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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.

Welcome to pay attention to WeChat WeChat official account: OxfordDictionaries and Weibo: @ Oxford Dictionaries Weibo.

(Source: Oxford Dictionary Editor: Julie)

　　I. Basic functions and main work

　　(1) Brief introduction to the functions of Sichuan Sports Lottery Management Center.

　　Sichuan Sports Lottery Management Center is a subordinate institution of Sichuan Sports Bureau, which implements independent accounting and self-supporting management. Under the leadership of Sichuan Sports Bureau, the supervision and management of the Provincial Department of Finance and the business guidance of the Sports Lottery Management Center of the State Sports General Administration, it studies and formulates the rules and regulations for the management and sales of sports lottery in Sichuan Province, and organizes, supervises and manages the issuance and sales of sports lottery.

　　There are offices, asset management department, marketing department, sales department, publicity and public relations department, data department, finance department, human resources department, service department and party discipline inspection office in the center, and there are 24 management stations in 21 cities and states, among which Chengdu has four management stations in the east, south, west and north respectively.

　　Based on the principle of "openness, justice and fairness", the center carried out the sales and management of sports lottery tickets, and the distribution and management were standardized and rigorous, and obtained the ISO9001 quality system certification in June 2008. At present, there are two types of tickets sold by the center: computer and instant ticket, covering lottery, lottery and instant ticket. Sichuan is the sixth province and city in China with accumulated sales exceeding 10 billion. The public welfare fund raised has made positive contributions to the construction of national public welfare undertakings and achieved good economic and social benefits.

　　(II) Key work of Sichuan Sports Lottery Management Center in 2017.

　　2017 is the year when the 13th Five-Year Plan is comprehensively promoted, and it is also a crucial year for the transformation and development of Sichuan sports lottery. In order to accomplish the objectives and tasks in 2017, we should focus on the following aspects:

　　1. Strengthen the party’s theoretical and political study, earnestly strengthen the party building work, constantly enhance the sense of responsibility and integrity, and ensure the healthy development of sports lottery in the province.

　　2. Adhere to the management according to laws and regulations, respect the laws of lottery tickets, and ensure safe and orderly sales.

　　First, strictly abide by the "Regulations on Lottery Management" and its implementation rules, and carry out all work according to the law.

　　The second is to insist on managing lottery funds according to law.

　　The third is to adhere to the law and regulations.

　　3. Strengthen market cultivation and game marketing, and steadily increase sales and market share.

　　4. Do a good job in channel construction and improve the scale and quality of outlets.

　　First, strengthen overall planning, expand the scale of outlets and optimize the layout of outlets from the perspective of improving the convenience of lottery purchase and expanding the number of lottery buyers.

　　Second, around improving the experience of buying lottery tickets, with the help of the central entity channel management system of the General Administration, we will deepen the classified management of outlets and further promote the standardization of hardware image, marketing services and safe operation of outlets.

　　Third, improve the basic work and marketing skills of outlets by improving the training system, strengthening training assessment and checking the training effect.

　　The fourth is to straighten out the management mechanism of physical outlets, simplify the procedures for adding, withdrawing and changing outlets, and optimize the business management process.

　　Fifth, by providing efficient terminal maintenance services, timely coordinating and solving network failures and other measures to ensure the correct sales of outlets.

　　5. Promote brand building and enhance the image of responsibility lottery.

　　6. Strengthen team building and improve the quality and enthusiasm of the team.

　　First, strengthen the ideological construction of the central team and all employees, put the party building work and the construction of a clean and honest government in the first place, firmly establish political awareness, overall awareness, core awareness and conformity awareness, and truly achieve political firmness, strict discipline and integrity.

　　The second is to improve the business training system, promote the construction of learning organizations, and improve the management level and business skills of cadres.

　　The third is to reform the performance evaluation method and improve the enthusiasm of the team.

　　Second, the composition of departmental budget units

　　Sichuan Sports Lottery Management Center is a first-class budget unit and other institutions. There are 0 subordinate secondary budget units.

　　Iii. Description of revenue and expenditure budget

　　According to the principle of comprehensive budget, all the income and expenditure of Sichuan Sports Lottery Management Center are included in the departmental budget management. Income includes: budgetary allocation income of government funds and other income; Expenditures include: other expenditures. The total revenue and expenditure budget of Sichuan Sports Lottery Management Center in 2017 was 185,815,800 yuan, which was 26,402,900 yuan less than the total revenue and expenditure budget in 2016. The main reason was that the part of the revenue and expenditure budget in 2016 that was carried over from the previous year was paid in the same year; Second, in the 2017 revenue and expenditure budget, no business fund was used to make up for the difference between revenue and expenditure.

