1% to 10%, break through! Aiming at overseas "track" enterprises to usher in new business opportunities and new development

  CCTV News:At the beginning of 2024, in Zhejiang, a major foreign trade province, many enterprises have embarked on a new journey of "going out to sea" to grab orders. Not long ago, Zhejiang released the foreign trade data of the whole province in 2023. In 2023, the total import and export volume of Zhejiang reached 4.90 trillion yuan, a year-on-year increase of 4.6%. Among them, the export was 3.57 trillion yuan, an increase of 3.9%; Imports reached 1.33 trillion yuan, up 6.7%.

  Zhejiang Province proposes that it will do everything possible to stabilize foreign trade and optimize foreign investment, continue to lay a good combination of "stabilizing expansion and adjustment", further promote the action of "thousands of enterprises expand the market to increase orders", and cultivate new foreign trade formats and models such as overseas warehouses and digital trade to ensure that the share of exports in the country is basically stable. In the new year, Zhejiang government and enterprises joined forces to seize the start, laying a solid foundation for new achievements in foreign trade in the new year.

  In the past 10 years, the company has seized the opportunity of the rapid growth of textile and garment industry in the countries that jointly built the "Belt and Road", done a good job in market segmentation according to the market characteristics of the countries that jointly built the "Belt and Road", and established extensive cooperative relations with customers in the countries that jointly built the "Belt and Road".

  Just over 8,000 kilometers away in the China-Egypt TEDA Suez Economic and Trade Cooperation Zone, the first overseas factory of Caidie’s "Belt and Road" countries has officially laid the foundation stone. Compared with Butterfly, China Jushi, located in Tongxiang, Zhejiang Province, has taken the lead in setting up factories overseas in the Belt and Road Initiative.

  In 2012, China Jushi set up a factory in Egypt. In 10 years, Jushi Egypt’s glass fiber production capacity jumped from 80,000 tons to 340,000 tons. The rich local mineral resources and human resources have been effectively utilized, which directly promoted local development and directly created more than 2,000 local jobs.

  Enterprises are in action and the government is not idle. In 2024, Zhejiang Province will launch a new round of "thousands of enterprises" to expand the market and increase orders. In the first quarter, the province planned to organize 385 delegations, and planned to organize more than 4,000 enterprises with more than 6,000 people, including 128 delegations in January, with more than 1,500 enterprises planned. In 2024, we will strive to organize more than 1,000 delegations and more than 10,000 enterprises in the province to expand overseas and support more than 100 provincial-level key exhibitions.

  In 2023, Zhejiang’s foreign trade withstood multiple pressures such as sluggish external demand and falling prices, and its import, export and import all achieved positive growth. The bright data also shows that the diversified expansion of Zhejiang enterprises in the trade market is effective, and emerging markets are gradually becoming mature markets.

  According to statistics, in 2023, Zhejiang imported and exported 2.55 trillion yuan to countries that jointly built the "Belt and Road", an increase of 8.2%, accounting for 52.1% of the province’s total import and export value, and contributing 89.5% to the province’s import and export growth.

  The "second generation of factory" has undergone drastic transformation and upgrading, and foreign trade has made new development.

  As a big province of private economy, Zhejiang’s "private foreign trade" has distinct characteristics. The data shows that Zhejiang private enterprises continue to play the role of "ballast stone" in stabilizing foreign trade. In 2023, the number of private enterprises with import and export performance in Zhejiang exceeded 100,000 for the first time, reaching 102,000, and the total import and export accounted for more than 80% of the province’s foreign trade for the first time, driving the province’s foreign trade growth rate by 5.6 percentage points.

  Behind the development of private foreign trade, the reporter found that from the early days of reform and opening up, private enterprises developed and expanded, and the older generation of factory directors seized the opportunity to save their family business to the period of transformation of old and new kinetic energy. A group of "post-80 s" and "post-90 s" young people took over the baton of their parents and became the "second generation of factories". Facing the current complicated foreign trade situation and the new environment of traditional manufacturing industry, how did they break through the trend?

  Ke Qiao, Shaoxing, Zhejiang is the largest textile trade distribution center in the world. With the change of economic environment, the cost of labor and raw materials has risen sharply, but the order volume has dropped sharply.

