Text/"Outlook" News Weekly reporter Sun Bo Ren Wei

　　Yinchuan City, Ningxia, which is short of high-quality medical resources, is trying to meet the demand of "zero distance" contact between the masses and famous national hospitals through "Internet+medical care".

　　According to the reporter of Outlook News Weekly, Yinchuan has started the construction of the first Internet medical industry base in China, supporting the introduction of Internet hospital management measures, and connecting online medical services with medical insurance policies for the first time in China.

　　Analysts pointed out that Internet hospitals can help solve the problems of insufficient medical resources, especially the uneven allocation of high-quality medical resources. It is of great and far-reaching significance to promote the transformation and upgrading of traditional medical service model, enhance the service function of primary medical and health institutions, and explore new innovative grading diagnosis and treatment model.

　　However, the "license" issued by Yinchuan City to Internet hospitals is only a local administrative license, and it still lacks legal protection and institutional support at the national level. When can an Internet hospital get a real "legal identity"?

　　The staff debugged the consultation system on the Internet medical and health service platform (photo taken on March 24). Photo taken by Wang Peng/This magazine.

　　A famous hospital for famous doctors at the "doorstep"

　　As the capital city of national smart city pilot city, medical reform pilot city and telemedicine policy pilot province, Yinchuan City, Ningxia has been exploring and trying "Internet+medical care".

　　At the end of 2016, Yinchuan Smart Internet Hospital jointly established by Yinchuan City and Good Doctor Online opened. In just over 100 days, 985,000 patients were served, including 43% in the central and western regions and 6,516 local patients, about 10% of whom were critical and difficult diseases.

　　Ge Chunlong, medical executive director of Yinchuan Smart Internet Hospital, said that at present, Yinchuan Smart Internet Hospital has completed the multi-point practice filing procedures for 11,000 doctors. Among them, 92% are from tertiary hospitals, and 88% are chief physicians or deputy chief physicians. Some township hospitals have set up online consultation rooms to help grassroots patients consult and seek medical treatment online.

　　Specifically, after patients enter the "consulting room" on the mobile phone client, they can communicate with doctors through text, voice, video and other forms. For newly diagnosed patients, doctors can go to a suitable hospital for face-to-face consultation nearby, and a few common diseases suitable for online initial diagnosis can be given a diagnosis and treatment plan online; For patients who return to the clinic, doctors can make online consultation, arrange nearby examination, and prescribe drugs online, which are delivered to the door by qualified online drug suppliers; For patients with major diseases, the hospital can invite national authoritative experts for online consultation and make an appointment for local surgery.

　　Xia Tiantian, who is more than 6 months old, suffers from hemangioma, and the effect of local treatment for several months is not obvious. The doctor suggested going to a big hospital in Beishangguang for treatment. Parents are worried that their children are too young to withstand the twists and turns on the road. After being introduced, they contacted the authoritative experts of the Ninth People’s Hospital affiliated to Shanghai Jiaotong University School of Medicine for online diagnosis and treatment. "Doctors in Shanghai have opened a checklist for external use and heart color ultrasound on the Internet, telling us to give our children a heart color ultrasound before taking the medicine to rule out the history of serious heart disease and asthma. We hung up the expert number of Shanghai Grand Hospital at home. You don’t have to travel back and forth, at least you can save 12,000 yuan on air tickets, accommodation and catering. " Xia Tiantian’s father said.

　　Guo Baichun, deputy mayor of Yinchuan City, said that among the expenses for patients in the central and western regions to seek medical treatment in the Beijing-Guangzhou University Hospital, non-medical expenses such as food, housing and transportation account for about 30%-50% of the total expenses. Doctors from Beishangguang and other places join Internet hospitals for multi-point practice, which is equivalent to integrating the fragmentation time of these doctors, recreating 2-3 times of doctor resources and increasing the supply of medical resources. "These high-quality medical resources have sunk to the central and western regions where medical resources are scarce through information technology, which is convenient for local residents to seek medical treatment nearby, eliminating the need for travel and non-medical expenses in the process of diagnosis and treatment, and also has a positive effect on preventing poverty and returning to poverty due to illness." Guo Baichun said.

　　Revitalize grass-roots resources

　　The emergence and development of Internet hospitals not only re-created doctors’ resources and increased the supply of medical resources, but also made use of Internet technology to realize the sinking of high-quality medical resources and make up for the uneven distribution of high-quality medical resources.

　　According to Yang Yinxue, president of the General Hospital of Ningxia Medical University and president of Ningxia Internet Hospital, the uneven distribution of medical resources and insufficient quality resources, the incomplete construction of the four-level medical system at the provincial, city, county and township levels, and the lack or lack of human resources are a major problem facing the current medical reform. Taking graded diagnosis and treatment as an example, it is difficult because the staffing of primary medical and health institutions cannot meet the people’s demand for medical treatment. "For example, Helan County, a suburb of Yinchuan, has 260,000 people and only over 1,100 medical staff. Among them, there are less than 30 deputy chief physicians, and the shortage of human resources in mountainous counties is even more serious. "

　　This means that in order to achieve 90% of patients in the county by 2020, grass-roots medical institutions need to establish convenient and rapid consultation channels with famous doctors and hospitals, and improve the service level through technology sharing.

