply for medical treatment in different provinces for the record, in principle, the medical treatment place only needs to be put on record in the co-ordination area where the medical treatment place is located. All the inter-provincial networked designated medical institutions in the co-ordination area for the record medical treatment are designated medical institutions for the insured persons in different places, and they can enjoy hospitalization, general outpatient service or direct settlement service for drug purchase. The insured persons in this city who seek medical treatment for special diseases in different provinces need to be filed with the designated medical institutions at the place where they seek medical treatment. In principle, two designated medical institutions can be selected for a special disease, and they can seek medical treatment in the inter-provincial networked designated medical institutions that have opened the direct settlement service for corresponding outpatient chronic and special diseases, and the treatment expenses related to special diseases can enjoy direct settlement service.

　　(three) standardize the insured to medical insurance electronic certificate, social security card. Insured persons who seek medical treatment in different places across provinces should take the initiative to show their insured status in the designated medical institutions networked across provinces where they seek medical treatment, and produce valid certificates such as medical insurance electronic certificate or social security cards. Inter-provincial networking designated medical institutions should do a good job in the authentication of insured persons in different places, guide those who have not filed for the record to go through the filing procedures in time, and provide reasonable and standardized diagnosis and treatment services and convenient and fast settlement services for insured persons who meet the requirements of medical places.

　　(4) Standardize the direct settlement process. When medical treatment is directly settled in different provinces, the medical treatment place should upload the cost information to the national medical security information platform according to the unified requirements of the state for direct settlement between designated medical institutions and insured persons connected across provinces. If it cannot be settled directly for some reason, the inter-provincial networked designated medical institutions should also upload medical expenses details, diagnosis and other medical information, and support the pilot online processing of manual reimbursement.

　　(five) the unified management of medical treatment. Medical insurance agencies at all levels should bring medical personnel from different places into the unified management of this Municipality, and provide the same services and management as the insured in this Municipality in terms of medical information recording, performance appraisal, medical behavior monitoring, cost audit, total budget, etc., and make it clear in the medical security service agreement of designated medical institutions; Explore the application of medical insurance payment reform in medical settlement in different places, and guide designated medical institutions to make reasonable diagnosis and treatment.

　　(six) to strengthen the collaborative management of medical services across provinces. Medical insurance departments at all levels should gradually improve the working mechanism, form a coordinated management system of inter-provincial medical services in different places with clear division of labor, clear responsibilities and unified processes, and comprehensively improve the coordinated management ability of inter-provincial medical services in terms of problem coordination, online reimbursement, cost investigation and information sharing.

　　Three, strengthen the management of medical funds across provinces and different places.

　　The medical insurance fund payment part of the inter-provincial medical expenses in different places shall be paid in advance and then liquidated. Inter-provincial medical expenses in different places shall be settled in full on a monthly basis in accordance with the unified national clearing method. The municipal medical insurance agency and the municipal finance department shall, in accordance with the detailed rules for the implementation of direct settlement of medical treatment in different provinces of Beijing (Annex), coordinate in the allocation and collection of clearing funds. Bank charges and bank bill fees incurred in the process of allocating funds for medical treatment in different provinces shall not be charged in the fund. The interest generated by the advance payment in the financial special account of the medical treatment place belongs to the medical treatment place.

　　Fourth, improve the support for standardization of medical insurance informationization

　　(a) continue to deepen the national unified medical insurance information platform for the whole business process application. Medical insurance departments at all levels should solidly promote the dynamic maintenance and deepening application of coding in accordance with the unified national norms and requirements, improve the management system of medical insurance operation and maintenance of information technology, continuously improve the level of medical insurance data governance, and provide strong system support for direct settlement.

　　(2) Continue to optimize and improve the system. Medical insurance departments at all levels should constantly optimize system performance, reduce response time and effectively improve the direct settlement experience of insured persons in accordance with the unified national interface standards and specifications. When the medical insurance system stops and switches, it should be reported in advance, verified in the process and monitored afterwards to ensure that the data migration is timely, complete and accurate, to solve the influence of information changes such as personal number on the business in transit, and to ensure the smooth connection of business and the stable operation of the system.

