On the 26th, the traffic flow in Spring Festival travel rush began to rise, and the safety of driving home in Spring Festival travel rush could not be ignored.

  Tianjin North Network News:Starting from Spring Festival travel rush today, the traffic volume of the city’s roads is on the rise. The traffic control department reminds the majority of traffic participants to drive home safely with caution.

  "One person, one seat" wears a seat belt all the time.

  In case of emergency braking or collision, the seat belt can protect people from being thrown out of the car or injured by touching inside the car. Therefore, when driving, both drivers and passengers should fasten their seat belts. Including the front and rear passengers of the bus, and all passengers in the bus should fasten their seat belts. Drivers should not only fasten their seat belts on their own initiative, but also urge all the people in the car to use them in a standardized way. It is particularly important to emphasize that drivers and passengers of motor vehicles should fasten their seat belts during the whole driving process. Otherwise, even if the vehicle has an accident at low speed, it will bring serious consequences.

  In addition, the illegal traffic behavior of overcrowding can easily lead to traffic accidents such as imbalance and rollover when the vehicle is driving, and the excess passengers in the car are not protected by seat belts, which makes it easier to cause serious casualties in case of accidents. The traffic control department reminds that both drivers and passengers of motor vehicles should take the initiative to refuse overcrowding and ensure that the drivers and passengers are "one person and one seat".

  Watching videos while driving is very dangerous.

  Nowadays, the display screen has become the standard in many cars, and some cars have more than one. On the way home from Spring Festival travel rush, people stay in their cars for a long time because of the long journey. In order to relieve boredom or appease their children, some people will play cartoons, movies, TV series, etc. on the display screen in their cars, which in fact also lays a traffic safety hazard. People in the car may also interfere with the driver while watching the program. Once the driver’s attention is attracted by the video plot and distracted while driving, the consequences will be unimaginable. The traffic control department suggests that drivers can listen to some music, radio, etc. in order to refresh themselves, and try not to watch dynamic videos.

  Several sitting postures seem comfortable but hide hidden dangers.

  On Spring Festival travel rush’s way home by car, due to the long distance, some passengers will put their feet on the center console, some will take off their shoes and sit cross-legged, and some will simply lie flat on the back seat. The traffic control department said that when the vehicle is driving, the sitting posture of the passenger seems to have nothing to do with driving, but the incorrect sitting posture will affect the driving safety to a certain extent and will also affect the passenger himself.

  It is really comfortable to put your feet on the center console, but it will directly affect the driver’s view of the right rearview mirror, thus affecting driving safety. In addition, when the feet are placed on the center console, once the vehicle collides head-on, the upper body of the person will lean forward due to inertia, while the legs will be squeezed in the direction of the body because they are placed too high, and the whole body of the person will form a "V" shape. At this time, people’s waist will bear a very large impact force, and in the high-speed violent collision, it may even cause serious damage to the waist. In addition, whether sitting cross-legged in the co-pilot seat or lying flat on the back seat, there are great safety hazards. In case of sudden braking or collision, the passenger will lose his balance instantly and be pushed to the front seat or the front windshield by inertia, causing injuries.

  The traffic control department suggested that it is illegal to use non-passenger vehicles such as trucks, tricycles and tractors to carry people, and passengers should stop riding these vehicles. In addition, the majority of passengers should buy tickets at the regular passenger station to stop riding or stopping at the informal station. Don’t take the illegally operated "black car" for cheap or convenience. (Jin Yun News Editor Sun Chang)

Notice of Beijing Municipal Health and Wellness Committee and Beijing Administration of Traditional Chinese Medicine on Printing and Distributing the Interim Measures for the Administration of Filing

Jing Wei Yi [2023] No.104

District Health and Wellness Committees, Social Affairs Bureau of Beijing Economic and Technological Development Zone, and Municipal Health and Wellness Supervision Office:

  The Interim Measures for the Record-keeping Management of Clinics in Beijing has been deliberated and adopted by the 15th Director’s Office Meeting of Beijing Municipal Health and Wellness Committee in 2023, and is hereby issued to you, please follow it.

Beijing Municipal Health and Wellness Committee    

Beijing Municipal Administration of Traditional Chinese Medicine    

November 14th, 2023  

Interim Measures of Beijing Municipality on the Administration of Clinic Filing

Chapter I General Principles

  Article 1 In order to do a good job in clinic filing management, these Measures are formulated in accordance with laws, regulations and provisions such as the Law of People’s Republic of China (PRC) on Basic Health Care and Health Promotion, the Law of People’s Republic of China (PRC) on Doctors, the Regulations on the Administration of Medical Institutions and the Interim Measures for the Administration of Clinic Filing.

  Article 2 A clinic is a medical institution that provides outpatient diagnosis and treatment for patients. It mainly provides diagnosis and treatment services for common diseases and frequently-occurring diseases, and there is no inpatient bed (maternity bed). These Measures shall apply to clinics set up within the scope of this Municipality, excluding Chinese medicine clinics that are filed in accordance with the relevant provisions of the Interim Measures for the Administration of Filing of Chinese Medicine Clinics.

  Article 3 The Beijing Municipal Health and Wellness Committee is responsible for guiding the filing management of general clinics, dental clinics and medical beauty clinics in all districts; The Municipal Bureau of Traditional Chinese Medicine is responsible for guiding the filing management of traditional Chinese medicine (comprehensive) clinics and integrated Chinese and Western medicine clinics in all districts; The health administrative departments of each district are responsible for the filing, supervision and management of general clinics, dental clinics, medical beauty clinics, traditional Chinese medicine (comprehensive) clinics and integrated Chinese and Western medicine clinics within their respective administrative areas.

Chapter II Case Preparation

  Article 4 A unit or individual setting up a clinic shall report to the health administrative department of the district where the clinic is to be set up for the record, and can only carry out the practice activities after obtaining the record certificate of the clinic.

  Article 5 The establishment of a clinic shall meet the following conditions:

  (a) individuals who set up clinics must have been practicing in medical and health institutions for five years after registration; If the unit sets up a clinic, the main person in charge of the clinic shall meet the above requirements;

  (two) in line with the basic standards of the clinic;

  (3) The name of the clinic conforms to the Detailed Rules for the Implementation of the Regulations on the Administration of Medical Institutions and other relevant provisions;

  (four) the clinic should be docked with the clinic information supervision platform where the filing organ is located, upload relevant information such as practice activities in time, and take the initiative to accept supervision;

  (5) Being able to bear civil liability independently.

  The Detailed Rules for the Implementation of the Regulations on the Administration of Medical Institutions stipulates that no unit or individual may apply for the establishment of a medical institution or set up a clinic.

  Article 6 The filing of clinics in this Municipality shall be managed by electronic filing. If a clinic files a record, it shall submit the following materials through the electronic registration management platform:

  (1) Basic information of clinic filing;

  (two) the floor plan of the clinic house (referring to the scale of the house used by the clinic, indicating the functional distribution and area size);

  (3) Property right certificate or lease contract of the clinic premises;

  (four) the legal representative of the clinic, the main person in charge of the valid identity certificate and a copy of the relevant qualification certificate and practice certificate;

  (5) Directory of other health technical personnel, valid identity certificates and copies of relevant qualification certificates and practice certificates (if the registration information of doctors and nurses submitted in the application materials is verified by the electronic registration system, it is not required to submit the relevant qualification certificates and practice certificates separately);

  (6) rules and regulations of the clinic;

  (7) List of clinic instruments and equipment;

  (eight) the list of drugs attached to the pharmacy (cabinet);

  (nine) the treatment plan of sewage, dirt and feces in the clinic, and the description of the surrounding environment of the clinic;

  (10) Description of the information system of the clinic (including but not limited to the construction unit, project functions, hardware configuration, use process, etc., and whether it is connected to the supervision platform, etc.);

  (eleven) the business license registration information of for-profit clinics (checked by the health administrative department through information sharing among government departments);

  (12) Where a legal person or other organization sets up a clinic, it shall also provide the qualification certificate of the legal person or other organization, the identity certificate of the legal representative or the identity certificate of the representative of other organization.