　　An interview with the reporter of Outlook News Weekly learned that Ningxia Internet Hospital, which was jointly established by Micro-medicine and General Hospital of Ningxia Medical University, is building a graded diagnosis and treatment platform in the northwest region. It can not only make patients feel at ease to stay in the local area for medical treatment, but also make use of the local idle medical resources. Lun Ziyi, the relevant person in charge of Ningxia Internet Hospital, said: "Relying on the main platform of micro-medicine, Ningxia Internet Hospital has sunk the experience of top experts to the grassroots level to help grassroots doctors improve their professional ability. At present, more than 40 groups of experts led by experts from the General Hospital of Ningxia Medical University have settled in Ningxia Internet Hospital to provide team medical services for the masses and promote graded diagnosis and treatment. "

　　In addition, Internet hospitals also explore new modes of doctor collaboration to promote the efficient distribution of medical resources. On some Internet hospital platforms, tertiary hospital experts build disciplines vertically and form discipline teams with primary doctors, who share medical experience and knowledge with them.

　　Sun Tao, president of Ningxia Medical University, believes that this cooperation mode can realize a new model of graded diagnosis and treatment among team members, including first consultation, referral and consultation. Let experts concentrate on scientific research and teaching, and grass-roots doctors undertake more tasks of first diagnosis and outpatient service, so that limited medical resources can be rationally utilized.

　　At present, in Yinchuan Smart Internet Hospital, 53 nationally renowned experts have established cooperative relations with local hospitals to provide linkage support for the construction of their key disciplines. Ningxia Internet Hospital has established an online and offline "discipline alliance" through cross-regional discipline co-construction, and 10 interdisciplinary consultation centers led by academicians provide consultation services for people in Ningxia and Northwest China.

　　The application of "discipline alliance" and telemedicine has brought convenience to local people. Lao Dong, a 67-year-old patient from Changxin Township, Helan County, was consulted at Ningxia Internet Hospital for suffering from the left femoral intertrochanteric fracture. The First People’s Hospital of Helan County connected with experts from Ningxia Medical University General Hospital and Shanghai Changhai Hospital. The three-party remote consultation confirmed the 3D orthopedic surgery plan for him, and the diagnostic ability of local doctors was effectively improved during the consultation.

　　Tian Yonghua, director of the Yinchuan Municipal Health Planning Commission, said that the development of Internet hospitals will also help improve the management effect of chronic diseases. With the help of the Internet platform, grassroots doctors, community doctors and family doctors who undertake the diagnosis and treatment of chronic diseases can be effectively connected with specialists, who can make follow-up, management and guidance online, popularize and upgrade professional knowledge to grassroots doctors, and realize personalized management of patients through electronic health records, big data analysis and other tools to provide support for clinical decision-making.

　　Establish rules and regulations for internet hospitals

　　Under the new layout of exploring "Internet+medical care" in Yinchuan, up to now, Yinchuan has signed contracts with 17 enterprises related to Internet medical services, such as Good Doctor, Micro-medicine, Lilac Garden, Peking University Medical Information and Dr. Chunyu, and conducted centralized pilot projects by establishing industrial bases to explore the development path, supervision system, risk prevention measures and supporting policies of the "Internet+medical care" industry.

　　In view of the lack of corresponding industry supervision regulations and standards, there is a regulatory vacuum in Internet hospitals. Based on the relevant national laws and regulations, Yinchuan issued a series of policies this year to support and standardize Internet medical services, taking the lead in filling the regulatory gap in domestic Internet hospitals.

　　In order to improve the online diagnosis and treatment quality and service level of Internet hospital practitioners, standardize their practice behavior, and ensure the safety of patients seeking medical treatment, Yinchuan has established an access and rating system for Internet hospital practitioners, which puts forward clear requirements for online doctors’ clinical work experience, practice scope, professional titles, etc., and will implement an assessment, grading and withdrawal mechanism for online doctors.

　　Medical care involves life, health and personal privacy, and quality and safety are important prerequisites for developing "Internet+medical care". Tian Yonghua said that medical practitioners certified in Yinchuan Internet Hospital must have at least 5 years of offline clinical work experience and obtain intermediate titles after obtaining the qualification of medical practitioners; The medical services provided by online doctors must be consistent with their scope of practice and professional skills, and obtain the corresponding prescription rights of Internet hospitals.

　　Internet hospitals will also evaluate the online activity of doctors, the number of consultations, the accuracy and rationality of diagnosis and treatment, complaints and medical disputes, honest service and patient satisfaction. The rating will be linked to the standard of doctors’ medical fees, professional title evaluation and exit mechanism. For example, doctors should participate in or carry out discipline training twice a year; Online time is not less than 7.5 hours per month, consultation is not less than 40 person-times, and diagnosis and treatment is not less than 10 person-times; The deviation between the patient’s appointment time and the actual time of providing consultation or diagnosis and treatment services is less than 8 hours; The diagnostic accuracy and rationality of online follow-up visit and initial visit are not less than 90% and 70% respectively.

　　In addition, Yinchuan is the first time in China to connect online medical services with medical insurance policies, and conduct a pilot project of co-ordinating online consultation fees with accounts in limited areas and quotas. On the basis of the relevant system requirements of the state and autonomous regions, it also took the lead in implementing online and offline electronic mutual recognition and management of electronic prescriptions in Internet hospitals in Yinchuan.

　　According to reports, insured employees in Yinchuan can use social security card personal account funds to pay online medical expenses; To participate in urban workers’ medical insurance and urban and rural residents’ medical insurance, the annual maximum payment limit of online outpatient co-ordination is 120 yuan and 50 yuan respectively, and the reimbursement ratio of outpatient medical expenses within the scope of "Three Catalogs" of basic medical insurance is 50% and 40% respectively, and the maximum payment amount for each time is 8 yuan and 5 yuan respectively. The reimbursement of medical expenses for online outpatient co-ordination per person per day is limited to one time.

