作者： admin

One person has been diagnosed! Multiple organ failure! At first I thought it was a cold.

　　At first I thought it was a cold.

　　Unexpectedly, the disease progressed fiercely.

　　Multiple organ failure …

　　It has something to do with chlamydia abortus.

　　Repeated fever thought it was a cold.

　　But there was multiple organ failure

　　Recently, Ms. Du (a pseudonym), who lives in Panyu District, Guangzhou, developed fever for three consecutive days, with a temperature above 39 degrees Celsius, accompanied by symptoms such as cough, dizziness and limb weakness.

　　At first, Ms. Du thought she had a cold, so she took cold medicine herself, but her symptoms did not improve and she still had repeated fever. Then she went to Panyu Central Hospital affiliated to Guangzhou Medical University for treatment. Chest X-ray examination results indicate "double lung infection", and the outpatient department plans to admit "pneumonia" to the infection department for hospitalization.

　　On the second day of admission, Ms. Du’s condition deteriorated rapidly, sweating profusely, irritability, shortness of breath, and blood oxygen saturation once dropped to 80% (more than 95% normal), and she was transferred to the intensive care department for further treatment.

　　However, Ms. Du’s condition continued to deteriorate, with shock, multiple organ failure and dying.

　　The team decided to start the VV-ECMO support treatment immediately, and put the tube on the machine quickly. Subsequently, Ms. Du’s whole body oxygen supply was improved and her vital signs tended to be stable.

　　Rare!

　　Finally diagnosed as "Chlamydia abortus"

　　High fever occurs in a short period of time, lung CT inflammation is mainly consolidation, and the disease progresses fiercely, resulting in multiple organ failure …

　　Which pathogen is the "murderer"? How to find out the "murderer"? It was found by the second generation sequencing technology of metagenome (mNGS) that the detection results of mNGS in alveolar lavage fluid and blood of Ms. Du indicated "Chlamydia abortus".

　　The rare results surprised everyone and provided important clues to the medical team. The medical team immediately adjusted the anti-infection plan according to the characteristics of chlamydia abortus and strengthened the organ function support treatment. After 7 days of treatment, Ms. Du’s condition gradually improved, and she was successfully separated from the ventilator, removed the tracheal intubation, and quickly transferred to the general ward for further treatment.

　　What is chlamydia abortus?

　　How to prevent it?

　　Chlamydia abortus is a prokaryotic microorganism parasitic in Gram-negative cells. Its main hosts are sheep, cattle, pigs, etc. Infected domestic animals will miscarry in the third trimester of pregnancy.

　　Studies have shown that chlamydia abortus can infect humans through respiratory tract transmission or direct contact, causing atypical pneumonia and abortion of pregnant women, and it is a zoonotic pathogen. Human beings can be infected by inhalation through respiratory tract or close contact with sick cattle and sheep. But human-to-human transmission is relatively rare. Ms. Du may have been infected by touching slaughtered cattle, sheep and pigs in the kitchen.

　　According to Jin Ju, deputy chief physician of the first district of the Department of Critical Care Medicine, Chlamydia abortus is usually considered to cause abortion, stillbirth and septicemia of pregnancy in human pregnant women, but it rarely causes human pneumonia.

　　He emphasized that for chlamydia abortus infection, prevention should be given priority, and immunity should be enhanced and personal hygiene should be paid attention to. Employees who have frequent contact with cattle and sheep should pay attention to environmental hygiene and take good health protection measures. If they have repeated symptoms such as high fever, chills, chills and dyspnea, and have a history of contact with poultry and livestock, and can’t find other reasons, they should go to the hospital in time and take the initiative to inform the doctor about the relevant contact history so as to take targeted treatment as soon as possible.

　　Transfer from: Guangzhou Daily

[Editor in charge:

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Observation of Holiday Consumer Market ｜ The online and offline consumption heat rises from two festivals to the year.

CCTV News:The New Year has arrived, the Spring Festival is approaching, and it is time to buy new year’s goods. The online and offline consumption fever continues to climb. Recently, the sales of smart home appliances, fitness equipment and flowers and green plants have doubled.

In Chencun Flower World, Shunde, Guangdong, the workers in Phalaenopsis planting base are busy pruning the residual branches, and the packaged flowers are uniformly labeled "Happy New Year" and will be sent to all parts of the country.

Wu Xiaohua, manager of Phalaenopsis planting base:They are all queued for shipment. I am very happy. I do it every day. I have to go outside to adjust the goods if I don’t have enough flowers.

There are also many local people who go to the flower market to choose flowers and green plants. In addition to palm flowers such as Phalaenopsis, Hylaenopsis grandiflora and Anthurium andraeanum, beautiful flowers such as lilies and money trees are also very popular.

Ms. Huang, a citizen of Foshan, Guangdong Province:Large and small, there are more than a dozen pots added up, and a little will be put on the door, living room and balcony in various places.

In Dounan Flower Market in Kunming, there are plenty of festive flowers with various characteristics. Red fresh cut flowers such as roses and Anthurium and green plants of seasonal flowers such as lily and holly sell well.

Luo Jianhong, Executive General Manager of Kunming Dounan Agricultural Products Auction Co., Ltd.:Like all kinds of products in our whole market, there are tens of millions of pieces of transactions every day.

In view of the sporadic epidemic situation in Kunming a few days ago, Dounan Flower Market strictly does a good job in epidemic prevention and control, and arranges large-scale regular disinfection twice a day. In order to reduce unnecessary personnel flow, the market has also opened an online sales platform to help flower farmers sell by sending orders.

Luo Jianhong, Executive General Manager of Kunming Dounan Agricultural Products Auction Co., Ltd.:There are many modes of order group purchase, so you can make a reservation without coming to the site again. We will then distribute the orders to farmers, so that farmers can sell their products directly to consumers through the platform, and truly realize the mode of fixing production by sales.

Notice of Guangdong Provincial Health and Wellness Commission and Guangdong Provincial Department of Finance on Printing and Distributing the Management Plan for Comprehensive Prevention and Control o

Yuewei Maternal and Child Letter [2020] No.12

Municipal Health Bureau (Commission) and Finance Bureau at all levels:

　　In order to implement the spirit of the National Comprehensive Prevention and Control Plan for Birth Defects (No.19 [2018] of the National Health Office for Women and Children) and the Healthy Guangdong Action (2019-2030), further strengthen the comprehensive prevention and control of birth defects in our province, prevent and reduce birth defects, and improve the quality of the birth population, the Management Plan for the Comprehensive Prevention and Control Project of Birth Defects in Guangdong Province (2021-2023) is hereby issued.

　　In case of problems in the implementation, please timely feedback to the Provincial Health and Wellness Commission and the Provincial Department of Finance.

　　Guangdong Provincial Health and Wellness Committee Guangdong Provincial Department of Finance

　　December 31, 2020

　

　　Preventing and reducing birth defects and putting life health first are important measures to improve the quality of the born population and promote the construction of a healthy China, and are the inherent requirements of adhering to the people-oriented principle and promoting sustainable economic and social development. In order to thoroughly implement the spirit of the 19th National Congress of the Communist Party of China and the National Conference on Health and Wellness, this plan is formulated according to the National Comprehensive Prevention and Control Plan for Birth Defects (Guo Wei Ban Maternal and Child Development [2018] No.19) and the Opinions of the Guangdong Provincial People’s Government on Implementing the Healthy Guangdong Action, which will guide the comprehensive prevention and control of birth defects in Guangdong Province from 2021 to 2023.

　　I. Project objectives

　　(a) the overall goal. By 2023, we will build a three-level birth defect prevention and control system covering urban and rural residents, including pre-marriage, pre-pregnancy, pregnancy, newborns and childhood, provide fair, accessible, high-quality and efficient comprehensive prevention and control services for birth defects, prevent and reduce birth defects, and improve the quality of the birth population and the health level of children.

　　(2) Annual targets. The awareness rate of birth defect prevention knowledge reached 80%; The screening rate of couples’ prenatal thalassemia (blood routine) reached 95%, the screening rate of maternal prenatal fetal chromosomal abnormalities and structural abnormalities reached 80%, the screening rate of neonatal hereditary metabolic diseases reached 98%, and the screening rate of neonatal hearing reached 90%. Serious birth defects such as congenital heart disease, Down syndrome, deafness, neural tube defects and thalassemia have been effectively controlled.

　　Second, the project tasks

　　(a) to carry out primary prevention and popularize knowledge of birth defects prevention. We will implement pre-marital medical examination programs, free pre-pregnancy eugenics examination programs, and supplement folic acid to prevent neural tube defects. Focusing on people of childbearing age, pre-marriage, pre-pregnancy and pregnancy health care groups, using radio and television, posters, the Internet, WeChat WeChat official account, health talks and other propaganda means, we will promote the use of the WeChat applet of Guangdong Maternal and Child Health E Manual, the platform of internet plus pregnant women’s school and parents’ school, vigorously carry out publicity and education on birth defect prevention and control knowledge, and popularize the knowledge of birth defect prevention and control.　

