Recently, the Hunan Provincial Health and Health Commission and the Hunan Provincial Department of Education issued the Notice on Strengthening the Prevention and Control of Key Infectious Diseases in Schools in Autumn and Winter. Infectious diseases on campus mainly spread through respiratory tract in autumn and winter, and some spread through digestive tract and contact, so it is easy to break out and spread in campus, so we should pay special attention to prevent the spread of infectious diseases.

According to the epidemic situation and incidence characteristics of infectious diseases, the school hospital has sorted out several knowledge of prevention and treatment of common infectious diseases in autumn and winter, please pay attention to it!

I. Influenza

(A) disease science

Influenza is an acute respiratory infection caused by influenza virus, and it is also a highly contagious and fast-spreading disease. Fog droplets ejected mainly by coughing or sneezing of infected people are transmitted to others through the air, and can also be infected by touching objects contaminated by influenza virus. The main clinical manifestations are high fever, headache, limb aches, fatigue and upper respiratory symptoms such as runny nose and cough. The infirm and the elderly are prone to pneumonia and other complications after infection.

The difference between influenza and common cold

(2) Prevention and control suggestions

1. Before the flu season, it is an effective way to prevent the flu by vaccinating high-risk groups and susceptible groups.

2. Reasonable arrangement of work and rest time: have a regular life, ensure adequate sleep, and avoid the decline of resistance caused by overwork, thus increasing the chance of illness.

3. Pay attention to personal hygiene: don’t spit everywhere, and cover your mouth and nose with a handkerchief or paper towel when sneezing or coughing.

Wash your hands frequently, and wash your hands immediately after touching respiratory secretions (such as after sneezing).

4. Open the window and ventilate several times a day to keep the indoor air fresh. During the high incidence of influenza, try not to go to crowded places with dirty air; You’d better wear a mask when you have to.

5. Effective prevention approaches: early detection, early reporting, early isolation and early treatment. Isolating patients is the most effective way to reduce transmission.

Second, cold diarrhea

(A) disease science

Infectious diarrhea refers to diarrhea caused by intestinal infection of pathogens such as bacteria, viruses, parasites or fungi. Its prevalence is wide, the incidence rate is high, it has the characteristics of acute onset, rapid spread and wide coverage, and it is an important disease that harms health. Mostly due to the intake of unclean diet (such as cold dishes, spoiled shrimp, crabs, drinks, etc.) and water, due to bacterial and viral pollution, coupled with some people’s bad hygienic eating habits, the disease enters the mouth. The clinical manifestation is diarrhea, which may be accompanied by abdominal pain, fever, nausea, vomiting and other symptoms. The stool characteristics often vary with different pathogens, and in severe cases, fever, dehydration, electrolyte disorder, abnormal renal function, acidosis, shock and so on may occur. Infectious diarrhea pathogens are excreted with excreta, which pollutes the environment, food and water sources and can cause outbreaks.

(2) Prevention and control suggestions

1. Pay attention to drinking water hygiene, don’t drink raw water, don’t eat cold and spoiled food, especially seafood and aquatic products.

2. Pay attention to food hygiene, don’t overeat, and eat less food that is easy to carry germs and be bitten by flies; Tableware should be disinfected, and raw and cooked tableware should be separated; Try to eat cooked food, and wash and peel raw fruits and vegetables.

3. Pay attention to personal hygiene, wash your hands before and after meals, do not defecate anywhere, do not dump garbage and dirt, and do not pollute water sources.

4. Report the patients with vomiting and diarrhea in time, and see a doctor as soon as possible for timely diagnosis and treatment.

Third, tuberculosis

(A) disease science

Tuberculosis, also known as "consumption", is a chronic infectious disease caused by the infection of Mycobacterium tuberculosis (commonly known as Mycobacterium tuberculosis). The part often invaded by Mycobacterium tuberculosis is the lung, which is called tuberculosis. The clinical manifestations of tuberculosis are various, and the early symptoms are mild and atypical. It is easy to be confused with other respiratory diseases, such as tracheitis and pneumonia, and it is often ignored, which leads to the delay of medical treatment. Cough, expectoration, hemoptysis or bloodshot sputum are the main symptoms of pulmonary tuberculosis. Most patients with pulmonary tuberculosis have hemoptysis with blood in sputum, and a few patients have hemoptysis with big mouth. In addition, chest tightness, chest pain, low fever in the afternoon, night sweats, general weakness, loss of appetite or weight loss are also common symptoms of tuberculosis.

(2) Prevention and control suggestions

1. Take tuberculosis examination as a compulsory item for physical examination of teachers and students.

2. Do not spit everywhere, cover your mouth and nose when coughing or sneezing, and wear a mask to reduce the spread of tuberculosis.

3. After suspicious symptoms of pulmonary tuberculosis appear or are diagnosed as pulmonary tuberculosis, you should take the initiative to report to the school, and don’t hide your illness or attend classes with illness.

4. Develop the habit of frequently opening windows for ventilation; Do a good job in campus environmental sanitation, and eliminate the dead corner of sanitation.

5. Ensure adequate sleep, reasonable diet, strengthen physical exercise and improve the ability to resist diseases.

Fourth, dengue fever

(A) disease science

Dengue fever is an acute mosquito-borne infectious disease caused by the spread of dengue virus through mosquito bites. Dengue fever has the characteristics of typical importation, suddenness, rapid spread, high incidence, general susceptibility of the population and high mortality of a few severe cases. The clinical features are sudden onset, high fever (sometimes up to 39℃), general muscle pain, joint pain, extreme fatigue, and some patients may have rash, bleeding tendency and lymph node enlargement. At present, the epidemic situation of dengue fever in Southeast Asia, South America, Africa and other places is more serious, and cases of dengue fever have appeared in Yunnan, Guangdong, Zhejiang, Hainan and other regions in China. At present, there are no vaccines and specific therapeutic drugs that can prevent the disease. The focus of treatment is to control pain with painkillers, usually acetaminophen (paracetamol).

(2) Prevention and control suggestions

Avoiding being bitten by mosquitoes is the key. Try to choose light-colored long-sleeved trousers and use mosquito repellent or other mosquito repellent drugs when going out.

2. Screen windows and screen doors should be installed in the residence. You can use mosquito-repellent incense, mosquito-repellent aerosol, etc. in the hotel room before going out. Even in high-end hotels, you should pay attention to indoor mosquito killing. Avoid staying in the dark and humid outdoors such as grass, shade and gazebo for a long time.

3. If symptoms appear, see a doctor in time. If you come back from dengue endemic areas (Yunnan, Guangdong, Zhejiang, Fujian and other domestic endemic areas, Southeast Asia, South America, Africa and other overseas endemic areas), please pay attention to your own health observation. If you have a persistent high fever within 2 weeks, accompanied by symptoms such as headache, orbital pain, muscle and joint pain, nausea, vomiting, rash, etc., you should go to a regular hospital as soon as possible, and inform the doctor of his recent residence history and remind him that he may have dengue fever; When staying at home or in hospital, do a good job in mosquito isolation (especially within 5 days after onset), including using mosquito nets, screen doors and screens, wearing long-sleeved underwear, spraying mosquito repellent and other measures to reduce unnecessary outdoor activities and prevent further spread.

V. Covid-19 infection

(A) disease science

At present, XBB series variants of Omicron subtype have become dominant in most provinces in China, and this trend is likely to continue in the future. The National Bureau of Disease Control and Prevention also said that the epidemic situation of COVID-19 in China is generally at a low level and in a wave-like fashion recently, and the epidemic situation has brought less pressure to local medical systems, so there will be no large-scale epidemic in the short term. However, it should be noted that cases of multiple infections with COVID-19 are more common. Through the search, we can find that the number of COVID-19-infected outpatients in hospitals has increased recently, and most patients are infected with Covid-19 or influenza virus.