　　For the information security issues involved in the "Internet+Medical" service process, Yinchuan City requires that all the servers, service process data and patient health files of Internet hospitals be placed or stored in the Smart Yinchuan Big Data Center, and the ports should be opened to the regulatory authorities. Using the characteristics of online traces, data collection, mining and analysis are carried out to realize real-time, traceable and dynamic supervision of Internet hospitals by regulatory authorities.

　　In the past two years, the development of "Internet+medical care" service has been proposed in relevant national documents, but at present, there is still no official definition and national identity recognition of Internet hospitals. Some people in charge of Internet medical enterprises in Yinchuan admitted that the innovation of policies and the breakthrough of systems in Yinchuan City have pushed the development and management of Internet hospitals forward a big step towards institutionalization, but the "license" issued by Yinchuan City to Internet hospitals is only a local administrative license, and only the legal guarantee and institutional support at the national level can more effectively promote their sustained and healthy development.

　　During the two sessions of the National People’s Congress this year, some deputies to the National People’s Congress and CPPCC members also suggested improving the top-level design of "Internet+medical care" service, and formulating relevant laws and regulations on the establishment, supervision and multi-point practice of doctors in Internet hospitals, so as to provide legal protection for the healthy and orderly development of "Internet+medical care" service.

　　There are also some grass-roots managers who suggest that at present, the conditions for the unified introduction of relevant policies by the state are not yet available and need to be piloted. They suggested the introduction of licensing regulations, allowing some cities with mature conditions to be used as national pilots to accumulate experience and samples for the development of Internet hospitals.

　　Tian Yonghua said that Yinchuan has the institutional support of big data technology support and management policies, and has the conditions to provide test samples for the national regulatory authorities and the development of Internet hospitals across the country. "We have found a way to develop Internet hospitals, but if we want to go further and feel more at ease, we still hope to have a national ‘ Reassuring pills ’ 。” (End)

　　[Editor: Zhang Jielong]

On October 27th, Red Star Capital Bureau learned exclusively from insiders that Sichuan Ziqi Culture’s lawsuit against Hangzhou Weinian was a "payment lawsuit".

Just now, the Red Star Capital Bureau also confirmed from ByteDance that due to the dispute between Li Ziqi and the signing company Micro-read, ByteDance, a shareholder of Micro-read, started the withdrawal process on October 16th.

On October 25th, Sichuan Ziqi Culture Communication Co., Ltd. (hereinafter referred to as "Ziqi Culture") and Liu Tongming and MCN organization Hangzhou Weinian Brand Management Co., Ltd. (hereinafter referred to as "Hangzhou Weinian") added filing information. The plaintiff in the first instance was Ziqi Culture, and the defendants were Hangzhou Weinian and Liu Tongming. The handling court is Mianyang Intermediate People’s Court of Sichuan Province.

Li Zikai has stopped for more than three months. It was speculated that Li Zikai had a disagreement with her MCN organization Hangzhou Micro-Reading. The disclosure of the above-mentioned filing information also confirms that there is a dispute between the two.

Micro-reading was exposed that many "Liziqi" trademarks were not registered successfully.

Shareholder ByteDance decided to quit.

On October 27th, the latest news, Red Star Capital Bureau confirmed from ByteDance that due to the dispute between Li Ziqi and the signing company Micro-read, ByteDance, a shareholder of Micro-read, started the withdrawal process on October 16th.

At the beginning of July this year, industrial and commercial changes occurred in the brand management of the micro-reading company signed by Li Ziqi, and ByteDance affiliated company Beijing Quantum Leaping Technology Co., Ltd. was added as a shareholder, holding 1.48% of the shares. Less than half a year from holding shares to announcing withdrawal.

Not only that, but recently, Hangzhou Weinian was also exposed that the application for registration of multiple "Liziqi" and "Ziqi" trademarks was unsuccessful.

Tianyancha APP shows that since September 2017, Hangzhou Weinian has applied to register a number of trademarks of "Liziqi" and "Ziqi", and the international classification involves food, website services, beer and beverages. At present, the status of these trademarks is awaiting substantive examination, the trademarks are invalid, and they have not been registered successfully.

Facing the dispute between Li Ziqi and the signing company, ByteDance, the shareholder of Micro-read, started the withdrawal process on October 16th. According to a person close to the transaction, ByteDance had invested in Micro-education mainly because he was optimistic about Li Ziqi. Now that Li Ziqi and Wei Nian are in disagreement, ByteDance decides to quit.

Formal prosecution:

Li Zikai sued the "old club"

Insiders call it a "lawsuit of payment" or claims, property return, etc.

On October 25th, Sichuan Ziqi Culture Communication Co., Ltd. and Liu Tongming and Hangzhou Weinian Brand Management Co., Ltd. (hereinafter referred to as Hangzhou Weinian) added new filing information. The plaintiff in the first instance was Sichuan Ziqi Culture Communication Co., Ltd. and the defendant in the first instance was Hangzhou Weinian Brand Management Co., Ltd., Liu Tongming. The handling court is Mianyang Intermediate People’s Court of Sichuan Province.

According to shareholder information, Sichuan Ziqi Culture Communication Co., Ltd. is owned by Hangzhou Weinian Brand Management Co., Ltd. and Li Jiajia (Liziqi) with 51% and 49% respectively. This time, Ziqi Culture sued Hangzhou Weinian, which means that the subsidiary sued the parent company, and Li Ziqi sued the "old club". As soon as this news came out, there was an uproar on the internet and there were many comments.