　　(two) to carry out secondary prevention, reduce the birth of serious birth defects. Prenatal screening institutions and prenatal diagnosis institutions shall carry out prenatal screening and diagnosis of thalassemia, prenatal screening and diagnosis of fetal chromosomal abnormalities (including Down syndrome) and prenatal screening and diagnosis of fetal structural abnormalities, and popularize the application of appropriate prenatal screening technologies to realize that pregnant women receive prenatal screening at least once before 24 weeks of pregnancy; For high-risk pregnant women, we should guide them to receive prenatal diagnosis technical services in medical institutions with prenatal diagnosis qualifications in time; Give timely medical guidance and suggestions to the cases of severe birth defects such as severe congenital heart disease, severe open neural tube defects, Down’s syndrome and other serious fatal and disabling chromosomal diseases, severe thalassemia and other serious fatal and disabling monogenic genetic diseases, so as to reduce the birth of severe birth defects.

　　(3) Carry out three-level prevention to reduce the occurrence of congenital disabilities. Newborn genetic and metabolic diseases (congenital hypothyroidism, phenylketonuria, G6PD deficiency (bean disease), congenital adrenal hyperplasia and other genetic and metabolic diseases) were screened by provincial and municipal neonatal genetic and metabolic disease screening centers and blood collection institutions, and newborn hearing screening was carried out by midwifery institutions. Do a good job in follow-up, diagnosis, treatment and intervention of cases with positive retinopathy of prematurity screening and neonatal disease screening, carry out screening, diagnosis and treatment, promote early detection and treatment, and reduce the occurrence of congenital disabilities.　

　　Third, the project population

　　(1) Prenatal screening intervention: pregnant women with household registration in Guangdong Province (including spouses with household registration in Guangdong Province) or pregnant women with floating population with valid residence permit in Guangdong Province.

　　(2) Screening of neonatal diseases: newborns delivered by the above pregnant women.

　　Fourth, the principle of service

　　(1) Free screening. Those who meet the requirements (pregnant women and newborns) can receive a prenatal screening or neonatal disease screening for free. Prenatal diagnosis projects are given a fixed subsidy, and the insufficient part is voluntarily borne by the patient.

　　(2) Informed and voluntary. Service agencies do a good job in publicity and guidance, and the screening and diagnosis inspection items are voluntarily participated and informed by the masses.

　　V. Funding arrangement and management

　　(1) Funding arrangements.

　　1. From 2021 to 2023, provincial funds for comprehensive prevention and control of birth defects will be mainly used to support the screening and intervention of designated diseases of fetal and neonatal birth defects in economically underdeveloped areas, as well as the project management of provincial birth defect prevention and control management centers and city and county intervention centers. Conditional areas can be combined with local conditions, adopt new technologies and methods, and increase the free screening of diseases, and the required new funds will be solved by local finance.

　　2. The project of supplementing folic acid to prevent neural tube defects, free pre-pregnancy eugenics health examination and eliminating mother-to-child transmission of AIDS, syphilis and hepatitis B shall be implemented according to the corresponding plan and solved by the existing funding channels.

　　3. The funds needed for the implementation of the project in the Pearl River Delta region shall be solved by local finance.

　　(2) Subsidies from suppliers.

　　The financial subsidy funds are allocated to the provincial, city and county birth defect prevention and control management (intervention) centers. The standard is: 5.1 million yuan at the provincial level, which is used for the management of birth defect prevention and control projects, personnel training, health education, information system construction and maintenance, quality control, etc. 120,000 at the municipal level and 90,000 at the county level, mainly used for business backbone training, supervision and evaluation, quality control, information management, publicity and education, management exchange, etc.

　　(3) Subsidies from the demand side.

　　one.Demand side subsidy content.

　　(1) Eligible pregnant women can get free prenatal screening and fixed prenatal diagnosis for thalassemia and other serious fatal and disabling monogenic genetic diseases, Down syndrome and other serious fatal and disabling chromosomal abnormalities, anencephaly, encephalocele, open spina bifida, visceral eversion of chest and abdomen wall defect, monocentricular heart and fatal cartilaginous dysplasia. Grant 16 inspection items, including:

　　① A re-screening of hemoglobin electrophoresis and gene detection for thalassemia (both husband and wife);

　　② First trimester (11-13)+6Week) or second trimester (15-20+6Weeks) serological screening for Down syndrome;

　　③ First trimester (11-13)+6Weeks) ultrasonic screening for severe fatal and disabling structural deformities (including NT);

　　④ One ultrasound screening (level II prenatal ultrasound examination) for severe fatal and disabling structural malformation in the second trimester (18-24 weeks);

　　⑤ Prenatal screening of peripheral blood free DNA with a fixed subsidy (Tang Screen is a critical risk pregnant woman);

　　⑥ Prenatal diagnosis with a fixed subsidy (screening for high-risk pregnant women): genetic diagnosis (karyotype analysis, chromosome microarray analysis, genome copy number variation sequencing analysis) of high-risk pregnant women with severe thalassemia, other fatal and disabling monogenic genetic diseases, Down syndrome and other serious fatal and disabling chromosomal abnormalities, class III ultrasound prenatal diagnosis of severe fatal and disabling ultrasonic structural abnormalities, and color Doppler ultrasound examination of fetal heart with severe congenital heart disease.

　　(2) Eligible newborns can get free screening and re-screening for neonatal genetic metabolic diseases, neonatal hearing and retinopathy of prematurity. Grant 12 inspection items, including:

　　① Primary screening of congenital hypothyroidism and re-screening of those with positive primary screening;

　　② Primary screening of phenylketonuria and re-screening of those with positive initial screening;

　　③ Primary screening for G6PD deficiency and re-screening for those with positive primary screening;

　　④ Primary screening of congenital adrenal hyperplasia and re-screening of those with positive primary screening;

　　⑤ Primary screening of hearing screening and re-screening of those with positive primary screening;

　　⑥ Primary screening of retinopathy of prematurity and re-screening of those with positive primary screening;

　　2.Demand-side subsidy standard.

　　Finance at all levels shall pre-allocate the subsidy funds of the demander according to the standard of 620 yuan for pregnant women/fetuses and newborns of 214 yuan/case, and settle the accounts according to the actual number of cases completed by each inspection item and the financial settlement standard. Pre-allocation and settlement shall be made according to the principle of 6: 2: 2 sharing of subsidy funds of provincial, municipal and county finance (see Annex 1).

　　(4) Requirements for fund management.

　　one.According to the actual settlement:Finance at all levels shall pre-allocate annual funds according to the annual target population (see Annex 2), and settle accounts in the following years according to the actual number of completed cases registered in the provincial maternal and child health information platform and the provincial financial settlement standards. The designated service institutions shall settle the subsidies in the previous month before 30 days of each month by the actual number of cases registered in the provincial maternal and child health information platform.

　　2.Graded settlement:Each prefecture-level city, in combination with the actual situation, formulates the local demand-side subsidy measures with reference to the provincial demand-side subsidy scope, and clarifies the project fund allocation and settlement methods. All localities can adopt "grading settlement", that is, municipal designated institutions are settled by the municipal level, and county-level designated institutions are settled by the county level. For the prenatal diagnosis and neonatal genetic and metabolic disease screening projects that need to be completed in medical institutions at or above the municipal level, each project city can directly allocate the funds of the demand side of the project to the corresponding institutions and settle in full according to the financial settlement standards.

　　three.Local relief:The designated service institutions can directly implement the screening and diagnosis of the target population in accordance with the corresponding link stage, and obtain the relief at this stage. The designated service institutions will reduce the quota on the spot, according to the rules and facts. Projects that have been reimbursed through medical insurance are no longer included in the scope of financial subsidies.

　　four.Earmarking:Project subsidy funds must be earmarked and accounted for in special accounts, in which the demand side subsidy is accounted for as medical business income and the supply side subsidy is accounted for as financial subsidy income. No unit or individual may intercept, misuse or misappropriate special subsidy funds. Belong to the "People’s Republic of China (PRC) government procurement law" and the relevant provisions of the provincial government procurement management, must be strictly implemented in accordance with the government procurement system.

　　VI. Organizing implementation

　　(1) Project management. The provincial birth defect prevention and control management center (located in the provincial maternal and child health hospital) and the city and county birth defect intervention center (located in the city and county maternal and child health hospital) are responsible for the comprehensive prevention and control project management of birth defects.

　　one.Provincial birth defect prevention and control management center.Mainly perform the following duties: promote the implementation of birth defect prevention and control projects in the province, organize talent training, technical evaluation, business guidance, supervision and management and health education and publicity for birth defect prevention and control; Organize the implementation of quality control of birth defects prevention and control; Organize the collection, collation, analysis, reporting and related information management of birth defects prevention and control data, and gradually establish and improve the routine monitoring data collection and analysis system for the implementation of birth defects prevention and control projects on the basis of the provincial maternal and child health information platform, so as to monitor, analyze and evaluate the implementation effect of the projects in a timely and scientific manner; Co-ordinate the management of provincial special technical guidance centers for prenatal diagnosis, neonatal disease screening centers and other institutions, and guide the three-level prevention of birth defects such as premarital examination, prenatal eugenics examination, prenatal screening and diagnosis, and neonatal disease screening.

　　2.City-level comprehensive intervention centers for birth defects.Mainly perform the following duties: organize and implement the prevention and control of birth defects in the jurisdiction according to the requirements of the higher authorities, be responsible for the screening and diagnosis of birth defects in the local city, and provide professional guidance and quality control to the institutions in the jurisdiction that undertake services such as premarital examination, pre-pregnancy eugenics health examination, prenatal screening, prenatal diagnosis, laboratory detection of neonatal genetic and metabolic diseases, and neonatal hearing impairment detection. Carry out training, health education and information management of comprehensive prevention and control personnel of birth defects in the jurisdiction. Do a good job in project progress monitoring, summary and analysis, and assist in the management of project funds in this area. Strengthen the construction and standardized management of screening centers for hereditary and metabolic diseases of newborns in the city.

