More than 200,000 Lao Lai in Chongqing were blacklisted by the court, and a "red blacklist" system was established in 21 fields.

CCTV4 national treasure archives news, China’s ancestors made our descendants proud and surprised the world. Everyone knows the four great inventions, but you may not know how many worlds were the best in ancient China …

1. The earliest planting of rice and millet.

As early as 7,000 to 5,000 years ago, during the matriarchal clan commune, rice and millet had been planted in China.

2, the earliest invention of sericulture and silk weaving.

As early as four or five thousand years ago, during the patriarchal clan commune, China began to raise silkworms for reeling, and the prevention and control technology made new progress.

3. Paint has the longest history.

Red lacquer bowls were unearthed at Hemudu site in primitive society. Lacquerware manufacturing in Shang and Zhou Dynasties has reached a high level.

4, the use of words, the longest circulation time.

Chinese characters are still the only ancient characters widely used in the world. Chinese characters came into being from the end of primitive society to the early slave society, and by the time of Shang Dynasty, Oracle Bone Inscriptions had become a relatively mature character.

5, the longest date method

As the greatest achievement of the calendar of Shang Dynasty, the method of keeping the date of the year by the cadres and branches is the longest one in the world.

6, the earliest recorded solar eclipse and lunar eclipse.

Records of early solar and lunar eclipses in China are kept in the relevant historical materials of Xia Dynasty and Oracle Bone Inscriptions of Shang Dynasty. This is also the earliest existing record in the world.

7, the earliest invention of cast iron softening technology.

During the Spring and Autumn Period and the Warring States Period, the softening treatment technology of cast iron created by our people was more than two thousand years earlier than that in Europe.

8. The earliest record of Halley’s comet.

The Spring and Autumn Annals records that in 613 BC, "a star entered the Beidou", which is recognized as the first exact record of Halley’s comet in the world, more than 600 years earlier than in Europe.

9, the earliest establishment of the 19-year seven-leap calendar.

The legislation in the Spring and Autumn Period has formed a fixed system, basically establishing the principle of seven leaps in nineteen years, 160 years earlier than in the West.

10. The earliest astronomical works

During the Warring States Period, Gan De, a Chu man, and Shi Shen, a Wei man, each wrote an astronomical work, which was later collectively called Gan Shi Xing Jing, which contained rich astronomical records.

11, the earliest use of plows

In the Western Han Dynasty, plow walls were installed on plows, which was more than 1000 years earlier than in Europe.

12. The earliest sunspot record

The Five Elements Records in Hanshu states: "In the first year of Emperor Heping of the Han Dynasty (28 BC), March was over (18th), and the sun was yellow, with black gas as big as money, and it lived in the center of Japan." This record about sunspots in the Western Han Dynasty is recognized by the world as the earliest record about sunspots.

13. The most advanced applied mathematics

Nine Chapters Arithmetic, a mathematical monograph written in the Eastern Han Dynasty, introduced many arithmetic propositions and their solutions in nine chapters. It was the most advanced applied mathematics in the world at that time, marking the formation of a complete system of ancient mathematics in China.

14, the earliest seismograph to determine the earthquake orientation.

The seismograph invented and manufactured by Zhang Heng, a scientist in the Eastern Han Dynasty, can remotely measure the direction of earthquakes thousands of miles away, more than 1,700 years before Europeans made it.

15, the earliest invention of anesthetics

Hua Tuo, a "magical doctor" at the end of the Eastern Han Dynasty, extracted and made hemp boiling powder from plants, which was suitable for surgery, more than 1,600 years earlier than in the West.

16. The earliest invention of papermaking

There was paper in the early Western Han Dynasty, and the paper with maps unearthed in Fangmatan, Tianshui, Gansu Province is the earliest known paper in the world. In 105 AD, Cai Lun in the Eastern Han Dynasty improved papermaking and made cheap and easy-to-write paper. And the raw materials are easy to get, so it is called "Cai Hou Paper".

17, the earliest accurate calculation of pi.

Liu Wei, a mathematician in Wei and Jin Dynasties, put forward a correct method to calculate pi by using limit theory. Zu Chongzhi in the Southern Dynasties accurately calculated pi between 3.1415926 and 301415927, which was nearly a thousand years earlier than that of foreign countries.

18. The longest and earliest canal

From 605 to 610, Emperor Yangdi dug the Grand Canal with Luoyang as the center, connecting Zhuojun (now Beijing) in the north and Yuhang (now Hangzhou) in the south, which is the earliest and longest Grand Canal in the world.

19. The largest seagoing ship

During the Sui and Tang Dynasties, China was able to build the largest seagoing ship in the world at that time. When passing through the Persian Gulf, it had to change boats, so it was known as the "overlord of the sea".

20. The earliest bank

During the Sui and Tang Dynasties, the counters specialized in the deposit and lending of money, which was the earliest prototype of banks in China, six or seven hundred years earlier than the financial institutions in Europe.

21, the earliest invention of printing

When Emperor Wen of the Sui Dynasty was in the reign of Emperor Wen, he "abandoned the image and left the classics, and ordered them to be carved, which was the beginning of printing books". During the Sui and Tang Dynasties, there were carved Buddhist calendars and books. The Diamond Sutra, which was printed in 868 in the Tang Dynasty, is the earliest block printing with exact date in the world. In the middle of the 11th century, Bi Sheng, a commoner in the Northern Song Dynasty, invented movable type printing, more than four centuries before Europeans.

22, the earliest invention of gunpowder and its application in the military.

In the books of the mid-Tang dynasty, the formula of gunpowder has been made. At the end of the Tang Dynasty, gunpowder began to be used in the military, and the rocket was the earliest gunpowder weapon. In the Southern Song Dynasty, the tubular firearm "musket" was invented, which was the earliest primitive rifle in the world and created a new stage in the history of human warfare.

23, the earliest measurement of meridian length and the earliest discovery of star movement.

An outstanding astronomer in the Tang Dynasty, Monk and his party, were the founders of measuring the meridian length of the earth by scientific methods in the world, about 90 years earlier than foreign countries. Monks and his party also created a zodiac travel instrument to observe the position and movement of the sun, moon and five stars. Through observation, a line found the phenomenon of star position movement. This is nearly a thousand years before the British astronomer Harley put forward the idea of stars’ self-motion in 1718.

