How to collect JD.COM 618 red envelopes this year? What festival is Taobao 618? When will Tmall 618 start?

  The breath of summer is getting stronger and stronger, and the JD.COM 618 Shopping Carnival will be grandly opened in 2025. JD.COM has made all-out preparations, carefully laid out and comprehensively upgraded the goods, games and subsidies, and is committed to creating a large-scale shopping feast with rich discounts and full of fun for consumers, so that consumers can enjoy the happiness and benefits of shopping this summer.

  At the beginning of the event, the attractive red envelope benefits came strongly. From May 13th, the JD.COM 618 red envelope was officially opened! Open the mobile phone JD.COM APP and search for "Shopping Red Packet 999", and you can get red packets three times a day. This benefit lasts until June 18th. In more than a month’s time, consumers can easily harvest surprise red envelopes, which can be directly deducted from cash at the time of shopping settlement, saving money whether it is daily necessities purchase or large-scale goods purchase.

  The JD.COM 618 event was promoted in stages and orderly, bringing continuous shopping surprises to consumers. At 8 o’clock on the evening of May 13th, the "Heart Shopping Season" kicked off first. As a warm-up stage of the activity, it will last until May 28th. During this period, consumers can choose their favorite products in advance, feel the atmosphere of the shopping festival and lock in the offers in advance. At 8: 00 pm on May 31, JD.COM 618 officially kicked off. At that time, a large number of super-value goods will be unveiled, and various preferential activities will be launched simultaneously. A wonderful shopping spree will soon be presented to consumers.

  At the same time, JD.COM also has state subsidies: search for "mobile phone 500" or "Apple mobile phone 886" in JD.COM APP to buy mobile phone tablet digital products, and the highest subsidy is 500 yuan; Search for "home appliances special 818" to buy home appliances, and the maximum subsidy can reach 2000 yuan, so that consumers can buy high-quality goods at more affordable prices.

  This time, JD.COM 618 made a comprehensive innovation in gameplay and built a diversified marketing system. In the basic gameplay, classic activities such as "over 200 MINUS 20 coupons" and "cross-store full reduction" have returned strongly, and the incentives are even stronger. Consumers can easily enjoy direct reduction and exemption as long as they meet the conditions, regardless of whether they buy a single item or a cross-store combination. Moreover, these offers can also be superimposed and used to truly save money for consumers to shop.

  In addition, JD.COM has carefully created seven theme promotion days, namely surprise day, super spike day, 10 billion subsidy day, super provincial special price day, super live broadcast day, PLUS member day and ten thousand stores spike day. These theme days span the heart shopping season and the official activity period of 618, and each theme day has unique preferential highlights. There are random benefits on surprise day; Super spike day popular goods low-cost spike; 10 billion subsidies for daily commodity subsidies; Super-provincial special day focuses on high cost performance; Super live broadcast day anchor brings exclusive benefits; PLUS membership day members enjoy privileges; Many stores offer simultaneous discounts on the 10,000-store spike. During the event, stars and popular IP will also participate in it, bringing interesting interactions and rich prizes, making shopping more interesting.

  The whole 618 activity is divided into four stages. At the beginning stage, the explosive goods are launched at a low price, and consumers can snap up popular new products at the first time; During the special period, promotional activities were carried out in turn according to categories to meet the needs of different consumers; During the climax, all categories of goods participated in the preferential treatment, and the preferential intensity reached the maximum, and the benefits such as red envelopes, full reductions and discounts were fully covered; The return period provides consumers who missed the previous activities with the last chance to pick up the missing items. Hot goods are replenished, affordable and well stocked.

  Taobao 618 Hongbao

  You can get 618 red envelopes by searching for [Happy 2266] on mobile phone Taobao.

  Taobao also has a red envelope to collect, which can be collected every day during the activity, with a maximum of 25,888. It can be operated in a few seconds without any cost. It is recommended to get it every day.

  In terms of characteristic play, JD.COM highlights frequently. The "Seconds Kill" channel launched activities such as Super Seconds Kill Day and Big-name Seconds Kill Day, which provided businesses with more exposure opportunities and gave consumers more opportunities to snap up big-name good things at low prices. The newly launched "State Subsidy× 10 Billion Subsidy" channel combines policy concessions with platform concessions to create the most favorable shopping experience of the year. Consumers can enjoy double subsidies when purchasing a variety of goods and realize low-cost shopping. The "Special Price" channel brings activities such as "50% off special weekend", "2 yuan postage" and "factory direct sale", so that consumers can enjoy value-added shopping. JD.COM app searches for [Shopping Red Packet 999] to get 618 red packets. The "Trial" channel has been upgraded, and JD.COM has invested a lot of resources to implement the model of trying big-name explosive products before buying, which not only ensures the safety of consumers’ shopping, but also helps brands to pull new promotions and achieve a win-win situation.

  In 2025, JD.COM 618 invited consumers to participate in this summer shopping spree with rich welfare and innovative gameplay. No matter you are a consumer who pursues quality or a shopper who pays attention to cost performance, you can find your favorite goods and great discounts in JD.COM 618, start a pleasant shopping trip and enjoy the infinite fun brought by shopping!

How can infectious diseases spread?

  The route that causes the epidemic and spread of infectious diseases is called the route of transmission, that is, the route through which pathogenic microorganisms are discharged and invade another susceptible organism. Common routes of transmission are: (1) airborne transmission, including (1) droplet transmission. Pathogens existing on the surface of respiratory mucosa can be ejected with the patient exhaling, talking loudly, coughing, sneezing, etc. These mucus droplets containing a large number of pathogens are small in size and suspended in the air for a short time (usually no more than a few seconds), so the spread of droplets is limited to close contacts around patients or carriers. Epidemic cerebrospinal meningitis, influenza and whooping cough can be spread in this way. Crowded public places, such as cabins with many passengers and waiting rooms at stations, are common places where this kind of spread occurs. ② It is spread by dust. Secretions containing pathogens are scattered on the ground, clothes or sheets in large droplets and become dust after drying. When tidying clothes or sweeping the ground, dust with pathogens flies and causes respiratory transmission. All dry-tolerant pathogens can be spread in this way, such as mycobacterium tuberculosis and anthrax spores.

  Most airborne infectious diseases have seasonal characteristics, which are generally more common in winter and spring. There are many factors affecting air transmission, which are related to population density, living conditions and the proportion of susceptible people in the population. (2) Water transmission includes two modes of transmission. One is diseases caused by drinking water polluted by feces, such as cholera, typhoid fever, bacillary dysentery and hepatitis A; The other is diseases caused by contact with "epidemic water" (infected water), such as schistosomiasis and leptospirosis, and its pathogens mainly invade the body through skin and mucosa. (3) Through food transmission, all intestinal infectious diseases, some parasitic diseases and individual respiratory diseases (such as tuberculosis and diphtheria) can be transmitted through food. (4) Contact transmission, including two modes of transmission: ① Direct contact transmission refers to the transmission caused by the contact between the source of infection and the susceptible person without any external factors, such as sexually transmitted diseases, rabies, rat bite fever, etc. (2) indirect contact transmission, also known as daily contact transmission, refers to the transmission caused by the contact of susceptible persons with daily necessities contaminated by excreta or secretions from infectious sources. Contaminated hands play a particularly important role in indirect contact transmission.

  Sexually transmitted diseases include any diseases transmitted through sexual behavior, which belongs to contact infection. (5) Transmission by vector arthropods refers to infectious diseases transmitted by arthropods biting and sucking blood or polluting food. For example, flies and cockroaches can carry pathogens of intestinal infectious diseases, and mosquitoes can spread Japanese encephalitis. (6) Spreading through soil. There are many opportunities for soil pollution. For example, human manure fertilization pollutes the soil with intestinal pathogens or parasitic eggs, such as hookworm eggs and ascaris eggs. Spores of some bacteria can survive in the soil for a long time, such as tetanus, anthrax, gas gangrene, etc. If the skin is damaged, it can cause infection through the soil; Children playing in the soil are susceptible to ascariasis. (7) Vertical transmission is the transmission between the pregnant woman and the fetus, which can include transmission through the placenta and transmission caused by childbirth.

