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Notice of Beijing Municipal Commission of Health and Wellness on Printing and Distributing Beijing Training Program for Integration of Medical Treatment and Prevention (2020 -2022)

Municipal Administration of Traditional Chinese Medicine, Municipal Hospital Management Center, District Health and Health Committees, and relevant medical and health institutions:

  In order to implement the Three-year Action Plan for Strengthening the Construction of Public Health Emergency Management System in Beijing (2020-2022) and strengthen the construction of public health system in our city, we hereby print and distribute the Beijing Training Plan for Medical Prevention Integration (2020 -2022) to you, please follow it. If you have any questions, please feedback to our Committee in time.

Beijing Municipal Health and Wellness Committee    

December 1, 2020  

  (Contact person and contact information: Jingjing Shi, 83970736; Bai Bing, 83970737)

Beijing Medical and Prevention Integration Training Program (2020 -2022)

  In order to implement the spirit of the opinions of the municipal party committee and municipal government on strengthening the construction of public health emergency management system and the requirements of the action plan, improve the ability of health professionals in disease prevention and control institutions, pre-hospital medical emergency institutions and secondary and tertiary medical institutions to deal with public health emergencies, and strengthen the integration of medical care and public health, this plan is formulated in light of the actual situation of this Municipality.

  I. Guiding ideology

  Guided by the integration of medical care and prevention, around the cross-training needs, improve the training system with the core of competence in dealing with public health emergencies. By carrying out standardized training to fill shortcomings, plug loopholes and strong and weak items, we will build a team of high-quality, skilled and capable medical and preventive compound backbone doctors, and further improve the emergency support ability and level of public health emergencies in the city.

  Second, the training objectives

  Through the planned and organized training on the integration of medical care and prevention, by 2022, the number of health professionals and technicians who have cross-trained among disease prevention and control institutions, pre-hospital medical emergency institutions and secondary and tertiary medical institutions in the city will reach more than 600, and a number of training bases and training materials combining public health with clinical medical care will be built.

  Third, the training target

  (a) two or three medical institutions to be promoted to vice high titles of internal medicine (including internal medicine, pediatrics, emergency department, general practice, infectious diseases) physicians.

  (two) the emergency center intends to be promoted to the vice high title of clinician.

  (three) the Center for Disease Control and Prevention intends to be promoted to a public health physician with the title of associate senior.

  (4) Other doctors who voluntarily participate in the training.

  Fourth, the training content

  Clinicians in secondary and tertiary medical institutions mainly strengthen public health emergency ability, pre-hospital medical emergency ability and infectious disease diagnosis and treatment ability. Clinicians in emergency centers and public health doctors in centers for disease control and prevention mainly focus on strengthening the ability of clinical diagnosis and treatment, prevention and control of nosocomial infection and diagnosis and treatment of infectious diseases.

  (A) public health emergency response capacity

  Laws and regulations on the prevention and control of infectious diseases, key points and prevention and control schemes for emerging and sudden infectious diseases, health emergency response strategies for public health emergencies, skills in dealing with infectious diseases such as protection, isolation, transshipment and disinfection, epidemiological investigation techniques and other public health emergency knowledge and technologies. For details, please refer to the Detailed Rules for Public Health Emergency Response Training (Annex 1).

  (B) clinical diagnosis and treatment and hospital infection prevention and control capabilities

  For the key points, the diagnosis and treatment plan and early detection ability of new and sudden infectious diseases, the principle of treatment for critically ill patients, and the system and measures for prevention and control of nosocomial infection, please refer to the Training Rules for Clinical Diagnosis and Treatment and Prevention and Control of Hospital Infection (Annex 2) for specific requirements.

  (3) Pre-hospital medical first aid ability

  Pre-hospital medical first aid laws and regulations, basic first aid skills, on-site disposal principles, emergency response capabilities, etc. For specific requirements, please refer to the Detailed Rules for Pre-hospital Medical First Aid Training (Annex 3).

  V. Training Form and Time

  The integration training of medical care and prevention includes three training modules: course study, practical training and on-the-job training, and the cumulative training time is 6 months.

  (A) course learning

  Various laws and regulations, documents and work plans, basic theoretical knowledge, etc., take classroom teaching or internet plus teaching to carry out training.

  (B) Practical training

  The contents with high practical requirements, such as public health incident investigation and on-site disposal, personal protection and basic skills of clinical diagnosis and treatment, are carried out by interactive teaching methods combining scenario or simulation teaching, drills and skill assessment.

  (3) Post exercise

  According to the training needs and actual work arrangements, the trainees can go to the recognized training bases (including general hospitals, infectious disease hospitals, emergency centers and centers for disease control and prevention, etc.) for short-term training and on-the-job training, and the accumulated training period is not less than half a year before being promoted to the title of deputy senior high school. Among them, clinicians in secondary and tertiary medical institutions go to infectious disease hospitals for one month, emergency centers for not less than three months, and CDC for not less than two months (including course study and practical training); Doctors in emergency center and CDC should go to infectious disease hospital for further study for one month, and general hospital for further study for not less than five months (including course study and practical training).

  Sixth, the training base

  According to the training contents, the training bases for medical and prevention integration are the municipal and 16 district centers for disease control and prevention, Beijing Emergency Center, beijing ditan hospital affiliated to Capital Medical University, Beijing You ‘an Hospital affiliated to Capital Medical University, and the hospitals where the national standardized training base for internal medicine residents is located. For the list, see the Directory of Beijing Medical and Prevention Integration Training Bases (Annex 4).

  Seven, training registration, assessment and certification

  (1) Registration

  Those who apply for training should fill in the Registration Form of Beijing Medical Prevention Integration Training (Annex 5) and apply to the training department of their unit. After the unit summarizes, they should fill in the Summary Form of Beijing Medical Prevention Integration Training (Annex 6) and put forward training needs to the training base, and the training base will arrange training according to the needs. The specific registration schedule will be announced separately.

  (2) Examination and certification

  The training base will assess the personnel who have completed the training. After passing the assessment, the training base will record it on the Training Certificate of Beijing Medical Prevention Integration (Annex 7) and affix the official seal of the unit. "Beijing Medical Prevention Integration Training Certificate" is an important basis for my promotion to deputy senior title.

  VIII. Safeguard measures

  (A) to strengthen organizational management

  The Beijing Municipal Commission of Health and Wellness co-ordinates and manages the training of the integration of medical treatment and prevention in the whole city, sets up an expert committee on the integration of medical treatment and prevention, formulates training plans and detailed rules, makes full use of the high-quality resources of universities, public health institutions and medical institutions in Beijing, compiles training materials, compiles training courseware, organizes training, and supervises and assesses the training work in the whole city. The district health and wellness committees are responsible for mobilizing and deploying the cross-training of medical and prevention integration in medical and health institutions under their jurisdiction, organizing qualified trainees of relevant medical and health institutions to participate in the training, strengthening the construction of regional disease prevention and control centers and emergency stations, and assisting in the coordination and supervision of training. The training base is responsible for implementing the training plan according to the training requirements and registration arrangements, strictly conducting graduation examination, improving the safeguard measures, and effectively ensuring the training quality. The secondary and tertiary medical and health institutions, emergency centers (stations) and CDC shall, according to the training requirements, reasonably arrange relevant professionals to participate in the training, and provide necessary guarantee conditions for the trainees.

  (B) improve the incentive measures

  Medical and preventive integration training is included in the compulsory project management of continuing medical education at the municipal level, and continuing education credits can be obtained according to relevant regulations after completing the training. Physicians in internal medicine (internal medicine, pediatrics, emergency department, general practice, infectious diseases department) and emergency centers (stations) and centers for disease control and prevention at all levels in the second and third-level medical institutions in this city shall complete the training of medical prevention integration for not less than half a year before being promoted to the title of deputy high school, and the training time shall be included in the service time of medical personnel to rural grassroots or community health service institutions. From 2021 onwards, those who have completed the training of integration of medical care and prevention will be recommended for promotion first, and from 2023 onwards, it will be one of the necessary conditions for promotion. Other physicians who voluntarily participate in and complete the training of integration of medical care and prevention shall apply the provisions of this scheme and be recommended first before being promoted to the title of associate senior high school.

  (3) Guarantee the investment of funds

  The training funds for the integration of medical care and prevention are invested by the government, units and society. The municipal finance arranges special funds to ensure the compilation of teaching materials, courseware recording, practical teaching, supervision and assessment, etc. The training base provides necessary learning and living conditions for the implementation of training. The unit where the trainees work provides them with convenient conditions and guarantees their treatment during the training period. Encourage social funds to support the training of medical and prevention integration.

  Attachment: 1. Detailed Rules for Training Public Health Emergency Response Capability

     2. Training rules for clinical diagnosis and treatment and hospital infection prevention and control ability

     3. Pre-hospital medical emergency ability training rules

     4. List of Beijing Medical Prevention Integration Training Bases

     5. Beijing Medical Prevention Integration Training Registration Form

     6. Beijing Medical Prevention Integration Training Summary Table

     7. Beijing Medical Prevention Integration Training Certificate

Annex 1

Detailed Rules for Training Public Health Emergency Response Ability

  First, the basic knowledge of public health emergency management

  (1) Training time: 6 hours of theoretical teaching and 6 hours of practical training.

  (2) Training place: municipal and district disease prevention and control institutions.