24, the earliest pharmacopoeia issued by the state.

Tang Materia Medica, edited by Tang Gaozong, is the earliest pharmacopoeia in the world and issued by the state.

25. The oldest ancient arch bridge

Zhao Zhouqiao designed and built by Li Chun, a craftsman of Sui Dynasty, is the oldest stone arch bridge in the world.

26. The biggest art treasure house

Dunhuang Mogao Grottoes is one of the largest art treasures in the world, with more than 1000 caves, in which statues of Buddha with different expressions are shaped and murals with golden walls are painted. Among them, caves in the Sui and Tang Dynasties accounted for 67/10.

27. The compass was first invented and applied to navigation.

During the Warring States period, people used the characteristics of magnet guide ratio to make a guide tool-Sina. After constant transformation, Sina made a compass in the Song Dynasty, and it was first used in navigation. Compass has been widely used in navigation traffic in Song Dynasty.

In the 13th century, the compass was introduced to Arab and European countries. Compass is used in navigation, which has greatly promoted the exchange and development of world economy and culture. At the same time, it also provided important conditions for European navigation to discover America and realize global navigation.

28. Determine the annual cycle at the earliest.

Guo Shoujing was an outstanding astronomer in the Yuan Dynasty. He presided over the compilation of the Chronology Calendar. The period of one year was basically the same as the current Gregorian calendar, but the current Gregorian calendar was 300 years earlier.

29. The earliest ocean voyage

From 1405 to 1433, Zheng He made seven voyages, visited more than 30 countries and regions in Asia and Africa, and reached the Red Sea coast and the east coast of Africa as far as possible. Its scale, duration and voyage are unprecedented in the history of world navigation. He was more than half a century earlier than the ocean voyage of European navigators.

30. The earliest description of limestone dissolution landform.

In Xu Xiake’s Travels, a geographer of Ming Dynasty, the observation and description of limestone dissolution landform was about two centuries earlier than that in Europe.

31, the earliest discussion of beriberi.

Sun Simiao, a medical doctor in the Tang Dynasty, recorded in Qian Jin Fang that almond, Evodia rutaecarpa, Sichuan pepper and chaff containing a large amount of vitamin B could be used to treat and prevent beriberi, which was very advanced at that time. It is almost a thousand years earlier than the first discussion of beriberi in Europe.

32. The earliest use of paper money

"Jiaozi" was created in the Northern Song Dynasty, which was the beginning of the use of paper money in China and the earliest paper money in the world.

33, the earliest discovery of geomagnetic declination

Shen Kuo, a scientist in the Northern Song Dynasty, discovered the phenomenon that the magnetic needle points due south and slightly east, which is the earliest record of geomagnetic declination, more than 400 years earlier than that in Europe.

Original title: Culture | The 33 greatest inventions in the world in ancient China are amazing!

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Knowing that the car emperor bought a car and the live broadcast season ended with 100,000 live broadcasts to help the car market recover.

  On the afternoon of March 31st, in a Geely 4S store in Fangshan District, Mr. Sun (pseudonym) accompanied by Nan Ge, the author who knows the car number, went to the store to pick up the car. The whole process of picking up the car was broadcast live online by Nan Ge, helping Mr. Sun to finish picking up the car and explaining the precautions for users who watched the live broadcast online.

  It is worth noting that before picking up the car, Mr. Sun’s whole shopping process took place online. It is understood that Mr. Sun is one of the users of the activity of "Knowing the Car Emperor’s Live Car Season" and a fan of "Nan Ge Said Car". While watching the live broadcast, Mr. Sun noticed the preferential activities of Beijing Lingxu Geometry User Center. After repeated consideration and comparison, Mr. Sun decided to complete the car booking process online.

   

  It is understood that there are not a few users like Mr. Sun in the "Live Car Season" that lasted for nearly two months. During the event, brand manufacturers, dealers and rims KOL conducted more than 100,000 live broadcasts, with a total popularity of 4.295 billion. More than 5,000 dealers participated, covering 91 brands and nearly 293 cities.

  At the end of March 31st, four people, Nan Ge, Xiao Xixi, Brown Ni and Zhang Tao, who know the car number live broadcast, divided into two groups to select two users from the fans and went offline to help them complete the car lifting process. During this period, Nan Ge and Xiao Xixi will interact with Zhang Tao and Brown Ni online to complete the whole car lifting process together.

  Knowing that the car emperor bought a car and the live broadcast season ended, helping the car consumption recovery under the epidemic. 

  At the beginning of February, the arrival of "Black Swan" almost stopped the traditional automobile sales, and the dealer inventory index reached a new high of 81%, far exceeding the warning line of 50%, reflecting the pressure on the upstream of the automobile industry. In the epidemic, from the launch of new cars to the promotion of transactions, major OEMs are pinning their hopes on live broadcast to wake up the car consumption that has fallen asleep because of the epidemic.

  In this context, the activity of "Knowing the Car Emperor to Buy a Car Live Season" was launched in February this year. On the one hand, it used its own platform to introduce business to car dealers, on the other hand, it also solved the problem of buying a car for users and brought car benefits.

   

  "I had the demand for new car replacement at the beginning of this year, but it was put on hold in the early stage because of the epidemic." A user who knows about the car-buying live season said, "There have been several intentional models before, but they have been stuck in the trading link and can’t go to the field to talk about prices and comparisons."

  In fact, under the traditional automobile sales model, it is not easy to complete the automobile transaction. Even if the user has basically determined the intended model, he still needs to go to the store to make an inquiry. After some exchanges, the two sides can finally finalize the transaction. Therefore, once the "to the store" link is blocked, the subsequent inquiry and transaction links cannot be reached. How to put more shopping and inquiry links online is not only a safety measure to reduce unnecessary contact under the epidemic situation, but also a necessary path to promote more efficient automobile consumption. Through the live broadcast room, users can obtain multi-dimensional information from manufacturers, dealers’ stores and automobile media people at the same time, thus reducing unnecessary inquiry and price comparison at the store and improving the efficiency of purchasing.