　　(3) Strengthen system operation and maintenance management and security. Medical insurance departments at all levels should continue to build professional and reliable operation and maintenance management teams, build operation and maintenance management processes in infrastructure, network security, cloud platforms, business subsystems and other fields, and form a scientific and effective operation and maintenance management system. Implement safety management responsibilities, improve system safety operation and maintenance capabilities, strengthen information system boundary protection, prohibit cross-provincial networked designated medical institutions from connecting the information system of medical insurance system to the Internet, standardize cross-provincial medical identity verification, and ensure data security. Standardize the quality control standard of abnormal transaction error information, classify the problems, describe the reasons of errors concisely and easily, facilitate the problem location of abnormal transactions, and respond to them in time.

　　Five, strengthen the supervision of direct settlement funds

　　Medical insurance departments at all levels should earnestly implement the regulatory responsibilities of medical treatment places and insured places. As a place for medical treatment, direct settlement should be regarded as the key content of daily supervision, special inspection and flight inspection, and all kinds of fraudulent insurance fraud should be severely cracked down. At the same time, it is necessary to cooperate with medical insurance departments in different places to do relevant verification; As an insured place, it is necessary to regularly analyze the use of medical insurance funds across provinces and different places, accurately lock the clues of suspicious problems, and actively carry out problem verification to ensure the safe and rational use of medical insurance funds.

　　Medical insurance departments at all levels shall, in accordance with the spirit of this circular, take direct settlement as an important task to deepen the reform of the medical security system, strengthen organizational leadership, coordinate and promote, and do a good job in publicity and training to ensure a smooth transition of direct settlement in this Municipality.

　　This notice shall be implemented as of January 1, 2023. If the previous documents are inconsistent with this notice, this notice shall prevail.

Beijing Municipal Medical Security Bureau　　　　

December 30, 2022　　

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.

　　　　　　 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).

　　　　　　 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.

　　　　　　 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.

　　　　　　 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. "

　 　 　 　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

(Click to enlarge, the same below)

Emergency procedures for adult cardiac arrest

Opioid-related emergency procedures for non-professional emergency personnel

Opioid-related emergency procedures for medical staff

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

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

ACLS flow chart of pregnant women with cardiac arrest in hospital

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

Flow chart of cardiac arrest in children

Flow chart of bradycardia in children with pulse

Flow chart of pulse tachycardia in children

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

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.

　　Xinhua News Agency, Beijing, October 30 (Reporter Zhang Xiao, Lu Chang) On October 30, the Beijing Municipal Transportation Commission, the Public Security Traffic Management Bureau of the Beijing Municipal Public Security Bureau and the Beijing Municipal Bureau of Ecology and Environment issued and implemented the Notice on Taking Temporary Traffic Management Measures to Deal with Heavy Air Pollution.

　　The circular mentioned that in order to cope with heavy air pollution and protect public health, in accordance with the provisions of the Beijing Emergency Plan for Heavy Air Pollution (Revised in 2023), when the emergency headquarters of Beijing issued a red and orange warning for heavy air pollution, temporary traffic management measures were taken for motor vehicles (including vehicles with temporary license plates) driving on roads within the administrative area of Beijing.

　　The circular shows that during the red warning period of heavy air pollution, the official vehicles of party and government organs at all levels in Beijing, social organizations, institutions and state-owned enterprises affiliated to Beijing will stop driving for 30% of the total number of vehicles on the basis of single and even number driving measures. Construction waste, muck and gravel transport vehicles are prohibited from driving on roads within the administrative area of Beijing all day (except pure electric and hydrogen fuel cell vehicles). Light gasoline vehicles (including driving school coaches) with national emission standards 1 and 2 are prohibited from driving on roads within the administrative area of Beijing all day. From 3: 00 to 24: 00 every day, motor vehicles (including driving school coaches) with emission standards of Grade III and above will be driven on a single day and even days according to the tail number of the license plate (odd numbers are 1, 3, 5, 7 and 9, and even numbers are 2, 4, 6, 8 and 0), and motor vehicles with English letters at the tail number of the license plate will be managed as No.0; At the same time, Beijing suspended the implementation of regional traffic management measures during peak hours of working days; However, from 7: 00 to 9: 00 and from 17: 00 to 20: 00 on weekdays, motor vehicles from other provinces, autonomous regions and municipalities are prohibited from driving on roads within the Fifth Ring Road in Beijing (including the Fifth Ring Road). Diesel trucks with national four emission standards issued by Beijing Municipality with license plates (including temporary license plates) are prohibited from driving on the road (except those confirmed by relevant administrative departments to ensure the transportation of production and living materials in this city and transport fresh agricultural products in whole vehicles).