　　(1) Revenue budget

　　The revenue budget of Sichuan Sports Lottery Management Center in 2017 is 185.8158 million yuan, of which: 3.72 million yuan was carried forward from the previous year, accounting for 2%; The budgetary allocation income of government funds is 157,955,800 yuan, accounting for 85.01%; Other income was 24.14 million yuan, accounting for 12.99%.

　　(II) Expenditure budget

　　The expenditure budget of Sichuan Sports Lottery Management Center in 2017 is 185,815,800 yuan, of which: the basic expenditure is 8,408,400 yuan, accounting for 4.53%; The project expenditure is 177.4074 million yuan, accounting for 95.47%.

　　Four, the financial allocation budget description

　　Sichuan Sports Lottery Management Center has a total budget of 161,675,800 yuan in 2017, which is 9,772,600 yuan higher than that in 2016. The main reason is that it is expected that in 2017, according to the needs of career development, marketing, advertising and other related expenses will increase accordingly. The income includes: 157,955,800 yuan from the government fund budget this year and 3,720,000 yuan from the previous year; Expenditure includes: other expenditure of 161,675,800 yuan.

　　Five, the general public budget allocation in the current year.

　　In 2017, there was no general public budget allocation arrangement for the current year.

　　VI. Description of Basic Expenditure of General Public Budget

　　In 2017, there was no general public budget basic expenditure arrangement.

　　Seven, "three public funds" financial allocation budget arrangement.

　　Sichuan Sports Lottery Management Center has a government fund budget of 160,000 yuan in 2017, including 40,000 yuan for official reception and 120,000 yuan for the purchase, operation and maintenance of official vehicles.

　　(1) The funds for going abroad on business are the same as the 2016 budget. The main reason is that there is no funding arrangement for going abroad in 2016 and 2017.

　　(2) The official reception fee is the same as the 2016 budget. The main reason is the strict implementation of the central regulations on "strict economy".

　　In 2017, the official reception fee plan is used to undertake and participate in the exchange and cooperation of sports lottery industry.

　　(3) The purchase, operation and maintenance costs of official vehicles decreased by 46.67% compared with the 2016 budget. The main reason is the strict implementation of the central regulations on "strict economy".

　　The company has 6 official vehicles, including 4 cars, 1 station wagon (including commercial vehicles) and 1 off-road vehicle.

　　In 2017, the departmental budget did not arrange the purchase fee for official vehicles.

　　In 2017, the operation and maintenance fee for official vehicles was 120,000 yuan, which was used for fuel, maintenance, insurance, tolls and other expenses required for six official vehicles. The main guarantee units normally carry out various business work.

　　Eight, the government funds budget expenditure.

　　In 2017, Sichuan Sports Lottery Management Center spent 157,955,800 yuan on government funds, including 8,408,400 yuan on basic expenditure and 149,547,400 yuan on project expenditure.

　　IX. Description of other important matters

　　(a) the operating expenses of the organs

　　Sichuan Sports Lottery Management Center belongs to the second-class public welfare institution, and there is no operating fund subject.

　　(2) Government procurement

　　In 2017, Sichuan Sports Lottery Management Center arranged a government procurement budget of 79.2644 million yuan, which was mainly used to purchase computer-based sports lottery sales terminals, lottery thermal paper, general office equipment purchase, terminal maintenance services, various advertising services and other projects.

　　(three) the possession and use of state-owned assets

　　By the end of 2016, Sichuan Sports Lottery Management Center had a total of 6 official vehicles, including 0 vehicles for provincial and ministerial leading cadres, 0 vehicles for directional security and 0 vehicles for law enforcement duty. 0 sets of large equipment with a unit value of more than 2 million yuan.

　　In 2017, the departmental budget did not arrange for the purchase of vehicles and large equipment with a unit value of more than 2 million yuan.

　　(IV) Setting of performance targets

　　In 2017, the general projects and special projects of Sichuan Sports Lottery Management Center all implemented performance target management as required, involving the allocation of 0,000 yuan in the general public budget that year.

　　X. Explanation of Nouns

　　(1) Revenue from budgetary allocation of government funds: revenue used to carry out lottery issuance and sales business activities.

　　(2) Basic expenditures: personnel expenditures and public expenditures incurred to ensure the normal operation of institutions and complete their daily work.