(2) Prevention and control suggestions

1. Actively vaccinate. Elderly people aged 60 and above, people aged 18-59 with serious basic diseases, people with low immune function, people with high risk of infection, and people who have completed basic immunization or have been infected with Covid-19 should be actively vaccinated to further strengthen their autoimmune ability.

2. Pay attention to personal protection. Residents should wear masks in their daily trips, minimize unnecessary gatherings and keep social distance. Maintain good personal and environmental hygiene, wash hands frequently, often ventilate, pay attention to rest, pay attention to nutrition and enhance physical fitness.

3. Use drugs rationally and see a doctor as needed. After infection, residents should take corresponding treatment measures according to the severity of their own symptoms, implement self-care at home, reduce contact with their roommates, rationally use symptomatic drugs according to relevant guidelines, do a good job in health monitoring, and go to medical institutions in time if the condition worsens.

Six, monkeypox

(A) disease science

Monkeypox (Mpox) is a viral zoonotic infectious disease caused by Mpox virus. The main clinical manifestations are fever, rash and lymphadenopathy. Recently, many provinces and cities in China reported cases of monkeypox. Monkeypox cases are mainly men who have sex with men. Recently, there have been some cases of infection among women and medical staff.

(2) Prevention and control suggestions

1. Pay close attention to the epidemic information of monkeypox in the local area or travel destination in time to avoid direct contact with wild animals in high-incidence countries. Avoid catching, slaughtering and eating local animals raw.

2. Good hygiene habits, frequent cleaning and disinfection, and good hand hygiene.

3. If you find sex with a rash (especially in genitals, perianal parts, etc.), avoid close contact with it. Using condoms can’t completely prevent monkeypox virus infection.

4. The interpersonal transmission of monkeypox is mainly among men who have sex with men. It is suggested that men who have sex with men actively understand the knowledge of monkeypox prevention to avoid or reduce high-risk behaviors.

5. If you have symptoms such as fever, rash and lymphadenopathy of unknown reasons, you should take the initiative to seek medical treatment.

Seven, dog injury

(A) disease science

Rabies is a zoonotic acute infectious disease. Once it breaks out, the mortality rate is close to 100%. According to the data released by the World Health Organization (WHO), rabies still kills 59,000 people worldwide every year, and one person dies of rabies every 9 minutes, and 99% of the cases are caused by dog bites. Main symptoms (rabies): fear of water, fear of wind, pharyngeal muscle spasm and progressive paralysis. Raising awareness of rabies prevention, vaccinating dogs and strengthening post-exposure treatment of human rabies in epidemic areas are the most effective rabies prevention measures at present, and it is also the global consensus on rabies prevention.

(2) Prevention and control suggestions

1. Pet dog owners must consciously raise dogs in accordance with the law, vaccinate cats and dogs, and use leashes when going out to avoid dogs hurting people and spreading rabies virus.

2. Rabies can be prevented and cured. If you are scratched or bitten by a dog/cat, even if the wound is small, you should not be careless. You should seek medical advice in time. It is recommended to go to a medical institution with relevant qualifications for treatment, and do a good job in handling rabies after exposure according to the wound condition and personal immunization history.

3. After being scratched or bitten by a dog/cat, the individual should give first aid: if the wound is deep, especially the bleeding wound, you should first press the wound with a clean cloth to stop bleeding, and then rush to the hospital; If the wound surface is shallow or bleeding is not much, you can first clean the wound with flowing water or soapy water for 15 minutes, then use a clean paper towel to absorb the residual liquid at the wound, and then cover the wound with a clean cloth and seek medical attention as soon as possible. In addition to preventing rabies, we should also guard against other wound infections, such as tetanus infection.

4. Old people and children should receive more protection. Because the elderly and children have weak self-protection ability and lack of awareness of risk prevention, the incidence of animal injuries is high.

Original title: "It is related to health, beware of these infectious diseases! 》

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A lawyer’s letter is a legal document sent by a lawyer to the relevant parties in written form after accepting the entrustment, which is usually used to convey claims or legal warnings. In the case of overdue online loans, the receipt of a lawyer’s letter indicates that the creditor has taken further legal measures to urge the debtor to fulfill its repayment obligations. This does not mean to start the lawsuit immediately, but to convey the seriousness of the creditors. If the debtor still refuses to deal with it, the creditors may continue to enter the court prosecution stage. The lawyer’s letter plays a role of warning and prompting repayment, and it is a more serious legal reminder for those who fail to repay after the deadline.

Receiving a letter from a lawyer does not mean that you will be prosecuted immediately. The main function of the lawyer’s letter is to urge the debtor to fulfill the repayment obligation and express the creditor’s intention to take further legal action. Usually, the creditor will give a certain buffer period or repayment period, especially when the repayment period is explicitly mentioned in the lawyer’s letter. If the debtor takes the initiative to take action within three days after receiving the lawyer’s letter, such as repaying the arrears, on the whole, it is unlikely to be prosecuted immediately. Therefore, the debtor should take the lawyer’s letter seriously and raise funds to complete the repayment as soon as possible to avoid greater legal consequences.

Overdue online loans usually have a negative impact on personal credit records, and overdue information will be recorded in the credit information system, which will affect the future loan and credit card approval of individuals. Receiving a lawyer’s letter will not directly increase the impact, but long-term default on debts may not lead to more serious consequences, including being enforced after the court’s decision. Failing to deal with overdue questions in time may also be included in the list of people who have lost their trust (commonly known as "blacklist"), which will bring greater trouble to personal credit and daily life. It is best to communicate with relevant institutions quickly after receiving the lawyer’s letter and try to resolve the problem.

Usually, the lawyer’s letter clearly indicates the repayment period, such as repayment within three days. If the debtor pays the arrears within this period of time, most creditors will choose not to start the proceedings because the arrears have been settled. Litigation is not only time-consuming and laborious, but also needs to pay the corresponding legal fees, which is not the optimal solution for creditors. Repayment within the specified time limit as soon as possible is the best way to avoid legal proceedings. If you can’t repay it in one lump sum, you can try to negotiate with the online loan platform or lawyer to seek a plan for installment repayment.

If the debtor really can’t pay off the debt in one lump sum within three days, the best way is to contact the creditor or lawyer actively, explain his financial situation, and put forward a plan of repayment by installments or deferred repayment. Creditors are often more willing to solve problems by negotiation rather than directly start litigation procedures. If it keeps evading or delaying, the creditor may choose to take legal measures, which will increase the economic pressure and legal risk of the debtor. Active communication is an important step to avoid further legal disputes.

If the debtor still fails to repay after receiving the lawyer’s letter, the creditor may bring a lawsuit to the court according to law and recover the arrears through legal channels. After the court makes a judgment, if the debtor fails to perform the judgment, the creditor may apply for enforcement. This may involve the seizure or freezing of the debtor’s property, and even affect personal life. The issuance of a lawyer’s letter is a preliminary step in the legal process, and its purpose is to hope that the debtor can consciously repay the loan and avoid the extra time and cost brought by the litigation stage. The stage of dealing with the letter from the lawyer is the ideal time.

After receiving the lawyer’s letter, the debtor should carefully read the contents of the letter and check the amount owed by the online loan, the number of days overdue and the relevant clauses in the lawyer’s letter. If the amount is found to be inconsistent or the terms are questioned, you should contact the lawyer or creditor in time, raise objections and keep relevant evidence. If the debtor has encountered irregularities or usury in the process of online lending, he can also report to the relevant regulatory authorities and safeguard his rights and interests by legal means. When dealing with lawyers’ letters, we should keep calm, not only avoid expanding questions, but also strive to protect our legitimate rights and interests.

Long-term failure to deal with overdue online loans may lead to a series of serious consequences, including damage to credit records, legal proceedings, property enforcement and being included in the list of untrustworthy people. The list of untrustworthy people will have a significant impact on personal life and work, such as being unable to handle high-consumption behaviors, restricting high-speed rail and air travel. Legal proceedings may also generate additional penalty interest and lawyer fees, increasing the debt burden. It is urgent to deal with overdue debts, and solving problems as soon as possible can reduce the impact on personal life and economic status.