　　The circular also stipulated temporary traffic management measures during the orange warning period of heavy air pollution and the types of motor vehicles in Beijing that are not restricted by the circular. The circular reminds that during the period of taking temporary traffic management measures, other traffic management measures in Beijing are still valid except for the implementation of the provisions of this circular. The Beijing Municipal Public Security Traffic Management Department will deal with motor vehicles driving in violation of regulations according to law.

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 parking、Zero tire pressure endurance tire、Automatic parking、Steep slope descent、hill start assist control、knee airbag、HUD head-up display、Anti-lock braking (ABS)、Braking force distribution (EBD/CBC, etc.)、Brake assist (EBA/BAS, etc.)、Traction control (ASR/TCS, etc.)、Active noise reduction、Engine start and stop、Side safety air curtain、Wireless charging of mobile phone、night vision system、LED daytime running lights、Forward reversing radar、Tire pressure monitoring、Steering wheel heating、Body stability control (ESP/DSC, etc.)、Rear reversing radar、Fatigue reminder、Remote parking、Child seat interface、Lane 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.

Jing Jian Fa [2022] No.121

District People’s governments, relevant departments and units:

　　The year 2022 is a crucial year for the comprehensive promotion of the "14 th Five-Year Plan" work. In order to speed up the establishment of a housing security system with multi-agent supply, multi-channel security and simultaneous rent and purchase, we will do a solid job in the construction of affordable housing during the "14 th Five-Year Plan" period. With the consent of the municipal government, the construction plan of the first batch of affordable housing projects in 2022 is issued to you, please implement it carefully. The relevant work requirements are as follows:

　　First, strengthen plan management

　　(1) the commencement plan. There are 71 projects included in the commencement plan and about 77,400 houses, including 51 projects planned to start in 2022 and 51,500 houses; There are 20 projects and 25,900 sets of houses to promote the preliminary procedures. Among the projects to be started during the year, there are 1 public rental project, about 1,400 sets, 23 guaranteed rental projects, about 23,000 sets (including 7 collective rental projects, about 13,200 sets, 11 competitive construction projects, about 2,400 sets and 5 other projects, about 7,400 sets), and 22 resettlement projects, about 23,300 sets.

　　(2) Completion plan. There are 61 projects included in the completion plan, with 77,500 houses. From the room type, there are 0.51 million public rental houses, 0.9 million collective rental houses, 10,100 property houses, 52,500 directional resettlement houses, 0.700 price-limited commercial houses and 0.600 affordable housing. For projects that are included in the commencement plan of each district, the requirements of Beijing Urban Master Plan (2016 -2035) should be strictly implemented, the planning conditions should be stabilized as soon as possible, and the site should be cleared, especially for collective land rental housing projects and resettlement housing projects involving people’s turnover. All districts should further strengthen overall coordination to ensure that construction can be started in an all-round way before the end of the year. For projects included in the completion plan, we should focus on the project quality, completion acceptance, clear completion schedule and delivery as scheduled.

　　Second, strengthen the main responsibility

　　The district governments are the first responsible subjects for the implementation of the project plan, so they should strictly implement the main responsibilities and organize the start, completion and commissioning of the projects in this district in a safe and orderly manner. Do a good job in land acquisition, demolition and house expropriation in accordance with the law and regulations, and create conditions for the project to enter the site. Supervise the project unit to actively implement the main responsibility of the project construction, implement it in strict accordance with the planning approval documents, maintain the seriousness and authority of the planning, and scientifically formulate the project time limit plan and capital investment arrangement. Guide and supervise the project units to bid for planning, construction and other procedures in time, and realize the "closed-loop management" of examination and approval. Take the lead in organizing the implementation of municipal infrastructure around the project, take the lead in organizing the handover and reception of public service facilities of the project, and ensure that the project is delivered on schedule.