  In addition to consumers, the live broadcast has a greater boost to dealers. "In the past, dealers were relatively passive on the Internet, and it was difficult to really communicate with consumers effectively," said a car dealer who participated in the live broadcast season of car buying. In his view, this is why dealers spare no effort to guide users to the store. However, the interactivity and timeliness of live broadcast can effectively solve this problem, and real and professional content and timely interactive experience will make it easier to generate trust connection with users.

  Judging from the attempt to buy a car for the live broadcast season, the duration of a single live broadcast organized by dealers is generally between half an hour and two hours. Compared with the previous sales model of guiding customers to the store for inquiry, this is the duration of negotiating a customer. However, in the live broadcast, the popularity of a single live broadcast with the same duration is often above 100,000. In addition to bringing orders and interested customers, there are still many fans.

  "We launched seven live broadcasts in a week, and each one had a deal." Dahai, the online sales manager of Wuhan Jike Automobile Sales & Service Co., Ltd., said that in Wuhan, where the epidemic is the most serious, the normal business of the store has been suspended for several months, and all the transactions reached so far come from live broadcast.

  In the eyes of the industry, the live broadcast activities initiated by the professional automobile information platform can better mobilize the participation of automobile customers, thus alleviating the pressure on dealers and OEMs in the industry. Not only the above-mentioned Wuhan dealers, but also in areas with relatively light epidemic, there are many early adopters who buy cars live. A Chery brand 4S store in Jinan ordered more than 10 cars in a week, and a Nissan Luoyang 4S store also received an order for 10 cars in the live broadcast. In addition, a FAW Mazda 4S store in Chengdu not only received an order for 5 cars in a single live broadcast, but also collected 9 intentional customers.

  "This is very surprising to us." The manager of a 4S store in Beijing said, "Many of the intended customers collected in the live broadcast are new customers." This means that the live broadcast not only completes the transformation of existing sales leads, but also excavates new sales leads to a certain extent, which is more attractive for 4S stores.

  "Buy a car live" to tap the value of content 

  In fact, live broadcast has become the best combination between content and consumption. According to the statistics of Ai Media Consulting and China Merchants Securities, as of the first quarter of 2020, the number of live broadcast users in China has exceeded 524 million, and 53% of the respondents think that live broadcast can arouse great consumer interest, while 15% think that live broadcast can arouse great consumer interest.

  At the same time, the automobile category has always been one of the most concentrated consumption areas of high-quality content. Whether it is evaluation, test drive, car solution, or travel, transportation and socialization, the automobile circle has attracted the continuous creation of countless big V. Excavating the value of live broadcast can better serve the automobile content, improve the efficiency and expand the dimension of information acquisition through various content forms, among which the feedback of live broadcast channel is faster, which can speed up the flow of information interaction and enrich the automobile content scenes, thus promoting the upgrading of automobile content.

  Therefore, how to further tap the value of content and live broadcast, realize the common upgrade of user content and consumption experience, enable creators to obtain stable channels for realizing cash, and at the same time improve the customer acquisition efficiency of manufacturers and distributors is a proposition that the industry thinks together.

  Judging from the experience of this round of "knowing the car emperor to buy a car for live broadcast", live broadcast can better serve consumption. Through live broadcast, it can not only expand the user’s choice of buying scenes, improve the efficiency of buying, but also shorten the chain of car buying transactions, and finally promote the upgrading of consumption experience.

  In view of the characteristics of automobile consumption, Know Car Emperor has been seeking cooperation with dealers. In this round of live broadcast season, Know Car Emperor and china automobile dealers association held the 100-store anchor challenge, which was initiated by dealers as the main activity. And throughout the car-buying live broadcast season, we have been trying to find the greatest common denominator between dealers and live broadcasts. The current live broadcast can put the inquiry link and part of the transaction online, thus simplifying the offline process of car purchase to the greatest extent, but the final transaction is still carried out offline.

   

  In addition, including Nan Ge, Xiao Xixi, Brown Ni, Zhang Tao and other big V’s, they formed a "Know Car Number Live Sky Group" to participate. Because dealers are still relatively weak on the network side, and their popularity and trust are still under construction, the participation of "big coffee" can not only make consumers feel more at ease, but also enhance the popularity of dealers. "This is more in line with the consumption habits of automobile consumers." . The person in charge of the above 4S shop said.

  Even if it is fruitful, it is not entirely smooth for dealers to participate in the live broadcast. "The architectural problems in the early stage of the live broadcast are still being explored." The sea said, "After doing it, I know that live broadcast is not a simple matter for one person. It needs company mobilization, and there is a division of labor behind the scenes. We will create a popular and credible anchor in front of the stage, and at the same time explore the experience of retention and transformation."

Interpretation of "Administrative Measures for Medical Device Recall"

In order to strengthen the supervision and management of medical device recall and effectively promote the implementation of the main responsibility of enterprise recall, according to the Regulations on the Supervision and Administration of Medical Devices (hereinafter referred to as the Regulations), the State Food and Drug Administration has formulated and promulgated the Measures for the Administration of Medical Device Recall (hereinafter referred to as the Measures). The Measures will be implemented on May 1, 2017, and the relevant contents are now interpreted as follows:

I. Why should the Measures be revised?

As a special commodity, medical devices play an important and irreplaceable role in improving people’s health and quality of life. The safety and effectiveness of medical devices is directly related to people’s health and social harmony and stability, and is a major livelihood and public safety issue. If the listed products are defective and cannot be recalled and controlled in time, it may endanger the health and safety of consumers. Therefore, the establishment and implementation of the recall system of medical device products by the state plays an important role in controlling the risks of defective medical device products after listing, eliminating potential safety hazards of devices and protecting public safety. The practice in other countries and other fields also shows that the recall system is a powerful guarantee to safeguard the safety and rights of consumers. Based on the importance of the medical device recall system, in order to strengthen the supervision and management of the recall-related work, in 2011, the Ministry of Health of the People’s Republic of China issued the Administrative Measures for Medical Device Recall (Trial) (Order No.82), which came into effect on July 1, 2011. The publication and implementation of the "Measures (for Trial Implementation)" provides legal guarantee for timely controlling the risks of medical devices after listing and protecting the safety of public equipment. The implementation of medical device recall system is not only an effective method to control the risk of medical devices, promote the progress of production technology and improve product design, but also an important measure to promote production enterprises to improve product quality awareness and standardize market competition order.