Original Zhu Xinpu Yun Dan Gongbu Zhu Xinpu Stroke Prevention Science Popularization

Sudden cardiac death (SCD) is an unpredictable natural death caused by heart, accounting for about 80% of sudden death. The main manifestations are acute onset, with more males than females. A variety of heart diseases can lead to sudden death, especially those with organic basic cardiovascular diseases or related risk factors. Patients may have a history of heart disease or heart disease in the past. At present, it is recognized that most of the deaths within one hour of onset are sudden cardiac death.

According to the China Cardiovascular Disease Report released in 2019, there are 544,000 cases of sudden cardiac death in China every year.

1. Coronary artery disease

It mainly includes coronary heart disease (coronary atherosclerotic heart disease), acute myocardial infarction, coronary thrombosis, embolism or spasm, coronary arteritis, congenital coronary artery dysplasia, etc., among which coronary heart disease is the most common.

As the most common cause of sudden death, coronary heart disease is seen in acute coronary syndrome (including acute myocardial infarction and unstable angina pectoris). According to the American Heart Association, 25% of patients with coronary heart disease take sudden cardiac death as the first clinical manifestation. According to the domestic literature, 80% of adult deaths from sudden cardiac death are related to acute coronary syndrome. These patients died of acute myocardial ischemia.

The etiological basis of coronary heart disease is atherosclerosis, which leads to the decrease of coronary blood flow and myocardial perfusion. Under the inducement, acute coronary spasm or microcirculation embolism can occur, causing acute myocardial ischemia, causing electrophysiological disorder, leading to malignant arrhythmia and even sudden cardiac death.

2.cardiomyopathy

Hypertrophic cardiomyopathy is the most common cause of sudden cardiac death in cardiomyopathy. Hypertrophic cardiomyopathy (HCM) is a complex hereditary cardiomyopathy characterized by thickening of left ventricular wall, which has various clinical and genetic manifestations. It is a common cause of sudden death in adolescents, with a high missed diagnosis rate and 50% family history.

The research shows that the risk of sudden cardiac death such as having a history of ventricular tachycardia attack, severe left ventricular wall hypertrophy (≥30mm), unexplained syncope, family history of sudden cardiac death and exercise-related hypotension is obviously increased. It is suggested that all patients with family history of sudden death should be screened by echocardiography.

3. valvular disease

Cardiac valvular disease is also one of the risk factors of sudden cardiac death, including mitral stenosis and/or insufficiency, aortic stenosis and/or insufficiency, infective endocarditis, mitral valve prolapse (MVP) or chordae tendineae rupture. For example, severe aortic stenosis can cause a serious decrease in blood flow into the aorta and cardiac output, leading to sudden cardiac death.

In China, the incidence of valvular heart disease is high, which is mainly caused by rheumatic diseases, trauma, degeneration, congenital malformation, inflammation and other reasons. The structural function of one or more valves is abnormal, resulting in stenosis and/or insufficiency of the valve orifice.

4. Structural heart disease

Structural heart disease is a general term for a large class of diseases caused by abnormal heart structure, which mainly includes: congenital heart structure abnormality, valve abnormality, coronary artery dysplasia, acquired valve disease and so on.

Congenital cardiovascular diseases mainly include atrial septal defect, ventricular septal defect, patent ductus arteriosus, coarctation of aorta, congenital aortic or pulmonary valve stenosis, tetralogy of Fallot and so on. Such diseases increase the risk of sudden cardiac death. In particular, patients with left-to-right shunt congenital heart disease who develop to Eisenmenger syndrome and complex congenital heart disease are more prone to sudden cardiac death.

Abnormal coronary artery is the main cause of sudden death in young people. Especially after strenuous exercise. The clinical manifestations are angina pectoris, arrhythmia, syncope and even sudden cardiac death after strenuous exercise. Therefore, for special people who have uncomfortable symptoms after exercise, athletes and so on, congenital coronary artery dysplasia should be screened out.

5. Aortic disease

Aortic disease is one of the important factors leading to sudden cardiac death, and its main pathogenesis is fatal ischemia of target organs caused by aortic rupture and involvement of important branches. Among them, Stanford A aortic dissection is the most dangerous, and the main causes of sudden cardiac death include: aortic rupture, pericardial tamponade, dissection involving coronary artery leading to large-scale myocardial infarction, and involvement of brachiocephalic artery leading to cerebral infarction.

6. Pulmonary embolism

Pulmonary thromboembolism is a common emergency in cardio-pulmonary vascular diseases, and its incidence and mortality are extremely high.

The embolus source of pulmonary embolism can be endogenous or exogenous, and the embolic site is mainly in the trunk or main branch of pulmonary artery. Clinically, pulmonary embolism thrombus mainly comes from venous system or right atrial appendage. When patients have pulmonary embolism, pulmonary circulation disorder can occur in a short time, and sudden cardiac death can occur in severe cases.

In daily life, sudden cardiac death caused by pulmonary embolism is most common in "economy class syndrome", that is, the lower limbs are in a state of braking for a long time, which leads to venous thrombosis. Once a large thrombus falls off, it will lead to acute pulmonary embolism, and then sudden cardiac death can occur.

In addition, a considerable number of patients’ thrombi come from the right atrial appendage, mainly due to atrial fibrillation, so for such patients, it is also necessary to be alert to the occurrence of sudden cardiac death caused by pulmonary embolism.

7. Abnormal cardiac electrophysiological activity

Abnormal primary ECG or abnormal ion channels can induce sudden cardiac death, such as sinoatrial node lesions and abnormal cardiac conduction system (Lenegre disease or Lev disease, WPW syndrome, Q-T interval extension syndrome). This is an important cause of sudden death of teenagers.

Once the cardiac electrophysiological abnormality occurs, it may induce cardiac pacing conduction disorder, eventually leading to complete atrioventricular block, and even fatal arrhythmia such as ventricular tachycardia and ventricular fibrillation may occur, which may lead to insufficient blood output from the heart to brain tissue and the whole body, resulting in shock and syncope. If cardiac arrest lasts for 5 minutes, it can cause irreversible brain tissue damage and death, which will eventually lead to sudden cardiac death.

Sometimes, viral infection and other diseases may also involve the cardiac electrical conduction system, which increases the risk of sudden death of patients.

8. Explosive myocarditis

Early mortality is extremely high, which is another important cause of sudden cardiac death in children and young adults. The early symptoms of myocarditis are very similar to the common cold, only "a little uncomfortable", which is difficult to attract attention.

9. Kawasaki disease

The etiology is not clear yet. At present, it is considered that some patients are immune-mediated systemic vasculitis triggered by various infectious pathogens (viruses, bacteria, etc.). Kawasaki disease mostly occurs in children, which is one of the main causes of sudden death of children. Having Kawasaki disease in childhood can also cause myocardial infarction in adults.

10. Others

Other causes of sudden cardiac death mainly include: acute pericardial tamponade, intracardiac thrombosis, electrolyte disorder, sleep apnea and gene correlation.

Original title: How much do you know about sudden cardiac death? 》

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　　Cctv newsThe eighth round of Geneva peace talks on Syria led by the United Nations was held in Geneva, Switzerland on 28th. On the same day that the peace talks began, the Syrian government decided to send a delegation to participate in the peace talks. It is expected that the Syrian government delegation will arrive in Geneva on the 29th.

　　On the 28th, the Syrian Foreign Ministry confirmed that after discussions with Russia, the Syrian government decided that the Syrian Permanent Representative to the United Nations Jaafari would lead a Syrian government delegation to Geneva to participate in this round of peace talks.

　　De Mistura, the UN Secretary-General’s Special Envoy for Syria, also said that he had received news that the Syrian government delegation had confirmed its participation in the peace talks.