　　It is necessary to actively implement the opinions of the Central Economic Work Conference and the General Office of the State Council on accelerating the development of affordable rental housing (Guo Ban Fa [2021] No.22) and Beijing’s implementation plan on accelerating the development of affordable rental housing (Jing Zheng Fa [2022] No.9). During the "Tenth Five-Year Plan" period, we will effectively increase the fundraising for the construction of affordable rental housing, and on the basis of further increasing centralized new construction and allocation, through reconstruction, transformation and standardization. It is necessary to improve the ideological position, fully understand the importance and necessity of raising funds for the construction of affordable housing, and ensure the completion of the annual task.

　　Third, speed up the formalities for examination and approval

　　All relevant departments in urban areas should continue to optimize the examination and approval process, speed up the project procedures, establish the city’s awareness of optimizing the business environment, conscientiously implement the requirements of optimizing the examination and approval system for affordable housing, classify and simplify the examination and approval according to the land supply mode, speed up the relevant procedures such as planning permission and construction permit for construction projects, and work together to promote the project to start as soon as possible. For projects such as "one meeting and three letters", under the premise of ensuring that the project starts and is completed on schedule, we should improve the procedures of land supply and property rights handling as soon as possible, and ensure that the government land revenue is fully in place for projects involving paid land transfer.

　　Fourth, improve the quality of construction

　　Adhere to high starting point planning and design, high-quality construction and high-quality management, and strictly implement the expert review system. Strengthen post-event supervision, establish a positive and negative list system for construction and design units, and reward the excellent and expose the bad. All kinds of affordable housing should strictly implement the relevant construction standards, create livable green residential areas, implement assembly-type construction according to the policy, hand over the finished products, implement the system of model rooms and pre-inspection, and build high-quality and high-quality projects.

　　Strengthen the quality control in the construction process of affordable housing, and implement the insurance for potential defects in project quality. The urban housing and construction department will further strengthen the supervision and enforcement of affordable housing and the frequency of supervision and inspection, strictly supervise the time sequence of the project, do a good job in the supervision of project quality and safety, focus on the supervision and inspection of foundation, main structure and use function, and find out that there are quality hidden problems such as falling off the insulation layer of the external wall and cracking the wall, and deal with them severely according to law. To implement the Interim Measures for the Administration of Insurance for Potential Defects in Housing Project Quality in Beijing (Beijing Zhengban Fa [2019] No.11), all construction units shall insure the insurance for potential defects in project quality as required, and strengthen the management and protection of hidden dangers in affordable housing quality.

　　V. Accelerate the construction of supporting facilities

　　District governments should strengthen pre-judgment, increase investment, determine the main body and scheme design of supporting municipal infrastructure construction as soon as possible, implement funds, focus on dispatching areas with outstanding supporting facilities, and control them throughout the construction period. In particular, collective land rental housing projects should focus on the surrounding municipal supporting construction. If the land is clearly built by the construction unit in the conditions of open land transaction, it is necessary to strengthen supervision and management and implement it in strict accordance with the agreed conditions. Municipal professional companies and the main body of affordable housing construction should give priority to investment, speed up organization and implementation, and ensure that municipal infrastructure and policy housing projects are started and put into use simultaneously.

　　For all kinds of municipal infrastructure and residential public service facilities for the construction of affordable housing projects, the district governments should urge the relevant units to carry out timely completion and acceptance, and take the lead in organizing the handover and reception work to ensure timely operation. Resolutely avoid the situation that the supporting facilities are imperfect or not handed over, which will affect the occupancy and delivery of the project.

　　Sixth, strengthen overall coordination

　　The district governments should make overall plans to promote the construction of the project, and the relevant departments of the district should give guidance to form a joint force to accelerate the work of project establishment, planning and design, and approval of construction permit procedures.

　　For the key and difficult issues that need to be coordinated by the relevant municipal departments in the process of work promotion, each district can report to the municipal departments for research and handling according to the division of responsibilities. The relevant departments of the city should effectively increase support and guidance to ensure the smooth progress of the annual construction plan and the smooth start and completion of the project.