So, what is the claim of Sichuan Ziqi Culture Communication Co., Ltd.? In this regard, the Red Star Capital Bureau has learned from many parties, and an insider revealed that this lawsuit is a "payment lawsuit".

So, what is a "payment lawsuit"? In this regard, the Red Star Capital Bureau consulted professional lawyers in the industry. According to Tong Wei, a lawyer of Beijing Yingke (Chengdu) Law Firm, the so-called "payment lawsuit" refers to a dispute that one party asks the other party to perform certain obligations (including actions and omissions) based on a certain legal relationship, and goes to court to ask the other party to pay for certain behaviors, such as asking the other party to compensate for losses and return property.

Tong lawyer also said that "payment lawsuit" is a common and complicated lawsuit, which orders the obligor to perform certain obligations on the basis of confirming the relationship between rights and obligations. Therefore, it includes both the confirmation of legal relationship and the decision to pay, which is closely related to the confirmation lawsuit.

For this lawsuit, Assistant Li Ziqi told Red Star Capital Bureau a few days ago that she didn’t know much about the specific progress of the matter at present, so thank you for your concern. At the same time, the Mianyang Intermediate People’s Court stated that the case would be handled according to the procedure and tried according to law.

Sky eye check information display

Behind the prosecution:

Li Ziqi’s "Stop March"

The assistant once voiced: In December 2017, he signed a brokerage-free contract with Hangzhou Micro Mind.

Earlier, some media reported that Li Zikai had stopped for three months. There have been rumors on the Internet that Li Zikai had a disagreement with her MCN organization Hangzhou Weinian Brand Management Co., Ltd. This lawsuit also confirmed this statement from the side.

The Red Star Capital Bureau combed and found that on October 14th, some media published a report on "Micro-thinking investors: Li Zikai did have a contradiction with his brokerage company". The report pointed out that Li Zikai and Hangzhou Weinian Brand Management Co., Ltd. have differences in the distribution of benefits. In the report, a micro-read investor revealed that according to the contract signed by Li Zikai and micro-read, the relationship between the two parties is "blogger" and "MCN", not a partner; The brand of Li Zikai is under the responsibility of Wei Nian, and the whole e-commerce has little to do with Li Zikai himself.

In response, Li Ziqi, assistant, issued a response from Weibo, saying that Li Ziqi had no brokerage contract with Wei Nian in December 2017, and she also exposed Wei Nian’s previous response to online rumors.

Micro-reading the previous response to online rumors

The Red Star Capital Bureau saw in this response that Ms. Li Ziqi is a cherished partner of Micro-Reading. At first, I paid attention to Ms. Li Ziqi’s works and sent her a contract invitation. After communication and contact, the two parties reached an agreement and started cooperation in September 2016. The company provided Weibo resources promotion services for them, so that Ms. Li Ziqi could devote herself to content creation.

In July 2017, Ms. Li Ziqi and Hangzhou Weinian changed the cooperation mode, and the contract mode changed to the joint venture company mode, and jointly established Sichuan Ziqi Culture Communication Co., Ltd. to prepare the brand of Li Ziqi and operate together. Upon inquiry, Liziqi brand products include snail powder, moon cakes, loquat cream, egg yolk cake, beef sauce and so on.

Red Star News reporter Tang Xiaojun Qiang Yaxi

Editor Yang Cheng

Original title: "Exclusive | Insider talks about Li Ziqi Company v. Hangzhou Micro-thoughts" ByteDance confirms that he will withdraw from investment.

Read the original text

1905 movie network news On January 12th, the launching ceremony of Little Couples was held in Suzhou, and all the creators were present. Ying Dai and Tian Tian are the chief producers, Jia Zhiqi and Yangyang are the producers and screenwriters, and Lv Ying is the director. Starring, starring, starring. This paper mainly tells the urban emotional story of online celebrity writer Cherie and her dad who exchanged family roles and the husband and wife joined hands to spend the family crisis.

Little Couples has attracted much attention from the industry since it was published. In the play, Cherie played by Yin Tao and Zhou Quan played by Guo Jingfei chose to break the inherent thinking of Chinese marriage and take love and understanding as the solution to life when the family and workplace were in a two-way crisis, and finally achieved the perfection of the family. For "little couples" in modern cities, family is a city and a fortress, while husband and wife should be partners and confidants, and comrades-in-arms who face trivial life together. How to make the family impregnable in the rapidly changing social system may be a proposition that all audiences need to examine together.

"Little Couples" is a man who suddenly fell into a crisis in the workplace when he was middle-aged, but his wife, Cherie, became popular overnight by mistake. His father returned to his family, his mother fought hard, and his son’s education was imminent. Although the family was forced to face a new family division of labor, they still bravely faced the changes of life hand in hand. Morphy, a free and easy and brave elite girl, met Yuan Yi, a wise and chic girl. From tit-for-tat to appreciate each other, they changed each other in a subtle way. The relationship between the characters in Little Couples is novel, and the characters are full of three-dimensional images. Through the transformation of urban family roles, it redefines the value of the division of labor between husband and wife, and also realizes the deep discussion of "what should we have done".

