Special feature of 1905 film network　This year marks the 50th anniversary of the establishment of diplomatic relations between China and France. No matter the films shown in the cinema or the co-production projects, the audience can obviously feel the continuous warming of Sino-French cooperation, from the initial ambiguity to the great show of love today. On the one hand, French films such as Beauty and the Beast, Don’t Mess with Me, Superbody, and Wild Africa 3D have entered the cinema one after another to "get in touch" with the China audience, on the other hand, various types of Sino-French co-production projects are also in full swing. The standard Sino-French co-production The Nightingale was selected to represent China in the Oscar for Best Foreign Language Film, and jean jacques annaud’s Wolf Totem, which took seven years, is about to debut in the Lunar New Year’s Eve. There are also many co-productions in progress, such as the creative animation The Prince and the 108 Evil Men and the magic film The Gate of the Warrior. The future cooperation space is still expanding.

　

　　　 In response to this year’s upsurge of Sino-French film cooperation, 1905 Film Network exclusively interviewed Ning Ning, the producer of Nightingale in China, Mark Gao, the chairman of Jimei Film, jean jacques annaud, the director of Wolf Totem, and Isabel Granchet, the representative of Greater China of the French Film Alliance, and deeply dissected the multi-faceted cooperation of Sino-French films. From now on, it will be divided into Sino-French co-productions (Part I), Sino-French multi-faceted film cooperation (Part II) and Sino-French film cooperation.

　

[How did it hit it off? 】I like your box office market, and you like my international style.

　

　 　 Gu Hongming, a famous scholar in the late Qing Dynasty and early Ming Dynasty, once said in the book Spirit of Chinese: "In my opinion, it seems that only the French can best understand the real civilization of Chinese and China." The French always has a little unruly free will when making movies, and this romantic feeling in his bones directly affects the way they cooperate with other countries.

　

　 　 In the words of director jean jacques annaud, they are more willing to "follow a good story to make a film" and go deep into other countries’ cultures, and don’t particularly care whether there are obvious French elements and French actors in the film. Isabel thinks this is a "very romantic way" for the French. Of the films that French audiences see every year, 17% of the film investment comes from the co-production system. French directors have rich experience in co-production. For them, it seems natural to go to other countries to shoot and present the humanistic customs of other countries. At the same time, the China film market, which has rapidly grown into the second largest ticket warehouse in the world, has unlimited opportunities and unlimited banknotes.

　

　 　 For China, to strengthen cultural soft power, more channels are needed to support cultural output. Co-production is a clever way to increase international vision and viewpoint. While we are co-producing, we also hope that the film can reflect the story of China culture and China, and it is better to have China actors in Chinese dialogue. As a result, this hit-it-off cooperation concept makes Sino-French film cooperation seem sweet and tacit.

　

　 　 Isabel:A Sino-French co-production can have no French feeling at all. For example, the first film co-produced by China and FranceI 11You didn’t know it was a French film because you couldn’t see where the French was and the French was behind the scenes. The Nightingale is the same. You won’t think that it was shot by the French, but you can feel some French elements in it.

　

　 　 China’s rule is the other way around, and relevant institutions in China hope to see China’s story and China’s actors on the screen. It may also be because of such different requirements that our cooperation is very tacit. Because for the French, it can be an actor from China or a story from China. the French welcomes such a co-production, and because of this, we think The Nightingale is particularly successful.

　

[Go, go to the box office in France! 】The criteria for co-production between China and France are quite different.

　

　　　 Since the first Sino-French co-production film "Kite" came out in 1958, co-production as an important film production mode has been paid much attention. In 2010, China and France signed a film co-production agreement. Last year, five films were approved by the Chinese side, including Wolf Totem, Night Peacock, Rainbow at Starry Night, Looking for Romai and The Gate of Film and Television. In the words of Mark Gao, chairman of Jimei Film, the signing of the Sino-French Co-production Agreement "gives a standard from the industry, so that both sides have normative documents to follow, which is also beneficial to the whole financial arrangement for China, such as investment ratio and inclination, which is more conducive to promoting cooperation in some films."

　

　 　 To be a Sino-French co-production, a film must be made in both China and France.Co-project, that’s much more demanding.In China, we must follow the "28 principle": in terms of investment, neither country can be less than 20%; In terms of production mode, the China-based team must have a certain proportion of the French, and the French-based team must also have a certain number of Chinese. France’s project requirements are more specific, and they need to be strictly graded: "How many points do directors, screenwriters and recording teams have, and everything must add up to more than 25 points to sign a Sino-French co-production, so as to be released and distributed in France according to French films and enjoy all the benefits and treatment of French films." Ning Ning explained: "There is also a requirement in France that the final subtitles should prevail. For example, when you set up a project, you said that you would use someone, but you don’t need him in actual operation (it is impossible). There will be various departments in France to strictly review it. Finally, when the whole film is submitted for review, it will be reviewed with reference to your previous approval. "

　

[Dual nationality takes advantage to get soft! 】Tax subsidies and support policies enjoy the treatment of domestic films.

　

　 　 If the combination of Chinese and French cultures lays a good foundation for cooperation, then the advantages of larger box office market space and copyright sales are undoubtedly colorful candy that tempts producers. The signing of the Sino-French Film Co-production Agreement not only helps more French films to enter China, the second largest ticket warehouse in the hot world, but also directly promotes the release and copyright sales of China films in Europe. Promote the exchange between Chinese and French filmmakers, and at the same time further promote the diversified development of world movies.

　

　 　 Ningning:To put it bluntly, the advantage of co-production between China and France is that it has dual nationality. In China, it is a domestic film, while in France, it is a French film. Because it belongs to a local film in each country, it enjoys the supporting policies and preferential policies that each country should have for films, including its own tax subsidy policy. In China, we release domestic films, so we just enjoy a share of more than 43%, unlike the importer who can only get about 25%.

　

　 　 At the same time, because he is a co-producer, he will be more international in film temperament and have more advantages in the sales of international copyright. At present, the films we make are more to meet the local demand than the demand of the international film market, so in recent years, China’s films will always be a little acclimatized in the international market. Co-productions such as The Nightingale are more in line with international tastes. By October, we have sold 11 countries and regions. Although the film is not big, it is quite remarkable from the current figures of international copyright sales. The film has been shown in Israel and Korea now. Like the film festival, we can participate in competitions such as the China Watch Award and Hundred Flowers Award in China, and we can also participate in French film promotion activities. This dual nature gives more opportunities for film promotion and distribution.

　

　 　 Mark Gao:Because in France, as long as a Sino-French co-production is a French film, French television stations will support it. From the early investment of the film, there will be more protection. In China, co-productions as China films will also have preferential policies, which will actually promote the cooperation between film creators of the two countries. It is also easier to consider the whole investment arrangement.

　 　 Jean jacques annaud:There is a proportional standard for TV reception in Europe. If this is a China film, it will be classified as a foreign film. In this part, China films will compete with many American films every year, and it is difficult to be the first choice for European film stations. However, if this is a co-production film and is regarded as a European film, there will be less competition, especially for a blockbuster like Wolf Totem, which is rarely produced as large as ours, so it will be easily accepted by European TV stations, which means a lot of money in Europe. Because it’s not just a screening in a movie theater, but it will last for several years, which makes it bring a lot of money to investors. Moreover, China filmmakers also get French subsidies, and the funds obtained from this cooperation come from different sources.

　

　 　 The "support policy" of French TV stations mentioned by Mark Gao, chairman of Jimmy Film, and the "subsidy" mentioned by Arnold are actually the protection measures of the French government for local films. The French government will provide subsidies of about 250 million euros for the film and television industry every year. Because the Sino-French co-production belongs to French films, it is stipulated that the state should "take care of" this film and give cinemas and distributors corresponding support funds. However, it should be noted that this "benefit" is limited to France. If you want to enjoy this kind of treatment in the whole of Europe, it is not enough to turn into a co-production, but also a foreign language film. It is difficult for China actors to enjoy the treatment of European films and get subsidies in Europe.

　 　　Isabel(Whether Chinese-French co-productions are more conducive to distribution in Europe) It still depends on the language. If it is in Chinese, it may only be bigger in the French market, because it is still a French movie when it is broadcast on TV. French TV stations, like China, have a clear stipulation that 60% of European films (40% of which are French films) and the rest are foreign films. China and the United States are both included in foreign films, so they will definitely choose more American blockbusters in the choice of Chinese and American films, because they want to attract audiences. Therefore, Sino-French co-productions have more advantages when they are purchased by French TV stations.