　　3. County-level comprehensive intervention center for birth defects.Mainly perform the following duties: organize and implement the prevention and control of birth defects in the jurisdiction according to the requirements of the higher authorities, be responsible for the screening of birth defects in the jurisdiction, and undertake the pre-marital examination, pre-pregnancy eugenics health examination, midwifery institutions and basic medical and health institutions’ personnel training. To carry out information statistics, report and analysis on the initial screening of birth defects, and assist in the management of project funds in this area. Establish cooperation and referral mechanisms with relevant midwifery institutions, premarital examination institutions, pre-pregnancy eugenics health examination institutions, prenatal screening institutions, prenatal diagnosis institutions, neonatal metabolic disease screening laboratories, and neonatal hearing impairment diagnosis and treatment institutions, combine birth defect monitoring with maternal and child health management, and do a good job in the referral, follow-up and intervention of high-risk pregnant women and newborns with birth defects in their jurisdictions.

　　(2) service agencies. All midwifery institutions, pre-pregnancy eugenics health examination institutions, prenatal screening institutions, prenatal diagnosis institutions, neonatal genetic and metabolic disease screening laboratories, and neonatal hearing impairment diagnosis and treatment institutions should jointly do a good job in the prevention and control of birth defects in accordance with their respective functions and duties, in accordance with the requirements of fixed-point service, first-visit responsibility and convenient service.

　　one.Fixed point service.The comprehensive prevention and control project of birth defects shall be managed territorially and completed by designated service institutions. Institutions that can provide midwifery services, maternal and child health care services in the province can apply to the local health administrative department to become the designated service institutions of the project. According to the actual situation, the local health administrative departments reasonably determine the designated service institutions, announce them to the public, implement inter-agency settlement, improve birth defect screening and diagnosis services for the clients in accordance with the service process (Annex 3), and reduce the relevant fees on the spot.

　　2.The first diagnosis is responsible.

　　(1) prenatal screening institutions and medical institutions that file during pregnancy are responsible for the implementation of free prenatal screening or referral services for pregnant women:One isSerological screening of Down syndrome and other fatal and disabling chromosomal abnormalities;The second isUltrasonic screening of severe fatal and disabling structural deformities.The third isHemoglobin electrophoresis screening of thalassemia in couples with positive blood routine.

　　(2) prenatal diagnosis institutions, responsible for the implementation of prenatal diagnosis of birth defects (high-risk couples) gene prenatal diagnosis or ultrasound prenatal diagnosis services.

　　(3) delivery institutions, responsible for the implementation of free screening or referral services for neonatal diseases:One isHeel blood blood film collection of neonatal hereditary metabolic diseases;The second isHearing screening;The third isScreening for retinopathy of prematurity.

　　(4) The municipal screening center for neonatal genetic and metabolic diseases: responsible for the implementation of the screening organization, laboratory testing, recall of positive cases, follow-up and treatment of neonatal genetic and metabolic diseases in the city. For specific requirements, see the working guidelines of the screening center for neonatal genetic and metabolic diseases (Annex 4).

　　three.Convenience service.

　　(1) Designated service institutions in various cities should simplify the subsidy service process, establish a screening green channel, and provide on-site free screening and diagnosis services for eligible pregnant couples and newborns. Clients can confirm their identities through the Guangdong Maternal and Child Health Information Platform (hereinafter referred to as the provincial platform) and the WeChat applet of the Guangdong Maternal and Child Health E-Manual, and reduce fees on the spot in the whole city for the convenience of the masses.

　　(2) Designated service institutions should strictly follow the technical route of the birth defect prevention and control project, and the screening and diagnosis of the target population at the stage of corresponding links can be directly included from the stage of conformity, so as to obtain relief and improve efficiency.

　　(3) Information management.

　　Designated institutions shall, in accordance with the requirements of the Notice of the Office of Guangdong Provincial Health and Wellness Committee on Printing and Distributing the Work Plan of Guangdong Maternal and Child Health Information Platform (Guangdong Health Office Maternal and Child Letter [2020] No.3), fully launch and apply the Guangdong Maternal and Child Health Information Platform (hereinafter referred to as the provincial platform), set up pre-marital medical examination, pre-pregnancy eugenics health examination, pregnancy files and birth defect prevention information electronic files for the masses on the provincial platform in time, and popularize and apply the "Guangdong Maternal and Child Health E Manual" WeChat. Strengthen the analysis and utilization of the data related to the information platform of maternal and child health, and leverage the "Internet+medical health" to provide people with services such as consultation and guidance, inspection and reminder, appointment for medical treatment, and inquiry of inspection and test results. Strengthen data and sample management, protect people’s privacy, and ensure information security and human genetic resources security.　

　　one.Provincial platform filing.Each designated service institution shall arrange a special person to be responsible for logging on to the provincial platform, and when the object participates in premarital examination, pre-pregnancy eugenics examination, pregnancy examination and neonatal disease screening, it shall file a file for the object and guide the object to scan and use the "Guangdong Mother and Child Health E Manual" WeChat applet.

　　2.Project e-voucher:After the project target population establishes the maternity file on the provincial platform, the provincial platform will generate an electronic voucher for the birth defect project and send it to the "Guangdong Mother and Child Health E Manual" WeChat applet on the mobile phone of pregnant women. Pregnant women receive free or quota reduction services for prenatal screening, prenatal diagnosis and neonatal disease screening at designated service institutions with electronic vouchers.

　　three.Information input:The designated service institutions confirm the identity of the clients according to the electronic vouchers of "Guangdong e-Manual on Mother and Child Health", and reduce the fees on the spot. And in accordance with the principle of "who serves, who reports and who is responsible", the results of the birth defect prevention and inspection projects undertaken by this institution (including provincial financial subsidies, medical insurance payments or self-funded projects) will be reported (entered) to the provincial maternal and child health information platform within 3 days. The masses can check the inspection result information through the e-Manual of Mother and Child Health.

　　VII. Relevant requirements

　　(1) Strengthen organizational leadership. In order to promote the implementation of the comprehensive prevention and control project of birth defects, a provincial leading group for the prevention and control project of birth defects was established, which is responsible for major decision-making, organization, coordination, supervision and management of the project. Local health administrative departments should attach great importance to it, set up corresponding working groups, actively promote the prevention and control of birth defects into the local annual work plan, into the important content of health work, implement the local expenditure responsibility, clarify the work objectives, and ensure the smooth implementation of the project.

　　(2) Standardize business management. All localities should establish and improve a three-level comprehensive prevention and control service system for birth defects in strict accordance with the construction standards of the three-level comprehensive intervention center for birth defects, with maternal and child health service institutions as the main body, basic medical and health institutions as the foundation, comprehensive hospitals and medical colleges as the supplement, covering urban and rural areas, covering all stages of pregnancy, pregnancy and newborn, and do a good job in three-level prevention of birth defects such as pre-marital examination, prenatal examination, prenatal screening and diagnosis, and neonatal disease screening. Implement the responsibility of territorial management, strictly carry out the responsibility system of fixed-point service and first diagnosis, and hospitals and blood collection institutions shall not send the samples of prenatal screening, prenatal diagnosis and neonatal genetic and metabolic diseases screening to a third-party institution other than the fixed-point service institution for testing.

　　(3) Promote personnel training. Standardize the on-the-job training and continuing education of professionals, gradually expand the talent team for birth defect prevention and control, and continuously improve the professional level. Relying on the training network composed of the talent training base for birth defect prevention and control in the whole province and the cooperative units, a standardized and orderly training model for birth defect prevention and control is established, focusing on eugenic genetic counseling, prenatal screening and prenatal diagnosis, differential diagnosis and treatment of birth defects, etc.　

　　(4) Strengthen quality control. Strengthen the quality management of birth defect prevention and control projects, establish a long-term mechanism of quality control and continuous improvement by means of information technology, do a good job in the quality management of the whole service process of three-level birth defect prevention and control, improve the homogenization and equalization of prevention and control services, improve the service level and consolidate the prevention and control effect.

　　(5) Strict performance evaluation. All localities should strengthen the assessment of the implementation of birth defect prevention and control policies, project implementation, fund management, work situation, etc., and timely summarize and promote effective practices and experiences in birth defect prevention and control. The Provincial Health and Wellness Committee will timely organize supervision and inspection of the comprehensive prevention and control of birth defects in various places and inform the progress of the work. Ensure to provide high-quality, continuous and satisfactory comprehensive services for the prevention and treatment of birth defects.

　　This plan will be implemented as of January 1, 2021.

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National Health Commission： Announced the establishment of a national collaborative network for diagnosis and treatment of rare diseases to improve the level of diagnosis and treatment of rare disease

　　CCTV News:Recently, the National Health and Wellness Commission announced the establishment of a national collaborative network for diagnosis and treatment of rare diseases, in order to strengthen the management of rare diseases in China and improve the level of diagnosis and treatment of rare diseases.

　　The National Health and Health Commission will select 324 hospitals with strong ability to diagnose and treat rare diseases and more cases to form a collaborative network for diagnosis and treatment of rare diseases nationwide, including one national leading hospital: Peking Union Medical College Hospital of China Academy of Medical Sciences, 32 provincial leading hospitals and 291 member hospitals.