The cast of "Little Couples" is also strong, which directly fills the audience’s expectations. Yin Tao, an actress, has made many excellent works in recent years, and recently won the Golden Eagle Award for Best Actress, explaining with absolute strength how the outstanding woman "Cherie" intelligently responds to the ups and downs in life; Actor Guo Jingfei has won an excellent reputation with many explosive dramas, and the multiple roles are easy to control, which is bound to present a "comprehensive" that is harmonious and harmonious; Qi Xi, as the winner of the Golden Rooster Award for Best Supporting Actress, is the best candidate for the role of "Morphy". Leon’s "Yuan Yi" is extremely tense, and the double businessmen continue to fill the golden sentences frequently, and the role is extremely vivid and eye-catching.

Appendix 2: Summary of vehicle restriction rules, time, area and measures in Beidaihe District on weekends.

First, Beidaihe District Weekend Restricted Area and Measures

Beidaihe District implemented the traffic management measures of single and even numbers on weekends from July 14th to August 19th on the basis of the normal limit of motor vehicle tail numbers.

(1) Time limit

From July 14th to August 19th, from 7: 00 am to 20:00 pm.

(2) Restricted areas and roads

Beidaihe District: all roads in the west of Shandong Bao Overpass on Binhai Avenue, south of western expressway (excluding) and east of Xintongfeng Road (excluding), as well as Haibei Road (south of National Highway 205) and Beidaihe Approach Road of Jingha Expressway (east of Taipingzhuang Overpass). Vehicles in the direction of Jingha Expressway can travel through Taipingzhuang overpass-Haibei Road (northward, this section of the city is accessible)-National Highway 205.

(3) The principle of restriction

From July 14th to August 19th, vehicles entering Beidaihe District in this city will be restricted by single and even numbers every Saturday and Sunday, and even-numbered vehicles will be allowed to pass on Saturdays (even-numbered vehicles are prohibited) and odd-numbered vehicles will be allowed to pass on Sundays (even-numbered vehicles are prohibited). License plate tail number: single number is 1, 3, 5, 7 and 9, even number is 2, 4, 6, 8 and 0, and the last Arabic numeral shall prevail if the tail number is English letters. Freight motor vehicles that have issued passes shall be subject to weekend restriction measures in addition to driving according to the time and route specified by the public security traffic control department.

(4) Special access requirements

1. The following motor vehicles are not restricted by the single and double number restriction measures:

(1) buses, long-distance passenger buses, passenger taxis (excluding rental vehicles), special postal vehicles, vehicles with tourist bus operation certificates issued by the transportation management department, and medium-sized or above commuter buses approved by the municipal public security traffic management department;

(2) police cars, fire engines, ambulances, engineering rescue vehicles and vehicles of the People’s Liberation Army and the Armed Police Force;

(3) Special vehicles that need to pass, such as urban management, industry and commerce, traffic law enforcement, environmental protection supervision and monitoring, on-site investigation of insurance companies, bank cash transport and rescue, and obstacle clearing, which are painted with uniform signs and perform official duties;

(4) Special operation vehicles for sanitation, gardens and road maintenance;

(5) Funeral vehicles in funeral homes;

(6) buses that have applied for new energy number plates (including new energy buses that have been filed).

2. Pass application

Meet the following conditions, to the traffic police Dongshan brigade (Beidaihe District, the north side of Danchi Road) to apply for Beidaihe tourist season road pass.

(1) Vehicles of city and county (district) party committees, governments, people’s congresses, CPPCC committees and their subordinate commissions, institutions, democratic parties and social organizations that carry out the task of ensuring the tourist peak season shall be issued in principle according to the proportion of 1/4 of the number of buses approved after the bus reform, and the agent shall handle it with the motor vehicle driving license and the application letter or letter of introduction issued by the unit.

(2) Units and enterprises stationed in Qin that really need to pass through roads in restricted areas due to production and life can apply for a road pass in Beidaihe tourist season with a motor vehicle driving license and an application letter or letter of introduction issued by the unit according to the principle of minimum guarantee.

(3) Persons with disabilities who are registered in Beidaihe District can apply for a road pass in Beidaihe tourist season with their motor vehicle driving license, driver’s license and disability certificate, and the Beidaihe Disabled Persons’ Federation is responsible for the unified declaration.

(4) Citizens whose household registration is located in Beidaihe District, who really need to go to the hospital regularly for medical treatment and treatment (such as uremia patients need regular dialysis treatment, etc.) due to illness of family members, can apply for a road pass in Beidaihe tourist season with proof of household registration, medical diagnosis, driving license and driver’s license.

Second, other motor vehicle restrictions

(1) Key restricted roads

1. West Beach Road (Jianqiu Road to Laohump Road), Middle Beach Road (Baoer Road to Dongsan Road), Baosi Road, Baowu Road, Baoliu Road, Qiqiao South Road, Dongyi Road and Donger Road in Beidaihe District are prohibited from passing by motor vehicles.

2. Zhongtan Road in Beidaihe District (from Baowu Road to Donger Road) is set as a pedestrian street, and motor vehicles with special passes are subject to one-way traffic from east to west.

3. The West Ring Road (from Hebei Street to North Ring Road) in Haigang District is closed to large trucks, tractors and low-speed freight cars from 7: 00 to 21: 00 every day. Vehicles passing by can bypass Funan Link (SL16) via National Highway 102 or National Highway 205.

4. From 7: 00 to 22: 00 every day, large trucks, tractors and low-speed freight cars are prohibited along the entire coastal highway in Beidaihe New Area (Daihe Street and Binhai New Avenue), and vehicles passing by can bypass Qingle Highway (S261).