  Article 7 Filing persons shall truthfully provide relevant materials and reflect the real situation, and be responsible for the authenticity of the substantive contents of their filing materials. If the filer puts forward the need for on-site guidance of clinic practice before filing, the health administrative department may organize on-site guidance services of clinic practice according to the needs.

  Eighth district health administrative departments after receiving the filing materials, the materials are complete and meet the filing requirements for the record, and the clinic filing vouchers are issued on the spot; If the materials are incomplete or do not meet the filing requirements, the filer shall be informed of all the materials that need to be supplemented at one time through the electronic registration system on the spot or within 5 days from the date of receiving the filing materials.

  Article 9 A clinic shall publicize the clinic filing certificate and the practice registration information of health technicians in a prominent position in the clinic and accept social supervision.

  Article 10 The name, address, legal representative or principal responsible person, ownership form, diagnosis and treatment subjects, service mode and other actual settings of the clinic shall be consistent with the items recorded in the clinic record voucher. If the above record information changes, it is necessary to apply to the original record-keeping organ for change through the electronic registration system.

  After receiving the materials for filing changes, the health administrative departments of all districts shall make filing changes for those materials that are complete and meet the requirements for filing changes, and renew the changed clinic filing vouchers on the spot; If the materials are incomplete or do not meet the requirements for filing changes, the filer shall be informed of all the materials that need to be corrected at one time through the electronic registration system on the spot or within 5 days from the date of receiving the materials for filing changes.

  Article 11 A clinic shall submit the following materials to the original filing organ through the electronic registration system when handling the change filing:

  (1) Description of the matters to be changed for the record;

  (two) to change the name of the clinic, the approval document or certificate issued by the competent unit of the clinic shall be submitted;

  (three) to change the practice address, it shall submit the floor plan of the new address, the certificate of property rights and the lease contract;

  (4) If the legal representative is changed, the identity certificate of the personnel shall be submitted; If the main person in charge is changed, the identity certificate, qualification certificate and practice certificate of the personnel shall be submitted;

  (5) If the subject of diagnosis and treatment is changed, the floor plan of the clinic (indicating the location of the newly-added room for diagnosis and treatment), the list of health technical personnel who intend to practice in the subject of diagnosis and treatment, qualification certificates, practice certificates and valid identification certificates (if the registration information of doctors and nurses submitted in the application materials is verified by the electronic registration system, it is not required to submit the relevant qualification certificates and practice certificates separately), the equipment of the subject of diagnosis and treatment, and the list of relevant rules and regulations;

  (6) If the number of dental chairs is changed, the design plan indicating the location of dental chairs, the list of health technical personnel to be practicing, qualification certificates, practice certificates and professional titles shall be submitted (if the registration information of doctors and nurses submitted in the application materials is verified by the electronic registration system, it is not required to submit the relevant qualification certificates and practice certificates separately), and the equipment;

  (seven) the business license registration information of for-profit clinics (checked by the health administrative department through information sharing among government departments).

  Twelfth clinics should carry out their practice activities in accordance with the requirements of the Regulations on the Administration of Medical Institutions and other relevant laws and regulations.

  Thirteenth clinics closed, must be through the electronic registration system to the original filing authority for the record.

  If the clinic is closed for more than one year due to reasons other than reconstruction, expansion or relocation, it shall be deemed as closed.

  Fourteenth clinic filing vouchers shall not be forged, altered, sold, transferred or lent.

  If the clinic filing certificate is lost, it shall be declared in time and apply to the original filing authority for a replacement.

  Fifteenth clinics should carry out diagnosis and treatment activities according to the recorded diagnosis and treatment subjects, and strengthen the management of staff, diagnosis and treatment activities, medical quality and medical safety. The development of medical technical services shall comply with the relevant provisions of the Measures for the Administration of Clinical Application of Medical Technology.

  The clinic shall not carry out medical activities without filing.

  Sixteenth clinics should strictly abide by the "People’s Republic of China (PRC) Infectious Disease Prevention Law" and other laws and regulations on the prevention and control of infection in medical institutions.

  Seventeenth clinics should establish an information system to record the diagnosis and treatment information, and submit and upload the diagnosis and treatment information to the local clinic information supervision platform in accordance with the provisions and standards of the urban health administrative department.

Chapter III Supervision and Administration

  Eighteenth district health administrative departments should strengthen the supervision and management of clinic practice, medical quality, medical safety and so on. The health administrative department of each district shall, within 20 days from the date of issuing the clinic filing certificate, disclose the clinic filing information to the public through the official website of this district, so as to facilitate the inquiry and supervision of the society and the masses.

  The health administrative departments of all districts shall promptly submit the filing information of clinics within their respective jurisdictions to the municipal health administrative department or the competent department of traditional Chinese medicine. If the municipal health administrative department or the competent department of traditional Chinese medicine finds that the filing matters do not conform to the provisions of the present measures, it shall order the district health administrative department to make corrections.

  Nineteenth district health administrative departments shall conduct on-site verification (including the uploading of diagnosis and treatment data) within 30 days from the date of issuing the clinic filing certificate to the newly established clinics, and make rectification within 1-6 months if they do not meet the filing conditions. Refusing to make rectification within the time limit or failing to meet the requirements after rectification, the record shall be revoked and announced to the public in a timely manner.

  Twentieth district health administrative departments should establish a clinic integrity file. The "Clinic Filing Voucher" obtained by the filer through filing is revoked due to violation of Article 19 of these measures, and will be recorded in the integrity file, which will be used as the basis for joint credit punishment of relevant departments.

  Twenty-first district health administrative departments should make full use of information technology, big data and other means to improve the efficiency of supervision, and bring clinics into the medical quality management control system of their respective administrative areas to ensure the quality and safety of medical care.

  Clinics should connect with the practice and service supervision platform of medical institutions in Beijing, upload relevant information such as practice activities in time, and take the initiative to accept supervision.

  Article 22 The health administrative department of each district shall conduct on-site supervision and inspection on the clinics within its jurisdiction at least once a year, and conduct on-site inspection on the clinics whose practice address, diagnosis subjects, number of dental chairs and other items are changed within 30 days from the date of issuing or renewing the clinic filing vouchers, and conduct daily supervision and monthly practice analysis by using the information supervision platform, and form a supervision and analysis report on the practice activities of the clinics within its jurisdiction at least once every six months. District-level health administrative departments have the right to require clinics to provide materials needed for supervision, and clinics shall not refuse, conceal or conceal them.

  Article 23 In the process of supervision and management, the urban health administrative department and the Municipal Bureau of Traditional Chinese Medicine find that there are illegal cases in the clinic, and they shall be punished and dealt with according to the People’s Republic of China (PRC) Physician Law, the Regulations on the Management of Medical Institutions, the Detailed Rules for the Implementation of the Regulations on the Management of Medical Institutions, and the relevant regulations on the management of bad practice points of medical institutions in Beijing.

  Article 24 Under any of the following circumstances, the clinic shall report to the local health administrative department, or if the health administrative department and the competent department of traditional Chinese medicine find any of the following circumstances in the process of supervision and management, the original filing organ shall revoke its filing and make a timely announcement to the public:

  (1) The clinic is closed;

  (2) The clinic voluntarily terminates its practice activities;

  (three) using false materials for the record;

  (four) the occurrence of "Regulations on the Administration of Medical Institutions" and other laws and regulations should be ordered to stop practicing activities.

  Article 25 Clinics should strengthen network security management and personal information protection in accordance with the Network Security Law of the People’s Republic of China, the Data Security Law of People’s Republic of China (PRC), the Personal Information Protection Law of People’s Republic of China (PRC), the Measures for the Administration of Network Security of Medical and Health Institutions and other relevant laws, regulations and provisions. When network security incidents such as personal information and medical data leakage of patients occur, they should promptly report to relevant departments and take effective countermeasures.