　　The national and provincial leading hospitals are mainly responsible for taking the lead in formulating and improving the working mechanism of the collaborative network, formulating relevant working systems or standards, receiving patients with difficult, critical and rare diseases referred by member hospitals, and coordinating the quality medical resources of the collaborative network hospitals within their jurisdiction for diagnosis and treatment; Member hospitals are mainly responsible for the diagnosis, treatment and long-term management of patients with common rare diseases. Before the end of March this year, the provinces will introduce the implementation plan for the establishment of the cooperative network.

　　After the establishment of the National Collaborative Network for the Diagnosis and Treatment of Rare Diseases, the patients with rare diseases in China will be relatively concentrated in diagnosis and treatment and two-way referral, giving full play to the radiation-driven role of high-quality medical resources, improving the comprehensive diagnosis and treatment ability of rare diseases in China, and gradually achieving the goals of early detection, early diagnosis, treatment and management of rare diseases.

Ministry of Transport： In June, the online car-related supervision information interactive system received 763 million orders, up 3.7% from the previous month.

　　Cctv news: According to the WeChat WeChat official account news of the Ministry of Transport, according to the statistics of the network car supervision information interaction system, as of June 30, 2023, a total of 318 network car platform companies across the country have obtained the business license of the network car platform, an increase of 5 from the previous month; A total of 5.79 million driver’s licenses and 2.434 million vehicle transport licenses were issued in various places, up 3.7% and 3.3% respectively from the previous month. In June, the network car supervision information interaction system received a total of 763 million orders, up 3.7% from the previous month. Judging from the situation this month, it has the following characteristics:

　　1. Among the top 10 online car platforms in terms of order volume, the highest order compliance rate is to enjoy the road trip, and the lowest is to spend the pig trip.Among the top 10 platforms in terms of order volume, the order compliance rate (referring to the proportion of orders in which both drivers and vehicles are licensed) is from high to low, namely, enjoy the road trip, such as Qi trip, take China trip, T3 trip, Wanshun call a car, use the car in time, Cao Cao trip, sunshine trip, Didi trip and Flower Pig trip. The top three orders in this month’s order compliance rate growth are traveling with China, such as traveling in Guangzhou, and traveling in the sunshine. The last three places of growth are Didi Chuxing (-0.8%), Flower Pig Chuxing (-1.1%) and Timely Car Use (-4.7%).

　　Among them, the platform (commonly known as "aggregation platform") facing passengers and providing services together with the network car platform company completed 218 million orders, up 4.0% from the previous month. The order compliance rates from high to low are Didi Chuxing, Gaode Taxi, Flower Pig Chuxing, Meituan Taxi, Baidu Taxi, Tencent Travel and Ctrip Car.

　　2. Among the major central cities, the highest order compliance rate is Hangzhou, and the lowest is Dalian.Among the major central cities, the order compliance rate from high to low is Hangzhou, Shenzhen, Xiamen, Guangzhou, Haikou, Zhengzhou, Chongqing, Lanzhou, Qingdao, Fuzhou, Tianjin, Nanning, Nanjing, Ningbo, Jinan, Nanchang, Hefei, Chengdu, Taiyuan, Changsha, Xi ‘an, Guiyang, Hohhot, Changchun, Wuhan, Yinchuan and Xining. Among them, the order compliance rates of 18 cities including Hangzhou, Shenzhen, Xiamen, Guangzhou, Haikou, Zhengzhou, Chongqing, Lanzhou, Qingdao, Fuzhou, Tianjin, Nanning, Nanjing, Ningbo, Jinan, Nanchang, Hefei and Chengdu are all above 80%. Nanning, Chengdu and Chongqing are the top three places in this month’s order compliance rate growth; The last three places of growth were Harbin (-5.6%), Xining (-7.3%) and Shenyang (-8.9%).

Ministry of Industry and Information Technology： Support the commercial application of L3 and higher autopilot functions.

CCTV News:On June 21st, the State Council held a routine briefing on policies to introduce the situation of promoting the high-quality development of new energy automobile industry. Xin Guobin, vice minister of the Ministry of Industry and Information Technology, said at the meeting that compared with electrification, the networking and intelligent transformation of automobiles involve more fields, deeper levels and more imaginable space. In the next step, all members of the inter-ministerial coordination mechanism for the development of new energy automobile industry will conscientiously implement the decision-making arrangements of the CPC Central Committee and the State Council, and adhere to the principle of "cars — Yes — Road — Cloud ",focusing on the following aspects:

First, support key technology research. Support key large enterprises to take the lead, large, medium and small enterprises to participate, and carry out cross-industry and cross-domain collaborative innovation. Innovation is the primary productive force. It is necessary to speed up the research and development, popularization and application of new technologies and new products such as key chips, high-precision sensors and operating systems, and further enhance the endogenous power of industrial development.

The second is to further improve the network infrastructure. Accelerate the construction of infrastructure such as C-V2X, roadside awareness and edge computing, establish a cloud control basic platform based on the three-tier architecture of edge cloud, regional cloud and central cloud, form a unified interface, data and communication standard, and further enhance network awareness and cloud computing capabilities.

The third is to deepen the test demonstration application. Start the pilot of intelligent networked car access and road traffic, organize the demonstration application of "car-Lu Yun integration" at city level, and support conditional automatic driving, which is about the commercial application of L3 and higher-level automatic driving function. This work has been started, and local governments are actively responding. I believe that in the near future, more intelligent products will run on the road.

Mid-Autumn Festival What other moon cakes are waiting in line in Tianjin this year？

"Making money in the baking industry is the Chinese New Year and Mid-Autumn Festival." During the Mid-Autumn Festival, moon cakes are a must-have food for every household and one of the most valued business opportunities for businesses.

According to the data of China Bakery and Sugar Products Industry Association, the output of moon cakes in Mid-Autumn Festival this year is about 300,000 tons, and the sales volume is expected to be about 20 billion yuan. The product price remains basically stable, and the market competition is further intensified.

The reporter visited and found that the Mid-Autumn moon cake market in this city, after the hot time was wrong than in previous years, the price was more affordable and close to the people, and the traditional old flavor and old brand were more favored.

▲ Citizens line up to buy moon cakes.

The peak of moon cake sales is wrong.

As the Mid-Autumn Festival approaches, there is a long queue in front of Xinle pastry shop in Honghuli, Hongqiao District. "It has been lined up for more than two hours." The citizens who will soon be at the door told reporters.

Compared with previous years, the queue this year is almost twice as long, and the end of the queue has extended to the small garden in the community behind the store. Some elderly people took advantage of the queue to sit on the bench in the small garden for a while. "Oh, I’m so tired that my waist is exhausted. I haven’t stood for that long. I buy it back in an hour every year. "

▲ The team buying moon cakes extended to the small garden behind the store.

In addition to the citizens of this city, there are many foreign customers in this year’s team. Xiao Gao, a 90-year-old boy from Tangshan, came here for the first time to queue up to buy moon cakes. "If the daughter-in-law lets you come, you have to come." He said with a smile, in recent years, with the early fame of Tianjin, the reputation of Honghu in Hongqiao District has also soared. "I always see online celebrity bloggers visiting stores, and I love to eat the five benevolence. At about 10:15 am, I drove from home and arrived in an hour and 20 minutes. I plan to buy 4 gift boxes first. "

Compared with previous years, this year’s moon cake sales peak came later. "We started selling moon cakes in stores on August 1, but the real popularity should be a week ago." Han Yali, the store manager, told the reporter, "Maybe the people now think that the later they buy the mooncakes, the shorter they will stay at home."

The same is true in large supermarkets, which began to enter the peak season of moon cake sales last week. "This year, everyone generally bought it late. In previous years, it was sold very well after more than ten days." He Li, the customer service manager of RT Mart Supermarket, analyzed, "Now there are many sales channels, not only for overbought, online and offline, but also for some baking shops, with scattered customers."

According to the Mid-Autumn Moon Cake Industry Trend Report 2024 issued by China Bakery and Sugar Products Industry Association, the traditional channel is still the mainstream in this year’s moon cake sales, but the e-commerce platform and live delivery continue to receive key attention. The sales of moon cakes on several platforms show that some special moon cake varieties have been welcomed by consumers. For example, nearly 100,000 pieces of Jin Jiu Wuren Golden Leg Mooncakes packed in 1 kg have been put together on the platform, and the sales volume of 2 kg is close to 30,000 pieces. "This shows that online sales channels have played a positive role in the promotion and sales of mooncakes".

In addition, some innovative and cross-border moon cakes have also achieved good sales on the online platform. For example, the sales of online celebrity moon cakes such as Black Myth doubled. In the process of online sales, live delivery and short video have become important marketing means. Tianjin local brand Xianghe Bobo Shop is promoted through live webcasts and short videos, expanding the market to a wider area; Xinle moon cake also tried to "touch the net" for the first time this year, and the group purchase coupons and vouchers launched were quickly sold out.

In order to cope with the peak passenger flow, all stores have increased their staff, including workers from the production plant, who have arranged to help in the stores. "There must be more than 15 people in this class, all at the front desk", and Xinle pastry shop is busy. At the same time, in order to improve efficiency, merchants will issue paper-based mooncake purchase orders for customers waiting in line to fill in in advance and hand them directly to salespeople after entering the store. "There are also two electronic settlement machines, and both WeChat and Alipay can be scanned," the staff told reporters.