　　Earlier, due to the serious differences between the Syrian government and the opposition on the issue of Syrian President Bashar al-Assad’s stay, the Syrian government delayed confirming its participation.

　　On the 27th, the Syrian opposition delegation that has arrived in Geneva said that the primary appeal of the opposition to participate in this round of peace talks is to ask Bashar to step down before the political process starts. Earlier, a senior official of the Syrian government said that the Syrian opposition’s "laying down arms" was a prerequisite for the success of the peace talks. Due to serious differences between the two sides, the Syrian government delegation postponed its trip to Geneva.

　　UN envoy meets Syrian opposition delegation

　　On the 28th, the eighth round of Geneva peace talks on Syria was officially opened. On the same day, UN Secretary-General’s Special Envoy for Syria, De Mistura, held talks with the Syrian opposition which formed a unified delegation in Geneva.

　　UN Secretary-General’s Special Envoy for Syria, De Mistura, said after meeting with Syrian opposition representatives on the 28th that the United Nations would propose for the first time that the Syrian government delegation and the Syrian opposition delegation should have a direct dialogue.

　　Whether the negotiating parties can "talk directly" is highly anticipated.

　　All along, the Geneva peace talks have been in the form of "indirect talks", that is, the UN Secretary-General’s Special Envoy for Syria acts as a mediator to communicate and communicate between the two sides. The representatives of the Syrian government and the opposition have not met directly. De Mistura said that it is not yet known whether the two sides will agree to direct dialogue, but the United Nations will put forward this proposal.

　　The Syrian opposition delegation formed a unified group for the first time.

　　De Mistura also said that there were many Syrian opposition factions that had participated in the Geneva peace talks many times before, and no unified delegation was formed. Before the opening of the peace talks, the Syrian opposition held a meeting to coordinate its position and formed a unified opposition delegation.

　　The Syrian government has agreed to cease fire in Dongguta area.

　　De Mistura also said that after communicating with the Russian side, the Syrian government has agreed to implement a ceasefire in the Dongguta area in the eastern suburb of Damascus, the Syrian capital. In the past few years, opposition forces have controlled the Dongguta area and frequently launched shelling into Syrian government-controlled areas, causing a large number of civilian casualties.

　　De Mistura, the UN Special Envoy for Syria, said that the new round of peace talks needs to have a new focus and be practical. Under the current circumstances, the Geneva peace talks have been fully prepared on how to promote the political settlement of the Syrian crisis.

　　De Mistura affirmed the role played by China.

　　On 28th, UN Secretary-General’s Special Envoy for Syria, De Mistura, met with China’s Special Envoy for Syria, Xie Xiaoyan. De Mistura fully affirmed China’s efforts and role in the Syrian issue.

　　The new round of peace talks still focuses on the "four baskets", namely, the formation of a national unity government, the revision of the constitution, the holding of general elections and anti-terrorism cooperation. Among them, amending the constitution and re-election will be the top priority. Xie Xiaoyan, the special envoy of the China administration on Syria, said that these two issues are crucial to promoting the political process on Syria.

　　Earlier in the day, De Mistura also held talks with representatives of the permanent members of the UN Security Council. De Mistura said that the talks with the representatives of the permanent members are very important. On the one hand, it can prepare the agenda of the talks, on the other hand, it can consolidate and strengthen the importance and authority of the Geneva peace talks, because the Geneva peace talks are the only political settlement process of the Syrian issue authorized by the Security Council.

　　The Syrian government is late and the opposition is early.

　　In the previous Geneva peace talks, the Syrian government delegation arrived at the venue in advance and waited for the arrival of the opposition. This time, the current round of peace talks started on the 28th, and the head of the Syrian opposition peace talks delegation Hariri arrived in Geneva on the 27th, while the Syrian government delegation will arrive in Geneva on the 29th. Experts believe that this is related to the current battlefield situation in Syria.

　　Geneva peace talks on Syria

　　Before this round of peace talks, the Geneva peace talks on Syria have been held for seven rounds, but due to the serious differences between the Syrian government and the opposition, many rounds of peace talks have not achieved substantive breakthroughs.

　　In December 2015, the United Nations Security Council unanimously adopted resolution 2254 aimed at promoting a political solution to the Syrian conflict, and decided to launch formal peace talks between Syrian factions led by the United Nations, which will be held at the Palais des Nations in Geneva.

　　According to this resolution, the current Geneva peace talks mainly include four topics: the establishment of a transitional government of national unity in Syria, the formulation of a new constitution, the holding of general elections and the joint efforts of all parties to fight terrorism. These four topics are also called "four baskets".

　　The differences between the parties are serious and it is difficult to achieve substantive progress.

　　Since January 2016, the parties to the Syrian issue have successively held several rounds of "Geneva Peace Talks on Syria". However, in the previous rounds of negotiations, the differences between the parties have been very serious. Even on the discussion order of the "four baskets", it is difficult for the Syrian government and the opposition delegation to reach an agreement. Moreover, the two sides can’t hold direct talks in the negotiations, but only indirect talks, which means that the United Nations needs to hold talks with the Syrian parties separately, and then shuttle messages between the parties. In this case, many rounds of negotiations failed to achieve substantive results on any topic.

　　Gradually but failed to break through the end of the seventh round of peace talks.

　　From July 10th to 14th, 2017, the seventh round of "Geneva Peace Talks on Syria" was held. This round of peace talks is still an indirect dialogue. After the seventh round of peace talks, UN Secretary-General’s Special Envoy for Syria, De Mistura, said that this round of peace talks has made some progress, but no substantive breakthrough has been made. On three topics except the establishment of a transitional government, the Syrian government and the opposition held many technical discussions to pave the way for substantive discussions; At the same time, a certain consensus has been reached on anti-terrorism and the prohibition of banned weapons. De Mistura said that the two sides are not far from substantive discussions.

　　Expert: US policy toward Syria is still unclear.

　　In addition to the great changes in the domestic situation in Syria, the involvement of external forces is another background that cannot be ignored. With extremist organizations losing ground in the Syrian battlefield, will the US policy toward Syria be adjusted?

　　Daniel Sevo, an American expert on Middle East issues, said that with the new round of Syrian peace talks, many American observers did not have high expectations for the outcome of the peace talks. In particular, the recent statement of US Secretary of Defense Matisse also shows that the US will not immediately withdraw its troops from Syria.

　　On November 13, US Defense Secretary Matisse said at the Pentagon that the US military will maintain a military presence in Syria for a long time to prevent the emergence of new extremist organizations. On November 24, US President Trump said in a telephone conversation with Turkish President Erdogan that the United States will no longer provide weapons and equipment to Kurdish armed forces in Syria. These actions also show that the United States is readjusting its Syrian policy.

　　However, experts said that from the current point of view, the US policy toward Syria is still unclear.

　　As the battle against extremist organizations in Syria is coming to an end, the United States is reassessing its policy toward Syria. Some observers said that no matter what adjustments the US makes, the US military will not leave Syria easily.　　

According to CCTV news, according to a report by the Japan Broadcasting Association on March 27th, local time, the Japanese Ministry of Health, Labor and Welfare announced the second death case suspected of taking a health product containing monascus from Kobayashi Pharmaceutical Company on March 26th, and the number of people admitted to the hospital has increased to 106.

Earlier, the Japanese Ministry of Health, Labor and Welfare had investigated Kobayashi Pharmaceutical Company and found that there was a new death report in addition to a previously announced death case.

Based on the Food Hygiene Law, Japan’s Ministry of Health, Labor and Welfare has asked Osaka headquarters where Kobayashi Pharmaceutical Company is located to take measures including product abandonment.

In view of the fact that many people were hospitalized and two people died after taking products containing monascus from Kobayashi Pharmaceutical Company, the Japanese Ministry of Health, Labor and Welfare will hold a meeting with the Consumer Department, the Ministry of Agriculture, Forestry and Fisheries and other relevant departments on the 27th to discuss future countermeasures.