  (3) Training contents:

  1. Be familiar with the contents of the Law on the Prevention and Control of Infectious Diseases in People’s Republic of China (PRC), and master the relevant rights, obligations and work requirements of employees in medical and health institutions.

  2. Learn the Regulations of Beijing Municipality on the Administration of Public Health Emergencies, and understand the definition standards, disposal procedures and management requirements of major public health emergencies.

  Second, infectious disease monitoring and management

  (1) Training time: 12 hours of theoretical teaching and 1-2 weeks of practical training.

  (2) Training place: municipal and district disease prevention and control institutions.

  (3) Training contents:

  1. Familiar with the legal infectious diseases and classification, understand the information reporting and management norms of infectious diseases and public health emergencies, and master the management process and basic requirements of infectious disease epidemic monitoring report.

  2. Be familiar with the operation and operation of the network direct reporting system of infectious diseases, and master the definition and standard of routine reporting information.

  3. Master the principles, methods and main evaluation indexes of quality verification of infectious disease epidemic reports in medical institutions, and write quality evaluation reports.

  Iii. Epidemiological investigation and on-site disposal

  (1) Training time: 24 hours of theoretical teaching, 6 hours of practical training and 4-6 weeks of on-the-job training.

  (2) Training place: municipal and district disease prevention and control institutions.

  (3) Training contents:

  1. Understand the concept of epidemic situation of infectious diseases, general principles and procedures for investigation and handling; To master the purpose, significance, basic principles and contents of epidemiological investigation.

  2. Understand the definition, general investigation and handling principles and procedures of outbreaks, major epidemics and public health emergencies.

  3. Understand the basic knowledge of diseases requiring case investigation and the main epidemic control measures.

  4. Understand the judgment criteria, investigation and handling principles and handling procedures of clustering cases and outbreaks of key infectious diseases.

  5. Master the principles, objectives, significance, technical standards and contents of the main control measures for infectious diseases. Including the judgment of close contacts and cases, isolation management, active search method, disinfection of environment and articles, protection of susceptible people, etc.

  6. Master the collection and transportation methods and norms of biological samples and external environmental samples in the epidemic situation of infectious diseases.

  7. Master the epidemiological investigation skills and the specifications and requirements for writing investigation reports.

Annex 2

Training rules for clinical diagnosis and treatment and hospital infection prevention and control ability

  I. Training Time

  Post exercise for 6 months, including 1 month in infectious disease hospital and 5 months in general hospital.

  Second, the training place

  Infectious disease specialist hospital (beijing ditan hospital affiliated to Capital Medical University and Beijing You ‘an Hospital affiliated to Capital Medical University) and general hospital (Beijing standardized training base for resident doctors).

  Third, the training content

  (1) Personnel of public health institutions

(1) Personnel of public health institutions. png

  Participate in the daily work and teaching activities of the Sense Control Department by participating in patient management, clinical rounds and various teaching activities. Learn professional theoretical knowledge and skills related to the training requirements of the ability of combining medical treatment with prevention.

  Infectious Disease

  1. Rotation purpose

  Master:

  (1) Disinfection, isolation and protection measures for infectious diseases;

  (2) novel coronavirus’s knowledge of etiology, epidemiology, clinical manifestations, diagnostic basis, differential diagnosis and treatment principles;

  (3) Etiological knowledge, epidemiology, clinical manifestations, diagnostic basis, differential diagnosis and treatment principles of influenza and avian influenza;

  (4) legal infectious disease reporting and handling procedures.

  Familiar with:

  (1) Clinical epidemiology and prevention of nosocomial infection;

  (2) Etiological knowledge, epidemiology, clinical manifestations, diagnostic basis, differential diagnosis and treatment principles of hemorrhagic fever with renal syndrome and plague;

  (3) Principles of diagnosis, differential diagnosis and treatment of intestinal infectious diseases such as typhoid fever, bacillary dysentery, amoebiasis and bacterial food poisoning; Etiological knowledge, epidemiology, clinical manifestations, diagnostic basis, differential diagnosis and treatment principles of norovirus-infected diarrhea;

  (4) Etiological knowledge, epidemiology, clinical manifestations, diagnostic basis, differential diagnosis and treatment of hepatitis A, B, C and E; Antiviral treatment of chronic hepatitis B and hepatitis C;

  (5) Etiological knowledge, natural history, clinical manifestations, primary screening and confirmation, and antiviral treatment principles of human acquired immunodeficiency syndrome (AIDS);

  Understand:

  (1) Etiological knowledge, epidemiology, clinical manifestations, diagnostic basis, differential diagnosis and treatment of new Bunia virus infection (fever with thrombocytopenia syndrome);

  (2) Etiological knowledge, epidemiology, clinical manifestations, diagnostic basis, differential diagnosis and treatment of yellow fever, dengue fever, Zika and malaria;

  (3) Etiological knowledge, epidemiology, clinical manifestations, diagnostic basis, differential diagnosis and treatment of anthrax and brucellosis; Etiological knowledge, epidemiology, clinical manifestations, diagnostic basis, differential diagnosis and treatment of Ebola hemorrhagic fever

  (4) Diagnosis and treatment of parasitic diseases;

  (5) Pathogenesis and anti-shock treatment of sepsis and septic shock;

  (6) Clinical application of antibacterial drugs.

  2. Basic requirements

  (1) learning symptoms, disease requirements:

(1) learning symptoms, disease requirements. png

  No less than 12 inpatients are required to participate in the management.

  (2) Basic skill requirements:

  Procedures for disinfection and isolation; Graded protection requirements. Carry out intensive practice rotation in fever clinic

  3. Higher requirements

  On the basis of basic requirements, you should also learn the following diseases and skills.

  (1) learning diseases:

  Diagnostic thinking of infectious mononucleosis, toxoplasmosis, rabies and fever of unknown origin.

  (2) Clinical knowledge and skills requirements:

  Lumbar puncture operation

  Cardiovascular Department (1 month)

  1. Rotation purpose

  Familiar with: the diagnosis and differential diagnosis of common symptoms of cardiovascular system (including chest pain, dyspnea, palpitation and syncope); Pathogenesis, clinical manifestations, diagnosis, differential diagnosis and treatment of common cardiovascular diseases; Diagnosis and treatment of acute and severe cardiovascular diseases; Application of commonly used drugs for cardiovascular diseases; Common typical ECG diagnosis; Electrical defibrillation technology.

  Understanding: Basic knowledge of cardiac electrophysiology, coronary angiography, PCI therapy, cardiac pacing, ambulatory electrocardiogram, ambulatory blood pressure and echocardiography.

  2. Basic requirements

  (1) trainee symptoms, disease requirements

(1) trainee symptoms, disease requirements. png

  It is required to participate in the management of at least 10 inpatients.

  (2) Basic inspection and operation trainee

(2) Basic inspection and operation trainee. png

  Respiratory medicine (1 month)

  1. Rotation purpose

  Familiar with: the diagnosis and differential diagnosis of cough, expectoration, hemoptysis and dyspnea; Epidemiological characteristics, diagnosis and treatment principles of upper respiratory tract infection and influenza; Diagnosis, differential diagnosis and treatment of pneumonia; Clinical manifestations, diagnosis and treatment principles of bronchial asthma and chronic obstructive pulmonary disease; Clinical manifestations, principles of diagnosis and treatment of lung cancer; Concept, classification, clinical manifestations and principles of diagnosis and treatment of respiratory failure.

  Understand: the pathogenic examination method of pneumonia, the operation method and clinical significance of bronchoscope and medical thoracoscope, the inhalation treatment of respiratory drugs, and the method of quitting smoking.

  2. Basic requirements

  (1) Learning symptoms, diseases and cases:

(1) Learning symptoms, diseases and cases. png

  Participate in the management of the number of inpatients is not less than 10 cases.

  (2) Basic inspection and operation trainee

(2) Basic inspection and operation trainee. jpg

  Emergency department (1 month)

  1. Rotation purpose

  Mastery: Basic methods of cardiopulmonary resuscitation (CPR).

  Familiarity: clinical characteristics and preliminary treatment of common emergencies; Commonly used first aid drugs (cardiopulmonary resuscitation, anaphylactic shock, etc.).

  Understand: emergency department working mode, triage grading standard, emergency department prevention and control workflow and special requirements of prevention and control, including nursing workflow and characteristics.

  2. Basic requirements

  (1) Learn the disease requirements: common antibiotics for lung infection and treatment of drug-resistant infection, screening and disposal of emergency influenza cases, identification of rash caused by clinical drug allergy, and participation in the treatment of resuscitation cases from cardiac and respiratory arrest.

  (2) Clinical first aid skills: master the implementation methods of basic cardiopulmonary resuscitation.

  Internal medicine ICU/ respiratory ICU/ comprehensive ICU (for one month)

  1. Rotation purpose

  Familiar with: evaluation and transport of critically ill patients; Airway management; Basic hemodynamic monitoring; Clinical application of commonly used first-aid drugs (cardiopulmonary resuscitation and vasoactive drugs, antibacterial drugs, antiarrhythmic drugs, antispasmodic and antiasthmatic drugs, etc.); Diagnosis, treatment and isolation of multidrug-resistant bacterial infections.

  Understand: the basic principle and common modes of mechanical ventilation; Deep venous thromboembolism; Severe systemic infection and septic shock; Sedation and analgesia; Monitoring of nervous system function; Indications and clinical application of nutritional support.