1905 movie network news The first female film "Half the Sky" produced by Jia Zhangke and co-produced by BRICS countries will land in the national cinema on May 10th. The film tells stories about women in five different countries and backgrounds through five short films with different styles and characteristics. It not only redefines women’s strength, but also highlights women’s social and family values. The day before the release, the secrets of the four highlights of the film were revealed to the audience in advance.

　

Aspect 1: BRICS countries cooperate again to present wonderful stories.

The film "Half the Sky" shows the unique folk customs of each country through five short stories. For example, the traditional food "jiaozi" representing China families, the new trend of Russian young people communicating through dating websites and the daily life of traditional Indian families. Among them, actors Wang Luodan and Liu Bei play a mother and daughter in China’s jiaozi, showing the career worries of professional women and the life troubles of housewives one by one.

Aspect 2: Pay attention to the global hot topic "Online dating" and lead a heated discussion.

"Half the Sky" presents the common problems of female groups with five stories with different styles but equally wonderful. The film presents hot topics of global concern in recent years, such as South African female athletes being suspected of their gender, and Russia’s online dating has become a common practice but "seeing death". At the same time, China, Brazil and India all focus on the family, from housewives and professional women to family of origin’s injury and infatuation. Different storylines resonate with different audiences: "South African articles make people feel deeply, and gender can’t restrict us from doing anything. Women can also have strength and willpower beyond men." "When you questioned that women didn’t make money for their families, you didn’t expect that they created value far higher than money."

　

Aspect 3: picturesque, a wonderful trip with multi-cultural integration

The distinctive film styles and pictures in Half the Sky are a highlight. jiaozi is soft and warm, which makes the audience feel at home. "Online Lover" is colorful, and the color matching of the green grass red skirt is passionate and unrestrained, presenting a Russian village like an oil painting version … … The five female directors also incorporated their unique cultural customs into the film, showing the unique social environment and women’s status of each country while the film plot developed, bringing the audience a wonderful international trip.

　

Aspect 4: Assembling international outstanding female directors and focusing on "half the sky"

"Half the Sky" was directed by creative female film directors from China, Russian, Indian, Brazil and South Africa. China director Liu Yulin has been selected for Berlin Film Festival, Busan Film Festival, Taiwan Golden Horse Award and many other domestic and foreign film festivals. The film independently directed by Brazilian director daniela thomas was selected as the grand view unit of the 2017 Berlin Film Festival. The works of Russian director Elizabethan Stishova and South African director Sarah Blanck have been shortlisted for several international film festivals. It is worth mentioning that the Indian short film "Mom’s Holiday" was created by the team, and the director Ashwini Yiye Tiwari was voted as one of the most influential women in India by Indian magazines.

The film "Half the Sky" will land in the national cinema before Mother’s Day on May 10th.

The long-delayed COVID-19 epidemic has once again highlighted the indispensable and extensive influence of digital technology on a global scale. The rise of new technologies such as artificial intelligence, Internet of Things, 3D printing, augmented reality and virtual reality, and quantum computing is subverting the traditional economic and social operation mode and shaping new development opportunities. How a country responds to the various changes brought about by the technological revolution and establishes corresponding competitiveness around digital technology will not only determine its future economic growth, but also affect its geopolitical status. In this context, countries all over the world have put the digital transformation in the fields of economy, governance and life into the important agenda of the government, and increased resource input and policy support to improve their digital competitiveness.

Not long ago, the European Center for Digital Competitiveness of the European Advanced Business School (ESCP) released the Report on the Promotion of Global Digital Competitiveness in 2021 (Digital Riser Report 2021）。 The research report comprehensively uses the relevant data from the World Economic Forum, the World Bank and the International Telecommunication Union to evaluate and rank the current digital competitiveness of 137 countries around the world, and extracts the best practices of countries with rapidly rising digital competitiveness, so as to provide decision-making and action guidance for other countries. The relevant research conclusions have certain reference significance for countries around the world to understand the advantages and disadvantages of their digital transformation from a macro perspective and to calibrate the strategic direction of enhancing digital competitiveness.

The research report simplifies the definition of a country’s "digital competitiveness" as 10 equal weight factors in two categories: "digital ecosystem" and "digital thinking mode", and divides all countries into nine groups, namely, G7, G20 and Asia-Pacific, Eurasia, Europe and North America, Latin America and the Caribbean, Middle East and North Africa, South Asia and sub-Saharan Africa defined by the World Economic Forum. On this basis, combined with the data of the three years from 2019 to 2021, it is scored and ranked. Among them, the elements belonging to the "digital ecosystem" include the difficulty of obtaining venture capital, the cost of starting a business, the time required for starting a business, the convenience of hiring international talents, and the digital skills of university graduates; The "digital thinking mode" includes the digital skills of the working population, the attitude towards entrepreneurial risks, the diversity of labor force, the scale of mobile broadband users, and the acceptance of subversive business development ideas by enterprises. The scoring results intuitively reflect the changes of digital competitiveness of countries in terms of sub-items and overall, while limiting the ranking to nine groups is to ensure that the comparison baseline is relatively fair and the results are comparable. By combing the relevant evaluation results, the report puts forward three main findings:

Nowadays, the global digital competitiveness is changing.

The research report shows that while the digital competitiveness of some countries and regions is rapidly improving, some leading digital countries in public perception are gradually losing their advantages. Taking China and the United States as two digital superpowers, for example, during 2019-2021, China’s digital competitiveness improved obviously (+211), while the United States showed a decline (-72). Moreover, whether in the G7 or G20 group, the ranking of the increase in digital competitiveness of the United States is in a relatively backward position. The analysis believes that the decline of digital competitiveness in the United States is mainly driven by the dimension of digital ecosystem, including a series of adverse effects such as increasing immigration and visa barriers, which makes it more difficult to attract international digital and information professionals. The promotion of China’s competitiveness is mainly reflected in its strong advantages in the dimension of digital thinking mode, including the proposal and deployment of a series of national overall strategic plans, and taking scientific and technological innovation and entrepreneurship as important measures to achieve high-quality development.

In addition to the United States, Britain (-85), Sweden (-92) and other developed countries in digital technology also failed to show a significant increase in digital competitiveness. India (-396), Germany (-176) and other big countries even experienced a sharp decline in competitiveness in both digital ecosystems and digital thinking modes. However, some countries, such as Georgia (+153), Egypt (+258), Canada (+47) and Vietnam (+339), which do not have a high digital starting point, have become the leaders in this field because they have implemented a series of fruitful digital transformation measures. To some extent, this shows that the global digital competitiveness pattern is in the process of dynamic reorganization, and new global digital technology leaders will appear in the future.

Digital competitiveness is closely related to digital transformation measures.

The research report collects the "Best Practice" of digital transformation in G7, G20 and seven regional economic groups whose digital competitiveness has increased significantly in the past three years, covering the actual progress in the fields of strategic planning, policy assistance, investment support and perfect supervision. For example, through the implementation of the "National Innovation and Skills Plan", Canada set up a strategic innovation fund for digital transformation, adding more than 70,000 jobs, driving more than 45 billion US dollars of investment, and injecting new vitality into the national economy; Vietnam pushes the "National Digital Transformation Plan in 2025", vigorously advocates the adoption of emerging digital technologies, builds a digital government, and sets a long-term goal that the digital economy will account for 30% of the national GDP by 2030; Egypt has vigorously promoted the "ICT 2030 Strategy" and the "Digital Egypt" plan, thus becoming the leader of digital transformation in the Middle East. Therefore, the report believes that the promotion of national digital competitiveness is closely related to the government’s clear long-term goal of digital transformation and leading the formulation and implementation of comprehensive planning for digital transformation.

To enhance digital competitiveness, we need to support digital innovation and entrepreneurship.

The research report found that countries with rapidly rising digital competitiveness pay great attention to attracting international talents, promoting innovation and entrepreneurship, and strengthening the education and training of digital skills. For example, Italy has established a legal framework to provide visa convenience and tax incentives for start-up companies and scientific and technological talents through the Entrepreneurship Law (ISA), thus attracting tens of thousands of start-up companies to register and operate in Italy in just three years; The Spanish government has launched a series of entrepreneurship support policies, including the Entrepreneurship Promotion Law, the establishment of a national entrepreneurship office, and the introduction of outstanding international talents. Georgia is actively implementing the "2017-2021 Strategy for the Unification of Education and Science" to promote the modernization of science, technology and innovation system.