The newly revised Regulations in 2014 included the recall system, which also became a highlight of the new version of the Regulations. In order to further strengthen the management of medical device recall, according to the requirements of the Regulations, on the basis of full investigation of recall systems at home and abroad in the early stage, combined with China’s national conditions and practice, and after soliciting opinions from all parties, the "Measures (Trial)" version was repeatedly discussed and revised, and the "Measures" was revised.

2. What are the main contents stipulated in the Measures?

(1) What is the definition of medical device recall?

The recall of medical devices mentioned in the Measures refers to the actions taken by medical device manufacturers to deal with the defective medical device products of a certain category, model or batch that they have sold on the market according to the prescribed procedures, such as warning, inspection, repair, re-labeling, modification and improvement of instructions, software update, replacement, recovery and destruction.

(2) What are the recall obligations of medical device manufacturers?

Medical device manufacturers are responsible for the quality and safety of their medical devices. We should establish and improve the management system of medical device recall in accordance with the provisions of the Measures, collect information related to the safety of medical devices, investigate and evaluate possible defective products, and recall defective products in time.

The agent designated by the overseas manufacturer of imported medical devices in China shall report the relevant information about the recall of medical devices only abroad to china food and drug administration in time; Where the recall is carried out in China, the designated agent in China shall organize the implementation in accordance with the provisions of the Measures.

(3) What are the recall obligations of medical device enterprises and users?

Medical device enterprises and users shall actively assist medical device manufacturers to investigate and evaluate defective products, actively cooperate with the manufacturers to fulfill the recall obligations, timely convey and feedback the recall information of medical devices according to the recall plan, and control and recover the defective products.

(4) What are the categories of medical device recalls?

According to the different starting conditions of medical device recall, medical device recall can be divided into active recall and ordered recall.

Voluntary recall is a legal obligation of medical device manufacturers to evaluate the quality of medical device products according to relevant requirements or information such as product adverse events, and to determine the defects of medical device products, which are voluntarily implemented by the manufacturers. Ordered recall refers to the recall of medical devices by the food and drug supervision and administration department after investigation and evaluation, which believes that medical device manufacturers should recall defective medical device products without taking the initiative to recall them. In practice, enterprises should take the initiative to recall, supplemented by government departments ordering recalls.

(5) What are the levels of medical device recall?

According to the severity of medical device defects, medical device recalls are divided into:

(1) First-class recall: the use of the medical device may or has caused serious health hazards;

(2) Secondary recall: the use of the medical device may or has caused temporary or reversible health hazards;

(3) Three-level recall: it is less likely that the medical device will cause harm, but it still needs to be recalled.

Medical device manufacturers should determine the recall level according to the specific situation and scientifically design the recall plan and organize its implementation according to the recall level and the sales and use of medical devices.

If a medical device manufacturer makes a decision on medical device recall, the first-level recall shall be within 1 day, the second-level recall shall be within 3 days, and the third-level recall shall be within 7 days, and the relevant medical device business enterprises, users or users shall be notified.

The recall notice shall at least include the following contents:

(1) Recall the basic information such as the name and batch number of medical devices;

(2) the reasons for the recall;

(3) requirements for recall, such as immediately suspending the sale and use of the product, forwarding the recall notice to relevant operating enterprises or users, etc.;

(four) the way to deal with the recalled medical devices.

(six) how to punish medical device manufacturers for refusing to recall medical devices?

Medical device manufacturing enterprises, in violation of the provisions of Article 24 of the Measures, refuse to recall medical devices. According to the provisions of Article 66 of the Regulations, the food and drug supervision and administration department of the people’s government at or above the county level shall order them to make corrections and confiscate the medical devices illegally produced, operated or used; If the value of medical devices illegally produced, operated or used is less than 10,000 yuan, a fine ranging from 20,000 yuan to 50,000 yuan shall be imposed; If the value of the goods is more than 10,000 yuan, a fine of more than 5 times and less than 10 times the value of the goods shall be imposed; If the circumstances are serious, it shall be ordered to stop production and business until the original issuing department revokes the registration certificate, production license and business license of medical devices.

(seven) how to punish the medical device operating enterprises and users who refuse to cooperate with the medical device manufacturing enterprises to fulfill the recall responsibility?

Medical device enterprises and users who refuse to cooperate with the investigation of medical device defects or assist medical device manufacturers in recalling medical devices shall be given a warning and ordered to make corrections within a time limit; Those who refuse to make corrections within the time limit shall be fined up to 30,000 yuan.

3. What are the amendments to the Measures?

The Measures include six chapters and thirty-seven articles, including general principles, investigation and evaluation of medical device defects, voluntary recall, ordered recall, legal liability and supplementary provisions. The revision of the Measures retains the framework and main contents of the Measures (for Trial Implementation). According to the Regulations, the scope of recall and individual operating procedures are supplemented and adjusted, the main responsibility and legal responsibility of production enterprises are strengthened, and the punishment for violations of laws and regulations is intensified. The main amendments include:

(a) the implementation of the main responsibility of medical device recall. It is clear that the registrants or filers of domestic medical device products and the agents designated by overseas manufacturers of imported medical devices in China are the main bodies of medical device recall.

(2) The scope of application has been clarified. The Measures (for Trial Implementation) stipulates that "these Measures shall apply to the recall of medical devices sold in People’s Republic of China (PRC) and their supervision and management", and the Measures shall be amended as "the recall of listed medical devices in People’s Republic of China (PRC) and its supervision and management", which clarifies that all medical device products registered in China shall be implemented or reported in accordance with the requirements of these Measures.

(3) Adjusting the scope of defective products. The Measures (Trial) stipulates that "the recall of medical devices mentioned in these Measures refers to the behavior of medical device manufacturers to eliminate defects by warning, inspecting, repairing, relabeling, modifying and perfecting the instructions, upgrading the software, replacing, recalling and destroying a certain category, model or batch of products that have been sold in the market according to the prescribed procedures", "The defects mentioned in these Measures", It means that medical devices have unreasonable risks that may endanger human health and life safety under normal use, that is, the scope of recall is medical devices that have unreasonable risks that may endanger human health and life safety under normal use. According to the newly revised Regulations, the Measures expand the scope of defective products to "(1) products with unreasonable risks that may endanger human health and life safety under normal use; (two) products that do not meet the mandatory standards and the technical requirements of registered or filed products; (three) products that do not meet the relevant provisions of the quality management of medical device production and circulation, which may lead to unreasonable risks; (4) Other products that need to be recalled ".