Health declaration and inquiry system for migrant workers in our province goes online.


On February 16th, the reporter learned from the Provincial Big Data Center that the health declaration and inquiry system for migrant workers in Sichuan has been officially launched. The platform, jointly developed by Sichuan Big Data Center and Provincial Health and Wellness Committee, can provide health certificates for migrant workers in the province and facilitate their return to work. The platform can fill in personal information anytime and anywhere, inquire about health status, and obtain and use the QR code of health certificate. Online reporting can not only reduce the time spent outside, but also reduce close contact and reduce the risk of cross-infection.

It is understood that the health declaration and inquiry system for migrant workers in Sichuan is an online service platform tailored for the convenience of migrant workers. The health certificate can be declared and checked through the provincial government website, Sichuan government service network, Tianfu Tongban APP, Sichuan Group Defense Express, WeChat applet, WeChat, Alipay and other channels. With the launch of the system, the reporter interviewed relevant R&D personnel to reveal the features and highlights of the system for you.

Why launch this online service system? "One is for the convenience of the masses. Basically, everyone has a mobile phone, through which you can fill in personal information, check health status and use health certificates anytime and anywhere. " The R&D staff told the reporter that migrant workers can fill it out on their mobile phones in advance, and only need to carry out necessary epidemiological history investigation and temperature measurement at hospitals or community health service centers. After passing the examination, they can automatically generate health certificates online, which is very convenient. "At the same time, using this system can ensure safety. Online reporting can reduce the stay time in hospitals or community health service centers, reduce close contact between personnel, and minimize the risk of cross-infection. "

"This system mainly introduces three service functions for migrant workers, inspection doctors, employers, etc." The R&D personnel introduced that the first is the declaration function. Migrant workers can fill in personal basic information, health status and contact history online through the system, and complete the declaration of health certificates independently. The second is the confirmation function. The doctor knows the applicant’s information in advance through the system, measures the body temperature on the spot, asks about the contact history and health status, and confirms the results online and offline. The third is the inquiry function. Employers and destination villages (communities) can scan the health QR code of migrant workers and conduct health check at any time.

It is reported that the system was developed under the authorization of emergency headquarters in Sichuan Province to deal with the novel coronavirus epidemic, and the generated electronic health certificate has the same effect as the paper health certificate. Electronic health certificate can be confirmed with one click, generated immediately, valid within 3 days, and can be used directly online. "Therefore, this system is authoritative, extensive and timely."(Reporter   Chen Song   Liu Wenzao)

Gree pursues beauty, with a difference of 100 billion in half a year.

  In terms of scale, Gree Electric lags behind Midea Group in air conditioning, small household appliances and diversified businesses, with a total revenue difference of 98 billion yuan in the first half of 2023. However, judging from many data, Gree still has its own advantages, such as abundant cash on the account and high gross profit margin of air-conditioning business.

  author |Lin Xia Xi

  source | City boundary

  Revenue reached a new high in the first half of the year, and net profit did not return to a high point.

  If one sentence is used to describe the semi-annual report of 2023 released by Gree Electric on the last day of August, it is that "all aspects are recovering, but many data are hidden".

  Let’s look at the overall revenue and net profit performance-99.79 billion yuan and 12.35 billion yuan in the first half of the year, respectively. The former hit a record high, but the year-on-year growth rate was small, only 4.16%, while the latter maintained a growth rate of 14%, but it still did not reach the level of 2018 and 2019.

  Such growth has not kept pace with the market.

  Under the influence of El Ni? o phenomenon, there was a rare high temperature in the first half of 2023. Stimulated by this, although the real estate industry remained sluggish, the sales and retail sales of domestic household air conditioners increased by 12.72% and 16% respectively, which was much higher than Gree’s overall income and air conditioning income.

  On a larger scale, Gree Electric, which lags behind the market, is also gradually falling behind in the world. According to the latest data, the threshold for entering the Fortune 500 in 2023 is 225.165 billion yuan, while Gree’s annual income in 2022 is 190.151 billion yuan, and there is still a certain gap. From 2019 to 2022, Gree Electric’s ranking in the Fortune 500 has also dropped from 414 to 487.

  In terms of revenue composition, Gree Electric’s revenue of 99.79 billion yuan in the first half of this year accounted for more than 1% of the business, including air-conditioning business that contributed 70% of the revenue, eco-agriculture and green energy services that contributed 2.92% of the revenue (mainly including buses and energy storage equipment under Gree Titanium), and small household appliances that contributed 2.18%.

  In addition, industrial products and other businesses contribute a total of 23.6% of revenue, which is actually quite eye-catching.

  A small number of industrial products mainly include compressors, motors, molds, etc., which belong to To B business, while other businesses mainly focus on purchasing upstream raw materials, mainly to play the role of bulk purchasing and lowering prices. After purchasing, they are sold to upstream processing enterprises, with a gross profit margin of only about 2%, which mainly plays a role in expanding income scale from a financial point of view.

  It is worth noting that although the overall income of Gree Electric reached a new high in the first half of 2023, if the "other businesses" that hardly make money are deducted, the total remaining income has not actually returned to the level of the first half of 2019, and the income from air conditioning business alone is even worse than that in 2018 and 2019.

  In addition to self-comparison, we can better understand what such data means by horizontally comparing Gree Electric with its old rival Midea Group. In the first half of 2023, Gree lost 98.006 billion yuan compared with Midea Group’s total revenue of 197.796 billion yuan.

  Fairer, if the "other income" of the two companies is deducted, Gree has fallen behind the United States by 100.969 billion yuan, which is the biggest gap in the main income of the two companies in history.

  So where is the difference between the 100 billion yuan?

  In terms of air-conditioning business, Gree has been at a disadvantage since 2020, and the gap has been widening in the past three years. The gap in the semi-annual report has expanded to 22 billion yuan; In the field of small household appliances, in the first half of 2023, Gree Electric’s income was only 2.177 billion yuan, while Midea Group’s income was 30 times higher than that of 68.136 billion yuan.

  In addition to home appliances, Gree Electric’s industrial products, green energy and smart equipment businesses generated a total revenue of 8.7 billion yuan in the first half of 2023, which is about half of the revenue of Midea Group’s robots and automation systems.

  It is worth noting that both companies are making efforts in the automation and intelligent production of To B, but the paths are different.

  Judging from the semi-annual report, Gree Electric emphasized the technology and quality of core components such as compressors (core devices of air conditioners) and motors (power sources of electrical appliances), but Midea Group emphasized the complete solutions for different scenarios in the fields of medical care, entertainment and consumption.

  If we distinguish between domestic and foreign income, after deducting "other business", Gree Electric’s domestic income actually lagged behind that of the United States 10 years ago, but the gap was small. Until 2023, the gap in the semi-annual report has expanded to 47.5 billion yuan, the highest in the past years, equivalent to 59% of Gree’s only beauty.

  The bigger gap is overseas income. The gap between the two has expanded from 18.5 billion yuan in the first half of 2014 to 67.7 billion yuan in the first half of 2023. Gree’s current overseas income is only equivalent to 16% of Midea Group.

  At least in terms of scale, Gree Electric has indeed fallen behind Midea Group in terms of air conditioning, small household appliances and diversified businesses, and the gap has also reached a new height.

  "Sequela" of Dealer’s Rebellion

  In addition to the overall performance, a series of subtle changes can be seen in the semi-annual report in 2023, which may be related to the "rebellion" of some dealers in Gree Electric last year.

  In the first half of 2023, the sales expenses in Gree Electric increased by 71.01% year-on-year. The semi-annual report showed that it was mainly due to the increase in product installation and maintenance fees, but the air-conditioning revenue in the current period only increased by 1.82% year-on-year, which was in sharp contrast.

