标签： 南京新茶外卖论坛

　　[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)

Order of Beijing Municipal People’s Government

No.13

　　The Interim Measures of Beijing Municipality on Invoice Management are hereby promulgated and shall come into force as of June 1, 1989.

Interim Measures of Beijing Municipality on Invoice Management

　　Article 1 In order to strengthen the administration of tax collection and maintain the order of socialist commodity economy, these Measures are formulated in accordance with the Provisional Regulations on the Administration of Tax Collection in People’s Republic of China (PRC) and the Interim Measures for the Administration of National Invoices, combined with the specific conditions of this Municipality.

　　Article 2 All units, individual industrial and commercial households (including private enterprises, the same below) and invoice printing units that use invoices within the administrative area of this Municipality must fully implement the Interim Measures for the Administration of National Invoices and these Measures.

　　These measures are not applicable to invoices used by foreign-invested enterprises, foreigners and overseas Chinese, Hong Kong, Macao and Taiwan personnel in this Municipality, receipts of money used by administrative institutions and internal settlement vouchers used by independent accounting units, and other non-operating special bills, which are managed according to the relevant provisions of the state and this Municipality.

　　Article 3 The Municipal Taxation Bureau and its branches are the invoice management organs of this Municipality, and are responsible for organizing and supervising the implementation of these Measures.

　　Fourth units and individual industrial and commercial households in the city to sell goods (products) to receive payment, provide labor services or engage in other business to obtain operational income, must truthfully issue invoices to the payer.

　　Commercial and service industries may not issue invoices when they retail small commodities or charge small service fees to consumers, but consumers may not refuse to issue invoices if they ask for them.

　　Units and individual industrial and commercial households in the city to buy goods (products), accept labor services or other services to pay, must obtain invoices from the payee.

　　Article 5 The main contents of an invoice include: invoice name, track number, serial number and its use, name of payer, name of commodity (product) or business (service) item, unit of measurement, quantity, unit price, amount, cumulative amount in figures and words, drawer, date of invoice, and name of tax authority that printed or approved printing.

　　Article 6 The invoices of this Municipality shall be printed or approved for printing by the Municipal Taxation Bureau, and the "Seal of Invoice Producer of Beijing Taxation Bureau" shall be overprinted.

　　The "Seal of Invoice Producer of Beijing Municipal Taxation Bureau" is the legal symbol of this Municipality’s invoices, which is uniformly made by the Municipal Taxation Bureau, and no unit or individual is allowed to forge it.

　　Article 7 The invoices of this Municipality shall be used exclusively according to the following categories:

　　1. Special invoices for the industry;

　　2. Special invoices for individual businesses;

　　3. Special invoices for temporary operation;

　　4. Special vouchers for payment of personal income;

　　Five, industrial and commercial enterprises to allocate materials special invoices;

　　6. Special invoices for capital transactions of industrial and commercial enterprises;

　　Seven, approved by the Municipal Taxation Bureau overprint "Beijing Municipal Taxation Bureau invoice producer seal" of other invoices.

　　The specific scope of application of the above invoices shall be stipulated by the Municipal Taxation Bureau.

　　Article 8 For the time being, the following professional bills shall be determined and printed by the units using the bills themselves, and it is not necessary to overprint the invoice producer seal of Beijing Municipal Taxation Bureau:

　　A, finance, insurance, posts and telecommunications, water supply, power supply, gas supply, heating, real estate management, medical care and other industries to use professional bills;

　　Two, railway, highway, aviation, water transport and other departments of the car tickets, air tickets, baggage tickets;

　　Tickets for theaters, stadiums (gymnasiums), clubs, parks, playgrounds, museums and exhibition halls;

　　4. Special vouchers for collecting money from abroad;

　　Five, approved by the Municipal Taxation Bureau can not overprint "Beijing Municipal Taxation Bureau invoice producer seal" of other professional bills.