Liu Lingling, manager of Xiangdezhai pastry direct store, said, "At present, the store sells 100 to 200 pieces of bulk moon cakes and more than 100 boxes of moon cake gift boxes on average every day. In August, it will enter the peak season of sales, and in September, there will be more gift boxes. Customers will take the gift box with them while eating, and some customers have chosen to make a reservation and come back to get it. "

The price is falling, how is the quality?

In large supermarkets, when many consumers push shopping carts to buy moon cakes, they obviously feel that the prices are more affordable than in previous years: "There are quite a lot of kinds, the prices are reasonable, and there are promotions before the holidays."

The reporter saw that the three squirrel brand gift boxes have 10 mooncakes per box, and the lowest price has reached a box in 39 yuan. Almost all Taoxiang Village and Wufangzhai are in a box of 100-200 yuan. Combined with the promotion activities launched by supermarkets, the prices range from tens to more than 100 yuan. Dangbo, a salesperson of Taoli mooncake, told Tianjin Radio reporter that there are more kinds of mooncake gift boxes pushed by supermarkets this year, and the price is lower: "Our most expensive one is 299 buy one get one free, and the cheapest one is 99 buy one get one free, which is 50 yuan per box, which is cheaper than some bulk ones."

"The mooncake gift box with simple packaging and mid-range price is currently the best seller." He Li, the customer service manager of RT Mart Supermarket, said that the hundreds of brand moon cakes launched by supermarkets this year, except for high-end moon cakes such as Maxim’s, hardly exceeded a box in 200 yuan.

And bulk moon cakes have also lowered their prices this year. "There is more than one piece of ice crust, five pieces of Soviet-style moon cakes with 16 pieces of 9 pieces, and nine pieces of mini moon cakes with 8 pieces in a box …" The prices of some bulk months are lower than those of ordinary cakes on weekdays. "This is also the taste and consumption consciousness that manufacturers adapt to people now."

There are also some time-honored brands of moon cakes in this city. In Xiangdezhai pastry shop located in Huanghe Road, Nankai District, bulk mooncakes and mooncake gift boxes occupy half of the counter space. Most mooncakes are 100g in size, and the price is 8-10 yuan per piece. At the same time, the quality of stuffing has increased.

Chen Xianbiao, director of operation of Xiangdezhai Food Co., Ltd.: "For example, in previous years, Wuren moon cakes were all 12 yuan, but this year they were reduced to 10 yuan, and some high-end nut fillings such as cashews and pine nuts were added, which improved the quality of our raw materials."

Founded in 1846, Xiangdezhai brand is one of the oldest Chinese brands in Tianjin. This year, the company not only built a modern production workshop in Xiqing District, but also opened a number of direct stores in Tianjin, Langfang and Dalian. Combined with the process of "frozen semi-finished products", the production cycle of cakes can be dispersed, and the freshness and taste are maintained, while the production efficiency of products is improved. "The trend of concentrated production capacity in the Mid-Autumn Festival has moved to the five months from May to September, which makes our costs more rational, prices lower and competitiveness stronger." Chen Xianyu said.

Compared with previous years, the specifications and prices of Xinle moon cakes purchased on the spot have hardly changed. However, the store not only launched preferential group purchase coupons this year. "The feeding changes every year, and the raw materials added to it are more refined. For example, in this material, I used to put 5 kg of peach kernels, and now I may put 8 kg of this raw material."

In 2022, the National Development and Reform Commission and other four departments jointly issued the "Announcement on Curbing" High-priced Mooncakes and Promoting the Healthy Development of the Industry "to promote the return of mooncakes to the attributes of mass consumer goods. In April this year, the revised version of the "General Rules for the Quality of Moon Cakes" was officially implemented. The new regulations made it clear that wild protected animal ingredients such as shark’s fin should not be used in moon cake fillings, and rare and precious ingredients such as bird’s nest should not be used.

Wearing a "magic spell", the price of moon cakes returns to rationality. According to the information recently released by China Bakery and Sugar Products Industry Association, the mainstream mooncake gift boxes are concentrated between 70 yuan and 220 yuan this year, which is flat or slightly lower than that in 2023. The "sky-high" mooncake gift boxes above 500 yuan have basically withdrawn from the conventional market.

Some folklore experts said, "The implementation of the national standard" Restricting over-packaging of commodities requires food and cosmetics "clearly limits the over-packaging of moon cakes, and stipulates that moon cakes should not be packaged and" bundled "with red wine, tea and other ingredients. Under the combined effect of these measures, the rational return of moon cake prices will not only benefit the lives of citizens, but also promote the healthy development of the market, reduce waste and promote the return of traditional culture!"

Reporter | Liu Keqi

Edit | Chen Tong

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Original title: "Mid-Autumn Festival" What moon cakes are waiting in line in Tianjin this year? 》

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Looking forward to the general secretary of the Supreme Leader talking about the inclusiveness of Chinese civilization.

　　◇ Chinese civilization is famous for its openness and tolerance since ancient times. It has an eclectic and all-encompassing broad mind, which has both a "inclusive" mind and a "tolerant" wisdom.

　　◇ The idea of "one country under heaven, harmonious society and all nations" is an important element of Chinese excellent traditional culture, which profoundly embodies Chinese’s view of the world and the world, and shows the open and inclusive pattern and big mind of Chinese civilization.

　　◇ To further stimulate the inclusive characteristics of Chinese civilization, we should persist in focusing on ourselves, connecting ancient and modern times and integrating Chinese and foreign countries, actively absorb and learn from all outstanding achievements of ancient and modern Chinese and foreign civilizations, constantly create new glories of Chinese culture and build a modern civilization of the Chinese nation.

　　Mogao Grottoes in Dunhuang, Gansu Province (photo taken on April 25, 2023) Photo taken by Chen Bin/this magazine.

　　On June 2, 2023, at the symposium on cultural inheritance and development, General Secretary of the Supreme Leader pointed out that "Chinese civilization has outstanding inclusiveness" and made a profound exposition. This points out the direction for us to understand the inclusive characteristics of Chinese civilization.

　　Tolerance is the virtue of heaven and earth in Chinese’s mind, a kind of mind and wisdom. Through the word "Bao" and "Rong", we can deeply understand the inclusive characteristics of Chinese civilization.

　　"Bao" is all-encompassing, embracing the world, embodying the broad mind of Chinese civilization, highlighting the civilized state and pattern of Chinese civilization with extensive content and rich connotation, as well as the civilized mentality of opening to the outside world.

　　"Tolerance" embodies the superb tolerance wisdom of Chinese civilization, and highlights that Chinese civilization correctly handles differences, resolves conflicts and realizes integration on the basis of all parties, so that all parties can live in harmony and develop together.

　　The reason why Chinese civilization can last for a long time and is deeply rooted lies in its unparalleled inclusiveness and absorption, with both a "inclusive" mind and a "tolerant" wisdom.

　　The mind of "Bao"

　　Chinese civilization has been famous for its openness and tolerance since ancient times, and it has an eclectic and all-encompassing broad mind.

　　Including the diversity of all ethnic groups. General Secretary of the Supreme Leader pointed out: "A history of China is a history in which all ethnic groups blend and converge into a pluralistic Chinese nation".

　　China is a unified multi-ethnic country, and the Chinese nation is gradually formed in the exchanges between various ethnic groups on the land of China. Since ancient times, there have been many ethnic groups on the land of China. After a long period of ethnic migration and ethnic integration, the Chinese nation with 56 ethnic groups has been formed, showing a pluralistic and integrated pattern.

　　"Pluralism" means that all ethnic groups have their own personnel groups, lifestyles, customs and habits, have created their own distinctive cultural traditions, and have the freedom to use and develop their own spoken and written languages and religious beliefs.

　　"Integration" means that all ethnic groups belong to the Chinese nation, jointly explore China’s vast territory, jointly write China’s long history, and jointly create China’s splendid culture, forming a national community with staggered distribution, eclectic culture, economic interdependence and emotional closeness. You have me, I have you, and no one can live without anyone, and building a common spiritual home for the Chinese nation.

　　Chinese civilization is a civilization jointly created by the big family of the Chinese nation, and Chinese culture is the epitome of all ethnic cultures. From Zhao Wuling Wang Hu Fu riding and shooting to the localization reform of Emperor Xiaowen in the Northern Wei Dynasty; From "Everyone in Luoyang learns Hu Le" to "Qiang people in Wan Li do their best to sing Chinese songs"; From the frontier ethnic groups’ habit of "clothes under the clothes" and "elegant songs and Confucian clothes" to the prevalence of "clothes under the pants" in the Central Plains, Hu Yi Hu Mao, and the lion dance, Hu Qin and cheongsam that can be seen everywhere today, all show the mutual learning and integration of national cultures.

　　Including different ideas, let a hundred flowers blossom. The General Secretary of the Supreme Leader pointed out: "We should adhere to the policy of letting a hundred flowers blossom and a hundred schools of thought contend, promote academic democracy and artistic democracy, create a positive, healthy, relaxed and harmonious atmosphere, advocate full discussion of different viewpoints and schools, advocate full development of genres, themes, forms and means, and promote the exchange of ideas, contents, styles and schools."

　　Ideological culture is the core content of China traditional culture. Chinese ideology and culture are developing in multiple directions, including various ideas and academic schools.