  Although in absolute terms, the sales expenses of 8.41 billion yuan in the first half of the year are not the highest in the semi-annual reports over the years, it is the first time to look through the financial reports over the years, like in the first half of 2023, because of the installation and maintenance costs, the sales expenses have risen sharply.

  As a leader in the field of air conditioning, the probability of a sudden surge in maintenance costs due to quality problems in the first half of the year is not great, so it is more likely that the installation costs have increased substantially. But why did the air conditioner sell less than 2% more, and the sales cost rose by 71% because of the installation cost?

  In fact, the after-sales business of air conditioners has always been the responsibility of distributors all over the country. They also manage the air conditioner sales business and after-sales business including installation and maintenance in the corresponding areas. When installation services occur, the distributors will charge certain fees from the air conditioner manufacturers, and they will also charge customers aerial work fees, material fees and so on according to the situation.

  In September, 2022, Gree fell out with dealers in Hebei, who published a Notice, describing a series of inside information that Zhuhai Gree headquarters shut down the after-sales service management authority of Hebei Gree Company, and after Gree Zhuhai Hengge took over the after-sales service in this area, it proposed sales performance tasks for maintenance points, changed the preferential policies that Hebei Gree used to provide such as free overhead fees and free punching fees, and so on.

  After the two parties parted ways, the new distributor that Gree Electric was looking for in Hebei surfaced-Eye-searching showed that Gree Zhuhai Hengge Digital Technology Co., Ltd. mentioned in the Notice was previously owned by Zhuhai Hengge Trading and Jiangsu Saifu Green Food Development Co., Ltd., but the latter withdrew in May this year and Xiamen Saifu Trading Co., Ltd. became the new shareholder.

  It is noteworthy that Liu Qiangdong and ZhangZetian once appeared among the shareholders of Jiangsu Saif Green Food, but they withdrew from the shareholders in 2020. The legal representative of Xiamen Saif Trade, the new shareholder, is Zuo Yujie, just like Jiangsu Saif Green Food.

  According to the public information, Zuo Yujie has a close relationship with JD.COM. He used to work in JD.COM and still serves as the chairman of Runjing Information Technology Co., Ltd., which is the operator of JD.COM Wine World, and JD.COM Wine World is an omni-channel wine retail enterprise invested by JD.COM.

  In addition to the 71% increase in sales expenses, the contractual liabilities of Gree Electric (that is, the advance payment paid by dealers) rose by 79.7% to 28.972 billion yuan at the end of June 2023, while the operating cash inflow increased by 40% to 127.9 billion yuan year-on-year. It can be considered that the changes in important distribution channels have brought a series of effects, that is, new dealers have large-scale purchase demand, which brings considerable cash flow and contractual liabilities, and at the same time corresponds to the regional after-sales service system.

  In addition, considering the above indicators comprehensively, there is another possibility, that is, delaying the recognition of income and recognizing expenses in advance.

  In this case, a considerable part of the goods have been sent to the dealers, and the payment has been received, and the installation has been completed after the sales by the dealers. However, Gree Electric did not settle this part of the payment with the dealers for some reason, which led to the fact that it is still reflected in the books as contract liabilities rather than income. However, the installation expenses that have occurred have already been reflected in the sales expenses because they need to be included in the corresponding period, which leads to a huge difference between the increase of income and sales expenses.

  In either case, the high probability is related to the change of dealers, and it can also be regarded as the sequela of the "rebellion" of important dealers in Gree Electric in 2022.

  Gree still has its own advantages.

  Even if the overall performance lags behind Midea Group, many indicators in the 2023 semi-annual report are affected by changes in dealers, but from many data, Gree still has its own advantages.

  The first is ample cash in the account.

  At the end of June, 2023, Gree’s book cash and wealth management reached about 200 billion yuan, more than all the cash and wealth management on the books of Midea and Haier combined, but it should also be noted that 64.219 billion yuan of them were restricted funds.

  At the same time, the gross profit margin of Gree Electric’s air-conditioning business returned to a high level of 35.69% in the first half of 2023. In the same period, Midea Group’s air-conditioning gross profit margin was only 23.29%, while Haier Zhijia’s was 28.62%, which was related to Gree’s greater focus on air-conditioning, which led to higher overall asset operation efficiency, as well as a certain cost advantage gained by centralized procurement of raw materials, which was of course a direct manifestation of its brand premium.

  If we compare the per capita income and per capita profit, Gree Electric will be the highest in 2022. Because of this, although the total revenue of Gree Electric and Midea Group in the first half of the year is nearly 100 billion yuan, the difference in net profit is only about 6 billion yuan. Haier Zhijia, whose income is 32% higher than that of Gree Electric, has a net profit of only 73% of that of Gree Electric.

  These all point to one of Gree Electric’s greatest advantages-that is, it can earn more money with higher efficiency in the established field of air-conditioning business.

  However, the capital market of "voting with your feet" only gives Gree Electric about half of the current market value of Midea Group, which shows that it is not enough to have a strong ability to make money in one field, and the scale of revenue is also very important.

  In contrast, Midea Group seems to have chosen another path.

  Ten years ago, Midea Group began to lay out multi-category household appliances and overseas business. Although at a certain stage, the product lines were messy and redundant, it could be improved through necessary simplification and transformation. The longer-term significance lies in broadening the possibilities and having a greater first-Mover advantage in related tracks. Especially when the external environment changes, such advantages may bring subversive development.

  It’s not that Gree Electric doesn’t want to embrace diversity and look for the second or even third curve, but the exploration in these years has not been smooth. Compared with the traditional thinking, the early smart phone project was flooded, but the unreliable Yinlong was chosen for the new energy grand track, and the small household appliances business was slow to progress because it entered too late, not to mention the overseas market that could not open the situation by adopting conservative strategies.

  Interestingly, just like Midea Group, which has developed a number of business segments as the driving force for subsequent growth, He Xiangjian also retired early and chose Fang Hongbo as his successor. On the other hand, in Gree Electric, the issue of successor has been unresolved, and 69-year-old Dong Mingzhu is still closely bound with brand IP and active in front of the stage.

  The difference between the two can also be seen from the age of management. The average age of 16 Dong Jiangao in Gree Electric (one of whom has no information) is 57 years old, and only one of them, Dong Mingzhu, has an annual salary of more than 5 million yuan, with a salary of 11.42 million yuan in 2022.

  In contrast, the average age of the 22 directors of Midea Group is 50 years old, and 8 of them earn more than 5 million yuan a year. Among them, the chairman Fang Hongbo earned 11.3 million yuan in 2022, while the average age of the 21 directors of Haier Zhijia is 52 years old, and no one earns more than 5 million yuan a year.

  Even if we only consider the air-conditioning business, it is not difficult for Gree Electric to maintain single-digit growth, and it is understandable to describe it as a relatively stable and solid manufacturing industry. However, in order to break through the existing situation and catch up with the rhythm of the times again, Gree obviously has to continue to look for its own possibilities.


(Disclaimer: This article only represents the author’s point of view and does not represent the position of Sina. com. )

Fundus screening of premature infants

Original songlei Shanghai children’s medical center ophthalmology

Why do you want to do fundus screening?

Premature babies are prone to retinopathy of prematurity (ROP), which will develop into serious blinding eye diseases if not treated in time. Premature infants leave their mothers when their organs are not fully developed. At this time, the development of retinal blood vessels is not mature. After birth, due to the change of blood oxygen concentration, abnormal vascular proliferation is prone to occur. Abnormal vascular rupture will lead to retinal hemorrhage, fibrous proliferation and contraction, retinal detachment, etc., and even blindness and eyeball atrophy in severe cases. ROP must be found and treated early. If treated in time, the effect is quite good.

Which children need screening and when?

