(Reporter Wang Hongyi) On the afternoon of July 6, Anhui Flood Control and Drought Relief Headquarters held a special meeting on flood control and disaster relief work in the whole province, to study and implement the spirit of the important instructions made by the Supreme Leader General Secretary on flood control and disaster relief work, to implement the deployment of the national flood control and disaster relief work dispatching meeting, and to convey the relevant instructions of Han Jun, secretary of Anhui Provincial Party Committee, and Wang Qingxian, governor of Anhui Province. Fei Gaoyun, member of the Standing Committee of Anhui Provincial Party Committee and executive vice governor, attended the meeting and delivered a speech.

　　Han Jun pointed out that flood control is related to the overall situation of economic and social development, security and stability. At present, Anhui Province is about to enter the critical period of "seven downs and eight highs" flood control. Recently, a new round of heavy precipitation accompanied by strong convective weather will appear in some areas, and the flood control situation is complicated and severe. All relevant departments at all levels should conscientiously implement the spirit of the important instructions of the Supreme Leader General Secretary, adhere to the people first, life first, adhere to the combination of prevention first, prevention and rescue, resolutely overcome paralysis and empiricism, and never relax and pay close attention to all flood control measures. It is necessary to strengthen monitoring and early warning, consultation and judgment, overall coordination, comprehensively investigate weak links and potential risks, and do a solid job in disaster prevention such as floods in small and medium-sized rivers, accidents in small and medium-sized reservoirs, urban waterlogging, mountain torrents and mudslides. Once there is a danger, it is necessary to deal with it scientifically, decisively and effectively, and make every effort to rescue and provide disaster relief. Party committees and governments at all levels should strictly implement the main responsibility of flood control and disaster relief, strictly implement the systems of duty and information submission, and leading cadres at all levels should take the lead and command from the front, and implement various responsibilities and measures in every link, post and personnel to ensure An Lan, social peace and people’s well-being.

　　Wang Qingxian’s instructions pointed out that we should base ourselves on preventing floods, fighting floods, seizing major risks and saving major disasters, and pay close attention to all the work of flood control, flood preparedness and disaster relief. It is necessary to strengthen monitoring, forecasting and early warning, pay close attention to changes in weather and rain conditions, conduct timely consultation and judgment, improve the accuracy of forecasting as much as possible, and extend the forecast period. It is necessary to strengthen the defense of key parts, increase the intensity of duty and inspection, and highlight the investigation and rectification of hidden dangers in key parts such as mountain flood danger areas, hidden dangers of geological disasters, and low-lying areas in cities. It is necessary to strictly implement the responsibility system for flood control and drought relief, strictly observe work discipline, improve the flood control and drought relief command system that is linked from top to bottom and departments, and resolutely win the initiative in flood and drought disaster prevention.

　　The meeting stressed that it is necessary to focus on meteorological monitoring in rainstorm areas and geological disaster-prone areas of mountain torrents, encrypt the frequency of joint meetings, release early warning information in time, and decisively transfer the masses in advance. It is necessary to further investigate the hidden risks of key parts such as small and medium-sized rivers, small and medium-sized reservoirs and tailings ponds, formulate urban drainage plans, and take rigid measures such as "shutting down and withdrawing" as appropriate. It is necessary to take the initiative to shoulder the responsibility, deploy emergency rescue forces in advance, strictly implement the duty system, strengthen supervision and inspection of flood control work, and ensure the safety and stability of the province.

Original PerrineWANG medical pediatric channel

For medical professionals’ reference only.

Lack of diagnostic gold standard, children need to be vigilant when they have fever!

In the past month, six children with Kawasaki disease were treated in the pediatric department of a hospital in Xi ‘an, four of them were in serious condition, and one child also developed Kawasaki disease shock syndrome. What exactly is this disease? What’s the performance? Many parents said that they have never heard of it and have never seen it.

Let’s get to know Kawasaki disease through a case.

A boy, 1 year old and 5 months old, was admitted to the hospital because of "fever for 6 days".