(2) Provisions on the restriction of medium-sized and above passenger cars

More than 9 medium-sized buses and large tourist buses (yellow license passenger cars) are prohibited from passing in Dongjing Road (west of Dongsan Road), Xijing Road, Xitan Road and Jianqiu Road (south of Lianfeng Road) in Beidaihe District.

(3) Other vehicle restrictions

1, freight motor vehicles, tractors, special work vehicles, wheeled self-propelled machinery, tractors, low-speed freight cars, animal-drawn vehicles, in addition to the 205 National Road, it is forbidden to pass within the scope of urban roads in Beidaihe District; Freight motor vehicles that really need to pass to transport fresh products, domestic garbage and other necessities of life can apply for a pass at the Fifth Brigade of the Municipal Traffic Police Detachment and drive according to the specified time and route.

2. Two-wheeled motorcycles and three-wheeled motorcycles (including electric three-wheeled motorcycles) are prohibited from passing through all roads in the west of Shandong Fort Overpass on Binhai Avenue, south of Western Expressway (excluding) and east of New Hump Road (excluding), as well as Haibei Road (south of National Highway 205) and Beidaihe Approach Road of Jingha Expressway.

　 　 3. Vehicles transporting guns, ammunition, explosions, toxic, radioactive and other dangerous goods and hazardous wastes are prohibited from passing within the urban roads in Beidaihe District; Vehicles transporting fuel, gas and other dangerous chemicals necessary for people’s life need to go to the traffic police No.5 Brigade to apply for the road pass in Beidaihe tourist season, and drive according to the specified time and route.

Sputum is the secretion produced by trachea, bronchus and alveoli. Under normal circumstances, the amount of secretion is small, and under pathological conditions, such as lung inflammation, tuberculosis and tumor, the amount of sputum increases, and its properties and composition change. Clinically, sputum specimens are often used to identify the pathogenic bacteria that cause infection, so as to make a correct etiological diagnosis and choose effective antibiotics.

When we operate the airway clearance technology for patients with sputum retention, patients can often cough up sputum with various properties and colors. What do these properties and colors represent? I believe many colleagues have the same doubts as me. This paper has inquired about some information and made some simple introductions.

First, the mechanism and classification of sputum color.　

1.1 The mechanism of sputum color …　

Robertson discovered in 1955 that the color of green sputum was caused by myeloperoxidase. When inflammation occurs, the eosinophil blue granules in neutrophils and monocytes contain green myeloperoxidase, so when the amount of neutrophils and monocytes in secretions increases, sputum with purulent nature during infection appears.

In addition, Pseudomonas aeruginosa can also produce a variety of pigments, including pyocyanin, pyocyanin, pyocyanin and fluorescein. Thereby causing the color of sputum to become darker.

1.2 Classification of sputum color　

Bronkotest5-point chart is a standardized method for sputum color classification, in which 1-2 is white to light yellow, and 3,4 and 5 are more and more purulent. Green indicates a bacterial infection. In AECOPD population, the positive predictive value of the presence of green sputum for bacterial infection is 80%, while the negative predictive value of no green sputum is 93%.

Second, the meaning of the nature and color of sputum.　

2.1 the nature of sputum　

It can be divided into mucinous, serous, purulent and bloody.

Mucinous sputum is more common in the early stage of acute bronchitis, bronchial asthma and lobar pneumonia, and can also be seen in chronic bronchitis and tuberculosis.

Serous sputum is found in pulmonary edema, alveolar cell carcinoma, etc.

Purulent sputum is common in purulent bacterial lower respiratory tract infections, such as pneumonia, bronchiectasis and lung abscess.

Bloody phlegm is caused by the invasion of respiratory mucosa, damage to capillaries or blood infiltration into human alveoli.

2.2 Color and smell of phlegm　

Rusty sputum is the characteristic of typical pneumococcal pneumonia. (The picture comes from Zhou Tingyin-Clinical Microbiological Diagnosis and Diagram)　　

Yellow-green or emerald-green sputum suggests Pseudomonas aeruginosa infection; (The picture comes from Zhou Tingyin-Clinical Microbiological Diagnosis and Diagram)　　

Staphylococcus aureus infection is suggested by golden yellow sputum. (The picture comes from Zhou Tingyin-Clinical Microbiological Diagnosis and Diagram)　　

The phlegm is white, thick and silky, suggesting fungal infection;　

A large number of thin serous sputum containing dermoid suggests echinococcosis (echinococcosis);

Pink foam sputum is the characteristic of pulmonary edema;

Odor sputum suggests anaerobic infection.

Third, the application of sputum color in different diseases　

3.1 Diagnostic value of bacterial infection in patients with acute cough　

In the study of sputum samples obtained from 241 patients with acute cough during medical treatment. Bacterial infection was confirmed in 28 samples (12%), and typical pathogens were isolated, such as Streptococcus pneumoniae (n=9), Haemophilus influenzae (n=5), haemophilus parainfluenzae (n=5) and Moraxella catarrhalis (n=4).

The results showed that bacterial infection was obviously more common in yellow or green sputum samples.

3.2 Application in non-cystic fibrosis bronchiectasis.　

In a study on the relationship between sputum color of patients with bronchiectasis and bacterial colonization, 141 stable sputum samples of patients with bronchiectasis were graded by color chart.

The results showed that the coincidence rate was 80.9% in mucus group, 90.3% in mucus suppuration group and 76.3% in suppuration group. That is, phlegm and pus are related to bacterial colonization. Haemophilus influenzae, Pseudomonas aeruginosa, Staphylococcus aureus, Streptococcus pneumoniae, etc. are common colonization bacteria of metaphase suppuration, so the color of sputum can be used as a useful aid for clinical management while waiting for the formal results of sputum microbiology.