　　Seven, increase the intensity of information disclosure

　　All districts should strictly follow the requirements of government information disclosure and earnestly do a good job in information disclosure of affordable housing construction. At the same time, we should take further effective measures to actively accept social supervision, and invite NPC deputies, CPPCC members, citizens and the news media to participate through activities such as "site open day" to further expand the public’s right to know, participate and supervise.

　　I hereby inform you.

　　Annexes: 1. Table to be included in the construction plan of the first batch of affordable housing in 2022.

　　　　　2 to be included in the first batch of affordable housing completion plan in 2022.

Beijing Municipal Commission of Housing and Urban-Rural Development　　　　

beijing municipal commission of development and reform　　　　

Beijing Municipal Commission of Planning and Natural Resources　　　　

April 21, 2022　　

　　Cctv newsOn March 30th, the the State Council Joint Prevention and Control Mechanism held a press conference. The relevant person in charge of the Ministry of Industry and Information Technology introduced the situation of the manufacturing industry’s resumption of production and answered questions from reporters.

　　journalistThe industrial chain of electronic enterprises is relatively long. What is the current situation of this kind of enterprises returning to work and production? What measures will be taken to support the coordinated resumption of production in the industrial chain?

　　Xu Kemin, Director of Industrial Policy and Regulation Department of Ministry of Industry and Information TechnologyAt present, the average re-employment rate of the electronic information industry has reached 95%. From the perspective of key enterprises, the re-employment rate of SMIC, BOE, Huaxing Optoelectronics and other enterprises has exceeded 90%; Huawei has resumed work in an all-round way, and the compound yield is stable at 90%; 810,000 people have resumed work in 27 major factories of Foxconn, with an overall resumption rate of 93.7%. Nearly 100 core supporting enterprises have resumed work and production, which has driven more than 10,000 small and medium-sized enterprises in the upstream and downstream to resume work and stabilize the global supply chain. From the perspective of major projects, major projects such as Changjiang Storage, Changxin, Huaxing Optoelectronics and Visionox are progressing smoothly.

　　The electronic information industry has the characteristics of a long industrial chain, which is highly dependent on the supply chain system. The upstream and downstream enterprises in the industrial chain need to work together to resume production. In this regard, the Ministry of Industry and Information Technology has mainly taken three measures: First, providing accurate services for enterprises. Establish "early communication" with key enterprises — The "late feedback" mechanism, through telephone, WeChat and video conference, can grasp the first-hand situation and enterprise demands in real time, coordinate and solve problems in a targeted manner, and provide accurate services.

　　The second is to promote the resumption of production across regions and the entire industrial chain. Establish a cross-regional daily coordination and communication mechanism, guide local authorities at all levels to solve the problem of enterprises returning to work in real time, and follow up and implement them one by one. For example, in some areas, three-level work classes have been set up in provinces and cities. In solving the problem of returning to work, foreign employees are brought back to work through special trains and buses, and professional forces are coordinated to conduct nucleic acid testing on isolated employees, providing isolated buffer dormitories.

　　The third is to coordinate and solve the demand for epidemic prevention materials. Help enterprises coordinate the urgent need for epidemic prevention materials such as forehead temperature guns, automatic thermometers and masks. At the same time, promote enterprises to use the Internet, big data, cloud computing, artificial intelligence and other new generation information technology means to ensure the resumption of work and production.

"Overhead Generation": How far are we from the real world?

Brush the sense of existence in the WeChat movement, find love in online novels, and achieve "the glory of the king" &hellip in the game; … When Wifi becomes the "underlying demand", real life is constantly being "binarized". In the overhead world of "I share, therefore I am", people are more closely connected and convenient; But in reality, people are increasingly alienated, lonely and anxious. This is your life and mine. Is it really "overhead"? How far are we from the real world?

Youth stuffed with net articles and "eat chicken"

At 2: 30 in the morning, Hu Xin, a "post-90 s" youth, sent a team invitation in the "Eat Chicken" group. Within ten minutes, three group friends responded quickly. Near three o’clock, the whole city was silent, but four young people lit up their screens and put on headphones in their respective corners, once again immersed in the game world.