  Twenty-sixth clinic practitioners should actively participate in professional and technical training, continuing education and other activities to improve the professional and technical level.

  Twenty-seventh clinics should establish a sound management system for medical quality and medical safety, and strengthen the management of medical quality and medical safety.

Chapter IV Supplementary Provisions

  Twenty-eighth district health administrative departments after the completion of the clinic record, should be through the electronic registration information system of medical institutions to print the "clinic record certificate", no longer issued the "practice license of medical institutions". Clinics that have previously obtained the Practice License of Medical Institutions shall be directly filed and renewed with the Certificate of Clinic Filing, with a transition period of one year. Newly filed clinics shall be filed in accordance with these measures and the latest version of the basic standards for clinics.

  Clinics should comply with the relevant provisions of the electronic license work of medical institutions.

  Twenty-ninth Sino foreign joint ventures, cooperative clinics, Hong Kong, Macao and Taiwan funded clinics management in accordance with the relevant provisions.

  Thirtieth the time limit stipulated in these Measures shall be calculated in working days.

  Thirty-first district clinics filing work should comply with the relevant provisions of the city’s "one industry and one license" and the relevant requirements of the list of prohibited and restricted new industries in Beijing.

  Article 32 These Measures shall come into force as of December 31, 2023. "Notice of Beijing Municipal Health and Wellness Committee on Printing and Distributing the Administrative Measures of Beijing Clinics for Filing (Trial)" (Jing Wei Yi〔2021〕No.19) shall be abolished at the same time.

Haidian, Beijing: Eighteen restaurants were investigated for food safety problems, including six Pizza Hut restaurants.

According to the news of "Beijing Haidian Market Supervision" WeChat WeChat official account on August 3, from July 10 to July 27, 2022, Haidian District Market Supervision Administration continued to carry out food and beverage safety inspections, and investigated and dealt with 18 food and beverage stores in Haidian District according to law. The investigation situation is as follows:

1. Yi Jiaren (Beijing) Catering Management Co., Ltd. Second Branch

(Name of signboard: None)

There is a problem that the kitchen environment is unclean, which violates the provisions of Item (1) of Paragraph 1 of Article 33 of People’s Republic of China (PRC) Food Safety Law. According to the provisions of Item (13) of Paragraph 1 of Article 126 of People’s Republic of China (PRC) Food Safety Law, it is ordered to make corrections and give a warning.

At the same time, according to the provisions of Article 26 of the Measures for the Supervision and Administration of Food Safety in Online Catering Services, the online business activities of the enterprise on the ordering platform were immediately stopped.

2. Beijing Shanshi Kunpeng Catering Center

(Name of signboard: None)

There is a problem of not establishing and observing the incoming inspection record system according to the regulations, which violates the provisions of paragraph 2 of Article 53 of People’s Republic of China (PRC) Food Safety Law. According to the provisions of item 3 of paragraph 1 of Article 126 of People’s Republic of China (PRC) Food Safety Law, it is ordered to make corrections and give a warning.

At the same time, according to the provisions of Article 26 of the Measures for the Supervision and Administration of Food Safety in Online Catering Services, the online business activities of the enterprise on the ordering platform were immediately stopped.

3. Beijing Hongyunhai Catering Service Co., Ltd.

(signboard name: Mrs. Hao porridge)

There is a problem of operating hot food beyond the scope, which violates the provisions of the first paragraph of Article 27 of the Measures for the Administration of Food Business License. According to the provisions of the first paragraph of Article 49 of the Measures for the Administration of Food Business License, it shall be ordered to make corrections and given a warning.

4. Beijing Zhenguo Zhixian Catering Management Co., Ltd.

(Name of signboard: Fruit Fishing)

There is a problem of failing to publicize the health certificates of employees, which violates the provisions of Article 14 of the Regulations on the Management of Small-scale Food Production and Operation in Beijing. According to the provisions of Article 28 of the Regulations on the Management of Small-scale Food Production and Operation in Beijing, it is ordered to make corrections within a time limit.

5. Beijing Zhenguo Zhixian Catering Management Co., Ltd.

(Signboard name: camel barbecue)

There are problems such as poor sanitation on the ground, raw material rough machining and kitchen utensils cleaning directly on the ground, mixed rough machining pools, and damage to the sink in the cold food special room. It is ordered to suspend business for rectification and resume business after the rectification is completed.

6. Beijing Fuchangwen Catering Management Center

(Name of signboard: Jingmailong)

There are problems such as poor sanitation in the operation room, failure to wash kitchen utensils according to regulations, and rough machining of raw materials on the cleaning pool, and it is ordered to suspend business for rectification, and resume business after the rectification is completed.

7. Burning Season (Beijing) Catering Co., Ltd.

(Signature Name: Burning Season Hot Spicy Dip)

The problem of storing raw materials and stacking them on the ground shall be ordered to suspend business for rectification and resume business after the rectification is completed.

8. Yu Yingxiang Hardware and Building Materials Store, Shangzhuang Town, Haidian District, Beijing

(Name of signboard: Shanxi Daoxiao Noodles)

There is a problem of not establishing and observing the incoming inspection record system according to the regulations, which violates the provisions of paragraph 2 of Article 53 of People’s Republic of China (PRC) Food Safety Law. According to the provisions of item 3 of paragraph 1 of Article 126 of People’s Republic of China (PRC) Food Safety Law, it is ordered to make corrections and give a warning.

9. Beijing Xia Xiang Xie Hou Catering Management Co., Ltd.

(Signboard Name: Shrimp Enjoy Crab Meet)

There is a problem of failing to clean up the food beyond the shelf life in time, which violates the provisions of the first paragraph of Article 54 of the Food Safety Law of People’s Republic of China (PRC). According to the provisions of Article 132 of the Food Safety Law of People’s Republic of China (PRC), it is ordered to make corrections and give a warning.

At the same time, according to the provisions of Article 26 of the Measures for the Supervision and Administration of Food Safety in Online Catering Services, the online business activities of the enterprise on the ordering platform were immediately stopped.

10. Beijing Xiangyue Dongting farmhouse cuisine cookshop

(Name of signboard: Dongting Lake Maojiacai)

There is a problem that the kitchen environment is unclean, which violates the provisions of Item (1) of Paragraph 1 of Article 33 of People’s Republic of China (PRC) Food Safety Law. According to the provisions of Item (13) of Paragraph 1 of Article 126 of People’s Republic of China (PRC) Food Safety Law, it is ordered to make corrections and give a warning.

At the same time, according to the provisions of Article 26 of the Measures for the Supervision and Administration of Food Safety in Online Catering Services, the online business activities of the enterprise on the ordering platform were immediately stopped.

11. Beijing Ba Uemon Catering Management Co., Ltd.

(signboard name: drunken tiger biography)

There is a problem of failing to store food as required, which violates the provisions of the first paragraph of Article 54 of the Food Safety Law of People’s Republic of China (PRC). According to the provisions of Article 132 of the Food Safety Law of People’s Republic of China (PRC), it is ordered to make corrections and give a warning.

At the same time, according to the provisions of Article 26 of the Measures for the Supervision and Administration of Food Safety in Online Catering Services, the online business activities of the enterprise on the ordering platform were immediately stopped.

12. Chuanshi (Beijing) Catering Management Co., Ltd.

(Signboard name: Porridge Emperor Hong Kong-style Tea Restaurant for ten years to cook a bowl of porridge)

There is a problem that the kitchen environment is unclean, which violates the provisions of Item (1) of Paragraph 1 of Article 33 of People’s Republic of China (PRC) Food Safety Law. According to the provisions of Item (13) of Paragraph 1 of Article 126 of People’s Republic of China (PRC) Food Safety Law, it is ordered to make corrections and give a warning.