According to Japanese media reports on the 27th, the Osaka municipal government of Japan ordered Kobayashi Pharmaceutical Company to recall three products, including "red yeast cholesterol granules".

Consumers die after taking health care products.

Kobayashi Pharmaceutical Emergency Recall

Previously, Kobayashi Pharmaceutical Co., Ltd. said that a consumer who took the company’s health care products containing monascus ingredients died of kidney disease. Some consumers suffer from diseases in kidney and other parts after using this health care product, and they are hospitalized, and some even need dialysis.

On March 26, Kobayashi Pharmaceutical updated the notice asking consumers to stop using the company’s products containing monascus ingredients and to recall them independently. According to the notice, the consumer took the company’s health care product containing monascus ingredients-monascus cholesterol granules. However, the notice did not disclose the relevant information of the consumer and the time of death.

The notice said that it has been confirmed that the consumer continued to buy red yeast cholesterol granules from April 2021 to February 2024. The company is investigating whether there is a causal relationship between the consumer’s death and taking the above health care products.

According to Kyodo News, since February 2021, monascus cholesterol granules have been sold in e-commerce channels and stores, and about 1.06 million bags have been sold by the end of February this year.

Three products involved
Are health care products for improving cholesterol.

The following is a list of three recalled products released by Kobayashi Pharmaceutical Company official website, all of which are health products for improving cholesterol. Please be careful not to buy or continue taking it.

China e-commerce platform removes products involved.

Consumers can return goods and get a refund.

Kobayashi Pharmaceutical Co., Ltd. is an old Japanese pharmaceutical company with a history of more than 100 years, and many of its products are quite popular. According to the company, monascus is a raw material produced by mixing monascus with steamed rice for fermentation. The company publicizes that this ingredient is expected to reduce the cholesterol value of low density lipoprotein.

The reporter searched a number of domestic e-commerce platforms and found that there are currently no three related products sold on the official e-commerce platform of Xiaolin Pharmaceutical, but there are still purchasing merchants selling related recalled products.

Kobayashi Pharmaceutical China Company said, "The company has received reports that it may cause kidney diseases and other problems after eating, and some of its products are sold to China through cross-border channels. If a consumer has eaten it and feels unwell, contact customer service, and the products that have not been eaten will be returned and refunded. "

On March 22nd, @ Kobayashi Pharmaceuticals issued a notice to remind consumers who have red herring cholesterol granules (60, barcode 4987072059708) to stop eating.

Up to now, the products involved have been removed from the official store of Kobayashi Pharmaceutical, the e-commerce platform mentioned in the notice. According to the reporter’s inquiry, multiple e-commerce platforms have been unable to search for this product.

Kobayashi pharmaceutical president bowed and apologized.

Admit that decision-making is slow

On the evening of March 22nd, President Kobayashi held a press conference and bowed to apologize for this issue.

According to Japanese media reports, the analysis results on the 16th of this month showed that some raw materials of monascus may contain unknown ingredients, but the company did not announce the recall until the 22nd. In this regard, the president of Kobayashi Pharmaceutical admitted that the decision was slow.

Another five Japanese companies issued a recall announcement.

Among the 18.5 tons of monascus raw materials produced by Kobayashi Pharmaceutical in 2023, about 16 tons of raw materials were sold to other companies for brewing and food manufacturing, except for their own health care products. At present, Kobayashi Pharmaceutical has issued a recall request to all 52 enterprises that purchased its monascus raw materials through its sales company. Affected by this, some food, brewing and other enterprises that use Xiaolin Pharmaceutical’s red yeast raw materials have also announced the recall of related products.

It is understood that the company is working hard to confirm the sales partners and recalls, and it is expected that the recall scale will be further expanded.

The reporter’s investigation found that at present, five Japanese companies have issued relevant recall announcements and announced related products. The names of the five enterprises are respectively Baojiuzao Co., Ltd., ZERO PLUS Co., Ltd., Doufu Co., Ltd. Nagoya Store, Takeya Co., Ltd. and Jiwen Food Co., Ltd.

Baojiuzao Co., Ltd.

On March 24th, Japan Baojiu Brewery Co., Ltd. announced that it had decided to recycle about 96,000 bottles of this product by itself because a wine produced by this company used red yeast raw materials provided by Kobayashi Pharmaceutical Company. At present, there are no reports of health damage related to this product of Baojiu Brewery Company.

According to the wine manufacturer, this wine has only been exported to Singapore and Taiwan, China, and has not entered the Chinese mainland market.

ZERO PLUS co., ltd

Japan’s ZERO PLUS Company issued a recall notice on March 22nd, saying that there may be unknown ingredients in the raw materials of red yeast in the thick cheese biscuits sold by its KUMITE brand. At present, the specific information of this ingredient cannot be determined. In order to prevent the safety problem from further expanding, it will be recycled independently from now on.

Doufu corporation company Nagoya branch

The recall announcement issued by the Nagoya Pastry Store of Doufu Co., Ltd. said that because its eight products contain red rice malt ingredients produced by Kobayashi Pharmaceutical, there are potential health risks, so they will take the initiative to recall these products and suspend sales.

Takeya corporation

On March 25th, Takeya, a Japanese miso production company, issued a notice that the product "Low-salt Monascus Miso" used the raw materials of Monascus produced by Kobayashi Pharmaceutical, and the sales of this product will be stopped from now on and recycled independently.

Jiwen food co., ltd

Japan’s Jiwen Food Company issued a notice on March 24th, stating that the products "domestic squid pickled products" and "squid pickled products" used the raw materials of red koji produced by Kobayashi Pharmaceutical, so they were recycled independently from now on. If the products are sent to the address designated by the company, the company will refund the payment in the future.

Xiaolin Pharmaceutical’s market value evaporated by over 4.2 billion yuan.

It is reported that Kobayashi Pharmaceutical (China) Co., Ltd. is a wholly-owned subsidiary of Kobayashi Pharmaceutical Co., Ltd.

According to the national enterprise credit information publicity system, Kobayashi Pharmaceutical (China) Co., Ltd. was established in Shanghai on April 9, 2018 with a registered capital of US$ 77,982,400. The legal representative is Matsushita Tuoye, and the company is 100% owned by Kobayashi Pharmaceutical Co., Ltd.

As of the morning of 27th, the share price of Kobayashi Pharmaceutical Co., Ltd. fell by 3.53%, with a total market value of 381.7 billion yen. Since the fermentation of the event, Kobayashi Pharmaceutical has fallen by nearly 20%, and its total market value has evaporated by more than 90 billion yen (about RMB 4.29 billion) compared with the closing on March 22.

Netizen: I didn’t expect health care products to be fatal.

In response to this matter, some netizens said that it was "terrible", "too scary" and "I didn’t expect health care products to be deadly", and some netizens were worried about whether other products such as warm babies and antipyretic stickers of this brand could still be used.

(Yangcheng Evening News Yangcheng School Comprehensive CCTV News, Beijing Daily, Xinhua News Agency, China News Network, Zhongxin Jingwei, Overseas Network, Beijing Youth Daily, User Comments)

Original title: Health care products are still dying? 2 deaths and 106 people have been hospitalized! Kobayashi Pharmaceutical urgently recalled, and these products should also be noted →　

CCTV News:In Chongqing, with the optimization and adjustment of epidemic prevention and control policies, the number of emergency department patients in the First Affiliated Hospital of Chongqing Medical University surged, especially the number of emergency medical patients increased by 4-5 times, most of whom were infected by Covid-19. In the past two days, the reporter from the reception desk came to the emergency department of the hospital and recorded the work of medical staff.

As soon as the reporter arrived at the hospital, a 120 ambulance was ready to leave. The doctor Deng Ying told us that they were going to the nursing home to pick up a critically ill patient. When they came to the nursing home, Deng Ying and the nurse learned that the old man had not eaten for several days and had symptoms such as difficulty breathing.