"Eat Chicken", which Hu Xin and his teammates are keen on, is a mobile phone game that has recently become popular among young people. A variety of game circles are more magical than the so-called "magic capital" that these young people live in. "All kinds of game groups are day and night." Hu Xin told reporters who talked for half a month that in the dozen game groups she formed or joined, there were many late-night drinks and team brushing games; It is not uncommon to take screenshots all night.

In the daytime, another group of people "took over" to discuss raiders and cheats. In reality, these young people who play tricks online and chat for hours every day have different careers, and they live far apart, so they may never meet for the rest of their lives. But in the game, they fight side by side every day, share jargon that only people in the circle understand, and become the most like-minded playmates.

Hu Xin is regarded as an ashes player among his peers, from simple "eliminating pleasure" to once-popular "the glory of the king" and "Master of Yin and Yang", and then to the newly-popular "Jump" and "Eat Chicken". "What makes people addicted is not a specific game, but the feeling of being immersed in another world. Whether you lose your job today, break up, or have no money to pay the rent, all the troubles in reality can be forgotten. " She said.

"Even if it is not a game, it is also other virtual entertainment. My hobby is going to Jinjiang to catch up with online articles, and one of my roommates spends an hour or two brushing Tik Tok every night, without brushing or sleeping. " Wu Li, a graduate student, said.

Jinjiang and Tik Tok, which Wu Li and her roommate are keen on, are in the limelight in the online world and short video apps. According to reports, Tik Tok, a short video software launched in 2016, has now played more than 100 million videos per day. Jinjiang Literature City, which is known as "the largest female literature base in the world", is an evergreen tree in the "literary circle" — — It claims that there are 2.2 million daily registered fixed users, and more than 10,000 registered users are added every day.

Wu Li is a staunch member of these 2.2 million people. She has a history of pursuing literature for nearly 10 years, and she talks about "crossing", "Xian Xia" and "fantasy", which sounds like a few treasures to laymen. Wu Li said that online platforms such as Jinjiang will launch lists of TOP100 and TOP200 hits on a monthly and quarterly basis. When I am most obsessed, the list of books on the list can be read before the next update.

"It’s really getting up, eating, and lighting a flashlight. Several times, I took the subway and used my mobile phone to chase the text. I sat in the station, fell back and took the subway in the opposite direction, and then chased the text. As a result, I passed the station. " Wu Li said.

Lu Songsen, an 80-year-old special-grade teacher in Jiangsu Province, said with emotion that today’s students are inseparable from mobile phones and social networks. They chat and joke online, instead of going out to play in groups like children used to.

According to statistics on the Internet, as of 2012, all players have spent a total of 5.92 million years on the online game World of Warcraft, which is equivalent to the evolution of the entire human species.

It seems to be stuffed, but it is actually overhead.

Like a miserly businessman, the Internet has given convenience to a generation of young people, but at the same time, it is also quietly asking for it in its own way. Some young people who deeply "touch the net" find that with the deepening of "secondary element", their connection with the real world has been gradually overhead.

— — Virtual beauty, reality a chicken feather. Huang Yu, who works in a logistics company, summed up the pleasure brought by the game as "a sense of accomplishment in sharp contrast with reality". Even though I am not as capable as you in real life, I KO you more times in the game and rank higher than you.

Others like "life in a circle of friends" "I can’t help but send a circle of friends for 3 seconds every day, and I want to see who has commented." Zhao Xinzhi, who works in a public institution, has become accustomed to the life of "taking photos before meals and taking selfies must be beautiful". In her opinion, whether it is true or not, as long as it is a "winner in life" in the circle of friends.

— — Virtual social overhead emotional needs. More and more young people are addicted to ambiguous virtual friendship and love. Shanghai Doumeng Technology once conducted a user survey for 1,000 post-90s generation, asking: Who are your real friends among classmates, friends and relatives and gay friends who met through online reading? Results More than 90% people choose people they know in the virtual world, because they firmly believe that people in the virtual world know their joys and sorrows better.

Wu Li also found that the "literary circle" around him is almost equal to the single circle. As a little girl in her twenties, the single rate who is keen on reading online novels exceeds 70%. This ratio is significantly higher than other girls of the same age and environment.