For premature infants and low birth weight infants with birth weight less than 2000g, the first screening should be conducted at 4-6 weeks after birth or at 32 weeks after gestational age correction. The screening scope of premature infants with serious diseases can be appropriately expanded. The frequency of follow-up is generally determined according to the fundus lesions: once every 2 weeks without ROP, once every 1~2 weeks when ROP is diagnosed, and the interval of ROP follow-up before the threshold should be less than 1 week. Complete vascularization of retina, static lesion, scarring, or having received treatment are the termination time of screening and follow-up for retinopathy of prematurity.

What do you think of ROP inspection results?

Diagnostic criteria divide the retina into three areas:

Zone ⅰ: the central area of the retina in the circle with the optic disc as the center and the radius of twice the distance from the optic disc to the fovea maculata.

Zone II: that annular area of retina with the optic disc as the cent and the distance from the optic disc to the serrated edge of nose as the radiu.

Zone ⅲ: the temporal semilunar retinal region.

The zoning indicates the location of the lesion,

The lesion in area ⅰ is the most serious, and the lesion in area ⅲ is mild.

According to the severity of ROP lesions, it is divided into five stages, and the general lesions develop from stage 1 to stage 5 (as shown below). When the disease reaches stage 4, there is little hope of recovery through surgery.

There is a dividing line between the vascular area and the avascular area around the temporal side of ROP in stage 1.

Stage 3 ROP PLUS(+) not only has crista-like protuberance, but also has additional pathological changes: tortuous dilatation of blood vessels, which is more serious than that in Figure 3.

The boundary of ROP in Phase 2 is widened and uplifted.

Normal fundus

Partial retinal detachment caused by contraction and traction of ROP fibroproliferative membrane in stage 4

Stage 3 ROP cristae, accompanied by hyperplasia and hemorrhage.

Stage 5 ROP total retinal detachment

According to the above classification criteria, the baby with ROP will be recorded in the medical record: ROP in several districts and periods, PLUS(+or-). (Note: PLUS is an additional lesion, showing tortuous dilation of retinal vessels, which is a manifestation of rapid progress of ROP)

Screening process

During hospitalization, the baby’s fundus examination will be arranged by the ward; You can go to the outpatient clinic for examination after discharge.

Outpatient service process:

1. After the attending doctor determines the need for fundus screening, he will prescribe medicine for examination.

2. After the parents pay for the medicine, they start to give the baby some mydriatic liquid medicine. Generally, it takes one hour from the beginning of the medicine to the examination of mydriasis.

3. 1~2 drops of surface anesthetic water will be given before the examination, so that the baby can be examined in a painless state.

4. During the examination, the baby was lying on the bed, and the doctor opened the eyelids with a special eyelid opener for the baby. The retina was examined with binocular indirect ophthalmoscope and wide-angle children’s fundus photography system, and recorded according to the lesion area and lesion degree.

5. The doctor will inform whether treatment is needed and/or the time for the next review according to the examination results.

6. After the baby receives the examination, it needs to use anti-inflammatory eye drops for 3 days.

friendly reminder

Please try to arrive at 13: 00 ~ 14: 00 because you need some eye drops and wait for mydriasis before the examination, otherwise your waiting time will be affected.

In order to avoid aspiration pneumonia or even suffocation caused by excessive milk during examination, parents are requested to estimate the time and stop feeding after starting to order medicine.

You need to hold your baby’s head tightly and fix it during the examination. Please ask parents to understand and cooperate. Generally, the examination time only takes 5~10 minutes. Don’t interrupt or give up the examination because of the crying of children and the distress of adults. If the blindness caused by this happens, you will regret it for life.

ROP emphasizes early detection and early treatment. Early intervention and treatment can achieve normal children’s vision. If found late, it may lead to irreversible blindness. Since 2009, our team has carried out fundus screening for premature babies, with more than 2,500 screenings every year, which has accumulated rich experience, and we will give timely and standardized treatment according to the screening results.

The ophthalmology department of Children’s Center has opened a specialized clinic for newborns and children with basic diseases. Please rest assured that our team will take care of your baby’s bright eyes with you.

Read the original text

Follow-up Survey of Urban Blind Road Changing into Parking Lot: The construction of barrier-free facilities in Harbin is mixed.

  Northeast Network August 22nd (intern reporter Liu Jingyao reporter john young Sun Yingxin) Blind roads and ramps on pedestrian roads, love seats on buses, elevators and handrails in stairwells, voice signal lights at intersections … The barrier-free facilities that can be seen everywhere in the city are always in the nuances, providing help for some specific groups. During the investigation and interview, the reporter found that there are still some problems in the barrier-free facilities in public places in Harbin, some facilities can not serve the purpose of facilitating others, and some places even have no barrier-free facilities.

  At the stairs at the entrance of Nangang Bus Terminal in Harbin, a ramp is only an iron plate erected on the stairs. The steep slope is a great "challenge" for people who need to travel in wheelchairs. Inside the passenger station, the reporter found that the ticket window was set on the second floor, while the security check and pit stop needed to be carried out on the first floor. There was no straight ladder in the passenger station, nor was there a special barrier-free ticket window and security check channel.

Slow platform at the entrance of Nangang passenger station. Northeast Network Intern reporter Liu Jingyao photo

  On the sidewalks near the Lin Qiu business district in Harbin, but only 200 meters away, many blind roads are damaged, or horse gourd appears on the blind road. In the direction of Hongjun Street near Postal Street, the blind brick on the ground has already become blurred. How can a "flat" blind brick guide the blind?

"Ladder" ramp at the intersection of Hongjun Street and Bank Street. Northeast Network Intern reporter Liu Jingyao photo

The "disappearing" blind road near Hongjun Street and Postal Street (the entrance of Milan wedding photography). Northeast Network Intern reporter Liu Jingyao photo

Barrier-free help sign at the gate of China Construction Bank in Hongjun Street. Northeast Network Intern reporter Liu Jingyao photo

Barrier-free ramps and signs at the entrance of China Construction Bank in Hongjun Street. Northeast Network Intern reporter Liu Jingyao photo

A blind road cut off by a horse gourd near the business circle in Lin Qiu, Harbin. Northeast Network Intern reporter Liu Jingyao photo

  When the reporter visited nangang district Library, he found that colorful blind bricks were stuck on the ground of the lobby on the first floor, and there was a reading room for hearing-impaired people on the first floor, which greatly facilitated the reading of special groups. However, there are still some problems. Although the first floor of the library is equipped with a bathroom dedicated to barrier-free people, when the door is opened, it is found that the toilet is full of sundries, and the words "No use" are stuck on the water tank. The bathroom on the third floor is not dedicated to barrier-free people. In the elevator room on the first floor of the library, there is a barrier-free passage on the right side of the three steps in front of the elevator, but two chains are tied above it.

Toilet on the third floor of nangang district Library. Northeast Network Intern reporter Liu Jingyao photo

The barrier-free restroom in nangang district Library has become a utility room. Northeast Network Intern reporter Liu Jingyao photo

Barrier-free access on the first floor of nangang district Library. Northeast Network Intern reporter Liu Jingyao photo

  Compared with the chaotic situation of Nangang Passenger Station, the barrier-free facilities of the newly built North Station of Harbin Station are relatively perfect. The neat and straight blind road at the entrance of the North Square leads directly to the ticket hall, the lower button position inside and outside the barrier-free elevator and the lower window design at the barrier-free ticket window can fully meet the needs of children and groups who need to travel in wheelchairs.

Accessible elevator in Harbin station. Northeast Network Intern reporter Liu Jingyao photo

Barrier-free ticketing window in Harbin Station. Northeast Network Intern reporter Liu Jingyao photo

  It is understood that China has strict standards for the design and specification of barrier-free facilities in urban roads and public places. However, recently, it was found through a reporter’s visit that there are many problems in barrier-free facilities in public places in Harbin, and "barrier-free facilities" will even cause greater obstacles.