(4) The content of defect assessment has been added. In response to the revision to expand the scope of defective products, the item "Does the product meet the mandatory standards, registered or filed product technical requirements" has been added in the main content of evaluating the defects of medical devices.

(5) The regulatory authorities that supervise the destruction of recalled products have been adjusted. The "Measures (Trial)" stipulates that "if it needs to be destroyed, it shall be destroyed under the supervision of the drug supervision and administration department at the place of destruction". But in practice, this method is not conducive to practical operation. At the same time, with the rapid development of information technology, the diversification of supervision methods is the general trend. Therefore, the "Measures" were amended as "Those that need to be destroyed shall be destroyed under the supervision of the food and drug supervision and administration department."

(6) Adjusted the requirements for notification of recall information. The "Measures (Trial)" stipulates that "the drug supervision and administration department shall review the report within 10 days from the date of receiving the summary report and evaluate the recall effect. The conclusion of the review and evaluation shall be notified to the medical device manufacturer in written form and copied to the health administrative department at the same level ". In practice, it is difficult to inform medical device manufacturers and health administrative departments at the same level in written form of review and evaluation conclusions. Therefore, the "Measures" cancel the requirement of notifying production enterprises in written form, and change the information notification to the health administrative department to "notify relevant information to the health administrative department at the same level when necessary".

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Heavy snowfall is coming, and Beijing Emergency Bureau will issue 6 early warning and response measures.

  CCTV News:According to WeChat official account News of Beijing Emergency WeChat, according to the forecast of Beijing Meteorological Observatory, there will be heavy snowfall and cold wave weather in Beijing from 13th to 16th, and the temperature will drop obviously. From 15th to 20th, there will be continuous low-temperature weather, and the lowest temperature will be close to the historical extreme value in the same period. At 16: 30 on the 12th, the Beijing Meteorological Observatory issued a yellow warning signal for snowstorm and road icing. To this end, the Beijing Emergency Bureau issued six early warning response measures.

  Response measures of yellow early warning for snowstorm and road icing in Beijing

  1. Please pay attention to the weather forecast and early warning information, pay attention to cold, warm and anti-skid, and pay attention to the safety of fire, electricity and gas to prevent carbon monoxide poisoning.

  2. Advocate citizens to take buses and subways, reduce driving trips, keep a safe distance when driving, slow down and ride bicycles and electric bicycles less.

  3. Please avoid playing in mountainous areas and stay away from old trees, structures, plaques and snow-covered dangerous areas to avoid being crushed; When passing under the bridge and under the eaves, prevent the ice from melting and falling off and hurting people.

  4. All units should pay close attention to the weather changes, arrange production and business activities reasonably, and pay attention to protection for outdoor operations to ensure safety. Implement the responsibility of "three guarantees in front of the door" and do a good job of sweeping snow and shoveling ice within the responsibility area.

  5. Urban operation guarantee units should fully carry out snow sweeping and ice shoveling, do a good job in heating service guarantee, strengthen traffic organization and guidance, deal with emergencies in time, and ensure the safe operation of urban lifelines such as water, electricity, gas and heat.

  6. It is necessary to clear the snow on various venues such as school gymnasiums, long-span buildings, agricultural facilities greenhouses, temporary structures and dangerous houses in time to prevent collapse.

Five diseases that sound scary are actually not diseases.

Original, don’t scare yourself.

When women do some gynecological examinations every year, many people will find that the report will prompt words that sound terrible, such as "tumor", "effusion" and "erosion".

But in fact, most of these terrible gynecological diseases are not as serious as everyone thinks, and some of them are not diseases at all and do not need treatment.

Today, I will take stock of the five most common gynecological diseases ~

HPV infection

Can be found by special HPV testing.

Scary index: ★★★★★★★

Actual threat: ★★☆☆☆☆

Expert interpretation:

HPV infection is one of the main causes of cervical cancer. But it does not mean that you will get cervical cancer if you are infected with HPV.

In fact, most women who have sex may have been infected with HPV, but they are basically automatically cleared by human immunity within one or two years.

Only a small number of people may continue to be infected for many years, which will eventually lead to cervical cancer.

Therefore, pure HPV infection does not need special treatment, but more is to remind patients to screen regularly and find cancer or precancerous lesions in time.

What situations should we pay attention to?

The threat of HPV to reproductive parts can be divided into two categories: low risk and high risk.

If you are infected with high-risk HPV, it is recommended to have a cervical cytological examination (TCT or LCT). If you find any abnormality, you should have a colposcopy to comprehensively evaluate whether there are any vigilant lesions in the cervix and vagina.

In addition, the possibility of cancer caused by low-risk HPV infection is extremely small, but some patients may have warts of condyloma acuminatum locally in their genitals, and they need medical treatment if necessary.

ovarian cyst

Most of them were found by B-ultrasound.

Scary index: ★★★★★★★

Actual threat: ★★☆☆☆☆

Expert interpretation:

Ovarian cyst is not equal to ovarian tumor.

For women of childbearing age, most of them are physiological cysts, which are related to the development of follicles during ovulation every month. There is also a more complicated "chocolate cyst" which is a manifestation of endometriosis.

For the vast majority of women of childbearing age who find ovarian cysts for the first time, if the diameter is less than 5cm, they can be rechecked on the fourth to fifth day of the next menstrual period. If the cysts disappear, there is no need for treatment.

What situations should we pay attention to?

1. Ovarian cysts are larger than 5 cm in diameter;

2. The cyst didn’t disappear and shrink after follow-up;

3. B-ultrasound found that the cyst had solid components or was completely solid;

4. Postmenopausal women found ovarian cysts;

5, diagnosed as "chocolate cyst".

In the above situations, attention should be paid to timely medical treatment, and whether treatment is needed should follow the doctor’s advice.

hysteromyoma

Most of them were found by B-ultrasound.