　　(3) Project expenditure: business expenditure incurred to ensure the normal operation of lottery issuance and sales.

Sichuan Sports Lottery Management Center’s 2017 departmental budget public table
Department Budget of Sichuan Sports Lottery Management Center in 2017

According to the Notice of the Ministry of Human Resources and Social Security of the Organization Department of the Central Committee of the Communist Party of China and other ten departments on the implementation of the fourth round of the "Three Supports and One Support" plan for college graduates (No.32 [2021] of the Ministry of Human Resources and Social Security) and the Notice of the General Office of the Ministry of Finance on Doing a Good Job in the Implementation of the "Three Supports and One Support" plan for college graduates in 2022 (No.22 [2022] of the Ministry of Human Resources and Social Security), The Notice of the Organization Department of the Provincial Party Committee and the Provincial Department of Human Resources and Social Security on Doing a Good Job in Implementing the Plan of "Three Supports and One Support" for College Graduates in Jiangsu Province in 2022 (Su Ren She Fa [2022] No.67) and other documents require that in 2022, our province will recruit 400 college graduates and arrange them to be engaged in teaching, supporting agriculture, supporting doctors and helping rural revitalization in towns (streets) in eight cities in central Jiangsu and northern Jiangsu. The relevant matters are hereby announced as follows:

I. Number of recruits

1. 45 in Xuzhou (10 for teaching, 10 for supporting agriculture, 10 for supporting doctors, 10 for helping rural revitalization and 5 for water conservancy);

2. 40 in Nantong (6 in medical support, 29 in rural revitalization, 1 in water conservancy, and 4 in employment and social security services);

3. Lianyungang 55 (19 teaching, 21 supporting doctors, 8 helping rural revitalization, 1 water conservancy, 6 employment and social security services);

4. 40 in Huai ‘an City (3 for teaching, 7 for supporting agriculture, 8 for supporting doctors, 16 for rural revitalization, 4 for water conservancy, and 2 for employment and social security services);

5. 60 in Yancheng (7 in teaching, 19 in supporting agriculture, 11 in supporting doctors, 15 in helping rural revitalization, 2 in water conservancy, and 6 in employment and social security services);

6. 40 in Yangzhou (6 in teaching, 13 in supporting agriculture, 2 in supporting doctors, 15 in helping rural revitalization, 2 in water conservancy, and 2 in employment and social security services);

7. 40 in Taizhou (7 in teaching, 9 in supporting agriculture, 2 in supporting doctors, 10 in helping rural revitalization, 6 in water conservancy, and 6 in employment and social security services);

8. Suqian 80 (21 in teaching, 12 in supporting agriculture, 6 in supporting doctors, 30 in helping rural revitalization, 3 in water conservancy, and 8 in employment and social security services).

Second, the recruitment target and basic conditions

The recruitment targets are the graduates of full-time colleges and universities in the province in 2022, the graduates of full-time colleges and universities in Jiangsu in 2022, and the graduates of full-time colleges and universities in Jiangsu in 2020 and 2021. And meet the following conditions:

1. Good political quality, love the motherland and support the party’s basic line, principles and policies; Law-abiding, decent style; Have the spirit of professionalism and dedication, and volunteer to work in rural grassroots.

2. Qualified in academic performance, with corresponding professional knowledge, and able to graduate as scheduled.

(1) those who are engaged in teaching must be graduates with bachelor degree or above in normal or other related majors, and must obtain a teacher qualification certificate;

(2) Those who are engaged in supporting agriculture must be college graduates or above in agriculture, forestry, animal husbandry and other related agriculture-related majors;

(3) Those who are engaged in supporting medicine must be college graduates or above in medicine, pharmacy, public health and other related majors, and must meet the access requirements for health professionals and technicians;

(4) Those who are engaged in helping rural revitalization must be graduates with bachelor degree or above in public administration, social politics, Chinese secretarial, art, law, urban planning, construction engineering, finance and accounting, environmental protection, economy, business administration, business and trade, computer and other related majors;

(5) Those engaged in water conservancy work must be college graduates or above in water conservancy engineering and other related majors;

(6) Engaged in employment and social security services must be graduates with bachelor degree or above in public administration, social politics, Chinese secretarial, law, business administration and other related majors;

The setting directory of "major" in the above recruitment conditions refers to the "Jiangsu Province 2022 Examination Civil Servant Professional Reference Directory". Due to the epidemic situation in COVID-19, if the above recruitment conditions involve the requirements of teacher qualification certificate, they shall be implemented in accordance with the Notice of the General Office of the Ministry of Human Resources and Social Security and the General Office of the Ministry of Education on Doing a Good Job in the Open Recruitment of Kindergarten Teachers in Primary and Secondary Schools in 2022 (No.21 [2022] of the Human Resources and Social Security Department).