  In the work report made by the Seventh Congress of the Provincial Disabled Persons’ Federation, it is pointed out that the province will implement the Regulations on the Construction of Barrier-free Environment and persist in comprehensively promoting the construction of barrier-free environment in urban and rural areas according to law. In particular, we will strengthen the construction of barrier-free facilities in new and rebuilt public infrastructure and residential areas, accelerate the barrier-free transformation of public facilities such as government agencies, public services, public transportation, social welfare and communities, strengthen the construction of information barrier-free, set up barrier-free parking spaces in public parking areas according to regulations, and strengthen the daily maintenance, management and supervision of the use of barrier-free facilities.

  Zhao Fenghe, president of the Heilongjiang Association for the Blind, said that barrier-free environment construction is not only related to the disabled, but also to the elderly and children. It can be said that it is related to every corner of every family life. I hope the relevant responsible departments will not regard barrier-free construction as a "weak job". He looks forward to a more humane and warmer barrier-free environment.

Exposing the false "new mortgage policy" rumors have received millions of forwarding readings.

  In late August, rumors about "Shanghai will implement a new housing credit policy from September" and "the credit policy will be tightened greatly" were circulated on the Internet. During this period, the Shanghai real estate market shook a lot, and the number of first-hand housing contracts increased all the way. Some media recorded the data of Shanghai Real Estate Trading Center. As of 16: 15 on August 30, 1,470 new houses were sold in Shanghai that day, exceeding about 400 sets at the same time as the previous day, and surpassing 1,000 sets for four consecutive days.

  Because of the rumor that the "New Deal on Mortgage in September" stipulated that "after September, buyers who have been divorced for less than one year, the purchase restriction and loan policy should be handled according to the family situation before divorce", and even there was a wave of divorce in Shanghai, and the civil affairs department had to "limit the number".

  On August 29th, the Shanghai Municipal Commission of Housing and Urban-Rural Development responded to the "rumor of the new housing credit policy" through the "Shanghai Release", saying that "no such policy has been studied", but the market has not cooled down, and the rumor is still being forwarded and spread at a geometric speed.

  After the rumors appeared, the Shanghai police set up a task force to carry out investigations. On the evening of September 8, Shanghai police said that they had arrested seven people suspected of maliciously fabricating and spreading relevant rumors. At the same time, the Shanghai Netcom Office closed five WeChat WeChat official account according to law.

  On September 10, the relevant person in charge of the Ministry of Housing and Urban-Rural Development said that such rumors mislead consumers, disrupt market order and have a bad social impact. Many departments in Shanghai have seriously investigated and dealt with it, which is worthy of praise.

  Rumors get millions of forwarding readings.

  According to the police investigation, at 11 o’clock on August 22nd, Shen, the sales manager of Shanghai Jinfeng Yiju Real Estate Consulting Co., Ltd., posted a message in the employee WeChat exchange group of the company for three consecutive times: "It has been notified that due to the recent high land auction price, the municipal party committee will hold a meeting of various departments next week, and it is planned to adjust the bank loan policy from September. Please urge to handle the loan contract that has not been completed as soon as possible. This time, the credit policy will be tightened greatly." The rumor was spread to the well-known forum "Fence Network" in Shanghai, which caused widespread concern.

  On August 24th, Zhao, the district manager of "I love my family" real estate agency, and Zhang, a real estate salesman, also fabricated rumors in the WeChat group: "Urgent notice: I received a notice from the headquarters, and a new purchase restriction policy will be implemented in Shanghai from September 1st. The down payment for the first suite with loan records in China will be raised to 50%, and that for the second suite will be raised to 70%, regardless of local area, commercial and residential buildings, whether the loan is paid off or not, as long as there is loan records in China. Based on the online signing time, buying a house before September 1 is not affected by this policy. Customers who need to buy a house, please tell each other that time is limited. "

  On August 24th, Ni Mou, an employee of an IT company in Shanghai, deliberately fabricated a similar rumor to "attract attention" and posted it on the well-known forum "Fence Network" in Shanghai, which was quickly forwarded by a large number of netizens.

  These rumors quickly reached millions of readings and quickly fermented in the real estate market.

  The rumour maker admitted to fabricating policies for promotion.

  Why do these criminal suspects fabricate this information?

  It is understood that Shen’s company mainly acts as a primary agent for real estate. According to Shen’s own memory, the annual business volume reached more than 2 billion yuan. Among the projects represented by Shen’s company, there are 145 houses that have paid the deposit or the down payment, but they have not made loans for a long time. Shen said, "You have to sign a loan contract to complete the sales task, otherwise you won’t get a commission." In order to "stimulate" customers to go through the formalities as soon as possible, Shen compiled a "notice of new mortgage policy". After the employee WeChat group released the so-called "notice", Shen asked his 18 salesmen to inform their customers and speed up the signing process.

  On August 25th, Shen’s superior — — Yao, the regional director of Shanghai Jinfeng Yiju Real Estate Consulting Co., Ltd., made up the so-called "core content of the New Deal" after learning the above related rumors, and "the first set of houses and loans; Less than one year after the divorce, the content of "implementing the purchase restriction policy according to the family housing situation before the divorce" was "interpreted" and published in many WeChat groups such as the sales group of the real estate company, requiring its salesmen to contact customers quickly, speed up the signing progress and avoid the so-called "New Deal".

  As soon as the news came out, it caused buyers to pay close attention. According to the police, before August 31, almost all the 145 houses that had paid the deposit but did not apply for loans had completed the loan contract.

  Zhao and Zhang compiled the so-called "new mortgage policy" in the group to "stimulate" customers and "tighten the policy with loans and push hesitant customers".

  Real estate agents will be severely punished for rumors

  According to the police, after the rumors of the above three versions were distributed in large numbers, they were forwarded by netizens who were concerned about the property market and spread rapidly. After August 25th, a group of WeChat WeChat official account, such as "Directly Attacking Shanghai Property Market" and "Magic Watching the Property Market", spread the above rumors in large quantities, which directly led to consumers’ irrational seizure of houses and disrupted the stable and healthy development of Shanghai real estate market.

  Yang Hongxu, deputy dean of Shanghai Yiju Real Estate Research Institute, believes that the spread of rumors in the real estate market mainly comes from two aspects. "On the one hand, it comes from real estate agents. Intermediary companies want to sell houses and force orders. Some people try to force customers to place orders through negative or positive policies; On the other hand, it is related to the irregular release of network information. Some websites or public accounts are eye-catching and exaggerate news, providing channels and platforms for the dissemination of false information. "

  In response to this incident, people from the Shanghai Municipal Commission of Housing and Urban-Rural Development said that the information of government departments will be released through official channels such as official website, official media or holding press conferences. I hope citizens will pay attention to official sources and not listen to online rumors. Shanghai police said that cyberspace is not an extra-legal place, and the police will further unite with the network management department to resolutely crack down on rumors and rumors.

  The relevant person in charge of the Ministry of Housing and Urban-Rural Development said that since the beginning of this year, the Ministry of Housing and Urban-Rural Development has deployed special rectification activities for real estate agents. Once verified, all real estate agents who fabricate and spread rumors will be blacklisted according to law to clear out the real estate intermediary market; For real estate intermediaries who fabricate and spread rumors and have serious circumstances, once verified, they will all suspend business for rectification according to law. In the next step, the Ministry of Housing and Urban-Rural Development should supervise the typical cases that have been strongly reflected by the masses and have outstanding problems, effectively maintain market order and protect the legitimate rights and interests of consumers.

Early screening of digestive tract cancer mainly depends on it. Gastrointestinal endoscopy should be standard for physical examination.

  Among the top 10 malignant tumors in China, the proportion of digestive tract malignant tumors is far ahead. Source: China Cancer Registration Annual Report 2017.

  The incidence of digestive tract malignant tumor ranks in the forefront of the incidence of malignant tumor. But many early digestive tract tumors have no symptoms, and the best way to diagnose them is gastrointestinal endoscopy. Experts believe that only the physical examination including gastrointestinal endoscopy is a comprehensive and scientific physical examination.