After carrying the old man to the ambulance, the nurse on board quickly inserted oxygen into the old man and connected the monitoring equipment. Ten minutes later, the ambulance rushed back to the hospital from the nursing home, but there was no bed in the emergency room. What was even more worrying was that the family members could not be contacted.

Although the family members could not be contacted, the first aid could not wait. Several medical staff quickly added a bed for the elderly and made various emergency treatments.

With the cooperation of several medical staff, Deng Ying finished the examination for the elderly. According to the examination results, they gave the elderly corresponding treatment and plan. Soon, the problems such as poor breathing of the elderly were alleviated. Deng Ying said that recently, due to the shortage of emergency personnel, she was transferred from obstetrics and gynecology to support. At present, there are 22 doctors in the emergency department, many of whom are transferred from other departments like Deng Ying. Most of them have been infected with Covid-19. Faced with the emergency volume of more than 400 people at the peak, they are a little tired, but they still try their best to treat every patient.

At the moment, the medical staff in the emergency department are rescuing a 19-year-old boy. Because of renal insufficiency and other diseases, the boy developed respiratory failure after being infected with Covid-19, and he is in urgent need of ventilator support.

After the coordination of the dean, a bed was finally found in the respiratory intensive care unit, but the department’s non-invasive ventilator had been used up and had to be transferred from the geriatrics department. The patient was successfully transferred to the respiratory intensive care unit. Five hours later, the reporter came to the intensive care unit again and found that all the indicators of the patient’s body tended to be stable.

According to the hospital, at present, the beds in various departments, especially the emergency department, have been overloaded. How to ensure that patients can be treated in time and that critically ill patients can live in the intensive care unit in the later stage?

Zhou Fachun, Director of Department of Critical Care Medicine, First Affiliated Hospital of Chongqing Medical University:Patients with relatively stable condition can be transferred to other specialized wards at the first time, so as to ensure that the utilization rate of ICU beds can really serve the critical patients in need.

For non-critical patients, neurology, cardiovascular medicine and other departments have also vacated many beds.

In the emergency department, doctors and nurses are still busy, and 2023 has quietly arrived.

　　[Bourne ultimatum] It’s another weekend in a blink of an eye, and the new issue of Bourne ultimatum meets with you. There are many heavy models in this week’s spy photos. Domestically, there are two new cars, the new RAV4, the production version, and the speed car, and the domestic L; Overseas, there are brand-new Q5, brand-new, brand-new and brand-new G-class Toyota. Next, let’s walk into the text and see the specific situation of these 9 cars.

● Zotye Damai X7

　　All along, we can find the shadow of existing models of overseas brands in many models of Zotye. However, when faced with the BMW X7, many people may be confused, but don’t rush to deny their knowledge reserves, because this car is not a production model, but a GTE. Obviously, Zotye beat us to it.

　　Damai X7 has a high degree of restoration for the appearance of Cross GTE concept car, including the front face layout and tail shape. On the side, the lines of the Damai X7 are straighter, which is not as exaggerated as the Cross Coupe GTE concept car.

　　In the interior part, Damai X7 still draws lessons from the design of the Cross Coupe GTE concept car, and even the details of the air conditioning outlet, buttons and chrome-plated decorative parts are exactly the same as the Cross Coupe GTE concept car. However, the shift lever of the manual transmission model has no sense of design, which is not very harmonious with the overall design.

　　As for the power system, Damai X7 will provide three power options, namely 1.5T, 1.8T and 2.0T. In terms of transmission system, it is matched with 5-speed manual or 6-speed.

　　Editor’s comment:Every time Zotye launches a new car, it will become the focus of consumers’ attention, because there is really no manufacturer in the market that can reverse develop overseas car companies on a large scale like Zotye. From the earliest, to the next, Zotye’s imitation road has embarked on the "first cosmic speed". What drives Zotye to go on like this is not only high attention, low research and development cost, but also good market response. For example, the monthly sales of Zotye are often above 10,000 vehicles, and in the first five months of 2016, it also sold 43,284 vehicles.

　　Although many people will show disdain for such a product, the sales data reflect that it still has a large market. This shows that Zotye’s ability to grasp consumer demand and market hotspots is still very good. This time, the concept car that Volkswagen has not yet mass-produced is used as a blueprint to imitate, and Zotye has even walked in front of the public. Since I have such a vision, I still hope Zotye can bring us more original designs, which is really ahead of other brands.

　　Read more:

　　Two Interior Styles Zotye Damai X7 Latest Real Car Map Exposure

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● FAW Toyota new RAV4

　　The market has always been one of the main battlefields among the major players. Although it is an old player, the sales performance of RAV4 has no advantage over competitors. The reason is that the configuration is one aspect that many consumers are dissatisfied with, so the new RAV4 came into being, and the new car was upgraded in the configuration part, further enhancing its competitiveness.

　　The new RAV4 continues the design of overseas models in appearance. The main change lies in the front face, the air intake grille above becomes very long and narrow, and the modeling details of the front bumper below are also adjusted. At the rear, the new car redesigned the details of the taillights and bumpers.

　　In the interior, we can see that the overall design of the new car has not changed, but some models have added a 7-inch central control LCD screen and a dashboard with a 4.2-inch LCD screen. In the configuration part, automatic start-stop and body stability systems, systems and systems are added to the entry-level models. The configuration of other models has also been improved to varying degrees, which will increase functions such as panoramic image system, outdoor (with heating), keyless entry (one-button start), and uphill assistance. On the whole, the new RAV4 has a significant improvement in configuration.

"3ZR-FAE engine for overseas models"

　　In terms of power, the new RAV4 is still equipped with 2.0L and 2.5L engines, of which the 2.0L engine is a new engine code-named 3ZR-FAE, and its maximum horsepower is increased from 147 HP to 150 HP. Due to the continuous lift technology, its fuel consumption performance is worth looking forward to.

　　Editor’s comment:For consumers who are concerned about RAV4, the upgrade of this configuration should be the most attractive. The current models are not equipped with traction control and body stability control system as standard, which makes some consumers finally choose other products. The new models have been improved in these aspects, and are fully equipped with body stability system, traction control system and uphill auxiliary system, and other configurations have also been upgraded. FAW Toyota has made positive adjustments to the feedback from the market, which is very worthy of recognition.

　　In addition to the configuration, we need to pay attention to the replacement of a new 2.0L engine. Although the new engine has little improvement in power performance, according to the introduction of Toyota manufacturers, the continuous variable lift technology can reduce fuel consumption by 5-10%. For RAV4, which is biased towards home, low fuel consumption is undoubtedly an attractive selling point, which is worth looking forward to. It is expected that the price of the new car will not change much, and it may still remain in the range of 180,000-270,000 yuan.

　　Read more:

　　Or the new RAV4 configuration will be exposed on July 28th.

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● Concept B production version

　　As an evergreen tree in the China brand SUV market, Haval’s every move will attract the attention of many consumers, and so will this production version of Concept B. Concept B is a production version, focusing on young and fashionable consumer groups.

　　The production version of Harvard Concept B locates a small SUV, which will be sold at the same time as H2 in the future. In terms of appearance, this car adopts a typical blue standard style, such as hexagonal air intake grille and sharp headlights, which is very similar to other blue standard models.

　　On the side, this car largely retains the design of the concept car. The waistline rises backwards, creating a running posture. At the rear, the Concept B concept car uses two exhaust ports on both sides. Referring to the car body parameters of the concept car, the length, width and height of the car body of Concept B are 4146/1772/1623mm and 2550mm respectively, which is slightly smaller.

　　The interior of the production version of Concept B is also quite individual. The center console is equipped with a large-size LCD screen, and the layout style of buttons at the bottom of the screen is the same as that of the blue standard H2. On the right side of the center console, chrome-plated decorative pieces are integrated with the air-conditioning outlets on both sides, which is very novel. In terms of configuration, the new car is equipped with functions such as reversing radar, keyless entry and one-button start. At present, the power information of the car has not been exposed.