  Shao Lingbin, the second generation of the factory, took over the enterprise in 2016. When it first took over, the enterprise still followed the traditional way of foreign trade development, relying on the mode of "receiving orders and producing" to make profits. However, with the intensification of product homogenization competition and the dilution of profits, the factory has fallen into a dilemma of development. As a last resort, Shao Lingbin began a drastic road of transformation.

  Shao Lingbin aims to be the top-notch in the industry, investing 10 million yuan in research and development expenses every year, setting up a special team and hiring high-end designers from all over the world with high salaries. After more than three years of research and development, the enterprise finally broke the technical monopoly of foreign enterprises on acetic acid fabrics, and became the national development base of acetic acid and polyester fashion fabrics in one fell swoop, successfully filling the gap in the domestic market.

  Yang Wei is a "post-80s" and a "second generation factory". At the beginning of the new year, the smart factory built by the enterprise with an investment of 150 million yuan has been partially put into production. During this time, he is busy purchasing equipment and checking the production line.

  In fact, when he first planned to do intelligent transformation, Yang Wei also encountered many voices of doubt.

  Yang Wei told reporters that after intelligent transformation, the production capacity of enterprises has increased by 50% and the production efficiency has increased by 30%.

  Breakthrough of 1% to 10% The number of cross-border online stores in Zhejiang has increased by 20,000 annually.

  With the rapid development of globalization and Internet technology, cross-border e-commerce has become a new kinetic energy for foreign trade development. At present, there are 199,000 active export online stores in Zhejiang Province, with an increase of 23,000 in 2023. The proportion of cross-border e-commerce goods in foreign trade has also increased from less than 1% in 2015 to nearly 10% in 2023. From "1" to "10", cross-border e-commerce is bringing new business opportunities to thousands of enterprises in Qian Qian.

  In a scooter manufacturer in Yongkang, Zhejiang, workers are rushing to make a batch of orders sent to Europe before the Spring Festival. In 2024, they just switched from domestic sales to cross-border e-commerce, and have already completed millions of dollars in sales.

  A cross-border e-commerce "zero-based" enterprise like this can not achieve such results in a short time without the guidance and training of service companies. Ruan Xueqing is the team leader responsible for the operation of this enterprise’s cross-border e-commerce project. In 2024, one tenth of the projects they received were pure domestic trade enterprises transformed into cross-border e-commerce.

  Nowadays, there are more and more domestic trade enterprises aiming at overseas "track". However, due to the different standards and needs of the domestic and foreign markets, the problem of "acclimatization" will also occur when domestic and foreign trade turn to each other. In the R&D department of this fitness equipment enterprise in Hangzhou, technicians are testing an intelligent spinning bike, which will be sold simultaneously in the international and domestic markets.

  Since 2022, this enterprise has been "going out to sea" through cross-border e-commerce brands, and its export sales have doubled, which is almost the same as domestic sales. In a promotion activity of overseas e-commerce platform, one of their rowing machine products sold 4500 units in two days, equivalent to domestic sales for half a year.

  According to the data of Zhejiang Provincial Department of Commerce, in 2023, the import and export of cross-border e-commerce in the province was 512.93 billion yuan, an increase of 18.9% year-on-year. Among them, the export was 393.28 billion yuan, an increase of 24%.

Structural optimization, steady improvement and quality improvement, foreign trade has continuously reached a new level.

CCTV News:In the past ten years, China’s total trade in goods has been continuously improved, ranking first in the world for five consecutive years since 2017, and the total trade in goods and services has also jumped to the top in the world in 2020. While the high-quality development of trade has made historic achievements, the continuous improvement of China’s foreign trade has also played an important role in the development of the national economy and the recovery of the world economy.

At 3 o’clock in the morning, the stall of fruit distributor Zheng Yuqiang became lively. This evening, a new batch of imported jackfruit was welcomed.

Zheng Yuqiang, Beijing fruit distributor:We seldom sold jackfruit a few years ago. Now, if it is normal, it is no problem to sell (sell) more than ten tons a day.