  2. Basic requirements

  (1) trainee symptoms, disease requirements

Probation symptoms, disease requirements. png

  (2) Basic skills training

Basic skills trainee. png

  Sensory control office (1 month)

  1. Rotation purpose

  Master:

  Laws, regulations, rules and regulations related to hospital infection management, key technologies of hospital infection prevention and control, including methods of hospital infection monitoring, principles of disinfection, standard prevention and isolation, prevention and control requirements of multi-drug resistant bacteria infection, prevention and control requirements of surgical site infection, monitoring and control requirements of central venous catheter-related infection, catheter-related urinary tract infection and ventilator-associated pneumonia, and key requirements of infection prevention and control in key departments such as operating room, disinfection supply center and infectious diseases department. Disease prevention and control hospital management process, medical staff’s own protection knowledge and skills, etc.

  The legal and regulatory requirements, systems and processes of disease control, especially infectious disease management, infectious disease reports, management points of fever clinics, and the connection mechanism with hospital infection management and off-campus management departments.

  Understand:

  Diagnostic criteria of hospital infection cases, common methods and technical points of hospital disinfection, key points of isolation technology and key points and difficulties in implementation. Key points and difficulties in hospital infection prevention and control in key parts and departments. Difficulties in the implementation of disease prevention and control in hospitals.

  Occupational protection of medical staff, monitoring of various diseases including respiratory infectious diseases and AFP, health education of patients, management of chronic diseases of patients, management of disease control information, etc.

  2. Basic requirements

  (1) be familiar with the basic requirements and key points of relevant laws, regulations, systems and processes of hospital infection management.

  (2) Complete hospital infection monitoring in 3 internal medicine wards, 3 surgical wards and 1 intensive care unit (completed under the guidance).

  (3) Participate in monthly on-site supervision of wards and intensive care units.

  (4) Complete the study of infection prevention and control points and supervision points in key departments such as operation department, disinfection supply center, intensive care unit, hemodialysis center and endoscopic center.

  (5) to participate in the management and supervision of occupational protection of medical staff in the whole hospital.

  (6) Be familiar with the laws, regulations, systems, processes, management principles and requirements of hospital infection prevention and control of infectious diseases.

  (7) Master the management requirements and key points of fever clinic.

  (8) Grasp the key points and difficulties of infectious disease management, especially respiratory infectious disease management.

  3. Higher requirements

  (1) Management requirements for the rational use of antibacterial drugs.

  (2) Participate in a project of hospital infection prevention and control and implement it.

  (3) can independently handle and manage the hospital infection management in the ward.

  (4) To design an investigation scheme for the cluster epidemic situation of hospital infection.

  (5) Be able to independently inspect the work of infection control and infectious diseases in fever clinics.

  (6) Be able to independently coordinate and handle the management requirements and procedures of patients with respiratory infectious diseases in the hospital.

  (2) Personnel of pre-hospital medical emergency institutions

(2) Personnel of pre-hospital medical emergency institutions. png

  Participate in the daily work and teaching activities of the Sense Control Department by participating in patient management, clinical rounds and various teaching activities. Learn professional theoretical knowledge related to the training requirements of the ability of combining medical treatment with prevention.

  Infectious Disease

  1. Rotation purpose

  Familiar with:

  (1) Disinfection, isolation and protection measures for infectious diseases;

  (2) novel coronavirus’s knowledge of etiology, epidemiology, clinical manifestations, diagnostic basis, differential diagnosis and treatment principles;

  (3) Etiological knowledge, epidemiology, clinical manifestations, diagnostic basis, differential diagnosis and treatment principles of influenza and avian influenza;

  (4) Etiological knowledge, epidemiology, clinical manifestations, diagnostic basis, differential diagnosis and treatment principles of hemorrhagic fever with renal syndrome and plague;

  (5) Principles of diagnosis, differential diagnosis and treatment of intestinal infectious diseases such as typhoid fever, bacillary dysentery, amoebiasis and bacterial food poisoning; Etiological knowledge, epidemiology, clinical manifestations, diagnostic basis, differential diagnosis and treatment principles of norovirus-infected diarrhea;

  (6) Etiological knowledge, epidemiology, clinical manifestations, diagnostic basis, differential diagnosis and treatment of hepatitis A, B, C and E; Antiviral treatment of chronic hepatitis B and hepatitis C;

  (7) Etiological knowledge, natural history, clinical manifestations, primary screening and confirmation, and antiviral treatment principles of human acquired immunodeficiency syndrome (AIDS);

  (8) Reporting and handling procedures for legal infectious diseases.

  Understand:

  (1) Clinical epidemiology and prevention of nosocomial infection;

  (2) Etiological knowledge, epidemiology, clinical manifestations, diagnostic basis, differential diagnosis and treatment of new Bunia virus infection (fever with thrombocytopenia syndrome);

  (3) Etiological knowledge, epidemiology, clinical manifestations, diagnostic basis, differential diagnosis and treatment of yellow fever, dengue fever, Zika and malaria;

  (4) Etiological knowledge, epidemiology, clinical manifestations, diagnostic basis, differential diagnosis and treatment of anthrax and brucellosis; Etiological knowledge, epidemiology, clinical manifestations, diagnostic basis, differential diagnosis and treatment of Ebola hemorrhagic fever

  (5) Diagnosis and treatment of parasitic diseases;

  (6) Pathogenesis and anti-shock treatment of sepsis and septic shock;

  (7) Clinical application of antibacterial drugs.

  2. Basic requirements

  (1) learning symptoms, disease requirements:

Learning symptoms and disease requirements:. png

  No less than 12 inpatients are required to participate in the management.

  (2) Basic skill requirements:

  Procedures for disinfection and isolation; Graded protection requirements. Carry out intensive practice rotation in fever clinic

  3. Higher requirements

  On the basis of basic requirements, you should also learn the following diseases and skills.

  (1) learning diseases:

  Diagnostic thinking of infectious mononucleosis, toxoplasmosis, rabies and fever of unknown origin.

  (2) Clinical skill requirements:

  Lumbar puncture operation (2 cases on probation).

  Emergency department (1 month)

  1. Rotation purpose

  Master: classification standard of patients admitted in hospital, judgment of disease severity, disease severity and risk score, diagnosis and treatment process of chest pain center, and diagnosis and treatment process of stroke center; Master the reporting process and prevention and control points of infectious diseases in emergency; Basic theory and progress of cardiopulmonary resuscitation (CPR); Diagnostic thinking, differential diagnosis and treatment of common emergencies; Selection, result judgment and clinical significance of auxiliary examination for common emergencies; Rational clinical use of commonly used first-aid drugs (cardiopulmonary resuscitation and vasoactive drugs, cardiotonic diuretics, antispasmodic and antiasthmatic drugs, analgesics, hemostatic drugs, antiarrhythmic drugs, etc.).

  Understand: the principles of handling various crises (such as hypertension crisis, thyroid crisis, etc.), serious disorder of water electrolyte and acid-base balance.

  2. Basic requirements

  (1) learning symptoms, disease requirements:

Learning symptoms and disease requirements -1.png

  The total number of patients who are required to participate in the consultation and treatment is not less than 50.

  (2) Basic skill requirements:

Basic skill requirements -1.png

  3. Higher requirements

  On the basis of basic requirements, you should also learn the following diseases and skills.

  (1) disease requirements: multiple organ dysfunction syndrome (MODS)

  (2) Clinical knowledge and skill requirements: the basic clinical application of invasive ventilation.

  (3) Report 2 clinical cases (PPT presentation)

  Respiratory medicine (1 month)

  1. Rotation purpose

  Master: the diagnostic thinking and differential diagnosis of hemoptysis, chest pain and dyspnea; Pathogenesis, clinical manifestations, diagnosis, differential diagnosis and treatment of common respiratory diseases (pneumonia, bronchial asthma, chronic obstructive pulmonary disease, pulmonary embolism, respiratory failure and pneumothorax); Usage and rational application of inhaled drugs; Indications and contraindications of bronchoscopy and medical thoracoscope examination and treatment; Interpretation of arterial blood gas analysis.

  Understanding: lung cancer, sleep apnea hypopnea, pleural effusion; Mechanical ventilation and noninvasive ventilation technology; Atomization therapy; Interpretation of lung function examination.

  2. Basic requirements

  (1) Learning symptoms, diseases and cases:

(1) Learning symptoms, diseases and cases. png

  It is required to participate in the management of at least 10 inpatients.

  (2) Basic skills training:

Basic skills trainee -1.png

  3. Higher requirements

  On the basis of basic requirements, you should also learn the following diseases and skills.

  (1) learning diseases:

  Lung cancer, tuberculosis, pleural effusion, sleep apnea hypopnea syndrome.

  (2) Clinical knowledge and skills requirements:

  Probation: bronchoscopy, pulmonary function examination, polysomnography and respiratory monitoring. Imaging examination and interpretation of common respiratory diseases;

  Participation: mechanical ventilation, noninvasive ventilation.

  (3) Requirements for foreign language, teaching, scientific research and other abilities:

  Complete a foreign literature review or reading report, and participate in teaching and research activities.

  Cardiovascular Department (1 month)

  1. Rotation purpose

  Master: applied anatomy and physiology of cardiovascular system; Anatomical and functional characteristics of cardiac conduction system; Diagnostic ideas and differential diagnosis of common symptoms of cardiovascular system (including chest pain, dyspnea, palpitation, syncope and dizziness); Pathogenesis, clinical manifestations, diagnosis, differential diagnosis and treatment of common cardiovascular diseases; Diagnosis and treatment of acute and severe cardiovascular diseases; Rational use of commonly used drugs for cardiovascular diseases; Chest x-ray manifestations of common cardiac morphological abnormalities; Common typical ECG diagnosis; Electrical defibrillation technology.