(7) See the recruitment schedule for specific recruitment positions and requirements in various places.

3. Good health.

4. Undergraduate and junior college students are under 27 years old (born after January 1, 1995), and graduate students with master’s degree or above are under 30 years old (born after January 1, 1992).

5. Under the same conditions, party member, outstanding league cadres, outstanding student cadres and "three good students" are preferred.

III. Recruitment Procedures

The recruitment work is carried out in accordance with the procedures of individual registration, qualification examination, written examination, interview, inspection, physical examination, publicity and decision on employment.

1. From June 16th to June 20th, individuals can register online.

2. From June 16th to June 20th, the relevant municipal "three supports and one support" offices will conduct qualification examination on individual registration information and determine the candidates for written examination.

3. On July 3rd, the written examination was organized in the whole province, and test sites were set up in nine cities: Nanjing, Xuzhou, Nantong, Lianyungang, Huai ‘an, Yancheng, Yangzhou, Taizhou and Suqian.

In late 4.7, the relevant municipal "three supports and one support" offices organized interviews, inspections and physical examinations, and reported the list of candidates to the provincial "three supports and one support" offices.

At the end of 5.7, the provincial "three supports and one support" office unified publicity, publicity time of 7 days. After the publicity, the relevant cities shall handle the employment procedures.

IV. Policy Treatment and Guarantee

In order to ensure the implementation of various benefits, during the service period, the provincial finance will co-ordinate the central subsidy funds, issue special subsidy funds according to the standard of 26,000 yuan per person per year, and give a one-time resettlement fee of 3,000 yuan to the newly recruited personnel in that year. The insufficient part and the funds needed for the independent recruitment of "three supports and one support" personnel beyond the recruitment plan issued by the province shall be borne by the local county (city, district) finance.

"Three supports and one support" personnel can enjoy the following benefits:

(1) Protection of treatment during service

1. During the service period, the "three supports and one support" personnel refer to the standard of wage income level of newly hired staff from college graduates in local township institutions after the probation period expires, and determine the standard of working and living subsidies, which will be paid monthly. Welfare enjoys the same treatment as the staff of the service unit.

2. From the month of starting salary, employees of local enterprises shall participate in various social insurances, pay housing accumulation fund and plan housing subsidies, and their working and living subsidies shall be taken as the payment base. The part paid by the individual shall be withheld and remitted from the personal allowance by the unit that issues the working and living allowance.

3 for the service period of "three supports and one support" personnel for personal accident insurance. Related expenses are included in the scope of working and living subsidies given by the finance.

4. According to the standard of 3,000 yuan per person, a one-time settlement fee will be paid to the newly recruited "three supports and one support" personnel who have served on the job for more than 6 months.

5. The personnel files during the service of "three supports and one support" personnel shall be managed by the public employment and talent service institutions of the human resources and social security departments of the counties (cities, districts) where they are located in principle, and the household registration shall be settled in the seat of the government of the counties (cities, districts) where they serve or transferred back to their original places according to their wishes, and the relationship between the party and the group organizations shall be transferred to their units.

(2) Preferential policies upon expiration of service.

1. Take out a certain number of positions of civil servants, institutions and provincial and municipal state-owned enterprises every year, and specifically recruit (hire) grassroots service project personnel such as "three supports and one support" who have passed the service examination.

2. Those who have passed the "three supports and one support" after the expiration of the examination and participated in the national postgraduate entrance examination within 3 years will receive a total score of 10 points for the initial examination, and will be given priority under the same conditions; Graduates who have been admitted as graduate students participate in the "three supports and one support" program, the school should reserve their admission qualifications; Graduates of the "three supports and one support" college who have passed the examination after the expiration of service can enter the starting undergraduate course of adult higher education college without examination; Graduates with bachelor’s degree or above who participate in supporting medical services shall be arranged by the county-level health authorities to participate in standardized training for residents after the expiration of the period and passing the examination.

3. Those who have no work experience before participating in the "Three Supports and One Support" plan have expired and passed the examination. They can equally enjoy the relevant policies of recent college graduates in terms of taking part in the examination (recruitment) of government agencies and institutions, employment, self-employment, settlement and further studies of various enterprises within two years.