In view of this, the research report emphasizes that each country needs to fully develop its own digital thinking mode and digital ecosystem, and pay attention to the speed and effectiveness of policy implementation in order to improve its digital competitiveness. At the same time, from the evaluation results of global digital competitiveness in 2021, under the influence of multiple factors, the speed of digital transformation varies greatly among different countries, and the global competition pattern around digital transformation also shows a rapid change trend, and there may be many possibilities in the future. Generally speaking, countries that attach importance to and vigorously promote digital transformation can basically make significant progress in a relatively short period of time. Even countries with weak digital foundation can realize the acceleration of digital transformation after taking appropriate actions and measures. Therefore, governments should attach great importance to and carefully consider the future strategic decision-making and management mode in this key field, and effectively promote digital transformation based on actual national conditions.

Forwarding Provincial Anti-counterfeiting Office, Tobacco Monopoly Bureau and Public Security Department on

Notice of Guangdong Province’s special action plan for cigarette counterfeiting this winter and next spring

No.82 [2003] of Guangdong Government Office

People’s governments at the local and municipal levels, departments and institutions directly under the provincial government:

　　The Provincial Office for Combating the Illegal Activities of Making and Selling Fake and Inferior Commodities (hereinafter referred to as the Provincial Anti-counterfeiting Office), the Tobacco Monopoly Bureau and the Public Security Department’s "Special Action Plan for Cigarette Anti-counterfeiting in Guangdong Province this winter and next spring" have been approved by the provincial people’s government and are hereby transmitted to you, please follow the implementation. Please contact the provincial anti-counterfeiting office directly for the problems encountered in the implementation.

General Office of Guangdong Provincial People’s Government

October 28th, 2003

Special Action Plan for Cigarette Counterfeiting in Guangdong Province this winter and next spring

　　In order to further crack down on the illegal and criminal activities of manufacturing and selling fake and shoddy cigarettes, purify the cigarette market environment, safeguard the legitimate rights and interests of enterprises and consumers, and standardize the market economic order, this special action plan is formulated according to the requirements of the "Guangdong Province Anti-counterfeiting Work Plan in 2003".

　　-guiding ideology

　　Guided by Deng Xiaoping Theory and Theory of Three Represents, conscientiously implement the spirit of the 16th CPC Central Committee and the Third Plenary Session of the 16th CPC Central Committee and the spirit of General Secretary Hu Jintao’s important speech on inspecting Guangdong, adhere to the principle of "combining crackdown with prevention, treating both the symptoms and root causes, and paying equal attention to rectification and standardization", and follow the unified arrangements of the State Council, the provincial party committee and government, and the requirements of the State Tobacco Monopoly Bureau, the Ministry of Public Security and other relevant departments. According to People’s Republic of China (PRC) Criminal Law, People’s Republic of China (PRC) Criminal Procedure Law, People’s Republic of China (PRC) Tobacco Monopoly Law, People’s Republic of China (PRC) Tobacco Monopoly Law Implementation Regulations and other relevant laws and regulations, all relevant departments should, under the leadership of the local government, carry out their duties, cooperate closely and cooperate with each other, severely crack down on illegal and criminal activities of manufacturing and selling fake and shoddy cigarettes, severely punish criminals, and further consolidate and expand the achievements of cigarette counterfeiting and rectifying and standardizing the market economic order in our province.

　　Second, the work objectives

　　(a) the establishment of "the local government is responsible for the guidance and coordination of the anti-counterfeiting office, all parties work together, and the masses actively participate" in the leading mechanism and joint case handling mechanism of cigarette counterfeiting. The provincial anti-counterfeiting office is responsible for the organization, coordination and inspection of cigarette anti-counterfeiting work; Tobacco, industry and commerce, quality supervision and other departments are responsible for investigating and dealing with illegal and criminal activities of manufacturing and selling fake and shoddy cigarettes according to law; The public security department is responsible for investigating suspected criminal cases such as manufacturing and selling fake and shoddy cigarettes and illegally assembling and reselling cigarette machines; The supervision department is responsible for investigating the responsibility of public officials who violate the law and discipline, and supervising the implementation of the responsibility system for counterfeiting.

　　(two) combined with the "solid foundation" work, pay close attention to the implementation of cigarette counterfeiting responsibility system. Governments at all levels should conscientiously implement the responsibility system for counterfeiting, especially the implementation of the responsibility system for counterfeiting cigarettes at village and town levels.

　　(3) Effectively control the momentum of large-scale, mass and group-based illegal and criminal activities of manufacturing and selling fake and shoddy cigarettes in key areas of our province, so that the incidence rate of major cases of manufacturing and selling fake and shoddy cigarettes has dropped significantly.

　　(four) check the network, dig gangs, end dens, catch the principal offenders, and thoroughly investigate and deal with a number of major cases involving a wide range, serious circumstances and bad nature; Dig deep into the source of counterfeiting in the production of hoods, tobacco and printed trademarks and their behind-the-scenes planning, organization and funders; Severely punish a number of ringleaders and their "protective umbrellas" who commit crimes of manufacturing and selling fake and shoddy cigarettes according to law.

　　(five) the provincial tobacco monopoly bureau should strengthen the clean-up and rectification of the cigarette market, and cooperate with the industrial and commercial departments to do a good job in daily management.

　　Third, key remediation areas

　　This winter and next spring, the key rectification areas of cigarette special anti-counterfeiting action are: Guangzhou, Shantou, Jieyang, Chaozhou and Maoming; The key counties (cities, districts) for rectification are: Chaoyang District and Chaonan District of Shantou City, Raoping County and Chaoan County of Chaozhou City, Jiexi County, Huilai County and Puning City of Jieyang City, Huidong County of Huizhou City, Baiyun District of Guangzhou City, Zengcheng City and Dianbai County of Maoming City. Other parts of the province should also intensify the crackdown and prevention to ensure that the illegal and criminal activities of manufacturing and selling fake and shoddy cigarettes do not spread or spread.

　　Fourth, the time schedule

　　The special campaign lasted from October 2003 to March 2004 and was conducted in three stages:

　　The first stage (preparatory stage): from the end of October to the end of November, 2003, make a thorough investigation, grasp the basic situation of illegal and criminal activities of manufacturing and selling fake and shoddy cigarettes and their leaders and backbones within their jurisdiction, and formulate specific action plans.

　　The second stage (strike stage): from late November 2003 to the end of January 2004, a large-scale inventory operation was jointly organized to crack down on illegal and criminal activities of manufacturing and selling fake and shoddy cigarettes and severely punish criminals and their "protective umbrellas". During the New Year’s Day and the Spring Festival, governments at all levels and relevant departments should actively organize forces and cooperate with each other to set off a climax of cracking down on illegal and criminal activities of manufacturing and selling fake and shoddy cigarettes.

　　The third stage (summary and commendation stage): from the first ten days of February to the end of March, 2004, the provincial anti-counterfeiting office will take the lead in inspecting and supervising the special anti-counterfeiting operations in winter and spring in various places, and commend and reward the units and individuals that have made outstanding performance during the special operations.

　　V. Organizational leadership

　　In order to strengthen the leadership of the special campaign against cigarette counterfeiting this winter and next spring, and ensure the effectiveness of all the work, the provincial government decided to set up a special action supervision group to be responsible for the coordination and command of the special action. The steering group is led by the provincial anti-counterfeiting office, and its members are composed of relevant personnel from the anti-counterfeiting office, public security, industry and commerce, quality supervision, tobacco, discipline inspection and supervision departments.

　　VI. Job Requirements

　　(A) to raise awareness and strengthen leadership

　　The illegal and criminal activities of manufacturing and selling fake and shoddy cigarettes have destroyed the normal social and economic order, damaged the honest, trustworthy, fair and competitive market environment, endangered the physical and mental health of the broad masses of people, caused huge economic losses to the country and enterprises, and damaged the image of our province. Governments at all levels and relevant departments should fully understand that cracking down on the illegal and criminal activities of manufacturing and selling fake and shoddy cigarettes is an important measure to rectify and standardize the market economic order and improve the socialist market economic system from the height of practicing Theory of Three Represents; Fully understand the particularity, long-term and arduousness of cigarette counterfeiting, overcome slack thinking and war-weariness and make unremitting efforts. Governments at all levels should adhere to the principle of "keeping the soil responsible", and take cigarette counterfeiting as an important part of counterfeiting work. The leaders in charge of the government should personally grasp it, organize it carefully and make careful arrangements. All localities should refer to the practice of the province, set up corresponding institutions, and effectively strengthen the organization and leadership of special actions.

　　(2) Close cooperation and coordinated operations.