3.3 application in AECOPD patients·　

The report of Global Obstructive Pneumonia Initiative (GOLD) in 2022 emphasized that sputum color during AECOPD was highly sensitive and specific to high bacterial load aggregation. In a systematic review on the existence of sputum color as bacteria in patients with acute exacerbation of chronic obstructive pulmonary disease, this systematic review and meta-analysis show that there is moderate evidence that purulent sputum defined by yellow or green during the exacerbation of chronic obstructive pulmonary disease is related to the significant increase of potential pathogens, which supports the GOLD report. However, there is still a lack of high-quality evidence to support the use of sputum color as a diagnostic pathogen in AECOPD.

Summary　

The change of sputum color in the process of disease aggravation is a sensitive and specific marker of pathogen existence, which can predict the number of high pathogens in bronchial secretions. But it can’t distinguish between virus and bacterial infection. Therefore, it should not be used to decide the choice of treatment, especially whether to use antibiotics.

Reference materials　

[1] Ge Junbo, Xu Yongjian, Wang Chen. Internal Medicine [M]. 9th edition. Beijing: People’s Medical Publishing House, 2018.

[2] Wan Yonghong, Lu Xuefeng. Diagnostics [M]. 9th edition. Beijing: People’s Health Publishing House, 2018.

[3]Channa S, Gale N, Lai E, Hall L, Quinn M, Turner AM. Colour vision deficiency and sputum colour charts in COPD patients: an exploratory mixed-method study. NPJ Prim Care Respir Med. 2021; 31(1):13. Published 2021 Mar 4. doi:10.1038/s41 533- 021- 00225-z

[4]Altiner A, Wilm S, Däubener W, et al. Sputum colour for diagnosis of a bacterial infection in patients with acute cough. Scand J Prim Health Care. 2009; 27(2):70-73. doi:10.1080/02813430902759663

[5]Murray MP, Pentland JL, Turnbull K, MacQuarrie S, Hill AT. Sputum colour: a useful clinical tool in non-cystic fibrosis bronchiectasis. Eur Respir J. 2009; 34(2):361-364. doi:10.1183/09031936.00163208

[6]Sputum colour and bacteria in chronic bronchitis exacerbations: a pooled analysis

Vollenweider DJ, Frei A, Steurer-Stey CA, Garcia-Aymerich J, Puhan MA. Antibiotics for exacerbations of chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2018; 10(10):CD010257. Published 2018 Oct 29. doi:10.1002/14651858.CD010257.pub2

[7]Spies R, Potter M, Hollamby R, et al. Sputum colour as a marker for bacteria in acute exacerbations of COPD: protocol for a systematic review and meta-analysis. Syst Rev. 2021; 10(1):211. Published 2021 Jul 27. doi:10.1186/s13643-021-01767-6

[8]Chen K, Pleasants KA, Pleasants RA, et al. A Systematic Review and Meta-Analysis of Sputum Purulence to Predict Bacterial Infection in COPD Exacerbations. COPD. 2020; 17(3):311-317. doi:10.1080/15412555.2020.1766433

[9]Vollenweider DJ, Frei A, Steurer-Stey CA, Garcia-Aymerich J, Puhan MA. Antibiotics for exacerbations of chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2018 Oct 29; 10(10):CD010257. doi: 10.1002/14651858.CD010257.pub2. PMID: 30371937; PMCID: PMC6517133.

Original Political Department Ma Jingyun Shashi District People’s Court

On October 30th, the 7th issue of "Shafa Lecture Hall" of the "Stars Project" of Shashi District People’s Court gave a wonderful lecture. This lecture hall is specially shared by Chaoyang Road Court. At home, members of the party group, judges and assistant representatives of judges participated in the activities. Tian Shaoxiong, Deputy Secretary General of Jingzhou Arbitration Commission, and several representatives of the Arbitration Commission were invited to attend.

Jiang Han

Four-level judge

Experience of handling transfer cases for new judges

Jiang Han, as a newly recruited judge this year, takes the Experience of Handling Transferred Cases by First-time Judges as the breakthrough point, and probes into the significance, working steps and problems needing attention in handling transferred cases. Through detailed case analysis, he emphasizes the key role of mediation in optimizing the allocation of judicial resources and improving the efficiency of dispute resolution.

"To handle the transfer case, we should have a deep understanding of the facts of the case and the demands of the parties, grasp the opportunity of mediation and use mediation methods flexibly. At the same time, we should also pay attention to four issues in the process: first, respect the wishes of the parties and ensure that mediation is carried out on the basis of their willingness; The second is to ensure the legitimacy and feasibility of the mediation agreement, so that it has legal effect and can be effectively fulfilled; The third is to make standardized transcripts and mediation documents to clarify the rights and obligations of both parties, the way of performance, the time limit for performance and other key contents; The fourth is to follow up and supervise the implementation of the mediation agreement, so that the mediation results can be truly implemented and the legitimate rights and interests of the parties can be effectively protected. "

Qin Xiaofei

President of Chaoyang Road Court

The construction contract disputes in recent three years

Analysis of common causes of development and change "

Qin Xiaofei, based on the Analysis of Common Reasons for the Development and Reform of Construction Contract Disputes in Shashi District People’s Court in Recent Three Years, deeply analyzed and shared the common reasons for the development and reform of construction contract disputes in our hospital in recent three years, and elaborated six key issues in construction contract disputes in detail, including the establishment, nature, effectiveness, determination of project price, actual constructor and defense of project quality. In particular, it emphasizes the difference between construction project contracts and other types of contracts, and the situation that the court needs to pay attention to when reviewing the effectiveness of contracts. Through in-depth analysis of the common causes of disputes over construction contracts and the auxiliary examples of specific cases, this paper provides ideas for judges in hearing such cases and helps to improve the quality and efficiency of judicial trials.

participate in a conference

welcome guest

Have a heated discussion and talk about your experience.