　　Article 9 The invoices of this Municipality are only used within the administrative area of this Municipality. Units and individual industrial and commercial households in this Municipality who engage in business activities in other places shall apply to the local tax authorities for the use of local invoices with the Certificate of Tax Administration for Outdoor Operation of Fixed Industry and Commerce issued by the local tax authorities in this Municipality.

　　Foreign units and individual industrial and commercial households to engage in business activities in the city, should hold the foreign local tax authorities issued the "fixed industrial and commercial outdoor business tax management certificate", to the city business tax authorities to apply for the use of the city invoice; Temporary operators shall apply to the local tax authorities for the use of zero copies of local invoices.

　　Tenth units and individual industrial and commercial households need invoices, by units or individual industrial and commercial households to apply to the local tax authorities, with the local tax authorities issued the "invoice purchase voucher", to the designated tax authorities to buy.

　　Units that use a large number of invoices or have special business operations may, with the approval of the Municipal Taxation Bureau, print invoices in the approved style at the designated printing house with the Notice of Printing Invoices issued by the local tax authorities. If it is necessary to overprint the seal of the unit on the invoice, it must be approved by the tax authorities. Without approval, overprinting is not allowed.

　　Article 11 Units and individual industrial and commercial households should strengthen the management of invoices, establish a system, assign special personnel to be responsible for them, keep them properly, strictly implement the procedures for collecting invoices, truthfully register the Invoice Use Register, and submit the Report on the Use of Invoices by Enterprises to the local tax authorities quarterly.

　　Twelfth units and individual industrial and commercial households should check the whole invoice one by one before using it; If it is found that the invoice is missing, the whole invoice should be submitted to the local tax authorities for identification before processing. Invoices must be used in numerical order, copied in each copy, truthfully filled out column by column, and stamped with the special financial seal or invoice seal of the unit. Incorrectly filled invoices should be stamped with a void stamp, affixed to their stubs and saved.

　　Invoice stubs issued by units and individual industrial and commercial households shall be kept for at least 5 years. To destroy invoice stubs, a register must be made, a written application must be submitted to the local tax authorities, and the stub can be destroyed only after it is approved by the tax authorities.

　　Article 13 Where an invoice is filled out by a computer, it must be approved by the Municipal Taxation Bureau to print an off-machine invoice with the stamp of "Invoice Producer Seal of Beijing Taxation Bureau". Off-board invoices shall be entered into the computer in numerical order, and the stubs shall be bound and kept in numerical order.

　　Article 14 Units and individual industrial and commercial households that need to cancel or replace invoices due to job change, reorganization, division, merger, joint venture, relocation, closure, bankruptcy and other reasons shall, within 30 days from the next day, go to the local tax authorities to cancel or apply for replacement, and shall not handle it without authorization.

　　Fifteenth printing units shall print invoices with the "Beijing Municipal Taxation Bureau Invoice Certificate" issued by the tax authorities.

　　Without the approval of the tax authorities, no unit or individual may print invoices.

　　Article 16 Units that have been approved by the tax authorities and obtained the Invoice Certificate of Beijing Taxation Bureau for printing invoices must abide by the following provisions:

　　First, the establishment of invoice printing management and quality inspection system, designate a person to be responsible, and set up a special inventory to put invoices;

　　Two, according to the tax authorities issued the "notice of printing invoices" limited number and style of printing invoices;

　　Three, timely destruction of all disabled pages in the process of printing invoices;

　　Four, the printing invoice shall not be transferred to other units for printing;

　　Five, designate a person to manage the "Beijing Municipal Taxation Bureau invoice producer seal", to prevent loss, prohibit lending, transfer, destruction, and report to the tax authorities on a quarterly basis.

　　Article 17 It is forbidden to lend, transfer, resell, open, tear up, alter or forge invoices, to practise fraud when filling out invoices, to sell or use or destroy invoices without authorization. If an invoice is lost, it must be reported to the local tax authorities within 3 days.

　　Eighteenth units that use invoices, individual industrial and commercial households and units that print invoices must accept the supervision and inspection of the tax authorities.