4. Those "three supports and one support" who have passed the examination after the expiration of the service period start their own businesses, are included in the scope of policy support for college graduates to start their own businesses, and provide "one-stop" services such as policy consultation, project development, entrepreneurship training, business incubation, micro-loans, business guidance and follow-up counseling for their own businesses. In accordance with the relevant policies, those who meet the requirements for engaging in individual business can be exempted from administrative fees; For those who are employed flexibly through various forms, those who meet the requirements can enjoy social insurance subsidies.

5. If the "three supports and one support" personnel who have passed the service expiration assessment choose their own jobs, the human resources and social security departments at all levels and their public employment and talent service institutions will provide free policy advice, career guidance and career introduction services; Organize to participate in vocational qualification training, vocational skill appraisal or employment probation, and give vocational training subsidies according to regulations; Focus on helping the "three supports and one support" personnel who have not been employed for a long time after the service expires.

6. The "three supports and one support" personnel who have passed the examination after the expiration of the service period will enter the state-owned enterprises and institutions, and the receiving unit will determine the salary and treatment according to the positions hired by the employees with the same conditions. The service period of the "three supports and one support" personnel who have passed the examination after the expiration of the service period shall be calculated as the length of service. In the future promotion of senior titles, priority will be given to evaluation under the same conditions.

V. Registration related matters

(1) Announcement of recruitment information

The number, targets, conditions and policy treatment of the "three supports and one support" plan for college graduates in Jiangsu Province in 2022 can be inquired through the following websites:

Portal of Provincial Department of Human Resources and Social Security (http://jshrss.jiangsu.gov.cn);

Websites of human resources and social security departments of relevant cities.

(2) Registration method

Registration is conducted online. Registration, photo uploading, qualification examination and payment confirmation are all done online. Applicants can choose to take the written test in nine test areas: Nanjing, Xuzhou, Nantong, Lianyungang, Huai ‘an, Yancheng, Yangzhou, Taizhou and Suqian.

Registration Website: "Other Examination Column" of Jiangsu Personnel Examination Network, the business subnet of the portal website of the Provincial Department of Human Resources and Social Security (http://jshrss.jiangsu.gov.cn).

(3) Registration time

Registration and photo uploading time: 9: 00 on June 16th-12: 00 on June 20th;

Preliminary qualification examination time: 9: 00 on June 16th-16: 00 on June 20th;

Payment confirmation time: 9: 00 on June 16th to 19:00 on June 20th.

Applicants can use the bank card with online payment function to confirm the payment after passing the preliminary qualification examination and photo review, and the candidates who have completed the payment confirmation will be regarded as successful registration. Those who fail to confirm the registration qualification, upload photos or pay the registration fee online on time are deemed as invalid.

(4) Matters needing attention

1. Applicants should truthfully fill in the relevant information according to the requirements and online prompts, and upload the applicant’s recent bareheaded electronic photo (two-inch [35× 45 mm] photo on the front, in jpg format, below 20Kb in size). The relevant municipal "three supports and one support" offices will conduct audit according to the information provided by the applicants. Anyone who practices fraud will be disqualified from the examination or employment once verified.

2. According to the local recruitment plan, applicants can choose the provincial cities to apply for registration; Before the deadline for registration, if the qualification examination fails, it can be reported to other provinces and municipalities; When registering, you must use the second-generation ID card within the validity period. The ID card held by candidates when taking the exam must be consistent with the ID card used when registering, otherwise they may not enter the examination room to take the exam.

3. According to relevant regulations, applicants are required to pay the 100 yuan examination fee, and the candidates who take the written examination (except those who violate the discipline) will be given an equal subsidy for the examination fee. The equal subsidy will be distributed to the card originally paid by the candidates, and the candidates are requested not to cancel the card during this period. Candidates who have not paid the fee are deemed to have failed the registration. The equal subsidy will be issued after the written examination, and it needs to go through yeepay and the bank. Candidates are requested to pay attention to their bank card status and related information in time. If you have any questions, please call yeepay Customer Service at 95070 for consultation.

4. Applicants should take the admission ticket and the original ID card to the test center to take the written test according to the specified time. Before online registration, they should carefully read the Notice of COVID-19 Epidemic Prevention and Control for College Graduates in 2022 in Jiangsu Province (see Annex 3), and continue to pay attention to the epidemic situation in COVID-19 and the latest requirements for epidemic prevention and control in the districts and cities where the written test is located, so as not to affect the normal participation in the test.

The written test is a closed test, and no papers can be handed in or withdrawn in advance during the test.