　　Cigarette counterfeiting involves a wide range, and all relevant functional departments should carry out their duties, coordinate and cooperate, and make key breakthroughs to ensure the effectiveness of all work. Tobacco, industry and commerce, quality supervision and other administrative law enforcement departments should intensify the investigation and punishment, and the suspected criminal cases should be promptly transferred to the public security organs for handling in accordance with the Provisions of the State Council on the Transfer of Suspected Criminal Cases by Administrative Law Enforcement Organs, and punishment should not be substituted for punishment. Public security organs should promptly carry out investigations, collect criminal evidence and arrest criminal suspects. Public security and judicial departments at all levels should actively study issues such as fact finding, evidence confirmation and application of laws according to the new situation and new characteristics of cigarette counterfeiting and selling activities, and punish illegal and criminal cases with serious circumstances and bad influence quickly and severely according to law in order to deter criminals. Public security organs in Guangzhou, Chaoyang, Chaonan, Puning and other places should intensify their efforts to pursue suspects who are at large in manufacturing and selling counterfeit and shoddy cigarettes, and strive to bring them to justice during special operations. Supervisory organs at all levels should strengthen the system of administrative accountability, and seriously investigate and deal with acts such as state staff participating in or sheltering the activities of manufacturing and selling fake and shoddy cigarettes and neglecting their duties and engaging in malpractices for selfish ends in the process of cigarette counterfeiting; In case of major or malignant cases caused by passive slackness and ineffective work, the responsible persons of local governments and relevant responsible persons shall be investigated according to law. Provincial Radio and Television Group should pay close attention to the installation of large-capacity three-phase electricity and inform the provincial public security department in time.

　　(3) Strengthen publicity and guidance, and strengthen supervision by public opinion.

　　Governments at all levels and relevant departments should, with the help of television, radio, newspapers and other news media, strengthen the publicity and reporting of the special campaign against cigarette counterfeiting this winter and next spring in accordance with the requirements of "highlighting key points, grasping opportunities and creating momentum", and focus on publicizing the firm determination, positive actions and remarkable achievements of our province in attaching great importance to cigarette counterfeiting, making unremitting efforts and severely punishing according to law, so as to form a strong publicity momentum in the whole society and deter criminals. It is necessary to carry out publicity and education on laws and regulations among the broad masses, obtain the support and cooperation of the masses, especially do a good job in ideological education of village and town cadres in key areas, earnestly implement the responsibility system for counterfeiting, and promote the in-depth development of cigarette counterfeiting work.

Guangdong province crack down on manufacturing and selling fake and shoddy goods illegal behavior office

Guangdong tobacco monopoly bureau

Guangdong Provincial Public Security Department

October 27th, 2003

Family farm agriculture is a new force for high-quality development
There are nearly 600,000 family farms listed in the national list, with an operating land of 160 million mu.

Cartography: Wang Zheping

Family farms, with family members as the main labor force and family management as the basic business unit, engage in large-scale, standardized and intensive agricultural production and management, which is the main management mode of modern agriculture. Since the 18th National Congress of the Communist Party of China, all localities have actively guided and supported the development of various family farms such as agriculture, forestry, animal husbandry and fishery, and achieved solid results.

In recent years, the number of family farms in China has increased steadily, and the quality of development has improved day by day. Family farms have become the growth point of farmers’ income, the focus of industrial prosperity and the experimental field of structural reform of agricultural supply side.

"We have sold mushrooms to Japan, South Korea and Southeast Asian markets, and the income of our family farm is getting better every year." Yu Peiying, head of Kangyi Family Farm in Nanhe County, Xingtai City, Hebei Province, could not hide his excitement. This farm manages 120 mu of land and has four family laborers. It mainly produces edible fungi, walnuts and vegetables, with an annual output value of 1.1 million yuan and a net income of more than 200,000 yuan last year. The thriving family farm is becoming a new force for the high-quality development of agriculture in China.

Family farms, with family members as the main labor force and family management as the basic business unit, engage in large-scale, standardized and intensive agricultural production and management, which is the main management mode of modern agriculture. Since the 18th National Congress of the Communist Party of China, according to the deployment of the CPC Central Committee and the State Council, all localities have actively guided and supported the development of various family farms such as agriculture, forestry, animal husbandry and fishery, and achieved solid results. The reporter learned from the Ministry of Agriculture and Rural Affairs that at present, there are nearly 600,000 family farms listed in the list of agricultural and rural departments in China, with an operating land of 160 million mu. The number of family farms has increased steadily, the quality of development has been improved day by day, and the operating industries have become increasingly diversified.

Policy creation

Small farms have become the growth point of farmers’ income.

In the supply of family farm system, hundreds of millions of farmers have a new support. Good things happen one after another.

This year’s Central Document No.1 emphasizes supporting the development of primary processing of agricultural products suitable for family farms and farmers’ cooperatives. A few days ago, 11 ministries and commissions, including the Central Agricultural Office, issued "Guiding Opinions on Implementing Family Farm Cultivation Plan", and the development of family farms has gained new policy confidence.

Open the net income account of Kangyi Family Farm in 2018, and it will shine at the moment: grain income is 9,000 yuan, vegetables income is 10,000 yuan, walnuts income is 11,000 yuan, and edible fungi income is 220,000 yuan. At present, there are 41,000 family farms in Hebei province, covering 94% of administrative villages, which has effectively boosted farmers’ income. Up to now, there are 100,000 family farms in Anhui Province, ranking first in the country, which has become an important channel for farmers to increase their income.

The Guiding Opinions require that by 2020, the policy system supporting the development of family farms will be basically established, the management system will be more sound, the guidance service mechanism will be gradually improved, and the number of family farms will increase steadily. By 2022, the policy system to support the development of family farms will be further improved, and the production and operation ability and driving ability of family farms will be consolidated and improved.

Zhao Yang, director of the Policy and Reform Department of the Ministry of Agriculture and Rural Affairs, said that speeding up the cultivation of a large number of family farms with moderate scale, intensive production, advanced management and obvious benefits will continuously raise farmers’ income to a new level.

Adhere to the main body of farmers. It is to adhere to the basic position of family management in the rural basic management system, encourage farmers with long-term and stable willingness to farm to moderately expand their business scale, develop various types of family farms, and carry out various forms of cooperation and alliance.

Adhere to a moderate scale. Guide family farms to achieve the best scale benefits according to the industrial characteristics and their own management capabilities, prevent one-sided pursuit of land and other means of production from being excessively concentrated, and prevent "large households".

Adhere to market orientation. Follow the law of family farm development. Give full play to the decisive role of the market in promoting the development of family farms and strengthen the government’s guidance and support for family farms.

Demonstration creation

Small farms have become the focus of industrial prosperity

The geese are led by the head geese, and family farms are no exception.

Jianong Family Farm is located in Gaoxiang Village, Yeshan Town, Tianchang City, Anhui Province. It is one of the top ten local family farms, which makes the person in charge Chen Hongping very happy. As an "old-fashioned" farmer, Lao Chen’s family farm has read "three agricultural classics".

A classic, save money and increase efficiency. The operation scale of 345 mu of Jia Nong’s family farm can make the whole set of agricultural machinery and equipment work happily, which not only saves costs, but also provides appropriate agricultural machinery services to increase income. The new rice varieties introduced by the farm have achieved high quality and good price, and the income per mu has increased by more than 200 yuan.

Two classics, agricultural science and technology. Jia Nong’s family farm adheres to the green concept, adopts the rotation mode, selects new varieties, carries out agricultural prevention and control, and implements cultivation management techniques such as water saving and warming, which is not only environmentally friendly but also increases income.

Three classics, order agriculture. Through multi-party alliance, Jia Nong’s family farm allows itself to grow together with leading enterprises. Based on orders and contracts, family farms can not only form a close interest community with enterprises, but also drive large farmers and small farmers to participate in industrial management.

Zhao Yang said, give play to the role of typical demonstration, promote development through demonstration, summarize and popularize the demonstration models of different types of family farms, and improve the development quality of family farms.

Strengthen the establishment of demonstration family farms and carry out the establishment of demonstration counties of family farms. All localities should follow the principle of "voluntary declaration, merit-based recommendation, step-by-step audit and dynamic management", improve the working mechanism and carry out the creation of demonstration family farms. Relying on rural revitalization demonstration counties, agricultural green development pioneer areas, modern agricultural demonstration areas, etc., support the establishment of family farm demonstration counties where conditions permit, and promote the cultivation of family farms throughout the county.

Encourage all kinds of talents to set up family farms and guide family farms to develop cooperative management. Encourage local talents in rural areas, migrant workers who are willing to return to their hometowns and return to their hometowns, outstanding rural college graduates and scientific and technological personnel to set up family farms.