In Beijing’s largest wholesale market for agricultural products — — In Xinfadi market, mid-October is not the peak season for fruit sales, and several imported fruits promoted by Zheng Yuqiang have increased his business.

Beijing fruit buyer Zheng Zhen:I bought some jackfruit and red pitaya today. I come here almost every day and sell everything. There are about 30 to 40 kinds of imported fruits.

In the wholesale market in Beijing, the varieties of imported fruits sold are increasing year by year. Xiao Yang, who just entered the business last year, opened a shop specializing in selling Malaysian Maoshanwang durian. He told reporters that this expensive imported fruit has been selling better and better since it entered the China market in 2019.

Xiao Yang, a distributor of imported fruits in Beijing:Sales are gradually increasing. At the beginning, the people still didn’t approve of it because the price was relatively high. Up to this year, the people’s recognition level is still relatively high, especially people like Beijing who buy more.

In the past ten years, more and more imported fruits such as Philippine avocado, Cambodian banana, Lao citrus and South African pear have entered the mouth of China people. In 2021, China imported more than 7 million tons of fruit, compared with less than 3.45 million tons in 2012, and the import volume doubled in ten years.

Zhang Xiao, Director of the Inspection and Quarantine Department of Animals and Plants and Food of Nanning Customs:At present, the imported fruit varieties from ASEAN have increased from 53 varieties in six countries ten years ago to 77 varieties in the whole ASEAN countries.

Not only high-quality consumer goods such as fruit, but also the import scale of advanced technology and equipment, key parts and other products has been expanding over the past decade, which has better met the needs of domestic production and people’s lives, and also allowed the world to share more dividends brought by China’s economic growth. In 2021, China’s total import value reached 17.37 trillion yuan, an increase of 51.2% compared with 2012.

Professor Cui Fan, School of International Business and Economics, University of International Business and Economics:The country’s opening up, especially (import), includes high-quality products that are beneficial to people’s living standards and meet people’s needs, so that our trading partners can share the fruits of China’s economic development.

In the past ten years, China has taken the initiative to reduce commodity tariffs, and the total tariff level has dropped from 9.8% in 2012 to 7.4% in 2021. New trade formats and new kinetic energy are constantly being stimulated, and the import and export scale of cross-border e-commerce has increased nearly tenfold in the past five years.

High-level import and export will further optimize the trade structure. In a factory in Qingdao, Shandong Province, 10 sets of high-speed EMUs for Jakarta-Bandung High-speed Railway have been manufactured and are waiting for delivery. Last month, the first batch of Jakarta-Bandung High-speed Railway high-speed EMUs and comprehensive inspection trains exported to Indonesia arrived in Jakarta Port smoothly, which was the first time that China’s high-speed trains were exported abroad.

Zhang Fangtao, Chief Designer of Jakarta-Bandung High-speed Railway High-speed EMU:The Jakarta-Bandung High-speed Railway high-speed EMU will be sent to Indonesia in November, and Jakarta-Bandung High-speed Railway will be put into operation in 2023 according to the plan. By then, the travel time from Jakarta to Bandung will be shortened from the current three hours to about 40 minutes.

Going out with high-end equipment, there are our supporting services. In the past ten years, the leading export industries have been transformed and upgraded from traditional labor-intensive products to high-tech industries, and the knowledge-intensive service trade has maintained rapid growth.

Ma Qiang, Deputy General Manager of overseas business department of CRRC Sifang Co., Ltd.:We provide maintenance technical support for Argentine national railway company. Up to now, the company’s products and services have been exported to 29 countries and regions around the world.

From 24.4 trillion yuan in 2012 to 39.1 trillion yuan in 2021, in the past ten years, China’s total trade in goods has continued to increase, and its international market share has also increased from 10.4% in 2012 to 13.5% last year, and its position as the largest country in global trade in goods has been further consolidated. Nowadays, there are more and more high-level platforms for opening to the outside world, such as China China International Import Expo(CIIE), Service Trade Fair and Consumer Expo. China has set up 21 free trade zones and one free trade port, with free trade partners spread across five continents. In the past ten years, China’s average contribution rate to world economic growth reached 38.6%, ranking first in the world.

People who die suddenly have these rules.

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

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.