　　In the pre-Qin period, there was a prosperous situation in which hundred schools of thought contended. Later, from the pre-Qin Confucianism, Confucian Classics in Han Dynasty, metaphysics in Wei and Jin Dynasties to Buddhism in Sui and Tang Dynasties, the confluence of Confucianism, Buddhism and Taoism, and Neo-Confucianism in Song and Ming Dynasties, Chinese ideology and culture experienced several periods of academic prosperity, resulting in various theories such as Confucianism, Buddhism, Taoism, Mohism, Fame, Legalism, Yin and Yang, Agriculture, Miscellany and Military, and Laozi, Confucius, Zhuangzi, Mencius and Xunzi emerged.

　　In the historical process, although Confucianism has been in a dominant position for a long time, it has always been different from other theories, opposing and unifying, competing with each other and learning from each other. These thoughts and theories are changing with time and changing with things. They are constantly developing and updating in line with the requirements of China’s economic and social development and the advancement of the times, and have long-term vitality. Let a hundred flowers blossom and a hundred schools of thought contend is the historical trend and basic law of the long-term development and evolution of Chinese ideology and culture, and it is also the basic policy that must be adhered to to to continue to promote the prosperity and development of Chinese ideology and culture.

　　Many religions coexist harmoniously in Baona. General Secretary of the Supreme Leader pointed out: "The law of the development of religion lies in ‘ And ’ " .

　　China is a country where many religions coexist, including local Taoism, foreign Buddhism, Islam, Catholicism, etc., forming a harmonious pattern in which various religious beliefs coexist in diversity. Historically, Chinese civilization has tolerated and accepted different religions. On the one hand, we recognize the existence of different religious beliefs, allow the healthy activities and development of religions, and give full play to their positive roles; On the other hand, efforts should be made to guide religions to adapt to China society and integrate with Chinese culture, and actively promote the localization of religions. For example, Buddhism originated in ancient India, but after it was introduced to China, after a long-term evolution, Buddhism merged with Confucianism and Taoism in China, forming a unique Buddhist theory.

　　Including all countries’ civilizations and nations. General Secretary of the Supreme Leader pointed out: "Since ancient times, the Chinese nation has taken ‘ The world is one ’ 、‘ Concord Wanbang ’ Broad-minded, confident and generous to carry out ethnic exchanges and cultural exchanges with other countries. "

　　Chinese civilization is an open system. Shang Shu Yao Dian records the situation of "harmony among all nations" in the era of Emperor Yao. More than 100 years BC, China began to open up the Silk Road to the Western Regions. In the Han Dynasty, Zhang Qian made two missions to the Western Regions, and China’s fleet arrived in India and Sri Lanka to exchange goods. Foreign exchanges were very active in the Tang Dynasty, with more than 70 countries making good contacts. The Song Dynasty actively opened up overseas trade, which played a great role in promoting economic development. The Yuan Dynasty established direct contact with Eurasia and promulgated a series of policies to encourage foreign trade. Zheng He, a famous navigator in Ming Dynasty, made seven ocean voyages and reached Africa. In the late Ming and early Qing Dynasties, Chinese actively studied modern scientific and technological knowledge, and European knowledge of astronomy, medicine and mathematics was introduced into China.

　　Since modern times, exchanges and mutual learning between Chinese and foreign civilizations have been more frequent. In particular, Marxism was introduced into China, deeply integrated with Chinese civilization, and inspired new vitality of Chinese civilization with the light of truth. The exchange and blending of Chinese and foreign civilizations has greatly promoted the spread of Chinese culture to the world, and also greatly promoted the introduction of cultures and products from various countries into China. The idea of "one country under heaven, harmonious society and all nations" is an important element of Chinese excellent traditional culture, which profoundly embodies Chinese’s view of the universe and the world, and shows the broad pattern and broad mind of Chinese civilization’s eclecticism, openness and tolerance to world civilization.

　　The wisdom of "tolerance"

　　Treating different nationalities, ideas, religious beliefs and national civilizations, Chinese civilization is good at resolving conflicts, building consensus and achieving integration on the basis of respecting differences and pluralism, and has superb wisdom of "tolerance".

　　Treat each other as equals. General Secretary of the Supreme Leader pointed out: "Civilization is equal, and human civilization has the premise of exchange and mutual learning because of equality."

　　The premise of tolerance is equality, which means that all parties concerned respect each other and treat each other as equals on the same status. Chinese traditional culture contains rich ideas of equality. For example, Laozi’s "Heaven’s Way can make up for the deficiency", Confucius advocates "teaching without distinction", and Buddhism emphasizes "equality of all beings", and so on.

　　From the perspective of the integration and development of the Chinese nation, the reason why the Chinese nation can form a national unity with strong vitality is precisely because it has achieved national unity and mutual assistance on the basis of equality and respect among ethnic groups, and all ethnic groups have jointly created national history and resisted external risks.

　　From the perspective of different civilizations, all kinds of human civilizations are equal in value, each with its own advantages and disadvantages. The development history of human civilization shows that it is foolish in understanding and disastrous in practice to think that one’s own race and civilization are superior and insist on transforming or even replacing other civilizations. It is precisely because we treat other civilizations with equality, modesty and respect, and learn from the achievements of different civilizations that Chinese civilization has always been enduring in eclecticism.

　　Exchange and learn from each other. General Secretary of the Supreme Leader pointed out: "Civilization is colorful because of communication, and civilization is enriched because of mutual learning."

　　On the basis of equality and respect, mutual exchange, mutual learning and mutual learning are the fundamental ways to achieve tolerance and integration. The history of mankind is a magnificent picture of the exchange, mutual learning and integration of different civilizations. "The Analects of Confucius" begins by saying, "It’s better to learn from time to time, isn’t it? Isn’t it a pleasure to have friends coming from afar? " This profoundly reflects the civilized character of the Chinese nation, which loves learning, is good at communication and advocates communication. The 5,000-year history of Chinese civilization fully shows that all species, technologies, resources, people, and even ideas and cultures are developing and progressing through continuous communication, exchange and interaction.

　　In the long-term evolution process, Chinese civilization has gained rich nutrition from exchanges with other civilizations, and has also made important contributions to the progress of human civilization. The opening of the Silk Road, the dispatch of a large number of Tang envoys from Sui Dynasty to China, Fa Xian and Xuan Zang’s journey to the west to learn from the scriptures, Zheng He’s seven trips to the ocean, and so on are all vivid examples of exchanges and mutual learning between Chinese and foreign civilizations.

　　To learn from external civilization, we must uphold two attitudes: we must actively learn from the strengths of external civilization, persist in learning from each other’s strengths, and choose the good and follow; We should also proceed from the reality of our country and nation, and persist in removing the rough and selecting the fine, removing the false and retaining the true.

　　Seek common ground while reserving differences. General Secretary of the Supreme Leader pointed out: "Civilized coexistence requires the spirit of harmony but difference."

　　"The beauty of harmony lies in the similarities and differences." The key to the exchange and integration of civilizations is to handle the differences between different civilizations. "Things are not uniform, and the feelings of things are also." Difference and diversity are the basic characteristics and inherent attributes of human civilization.

　　How to treat and deal with differences? Chinese civilization emphasizes seeking common ground while reserving differences, and grasps the relationship between similarities and differences, me and him, and one and many. On the one hand, seeking common ground. He is good at seeking commonality and consistency in differences, finding the greatest common divisor and drawing the greatest concentric circle. Human civilizations are common in essential attributes. "Every civilization is the crystallization of beauty, and it shows the beauty of creation. All good things are connected. " In this sense, there is no conflict between civilizations.

　　On the other hand, reserving differences. General Secretary of the Supreme Leader pointed out: "Like-minded people are partners. Seeking common ground while reserving differences is also a partner. " While seeking agreement, we should acknowledge differences, fully respect diversity, fully realize the uniqueness of each country and nation’s civilization, rationally handle the differences of civilizations, and adhere to the attitude of tolerance while reserving differences.

　　China’s traditional culture, such as "When in Rome, do as the Romans do", profoundly reflects Chinese’s character and wisdom of seeking common ground while reserving differences.

　　Harmony and symbiosis. General Secretary of the Supreme Leader pointed out: "Harmony and symbiosis are the historical genes of the Chinese nation and the essence of oriental civilization."

　　Different civilizations exchange and learn from each other, persist in seeking common ground while reserving differences, learn from each other’s strengths, and ultimately achieve harmonious coexistence, harmony and symbiosis. The Book of Rites, The Doctrine of the Mean, puts forward that "all things coexist without harming each other, and the Tao is parallel without contradicting each other", which profoundly embodies the truth that Chinese civilization pursues harmony and symbiosis.

　　The development history of human civilization shows that to promote the prosperity and progress of human civilization, different types of civilizations must live in harmony, complement each other and shine together, and jointly weave colorful pictures. To pursue harmony and symbiosis, we should establish the consciousness of "common destiny" and realize that human beings are a whole and the earth is a home. In the face of common challenges, no one, no country or any civilization can be immune. To form the concept of "one family under the world", every country and nation should uphold the concept of unity, cooperation and common development and take the road of joint construction, sharing and win-win; To carry forward the spirit of "self-interest", the leading countries should sincerely help other countries to develop, not only to make their own civilization full of vitality, but also to create conditions for the development of other countries’ civilizations.

　　The General Secretary of the Supreme Leader proposed to build a community of human destiny and "three global initiatives", which showed a broad global vision and a strong mission, provided China’s plan to meet the common challenges faced by mankind, contributed China’s wisdom, and fully demonstrated the great pattern and wisdom of contemporary China in seeking harmony and symbiosis.