At the same time, according to the provisions of Article 26 of the Measures for the Supervision and Administration of Food Safety in Online Catering Services, the online business activities of the enterprise on the ordering platform were immediately stopped.

13. Beijing Pizza Hut Pizza Co., Ltd. Wudaokou Restaurant

(Signboard name: Pizza Hut)

There is a problem that the kitchen environment is unclean, which violates the provisions of Item (1) of Paragraph 1 of Article 33 of People’s Republic of China (PRC) Food Safety Law. According to the provisions of Item (13) of Paragraph 1 of Article 126 of People’s Republic of China (PRC) Food Safety Law, it is ordered to make corrections and give a warning.

At the same time, according to the provisions of Article 26 of the Measures for the Supervision and Administration of Food Safety in Online Catering Services, the online business activities of the enterprise on the ordering platform were immediately stopped.

14. Shuangqing Road Restaurant of Beijing Pizza Hut Pizza Co., Ltd.

(Signboard name: Pizza Hut)

There is a problem that the kitchen environment is unclean, which violates the provisions of Item (1) of Paragraph 1 of Article 33 of People’s Republic of China (PRC) Food Safety Law. According to the provisions of Item (13) of Paragraph 1 of Article 126 of People’s Republic of China (PRC) Food Safety Law, it is ordered to make corrections and give a warning.

At the same time, according to the provisions of Article 26 of the Measures for the Supervision and Administration of Food Safety in Online Catering Services, the online business activities of the enterprise on the ordering platform were immediately stopped.

15. Beijing Pizza Hut Pizza Co., Ltd. Weigongcun Restaurant

(Signboard name: Pizza Hut)

The suspected use of food raw materials beyond the shelf life violated the provisions of Item (3) of Paragraph 1 of Article 34 of the Food Safety Law of People’s Republic of China (PRC), and was put on file for investigation.

At the same time, according to the provisions of Article 26 of the Measures for the Supervision and Administration of Food Safety in Online Catering Services, the online business activities of the enterprise on the ordering platform were immediately stopped.

16. Bimai BHP Billiton (Beijing) Catering Management Co., Ltd. Haidian Branch

(Signboard name: Pizza Hut)

There is water accumulated on the floor of the decontamination room, and there is water leakage at the joint between the sewer pipe of the decontamination tank and the oil mist separator, which violates the provisions of Item (1) of Paragraph 1 of Article 33 and Item (1) of Article 56 of People’s Republic of China (PRC) Food Safety Law. According to the provisions of Item (13) and Item (5) of Paragraph 1 of Article 126 of People’s Republic of China (PRC) Food Safety Law, it is ordered to make corrections and give a warning.

At the same time, according to the provisions of Article 26 of the Measures for the Supervision and Administration of Food Safety in Online Catering Services, the online business activities of the enterprise on the ordering platform were immediately stopped.

17. Beijing Pizza Hut Pizza Co., Ltd. Baishiqiao Restaurant

(Signboard name: Pizza Hut)

There is no distinguishing mark between the container for storing garbage (egg shells) and the food container on the operating table; Tableware to be used after disinfection is stored without cleaning facilities, which violates the provisions of Paragraph 1 of Article 33 and Item 5 of Paragraph 1 of Article 33 of People’s Republic of China (PRC) Food Safety Law. According to the provisions of Regulations for the Implementation of People’s Republic of China (PRC) Food Safety Law, Article 70, Paragraph 1 of Article 126 and Item 5 of Paragraph 1 of Article 126 of People’s Republic of China (PRC) Food Safety Law, it shall be ordered to make corrections and given a warning.

At the same time, according to the provisions of Article 26 of the Measures for the Supervision and Administration of Food Safety in Online Catering Services, the online business activities of the enterprise on the ordering platform were immediately stopped.

18. Beijing Pizza Hut Pizza Co., Ltd. Space Bridge Restaurant

(Signboard name: Pizza Hut)

There is no distinguishing mark between the container for storing garbage (waste scraps) in the cold dish room and the food container; Tableware to be used after disinfection is stored without cleaning facilities, which violates the provisions of Paragraph 1 of Article 33 and Item 5 of Paragraph 1 of Article 33 of People’s Republic of China (PRC) Food Safety Law. According to the provisions of Regulations for the Implementation of People’s Republic of China (PRC) Food Safety Law, Article 70, Paragraph 1 of Article 126 and Item 5 of Paragraph 1 of Article 126 of People’s Republic of China (PRC) Food Safety Law, it shall be ordered to make corrections and given a warning.

At the same time, according to the provisions of Article 26 of the Measures for the Supervision and Administration of Food Safety in Online Catering Services, the online business activities of the enterprise on the ordering platform were immediately stopped.

Fanhua Album No.3: Map Imprint of Foreign Trade Building

Original Zhang Yuanyuan traces back to Shanghai

editorial comment/note

No.27 on the Bund, where Miss Li Wang in Blossoms Shanghai struggled, is now No.27 on Zhongshan East 1st Road. Old Shanghai used to call it Foreign Trade Building. This can be said to be the starting point of Shanghai’s foreign trade economy since the founding of New China. The "SFTC" logo in the play is still in use today, and this situation has made many "old foreign traders" dream and have full memories. In this issue, Xiaobian takes you to find the map imprint of this place where opportunities and challenges coexist in Shanghai in the 1990s.

01

Historical evolution of foreign trade building

In 1843

Jardine Matheson, founded in Guangzhou, came to Shanghai to open a branch.

In 1844

Jardine Matheson got the No.1 Land Certificate of British Concession (No.27 Bund) and built an English village-style two-story double-room office building.

In 1861

Jardine Matheson demolished the old house and rebuilt a new building, and built a 15-bay, three-storey brick-wood structure with four slopes facing the Bund, which was the largest building in Shanghai Bund complex at that time.

In 1920

Jardine Matheson was rebuilt again, designed by Si Jiusheng and constructed by Chinese businessman Yuchangtai Construction Factory.

In 1922

Jardine Matheson New Building is completed, which is a six-story reinforced concrete frame structure building with the appearance of imitating the English Renaissance architecture style, ranking second in the whole Bund complex.

1955

Jardine Matheson Building was nationalized, and Shanghai Foreign Trade Bureau was stationed. This building is called Foreign Trade Building.

1979

Shanghai Foreign Trade Corporation was established in the Foreign Trade Building.

1988

In order to meet the needs of the reform of foreign trade system, Shanghai Foreign Trade Corporation was spun off to form Shanghai Foreign Trade Company, which was one of the largest local foreign trade enterprises in China at that time.

In 2007

The property right of the foreign trade building belongs to Shanghai Jiushi (Group) Co., Ltd., and the building repair project was started.

In 2009

Roosevelt residence stationed in the building.

the year of 2018

Shanghai Jiushi Art Museum settled in the building.

02

Establishment of foreign trade center

After the Opium War, Shanghai was forced to open in the 23rd year of Daoguang (1843). Businessman George Smith reported to the British government that "compared with Guangzhou, the price of raw silk tea and other local products purchased by Europeans in Shanghai is at least 10% cheaper". British consul Alcock (R.) also estimated in the 27th year of Daoguang (1847): "Exporting raw silk directly from Shanghai saves at least 35-40% freight compared with re-export in Guangzhou". As a result, the British and American foreign firms originally stationed in Guangzhou quickly set up branches in Shanghai, and merchant ships from various countries arrived in Shanghai directly, and a large number of foreign businessmen poured in, and Shanghai began to have direct business contacts with Europe and the United States. With the geographical advantage of sitting at the intersection of the mouth of the Yangtze River and the center of China coast, Shanghai’s foreign trade has sprung up suddenly, and its status is improving day by day compared with other ports. For example, in the 24th year of Daoguang (1844), only 2% of the tea was exported from Shanghai and 98% from Guangzhou. Just six years later, in the thirty years of Daoguang (1850), the proportion of Shanghai rose to 44%, while that of Guangzhou dropped to 23%. In the 26th year of Daoguang (1856), the export of raw silk in Shanghai was 4.27 times that in Guangzhou. Of course, the sharp rise of Shanghai’s foreign trade is also due to the fact that as a treaty port, foreign businessmen enjoy many privileges. Such as: renting land to build a house, renting a house to set up a stack; Going deep into the mainland for trade and navigation; Participate in agreed tariffs and be sheltered by consular jurisdiction. The foreign taxation department also seized the actual control right of Jiang Customs. According to statistics, ten years after Shanghai opened its port, that is, three years after Xianfeng (1853),The value of imports and exports to Britain has reached 17.2 million US dollars, exceeding Guangzhou’s 10.5 million US dollars. As a result, the center of China’s foreign trade shifted from Guangzhou to Shanghai.