Huo Mi-cai, a villager in Dawopeng Village, caoshi, Qingyuan Manchu Autonomous County, Liaoning Province, is really not simple. His Mingyu family farm concentrates on rice, with an annual net income of 700,000 yuan. His "secret" lies in the fact that he can store 300-400 tons of grain in the farm’s storage by processing and increasing the value through his own production and operation and purchasing grain from small farmers!

The demonstration of family farms is in full swing all over the country. At present, Zhejiang insists on moderate scale and family management, and has launched 1204 demonstration family farms in the province. According to the system standard of cultivating family farms, 11,107 demonstration family farms have been established in Anhui Province.

Mechanism innovation

Small farms have become experimental fields for structural reform of agricultural supply side.

Where there are family farms, there are continuous deepening actions of structural reform on the supply side of agriculture. On the one hand, family farms deepen the structural reform of agricultural supply side, and the green concept runs through the whole process of agricultural production.

At first glance, the sweet potatoes in Kangyi Farm are growing happily, with green leaves and strong sweet potato vines intertwined like a giant green carpet.

The mechanism of circular agriculture is also introduced here, and a corncob is used twice, and the corncob raw material is used as a culture medium to cultivate fresh mushrooms; The waste from mushroom cultivation is used as organic fertilizer to produce a new mushroom culture medium, which ensures the organic nutrition of the culture medium and the green quality of the products, and improves the comprehensive benefits of planting.

On the other hand, family farms are refining the structural reform of agricultural supply side.

Zhejiang guides family farms to set up cooperatives, from single-handedness to group development, focusing on the reorganization of industry, market and property rights, guiding the main body to unite, and building a pagoda-like management main body system of "small farmers-family farms-cooperatives-agricultural leading enterprises". Starting with the supply of system, Hebei Province supports family farms to become better and stronger. This year, it co-ordinates more than 2 billion yuan of provincial-level financial funds related to agriculture, and develops provincial-level credit exclusive products, providing 2.17 billion yuan of guarantees for 4,317 cooperatives and family farms.

Deepening the structural reform of agricultural supply side in family farms will build a more perfect security system. The relevant person in charge of the Ministry of Agriculture and Rural Affairs said that it is necessary to protect the land management rights of family farms in accordance with the law, improve the service system for the transfer of land management rights, and encourage the orderly transfer of land management rights to family farms. Protect the rights of both parties to land circulation according to law, guide both parties to reasonably determine the rent level, stabilize the relationship between land circulation, and effectively prevent the risk of land lease for family farms.

Deepening the supply-side structural reform of family farms will strengthen the construction of more perfect infrastructure. Zhao Yang said that family farms should be encouraged to participate in the construction of grain production functional zones, important agricultural products production protection zones, characteristic agricultural products advantage zones and modern agricultural industrial parks. Support family farms to participate in the construction of high-standard farmland and promote centralized contiguous management.

Yu Peiying is beaming with joy: "Counting accounts, the family farm of four people in my family has a per capita income of more than 50,000 yuan, which I didn’t even think about before. This is good, that is good, and it is not as good as income growth. This sweetness, that sweetness, is not as sweet as a purse! " (Reporter Gao Yuncai)

　　But said it would cooperate with the government to legislate.

　　Eight ministries and commissions, including the State Bureau of Surveying and Mapping, the Ministry of Foreign Affairs, the Ministry of Public Security, the Ministry of Industry and Information Technology, the State Administration for Industry and Commerce, the General Administration of Press and Publication, the Information Office, and the Secrecy Bureau, joined hands to launch a special campaign nationwide for the first time. It is reported that this action began in April and will last until the end of the year. Google Maps, the difficulty of rectification named by experts, claimed that it was very wrong, and said that the current laws and regulations on Internet maps in China are blind spots, but it will cooperate with the government to do a good job in legislation.

　　The problem of errors, omissions and secrets of Internet maps is prominent.

　　Min Yiren, deputy director of the State Bureau of Surveying and Mapping, said in an interview that at present, the problems existing in Internet maps are mainly manifested in the following aspects: first, marking a large part of China’s territory abroad in map representation; Second, it omitted to draw important islands such as South China Sea Islands, Diaoyu Islands and chiwei yu. Third, Taiwan Province, our territory, is represented as an independent country or Taiwan Province Island is omitted; The fourth is to draw the administrative boundaries of our country by mistake and publish important geographical indication information without authorization; The fifth is to mark some sensitive, undisclosed and even related information involving state secrets on the map.

　　By searching keywords on many domestic and foreign websites that provide China map search, the reporter found that these websites all have the problem of marking the location of geographic information, and marked some sensitive, not open and even related information involving China’s secrets on the map. On a website called "China Emergency Network" (emss.cn), there is a schematic diagram of more than 300 emergency centers in China on its self-made emergency map of China. However, this map has wrongly drawn China’s border line, and has drawn a large part of China’s territory abroad.

　　Relevant persons from the State Bureau of Surveying and Mapping said that because the network map is in a dynamic form, it is updated quickly, and the websites copy and upload each other, so the problems existing in the network map are not only common, but also spread quickly and have a wide range of influence.

　　The lack of supervision of servers is a problem.

　　Why are there so many "problem maps" on the Internet? Li Yongxiong, director of the Department of Surveying and Mapping Achievements Management and Application of the State Bureau of Surveying and Mapping, believes that one of the reasons is to make and upload the server at will. "At present, only a few maps published on the official website of the Olympic Games have been audited by the administrative department of surveying and mapping. Internet maps that violate laws and regulations are widespread. " He said.

　　According to him, at present, many geographic information service enterprises draw electronic maps of catering and tourism services through GPS locators without the qualification of surveying and mapping. "This kind of electronic map made by" surveying and mapping by the whole people "is not only rough, but also full of mistakes. It is also possible to mark some geographical information involving state secrets. " Li Yongxiong said.

　　A spokesman for Google China said that the basic geographic data sources of Google Maps were obtained from units with official surveying and mapping qualifications. Some experts pointed out that it is a difficult point to rectify a commercial website that provides map services like Google, whose server is abroad, if there is a "problem map".

　　However, the reporter saw on Google and other websites that users can indeed modify and upload map-related place names, building names and other information at will, and advertise their own business.

　　Internet map market oligopoly

　　Min Yiren, deputy director of the State Bureau of Surveying and Mapping, believes that errors in Internet maps not only harm the interests of consumers, but also harm the interests of the state. He said: "Internet map is also the main form of national territory, and the wrong national territory is easy to cause our diplomatic passivity." For this view, Google China does not agree-Google China insists that the legislation on Internet maps in China is still in progress, and there is no clear legal provision on what is illegal, so the special governance action itself lacks a legal basis.

　　"In fact, relevant government leaders and staff often come to Google to discuss the details of how to formulate Internet map regulations. The development of the Internet is often ahead of the law. " A spokesman for Google China said. However, several other big Internet map providers are reluctant to express their views on this matter.

　　There are reasons behind Google China’s high-profile refutation of the special governance actions of the State Bureau of Surveying and Mapping, the Ministry of Foreign Affairs, the Ministry of Public Security and the Ministry of Industry and Information Technology. According to a reporter’s investigation, Google China purchased geographic data from Beijing Tumeng Technology Co., Ltd. The company not only has the ICP license "Jing ICP030699" for Internet content operation, but also has the map approval number of electronic map operation service provider issued by the State Bureau of Surveying and Mapping: "GS(2007)360".

　　According to the latest research of internet society of china and China Computer Users Association, Tumeng’s market share of map search technology services has reached 53% (including the total share of website traffic such as Google China, Sina Aiwen and SouFun); And its competitor-Beijing Tuweixian Technology Co., Ltd. (drawing approval number: "GS(2006)781") has a share of 41%; The two companies have almost formed an oligopoly in the Internet map market.

　　The laws and regulations need to be clearly explained by the regulatory authorities.

　　Some people have raised the question: Can the approval numbers issued by the State Bureau of Surveying and Mapping to two electronic map operators be lent to other websites at will? For example, is it allowed by law for Google Maps to use the approval number of Tumen?

　　"This is a bit like driving a deck car on the road. It seems to be legal. If you check it carefully, you will be exposed." Yang Qun, an analyst of Warring States Policy, commented.

　　In addition, the following two acts are prohibited according to the Regulations on the Administration of Map Examination and Approval promulgated in August last year: first, the acts of not submitting maps for examination as required or using maps without examination and approval without authorization; Second, the map that has been examined and approved has not been revised according to the examination opinions. Those who commit the above acts shall be ordered by the administrative department of Surveying and Mapping of the State Council or the provincial administrative department of Surveying and Mapping to make corrections within a time limit, given a warning, and may be fined between 5,000 yuan and 20,000 yuan. The above provisions apply to both traditional maps and electronic maps.