Six days ago, the child had no obvious cause of fever, with a heat peak of 39.7℃, accompanied by runny nose, nasal obstruction, cough, shortness of breath, wheezing, convulsions, vomiting and diarrhea. Fever did not improve after 4 days of oral administration of cefaclor dry suspension in outpatient department.

Physical examination: conscious, ruddy complexion, palpable swollen lymph nodes on both sides of the neck, about 2cm*1cm in size, no tenderness, no redness and swelling, but movable, scattered red rash on the trunk skin, fading after pressure, conjunctival congestion, no purulent secretion, dry red lips, no chapped lips, red bayberry tongue, pharyngeal congestion, swollen tonsils on both sides, no purulent secretion. Flushing and swelling can be seen in the palm and sole, and no peeling is found at the toe end. Scar without redness, perianal flushing, peeling.

The child has no history of drug or food allergy, and is vaccinated on time.

Auxiliary examination: blood routine: white blood cell 17.06×109/L, neutrophil 72%, hemoglobin 105g/L, platelet 310×109/L, C-reactive protein 57 mg/L; ESR 80 mm/h; There is no abnormality in liver function; Anti-streptolysin O, seven respiratory virus antigens, mycoplasma pneumoniae PCR(-), normal immunoglobulin, blood culture (-); The right coronary artery diameter was 1.9mm and the left coronary artery diameter was 2.0mm by echocardiography.

Diagnosis: Kawasaki disease.

What is Kawasaki disease?

Kawasaki disease, also known as cutaneous mucosal lymph node syndrome, can’t be prevented, and the cause is still unclear. It is generally believed that Kawasaki disease is an acute systemic immune vasculitis triggered by infectious factors, with fever, jealousy, lip redness, rash and cervical lymph node enlargement as the main clinical manifestations. Cardiovascular injury, especially coronary artery disease, is an important complication of Kawasaki disease, which can lead to myocardial ischemia, myocardial infarction and even death, seriously endangering the health and life of children. Kawasaki disease mainly occurs in children under 5 years old, and can occur all year round, especially in East Asia such as China and Japan. The data published in recent years show that there are more than 100 new cases of Kawasaki disease per 100,000 children aged 0-4 every year.

What are the manifestations of Kawasaki disease?

Main clinical manifestations

1. Fever: It is often repeated fever, and the heat peak can reach 39-40℃, and antibiotic treatment is ineffective.

2. Changes of extremities: In the acute stage, the palms and soles flush and hard edema appear. At 2-3 weeks, desquamation (membranous desquamation) of fingers and toes starts from the nail week and can extend to the palms and soles of feet. The course of the disease lasts for 1-2 months, and deep transverse groove (Beau’s line) or nail removal may appear on the nail.

Fig. 1 Hard edema of palm (from UpToDate)

Fig. 2 membranous desquamation of hands and feet (from UpToDate)

3. Rash or redness at the BCG vaccination site: Rash usually appears within 5 days after fever, and there are common diffuse maculopapular rash, scarlet fever-like rash and erythema multiforme-like rash. Rash is usually widely distributed, mainly involving trunk and limbs. The aggravation of rash in groin and early desquamation, perianal flushing and desquamation are the characteristics of Kawasaki disease. Scar swelling is a relatively specific early manifestation of Kawasaki disease.

Figure 3 Rash of Kawasaki disease (from 2017 American Heart Association guidelines)

Fig. 4 Scar is red and swollen (I shot it myself).

4. Bilateral bulbar conjunctival congestion: Children may have bilateral bulbar conjunctival non-exudative congestion shortly after fever.

Fig. 5 bulbar conjunctival congestion (from UpToDate)

5. Oral and oral changes: including red lips, dryness, chapped lips, peeling and bleeding, strawberry tongue, and diffuse congestion of oropharyngeal mucosa.