  Understanding: Basic knowledge of cardiac electrophysiology, coronary angiography, PCI therapy, pericardiocentesis, cardiac pacing, ambulatory electrocardiogram, ambulatory blood pressure and echocardiography.

  2. Basic requirements

  (1) Learning symptoms, diseases and cases:

Requirements for learning symptoms, diseases and cases -1.png

  No less than 15 inpatients are required to participate in the management.

  (2) Basic skills training:

  3. Higher requirements

  On the basis of basic requirements, you should also learn the following diseases and skills.

  (1) learning diseases:

  Pericardial disease, pulmonary vascular disease, infective endocarditis, common adult congenital heart disease.

  (2) Clinical knowledge and skills requirements:

  Understanding: pericardiocentesis, temporary cardiac pacing.

  Interpretation of the report: ambulatory blood pressure, ambulatory electrocardiogram and echocardiography.

  (3) Requirements for foreign language, teaching, scientific research and other abilities:

  Complete a foreign literature review or reading report, and participate in teaching and research activities.

  Internal medicine ICU/ respiratory ICU/ general ICU(1 month)

  1. Rotation purpose

  Master: diagnosis and emergency treatment of common critical diseases; Evaluation and transport of critically ill patients; Airway management; Basic principles and common modes of mechanical ventilation; Basic hemodynamic monitoring; Clinical application of commonly used first aid drugs (cardiopulmonary resuscitation and vasoactive drugs, antihypertensive drugs, antiarrhythmic drugs, antispasmodic and antiasthmatic drugs, antiepileptic drugs, etc.); Infection and clinical application of antibacterial drugs; Indications of blood transfusion; Indications and clinical application of nutritional support; Diagnosis and treatment of acid-base imbalance and electrolyte disorder.

  Understanding: Advanced cardiac life support therapy (ACLS); Tension pneumothorax; Venous thromboembolic diseases; Severe systemic infection and septic shock; Bedside respiratory function monitoring (airway resistance, respiratory system compliance); Bedside cardiac output monitoring (preload, afterload, myocardial contractility); Sedation and analgesia; Monitoring of nervous system function (intracranial pressure, jugular bulb oxygen saturation).

  2. Basic requirements

  (1) Learning symptoms, diseases and cases:

Requirements for learning symptoms, diseases and cases -2.png

  It is required to participate in the management of at least 10 inpatients.

  (2) Basic skills training:

Basic Skills Internship -2.png

  3. Higher requirements

  On the basis of basic requirements, you should also learn the following diseases and skills.

  (1) disease requirements:

  Tension pneumothorax, venous thromboembolic diseases, severe systemic infection and septic shock.

  (2) Clinical knowledge and skills requirements:

  Arterial puncture (operation), bedside cardiac output and respiratory function monitoring, head, chest and abdomen imaging examination and interpretation, nervous system function monitoring, tension pneumothorax diagnosis and treatment.

  (3) Requirements for foreign language, teaching, scientific research and other abilities:

  1 foreign literature review or reading report; Participate in teaching and scientific research activities.

  Sensory control office (1 month)

  1. Rotation purpose

  Master: requirements, systems and processes of relevant laws and regulations on hospital infection management and infectious disease management, key technologies of hospital infection prevention and control, including methods of hospital infection monitoring, standard prevention, principles of hand hygiene and disinfection, isolation principle, requirements for hospital infection prevention and control of multi-drug resistant bacteria, and disposal of medical wastes. Emergency plan for prevention and control of nosocomial infection, knowledge and skills of medical staff’s own protection, hospital management process of disease prevention and control, and requirements for reporting infectious diseases.

  Understand: the commonly used methods and technical points of hospital disinfection, the key points of isolation technology and the key and difficult points of implementation. Difficulties in hospital implementation of disease prevention and control.

  2. Basic requirements

  (1) through the diagnosis and treatment work, master the hospital infection management and infectious disease management related laws and regulations, systems and processes.

  (2) Master the principles and reporting requirements of hospital infection prevention and control of infectious diseases.

  (3) Through clinical diagnosis and treatment, master the standard prevention, hand hygiene, prevention and control measures of multi-drug resistant bacteria infection, etc.

  (4) Through clinical diagnosis and treatment, master the reporting requirements of pre-inspection and triage and infectious diseases.

  (5) Through clinical practice, master the classification requirements of medical staff’s self-protection, the corresponding protection skills and the emergency treatment process of occupational exposure.

  (6) Through drills, master the emergency plan and disposal process of hospital infection prevention and control.

  3. Higher requirements

  (1) through the diagnosis and treatment work, master the hospital infection monitoring methods and diagnostic criteria.

  (2) Master the rational use of antibacterial drugs.

  (3) Complete the study of infection prevention and control points and supervision points in key departments such as emergency department, ward, operation department, disinfection supply center, intensive care unit, hemodialysis center and endoscopic center.

  (4) Understand the requirements and measures of isolation and the classification and disposal of medical wastes.

  (5) Be familiar with the specific requirements and measures of infection prevention and control in various invasive operations.

  Fourth, training registration

  (1) CDC unit: Beijing Center for Disease Control and Prevention.

  Tel: 64407255

  (2) Pre-hospital medical emergency system Unit: Beijing Emergency Center

  Tel: 66098037

Annex 3

Detailed rules for pre-hospital medical first aid ability training

  I. Training Time

  On-the-job training lasts for 3 months, including 1 week of rotation training, 1 week of internship with the car and 10 weeks of independent duty.

  Second, the training place

  Beijing Emergency Center and emergency center stations in all districts (excluding Xicheng District)

  Third, the training content

  (1) Rotation training

  Pre-hospital medical emergency work flow, the use of commonly used emergency supplies and equipment, the handling and transshipment of patients, the identification and disposal of common acute and critical patients in pre-hospital medical emergency, the four basic techniques of trauma, the classification and on-site disposal of emergencies, etc.

  (2) Internship with the car

  One-on-one internship with the car under the guidance of the teaching teacher, familiar with the daily workflow of pre-hospital medical first aid, and master the contents learned in the theoretical training course.

  (3) Independent duty service

  Independent completion of pre-hospital medical emergency work, in principle, according to the way of 4 shifts and 2 operations, that is, day shift, night shift, night shift and rest, the specific emergency center station is responsible for management.

Annex 4-7.png

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Is IKEA’s faulty furniture not recalled in China a double standard or a difference between China and foreign countries?

  Xinhua News Agency, Beijing, July 4th, New Media Special Topic: IKEA’s faulty furniture has not been recalled in China. Is it a double standard or is it different between China and foreign countries?

  Xinhua News Agency "China Net" reporter Wang Yang Zhou Rui Mao Weihao

  Recently, IKEA Group was caught in a "recall door" due to furniture safety risks. First, at the end of June, local time, it announced the recall of the "Desperate chest of drawers" malm chest of drawers in North America, but made it clear that it would not recall the same products in China. Then it announced the full recall of all models of Patru security doors, involving products sold in China, which needed to be removed from the shelves, returned and refunded.

  It is also a recall. Why does IKEA have different standards for different products? The "recall door" quickly became a hot spot for netizens. Some netizens questioned IKEA’s avoidance of responsibility: "Why treat it differently? Who is responsible for the safety problems of these cabinets that are still on sale? " Some netizens said: "Can the standards for protecting consumers be different between China and foreign countries?" What principles does IKEA furniture recall follow? Are there double standards or differences between China and foreign countries in recalls? The reporter launched an investigation into this.

  Why didn’t the "Desperate chest of drawers" be recalled? IKEA: Different standards

  The reporter learned that the so-called "Desperate chest of drawers" recalled by IKEA this time included 35.6 million chest of drawers including the best-selling malm series. According to the official website of the Consumer Product Safety Commission of the United States, since 1989, six children have been killed and 36 children have been injured by these problems. The cause of the accident is that the furniture is not fixed on the wall and overturned, causing tragedy.

  This kind of chest of drawers is also sold in China, but the current recall scope of IKEA is limited to North America, and IKEA China has made it clear that it will not recall the chest of drawers sold in China.

  In response to a reporter, IKEA China Headquarters in Shanghai said that the recall in the North American market was based on a voluntary ASTM standard (American Society for Testing Materials), and the company reached a unanimous decision after consulting with the Consumer Product Safety Commission of the United States. At present, in the China market, IKEA has not received any cases of injury accidents caused by this series of drawers, and the related products of IKEA meet Chinese national standards. Ikea officials explained that the accidents in the United States were all because the cabinets were not fixed on the wall.

  The reporter went to the IKEA store in Beijing Siyuanqiao Shopping Mall, and the malm chest of drawers was still on sale. A salesperson told reporters that there are many models of drawers in malm. "The sales of six drawers have been very good." It is understood that the height of chest of drawers in malm is usually more than 60 cm, and the style is simple and practical. Some families will put the chest in children’s rooms as lockers.

  For the situation that children climbing on the net are easy to be overwhelmed, the reporter did an experiment in the shopping mall. When the bottom drawer was completely opened, he pressed hard to replace the weight of the children. Because the cabinet was not fixed on the wall, the chest of drawers shook.