　　According to Yang Qun, another important issue that needs to be clarified is: The map data provided by a company that has been approved by the government to qualify maps to a third-party company is legal and has been examined and approved. However, if a third-party company (such as Google China) makes modifications, additions and other secondary processing on this basis, does it need to be re-examined and approved by surveying and mapping departments at all levels?

　　"This issue is related to the life and death of many Internet map businesses." Yang Qun said so. (Dong Yi)

Editor: Jufu

　　On May 15th, at the press conference held by the State Council Press Office, the National Bureau of Statistics released the main index data of national economic operation in April. The data shows that in April, the production sector grew steadily, the market demand continued to expand, the employment situation continued to improve, consumer prices rose moderately, the supply-side structural reform was further promoted, the old and new kinetic energy was accelerated, and the quality and efficiency of economic operation were further improved.

　　Xing Zhihong, spokesperson of the National Bureau of Statistics and director of the National Economic Statistics Department, said that although some indicators declined in April, there were many positive changes in the relationship between supply and demand, quality and efficiency, and market expectations in economic operation. "Stability" was the main tone, "progress" was the key word, "good" was the general trend, and the national economy was expected to continue to maintain a stable and positive trend.

　　The main tone of "stability" has not changed.

　　The data shows that the growth rate of some economic indicators declined in April.

　　"This is mainly due to this year ‘ May Day ’ The small holiday is ahead of schedule and the working day is reduced by one day. " Xing Zhihong said that if we compare the growth of economic indicators in April with January-February and last year, we can find that the performance of relevant indicators is not weak. Taking industry as an example, in April, the year-on-year growth rate of industrial added value above designated size was 0.2 percentage points faster than that in January and February, and 0.5 percentage points higher than that in the same period last year. Among the monthly growth rates since 2015, the growth rate of 6.5% is also at a high level.

　　"The decline in the growth rate in the month has not affected the steady development trend of the cumulative growth rate." Xing Zhihong said that the cumulative industrial growth rate from January to April was 6.7%, which was basically the same as the 6.8% in the first quarter; The cumulative growth rate of retail sales of social consumer goods was 10.2%, 0.2 percentage points faster than that in the first quarter. It can be seen that the slight decline of some economic indicators in April is not a trend change, but a small fluctuation within a reasonable range and an expected range.

　　Xing Zhihong said that from the four important indicators of economic growth, price level, employment status and balance of payments, China’s economy continued to operate steadily in a reasonable range, and the main tone of stability remained unchanged, achieving stable economic growth, stable employment, overall stable prices and relatively stable balance of payments.

　　The strength of "entering" is increasing.

　　Xing Zhihong said that in April, China’s economic operation was intensified, structural adjustment continued to advance, and the momentum of transformation and upgrading was good. The "three to one, one reduction and one supplement" was solidly promoted, and the policy effect was further revealed.

　　— — In terms of capacity reduction, steel production increased by 1.7% year-on-year in the first four months, and the growth rate dropped by 0.4 percentage points compared with the first quarter. Cement and raw coal production increased by 0.7% and 2.5% respectively. At present, the steel production capacity is 31.7 million tons, and the coal production capacity is 68.97 million tons, achieving 63.4% and 46% of the target tasks for this year respectively. In terms of destocking, the area of commercial housing for sale nationwide decreased by 7.2% at the end of April, which was 0.8 percentage points higher than that at the end of March. In terms of deleveraging, the asset-liability ratio of industrial enterprises above designated size was 56.2% in March, down 0.7 percentage points year-on-year.

　　— — In terms of cost reduction, from January to March, the cost per 100 yuan of main business income of industrial enterprises above designated size was 85.25 yuan, down 0.15 yuan year-on-year.

　　— — To make up for the shortcomings, the investment in ecological protection and environmental management increased by 50.4% in the first four months, the investment in public facilities management increased by 28.4%, and the investment in water conservancy management, transportation and warehousing and postal services increased by 16.1% and 16.7% respectively.

　　"Since the beginning of this year, the leading role of innovation has improved, new kinetic energy has continued to grow and develop, and entrepreneurial innovation has a good momentum." Xing Zhihong said that in April, there were 556,000 newly registered enterprises nationwide, a year-on-year increase of 9.2%, with an average of 18,500 newly registered enterprises every day. New formats and new models have grown rapidly, and the proportion of online goods in the retail sales of social consumer goods has reached 12.9%, up 1.8 percentage points year-on-year. Driven by the rapid development of e-commerce, the volume of express delivery business is also growing rapidly, and it is expected to increase by 31.1% from January to April.

　　"Good" conditions are increasing.

　　Xing Zhihong said that since the beginning of this year, the positive factors in China’s economic operation have been accumulating, and the steady and positive development trend is sustainable.

　　From the perspective of supply and demand, although the year-on-year increase of PPI has declined in the past two months, the improvement of supply and demand in most industries continues and the market demand continues to expand. In April, the prices of 34 of the 40 industrial sectors were higher than the same period of last year, and the increase was further expanded; Among the 596 industrial products, the output of 419 products was higher than that of the same period of last year, with an increase of 70.3%; What is even more commendable is that the production and sales rate reached 97.6%, up 0.1 percentage points year-on-year, indicating that the relationship between supply and demand in the market continued to show an improvement trend.

　　"This improvement in the relationship between supply and demand is achieved in the context of structural reform on the supply side and the transformation of old and new kinetic energy. It appears on the premise that both supply and demand structures are optimized, and new supply is born through new demand, and new supply creates new demand, not just the result of cyclical factors." Xing Zhihong said.

　　"The upward momentum of the economy and the downward pressure of the economy coexist, and some long-term accumulated structural contradictions still exist." Xing Zhihong said that at present, China is in a critical period of speed shifting, structural optimization and kinetic energy conversion, and it still needs to pay close attention to new situations and new problems in economic operation. (Economic Daily China Economic Net reporter Lin Huocan)

Original Wang Xingfei Fictitious Time

Whether you choose chemotherapy, X-ray examination or heart transplantation, every medical decision is a risk.

From the first human blood transfusion more than 300 years ago to the development of vaccines in COVID-19 today, risks are accompanied by the emergence of every new treatment.

Blood transfusion, anesthesia, chemotherapy, vaccines, antibiotics, X-ray examination, organ transplantation, genetic engineering, biological agents, Dr. Paul Offit (author of The Story of Vaccine) started with nine great achievements of modern medicine and told the story of risks behind each medical progress this time.

In the 20th century, the average life expectancy of Americans increased by 30 years, largely due to the progress of modern medicine. At the same time, every medical breakthrough is accompanied by victory and tragedy.

Do we accept new technologies and when?

Faced with this medical uncertainty, our old friend, Dr. Wang Xing, the author of "Patient’s Family, Please Come" and other books, said: "In fact, although most technical risks are now very controllable, the probability of risks is still not zero, not to mention the exploration of new technologies. You will find that when a new treatment appears on social media, the most indifferent is actually the doctor. Not because they don’t accept new things, but because they understand the uncertainty behind new technologies. The doctor’s job is to try to play the most beneficial card for the patient on the premise of knowing the uncertainty. This is the’ life’ that doctors believe. "

Do doctors also believe in "life"? !

Wen | Wang Xing

(Peking University, Ph.D. in Oncology, Deputy Chief Physician, Department of Thoracic Surgery, Shanghai First People’s Hospital)

Do doctors believe in life? Really believe it.

Many doctors, including me, don’t necessarily have any religious beliefs, but most of them believe in fate. This is not a feudal superstition, such as not eating mangoes (busy) and eating apples (safe) when on duty, although many times we really want to do so. The "fate" that doctors believe is essentially probability. Because modern medicine is an uncertain science based on probability.

When a doctor is a rookie, he can be independent, not because of how many operations he can perform, how complicated situations he has handled and how to save the day, but because of his courage. At the beginning of the operation, there was nothing I was afraid to do, and I was full of momentum, but today, ten years later, I am afraid of a lot. This kind of cowardice is not simply to give up the challenge, but to recognize the probability.

Dr. Wang is at work. Tuyuan Wang Xing Weibo

Assuming that the probability of a risk is one in a thousand, and you treat at least 1000 patients in ten years, this risk will change from a small probability event to a high probability accident.

In recent years, immunotherapy has become more popular in the field of lung cancer. Because of some policies of benefiting the people, most of the immunotherapy drugs have dropped from the initial course of 10,000 yuan to around 1000 yuan. This is certainly gratifying, but it is a headache for doctors that when the price is lower than many auxiliary drugs to relieve vomiting, it will lead to a result-because patients lack the necessary understanding of the side effects of such drugs, they think that since this drug is not expensive, it is nothing to add.