  Our reporter Ma Aiping Intern reporter Yu Ziyue

  There is a saying circulating on the Internet: "A physical examination without a gastrointestinal mirror is not called a physical examination!" But when it comes to colonoscopy and gastroscopy, many people will think of unpleasant words such as "nausea" and "pain".

  In recent years, many doctors are calling on people to have a regular physical examination of their stomachs and intestines and keep an annual gastrointestinal endoscopy. Recently, Weibo, the official of Beijing Municipal Health and Health Commission, announced the list of 128 medical institutions for gastrointestinal endoscopy in Beijing, and once again stressed that gastrointestinal endoscopy is the "gold standard" for the diagnosis of many gastrointestinal diseases. In addition, in order to reduce the discomfort of inspectors, the inspection mode is constantly upgrading.

  Good stomach and intestines can’t be numb.

  "Gastric cancer, esophageal cancer, colorectal cancer and other digestive tract malignant tumors occupy cancer ‘ Half the country ’ The incidence rate is increasing. Early digestive tract malignant tumors are often asymptomatic, and the main diagnostic method is gastrointestinal endoscopy. " Jia Shujuan, director of the Department of Gastroenterology, Peking University Shougang Hospital, said in an interview with the Science and Technology Daily reporter.

  "Many people feel that they usually have a good gastrointestinal tract and do not need to be examined. But it is very easy to be careless, and it is too late to wait until the digestive tract has symptoms. For tumors, early detection, early diagnosis and early treatment are the main strategies to reduce cancer mortality and improve survival rate. " Ling Huenqiang, chairman of the Digestive Endoscopy Branch of the Chinese Medical Association and director of the Department of Gastroenterology of the General Hospital of the Chinese People’s Liberation Army, said.

  Ling Huenqiang introduced that the significance of gastrointestinal endoscopy lies not only in "discovery" and "observation", but also in "resection" and "rooting". Gastrointestinal endoscopy can not only find early gastrointestinal cancer and make patients get timely and effective treatment, but also minimally invasive treatment of adenomatous polyp and other precancerous lesions under endoscope, so as to eliminate intestinal cancer before it sprouts. "Most digestive tract cancers originate from precancerous lesions, and canceration can often take a long time, some of which can last for more than 10 years, which gives us the opportunity to intervene."

  Gastrointestinal endoscopy can usually be divided into two types: ordinary and painless. What scares people in life is generally ordinary examinations. Jia Shujuan told reporters that gastroscopy will be anesthetized, but there is a difference between local anesthesia and general anesthesia. Ordinary gastroscope is a gastroscopy after taking local anesthetic, and the patient is awake during the whole process. When the gastroscope enters the esophagus through the pharynx, locally sensitive people may feel nausea and discomfort. General anesthesia is through intravenous injection of anesthetic, which makes people fall asleep. When they wake up, the examination has been completed, and there is no pain or discomfort during the examination.

  General colonoscopy generally does not require anesthesia, and there may be some abdominal distension and abdominal pain during the examination. Painless colonoscopy is similar to painless gastroscopy, so "sleep" is enough.

  If the examiner is sensitive to the pharynx, has poor tolerance for pain, or pursues a comfortable examination process, he can choose painless examination, but the cost will increase. Among the 128 medical institutions announced in Beijing, 110 medical institutions can simultaneously carry out general gastrointestinal endoscopy and painless gastrointestinal endoscopy.

  Ling Huenqiang said that in addition to the traditional intubation gastroscope mentioned above, people have been exploring more comfortable examination modes in recent years. Take the capsule gastroscope as an example. "The patient swallows a capsule with a built-in camera and signal transmission device with water, and the doctor can complete the stomach examination in 15 minutes by accurately controlling the trajectory of the capsule in the stomach."

  Routine physical examination of absent ordinary people

  Although gastrointestinal endoscopy is very necessary, and there is a breakthrough in the form of examination, at present, the routine physical examination of ordinary people generally does not have this examination item, and only high-end physical examination or some people with requirements will do these examinations.

  Why is gastrointestinal endoscopy absent from general physical examination?

  Ling Huenqiang pointed out that this kind of inspection operation is complicated, which requires intestinal preparation and disinfection of instruments, and requires related technology and supporting equipment. In addition, invasive endoscopy has certain risks, unlike non-invasive examinations such as B-ultrasound, which are simple, do not need special preparation and have less risk of physical injury. Therefore, there are obstacles from patients, hospitals, physical examination concepts and other aspects, and it has not become a routine physical examination item.

  However, in developed countries in Europe and America, Japan and other countries, gastrointestinal endoscopy is a routine physical examination for people over 50 years old. "For example, in Japan, there are very few patients with advanced gastric cancer. The reason is that Japanese national medical examinations generally include gastroscopes as compulsory items. The government has included the gastroscope physical examination project in the protection of relevant laws and regulations, provided it to the public free of charge as a social welfare, and urged it to be completed. Patients with symptoms over 40 years old and asymptomatic people over 50 years old in Japan have regular gastroscopy every year. Gastroscopy has greatly improved the early diagnosis and treatment rate of gastric cancer, so the detection rate of early gastric cancer in Japan is very high, but the mortality rate is very low. " Ling Hu enqiang said.

  On the other hand, in China, although many hospitals have advanced endoscopy technology in the world, few citizens can take the initiative to do gastroscopy screening. "In addition to patients who have immediate family members who have had digestive tract cancers such as gastric cancer, in the outpatient clinic, they encounter more ‘ Fear ’ Patients who do gastroscopy. " Ling Hu enqiang said.

  "The public’s attention to gastrointestinal endoscopy and reasonable cognition need to be improved, and popular science propaganda is very important." Jia Shujuan added.

  Both experts stressed that it is urgent to incorporate digestive endoscopy into physical examination, so that early detection and treatment under endoscope can minimize the physical, mental and economic losses caused by diseases.

  High-risk groups should be examined at the age of 40.

  Who needs gastrointestinal endoscopy?

  "For people with gastrointestinal discomfort, it is recommended to consider gastrointestinal endoscopy under the guidance of a doctor. Symptoms such as stomach discomfort, upper abdominal pain, lower abdominal pain, acid regurgitation, belching, fullness, etc. It also includes symptoms such as intestinal discomfort, changes in bowel habits, and changes in stool characteristics. " Jia Shujuan said that these symptoms are common in life, and many people think that it is ordinary gastroenteritis and do not pay attention to it. In fact, early gastric cancer may also show similar symptoms, so we must not delay treatment. Patients with "alarm" symptoms such as loss of appetite, anemia and emaciation, and bloody stool, or those who are found to be positive for occult blood in stool by physical examination, should complete gastrointestinal endoscopy as soon as possible, so that the lesions can be found and treated in time.

  Although gastrointestinal discomfort makes people feel pain and listlessness, it also reminds and urges people to have corresponding examinations in disguise and find the symptoms as early as possible. Every coin has two sides, and some people, because their bodies have no relevant symptoms of illness, will not send out an "alarm" signal, so it is easy to fall into the whirlpool of "being ill and not knowing it". Such people should also be vigilant and have gastrointestinal endoscopy.

  As advocated by Japan and other countries, "people over 50 years old should have a gastrointestinal examination even if they have no symptoms." Jia Shujuan pointed out that if the test results are positive, such as polyps and gastric ulcers, they should be treated in time and reviewed regularly.

  Although the causes of most cancers have not been proved, they are usually related to heredity. Therefore, people with a family history of digestive tract tumors should pay special attention. Some experts pointed out that this group of people can advance the age of initial examination to 40 or even 35 years old.

  Initial examination is very important, however, it is also essential to review and monitor regularly after the symptoms are found and treated. Jia Shujuan pointed out that once the patient is found to have some precancerous lesions, such as dysplasia under endoscope, it is recommended that the patient be reexamined within one year after treatment, and then the next examination time will be decided according to the reexamination. For patients with relatively complicated or serious illness, the review time can be shortened to 3-mdash; Six months. For another example, especially severe atrophic gastritis should be reviewed once a year.