  According to experts in the furniture industry, IKEA’s one-stop sales model gives consumers all the initiative in purchasing and installing, while most consumers pay more attention to product quality, style and practicality when purchasing, and few people pay attention to whether such furniture will bring risks to children’s safety.

  Are there differences between Chinese and American home safety standards? Furniture is the key.

  With regard to the China furniture standard raised in IKEA’s "recall door", the reporter found that the China standard that IKEA claimed to abide by was the new national standard GB/T 10357.4-2013 on "cabinet stability" published by the General Administration of Quality Supervision, Inspection and Quarantine and the National Standardization Administration of China on October 10th, 2013, which was officially implemented on May 1st, 2014. Compared with the 1989 standard, the item of "stability of fixed cabinets" has been added, but this item does not stipulate that furniture must be fixed on the wall.

  In fact, in August 2012, China has officially implemented the compulsory national standard "General Technical Conditions for Children’s Furniture". The standard clearly stipulates that all high tables and cabinets with a height greater than 600 mm should provide connectors to fix the products on the building. The standard also requires that children’s furniture should clearly indicate the applicable age of the product in the instructions for use, and warn of potential risks during installation and use.

  In the standard safety rules of clothing storage unit numbered ASTM F 2057-14 in the United States, the requirements of opening angle, drawer pull-out length, applied weight, etc. of chest of drawers during stability test are specified in detail, and pictures are provided. In addition, the Consumer Product Safety Commission (CPSC) said, "The Consumer Council and IKEA Group urge consumers to ensure that furniture should be properly fixed on the wall, regardless of whether the furniture meets ASTM standards."

  In real life, many parents often buy ordinary wooden furniture because of the beautiful decoration of the whole family and sufficient storage space. In the consideration of the safety of these furniture, the "unstable factor" of children is often ignored, and the "chest of drawers" that have caused tragedies in the United States are not children’s furniture.

  Some consumers believe that only by unifying, refining and implementing furniture safety standards can children avoid accidents when using them.

  Activists: IKEA infringes on the fair trade rights of consumers in China.

  Defenders such as Wang Hai, the "first person to crack down on counterfeit goods in China", think that IKEA has other ways to kill the inside and outside of the chest of drawers, which obviously infringes on the fair trade rights of consumers in China, and suggest that consumers bring a lawsuit in court. Ikea dares to do this, mainly because the operator’s responsibility stipulated by Chinese law is too light.

  Although the official of IKEA said that it had not received any cases of injury accidents caused by related drawers in China market, the reporter found that some consumers reported the safety problems of IKEA drawers only through online search. A netizen in Shenzhen, Guangdong introduced his recent experience: "The baby first opened the bottom drawer, and then opened the drawers one by one. When the top drawer was opened, the cabinet suddenly leaned forward, some drawers fell out, and the cabinet finally fell on the drawer. The baby stood on the side when pulling the top drawer, so he didn’t press it. "

  Some consumers with similar experiences told reporters that after being reminded by the media, they did find that the furniture instructions required to nail cabinets to the wall and provide corresponding accessories. Although parents also have responsibilities, they just don’t quite understand what responsibilities they should bear as a production enterprise.

  On June 30th, the Consumer Council of Shenzhen publicly questioned why IKEA did not recall similar products in China. Shanghai Bureau of Quality and Technical Supervision and Shanghai Entry-Exit Inspection and Quarantine Bureau also interviewed IKEA (China) Investment Co., Ltd. at the first time, asking IKEA to earnestly fulfill the main responsibility of enterprise quality and safety, carefully investigate the hidden dangers of product safety, and ensure the personal and property safety of consumers. The quality inspection department will further verify the relevant situation, urge IKEA to strictly abide by China laws and regulations and relevant standards, and effectively protect the legitimate rights and interests of consumers in China.

  The Consumer Council of Shenzhen believes that the right to life and health is the most basic human right, and it should be equally and indiscriminately protected in any country and any region. If similar products recalled in North China are publicly sold in the market, IKEA Group must recall them unconditionally. The relevant laws in China have made strict provisions on protecting citizens’ right to life and health and recalling defective products. When IKEA Group engages in business activities in China market, it must abide by the provisions of China laws and regulations, and effectively protect the right to life and health of China consumers from infringement.

  (Participating in writing: Xu Xiangda)

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Shin Eun kyung returned to the big screen after four years, and the new film Design was released in September.

    Shin Eun kyung hasn’t appeared on the big screen since she starred four years ago, and this new film starring her also makes fans who care about her very much look forward to it. She plays the role of Shixi in the film, in order to get revenge on the usurers after the family break-up, she throws herself into this dark world and turns into a cold witch, planning to take full control of the usury company.

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Resume: Mao Weiming

  Mao Weiming, male, Han nationality, born in May 1961, is a native of Quzhou, Zhejiang Province. He joined the work in August 1982 and joined the Communist Party of China (CPC) in September 1985. He holds a bachelor’s degree in engineering and is a professor-level senior engineer.

  Main experience:

  From October 1978 to August 1982, he studied chemical machinery in the Department of Chemical Engineering of Zhejiang University.

  From August 1982 to February 1987, technician and deputy director of the technical department, chief engineer’s office, technical transformation infrastructure department of Changzhou Insulating Materials General Factory, Jiangsu Province;

  From February 1987 to August 1991, secretary of the Communist Youth League Committee, deputy director of the technical office and workshop director of Changzhou Insulating Materials General Factory in Jiangsu Province;

  From August 1991 to March 1992, Assistant Director and Head of Sales Department of Changzhou Insulation Material General Factory in Jiangsu Province;

  From March 1992 to April 1993, Deputy Director of Changzhou Insulating Materials General Factory, Jiangsu Province;

  From April 1993 to December 1993, the director of Changzhou Insulation Material General Factory in Jiangsu Province;

  From December 1993 to March 1996, the director and secretary of the Party Committee of Changzhou Insulation Material General Factory in Jiangsu Province (during the period: from June 1995 to December 1995, he participated in the economic research class for senior management talents in Jiangsu Province and went to the University of Maryland for training);

  From March 1996 to October 1998, Director and Deputy Secretary of the Party Committee of Changzhou Foreign Economic and Trade Commission, Jiangsu Province;

  From October 1998 to December 2000, deputy secretary and mayor of Wujin Municipal Committee of Jiangsu Province;

  From December 2000 to September 2001, Secretary and Mayor of Wujin Municipal Committee of Jiangsu Province;

  From September 2001 to November 2001, member of the Standing Committee of Changzhou Municipal Committee of Jiangsu Province, secretary and mayor of Wujin Municipal Committee;

  From November 2001 to April 2003, member of the Standing Committee of Changzhou Municipal Committee of Jiangsu Province and deputy mayor (during the period: from June 2002 to September 2002, he participated in the training course for senior talents in public administration of Harvard University);

  From April 2003 to January 2004, Deputy Secretary and Acting Mayor of Taizhou Municipal Committee of Jiangsu Province;

  From January 2004 to December 2005, deputy secretary and mayor of Taizhou Municipal Committee of Jiangsu Province;

  From December 2005 to November 2011, director and party secretary of Jiangsu Provincial Development and Reform Commission;

  Secretary-General of Jiangsu Provincial People’s Government from November 2011 to January 2013;

  Deputy Governor of Jiangsu Province from January 2013 to October 2013;

  From October 2013 to July 2015, deputy minister and member of the party group of the Ministry of Industry and Information Technology;

  From July 2015 to August 2015, the Standing Committee of Jiangxi Provincial Party Committee;

  From August 2015 to September 2015, the Standing Committee of Jiangxi Provincial Party Committee and the Deputy Secretary of the Party Group of the Provincial People’s Government;

  From September 2015 to January 2020, member of the Standing Committee of Jiangxi Provincial Party Committee, deputy secretary of the Party Group of the Provincial People’s Government and executive deputy governor;

  From January 2020 to November 2020, Chairman and Party Secretary of State Grid Corporation;

  From November 2020 to January 2021, Deputy Secretary of Hunan Provincial Party Committee, Party Secretary, Deputy Governor and Acting Governor of Provincial People’s Government;

  January 2021-present Deputy Secretary of Hunan Provincial Party Committee, Party Secretary and Governor of Provincial People’s Government.

  Alternate member of the 19th Central Committee.

  (Resume source: Hunan Provincial People’s Government Network)

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People’s Forum Online Review | Inheriting the "May 4th Spirit" and Being a "Newcomer of the Times"

People's Forum Network Review Map

  Youth is the future of the motherland and the hope of the nation. Recently, General Secretary of the Supreme Leader pointed out during his inspection tour in Tsinghua University that the vast number of young people should shoulder the historical mission, strengthen their confidence in progress, be ambitious, be wise and virtuous, become great talents, and shoulder great responsibilities, and strive to become a new person of the times who can shoulder the heavy responsibility of national rejuvenation, so that youth can bloom brilliantly in the unremitting struggle for the motherland, the nation, the people and mankind. The majority of young people should bear in mind their initial mission, earnestly follow the requirements of the General Secretary, be strict in self-cultivation, be brave in shouldering heavy burdens, be diligent in struggle, be brave in being a "newcomer of the times", live up to their youth, and let the spirit of the May 4th Movement shine more brightly on a new generation of young people.