Scary index: ★★★★★★★

Actual threat: ★★☆☆☆☆

Expert interpretation:

More than 90% of uterine fibroids are benign.

According to statistics, about 1/3 of women will have uterine fibroids in their lifetime.

Asymptomatic small fibroids generally do not need treatment, just check B-ultrasound regularly.

What situations should we pay attention to?

1. Myoma causes discomfort symptoms, such as menorrhagia, prolonged menstrual period and even anemia, or lower abdominal pain, frequent urination, difficulty in urination and defecation, etc.

2. Women’s infertility or abortion caused by fibroids;

3. A single myoma is large (more than 5cm), or the uterus volume is too large due to the myoma;

4. After observation and review, it was found that the growth rate of fibroids was too fast, and the doctor suspected that there was a possibility of malignant transformation;

5, fibroids in special parts such as submucosal fibroids;

In the above situation, it is necessary to pay attention to timely medical treatment, and doctors should judge whether treatment or surgery is needed.

Pelvic effusion

It is often found by B-ultrasound.

Scary index: ★★★★★☆.

Actual threat: ★★☆☆☆☆

Expert interpretation:

Almost every woman has a little pelvic effusion more or less, most of which are physiological phenomena, such as ovulating follicular fluid and countercurrent menstrual blood, and the human body will adjust itself to absorb the excess effusion.

Therefore, if B-ultrasound shows that pelvic effusion is only 10-30 mm and there are no other discomfort symptoms, most of them don’t need to worry, and most of them don’t need treatment.

What situations should we pay attention to?

If pelvic effusion is caused by other diseases, such as pelvic inflammatory disease and endometriosis, especially if there is a large amount of effusion or there are effusion in many places, or accompanied by abdominal pain, fever, abnormal leucorrhea and other symptoms, you need to seek medical attention in time.

erosion of cervix

Most of them were found by routine gynecological examination.

Scary index: ★★★★★★★

Actual threat: ★★☆☆☆☆

Expert interpretation:

Cervical erosion is not a disease, and this term is no longer used in the medical field.

"Erosion" has nothing to do with the commonly understood "decay".

The so-called cervical erosion refers to columnar epithelial displacement, which is a normal physiological phenomenon and does not need treatment in most cases. It can be understood that the cervix is just "ugly".

What situations should we pay attention to?

The so-called need for treatment of cervical erosion has nothing to do with the "mild, moderate and severe" suggested by some hospitals.

Only when "cervical erosion" is complicated with abnormal cytology, or infection or bleeding, may it need treatment.

What should I pay attention to before doing gynecological examination?

1. Pay attention to the inspection time

General gynecological examination should avoid the physiological period, but some examinations will be a little special.

For example, check ovarian cyst and infertility, etc., it may be necessary to check immediately during the physiological period or just after. Specifically, we should strictly follow the doctor’s advice.

2. Don’t have sex for 24 hours before the examination.

3. Don’t apply drugs or excessively clean the vagina before the examination.

4. Choose a regular medical institution.

After reading the expert’s interpretation of these diseases, will everyone’s fear of these diseases be reduced a lot?

Although the incidence of these gynecological diseases is high, most of them are not a big problem. Rational treatment, active "observation" and "regular review" are the best treatments for most people.

This article is original for "Jing Yi Tong". If there is any content reproduced, please indicate the source.

Reviewer: Chief Physician, Sexual Medicine Clinic, Youchuan Beijing Maternity Hospital

Editor: medical cupping, medical pear sand white

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Original title: "The truth! Listen to the scary five diseases, but they are not diseases! Women must pay attention to … "

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Does the rear-end collision of a zero-running car cause brake failure?

Recently, according to jack bauer hotline, an educational science and technology channel of Zhejiang TV Station, a lady Yu in Hangzhou was driving her own zero-run car two days ago, and the brakes suddenly failed on the road, causing her to rear-end. She thinks this accident has something to do with this braking function of the zero-run car.

Ms. Yu: "Then I brake and step on it, and I feel empty. I feel that it is empty to step on it. Then I actually panic. If I continue to step on it, it will be empty. Then you will watch it hit the car in front."

Speaking of her own experience, Ms. Yu still has a lingering fear. Ms. Yu bought a new energy vehicle six months ago, and the price was about 60 thousand. A few days ago, Ms. Yu drove on the road and experienced a moment of shock.

Ms. Yu: "I went to work at noon on August 26, that is, around 1: 25, and the weather and road conditions were fine, with a speed of forty or fifty yards." Then there was a red light, that is, it was expected to brake and stop, and then it felt like stepping on the brakes, and then it continued to step on the air, feeling that the car could not stop at all, and then it hit the car in front. "

Ms. Yu said that she started to step on the brakes at least 50 meters away from the front car, but the car couldn’t stop and eventually chased the front car. Fortunately, at that time, the speed was not fast, the car damage was not too serious, and there were no casualties. After that, the car was sent to the 4S shop for repair.

Ms. Yu: "They said that my ABS system was activated. If the ABS system was activated, it would definitely be activated after stepping on the brakes. It certainly ruled out the possibility of misoperation at that time."

Ms. Yu provided a chat record to the reporter. The 4S shop staff said that the background data showed that you stepped on the brakes and ABS intervened. Since Ms. Yu did step on the brakes, why didn’t the car stop in time?

Ms. Yu: "The answer he gave me was that no problem was found, and the brake system was all good. Then they asked me to pick up the car. I said that this car was a hidden danger, and I couldn’t take this hidden danger on the road. Then the key point was that there was another problem. I did the first insurance on August 16, and I thought they should have tested the brakes during the first insurance. Then you said that it was tested ten days ago, and my brakes suddenly failed in ten days. Then I was concerned about this matter.

In response to the questions reflected by Ms. Yu, the reporter accompanied her to Xixi Road, Hangzhou Service Center of Zero Run Automobile, and wanted to know more about the situation.

Staff of Xixi Road Store in Hangzhou Service Center of Zero Run Automobile: "Because of this, I am on duty today. I have already contacted him just now, because the car docking person is not here today, so I also told him just now, including the appeal you just said. Then he may contact you. If you have any questions, you can dock with him directly."