　　Editor’s comment:In terms of body size, the production version of Haval Concept B is a small SUV between Haval H1 and H2. It is closer to the Haval H2 blue standard in terms of body size and design, and it is also likely to be equipped with a 1.5T engine in terms of power. In terms of price, the current price of Haval H1 is 54,900-82,900 yuan, and the price of Haval H2 is 88,800-12,800 yuan, of which Haval H1 focuses on the market of about 70,000 yuan, and Haval H2 focuses on the market of about 100,000-110,000 yuan. Therefore, in the market of 800,000-100,000 yuan, Harvard still has potential to be tapped, and Concept B was born for this purpose. It is estimated that the final price of this car will be around 700,000-110,000 yuan.

　　Although it is said that having more children is easy to fight, it does not mean that children will not fight. At the same time, three products are laid out in the small SUV market, which is rare in car companies. To handle the relationship between these cars well, we must do a good job in vehicle positioning, configuration level, pricing and market strategy, so that the three can be in their respective positions and form a joint force, which will be a difficult problem before Harvard. In addition, I have a question. Since this car is positioned between H1 and H2, how will it be named? Haval H1.5?

　　Read more:

　　Provide manual transmission Haval Concept B production spy photos.

It’s winter.
High incidence of respiratory infectious diseases
But can you tell what kind of infection it is?
Collect it! This article answers your questions!

　　1. What are the clinical manifestations of mycoplasma pneumoniae infection?
　　Mycoplasma pneumoniae is mainly infected by respiratory tract, which can cause pneumonia, often accompanied by pharyngitis and bronchitis.
　　The onset of mycoplasma pneumoniae infection is generally slow, and patients often have chills, fever and dry cough, which may be accompanied by symptoms such as stuffy nose, fatigue and headache. Mycoplasma pneumoniae infection has certain self-limitation. In recent years, the proportion of refractory mycoplasma pneumonia and severe mycoplasma pneumonia has increased among school-age children.

　　2. What are the clinical manifestations of respiratory syncytial virus infection?
　　In the early stage of respiratory syncytial virus infection, the main symptoms are upper respiratory tract infection, such as nasal congestion, runny nose, cough and hoarseness, and most of the symptoms will disappear by themselves in 1-2 weeks.
　　A few cases can develop into lower respiratory tract infections such as bronchiolitis or pneumonia, which are more common in infants under 2 years old.

　　3. What are the clinical manifestations of adenovirus infection?
　　Adenovirus infection has various clinical manifestations, which can cause common cold, bronchitis and pneumonia, diarrhea and gastroenteritis, conjunctivitis, cystitis and some nervous system inflammation.
　　People with chronic respiratory diseases, heart diseases or low immune function may have serious clinical symptoms after being infected with adenovirus.

　　4. What are the clinical manifestations of rhinovirus infection?
　　Rhinovirus infection can cause symptoms of upper respiratory tract infection such as nasal congestion, runny nose, sneezing, sore throat, fever or cough, and can also lead to wheezing and asthma aggravation in children.
　　Infants or children with basic diseases infected with rhinovirus may cause lower respiratory tract infections such as bronchiolitis and pneumonia. The infection of rhinovirus in the elderly can increase the risk of chronic obstructive pulmonary disease, and the infection of hospitalized patients can lead to prolonged hospitalization.

　　5. What are the clinical manifestations of human metapneumovirus infection?
　　The incubation period of human metapneumovirus infection is 3~5 days, which often causes symptoms of upper respiratory tract infection, such as fever, cough, nasal congestion, runny nose and hoarseness, which are slightly self-limited, and the symptoms gradually ease in about 1 week.
　　Children, the elderly and immunocompromised people may have bronchiolitis, pneumonia or acute respiratory distress syndrome after infection.

　　6. What is the difference between the clinical manifestations of influenza, mycoplasma pneumoniae infection and common cold in children?
　　The clinical manifestations of influenza, mycoplasma pneumoniae infection and common cold in children are different, and the main differences are shown in the table below.
　　The clinical manifestations of respiratory tract infectious diseases are usually not specific, and there are individual differences among patients, so they can not be differentiated only by symptoms and signs, and usually need laboratory tests to diagnose.

　　

　　7. What are the commonly used therapeutic drugs for respiratory tract infection pathogens in adults?
　　Recently, viruses and mycoplasma are the main pathogens causing respiratory tract infections. At present, there are mabaloxavir, oseltamivir and palamivir for influenza virus, nematevir/ritonavir, sennotvir/ritonavir, Monola vir and deuterium hydrobromide for Covid-19, and macrolides (such as azithromycin), fluoroquinolones (such as moxifloxacin and levofloxacin) and tetracyclines (such as doxycycline and levofloxacin) for mycoplasma.
　　Some infections caused by viruses or mycoplasma will be secondary to bacterial infections. At this time, it is necessary to use antibiotics reasonably under the guidance of doctors to avoid drug resistance. Commonly used antibiotics include penicillins (such as amoxicillin/clavulanic acid), cephalosporins (such as cefaclor, cefuroxime and cefdinir), fluoroquinolones (such as moxifloxacin and levofloxacin) and macrolides (such as azithromycin). It is worth noting that the above drugs are all prescription drugs and need to be used under the guidance of a doctor.
　　If you are self-tested for influenza virus antigen or Covid-19 antigen, and have serious high-risk factors such as age over 65, body mass index (BMI) over 40kg/m, basic diseases (such as chronic obstructive pulmonary disease, tumor, immune system diseases, etc.) or pregnancy, it is suggested to take orally anti-influenza drugs oseltamivir or mabaloxavir or oral anti-Covid-19 drugs within 48 hours of onset. If respiratory symptoms get worse, you should seek medical advice promptly.

　　8. What drugs are commonly used by children to treat pathogens of respiratory infections?
　　Children infected with influenza virus can take neuraminidase inhibitors such as oseltamivir, and children over 5 years old can also choose RNA polymerase inhibitors such as mabaloxavir.
　　After children are infected with mycoplasma pneumoniae, the first choice is macrolide drugs, such as azithromycin, clarithromycin and roxithromycin. The alternative drugs are new tetracyclines (such as doxycycline and minocycline) and quinolones. Tetracyclines are only used for children over 8 years old because they may cause yellowing of teeth and hypoplasia of enamel.
　　Children and adolescents under the age of 18 who use quinolones need doctors to strictly evaluate the indications and pay attention to the side effects of the drugs.

　　9. What are the precautions in diet during respiratory infection?
　　During the period of respiratory infection, on the one hand, due to fever, cough, fatigue and other conditions, the patient’s appetite decreased compared with usual; On the other hand, respiratory tract infection leads to the increase of energy consumption and the increase of energy demand.
　　Therefore, it is particularly important to supplement nutrition in a reasonable and balanced way and ensure the supply of energy. People with decreased digestive function can eat less and eat more to ensure adequate energy intake.
　　(1) Recommended food:
　　① Highly nutritious and digestible foods: such as lean meat, chicken, fish, tofu, etc. These foods are rich in protein, which helps to repair body tissues.
　　2 foods rich in vitamins: fresh fruits and vegetables, such as oranges, kiwis, carrots and spinach, are rich in vitamin C and other antioxidants, which helps to enhance immunity.
　　③ Whole grains and foods rich in cellulose, such as oats, whole wheat bread and brown rice, provide necessary energy and cellulose.
　　4 Adequate water: Ensure adequate water intake, such as drinking water, juice or soup, which helps to keep the body water balance and relieve sore throat.
　　(2) Foods that are not recommended or need to be controlled:
　　Oily and spicy foods, high-sugar foods, caffeinated drinks, etc.