  "Patriotism and love for the people" and "great ambition". Determination is the beginning of everything. "Every man is responsible for the rise and fall of the country" and "I hope that all the people will be warm and take the trouble to get out of the mountains". "Patriotism and love for the people" is the noblest love and the broadest love at any time. This spirit is even more prominent among the outstanding revolutionaries of the older generation, such as Premier Zhou Enlai’s "studying for the rise of the Chinese nation", Lei Feng’s "serving the masses wholeheartedly", Jiao Yulu’s "never leaving the masses, never leaving the disaster area" and "dying for the people", Yang Shanzhou, a "good secretary who devoted his life to the people", and outstanding party member cadres who dared to stand up when epidemics, floods and droughts struck. Young people in the new era should take "patriotism and love for the people" as their "great ambition", inspire faith, gain inspiration and draw strength from the study of party history, and constantly strengthen the "four self-confidences".Constantly enhance the ambition, backbone and confidence to be Chinese, and establish a firm ideal of permanent struggle and sincere dedication for the motherland and the people.

  "temper moral character" and "great virtue" "The country is not prosperous without virtue, and people are not established without virtue". "Virtue" is the first and consistent requirement of party member cadres. The so-called "great virtue" is to be determined to serve the motherland and the people, and only by raising virtue can we achieve great things. "I firmly believe that a seed can benefit thousands of people." Zhong Yang, a professor at Fudan University, traveled more than 500,000 kilometers in Tibet for 16 years and collected more than 40 million seeds. "As long as it can solve the problem of eating for ordinary people, what is the gain and loss of personal honor and disgrace?" Yuan Longping, the "father of hybrid rice", led the team to cultivate hybrid rice and so on in order to solve the problem of people’s eating. Party member, an outstanding revolutionary of the older generation, profoundly embodies their "great virtue" of always caring for the masses, integrating scientific research with serving the masses, and integrating "individual ego" with "national ego". For young people in the new era, we should look up to them, consciously strengthen moral cultivation, especially focus on cultivating political morality, persistently strengthen theoretical arms, never relax and strengthen party spirit education, and persistently strengthen moral education.Build a solid foundation of faith, supplement the calcium of spirit, keep the rudder of thought steady, be clear about virtue, be strict with public morality, keep private morality, attach importance to conduct, integrity and heart-nourishing, and serve the motherland and people with faith, personality and hard work.

  "Dare to innovate" becomes "great talent". Innovation is the first driving force for development. "Two Bombs and One Satellite", "the Goddess Chang’e flying to the moon", "Shenjiu Flying", "Dragon Going to the Sea", high-speed train Mercedes-Benz, etc., all of which are achieved by the continuous innovation of countless scientific and technological workers. At present, in the face of a series of new opportunities and challenges brought about by profound changes in the domestic and international environment, China’s economic and social development and improvement of people’s livelihood need to strengthen innovation as the first driving force more than ever before. Young people have surging passion and lofty aspirations. We should seize this historical opportunity, vigorously carry forward the spirit of the willing ox, the pioneering ox and the old ox, dare to be pioneers, actively participate in innovation and development, be indifferent to fame and fortune, calmly and patiently, advance wave after wave, face up to problems, face difficulties, aim at the forefront of world science and technology, lead the development direction of science and technology, shoulder the heavy responsibility entrusted by history, and bravely be the vanguard of scientific and technological innovation in the new era. We must always adhere to the people as the center, always keep abreast of the needs of the party and the people for innovation, and ensure that we always advance in the right direction; It is necessary to inspire the pride of moving forward in spite of the wind and rain, unite the forces that are more difficult and more forward, break through difficulties, blaze new trails and forge ahead with perseverance on the new great journey, and grow up as soon as possible in the wind and rain.

  "Practical learning and hard work" bears "great responsibility". Hard work is the distinctive quality of our party. Any achievement can only be achieved by practical learning and hard work. "Practical learning and hard work" is not only a matter of method, but also a matter of style. The vast majority of young people are in a critical period of forming their outlook on life and values. They should put "reality" into all aspects of work, study and life, learn the history of the party in a down-to-earth manner, constantly draw forward momentum from the history of the party, seek truth and learn, practice real skills, master the law of development of things through learning knowledge, be familiar with world events and enrich their knowledge; We should integrate knowledge and practice, face reality, go deep into reality, be rigorous and pragmatic, be down-to-earth, work hard, be diligent and hungry, pursue Excellence in climbing the peak of knowledge, and do something in the new era; We should closely integrate our ideals with the future of the motherland and our life with the destiny of the nation, make contributions to the grassroots and the people, let the flowers of youth bloom where they are most needed, and earnestly shoulder the heavy responsibility of national rejuvenation. (Author: Cheng Yong)

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Chang’ an hit hard! Brand-new super hybrid, plug-in and extended range, cheap B-class car, only 66,600! What a good deal!

Chang’ an hits hard! The new super hybrid A05,666,600, subverting the B-class car market!

Friends, the auto market is frying again!

Changan Automobile is really have no martial ethics this time, and directly put a bombshell.

The brand-new Qiyuan A05 they just released is simply a sword to stir up the whole B-class car market.

This car not only hasSuper hybrid system, still canPlug-in hybridandExtended rangeThe key is that the price is so low that people doubt life-Only 66,600 cases.!

Yes, you are not mistaken, it is 66,600!

Market background

In the current automobile market, new energy vehicles are a red sea. The major manufacturers, you can sing and I will appear, but they are often high-priced and low-priced, which makes ordinary consumers flinch. But Chang’ an is going to take a drastic measure this time! Breaking into the B-class car market with ultra-low price is going to set off a blood shed!

appearance design

The design of Qiyuan A05 can be said to be quite amazing.

The front face is adoptedSharp split headlightsDesign, cooperatePenetrating LED daytime running lampIt looks both fashionable and full of technology.

The side lines are smooth,Waist line risingIt gives people a feeling of being dynamic.

The rear taillight group is also used.Penetration designIt is simply a beautiful landscape after lighting up at night.

Interior configuration

Open the car door, you can be at first sight.Double screenDesign attraction.

The one on the center console12.3-inch touch screenDon’t be too cool, it’s also a flowing operation.

The steering wheel is adoptedMultifunctional key design, all kinds of functions can be reached at one finger.

It is worth mentioning that A05 is also equipped withPanoramic sunroofIt makes the whole interior space look particularly spacious and bright.

power system

When it comes to power system, this is A05′ s biggest killer.

It adoptsSuper hybrid system, can be automatically switched according to different scenes.Plug-in hybridandExtended range mode.

What does this mean?

It means that you can drive with pure electricity in the city, and you don’t have to worry about battery life when you go far away.

it is saidPure battery life can reach more than 100 kilometers.This is more than enough for daily commuting.

Price advantage

Now let’s talk about the most exciting part-the price!

The starting price of is only66,600 yuan!

Yes, this is the incredible price.

You know, the same level of B-class cars, other brands will start at 150,000.

Changan can be said to be this timeDiscount the price directly.Ah!

This is simply to use the price butcher knife to wash the whole market!

Cost performance analysis

From the configuration alone, A05 can definitely compete with more than 100,000 models.

However, the price of others is only 66,600, which is simply off the charts!

You know, the new energy vehicles on the market now cost tens of thousands of batteries alone.

How did Chang ‘an do it?

Are they making Guinness World Records at a loss?

Personal point of view

To tell the truth, when I first saw the price of A05, my expression was like seeing a ghost. This is too cheap! But think about it carefully, this may be Chang ‘an’s.market strategy. Quickly occupy the market with ultra-low prices, and then slowly enhance the brand image. This move can be said to be quite clever.

Interactive appeal

Friends, what do you think of Changan’s operation this time? Will A05 really become the showstopper of the B-class car market? Welcome to leave a message in the comment area for discussion!

tag

Changan Qiyuan A05 was born, which undoubtedly injected a shot in the arm into the B-class car market.

It is not only a new car, but also a ticket to the future.Enjoy high-end configuration at ultra-low price.This may become a new trend in the future automobile market.

Whether you are a car fan or not, A05 is worth knowing.

Who doesn’t want to buy a B-class car comparable to 150,000 for 66,600?

disclaimerThe opinions in this article only represent personal opinions. Please refer to the actual car model and price for specific car purchase.

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Beijing property market regulates the full moon: the transaction cools down, and the official force purchases rents simultaneously.

  BEIJING, Beijing, April 17 (Zhongqing) After the introduction of the "3.17" overweight control policy in Beijing’s property market, Beijing has made more than ten moves in succession in the past month, blocking the loopholes in real estate speculation in an all-round way, and at the same time, focusing on building a housing system with both purchase and rent based on the fundamental demand of "living and living"; At the same time, strictly investigate the school district housing speculation, aisle rooms, garage, etc. that do not meet the actual living conditions, are not allowed as admission qualifications.

  Punch 12 times a month

  According to the incomplete statistics of Zhongxin. com, within one month from March 17 to April 16, Beijing issued 12 highly targeted property market regulation policies, all of which were "zero transition" on the same day or the next day. The determination to regulate is self-evident.

  In addition to opening the mode of "recognizing houses and loans", Beijing’s regulatory heavy punches also include reducing the first home loan discount, modifying the tax standard for non-Beijing-born houses, making it clear that the houses in the corridor school district are not registered, restricting the purchase of commercial projects, and piloting public rental housing with "New Beijingers". The industry believes that this has blocked any possibility of real estate speculation in Beijing.

  Now, what changes have taken place in the Beijing property market? Data from the Central Plains Real Estate Research Center show that from March 18th to April 10th, all properties in Beijing signed 5,817 contracts, which was 19% lower than that before the chain regulation. From the data point of view, due to the lag of online signing data, the actual market transaction or cooling is more obvious.