Panorama of the Bund in 1849

(Selected from 1855 Shanghai British Concession Plan)

In front of Yihe foreign firm building in the middle of 19th century.

In 1861, the second generation building of Yihe foreign firm was the largest building in the Bund complex in Shanghai at that time.

The foreign trade building No.27 on the Bund used to be the famous Jardine, Matheson & Co.. The founder, Dr.William Jardine, was a doctor of the East India Company on the cargo ship between Guangzhou and Britain, and was familiar with the situation in China before the Opium War. In July, 1832, he founded this foreign firm in partnership with businessman James William James Matheson in Guangzhou. In 1843, Jardine Matheson came to Shanghai to open a branch. The following year, Jardine Matheson got the No.1 land certificate of British Concession (No.27 Bund) and built an English village-style two-story double-room office building. In 1861, Jardine Matheson demolished the old house and rebuilt a new building, and built a 15-bay, three-storey brick-wood four-slope-top building facing the Bund, which was the largest building in the Bund complex in Shanghai at that time and had a magnificent porch with columns.

03

The charm of the new building of "the king of foreign firms"

The third generation Yihe foreign firm building completed in 1922.

1917 Shanghai British Concession Sub-map

1926 public concession

Central district map

Turn the phone counterclockwise by 90 degrees to view it horizontally.

Panorama of the Bund in 1932

(Selected from The Latest Map of Shanghai in 1932)

After entering the 20th century, a new round of renovation and expansion of old buildings on the Bund has started, and Jardine Matheson is no exception. In 1920, Yihe foreign firm was rebuilt again, designed by Si Jiusheng foreign firm and constructed by Chinese businessman Yuchangtai Construction Factory. Two years later, a new six-story building with an area of 2,100 square meters and a building area of 14,300 square meters was completed. The new building is dignified and elegant in appearance, complete in layout, exquisite in materials and beautifully decorated, and its building surface facing the Huangpu River is more than 50 meters wide, ranking second in the whole Bund complex. The appearance of the building imitates the architectural style of the British Renaissance, with a reinforced concrete frame structure. The exterior wall of the whole building is built of granite, and the first and second floors are roughly chiseled with granite. The entrance of the gate is made of stone steps, and the copper-clad gate has a pair of wall lamps on both sides. In the middle of the third to fifth floors, there are four marble Corinthian columns, the bottom of which is square, with balconies and stone railings between the columns. There are all kinds of pumps, generators and water boilers in the building, which shows Jardine’s identity and financial resources and is worthy of the nickname of "the king of foreign firms".

1947 Shanghaihao Road

Catalogue-Figure 3

Heavy traffic in front of Jardine Matheson Building in 1948

When the Pacific War broke out in 1941, Jardine Matheson was taken over by Mitsui Corporation of Japan. Business resumed in 1946, but the business was not as prosperous as before, so the building was rented out to other organizations, such as Changxing Shipping Company, overseas airlines and Hong Kong Airlines. There are also institutions such as the First Class business counselor of the British Embassy, the Financial Counsellor and the Information Office, which also operate here.

04

Anchorage place for foreign trade economy to take off

After the liberation of Shanghai, Jardine Matheson’s business became increasingly cold. In 1955, the building was nationalized. Since then, the Shanghai Foreign Trade Bureau has been stationed, and this building is affectionately called the Foreign Trade Building. It can be said that Shanghai’s foreign trade economy took off from here.

In December 1979, Shanghai Foreign Trade Corporation was established. In January 1988, in order to meet the needs of foreign trade system reform, with the approval of the former Ministry of Foreign Trade and Economic Cooperation of the People’s Republic of China, Shanghai Foreign Trade Corporation was split and established as Shanghai Foreign Trade Company.

The area in front of the Bund Foreign Trade Building in 1976

Foreign trade building period gate

1989 Shanghai Commercial Atlas-Figure 1

In 1990, Shanghai became a key area of opening to the outside world, especially foreign economic and trade, which opened a rapid development model. The business of Shanghai Foreign Trade Company developed rapidly, and it was once one of the local foreign trade enterprises with the largest import and export volume in China.

From 2007 to 2014, Building No.27 on the Bund was completely protected and renovated, and became a comprehensive building integrating office, business and catering functions. The property right of the building belongs to Shanghai Jiushi (Group) Co., Ltd. At the end of 2009, the senior mansion under the Roosevelt family of the United States entered here, and the luxurious temperament filled the whole old house. In 2018, Shanghai Jiushi Art Museum settled here, and art took root in this century-old building.

Turn the phone counterclockwise by 90 degrees to view it horizontally.

Panorama of 2021 Bund

Panorama of the building

Main entrance of building

Building interior

Overlooking the roof

05

Cross-border Integration of Surveying and Mapping and Cultural Protection

Finally, there is an episode. In 1983, in order to alleviate the shortage of office space, the housing management department added two floors to the top of the foreign trade building, which lost the original style of the top of the building. At that time, the building was not included in the cultural relics protection unit, which was a pity.

Wenbao nameplate

Excellent historical buildings and cultural relics protection units, bearing people’s memories and inheriting the urban context, are an important part of urban cultural soft power. At present, in addition to the original building archives drawings and other materials, through advanced mapping technologies such as 3D laser scanning and UAV remote sensing, a "digital real 3D file" with vivid visual expression can be established, which can provide a powerful working basis and intelligent tools for the restoration and cultural communication of historical buildings and cultural relics protection units, and realize the cross-border integration of surveying and mapping and cultural preservation through the fine, structured and objectified data construction of geographical entities and continuous spaces.

The roof overlooks Lujiazui.

References:

Shanghai Foreign Economic and Trade Journal

The story of an old house in Shanghai

Dictionary of Foreign Industrial and Commercial Enterprises in China

The Shanghai Story

Shanghai surveying and mapping academy

Map culture brand

"Map Back to Shanghai" Map R&D Team

Album planning Xin Jing

Executive Editor Qiao Yuxiao

Characters and Zhang Yuanyuan

Map Jing Ying He Peishi

Information Zhang Yuanyuan Ye Cao Xin Jing

Review the manuscript.

Original title: Flower Album No.3: Map Imprint of Foreign Trade Building

Read the original text

3.34 trillion dollars! NVIDIA, the AI giant, surpassed Microsoft and Apple in market value and became the world’s number one | Titanium Media AGI.

NVIDIA CEO Huang Renxun

Just now, the AI giant (NVIDIA) has set a new record.

At 1 am on June 19th, Beijing time,The share price of NVIDIA (NVIDIA, NASDAQ: NVDA), the world’s largest AI computing power provider and AI chip giant, rose by 3.5% in intraday trading, and its market value reached 3.337(3.34) trillion US dollars, surpassing and becoming the company with the highest market value in the world.

This milestone marks NVIDIA’s outstanding achievements in technological innovation and market expansion, and the importance of the AI era to Wall Street.

3.34 trillion US dollars, equivalent to the sixth largest economy in the world — — Britain’s GDP in 2023 is also the market value of 12 Maotai (1.94 trillion yuan), 25 AMD and 12 AMD, even 8.76 times that of Intel +AMD combined.