5. The written test results are published in the "Results Query" column of Jiangsu Personnel Examination Network, the business subnet of the portal website of the Provincial Department of Human Resources and Social Security (http://jshrss.jiangsu.gov.cn), and applicants can query by ID number and admission ticket number.

(5) Print the admission ticket online.

Candidates who have passed the registration qualification examination and completed the payment confirmation within the specified time, please log on to the registration website to download and print the admission ticket from 9: 00 on June 30th to 24:00 on July 2nd. Before downloading and printing the admission ticket online, you should carefully read the relevant examination regulations and epidemic prevention requirements, and downloading and printing the admission ticket for written examination will be regarded as agreeing with and signing the Commitment Letter on COVID-19 Epidemic Prevention and Control for College Graduates in Jiangsu Province in 2022 (see Annex 3). If there is any problem in printing, please contact the Provincial Personnel Testing Center at 025-83236083.

Admission ticket printing website: the same as the registration website.

VI. Examination Implementation and Employment

(1) Written examination

The written test is organized by the whole province. Written test time: 9: 00-11: 00 am on July 3. There is no exam outline for this exam.

After the written paper marking, the provincial "three supports and one support" office will delimit the qualified line for entering the interview and inspection, and then the relevant cities will determine the shortlisted candidates for the interview and inspection according to the recruitment plan from high score to low score according to the ratio of 1:3.

(2) Qualification review

Before the interview, the applicants will be re-examined for registration qualification. At the time of qualification review, applicants should provide their ID card, student ID card or graduation certificate, teacher qualification certificate, political outlook and relevant certificates of being a student cadre and winning prizes. Those who fail to pass the review will be disqualified from the interview.

(3) Interview and inspection

The interview and inspection work shall be organized and implemented by the relevant cities. The specific time will be notified separately by the municipalities, please pay attention to the personnel examination websites of the municipalities.

The ratio of written test, interview and inspection is 4:3:3, forming the comprehensive scores of candidates. The comprehensive scores are from high to low, and the candidates for physical examination are selected according to the ratio of 1:1.

(4) Physical examination and publicity

The physical examination shall be organized and implemented in accordance with the general standards for physical examination of civil servants (for Trial Implementation) and the operation manual for physical examination of civil servants (for Trial Implementation).

Those who fail to pass the physical examination or give up will be given a one-time supplement according to the comprehensive scores of the candidates who apply for the position.

The relevant cities will submit the list of candidates who have passed the medical examination to the provincial "three supports and one support" office, and the provincial "three supports and one support" office will make a seven-day publicity on the portal website of the Provincial Department of Human Resources and Social Security.

(5) Employment

After the publicity, the relevant cities will organize pre-job training and dispatch to the post, and go through the employment procedures according to the time stipulated by the province. Recruiters are required to fill in the "Approval Form for the Employment of College Graduates in Jiangsu Province", which will be included in my personnel file after being approved by the "Three Supports and One Support" offices of various cities, and submitted to the "Three Supports and One Support" office for the record.

Seven, recruitment policy consultation telephone.

Xuzhou "Three Supports and One Support" Office: 0516-85792308;

Nantong "Three Supports and One Support" Office: 0513-83558025, 0513-83558011;

Lianyungang "Three Supports and One Support" Office: 0518-85811783, 0518-85825303;

Huai ‘an "Three Supports and One Support" Office: 0517-83646465, 0517-83660110;

Yancheng "Three Supports and One Support" Office: 0515-88198704, 0515-8668704;

Yangzhou "Three Supports and One Support" Office: 0514-85825319, 0514-85822332;

Taizhou "Three Supports and One Support" Office: 0523-86606565, 0523-86886131;

Suqian "Three Supports and One Support" Office: 0527-84353007, 0527-84353009;

Provincial "three supports and one support" offices: 025-12333, 025-83338133.

Eight, recruitment examination technical advice

Provincial Personnel Testing Center: 025-83236083.

　

Attachment:　 1 "Jiangsu Province in 2022 college graduates" three supports and one support "recruitment schedule". xls

　　　　　　　　　　　　 2.2022 college graduates "three supports and one support" plan registration form and instructions for filling out the form. doc

　　　　　　 　 　　　 3. Jiangsu Province in 2022 college graduates "three supports and one support" plan to recruit written candidates COVID-19 epidemic prevention and control notice. doc

　

　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　 　 　 　　 　　　　　　　 Jiangsu province "three supports and one support" work coordination management office

　　　　　　　　　　　　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　　 June 15, 2022