  A number of real estate agents also told the reporter of Zhongxin. com that "there are obviously fewer customers who come to see the house, and those who have the willingness to buy a house before have turned to wait and see." Recently, the reporter found in a number of chain intermediary stores in Fangshan District, Beijing that there were very few customers in the store, and the staff either chatted or looked at their computers.

  "It is estimated that in the second half of April, the transaction volume of second-hand houses may decline by about 50%." Zhang Dawei, chief analyst of Zhongyuan Real Estate, said that a few months ago, the second-hand housing prices in Beijing increased significantly faster than those of new houses. Therefore, the second-hand housing market was the most affected after the regulation and overweight.

  Commercial market cooling

  On the evening of March 26th, commercial houses in Beijing were officially restricted. When individuals can’t buy houses that are not built, under construction or under sale, they also need to meet two "harsh" conditions when buying second-hand commercial houses. At the same time, commercial banks suspend personal housing loans for individuals to buy commercial projects.

  Restricted purchases, stopped loans, and strictly investigated illegal sales, and the commercial market cooled down overnight.

  According to the data of Zhongyuan Real Estate, from March 27 to April 10, in half a month, the total number of commercial contracts in Beijing was 303, which was more than 90% lower than the previous transaction volume. Not only that, the contracted projects are concentrated in Tongzhou area, such as Tongzhou Everbright New Beijing Center and World Overseas Chinese Business Center, which have been restricted before. From a certain perspective, the commercial market is close to freezing.

  According to the reporter’s investigation, many buyers who are stuck in the purchase restriction policy and have not completed the online signing are eager to repent. "I am afraid of hitting my hands in the future" is what they are most worried about.

  Strictly check the corridor school district

  As the vanguard of the property market, the school district housing has also become the focus of Beijing’s crackdown on speculation. On March 23, the Beijing Municipal Education Commission, the Municipal Planning and Land Commission, the Municipal Public Security Bureau and other departments joined hands to refuse to register, settle down or enroll in schools nearby.

  The next day, 10 intermediary stores of Chain Home, I Love My Family and Zhongyuan Intermediary Company near four communities, such as Fenghuiyuan in Xicheng District, were ordered to suspend business for one month for rectification due to illegal acts such as tax payment, illegal agency, and bid up housing prices.

  In response to the speculation of the Beijing school district, the Beijing Municipal Education Commission has also repeatedly shot. First, it is clearly stated that "the corridor school district room" cannot be used as a qualification condition for admission; Then, in the opinions on enrollment in the compulsory education stage in 2017 released on April 16th, it is proposed to explore the enrollment mode of combining single-school scribing with multi-school scribing.

  In Zhang Dawei’s view, the above policies are real, whether in real estate regulation or in education coordination. The policy is very strong, and the structural adjustment of the school district is still steady and progressive.

  Make great efforts to purchase and rent at the same time

  If you want to "have a place to live", it is not the only way to buy a house. A multi-level, market-oriented, equal and orderly rental market can also solve this problem.

  It is precisely based on the "big goal" of paying equal attention to both rent and purchase that the Beijing Municipal Commission of Housing and Urban-Rural Development officially launched a pilot project of special allocation for new Beijingers (non-Beijing families with stable employment) in public rental housing and self-occupied housing this month. On April 12th, the first batch of 120 sets of public rental housing participating in the pilot project has been registered. According to the introduction of the Beijing Municipal Commission of Housing and Urban-Rural Development, about 1,000 suites of two public rental housing projects, namely, Changyang Lingfeng Four Seasons Garden and Yancun Lehuo Yayuan, will be taken out later, and special rent allocation will be piloted again.

  On the other hand, Beijing also actively expands the multi-level development of the leasing market, and encourages housing enterprises to use self-sustaining houses as rental houses through the land transfer method of "controlling land prices and limiting house prices". On April 14, the Beijing Municipal Commission of Housing and Urban-Rural Development issued the Notice on Relevant Issues Concerning the Management of Self-sustaining Commercial Housing Leases of Enterprises in this Municipality, prohibiting the housing enterprises that have obtained the held rental land from selling in disguised form through grey channels; At the same time, it provides a guarantee for enterprises and individuals to rent self-sustaining commercial houses of developers.

  With decoration, long lease period and negotiable rent, isn’t it great to rent a first-hand house directly with the developer? According to the regulations, the tenant is not limited to a specific enterprise or individual; The rental price shall be determined by both parties through consultation according to the market level; Before renting a self-sustaining commodity house, the house should be fully renovated; The term of the lease contract shall not exceed 10 years. (End)

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North American box office: "Star Wars 8" won six new films in a row, and the "brave" won.


1905 movie network news Last weekend (12.22-12.24), the box office revenue in North America totaled $169 million, down 38.9% from the previous week. Disney’s strong trump card "Star Wars 8: The Last Jedi Knight" continued to win the weekend box office list with $68.64 million, but compared with the previous week, it suddenly dropped by 68.8%, which was a bit surprising. Fortunately, its own box office base is, and now the local box office has reached 365 million US dollars, and the global box office has reached 745 million US dollars. It is expected that there will be another good-looking "soaring" after the subsequent opening of paintings in mainland China.

 

In terms of new films, Dwayne Douglas Johnson starred in the highest box office, earning $50.6 million in 3,765 cinemas in five days. There are emotional blessings in word of mouth, but it is also very stable, and it is considered to be entertaining, so it is good to grasp the balance between comedy and action. As the final part, it can’t compare with the brilliance of the second part. It only got $20.45 million in 3,447 cinemas in three days over the weekend, and it was evaluated as "out of tune"! The box office of Hugh Jackman’s musical films is weak, with a total box office of $13.19 million in five days. The evaluation is seriously polarized. Those who like it think it is "full of sincerity" and "perfect and passionate", while those who don’t love it accuse it of being empty. Directed by alexander payne and starring Matt Damon, they also failed to make a difference, earning $4.6 million at the box office in three days, and receiving a moderate evaluation: "I don’t feel the fullness of the story itself". Small-scale screening won $495,000 in nine theaters in three days, with an average box office of 55,000 in a single theater, which was relatively mediocre, but the media evaluation was well maintained. From the short comments, most American media expressed their preference for Steven Allan Spielberg’s brand and basically praised its "practical significance".

ranking

film

Weekend box office

(USD)

Cumulative box office

(USD)

Number of release weeks

this week

last week

one

one

Star Wars: The Last Jedi

6864ten thousand

3.65a hundred million

2

2

new

Jumanji: Welcome to the Jungle

3400ten thousand

5060ten thousand

one

three

new

perfectTone 3

2045ten thousand

2045ten thousand

one

four

new

circusKing of kings

860ten thousand

1319ten thousand

one

five

2

Bulladventures

705ten thousand

2653ten thousand

2

six

three

Coco

5.2 million

1.613a hundred million

five

seven

new

shrinklife

4.6 million

460ten thousand

one

eight

16

Darkest Hour

4.1 million

695ten thousand

five

nine

new

Father image

320ten thousand

320ten thousand

one

10

twelve

Water substancelanguage

305ten thousand

761ten thousand

four

11

four

Miracleboy

2 million

1.149a hundred million

six

twelve

11

Saintbe bornStar

137ten thousand

3846ten thousand

six

Data source:boxofficemojo


Stills of "Brave Game"

"The Brave Game" is full of emotional skills. "Perfect Tone 3" is out of tune.

 

Recommended star rating for Brave Game: ★★★

"Perfect Tone 3" recommended interstellar: ★★★

"Father Image" recommended Star: ★★★

 

Sony Colombia "played" 34 million dollars in 3,765 cinemas for three days on the weekend, and the total box office for five days (the film opened last Wednesday) was 50.6 million dollars. Dwayne Douglas Johnson came out of the gloom of its earlier fiasco, which can be compared with the same period in 2007 (the first week’s box office was 44.78 million US dollars, and the final domestic box office was 219 million US dollars). At present, the word-of-mouth is very strong. If this trend continues, the final domestic box office of Game of the Brave: Battle of the Jungle is expected to reach 175 million US dollars. The film is a sequel to robin williams’s classic The Brave Game in 1995. The production cost is 90 million US dollars, and now the global box office has exceeded 100 million US dollars. It is likely to become Sony’s highest-grossing film in China except 007 and Spider-Man series, and the global box office will also become a rare "highlight" after 2015.

 

The movie Game of the Brave: Battle of the Jungle scored 7.2 in IMDb, 58 in MTC, 77% in freshness of rotten tomatoes, and 89% in audience. "International Screen" commented: "It is entertaining, fascinating, bright in color, ingenious in action and adventure rhythm, and well-arranged in comedy effect." Hollywood Reporter: "The most attractive thing about this film is that you can watch familiar actors pretend to be ordinary children and try to adapt to this new self." Vanity Fair holds that: "Movies can strike a balance between action and comedy. Action design serves the plot, and it is not too flashy. The special effects have also distanced themselves from the previously shoddy monkeys. The comedy elements are cleverly rooted in the characters themselves, and they are not cheap to imitate and follow fixed patterns." Some media that don’t like it, such as Variety, spit out: "This is like watching the worst, except that there is no Indiana Jones."