　　In violation of the Interim Measures for the Administration of National Invoices and these Measures, any unit or individual may report and expose to the tax authorities. The tax authorities shall reward the whistleblower according to regulations and keep it confidential.

　　Article 19 Anyone who violates these measures and commits any of the following acts shall be confiscated by the tax authorities, ordered to make corrections within a time limit, and may, according to the seriousness of the case, impose a fine of less than 5,000 yuan on the unit or individual industrial and commercial households, and impose a fine of less than 1000 yuan on the person who is directly responsible and the person who instigates or harbors them; Refuses to correct, the tax authorities may revoke its tax registration certificate and collect its invoices and other tax management certificates:

　　1. Failing to purchase, keep or use invoices according to the provisions of these Measures;

　　2. Lend, transfer, resell, open, tear up, alter, forge invoices and practise fraud when filling out invoices;

　　3. Failing to report to the tax authorities within 3 days after losing the invoice;

　　Four, without the approval of the tax authorities, unauthorized printing, sale, use and destruction of invoices;

　　Five, forged "Beijing Municipal Taxation Bureau invoice producer seal";

　　Six, the invoice making unit lost, transferred, destroyed "Beijing Municipal Taxation Bureau invoice producer seal" or not according to the provisions of these measures to print invoices;

　　Seven, refused to accept the supervision and inspection of the tax authorities.

　　Tax evasion, tax evasion and refusal to pay taxes due to the above acts shall be punished in accordance with the relevant provisions of the Provisional Regulations on the Administration of Tax Collection in People’s Republic of China (PRC), in addition to the provisions of these measures; If the case constitutes a crime, the responsible person shall be investigated for criminal responsibility according to law.

　　Twentieth Municipal Taxation Bureau may formulate detailed rules for implementation according to these measures, and be responsible for the interpretation of specific issues in the implementation of these measures.

　　Article 21 These Measures shall come into force as of June 1, 1989. In 1984, the Municipal People’s Government approved the "Trial Measures for the Administration of the Use of Uniform Invoices and Uniform Receipts of Money in Beijing" issued by the Municipal Taxation Bureau, which was abolished at the same time.

Mobile phone card data traffic turns off the mobile phone all the year round but keeps generating traffic … Recently, Mr. Liu, a consumer in Harbin, Heilongjiang Province, told reporters

Reflects what happened to him.

There was no internet access at all, and the traffic fee was deducted, and the "peace of mind package" service was automatically opened.

Mr. Liu said that he uses a Huawei dual-card dual-standby mobile phone, and the main card is China Unicom. The package includes 2,000 minutes of calls per month and unlimited Internet traffic. Another China mobile card is bound to its own broadband and other application accounts, so it only has the minimum package for 9 yuan/month (including 40 minutes of calls and 30 short messages, and the Internet is paid separately).

Mr. Liu said that the call duration in the mobile card package was only used occasionally. In order to avoid generating Internet traffic, the data traffic and intelligent conversion function of the card were also turned off.

However, on April 6th, Mr. Liu received a short message from China Mobile, prompting that 9.35MB of traffic was generated.

But what puzzles Mr. Liu is that the SMS also prompts: "The" peace of mind package "service has been automatically provided for you outside the package".

▲ You have been automatically provided with the "peace of mind package" service outside the package, and the traffic outside the package will be charged at 0.29 yuan/MB first. When the fee reaches 10 yuan, you can use the traffic to 100MB for free. If it is exceeded again, it will be charged according to the same rules. When you order it for 3 times in 30 yuan, you can use 1GB for free. According to the same rules and so on, until the 200GB cap.

I never use China mobile phone card to surf the Internet, and the data traffic has been turned off. The monitoring data of the mobile phone’s own traffic monitoring system is zero. How did the traffic of 9.35MB come about? Without the user’s consent, why did China Mobile automatically open the "peace of mind package" service?

▲ On April 6th, Mr. Liu’s mobile phone’s own traffic monitoring showed that the data of China Mobile was 0.