The reporter asked: "What is the situation of the car now?" The staff of Xixi Road Store in Hangzhou Service Center of Zero Run Automobile: "The car accident maintenance is ready."

The reporter asked again: "Did you find out what the problem is, the brake system?" Staff of Xixi Road Store in Hangzhou Service Center of Zero Run Automobile: "If you have checked it, because I can’t do it now."

The on-site reporter left contact information, but before the deadline for publication, he never received a reply from the zero run. The reporter found on the Internet that many consumers reported that the T03 brakes failed at zero run. Some netizens reported in July this year that during normal driving, the rear-end traffic accident was caused by brake failure, immobility and partial system failure.

A netizen in Hubei posted that after the car started, the brakes could not be stepped on, and it almost hit the vehicle in front. Another netizen in Guangxi said that T03 was driven downhill for a long time, and the distance was about three kilometers, and the brakes suddenly failed at the bottom of the slope.

So, does the zero-run T03 have any related braking hazards? The reporter also reflected the situation to the national customer service of the zero-running car. The customer service staff of the zero-running car said: "At present, there is no relevant notice here. Even if there is such a situation, it needs to be tested by the offline after-sales store to locate what caused the brake failure."

In view of the situation encountered by Ms. Yu, the retail customer service said that it would give feedback to the after-sales department for handling. "What caused the brake failure, or it needs to be tested by the service store. It is normal for the store to tell you after testing, so we also need to feedback to the after-sales service department for further verification."

China-Central Asia Summit | Kazakhstan experts: The Belt and Road Initiative helps Kazakhstan to diversify its development. There is great potential for cooperation between Kazakhstan and China.

  International Online Report (Reporter Wang Luping): May 18-19, China — The Central Asia Summit was held in Xi ‘an, and it continued to attract global attention. International online reporters interviewed Fatima Kukeyeva, a professor of international relations at Kazakh National University, on topics related to cooperation between China and Central Asian countries. Kukeyeva pointed out that Kazakhstan is the first place to advocate the Belt and Road Initiative, which has made positive contributions to promoting the diversified development of Kazakhstan, and there is great potential for cooperation between Kazakhstan and China.

China — Central Asia Summit | Kazakhstan experts: "One Belt, One Road" initiative helps Kazakhstan's diversified development. There is great potential for cooperation between Kazakhstan and China _fororder_ picture 1

  Fatima Kukeyeva, Professor of International Relations, Kazakh State University

  Kukeyeva said that the Belt and Road Initiative provides an open and inclusive platform for international cooperation and creates favorable conditions for Kazakhstan to integrate into the international transportation chain and industrial supply chain. Since 2013, Kazakhstan has gradually become an important transportation hub in Central Asia. At the same time, the construction and development of the logistics field has also brought convenience to the expansion of cooperation between Kazakhstan and China in the energy field. Various investments and economic and trade cooperation along with the "Belt and Road Initiative" have benefited Kazakhstan’s agriculture, industry, environment, culture and education.

  As a university professor, Kukeyeva is particularly concerned about the achievements and potential of the Belt and Road Initiative in the field of education. She introduced that Kazakh National University has cooperated with more than 30 universities in China to jointly implement scientific research projects and organize expert training. She also specifically mentioned that "experience shows that the educational model adopted by the Shanghai Cooperation Organization University is feasible and effective."

  Kukeyeva praised China for its great contribution to the development of green economy in Kazakhstan. She said that on the one hand, the optimization and adjustment of energy structure is the key to promote Kazakhstan’s economic diversification, on the other hand, the green economy has expanded the space for bilateral energy cooperation between Kazakhstan and China. In 2013, Kazakhstan proposed to transform into a green economy, and planned to increase the proportion of alternative energy and renewable energy in the country’s total power generation to 50% by 2050. In 2017, China released the "Cooperation Plan for Ecological Environment Protection of the Belt and Road", emphasizing the need to build the Belt and Road into a green, prosperous and friendly road, and defining the key tasks of the green Belt and Road construction. Kukeyeva believes that pragmatic cooperation in the field of green energy will play an increasingly important role in Kazakhstan-China friendly exchanges in the future.

  Kukeyeva is willing to join hands with Central Asia to build a closer China for China — The concept of a community of destiny in Central Asia is highly appreciated. She pointed out that this shows that China fully cares for and supports the development of its neighbors while concentrating on its own development and construction. "The concept of promoting the building of a community of human destiny put forward by the Supreme Leader focuses on the common interests and common well-being of all mankind, is committed to building a free and inclusive prosperous world, and contributes wisdom and solutions to promoting the construction of new international relations."

  Kukeyeva said that China and the five Central Asian countries are geographically linked by mountains and rivers, sharing weal and woe in security and complementing each other in economy, which has created broad prospects for cooperation. Today’s international situation is complicated and changeable, and she is very much looking forward to China — The Central Asia Summit will lead all parties to think together about the measures to deal with global risks and challenges. She believes that the summit will provide a more perfect dialogue platform for cooperation and exchanges between China and Central Asian countries, and the results of the summit will further enhance the non-governmental friendship and recognition between China and Central Asian countries, and achieve "common aspiration".

Chest tightness and shortness of breath, over 60 years old, please note that the heart "valve" is likely to age.

Original x popularization of science factory x popularization of science factory

Today, a grandmother Zhang came to the X clinic program. She said that she had chest tightness and breathlessness since three years ago, but she only had one or two episodes a year, so she didn’t take it seriously.

However, the situation is getting worse and worse. By December last year (2022), it was so serious that I couldn’t sleep on my back. When I went to the hospital for examination, it turned out to be a heart problem!

Wei lai | chief physician

■ Zhongshan Hospital affiliated to Fudan University

Deputy director of cardiac surgery

■ Executive Director of Cardiac Surgery, Shanghai Geriatrics Center

■ Director of minimally invasive cardiovascular surgery

■ Shanghai Heart Valve Engineering Technology Research Center

deputy director

Aging of heart valve

Even more dangerous than some cancers!

The main function of the heart is to pump blood, and the heart valve is an important "valve". Under normal circumstances, this "valve" is one-way and blood cannot flow back.

If the valve calcifies and this "door" cannot be fully opened, then the blood supply will be insufficient.