 

Universal’s Perfect Tone 3 earned $20.45 million in 3,447 theaters in three days on the weekend, which is completely inferior to the $69 million in the first week. If it can be suppressed first and then promoted like that ($75 million in the first six days and $270 million in the final box office), the final box office is expected to reach $150 million. If it’s really the last movie, it’s still a good ending. From the word of mouth, the media and fans also hope that "Perfect Tone 4 or 5" will not disturb people’s peace again. The movie Perfect Tone 3 now has an IMDb score of 6.1, an MTC score of 40, and the freshness of rotten tomatoes is 29%. "Empire" magazine thinks: "Compared with the jokes in the first two films, it is much weaker, so it drags on to a warm-hearted ending. But it’s all right to end the trilogy like this. After all, it has already started to be framed in fantasy. "International Screen" thinks: "This film finally realizes how ridiculous it is. All the cheerful and stupid plot settings are mostly to make them smoothly transition to the next song or dance. It is hard not to feel the hardship of this film." Hollywood Reporter: "No matter how charming the first two movies are (mainly because of the charm of the leading role), they have lost their charm in this soulless sequel." Chicago Sun: "In a nutshell, Perfect Tone 3 is like a comeback show that no one calls encore."Seattle Times: "It’s just the same movie going back and forth. Is it going to be over until everyone dies?" The Los Angeles Daily directly said: "Out of tune!"

 

Warner Bros., this year’s big winner, released another film "Father’s Image" near the end of the year, which earned 3.2 million dollars in 2,902 cinemas in three days on weekends. At present, the IMDb score of Father Image is 5.4, the MTC score is 23, and the freshness of rotten tomatoes is 22%. "Hollywood Reporter" thinks: "The whole narrative is from one encounter to the next. In fact, the image of the father doesn’t need to exist at all. If it has to appear, it can actually be developed into a Netflix series by a more comic star, and each suspicious father will talk for half an hour." San Francisco Chronicle: "Such a flawed film is simply not worth two hours." In fact, a lot of bad word-of-mouth has flowed out before the release. It can only be said that Warner’s market is doing too well, and many ordinary fans are still "laughing" with joy.

Next page:The King of Circus and Narrowing Life are mediocre, and Washington post has strong practical significance.

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Ministry of Natural Resources: Resolutely prevent the phenomenon of changing the planning of a party committee and government.

  CCTV News (Reporter Liu Liang):On May 27th, the State Council Office held a press conference on "Several Opinions of the Central Committee of the Communist Party of China and the State Council on Establishing Land Spatial Planning System and Supervising its Implementation" (hereinafter referred to as "Several Opinions"). Zhao Long, Vice Minister of the Ministry of Natural Resources, Zhuang Shaoqin, Chief Planner of the Ministry of Natural Resources, and Zhang Bing, Deputy Director of the Land and Space Planning Bureau of the Ministry of Natural Resources, introduced the relevant situation of the Opinions and answered questions from reporters.

  Zhao Long said at the meeting that the national land spatial planning is a guide for national spatial development, a spatial blueprint for sustainable development, and a basic basis for all kinds of development, protection and construction activities, and the CPC Central Committee and the State Council attached great importance to it. On January 23 this year, the Sixth Meeting of the Central Committee for Comprehensively Deepening Reform deliberated and adopted "Several Opinions on Establishing a Land Spatial Planning System and Supervising its Implementation", which was officially issued. Zhao Long emphasized the four main contents of Several Opinions at the meeting.

  First, implement the major decision-making arrangements of the CPC Central Committee and unswervingly promote the "integration of multiple regulations"

  Since the founding of New China, especially since the reform and opening-up, all kinds of spatial planning at all levels have played an active role in supporting the rapid development of urbanization and promoting the rational utilization and effective protection of land space. However, there are also problems such as too many types of planning, overlapping and conflicting contents, complicated approval process, too long cycle, and frequent changes in local planning. In order to solve these problems from the system and mechanism, according to the deployment of the CPC Central Committee, the National Development and Reform Commission, the former Ministry of Land and Resources, the former Ministry of Environmental Protection, and the Ministry of Housing and Urban-Rural Development jointly carried out the pilot work of "multi-regulation integration" at the provincial and municipal levels, and accumulated valuable experience. On this basis, the CPC Central Committee made a major decision to set up the Ministry of Natural Resources, realize "multi-regulation integration", establish a land and space planning system and supervise its implementation. The Ministry of Natural Resources will continue to adhere to the Party’s leadership in planning, unswervingly promote and implement "multi-regulation integration" according to the set goals, form "one plan, one blueprint", establish a unified examination and approval system, implementation supervision system, laws and regulations policy system and technical standard system, build a unified basic information platform, form a "one map" of national land space development and protection, and implement various arrangements of "Several Opinions" to achieve higher quality of land space development and protection.

  Two, adhere to the scientific preparation, strict supervision.

  It is necessary to improve the scientific nature of planning. Implement the new development concept, adhere to the people-centered principle, promote high-quality development, scientifically and orderly plan the ecological, agricultural and urban space on the basis of the evaluation of the carrying capacity of resources and environment and the suitability of land space development, delimit the red line of ecological protection, permanent basic farmland, urban development boundary and other control boundaries, optimize the layout of land space structure, protect ecological barriers, carry out ecological protection and restoration, improve infrastructure and public service facilities, continue the historical context, and highlight regional characteristics. It is necessary to strengthen the authority of planning and implementation supervision. Once the plan is approved, it will have legal effect. No department or individual may modify it at will or change it in violation of regulations, and resolutely prevent the phenomenon of changing the plan for a new party committee and government. Insist on planning first, then implementing, and prohibit illegal construction; Adhere to the statutory procedures to modify the plan, strict examination and approval. For violations of laws and regulations in the process of the preparation and implementation of land and space planning, we must seriously investigate the responsibility.

  Third, adhere to the "streamline administration, delegate power, strengthen regulation and improve services" reform and strive to improve administrative efficiency

  Actively implement the requirements of the CPC Central Committee and the State Council to promote the transformation of government functions and deepen the "streamline administration, delegate power, strengthen regulation and improve services" reform. In the process of planning approval, we should reduce the number of cities submitted to the State Council for approval, and at the same time, streamline the content of planning approval according to the principle of "approving whatever is in charge", focusing on controlling review from the aspects of target positioning, bottom line constraint, controlling indicators and neighboring relations, greatly reducing the approval time and improving administrative efficiency; It is necessary to combine the "multi-regulation integration", promote the "multi-examination integration" and "multi-certification integration" of land use approval and planning permission, effectively optimize the business environment, and reflect the reform effect of "multi-regulation integration".

  Four, adhere to the linkage from top to bottom, multi-party cooperation, for a long time, a blueprint to the end.

  The release of "Several Opinions" marks the basic formation of the top-level design and "four beams and eight columns" of the national land spatial planning system. It is a systematic project to establish a national unified, clear-cut, scientific and efficient national spatial planning system, which cannot be achieved overnight. It is necessary for all localities and departments to follow the arrangements of the CPC Central Committee and the State Council, clarify the objectives and requirements, implement the main responsibility, and form a joint force with the spirit of nailing for a long time, and work out a blueprint to the end.

  Finally, Zhao Long said, the Ministry of Natural Resources will strengthen overall planning and coordination, earnestly take responsibility, work with relevant departments to plan the overall layout in accordance with the overall framework of the land and space planning system, constantly improve the system design, step up the establishment of the land and space planning system and supervise the implementation, plan every inch of land clearly and clearly, and form a land and space pattern with intensive and efficient production space, moderate living space, beautiful ecological space, safety, harmony, competitiveness and sustainable development, which will make the CPC Central Committee and the State Council’s major.

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Mathematics turned out to be so interesting.

  "Look, how beautiful our carefully designed math tabloid is."

  Nanjing Daily News (Reporter He Jie) "What is mathematics? Is it a boring number, symbol or formula? " "Mathematics is a wonderful and vivid story." In the morning meeting on Thursday, the students in Xianlinhu Campus of Jinling Primary School spoke freely and described the interesting mathematics in their hearts. Last week was the fourth "Mathematics Story Collection" activity week in Xianlinhu Campus of Jinling Primary School. During the activity week, children were active in colorful mathematics activities and deeply understood the fun of mathematics.

  The children in the lower grades are lively and active, and their attention is hard to last. They mainly play, use a matchstick to start a jigsaw puzzle, easily master "addition and subtraction" and fall in love with mathematics; Middle-grade students already have the ability to think deeply. They make mathematical tabloids and write and perform stage plays. In the problem-solving contest, children are clear-headed and calm, and overcome one math problem after another. Senior students, on the other hand, take the class as the unit, unite and cooperate in the math literacy contest to win glory for the class. "The Mathematics Literacy Competition not only tests everyone’s observation and thinking ability, but also requires us to master mathematics knowledge in an all-round way." Meng Chun, a sixth-grade student in the school, said that the "Math Story Collection" activity week turned him into a complete "math fan" who had always been uninterested in mathematics.

  Why do children love math so much? As the planning organizer of the "Mathematics Story Collection" project, Hua Qin, the vice president of the school, told reporters that in order to cultivate students’ interest in mathematics, the school launched the "Mathematics Story Collection" project as early as 2015, including classroom reading, lesson discussion, Hujiang online class, reading sharing, activity week and school magazine publicity, and insisted on taking "stories" as the carrier, with the help of reading, performance, discussion and discussion. In this way, children are more and more interested in mathematics. The fourth "Math Story Collection" activity week is also a platform for children to show their elegance and improve their self-confidence.