So far, NVIDIA has not only become the world’s first chip company with a market value exceeding $3 trillion, the world’s first company with a market value of $3 trillion founded by Chinese, the seventh American company with a market value exceeding $1 trillion and the third one exceeding $3 trillion, but also become the world’s largest AI technology company with the fastest growth of $3 trillion in technology stocks, making history.

It is reported that,NVIDIA, founded in 1993, is an important innovator in the field of computer graphics and AI technology, and invented GPU graphics computing (accelerated computing) in 1999, which greatly promoted the development of PC game market, redefined computer graphics technology, and initiated a new era of modern AI accelerated computing. In recent years, it has caught up with the meta-universe, cryptocurrency and artificial intelligence, and finally almost unified the AI computing chip market.

Now,NVIDIA has grown into a full-stack computing company, dedicated to developing CPU, GPU, DPU and AI software, providing accelerated computing solutions for data centers, autonomous driving, metauniverse and other fields. At present, in the field of GPU or accelerated computing, NVIDIA has a global market share of over 90%.

In the past, NVIDIA’s share price has recorded a cumulative increase of 10 times, despite the fact that its share price was "halved" twice due to the low tide of encryption digital currency, the "headwind" of macro economy in 2022, the sharp drop in consumer electronics market demand and the downturn of semiconductor industry.

Since November 2022.OpenAI company released AI ChatGPT, which quickly swept the world, and set off a competition and upsurge around AI big model.

As the "overlord" of AI’s bottom computing power, NVIDIA is one of the biggest beneficiaries of this upsurge, and its GPU products have few substitutes in large-scale model training. As the AI "arms race" between companies such as Microsoft and Google heats up, NVIDIA’s A100 and H100 chips have become "hard currency" for large-scale model training.

In March this year, Huang Renxun, founder and CEO of NVIDIA, said that NVIDIA AI supercomputer DGX was the engine behind the big model, and he personally handed over the world’s first DGX to OpenAI. Since then, this product has been installed in half of more than 100 head enterprises around the world.

According to UBS analysts’ estimates,About 10,000 NVIDIA GPUs are needed to develop ChatGPT.

At the same time,NVIDIA’s share price also began to recover continuously due to the AI craze, rebounding from the low of around $112 in October 2022 to the current level of over $400. The AI craze is also stimulating investors’ longing for NVIDIA, and the first-quarter financial report of NVIDIA released this month has pushed up the share price.

On May 22 this year, NVIDIA released the second quarter revenue forecast that exceeded market expectations, and announced a stock splits plan-each share will be split into 10 shares. This series of positive news has greatly enhanced investors’ confidence in this leading enterprise in the field of artificial intelligence and encouraged them to continue investing. Since the beginning of the year, NVIDIA’s share price has risen by more than 170%, and in 2023, it led the Standard & Poor’s 500 Index with an increase of 238.9%.

The growth rate of NVIDIA’s market value is amazing.

Looking back on the scene a year ago, the company’s market value is far from reaching the threshold of $1 trillion, ranking behind the technology giants such as Google’s parent company Alphabet, Amazon, Apple and Microsoft. In the ranking of giants in the technology industry, NVIDIA’s market value is only slightly higher than Meta and.

However, fast forward to June 13, 2023, the market value of NVIDIA crossed the important threshold of $1 trillion in one fell swoop; On February 23, 2024, the company’s market value broke through the $2 trillion mark at an alarming rate, setting a record for the fastest growth from $1 trillion to $2 trillion.

On June 5th this year, NVIDIA’s market value leapt again, breaking through the $3 trillion mark. It took less than four months to leap from 2 trillion to 3 trillion.

Earlier this month, the market value of NVIDIA surpassed that of Apple for the first time since 2002, and the rankings of the two companies have risen alternately in recent days. Last week, Apple once surpassed Microsoft to take the top spot.

As of Monday’s close, NVIDIA’s share price has risen by more than 160% since 2024, and its market value has increased by more than 2 trillion US dollars.

At present, the market value of three companies in the United States has exceeded $3 trillion, namely NVIDIA, Microsoft and Apple. The combined market value of the above three companies is nearly 10 trillion US dollars.

The growth of NVIDIA means that AI is the focus of many investors.

Daniel Ives, an analyst at Wedbush Securities, wrote in a report: "We believe that in the coming year, NVIDIA, Apple and Microsoft will become the focus of competition for the $4 trillion market value of the technology industry."

Huang Renxun, an investor and CEO of NVIDIA, believes that NVIDIA is not only a chip manufacturer, but also a key company in the field of AI infrastructure. Last year, the sales of AI chips in NVIDIA increased by more than 125%.

Michael Lippert, vice president and portfolio manager of Baron Capital Inc, pointed out that "they sell not only chips, but also systems", and pointed out the company’s proprietary software and development ecosystem.

Ives said: "With the smooth progress of the fourth industrial revolution, more and more enterprises and consumers have quickly embarked on this road. NVIDIA’s GPU chips are essentially new gold or oil in the field of science and technology."

Rosenblat Securities analyst Hans Mosesmann even raised NVIDIA’s target price from $140 to the highest price on Wall Street of $200 on Tuesday.Thereby pushing its market value to nearly $5 trillion in the next year.. Moseman stressed: "We expect that the software business will grow significantly in the next decade in terms of the overall sales portfolio, and the valuation of NVIDIA will show an upward trend due to sustainability."

Not only NVIDIA, but also Huang Renxun’s personal wealth has increased dramatically with the soaring stock price.

According to Bloomberg’s real-time ranking of global billionaires, as of June 18th, Huang Renxun ranked 12th in the list, with a total net worth of $115 billion.It surpassed Zhong Shanshan, founder of Nongfu Spring (US$ 60.3 billion, ranking 23rd), Huang Zheng, founder of Nongfu Spring (US$ 52.3 billion, 26th), Ma Huateng (US$ 43.9 billion, 28th), Zhang Yiming, CEO of ByteDance (US$ 42.2 billion, 31st) and Ma Yun (US$ 31.9 billion, 51st), second only to Warren Buffett (1355).

According to documents disclosed by NVIDIA, Huang Renxun, CEO of NVIDIA, sold 240,000 shares on June 13th and 14th at a price ranging from $127 to $133, and Huang Renxun is expected to sell 120,000 shares of the company on Monday. Based on the comprehensive calculation, Huang Renxun sold more than $32 million in cash.

According to the data compiled by Washington Service, excluding the impact of the 10-share split on June 10th, in the first half of this year, NVIDIA executives and directors, including Huang Renxun, have sold more than 700 million US dollars, the highest number of shares sold in six months since the first half of 2023.

(This article first appeared in Titanium Media App, author | Lin Zhijia, editor | Hu Runfeng)

Old people are riddled with many diseases? Nutritional support that can never be ignored

Old people are riddled with many diseases? Nutritional support that can never be ignored

Writing expert: Zheng Peifen, Zhejiang Hospital, Clinical Nutrition Department, Chief Physician, Department Director.

 

  According to the definition of WHO, two or more chronic non-communicable diseases coexist in the same person, which is referred to as comorbidity, coexistence of multiple chronic diseases or coexistence of multiple diseases. At present, comorbidity includes not only common chronic diseases such as hypertension, diabetes, coronary heart disease and tumor, but also senile syndrome or senile health problems, such as falls, weakness, sleep disorder, malnutrition, urinary incontinence, delirium, depression and drug addiction.

  Comorbidity among the elderly is very common. At present, the prevalence rate of comorbidity among people over 65 years old in China is 60%, and the proportion of comorbidity among elderly inpatients is as high as 91.36%. Comorbidity will lead to prolonged hospitalization, increased risk of multiple drugs and adverse events, and increased medical expenses, which seriously threatens the physical and mental health and life safety of the elderly in China.[1] .