If this "door" is broken, the pumped blood will flow back and the heart will not be able to supply blood normally.

People will feel chest tightness and breathlessness, and even sudden death in severe cases!

According to statistics, the prevalence of valvular disease has increased since the age of 60, and one in every eight people over 75 suffers from moderate and severe valvular disease, which is very common!

There are four valves in the heart, namely tricuspid valve, pulmonary valve, mitral valve and aortic valve.

Among them, the most important thing is aortic stenosis. Because the aortic valve of the human body is the key "door" connecting the heart and various tissues of the body, once the aortic valve has problems, it will affect the blood supply to the whole body.

Aortic stenosis can be divided into three grades: mild, moderate and severe. Mild and moderate diseases will affect the quality of life of patients, and there will be a long incubation period from occurrence to symptoms, even up to decades.

Severe cases can be life-threatening. If not treated in time, about 50% patients with severe aortic stenosis will hardly live for five years! The survival rate is lower than that of some malignant tumors that make people talk about it.

Why is the heart "valve" damaged?

The valve of human body, especially aortic valve, is the key "door" connecting the heart and various tissues of the body. Once the aortic valve has problems, it will affect the blood supply to the whole body. It will appear:

Manifestations of valvular heart disease:

1. It is easy to feel tired, and I feel tired after doing a little work, and my constitution is very poor;

2. If you can’t breathe smoothly, you will not be able to breathe when you are active, that is, you will be short of breath.

3. The face, hands, feet or other parts are swollen.

4. Abdominal swelling and loss of appetite.

5. The heartbeat is irregular, and sometimes it will suddenly accelerate. In case of sudden syncope, you should pay special attention.

Therefore, regular physical examination for people over 60 years old is particularly important.

There are many reasons for valvular heart disease. To sum up, there are probably the following five reasons.

1. Age factor

The prevalence of valvular disease began to increase from the age of 60, and with the further aging, the incidence of aortic stenosis increased sharply. One in every eight people over 75 years old suffers from moderate and severe valve disease.

2. Congenital diseases

Congenital diseases, especially bicuspid aortic valve malformation. According to the study of Copenhagen Baby Heart Study, the incidence of bicuspid aortic valve malformation in different races is generally 0.5%-1.5%. According to the data of interventional therapy for valvular heart disease in China in 2022, more than 45% of patients with bicuspid aortic valve were treated with TAVR in China, which is close to half. It is mainly caused by the structural problems of bicuspid aortic valve.

3, rheumatic heart disease

This rheumatic valvular heart disease mainly occurs in the mitral valve position.

In 1970s and 1980s, valvular heart disease in China was mainly rheumatic valvular heart disease. Because of poor living and economic conditions at that time, people were prone to rheumatic heart disease after being infected by streptococcus.

The onset age of rheumatic heart disease is earlier, and the onset population is relatively young.

With the overall economic and cultural development in China, valvular heart disease caused by infection or malnutrition has decreased, and senile degenerative heart valve disease has gradually increased. It is a disease caused by age growth and long-term work overload.

4. Infectious and immune diseases

Infectious and immune diseases can also cause reflux, but the risk is lower than aortic stenosis.

5. Other rare diseases

How to repair the broken valve?

The valve in life is broken, just change it to a new one. Then the valve of the heart is broken, what should I do?

The answer is: repair or replace it with a new one.

Aortic valve stenosis has been detected, and there are currently three treatments.

1. Drug therapy

At present, drug therapy can only reduce the burden on the heart by draining water or slowing the heartbeat, but it can’t have an effect on calcified valves. Therefore, if patients with severe aortic valve stenosis, surgery can be considered.

2. Traditional surgical valve replacement (included in the scope of medical insurance)

Traditional surgery usually requires thoracotomy. This method is suitable for valve repair or valve replacement in young patients.

At present, the traditional surgical valve replacement technology is very mature in China, and a large number of clinical data have been accumulated.

If it is really necessary to open the chest after being judged by a regular doctor, then there is no need to panic too much, and surgery can be performed according to the doctor’s advice.

3, interventional therapy surgery (has been included in the scope of medical insurance)

As we said earlier, many patients with aortic stenosis are often in their sixties and seventies. When they are old, they are in poor health, and the risk of surgical valve replacement is great. For such patients, interventional surgery can be considered.

Only through a minimally invasive incision in the leg or chest, the artificial valve can be implanted into the heart. The whole operation takes less than an hour and the wound is very small. Patients can often get out of bed and go home the next day, which is simple and fast.

Generally speaking, there are two kinds of prosthetic valves that can be replaced:

Mechanical valve:

Mechanical valves, mostly made of pyrolytic carbon materials, have the advantages of long service life, not easy to be damaged and relatively cheap.

However, because of its hard texture, it can not be minimally invasive intervened by catheter, and it can only be replaced by traditional thoracotomy, and it is easy to produce thrombosis. So this kind of valve is more suitable for young patients.

Biological valve:

The elderly often choose biological valves, which are made of animal hearts, soft and can be performed through minimally invasive surgery without thoracotomy. But the disadvantage is that compared with the mechanical valve, it has a certain service life and the price is slightly expensive.

Everyone’s physical condition and disease progress are different, and the applicable treatment scheme is also different. Medical treatment or surgical treatment, when to operate and which surgical method to choose should be evaluated and judged by professional doctors after a comprehensive physical examination.

Doctor’s health tips:

It is still necessary to remind the majority of middle-aged and elderly people to have regular physical examinations, especially those over 50 years old should have a complete physical examination every year, including electrocardiogram, chest X-ray, color Doppler echocardiography and some blood-related tests, such as blood lipids, blood sugar and other indicators closely related to cardiovascular diseases.

If we can find possible heart disease-related diseases in advance through annual physical examination, and adjust our living habits or carry out medical intervention accordingly, the burden on individuals, families and society will be greatly reduced.

Expert outpatient information

Weilai

Deputy director of cardiac surgery, Zhongshan Hospital affiliated to Fudan University

Outpatient service time: all-day outpatient service every Wednesday.

Outpatient address: East Campus of Zhongshan Hospital affiliated to Fudan University

(No.1609 Xietu Road, Xuhui District)

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