　　Twelve years old is a happy age. You can go to school with a small bag on your back every day, cuddle up in your mother’s arms and eat delicious meals cooked by your mother … … But for 12-year-old Xiaomei (a pseudonym), all this seems to have become a long memory. After my mother went to Nanjing for business last year, she could only live in a cramped storage room of about 10 square meters in a residential area in Economic Development Zone of Suqian City, washing and cooking for her 16-year-old brother and 9-year-old sister, day after day. For her, the future is looking forward to growing up earlier. "Mom said that when she is 16 years old, she can go out and find something to do."

　　Yangzi Evening News reporter Gao Fengwen/photo

　　The girl cooks three meals a day according to the "recipe" on the wall

　　On the afternoon of January 19th, the reporter of Yangzi Evening News came to Xiaomei’s house according to the address provided by enthusiastic citizens. This is a storage room on the first floor of the community, only about 10 square meters. When you walk into the room, a musty smell comes.

　　Two 1.5-meter-wide beds are placed almost next to each other, occupying most of the room. Walking in from one end of the bed, the right hand side was separated from a bathroom with a washing machine outside. The prominent place in the corner of the room, with an area of about 1 square meter, became a kitchen. On the small round table, there was a single-headed gas stove with a range hood on it, and pots and various items were randomly placed next to it. The iron pot was open, and there was a bowl of hot sauce on the empty and dirty chopping board.

　　There is an air conditioner hanging on the wall opposite the bed. Under the air conditioner, there is a piece of stained paper, the edge of which has been curled. On the paper, there are three meals a day arranged by the mother for the children:

　　Breakfast 7— 9 (Reporter’s Note: Meal time) (only one can be selected): milk +2 eggs, millet porridge +2 eggs, millet porridge +4 steamed buns (pure meat);

　　Chinese food 11— 13, pancakes+scrambled eggs with tomatoes, steamed bread+fried meat with onions, pancakes+fried mung bean sprouts with leeks, fried shredded pork with celery+pancakes, and 4 steamed buns;

　　Dinner 5— 7. One cucumber, one apple, one tomato and half pitaya.

　　Xiaomei said that at first, it was my brother who cooked the meal. Later, my brother went out to find something to do, and he began to cook for his brother and sister according to the "recipe" for three meals a day prescribed by his mother. Every time my mother leaves, she will specially cook a bowl of hot sauce for the three brothers and sisters, which has become the next meal for the three brothers and sisters for a month.

　　On the morning of 20th, the reporter of Yangzi Evening News came to the community where the children lived again, only to see the door locked and the sisters playing with the children in the community.

　　"My sister’s cooking is delicious. Let’s have dinner at my house at noon." Near noon, my sister sent an invitation to a six or seven-year-old girl. Then, the three men walked into the house and the door closed.

　　Parents divorced and all three children dropped out of school.

　　In an interview with reporters, Ms. Li, the mother of three children, happened to have a rest and rushed back to Suqian to take care of her children. "I usually take four days off a month and come back once to see them. This time I only come back once every two months."

　　Ms. Li said that she is an Anhui native. After she married Fengxian County, Xuzhou, she gave birth to three children. The older one is a boy, now 16 years old, and the two younger ones are girls. Xiaomei is now 12 years old and the youngest child is only 9 years old. Ms. Li said that due to family breakdown, among the three children, the older child dropped out of school in the first grade, Xiaomei dropped out of school in the sixth grade, and the youngest daughter was forced to drop out of school just after entering the first grade.

　　Last May, she came to Suqian with three children and started her life again. Ms. Li rented a storage room in the community at the monthly price of 450 yuan, and the family settled down temporarily. Soon, Ms. Li found a job selling cosmetics, going out early and returning late every day, earning more than 2,000 yuan a month. Last October, Ms. Li went to Nanjing to do cosmetics business and earned more than 3,000 yuan a month. Every month, she will transfer more than 1,000 yuan to her son through WeChat transfer, which is the monthly living expenses of the three brothers and sisters.

　　For Ms. Li, although people have arrived in Nanjing, her heart is still concerned about Suqian’s three children. "I call several times a day, send WeChat, tell her how to cook, and ask if the clothes are hanging … …”

　　After learning about this special family, the residential property was very sympathetic and began to do some odd jobs with the brother of three children. "On the one hand, it can take care of him, guide him, prevent him from being adversely affected, and go to the wrong road. At the same time, it can also make him supplement some household expenses."

　　So, after her brother went out every day, 12-year-old Xiaomei took over the burden of cooking.

　　The police are worried about safety.

　　On the afternoon of 19th, when interviewed by Yangzi Evening News reporter, the police in the jurisdiction happened to visit Xiaomei’s home. "At the end of last year, we found this special family in the community investigation visit." The police said that at first, the family was very resistant to outsiders and could not communicate. After many times of communication, they learned something. "I am very worried about their safety. I can only come and walk more, and the community security guards will take care of them."

　　conversation

　　"I want to go to school but I don’t want to go to school"

　　Reporter: Do you cook?

　　Xiaomei: Do it. My brother’s cooking is not delicious.

　　Reporter: So you can cook?

　　Xiaomei: My mother always calls me to tell me what to do before cooking.

　　Reporter: Do you sleep after dinner at night?

　　Xiaomei: When my brother comes back at night, let us sleep after dinner. But I can’t sleep. My sister always cries for hours, which wakes me up and won’t fall asleep until 12 o’clock.

　　Reporter: Usually all the children in the community go to school. What do you do?

　　Xiaomei: Go home to sleep, and then get up to buy food and cook.

　　Reporter: Do you want to go to school?

　　Xiaomei: Yes and no. I want to go to school because I am bored at home, and I don’t know a word out of ten when I read a book, and no one teaches me. I don’t want to go to school, because I have to board and live at school, and my sister goes to school, so there is no one to pick me up.

　　Reporter: Do you want your mother to accompany you?

　　Xiaomei: Yes! But it’s no use, because my mother is going out. How can we live without going out?

The new semester has arrived, and friends should start studying hard! In English learning, many grammatical problems will become a problem. Xiaobian will publish some articles about English spelling, punctuation, grammar, vocabulary description and writing tips one after another this semester, hoping to help English learning.

There are several differences in spelling between British English and American English. These differences are often due to the fact that British English often retains the spelling of the source language, such as French, while American English adjusts the spelling in order to correctly reflect the actual pronunciation of words.

If you want to write something for the British, you should only use British spelling. In a few cases, American spelling is also acceptable in British English, especially words ending in -ize/-ization. In this case, -ise/-isation or -ize/ization can be used in British English, but it is important to be consistent in an article and use one spelling from beginning to end.

Today, we list several major spelling differences and compare the spelling differences between British and American English.

1) Words ending in–re: English ends in–re; American style ends with -er.

2) Words ending in -our: English ends in -our; American usually ends with -or.

3) Words ending in -ize or -ise: In British English, verbs spelled with -ize or -ise are acceptable; In American English, it is always spelled -ize.

4) Words ending in -yse: In British English, this kind of verb is written as-yse; American English is always writing -yze.

5) Words ending in vowel+letter L: In British spelling, when a verb ends in vowel+letter L, if you need to add vowel, you will double write L; In American spelling, there is no need for double writing.

6) diphthongs’s spelling: In British English, diphthongs ae or oe are both two letters; In American English, they are all written as a letter e.

Tip: In American English, some specific words, such as archaeology, still retain the spelling of ae. This is the standard spelling method, and if it is only written as e, it is archeology, which is usually acceptable.

7) Nouns ending in -ence: nouns ending in -ence in British English are written as -ense in American English.

8) Nouns ending in–OGUE: English spelling is–OGUE; American spelling can be -og or -ogue.

This difference is not difficult to grasp. In American English, the writing of analogue is acceptable, but not universal; The spelling of catalog has become the standard form in the United States, and the writing of catalog is not uncommon; Dialogue is still more popular than dialogue.

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(Source: Oxford Dictionary Editor: Julie)