　　Further stimulate the inclusive characteristics of Chinese civilization

　　Bao and Rong are dialectical unity. Chinese civilization, with its profound connotation, both mind and wisdom, has achieved the unity of "package" and "capacity", showing its distinctive tolerance characteristics in the long-term historical accumulation. Inclusiveness has played a great role in the long-term survival, development and prosperity of the Chinese nation, and shaped the unique image and temperament of Chinese civilization standing in the forest of world civilization. To further stimulate the inclusive characteristics of Chinese civilization, we must persist in focusing on ourselves, connecting ancient and modern times, and integrating Chinese and foreign countries, and actively absorb and learn from all outstanding achievements of civilizations in ancient and modern times and at home and abroad, and constantly create new glories of Chinese culture and build a modern civilization of the Chinese nation.

　　Give priority to me and stick to the position and self-confidence of Chinese civilization. General Secretary of the Supreme Leader stressed: "Only a confident civilization can tolerate, learn from and absorb different civilizations while maintaining its own national characteristics."

　　After thousands of years, Chinese civilization has been endless and enduring, which is a miracle of human civilization and our confidence. Independence is the soul of the Chinese nation’s spirit and provides a powerful force for the development and prosperity of Chinese civilization. To stimulate the inclusive characteristics of Chinese civilization, we must first be confident and self-reliant, adhere to the position of Chinese civilization, consolidate the subjectivity of Chinese civilization, and be independent in spirit and mentality. Insist on taking me as the main factor, firmly take root in our own soil, always look at, examine and tolerate all civilizations from the standpoint of Chinese civilization, and absorb and learn from the outstanding achievements that contribute to the development of Chinese civilization based on China’s own history, reality and needs.

　　Through ancient and modern times, we will promote the creative transformation and innovative development of Chinese excellent traditional culture. General Secretary of the Supreme Leader stressed: "We should handle the relationship between inheritance and creative development, and focus on creative transformation and innovative development."

　　Chinese excellent traditional culture is the crystallization and essence of Chinese civilization, the root and soul of the Chinese nation, and the foundation for us to gain a firm foothold in the agitation of world culture. To stimulate the inclusive characteristics of Chinese civilization, we must integrate ancient and modern times, fully explore the treasure house and rich mines of Chinese excellent traditional culture, and fully activate the vitality of Chinese excellent traditional culture. The key is to make the past serve the present and bring forth the new, so that the traditional culture can be integrated with the real culture and do a good job in creative transformation and innovative development.

　　Creative transformation is to transform those connotations and old expressions that still have reference value, endow them with new connotations and modern expressions and activate their vitality according to the characteristics and requirements of the times. Innovative development is to supplement, expand and improve the connotation of Chinese excellent traditional culture and enhance its influence and appeal according to the progress of the times.

　　Integrate China and foreign countries, and extensively absorb and learn from the achievements of outstanding civilizations in the world. All kinds of civilizations created by human beings are the crystallization of labor and wisdom, and each civilization has its unique charm, is the spiritual treasure of human beings, and has its merits.

　　Chinese civilization is so splendid and profound that it benefits from continuous exchanges and integration with other civilizations and actively absorbs and integrates the achievements of other civilizations. To stimulate the inclusive characteristics of Chinese civilization, we must integrate Chinese and foreign countries, absorb the outstanding achievements of civilizations in the world more actively, draw nutrients from the "sum of human knowledge", and be eclectic and learn from others. It is necessary to strengthen dialogue, exchanges and cooperation with other civilizations, enrich the contents of exchanges, expand channels of cooperation, maintain an open and modest attitude, and learn from them extensively.

　　At the same time, we should actively promote Chinese civilization to the world, not only to promote the localization of foreign cultures, but also to promote the internationalization of Chinese culture, so that Chinese civilization can continue to prosper and maintain its vitality in the process of deep interaction with the world and deep opening to the world.   (Wen Yi Xu Shuai Biao Author: the Central Committee of the Communist Party of China Institute of Party History and Literature)

　　(Outlook, No.12, 2024)

Learn from a painful experience： if hyperuricemia is asymptomatic after physical examination, you should seek medical advice in time.

　　[Large class]

　　Not long ago, a male patient over 60 years old came to see a doctor. I was amazed when he showed his finger. I saw that his middle finger, forefinger and other joints were deformed and thick. This is what we often call tophi, also known as gout nodule.

　　In fact, there have been many typical cases caused by uric acid metabolic disorder since the clinic of high uric acid and gout was opened in the clinical nutrition department. According to the patient’s self-report, he has a history of gout for more than 30 years. At the beginning of his illness, he felt pain and would take medicine to control it. However, in the past 10 years, because he had no pain symptoms, he didn’t take it seriously, neither seeing a doctor nor taking medicine. As a result, his condition further developed, spreading from his hands and feet to his knee joint and ankle joint, and more and more tophi became bigger and bigger, which led to limited walking and activities and seriously affected his normal life.

　　Uric acid is the final product of purine metabolism in human body. Normal adults produce about 700 mg of uric acid every day, of which about 500 mg is excreted by the kidney and 200 mg by the intestine, thus maintaining the balance of uric acid in the body. If uric acid is produced too much or excreted poorly, it will lead to the increase of uric acid in blood. In general, when the serum uric acid concentration is greater than 416umol/L (micromoles per liter), it can be clinically diagnosed as hyperuricemia. Uric acid salt crystals in patients with hyperuricemia are deposited in joint synovium, synovial bursa, cartilage and other tissues, causing recurrent inflammatory diseases, which are called gout, manifested as gouty acute arthritis, chronic arthritis, tophi and joint deformity, gouty nephropathy and so on. The higher the serum uric acid level, the greater the possibility of gout in the next five years. However, due to the different conditions of patients with hyperuricemia, some people still have no symptoms when their urine acid is as high as 700umol/L, and some people are close to 400umol/L, so their toes are too painful to walk. Therefore, most patients without obvious symptoms, even if hyperuricemia is found in physical examination, often do not go to the doctor, thus delaying their condition.

　　Where does uric acid in the human body come from? Generally, there are two sources: endogenous is the continuous renewal and decomposition of nucleic acids in the body, and the renewal route is nucleic acid → Purine-→ Uric acid, about 80% of uric acid comes from the decomposition of nucleic acid in the body; Another 20% comes from foods rich in purine in the diet. But don’t underestimate this 20% purine from food, because patients with high uric acid and gout have a common feature, that is, they like to eat purine-rich foods, such as seafood, viscera, pork, beef and mutton, chicken, duck and fish, various gravy and bean products. People with a family history of gout, obesity, male, excessive drinking and eating a high purine diet are all susceptible to gout. Clinically, it is found that every attack of gout patients is induced. For example, every year when crabs are on the market, the number of gout patients will increase; In various holidays, due to continuous dinner, drinking, overeating, etc., uric acid may also increase and gout may be induced.

　　So what should I do once I find that uric acid exceeds the standard?

　　First, we should see a doctor in time. Once hyperuricemia is detected, you should go to the hospital in time, and don’t wait until the condition is serious. Only by reducing uric acid to a normal level and maintaining it within the normal range can health be guaranteed.

　　Second, pay attention to diet control. Because hyperuricemia is one of the "affluence diseases" eaten, adjusting diet is the first choice to control hyperuricemia and gout. For patients who come to see a doctor, the doctor will calculate the personalized energy requirement according to the patient’s height, weight and activity, and give them a low purine diet to guide the patient to eat correctly.

　　Third, cooperate with drug treatment. In the acute attack period of gout, in addition to rest, raising the affected limb and avoiding the burden on the affected joints, drugs should be given in a targeted manner every day to effectively relieve symptoms.

　　Fourthly, in addition to the low purine diet, drugs that inhibit uric acid production should be used reasonably according to the patient’s uric acid level and gout symptoms, and the blood uric acid level should be reviewed regularly.

　　What needs to be emphasized in particular is that some patients "forget the pain after healing the scar". When there are symptoms, they can shut up and take medicine together. Once the symptoms are relieved, they will stop taking drugs and start eating and drinking, which will not only lead to repeated illness, but also bring more damage to the body. Here, I would like to remind the patients that we must "learn from a painful experience", and even in the remission period, we should manage the uric acid level to make it in a state of "reaching the standard".

　　 (Author: Xu Yingxia, deputy chief physician of Clinical Nutrition Department of Beijing Tiantan Hospital, organized by Kuang Yuanshen)

Jiangsu Industry and Commerce Announces Sampling Results of Online Shopping and Typical Cases of Complaints

China Quality News Network learned from official website of Jiangsu Provincial Administration for Industry and Commerce that the overall pass rate of online trading goods in Jiangsu last year was 70.5%, and the products with less than 50% pass rate in sampling inspection included glasses, children’s toys and lamps. The protein powder bought online has shrunk by half, and there is something wrong with diet pills. What should I do? On March 8, the Jiangsu Provincial Administration for Industry and Commerce reported the quality sampling of online trading goods in 2017, and announced the typical cases of online shopping complaints in Jiangsu in 2017 and consumption tips.

Sampling notification

Last year, Jiangsu Industry and Commerce conducted a special sampling inspection on the quality of crystal jewelry, textiles and clothing, decoration materials, household appliances, information technology equipment (mainly mobile power supplies, wireless routers, smart children’s watches, etc.), children’s toys, lamps, glasses and other goods sold by registered operators in the province. A total of 1493 batches of samples were taken in the whole year. After testing, 1052 batches were qualified and 441 batches were unqualified, with an overall pass rate of 70.5%. The quality of online trading goods was generally stable and good.