  Experts agree that gastrointestinal endoscopy can’t be avoided, and there is no need to hide. After all, there are many options to choose from in clinic. After the examination, you can feel at ease without illness, and you can find and treat problems early. No matter what the result is, it is the optimal solution of health management.

Don’t compare with young people. Old people should avoid "five years"

  As soon as people get old, all the functions of the body are declining, but the old people’s health care methods are special, so they should never keep up with the young people. Wang Changjiang, deputy chief physician of the Department of Orthopaedics, Rocket Army Characteristic Medical Center, reminded that the elderly should pay attention to avoiding "five periods" in their daily life, that is, not walking for a long time, standing for a long time, sitting for a long time, lying down for a long time, and looking for a long time, so as to lay a good foundation for health preservation.

  Don’t walk for a long time: it is advisable to walk three or four thousand steps every day.

  Many elderly people think that walking more is good for their health, and some people walk tens of thousands of steps a day, which is unscientific. In the long run, there will be serious injuries to the knee joint, hip joint and ankle joint, which will lead to joint swelling, difficulty in walking and difficulty in going up and down stairs.

  For the elderly, exercise for 40 minutes with light load every day, such as walking 3000-4000 steps every day, and don’t walk too fast. If you feel sore and tired after walking for a while, you should stop and have a rest immediately. The initial exercise can start with 1000 steps a day, and then gradually increase the number of steps. When walking, you need to choose a flat road, wear cloth shoes or sports shoes with good anti-slip performance, and you can also wear knee pads to avoid bone and joint injuries caused by falling.

  Don’t stand for a long time: don’t stand for more than 20 minutes

  Standing for too long in the elderly is not conducive to blood circulation in the legs, which may lead to diseases such as varicose veins. Especially for the "three highs" elderly, standing for a long time will also lead to insufficient blood supply to the brain, and it is easy to fall and induce a stroke. Some elderly people will have symptoms such as leg weakness and dizziness after standing for a long time. The reasons are leg muscle strain, heart disease, qi and blood deficiency, degenerative arthritis, and lack of nutrition in local tissues. Those with obvious symptoms should go to the hospital for orthopedic treatment in time.

  We advise the elderly not to stand for more than 20 minutes. If you stand for a long time during the day, you can soak your feet with warm water before going to bed at night. When you sleep, you can raise your heels so that your legs are higher than the horizontal line of your heart, which will help alleviate the poor blood return caused by long standing.

  Don’t sit for a long time: easy to cause osteoporosis.

  Some elderly people sit for a long time because they like watching TV, playing chess and drinking tea. Sedentary will greatly reduce the intensity and frequency of bone activity and accelerate the process of osteoporosis in the elderly. Moreover, sedentary will make the neck muscles and cervical vertebrae in a fixed position for a long time, leading to poor local blood circulation, muscle strain, headache and cervical spondylosis, which is even worse for the elderly with cervical spondylosis or insufficient blood supply to the brain.

  Therefore, the elderly should stand up and walk for 3-5 minutes every hour, stretch their legs and move their waist, move their knees or massage their knees with their hands, thus reducing the adhesion of tissues inside and outside the joints.

  Don’t stay in bed for a long time: don’t stay in bed all the time unless you sleep.

  Some elderly people don’t like to communicate with others and don’t like sports. They always like to rest on the sofa or bed. Long-term lying will cause muscle atrophy and muscle weakness, and even cause joint contracture and deformation; Reduce gastrointestinal peristalsis and easily cause constipation; Slow blood flow and high blood viscosity in the elderly may cause venous thrombosis and vascular obstruction.

  Therefore, the elderly should try not to stay in bed for more than one hour during non-sleep time, and get up every hour to exercise their bones and muscles, and it is best to go outdoors.

  If some elderly people need to stay in bed for a long time due to physical illness, they should pay special attention to avoid bedsores. You can choose an air cushion mattress, which has a good bedsore prevention effect, and the cotton mattress has poor air permeability. In addition, turning over every two hours and patting the back can promote the blood circulation of the body.

  Don’t look too long: excessive use of eyes can cause eye diseases.

  For the elderly, excessive use of eyes will lead to blurred vision, dry eyes, turbid lenses, optic nerve damage, macular degeneration, etc., thus inducing eye diseases such as cataract, glaucoma and senile macular degeneration.

  Old people should pay attention to the habit of using their eyes. When reading books and newspapers, the reading materials should be at least 30 cm away from their eyes, and don’t lean forward too much. Look away from TV and mobile phone every 20 minutes, or close your eyes and have a rest. In daily life, you can often blink your eyes, or turn your eyes up, down, left and right, which can exercise your eye muscles and delay aging.

  (Author: Rocket Army Medical Center Mo Peng)

Deep reading | Trade in the old for the new, looking forward to changing the "new world" of consumption

Not long ago, the State Council issued the Action Plan for Promoting Large-scale Equipment Renewal and Consumer Goods Trade-in (hereinafter referred to as the "Plan"), proposing key tasks such as carrying out trade-in of automobiles and household appliances and promoting trade-in of home-improvement consumer goods. According to the National Development and Reform Commission, this measure can not only promote technological upgrading of enterprises, improve production efficiency, but also guide residents to upgrade their consumption, realize energy saving and carbon reduction, and reduce potential safety hazards.

To implement a new round of trade-in of consumer goods, major manufacturers and platform enterprises have responded to this trillion-dollar huge market and launched promotional subsidies. What is the feedback from this wave of "more fashionable" markets? Where is the "new" in this round of trade-in? How can production and marketing enterprises and consumers seize the opportunity to achieve a win-win situation of high-quality development and high-quality life?

The home appliance market is moving from "is there" to "is it good"

On March 20th, in the store of Xinjiekou store in Suning.cn, Gao Rongping, a promoter, introduced in detail to Uncle Sun who was interested in buying air conditioners: "The first-class energy efficiency ratio of this Hisense bright air conditioner is as high as 5.28, which is fresh and silent, with a thickness of only 13.4 cm. The paint panel will not turn yellow and discolor after being used for a long time." Gao Rongping said that this air conditioner is currently heavily discounted. She calculated an account. "The market price of air conditioners is 5,099 yuan, which will go straight to 800 yuan during the event. The replacement of old machines at home can subsidize 600 yuan at the highest level, and the actual payment may be as low as 3,699 yuan."

"At present, upgraded products with large size, large capacity and multifunction are particularly popular. Since the launch of the trade-in activity, the sales growth rate of new energy-efficient air conditioners, large-capacity refrigerators and large-screen color TVs over 80 inches has exceeded 120%; Dishwasher sales increased by 103% year-on-year, and dryer sales doubled. " Wang Yisheng, the general manager of Suning.cn Xinjiekou Store, said that the 10 billion-yuan subsidy for trade-in will provide users with a large subsidy of up to 30%, which can be participated online and offline, and also provide services such as free door-to-door, disassembly and handling.

In Wuxi, the ongoing "Revitalization of Quality Life" activity of the 2024 Taihu Shopping Festival has launched a number of preferential policies to boost the release of large-scale consumer demand for household appliances. The maximum subsidy for replacing household appliances is 15%, and the maximum subsidy for a single household is 4,500 yuan. Consumers who purchase new green and energy-saving home appliances and new smart home appliances (the unit price is more than 500 yuan) in the event merchants can use China Unionpay Quick Pass APP payment code to reduce the turnover by 10%, and the maximum single subsidy is 1000 yuan. If the household appliances are trade-in, and the paid-in amount of each piece reaches 4,000 yuan, 6,000 yuan and 10,000 yuan, Wuxi Municipal Bureau of Commerce will give consumers 200 yuan, 300 yuan and 500 yuan extra incentives for trade-in.