In the exchange seminar, the participating police officers actively asked questions and talked about their experiences, which triggered a heated discussion in the audience and the atmosphere was very active.

Everyone said that this lecture hall not only broadened the legal horizon, but also gained valuable practical experience, which is of great guiding significance for future work.

Tian Shaoxiong and the representatives of the Arbitration Commission made wonderful comments on this event, and put forward unique opinions and suggestions from the perspective of arbitration, which provided a new thinking direction for everyone. They said that the "Shafa Lecture Hall" is not only a platform for learning and communication, but also a position where ideas collide and wisdom blend, which is of great significance for promoting the perfection and development of the litigation-arbitration linkage mechanism and improving the efficiency and quality of dispute resolution. In the future, I hope there will be more such exchange activities in the future to jointly promote the development of the rule of law.

Finally, Wang Xi, deputy secretary and vice president of the Party Group of Shashi District People’s Court, affirmed and appreciated this activity. She said that this activity was not only "new in form", but also adopted the method of randomly drawing questions, which increased the interactivity and interest; It also achieved "new personnel" and invited the Municipal Arbitration Commission to participate in the activities for the first time. The Municipal Arbitration Commission attached great importance to it, actively participated in it and shared it wonderfully. Wang Xi suggested that everyone continue to maintain this positive learning attitude and open communication spirit, constantly explore and innovate, and promote the high-quality development of the trial work in Shashi District Court.

Since its inception, "Shafa Lecture Hall" has carried out seven consecutive activities with different themes. Since then, comrades from the Municipal Intermediate People’s Court, the Political and Legal Committee of the District Committee, the District Procuratorate, the District Judicial Bureau and the Brothers’ Court have been invited to share and exchange ideas, so as to jointly improve the engineering ability of police officers in this process. In the next step, the People’s Court of Shashi District will continue to carry out the "Stars Project" series of activities, actively cultivate the cultural brand of "frosted pearls and Farun Jiangjin", and strive to create a new model of court culture.

Original title: Project Stars "Shafa Lecture Hall" No.7: The Way of Mediation for New Judges and the Case Analysis for Senior Presidents.

1905 movie network news The online drama "Detective Chinatown 2" released a preview and a poster of "Detective Tangxin" version, and announced its broadcast on February 29th. As a series of "Exploring the Universe by Tang Dynasty", the online drama "Detective Case 2 in Chinatown" ushered in another story upgrade and boundary expansion.

Four unit stories, case escalation

Lin Mo and KIKO explore the truth

After a lapse of three years, the strong return of "Tang Exploring the Universe" is full of sincerity. In the online drama "detective chinatown", the detective Lin Mo (ornaments), who is extremely sensitive to smell, has made another move, and the fourth "black dog" in Crimaster’s detective list will challenge new problems. Kiko (ornaments), another cool girl with high recognition in "Exploring the Universe in Tang Dynasty" and the fifth computer expert on Crimaster’s list, has a wonderful personal chapter for the first time, and the double exploration has returned and upgraded wonderfully! The online drama is still directed by Yao Wenyi and Sky Wang, who are the producer and chief screenwriter, and the original crew of the Tang Exploration Series are assembled again to promote the diversified expansion of Tang Exploration Universe.

The poster of "Seeking the Truth" takes the portraits of two detectives, Lin Mo and Kiko, as the main visual eye-catching points, with a jigsaw-like texture base. In the middle of the picture, two spiral, staggered fan-shaped stairs extend to the face of the double detective, and the atmosphere is outstanding. It also hints at the theme of this season — — The answer comes from the patchwork of details that can’t be ignored, and the truth comes from the fact that two detectives are not afraid of the dark and find out the key clues.

New and old faces converge to expand the boundary

Digging the Core of "Tang Detective"

The trailer of "Tang Tan Xin Pian" released simultaneously with the posters of the characters is also full of information. It seems that Lin Mo, who "knows everything", has been trapped by master Tang Ren (ornaments). Tang Ren’s promise to "call me if you have something" has not been fulfilled, and Lin Mo has to help the master pay off his debts? After bidding farewell to Qin Feng (ornaments), Kiko returned to his own world, adhering to the creed that "the world in the network may be more real", giving full play to his advantages and investigating the truth … The tattoo "Q" that flashed between the cameras once again reminded the audience of the mysterious behind-the-scenes hand in "Exploring the Universe in Tang Dynasty".

As for the card company, not only old friends like Tony Jia have all returned, but also new friends like Tony Jia have joined us.

The suspense shell of the online drama "Exploring the Universe in Tang Dynasty 2" is wrapped in the human nature speculation of "madness and absurdity", "greed and anger", "lust and desire" and "crime and punishment", which is also the theme of discussion and understanding throughout the series of films "Exploring the Universe in Tang Dynasty", exploring the good and evil of people and focusing on human nature choices.

The online drama "Chinatown Detective 2" was broadcast on February 29th.