On one occasion, the day before, we lamented that the patient was obviously better after taking the medicine for two days. The patient returned home happily and received news from the patient’s family the next day that the patient had left. From the experience, it is likely that there is an outbreak of immune cardiotoxicity, the probability is about 5%, there is no reason, and even the key markers can not be found to determine who is the 5%.

Young doctors are reluctant to talk about risks and think the probability is too low. But I will talk about the risks and let patients know that whether it is surgery or medication, we are all gambling. I still remember that a patient in the department suddenly fell to the ground when he went to the toilet the next day after surgery. After investigation, he found that it was an acute cerebral infarction, so he quickly rescued it and spent hundreds of thousands. The final outcome was a vegetative state, and the patient died soon.

Stills of In the World

It was originally a simple minor operation, but the patient lost his life. Despite the timely rescue, the patient’s lover expressed gratitude to us, but the family members still questioned us-

"Should surgery be done?"

"If the operation is not done, can the patient live for many years?"

"Why didn’t you emphasize with your family that you would have a cerebral infarction before the operation? If you knew there was this risk, we wouldn’t be in a hurry."

If I were a family member, I would ask the same question. No way, the surgeon’s job is to bury his emotions in a grave that belongs to his own heart and continue to work with a cold mask. But the more you work, the more timid you are, and the more you will nag patients about risks, instead of boasting about your strength and downplaying the operation.

I hope more people will read this book precisely because it is not preaching, but telling people with facts that medical risks are a problem that cannot be ignored.

Although medicine has developed from witchcraft of offering sacrifices to ghosts and gods to today, it is still full of many uncertainties. This is the origin of the title, gambling on life, or literally translated as-you have to gamble on your life.

This is no exaggeration. Nowadays, technologies that look very mature: blood transfusion, antibiotics, vaccines, anesthesia … These medical inventions not only bring about the improvement of people’s well-being, but also bring disastrous consequences.

Stills of Everything About Dr. Tang

If the key word of the author’s The Story of Vaccine is "cost", then the key word of Gambling Life is "uncertainty".

At the time of writing this book, the COVID-19 epidemic was raging all over the world, and all countries were on the track of vaccine, hoping to develop a unique vaccine, so that their countries could gain great advantages in this era. On April 7th, 2020, FDA approved an antimalarial drug named hydroxychloroquine for the treatment of Covid-19 infection in the absence of research results on drug effectiveness. Many people, including the then president of the United States, think that what harm can it do to try? Unfortunately, many research results show that hydroxychloroquine can neither treat nor prevent Covid-19 infection, and about 10% of drug users have severe arrhythmia. Two months later, the FDA withdrew the drug recommendation.

It can be said that one of the purposes of this book is to accuse the American government of ignoring the potential risks of new medical technologies in order to "win". Different from the history of western medicine which is narrated according to time, Gambling Life has no intention of exaggerating the success and tragedy stories behind nine modern medical advances, but conveys a profound lesson to us-whether, when and how we should accept new technologies.

This book tells readers with cold figures how the hidden bugs in the beautiful medical discoveries in the name of cure have led to disasters step by step. In the process of reading, I was deeply touched. Medical study only made me see the increasing life span of human beings, but I didn’t see that the flashes in medical history superimposed the unique arrogance of human beings, which made history trample on bones and blood and tears again and again.

Human discovery of medicine is often accompanied by several kinds of mistakes:

The first category is insufficient cognition.

The author takes blood transfusion as an example. At first, people learned to transfuse blood from cattle and sheep. When an accidental transfusion of human blood succeeded, they fell into a gambling game, because after transfusion, there was a certain probability that people would die. Today, we know that people have ABO blood type and Rh blood type, and only the correct blood transfusion method can be established. After people thought that they had discovered the natural law and started blood transfusion, they were educated again, because the disaster caused by the spread of hepatitis B and AIDS caused by blood transfusion was far more serious than before. You will find that the more ordinary people are, the more confident they are, and the more confident they are, the greater the cost.

The second category is that the pace is too big and there is a lack of supervision.

Known as "one of the most serious large-scale poisoning incidents in the 20th century", the protagonist is an antibiotic called sulfanilamide, which is still commonly used today. At that time, four weeks after the drug was put on the market, 353 people took it and 105 people died, including 34 children. Finally, it was found that the problem was not sulfanilamide, but the solvent of the drug. The solvent contains lethal diethylene glycol, which will cause nephrotoxicity. On March 5, 1938, President Roosevelt signed the Food, Drug and Cosmetics Act. Since then, American pharmaceutical companies have been required to list all drug ingredients on the labels and fully carry out product safety tests before they can obtain the marketing permission of the FDA.

The third category is "a dead horse is a living horse doctor".

The most typical example is biotherapy. In the Wei Zexi incident, Wei Zexi tried biological therapy in the treatment of chondrosarcoma with a desperate mentality, and eventually he lost both money and money. The effectiveness of many seemingly "new drugs" and "new therapies" has not been fully verified, and the huge temptation of fame and fortune brought by a star therapy has also driven doctors to ignore ethics and regulatory processes to promote clinical trials. This "two-way trip" to human trials is disastrous, such as the incident of genetically editing a fetus that made a lot of noise a few years ago. These experiments will bring unpredictable and huge risks to individuals and human beings. The author thinks that we must firmly control the brakes under our feet.

via:www.sagarhospitals.in

The fourth category is the false confidence generated by animal experiments.

A successful heart transplant for chimpanzees does not mean that people will succeed. There are great species and individual differences between species and people. Social media often reports that a drug has played a good role at the cellular and animal levels, and it sounds as if human beings are about to conquer a certain disease. However, as long as graduate students who have experienced basic scientific research and training know that there is a huge gap between drugs from outside to inside, and from animals to people. What is effective at the cellular level may not be effective at the animal level, and what is effective at the animal level may not be effective in human trials, and even lead to a series of chain reactions. The exquisiteness of the human body also determines that any method of changing the structure and adjustment of the human body is bound to have defects.

Gambling on Life is a sober book, which refers to the U.S. government, which is eager to promote large-scale clinical trials without evidence, and hopes that every struggling patient can remain rational during treatment. In the book, you will learn that in the history of medical development, people who have been drugged may or may not fall asleep; People who have been vaccinated may resist the virus or die of the vaccine itself; Even blood transfusion, a common operation in modern society, was once a gamble.

Stills of "Emergency Room Story"

No one wants to gamble. It’s like a patient asking me if I can be cured. If I answer "It depends on my life", it will probably cause a contradiction between doctors and patients. In fact, although most technical risks are already very controllable, the probability of risks is still not zero, not to mention the exploration of new technologies. You will find that when a new treatment appears on social media, the most indifferent is actually the doctor. Not because they don’t accept new things, but because they understand the uncertainty behind new technologies.

The doctor’s job is to try to play the most beneficial card for the patient on the premise of knowing the uncertainty. This is the "fate" that doctors believe.

* Some pictures are from the Internet.

Bet one’s life

[America] By Paul Offit, translated by Qiu Xiaochen

Publication date: May 1, 2024

Shanghai Translation Publishing House

brief Introduction of the content

Whether you choose chemotherapy, X-ray examination or heart transplantation, every medical decision is a risk.

Dr. Paul Offit pointed out that from the first blood transfusion over 300 years ago to the development of vaccines in COVID-19 today, risks are accompanied by the emergence of every new treatment.

In the 20th century, the average life expectancy of Americans increased by 30 years, largely due to the progress of modern medicine. At the same time, every medical breakthrough is accompanied by victory and tragedy.

Do we accept new technologies and when?

Blood transfusion, anesthesia, chemotherapy, vaccines, antibiotics, X-ray examination, organ transplantation, genetic engineering, biological agents, "Gambling for Life" starts with nine great achievements of modern medicine and tells the risk story behind each medical progress.

Brief introduction of the author

Paul A. Offit, professor of vaccinology, professor of pediatrics at perelman Medical College, University of Pennsylvania, and director of the Vaccine Education Center of Philadelphia Children’s Hospital. He is a member of the vaccine working group of the National Institutes of Health (NIH) and the vaccine and related biological products advisory committee of the Food and Drug Administration (FDA). Previously, he was a member of the Advisory Committee on Immunization Practice of the Centers for Disease Control and Prevention (CDC).

His medical popular science works include The Story of Vaccine, Do you believe in magic? "gambling" and so on.

Original title: "Doctors also believe in" life "? ! Really believe it. 》

Read the original text

Expert Consultant: Zhang Zhifu, Senior Engineer of National Meteorological Information Center.