To this end, Mr. Liu called China Mobile’s 10086 customer service twice, and the answer was: the recording platform has a traffic consumption record, resulting in a traffic fee of 7.97 yuan.

Mobile customer service staff: "This is how the system is displayed, and users will not record it if they don’t use it. As for the traffic monitoring system of mobile phones, it belongs to third-party software, and its monitoring results cannot explain the problem. "

"If the user’s perception is not good, the fee can be refunded."　

There are various charging standards, but there is no clear explanation to consumers.

Mr. Liu said it was unacceptable, and thought that the calculation results of Huawei mobile phone traffic monitoring system and China mobile traffic system were too different. In addition, the 9.35MB traffic is calculated at 0.29 yuan /MB, which should be 2.71 yuan. How is 7.97 yuan calculated?

With these doubts, Mr. Liu looked at the previous mobile SMS and consumption details and found that since December 2018 (when 1.44MB of traffic was generated and the charge was 0.42 yuan), he has received SMS notifications that generated traffic one after another, and the consumption bills also have deduction records, and the charging standards are different.

Mr. Liu told reporters that he hardly reads short messages. Recently, he discovered that China Mobile has been deducting traffic charges because he wanted to check the school’s short message notice.

The reporter saw from the short message information, bill of charges and detailed list of surfing the Internet provided by Mr. Liu: From July to October in 2019 and from May to December in 2020, there were short message notices from China Mobile at the beginning of each month, showing that the traffic ranged from 0.01 to 0.03MB, and they were charged 0.01 yuan and 0.02 yuan respectively in that month, with a maximum of 1.05 yuan a month.

In 2021, several times, although SMS notifications generated 0.01MB of traffic, there was no charge; In November, there was no traffic notice, but a traffic fee of 1.50 yuan was charged. As can be seen from the detailed online list of this month:

From November 18th to November 30th, I used "Anxin Bao" to surf the Internet for 44 times, and the traffic was calculated in KB. In that month, the "Anxin Bao" traffic generated charging records for 7 times, with a total charge of 1.50 yuan. Among them, the traffic is 4107KB at most once, and the charge is 1.16 yuan; Generate 0.05KB traffic at least once and charge 0.01 yuan.

The standards for charging seven times are also varied:

According to 1MB=1024KB and 0.29 yuan /MB, 0.05KB can’t get 0.01 yuan.

The traffic generated by other 30 times of surfing the Internet exceeds 0.05KB, but there is no charge;

1280.28KB charges 0.07 yuan, while 443.96KB charges 0.12 yuan.

▲ There are different charging standards. Information picture

Mr. Liu told the reporter that at 13: 03 on April 6, he received a text message indicating that he had used a total of 9.35MB of traffic, while the online details showed that the traffic was 29023KB (28.34MB) and the charge was 7.97 yuan. The statistics of China Mobile’s external traffic on that day were 27.59MB. These inconsistent statistics make Mr. Liu very puzzled, but the online records of the day showed that he had accessed the Internet five times that day, and no relevant data of 9.35MB was found.

▲ At 13: 02: 59 on April 6, 29023KB (converted to 28.34MB) was generated, and there was no 9.35MB on the bill of China Mobile that day. Information picture

▲ The statistics of China Mobile’s external traffic on that day are 27.59MB. Information picture

The reporter also found through the detailed list of Internet access provided by Mr. Liu that on April 11th, the Internet generated 9.86KB of traffic and charged 0.01 yuan, while on April 6th, the Internet generated 20.20KB of traffic without charge.

Mr. Liu believes that China Mobile should provide relevant evidence and explain its traffic statistics and inconsistent charging standards. But more than ten days passed, and China Mobile did not give a clear explanation.　

China Mobile replied that there was no problem with the billing system. Huawei said that if the network was needed, it would use a calling card with traffic.