Judging from the categories of products sampled, the pass rate of crystal jewelry sampling is 91.8%; The qualified rate of textiles and clothing is 66.2%; The qualified rate of sampling inspection of decoration materials is 98.3%; The qualified rate of household appliances is 87.5%; The qualified rate of information technology equipment (mainly mobile power supply, wireless router, smart children’s watch, etc.) is 53.3%; The pass rate of children’s toys sampling inspection is 46%; The qualified rate of lamps is 45%; The pass rate of glasses is 47%. Judging from the sampling results, the qualified rate of different kinds of goods is quite different, especially the qualified rate of glasses, children’s toys, lamps and other goods is less than 50%, which is a problem.

Jiangsu Industrial and Commercial Bureau has published the sampling results of online trading goods in six times on the official website of Jiangsu Industrial and Commercial Bureau. In addition to notifying producers, online commodity operators and third-party trading platforms, the industrial and commercial departments also ordered the sampled online commodity operators to stop selling immediately according to law, and instructed and urged the third-party trading platforms to delete, block and disconnect the commodity information about the unqualified commodity information and the virtual shops of the sampled online commodity operators.

In addition, in 2017, the province’s industrial and commercial system filed a total of 1912 illegal cases in the online market, with a fine of 30.083 million yuan, of which 123 were unqualified online sales. This year, the industrial and commercial department will optimize the sampling inspection of electronic products, maternal and child supplies, and student supplies.

Typical case

No1

After more than a month of buying chocolate by sea, the operator finally paid compensation in Yancheng.

[Online shopping case]

On January 5th last year, Mr. Wang bought an imported "/mars" British chocolate on a cross-border online shopping platform. In the following days, the merchant delayed the delivery. During this period, Mr. Wang repeatedly urged him, and all the merchants said that due to the long overseas delivery cycle and the weather, the customer service suddenly said that the product had been removed from the shelves in late February and was out of stock, asking Mr. Wang to apply for a refund. When browsing the store, Mr. Wang found that the registered place of the operator was in Hong Kong, and there was a small line at the bottom of the page, "This store was operated by a network technology company in Yancheng". Mr. Wang contacted Yancheng Industrial and Commercial Bureau with the psychology of giving it a try. After mediation, the company finally compensated Mr. Wang and 200 yuan.

Industrial and commercial personnel said that after placing an order, consumers reached a sales contract with the online shop operator, and the online shop operator did not deliver the goods according to the agreement, which was a contract breach.

[Consumer Tips]

When consumers buy imported goods through the internet, they should know clearly about the performance, logistics and delivery cycle of the goods, and it is best to choose appropriate business entities and delivery methods. At the same time, attention should be paid to keeping relevant transaction records and other evidence.

No2

I bought diet pills and had dizziness and stomachache. It was originally that Wechat business found a manufacturer to "customize".

[Online shopping case]

Xie bought 6 sets of slimming capsules of a certain brand from Zhu through WeChat, totaling 2,130 yuan. Xie and his lover have weight loss effect in the early stage, and at the same time have symptoms such as dizziness and stomachache. The doctor decided that the diet pills should be added with some illegal drugs. Afterwards, Xie told the manufacturer of diet pills that the manufacturer said that this diet pill was customized by a Wechat business customer Zhu in their factory, and he was responsible for the after-sales problems. However, Zhu said that the goods were regular products and refused to make after-sales compensation. After mediation by the industrial and commercial department, Zhu finally refunded Xie’s payment and compensation totaling more than 20,000 yuan. At the same time, the bureau also filed a case against Zhu’s illegal behavior.

The industrial and commercial personnel said that the merchants publicized and sold diet pills that did not meet the safety standards through WeChat. According to the relevant provisions of the Food Safety Law, the merchants should compensate for the losses and pay compensation of 10 times the payment amount.

[Consumer Tips]

Consumers should be cautious about the promotion of goods in Wechat business, and don’t believe in health care products that claim to have therapeutic effects. Health care products that claim to have the effect of losing weight may be added with non-edible substances prohibited by the state, which will bring harm to human health after eating.

No3

"Promotion for 3 hours" lasted for several days. Online shop "fudged" and met a real person.

[Online shopping case]

The Consumers’ Association of Binhai County, Yancheng City received a complaint from consumers, reflecting that an online shop declared that "there are three hours left in the promotion price of 26.8" when selling paradise umbrellas and other commodities. Consumers were worried about the price increase and immediately placed an order to buy. Later, consumers found that the promotion continued after three hours. A few days later, the promotion of this commodity was changed to "there are three hours left in the promotion price of 29.9", which still lasted for several days. After mediation by industrial and commercial personnel, the online shop reached an agreement with consumers through consultation. At the same time, the industry and commerce department has standardized the promotion behavior of online stores.

[Consumer Tips]

When consumers buy goods online, they should compare as much as possible, and don’t be fooled by the false propaganda of merchants; Attention should be paid to retaining relevant evidence, including trading commodity number, commodity picture, trading time, screenshots of web pages, chat records with sellers, relevant bills, etc. Once necessary, rights can be defended according to law.

No4

The arrival of online shopping protein powder "shrinks" by half, and then sign for it a priori.

[Online shopping case]

Mr. Zhu saw a well-known brand protein powder merchant on the Internet make a big promotion. The activity price of 450 grams of protein powder was only 50 to 60 yuan, so he bought 4 barrels and spent 231 yuan. Upon receipt of the goods, Mr. Zhu was blindsided, and the packaging of protein powder was damaged, and only one barrel was 450 grams, and the other three barrels were only 150 grams. The online store said that if the damage is serious, you can choose to return the goods, but the request to refund the difference or reissue 900 grams of protein powder is rejected. Upon inquiry, the industrial and commercial personnel learned that Mr. Zhu did not keep valid evidence such as screenshots of the online shop’s activities. After mediation, the online shop refunded the difference of 115 yuan to Mr. Zhu. At the same time, the industry and commerce department has standardized the promotion behavior of the online store.

[Consumer Tips]

Treat online promotion rationally, and don’t buy it easily because of the low price. When receiving the goods, you should inspect the goods before signing for them. If you find that the goods are damaged or the goods list is inconsistent, you should contact the seller in time, pay attention to intercepting the publicity webpage and keep the chat record shopping voucher.

No5

Wechat likes and recharge points are beautiful. In fact, they have not been cashed.

[Online shopping case]

In order to attract popularity, a car 4s shop in Jintan District of Changzhou released a WeChat praise collection activity through WeChat WeChat official account. The content of the activity shows that prizes can be won if a certain number of praises are collected, and it is not limited to first come, first served. Due to the store’s underestimation of the number of participants in the event, the number of prizes prepared is limited, so we can only tell the winners that the number of prizes is limited and has been distributed. After mediation by industrial and commercial personnel, the merchants exchanged prizes for consumers.

Coincidentally, there is another case where the promise can’t be fulfilled: a shopping mall in Zhonglou District, Changzhou launched an online recharge and return of points. The content of the activity shows that any customer can return the corresponding amount of points by recharging on the online platform of the shopping mall. One point can be used as one yuan, and any goods can be purchased on the online platform without other relevant restrictions. Due to the mall’s underestimation of the number of participants in the event, the business qualification review of merchants on the platform was not strict, and the amount of recharge exceeded its affordability, so the mall frozen some customers’ online accounts. After mediation by the market supervision department, the mall redeemed points for consumers.

[Consumer Tips]

Consumers should be careful to participate in preferential activities such as WeChat praise collection and point redemption. On the one hand, they should pay attention to reading the details of the activities and try to fully understand the relevant requirements of the activities. At the same time, they should keep relevant evidence such as screenshots of the activities in order to protect their rights in time.

No6

Online shopping encounters false delivery and return, and there is a mystery.

[Online shopping case]

Mr. Liang took a pair of sandals with a price of 61.92 yuan in an online shop. After payment, Mr. Liang saw the system prompt "The seller has delivered the goods" on the Internet. As the automatic account transfer day approached, Mr. Liang could not find the logistics record. The invoice only filled in such contents as "Your order has been picked by a third-party seller and will be delivered to A Niu after delivery, and the contact number is 186 * * * * * *". After investigation, the telephone number is the business telephone number of a company in Zhenjiang. According to the industrial and commercial personnel, the seller recently placed more orders and was busy with business, and did not deliver the goods in time according to the standardized process. Finally, the two parties reached an agreement.

What Ms. Sun encountered was even more disturbing: she bought a dress in an online shop, and the online shop did not deliver it according to the agreed time. When she didn’t want to apply for a refund, the customer service asked to change the reason for the return from "not delivered on time" to "the consumer didn’t like it", otherwise she wouldn’t return the goods. As a result, consumers complained to Wuxi Xishan District Market Supervision Bureau. After mediation, the two sides reached a settlement.

[Consumer Tips]

Some online stores often ask consumers to fill in the reasons for returning goods as "I don’t like it" or "No reason for 7 days" in order not to affect the reputation of the store, otherwise they will not agree to return goods. This is against the relevant regulations. In addition, if the seller intentionally makes false delivery, it is suspected of fraud. Therefore, consumers should pay attention to logistics information in time. If the seller deliberately delays delivery, they should keep the evidence in time and complain to the e-commerce platform and the 12315 hotline where the seller is located. If you need to return the goods, you should communicate with the merchants properly and fill in the reasons for returning the goods reasonably. In case of unreasonable refusal to return the goods, rights should be protected in time according to law.