The promotion of car companies is also in full swing. BYD launched the activity of "Old Friends Rejuvenating the New Season". During the activity, car owners can get a replacement subsidy of up to 8,000 yuan when they replace BYD’s new energy vehicles in the store, and a new car gift package worth 3,888 yuan. Dongfeng Motor’s trade-in action covers more than 50 models, and the replacement subsidy is expected to exceed 10 billion yuan; FAW-Volkswagen introduced the old car replacement down payment policy …

"In fact," trade-in "is nothing new. As early as 2009, the state launched a combination of" home appliances going to the countryside "and" trade-in ",and enterprises cooperated with the government to implement subsidy policies to recycle and sell services, initially forming an operation mode of trade-in; Since 2016, home appliance sales companies have joined hands with manufacturers to organize their own trade-in activities, subsidize consumers, and develop their own trade-in sales system. " Qian Zhengming, secretary of the Party branch of the Provincial Household Electrical Appliances Association, said.

With the comprehensive popularization of durable consumer goods in China, the demand for upgrading the stock of consumer goods is constantly increasing, and the consumer market is changing from "whether there is" to "whether it is good". According to reports, the home appliance market in Jiangsu Province has accounted for about 10% of the national market over the years, among which it is estimated that there are more than 30 million home appliances in extended service, which has great demand and potential for upgrading. Qian Zhengming believes that the trade-in action will not only enable consumers to enjoy more convenient services and more favorable prices, but also promote the high-end, intelligent and green development of the manufacturing industry. For the society, it will also help to eliminate old household appliances and eliminate security risks.

Let "unwilling to change" and "afraid to change" become "comfortable to change"

I don’t know who to look for to disassemble the toilet, and I want to buy a dishwasher, but there is no reserved position in the kitchen, and the discarded old mattress waste station is not needed … As the real estate industry enters the era of stock, the renovation of old houses has gradually become the main force in the home industry. However, as a kind of low-frequency consumer goods, consumers will not only think twice when buying furniture, but also the disposal of waste furniture often makes people feel quite tricky.

"The biggest problem in this industry is the long consumption decision-making cycle and low conversion efficiency." Bai Yang, the head of Shilin Home Furnishing Division, said that unlike home appliances, automobiles and other industries, the replacement of furniture faces the problems of "difficult handling, difficult handling and low added value of recycling", which makes it difficult for customers to make choices and make decisions.

How to shorten the consumer decision-making cycle? "In addition to providing sufficient discounts in shopping malls, providing convenience services in residential quarters has become an important means to capture service information and increase user stickiness. For example, free recycling of used mattresses, provision of toilet disassembly services, design and local reform of cabinets and balconies … The core is to let consumers see how the service is done and feel the changes in consumption concepts, thus solving the pain points that customers are afraid to change, unwilling to change, and do not know how to change. " Bai Yang said that by integrating merchants to build solutions, the company has now settled in 25 communities and served nearly 1,000 families.

From 2021 to 2023, about 220,000 pieces of household appliances were recycled in Suning.cn, and a total of 19.9 million yuan of old machine residual value subsidies and new machine subsidies were distributed. The proportion of old-for-new appliances was about 3.1%, and there was still much room. In the same period, JD.COM Wuxing recycled 8573 old household appliances, showing a trend of small total and high growth rate. According to statistics, from 2021 to 2023, the household appliance recycling enterprises in Nanjing recycled 3.164 million sets of "four machines and one brain" (TV sets, refrigerators, washing machines, air conditioners and microcomputers).

"At present, the trade-in of home appliances is independently carried out by manufacturers, and the government’s blessing is needed in terms of subsidies and credibility. At the same time, it is necessary to increase publicity, change consumers’ awareness of "home appliances are not broken and not replaced", and help consumers realize the harm of home appliances that are over-aged. In addition, the original definition of trade-in commodities is less, and there are not many participating enterprises. It is necessary to expand the categories and expand the scope of trade-in participating enterprises. " Qian Zhengming suggested.

At present, the automobile consumption demand in the whole province and even the whole country has entered a period of steady development, and the activities of car subsidies are carried out separately in various places, which are more to attract the consumption power of cities with low policy activities and cannot drive new demand.

In this regard, Zhao Qiang, director of the Wuxi Municipal Bureau of Commerce, said that in addition to subsidizing individual consumers who scrap or transfer non-operating passenger cars under their personal names and buy new cars, they will also explore ways to promote the upgrading and expansion of the automobile aftermarket and promote the integrated development of automobile maintenance, cultural experience, professional competitions, vehicle modification and consumer finance. In addition, encourage the transformation from "brokerage" to "distribution", improve the comprehensive management and supporting service functions of the used car market, and encourage qualified enterprises to make full use of various trade promotion platforms to broaden overseas market channels.

Recycle and make good use of misplaced resources.

The "Program" requires the implementation of recycling actions. Improve the recycling network of waste products and equipment, support the circulation and trading of second-hand goods, promote remanufacturing and step-by-step utilization in an orderly manner, and promote the high-level recycling of resources.

On the disassembly assembly line of Nanjing Kaiyan Electronics Co., Ltd., an average ordinary refrigerator produces about 0.4 kg of copper, 0.8 kg of aluminum, 17 kg of iron and 7 kg of plastic after disassembly procedures. Song Guoping, the company’s administrative director, said that the company’s refrigerator line disassembly processing capacity can reach 1,000 units per day, and the annual processing capacity of "four machines and one brain" reaches 1.93 million units. "These renewable resources after resource and harmless treatment have greatly reduced the mining of copper mines and iron mines, reducing carbon emissions and turning waste into treasure."

"Scrapped motor vehicles are a collection of steel, aluminum, rubber, plastics, glass and various non-ferrous metals. If they are dismantled by themselves or by illegal and irregular enterprises, a large number of rubber, plastics and glass will be abandoned and burned, which will seriously pollute the ecological environment. In addition, illegal dismantling of scrapped motor vehicles, vehicle transactions and cross-regional transfer will pose great security risks to road traffic. " Li Zheng, general manager of Nanjing Coson Ning Environmental Protection Technology Co., Ltd. said that scrapped motor vehicles must be disposed of in accordance with the Law on the Prevention and Control of Environmental Pollution by Solid Wastes, and it is suggested that they be scrapped in the vehicle registration area and managed locally.

"At present, China is at the peak of household appliances scrapping. However, at present, enterprises are carrying out the" trade-in "activity, and most of the recycled waste household appliances, except air conditioners, have nowhere to be accepted and piled up in the open air, causing environmental pollution. Some of them flow to the second-hand market and illegal dismantling channels. Even if they enter the formal dismantling enterprises, they have gone through many links, and the expenses are high, so the enterprises lack enthusiasm for operating at a loss. In addition, the’ illegal dismantling’ of used household appliances has no environmental protection disposal facilities, and there is no actual tax payment at the recycling end and the sales end, and the operating cost is low, which directly leads to the lack of competitive advantage in the price of formal dismantling enterprises, resulting in bad money expelling good money. " Qian Zhengming said.

Sun Bo, Secretary-General of Nanjing Renewable Resources Association, said that the recycled waste materials should not just be scrapped, but must enter the formal recycling and dismantling enterprises, and then enter the remanufacturing process, so as to realize the goal of turning old materials into new ones and turning waste into treasure.

The reporter learned from the Nanjing Municipal Bureau of Commerce that this year, we will speed up the cultivation of home appliance recycling and dismantling industries, standardize and rectify the circulation order of second-hand home appliances, and strictly prohibit the illegal renovation and disassembly of three-no products from entering the consumer market. Accelerate the development of "replacement+recycling" logistics system and new model, support household appliance production and sales enterprises to build reverse logistics system through distribution, installation, maintenance and other channels, or cooperate with professional recycling enterprises to recycle waste household appliances at home. Explore the formulation of local standards or industry standards for the service life and scrapping conditions of different types of household appliances, and relax the qualification control of household appliance production and sales enterprises applying for electronic and electrical products processing. At the same time, encourage capable dismantling enterprises to expand home appliance recycling business to the front end, and encourage the construction of recycling network system.

Xinhua Daily Meeting Point reporter Lin Shantian Mochi/Wen Hua Su Jie/photo