The high single rate of women who pursue literature is not only because reading books consumes social time. More importantly, online texts and online dramas will create a set of "pink world" with a strong sense of substitution. Girls who are used to seeing all kinds of overbearing presidents and black-bellied affectionate heroes can easily live in this world where perfect men are ready to save ugly ducklings and girls everywhere, but they don’t care about the real world.

"The virtual world really fills the emotional needs of young girls and makes us less eager for love and family." Wu Li described that many girls around him hold the view that money can be earned by themselves and life can be lived by themselves. If you can’t find a better person than the online man, why should you fall in love?

— — The more noisy the online life is, the more lonely the real life is. Lei Gang, a young man born after 1985, lives in Nanjing. Every day, his family is like this: he goes home for dinner on weekdays, puts on his headset to play games, and his wife watches TV and brushes online dramas in the living room. Under the same roof, sometimes I can’t say two words in one night.

"I also feel that it has always been so bad, but it is difficult for both parties not to play or watch at the same time. The later, the more difficult it is to find another lifestyle. "

Lei Gang said that not only the couple, but also their parents and colleagues are more or less troubled by spending more time on the screen and less real face-to-face communication. At family gatherings, each family grabs a red envelope with his mobile phone, and the old man has no chance to talk to his children. Colleagues chat enthusiastically in QQ group every day, but once they meet, they are like strangers, and they don’t know what to say to each other. "Social networks make people thousands of miles away close at hand, but at the same time, people who are close at hand are increasingly alienated."

In recent years, there is a kind of "phone phobia" which is especially suitable for WeChat and QQ communication, but it is a "symptom" when the phone rings. Although there is no accurate conclusion yet, some followers believe that from "fear of meeting" to "fear of voice", the real communication and emotional ties between people are being dissolved and evacuated.

What is overhead is not only reality, but also the mind.

"The Internet provides an exit to escape from reality at any time. In the virtual space, it is easier for people to build their ideal selves, and social interaction becomes simpler, more friendly and more arbitrary." Dong Yizhi, a lawyer in the field of Internet investment finance, believes that many of the words spoken on social networks are for himself. Brushing the track and showing the daily life every day is actually brushing the sense of existence. The reason for this may be that it is difficult to find like-minded people in real organizations, or some real demands cannot be met in time.

"In this seemingly overhead world, people can vent their unconscious tension and anxiety." Dr. Tao Xinhua, the first supervisor of the psychological consultation registration system of the Chinese Psychological Association, said that the impact of scientific and technological innovations such as the Internet on people’s lives has two sides: on the one hand, it better meets people’s living needs, on the other hand, when the needs are over-satisfied and uncontrolled, it will destroy life.

"This is not the result of technological innovation such as the Internet ‘ Side effects ’ However, scientific and technological progress has disrupted the balance of people’s lives, and they are not used to and adapt to the rapid development of science and technology. " Tao Xinhua said.

Lu Songsen, an old teacher, is very worried about the younger generation, especially underage children. Because of the lack of interaction with nature, the immune function will not develop completely. "The overhead of the real world is essentially the disconnection between knowledge and people’s literacy, the disconnection between young individuals and society, and the disconnection between knowledge and action, which makes children unprepared and have insufficient ability to adapt to and cope with the rapid development of science and technology."

As Turkel expressed in the book Group Loneliness, scientific and technological innovations such as the Internet have brought us this new type of loneliness, but this is not the fault of the Internet. On the contrary, the real problem is that we are not fully prepared for the arrival of the Internet.

"People’s desires are infinite, but their abilities are ultimately limited. What is important is to find the true self in their hearts and find their own position in real life." The interviewed experts suggested that it is more important than anything to go out for a walk and play, to embrace nature again in the real world, to establish a thick and intimate social relationship, and to plan a healthy lifestyle to adapt to the new era.

After all, everyone’s specific life is unique, which can’t be replaced by others, and it is impossible to make up for it in the future. Just as Ready Player One, a popular movie recently, said, return to reality and don’t escape, because reality is the only real existence. After all, "the game is always virtual, and only in the real world can you have a full meal." (Talk to reporter Pan Wei and Wang Jue for half a month)