  The incidence of malnutrition or malnutrition in the elderly with comorbidity is higher.

  According to the data of prospective and multi-center survey in China, about 10.14% of hospitalized elderly patients are malnourished, and 46.42% are at nutritional risk. The incidence of malnutrition and nutritional risk increases obviously with age.[2]. The high nutritional risk rate of the elderly in the community is 48.4%[3]. According to the survey data of nutritional problems of elderly patients with comorbidity in a 3A hospital in Anhui, 68.5% of the elderly patients with comorbidity and multiple drugs are at nutritional risk and 15.7% are malnourished.[4].

  Causes of comorbid malnutrition

Old people are riddled with many diseases? Nutritional support that can never be ignored

  Elderly patients with comorbidity have degraded their own body functions, and at the same time, energy consumption is increased due to disease state and surgery, and their eating and digestive abilities are weakened due to braking, pain, and the need for multiple drugs, which is prone to malnutrition or malnutrition risks. The risk of malnutrition and malnutrition will lead to the increase of daily medication. Comorbidity and malnutrition/malnutrition risk problems interact.

  Harm of comorbid malnutrition

  Malnutrition in the elderly population seriously affects the treatment and prognosis of diseases. Malnutrition can not only affect the immune function, drug efficacy, disease or postoperative recovery effect, but also lead to the decline of multi-system function, which is easy to cause infection or make it difficult to control. In addition, poor outcomes caused by malnutrition, such as sarcopenia, cognitive impairment, falls, etc., will also cause weakness or promote the progress of weakness in elderly comorbid patients.

  Oral nutritional supplement (ONS) has brought many benefits to the elderly with comorbidity.

  1. ONS can improve the nutritional status of the elderly with comorbidity, which has a positive effect on the treatment of chronic diseases and the prognosis of patients.

  For a long time, Chinese medical circles have regarded nutrition as a supplement and support, and regarded nutrition as a dispensable auxiliary. In the past 30 years, nutrition research has become a research hotspot. The dual functions of nutrition in significantly improving clinical outcomes and significantly saving medical expenses have been recognized more and more. People’s understanding of the importance of nutrition "treatment" has deepened day by day. Some experts even suggested that the last way to treat chronic diseases is "nutrition treatment". Nutritional therapy plays an important role in maintaining the normal metabolism of cells, supporting the function of tissues and organs, regulating the function of immune system, participating in the physiological function of the body and repairing the structure of tissues and organs.

  The results of Lancet multi-center research show that compared with providing standard nutrition for hospital kitchens according to patients’ appetite, early ONS nutrition therapy can reduce the risk of complications (the risk of complications in experimental group VS control group is reduced by 19%, 22.9%VS26.9%) and the risk of death (the risk of death in experimental group VS control group is reduced by 35%, 7.2%VS9.9%).[5].

Old people are riddled with many diseases? Nutritional support that can never be ignored

 

  Tips: Oral Nutritional Supplements (ONS) are nutritional preparations that can provide a variety of macronutrients and micronutrients for oral use with the aim of increasing oral nutritional intake. ONS has many advantages such as balanced nutrition, scientific formula, safety, effectiveness, convenience and quickness.

  Click to learn more about ONS.

 

  2. ONS is the first choice of nutritional intervention for the elderly with comorbidity.

  ONS is a way of enteral nutrition, which is usually used to supplement the intake when the food is not enough to meet the body’s needs. As a special nutritional supplement formula, ONS can strengthen the content of nutrients such as protein, carbohydrates, fat, minerals and vitamins in food and provide balanced nutrients to meet the body’s needs for nutrients. ONS is safe, effective, economical and convenient, and it is the first choice of nutritional intervention for the elderly with comorbidity.

Old people are riddled with many diseases? Nutritional support that can never be ignored

  3. Under what circumstances do you need ONS intervention?

  Standardized nutritional therapy is the guarantee for patients to benefit. According to the 2018ESPEN guidelines for nutritional support for comorbidity of internal medicine patients.[6]And guidelines for the application of parenteral and enteral nutrition in elderly patients in China (2020).[7]According to the recommendation, elderly patients with comorbidity need routine nutritional screening; MNA-SF and NRS2002 nutrition screening tools are recommended. Elderly patients with malnutrition or nutritional risk and normal or basically normal gastrointestinal function should start enteral nutrition therapy as soon as possible (within 48 hours) to improve muscle loss and nutritional supply, and ONS is the first choice for enteral nutrition.

  4. Recommended usage and dosage

  It was found that ONS with 400~600 kcal and/or 30g protein per day, taken orally for 30 ~ 90 days between meals, can improve the nutritional status and clinical outcome of elderly patients. Attention should be paid to frequency, temperature, speed and concentration during use. The temperature is about 40℃, and it will gradually increase from dilute to thick for the first time according to the patient’s intestinal adaptation.

Old people are riddled with many diseases? Nutritional support that can never be ignored

  5. Precautions for Comorbid Patients to Use ONS

  Guidelines recommend that comorbid patients should use a high-energy and high-protein diet to achieve energy and protein intake. High-quality protein, especially the formula rich in whey protein, is beneficial to the synthesis of protein in the elderly and easier to absorb; Long-term adequate dietary fiber intake is conducive to maintaining intestinal function. In clinical practice, according to different basic diseases, it is necessary to consider the specific nutrient composition, taste, texture and preservation of ONS. For example, the powder has a long shelf life and is ready to use, and the liquid formula has a high-energy and high-protein dosage form, which can be eaten immediately after opening, but the shelf life after opening is short. Specifically, it is necessary to focus on the patient’s compliance and the sustainability of improving nutritional status.

  6. The key points of ONS formula selected by patients with different chronic diseases

  According to the guidelines, the standard whole protein formula is suitable for most elderly patients. For elderly patients with chronic heart failure, high energy density formula is helpful for fluid management; For COPD patients with stable malnutrition, it is suggested to adopt a formula with higher fat ratio; The intake of protein is 1.5g/kg/d; Increasing omega-3 fatty acids and dietary fiber intake is beneficial to improve lung function and outcome; Elderly patients with diabetes can use the formula suitable for diabetes; For the nutritional treatment of elderly patients with high risk of pressure ulcers with nutritional risk or malnutrition, ONS with high protein is the first choice, and special nutrients rich in arginine, vitamin C and zinc can promote wound healing. In the elderly patients with sarcopenia who are at risk of malnutrition, vitamin D and omega-3 fatty acids can improve the decline of muscle strength in the elderly and prevent falls.

  The incidence of malnutrition in elderly patients with comorbidity is high and the harm is serious. Medical institutions and related professionals need to strengthen the training of standardized nutritional treatment, and families and society should give more support to ONS, such as raising awareness of nutritional treatment and supporting medical insurance policies, which will help improve the nutritional status of elderly patients and bring multiple benefits.

  References:

  1. Xu Hu, Li Fan, Cao Feng. Clinical challenges and coping strategies in the management of comorbidity in the elderly [J]. Chinese Journal of Elderly Multiple Organ Diseases, 2019,18 (12), 942-946.

  2. Cui Hongyuan, Zhu Mingwei, Chen Wei, et al. Multi-center investigation on nutritional status of elderly inpatients in China [J]. Chinese Journal of Geriatrics, 2021,03,364-369.

  3. Kang Junren, Qiu Yue, Li Hailong, et al. Multi-center cross-sectional survey on nutritional risk of 3885 elderly people in China community [J]. Journal of China Academy of Medical Sciences, 2018,40 (05), 637-641.

  4. Xu Mengqi, Qin Kan. Analysis of influencing factors of anticholinergic burden and malnutrition in elderly patients with comorbidity [J]. Zhongnan Pharmacy, 2022,20 (04), 934-938.

  5.Schuetz P, Fehr R, Baechli V, et al. Individualised nutritional support in medical inpatients at nutritional risk: a randomised clinical trial [J]. Randomized Controlled Trial,Lancet. 2019 ; 393(10188):2312-2321.