The reporter’s online inquiry found that many consumers have reported that they have already closed their mobile data, and they will still receive SMS messages with excessive traffic. Some consumers even ask China Mobile to turn off the traffic from the background, but it still generates traffic, which costs as much as one or two yuan and as little as a few cents a month.

On April 11th, the reporter called China Mobile’s 10086 customer service to inquire about Mr. Liu’s complaint. On April 16th, China Mobile staff conveyed the conclusion of the background inquiry department:

The mobile phone’s own monitoring system is not used as the basis for traffic charging;

There is nothing wrong with the charging system of the mobile company. The background is charged according to the detailed bill. This charging is passive, and the online behavior is actively sent by the mobile phone. Only when the user terminal uses the traffic can the traffic bill be generated.

Only 6 months of data are kept, and the previous data cannot be queried;

Can do refund processing for users.

In response to the question of why the data traffic of the mobile phone is turned off, the staff member added that the user turned off the data switch on the mobile phone, and the GPS function of the mobile phone has been running. Some background running software of the smart phone will take some traffic if it is not completely turned off.

In response to China Mobile’s explanation, Mr. Liu said that he could not understand: If the mobile phone traffic data is turned off, what software can turn on to generate traffic?

Is there something wrong with Huawei’s mobile phone, or does the mobile company automatically open the "peace of mind package" service for users without authorization to generate so-called software traffic?

0.05KB is 50 bytes. What software can generate such a small amount of traffic? Does the software shut down immediately after triggering traffic? "

To this end, Mr. Liu consulted Huawei’s customer service and got the answer:

Even if there is an error between Huawei’s mobile phone and China Mobile’s calculation method, it is impossible to generate more than 20 MB of traffic at a time on April 6 without monitoring it.

As long as mobile phone users take the initiative to surf the Internet, mobile phone housekeeper traffic monitoring will be recorded, even if it is less than 1KB, and the traffic generated by any software can be found.

If the internet access function and intelligent conversion of the secondary card of the mobile phone are turned off, even if there is software that needs the internet, the traffic of another card that can access the internet will be selected. Turning off the mobile phone card online will also generate traffic, which is theoretically unreasonable.

The operator’s 4G network will send special traffic packets to the secondary card from time to time. Although the mobile data is not turned on by the mobile phone, it will still lead to small traffic consumption of the secondary card, and the mobile phone has no monitoring record.

Some operators need to carry traffic to transmit information to users, such as sending multimedia messages to a user, and the resulting traffic cannot be counted on the users who receive multimedia messages, so there should be no charge.

Expert opinion: China Mobile has no right to charge for not providing services.

Lawyer Li Bin of Beijing Zhongshengsheng Law Firm believes that from the package setting of Mr. Liu’s two cards, and the way of turning off the data traffic of China Mobile’s mobile phone card on the mobile phone side, it is clear that Mr. Liu does not use the data traffic of China Mobile. As a service provider, China Mobile should provide users with fees corresponding to its services, and ensure that the services it provides are fair in consideration of the fees it charges. China Mobile has no right to charge fees for services it has not provided, or to charge customers for traffic used by third parties.

Consumers have the right to know. When consumers question the data flow, measurement and pricing methods generated outside the package, China Mobile, as the leading party with technical capabilities, has the obligation to provide evidence, that is, it has the obligation to make a reasonable, popular and non-contradictory explanation on its own initiative.

Mr. Liu, the consumer, provided that the traffic monitoring data of Huawei, the mobile phone terminal, was zero in April, which is enough to prove that the traffic generated outside the package was passively generated. In this case, China Mobile should make use of its technical means and capabilities to monitor and inquire about the subjects of these traffic and claim rights from these subjects.

At present, China Mobile’s rhetoric has not provided evidence or reasons that consumers can identify and deny. China Mobile’s legal evidence is obviously insufficient to prove that the fees it charges consumers are well-founded. In this case, it is suspected of civil fraud, and it is suspected of bullying consumers’ right to know and property by means of technical barriers. Consumers can claim punitive damages such as triple compensation from them according to law.