All night long, the city was covered with silver and snow-this is the winter picture that many people are looking forward to. According to the forecast of Beijing Meteorological Observatory,twelvemoon10Japan, Beijing will usher in2023The first large-scale obvious snowfall in the winter of 2008.

Are there fewer and fewer days of snow in Beijing?

In recent years, the biggest feeling of people living in Beijing is that there seems to be less and less snowfall. When I was a child, I could make a snowman and have a snowball fight in winter. Now it is hard to meet snowflakes. Let’s follow the meteorological data to see if there are really fewer snowy days in Beijing.

From the data of winter snowfall days in Beijing (Observatory Station) from 1961 to 2022, it can be seen that the year with the most snowfall observed in winter in Beijing was the winter of 1963, with a total of 29 days, and the second largest was the 27 days in 1968. The year with the least snowfall days appeared in the winter of 1982, with only three days, followed by the winters of 2006, 2010, 2013 and 2022, with only four days of snowfall in the whole winter.

In addition, since 2000, the annual average number of snowfall days in Beijing has decreased compared with that in the 20th century. Among the top 10 snowfall days in history, the years after 2000 accounted for 7 seats. Since 2000, there have been only three years in which the number of snowfall days has reached more than 20 days, namely, the winter of 2000 (22 days), the winter of 2002 (23 days) and the winter of 2012 (23 days).

At present, during the heavy snow solar term, as the temperature gradually drops, compared with the light snow solar term, the probability of snowfall in the heavy snow solar term is higher. According to the historical data of "Tianqing" of the National Meteorological Information Center, during the heavy snow solar term from 1991 to 2020, the average snowfall days in Beijing were 0.8 days, and the average precipitation was 0.92 mm.

How is the first snow day defined in Beijing?

According to the definition of the first snow day in Beijing (Trial), the first snow day in Beijing refers to the date when a large-scale snowfall occurred for the first time in Beijing. There are 20 national meteorological stations in Beijing, and there are five observation stations in the urban area, namely Observatory, Chaoyang, Haidian, Fengtai and Shijingshan.

Meet one of the following conditions can be identified as the first snow day in Beijing that year:

First, snowfall was observed at more than 10 stations in 20 manned weather stations in the city;

Second, snowfall has been observed at five observation stations in the urban area (Observatory, Chaoyang, Haidian, Fengtai and Shijingshan), or at three or more of the five stations in the urban area, and the snowfall of at least one station is ≥ 0.1mm..

When does the first snow usually come in Beijing?

According to statistics, the first snow in winter in Beijing mostly occurs in November and December. The average first snow day in Beijing from 1991 to 2020 is December 3rd.

The statistical period of the first snow day is from October 1st of that year to May 31st of the following year. In some years, the first snow only appears in January or February of the following year, so there will be new year’s eve. For example, the sunrise of the first snow in winter in 1970/1971 is now on January 19, 1971 (the years with the first snow in January and February are the following year of the statistical year).

According to statistics, since 1961, the earliest date of the first snowfall was October 31st of the winter of 1987/1988, which was the only snowfall in Beijing since 1961, one month earlier than the average first snowfall date.

The latest appearance date was February 11th of the following winter in 1983/1984, which was more than two months later than the average first snow date. It is worth mentioning that the first snow day ranks in the top five at the latest. Except for the winter of 1983/1984, the second to fifth snow days all appeared after 2010.

(Author: Su Jessie
Editor in charge: Yan Hong)

The change of SAA level has important clinical value for early diagnosis, risk assessment, curative effect observation and prognosis evaluation of infectious diseases.

Infectious diseases are common types of diseases in clinic. Infectious diseases are characterized by various pathogens, diverse infection routes and individual differences in symptoms and signs, which can lead to serious consequences if they are not diagnosed and treated effectively in time. Therefore, how to make early diagnosis and/or differential diagnosis of infectious diseases is a practical problem that needs to be solved urgently in clinic.

A(serum amyloid A (SAA) is a nonspecific acute phase reaction protein, and its clinical value as a marker of inflammation has been widely concerned in recent years.The change of SAA level has important clinical value for early diagnosis, risk assessment, curative effect observation and prognosis evaluation of infectious diseases.In addition to the increase in bacterial infection, SAA is also significantly increased in viral infection. According to the degree of increase or combined with other indicators, bacterial or viral infection can be indicated, thus making up for the deficiency that commonly used inflammatory markers can not indicate viral infection at present.

Clinical significance of SAA

1, rapid diagnosis of bacterial infection and virus infection;

2. SAA is more sensitive than CRP in the early stage of infection and weak inflammatory stimulation, which can provide better differentiation;

3. Sensitive reaction, which can be used as a sensitive index to reflect infection and inflammation control;

4. It is widely used in auxiliary diagnosis of infectious diseases, risk prediction of coronary heart disease, dynamic monitoring of curative effect and prognosis of tumor patients, monitoring of transplant rejection and monitoring of improvement of rheumatoid arthritis;

5. The combined detection of SAA, CRP and PCT can better reflect the complementary advantages, provide another basis for the diagnosis and differential diagnosis of bacterial and viral infections, and better reflect the clinical value-added significance that can not be reflected by single indicators;

6. SAA combined with CRP can provide powerful data for the differential diagnosis of early bacterial and viral infections and guide the use of antibiotics;

7. Especially in the early diagnosis of infectious diseases in children and neonatal septicemia, it is more significant than single diagnosis in the early identification of bacterial and viral infections in infectious diseases in infants;

8. The increase of SAA and hs-CRP concentration may be positively correlated with the prediction of the risk of cardiovascular events in healthy people in the future, and the increase of both indexes is more significant for predicting the risk of cardiovascular events.

Clinical interpretation of SAA level

Summary of applicable departments, indications and clinical application of SAA

SAA is widely used in auxiliary diagnosis of infectious diseases, risk prediction of coronary heart disease, dynamic observation of curative effect and prognosis of tumor patients, observation of transplant rejection and observation of improvement of rheumatoid arthritis. Clinically, SAA concentration < 10 mg/L is normal, which is consistent with CRP reference range.

Early diagnosis of virus infection：SAA will increase rapidly in both bacterial and viral infections.CRP will only increase when there is bacterial infection. Based on this feature, the combined detection of SAA and CRP is more unique than that of CRP alone.For example, in two cases of fever caused by physical factors and cold caused by virus infection, CRP may be normal, and if SAA is increased, it may indicate that virus infection tends to increase.

Early diagnosis of bacterial infection;SAA index is more sensitive than CRP in early infection,It rises earlier and falls faster and more sharply when it recovers.In the early stage of infection, weak inflammatory stimulation SAA is more sensitive than CRP and can provide better differentiation.

Differential diagnosis between bacterial infection and virus infection;Simultaneous detection of both can provide powerful data for differential diagnosis of early bacterial and viral infections. Especially in the early diagnosis of infectious diseases in children and neonatal septicemia, it is more significant than single diagnosis in the early identification of bacterial and viral infections in infants and young children. As written in Laboratory Medicine, Volume 5, No.32, May 2017, Application of Serum Amyloid A and C-reactive Protein Detection in the Diagnosis of Infectious Diseases in Children:Combined detection of CRP and SAA can determine the type of infection more quickly and accurately, and provide effective laboratory basis for early diagnosis and follow-up treatment of diseases!

Risk predictors of cardiovascular and cerebrovascular events:The increase of SAA and hs-CRP concentration may be positively correlated with predicting the risk of cardiovascular events in healthy people in the future.The increase of both indexes is more significant for predicting the risk of cardiovascular events.

Tumor severity and prognostic evaluation index：SAA in patients with many tumors, such as liver cancer, lung cancer, breast cancer, prostate cancer, endometrial cancer, etc., has increased to varying degrees.SAA level has obvious correlation with the active stage, malignant degree and metastasis of tumor, and the metastasis stage of malignant tumorSAAElevations usually show higher values than those in the stable phase of tumors.Therefore, SAA, as a non-specific index, can be used as an index for dynamic observation of curative effect and prognosis of tumor patients.

Preferred indicators for monitoring graft rejection;The change of SAA concentration is a very sensitive index for transplant rejection. Studies show that 97% of renal transplant rejection is based on the increase of SAA, while the CRP concentration changes little.thereforeSAA concentration can be used as the first choice to monitor rejection.

Infection/Inflammation Solutions

The combined detection of SAA, CRP and PCT can effectively distinguish bacterial infection from viral infection, predict the risk of cardiovascular events and evaluate the prognosis of tumor diseases.

Comparison of three markers