  6.Filomena Gomes , Philipp Schuetz , Lisa Bounoure , et al. ESPEN guidelines on nutritional support for polymorbid internal medicine patients[J]. Clin Nutr. 2018 ; 37(1):336-353.

  7. Guidelines on Parenteral Enteral Nutrition for Elderly Patients in China (2020)[J]. Chinese Journal of Geriatrics, 2020,02: 119-132.

   [Related links]

  Topic-Super Doctor Says Nutrition

Source: Guangming Net

Magic Atom Releases End-to-end "Atomic Vientiane Model"

On March 26th, Magic Atoms held the strategy conference of "Atomic Twin" 2025, officially launched humanoid robots and quadruped robots, and launched the end-to-end "Atomic Vientiane Model" for the first time. Magic Atom also announced the launch of the "Thousand Scenes Co-creation Plan", which will expand 1,000 partners around the landing of humanoid robots and create 1,000 landing application scenarios for humanoid robots.

At the press conference, Wu Changzheng, president of Magic Atom, revealed the mass production plan of humanoid robots. It is estimated that 400 humanoid robots will enter industrial and commercial scenes this year.

In 2018, the population born in China was 15.23 million, with two children accounting for about 50%.

  BEIJING, May 23 (Xinhua) According to the Statistical Bulletin on the Development of China’s Health Care in 2018 released by the National Health and Wellness Commission, there were 15.23 million people born in China in 2018, and the proportion of two children remained at around 50%.

  The total number of medical and health institutions in China is nearly one million.

  In terms of the number of medical and health institutions, the Bulletin shows that at the end of 2018, the total number of medical and health institutions nationwide reached 997,434, an increase of 10,785 over the previous year. Among them, there are 33,009 hospitals, 943,639 primary medical and health institutions and 18,034 professional public health institutions.

  Among them, private hospitals accounted for 63.5% of the total number of hospitals in 2018, an increase of 3.1 percentage points over the previous year. The proportion of outpatients and inpatients in private hospitals increased from 14.2% and 17.6% in 2017 to 14.8% and 18.3% respectively.

  In terms of the number of health workers, at the end of 2018, the total number of health workers nationwide reached 12.3 million, an increase of 551,000 (an increase of 4.7%) over the previous year. Among them, there are 9.529 million health technicians, 907,000 rural doctors and health workers, 477,000 other technicians, 529,000 managers and 858,000 workers and technicians. Among the health technicians, there are 3.607 million licensed (assistant) doctors and 4.099 million registered nurses.

  In 2018, there were 2.59 licensed (assistant) doctors and 2.94 registered nurses per 1,000 population; There are 2.22 general practitioners per 10,000 population and 6.34 professional public health institutions per 10,000 population.

  The average resident visits 6.0 times, and the per capita hospitalization expense exceeds 9,000 yuan.

  According to the Bulletin, in 2018, the total number of outpatients nationwide increased by 130 million person-times or 1.6% over the previous year. The average number of visits by residents increased from 5.9 in 2017 to 6.0.

  In 2018, the number of people admitted to medical and health institutions nationwide was 254.53 million, an increase of 10.17 million over the previous year, and the annual hospitalization rate was 18.2%, an increase of 4.2% over the previous year. The number of beds in medical and health institutions per thousand population increased from 5.72 in 2017 to 6.03.

  In terms of medical expenses, in 2018, the average outpatient expenses of the hospital was 274.1 yuan, which was 6.7% higher than that of the previous year and 4.5% higher than the comparable price. The per capita hospitalization expense is 9291.9 yuan, which is 4.5% higher than that of the previous year and 2.4% higher than that of the comparable price. The average daily hospitalization expense is 1002.8 yuan.

  In addition, in 2018, the average outpatient drug cost (112.0 yuan) accounted for 40.9%, down 1.8 percentage points from the previous year (42.7%); The per capita hospitalization expenses (2621.6 yuan) accounted for 28.2%, which was 2.9 percentage points lower than the previous year (31.1%).

  The population born in 2018 was 15.23 million. The average life expectancy is 77 years.

  According to the Bulletin, the average life expectancy of China residents has increased from 76.7 years in 2017 to 77 years in 2018, the maternal mortality rate has dropped from 19.6/100,000 to 18.3/100,000, and the infant mortality rate has dropped from 6.8‰ Down to 6.1‰ .

  In terms of newborn population, there were 15.23 million people born in China in 2018, and the proportion of two children remained at about 50%. The sex ratio continues to decline steadily. Maternal and child health services have been actively promoted, the whole-course maternity service has been strengthened, and the construction of maternal and child facilities has been solidly promoted. The allocation rate of public places that should be equipped with maternal and child facilities has reached 88.3%. (End)

Cross-Strait and Hong Kong-Macao Cycling Race Began in Shenzhen

Image source: Nanfang Daily

  From November 18th to 19th, the first "Bright Cup" cycling race between the two sides of the Taiwan Straits and Hong Kong and Macao was held in Shenzhen. 210 contestants from both sides of the Taiwan Strait and Hong Kong and Macao competed on the spot, and nearly half of them came from Taiwan, Hong Kong and Macao. This event is an important part of the 2023 Cross-Strait Exchange and Integration Month series. The competition adopts a novel competition system of circling and scoring, and on the 18th and 19th, several rounds of competitions are held to decide the champions of each group.

  In addition, this year’s competition also carried out supporting activities such as bicycle carnival, parent-child activities of roller coaster, and "natural dream starry night", which allowed athletes to experience test riding, taste food and share extreme challenge stories face to face.

A total of 121,003 Changan announced that it would recall 10 models.

  [News] Recently, Chongqing Automobile Co., Ltd. filed a recall plan with the General Administration of Quality Supervision, Inspection and Quarantine according to the requirements of the Regulations on the Management of Defective Automobile Product Recall, and decided to recall CS75, CS35, Zhishang XT and other models from March 31, totaling 121,003. The detailed models are as follows:

Changan Automobile Changan CS75 2014 2.0L Manual Luxury National IV

『CS75』

Changan Automobile Ruicheng 2014 1.8T Automatic Flagship Annual Edition Country V Changan Automobile changan CS35 2015 1.6L automatic distinguished national IV

Rui Cheng and CS35』

Changan automobile zhishang XT 2015 1.5T automatic cool model Changan Automobile Yuexiang V7 2015 1.6L automatic fun type

"to Shang XT and"

● Recall models:

  (1) A total of 21,538 CS75 and Ruicheng vehicles were produced from January 3, 2015 to February 12, 2015 (inclusive);

  (2) A total of 65,686 vehicles of CS35, Yidong, Zhishang XT and V7 were produced from December 9, 2014 to January 30, 2015 (inclusive);

  (3) A total of 14,334 CX20 vehicles were produced from December 1, 2014 to January 30, 2015 (inclusive);

  (4) A total of 19,445 automobiles were produced from December 5, 2014 to February 27, 2015 (inclusive).

● Reason for recall:

  Due to the supplier’s production batch, the oxidation resistance of vehicles within the scope of this recall is insufficient, which may cause the cooling performance to decrease and affect the cooling effect. In extreme cases, the water temperature may increase, which may pose a safety hazard.

● Solution:

  Chongqing Changan Automobile Co., Ltd. cleaned the cooling system of the vehicles within the above-mentioned recall range free of charge and replaced the coolant to eliminate potential safety hazards.

  Chongqing Changan Automobile Co., Ltd. will notify relevant car owners by telephone, text message and letter through Changan Automobile Special Service Station to arrange free maintenance. Owners can call the service hotlines: 400-888-6677, 400-884-0066 or visit the official website of Changan Automobile (www.changan.com.cn) for more information. (Text/car home Xingyu)

  Read more:

  2015 Changan Yidong /CS35/ Zhishang XT was officially launched.
  //www.autohome.com.cn/news/201503/864081.html