Fig. 6 Dry red and chapped lips (from 2017 American Heart Association guidelines)

Figure 7 strawberry tongue (from UpToDate)

6. Non-suppurative enlargement of cervical lymph nodes: usually unilateral, with a diameter ≥1.5cm.

Auxiliary inspection

1. Laboratory inspection:

① Blood routine showed an increase in white blood cell count, mainly neutrophils; Decreased hemoglobin; The increase of platelet count usually appears in the second week of the course of disease, reaches its peak in the third week, and returns to normal in 4-6 weeks; A small number of children can have a decrease in platelet count, which indicates that the condition is serious.

② Urine routine showed leukocytosis, but urine culture was negative.

③C-reactive protein and serum amyloid A(SAA) increased, and erythrocyte sedimentation rate (ESR) increased.

④ Transaminase increased, total bilirubin increased, creatine muscle enzyme and myocardial isoenzyme increased, albumin and blood sodium decreased.

⑤ Serum inflammatory factors such as interleukin (IL)-6, IL-1 and tumor necrosis factor α (TNF α) are increased.

⑥ Plasma brain natriuretic peptide (BNP) or N-terminal pro-brain natriuretic peptide (NT?proBNP) increased, procalcitonin increased slightly and moderately, and serum ferritin and plasma dimer increased.

2. Echocardiography: Echocardiography should be performed as early as possible in the clinical diagnosis of Kawasaki disease to find out whether there is coronary artery damage, such as coronary artery dilatation or coronary artery aneurysm formation, and whether there is thrombosis should be paid attention to.

How to diagnose Kawasaki disease?

Kawasaki disease is a clinical syndrome, the diagnosis mainly depends on clinical manifestations, combined with laboratory examination and exclusion of other diseases. Kawasaki disease includes complete Kawasaki disease (CKD) and incomplete Kawasaki disease (IKD).

1.CKD: fever with at least 4 main clinical features of the following 5 items:

(1) bilateral bulbar conjunctival congestion;

(2) Oral and oral changes: dry and red lips, strawberry tongue and diffuse congestion of oropharynx mucosa;

(3) Rash, including red and swollen scar;

(4) Changes of extremities: redness and swelling of hands and feet in acute stage, and desquamation around nails in recovery stage;

(5) Non-suppurative cervical lymphadenopathy.

2.IKD: Children with fever ≥5d but with less than 4 main clinical features are assessed as IKD according to the flow chart in Figure 7.

Fig. 8 Diagnostic flow chart of incomplete Kawasaki disease [1]

What conditions need to be considered for Kawasaki disease?

According to the 2017 American Heart Association guidelines, Kawasaki disease should be considered in the following situations:

(1) long-term fever and irritability of infants younger than 6 months;

② Infants have long-term fever and unexplained aseptic meningitis;

③ unexplained long-term fever or shock with negative blood culture in infants or children;

④ Infants or children have long-term fever and cervical lymphadenitis, and have no response to antibiotic treatment;

⑤ Infants or children have long-term fever, retropharyngeal or parapharyngeal cellulitis, and have no response to antibiotic treatment.

Kawasaki disease needs to be differentiated from which diseases.

1. Scarlet fever: Kawasaki disease can also have a scarlet fever-like rash, but the simple scarlet fever infection is mostly effective for antibiotic treatment. After antibiotic treatment, the symptoms are improved and the inflammatory index is obviously reduced.

2. Other virus infections (such as adenovirus, enterovirus): In virus-infected blood, the routine white blood cell count is not high or low, but lymphocytes are increased, C-reactive protein, SAA and ESR are often not significantly increased, and the virus antibody in blood can be significantly increased.

3. Septic shock syndrome caused by staphylococci and streptococcal toxins: It needs to be differentiated from Kawasaki disease shock syndrome, especially when antibiotic treatment is ineffective, closely observe the other five characteristic clinical manifestations of Kawasaki disease except fever, and conduct echocardiography in time.

4. Drug hypersensitivity such as Stevens Johnson syndrome: There is a history of using sensitive drugs, and the mucosal manifestations are usually more serious. Moreover, the ocular symptoms are not only conjunctival congestion, but also catarrhal, suppurative and pseudomembranous conjunctivitis, which can leave eye complications.

How to treat Kawasaki disease?

Although Kawasaki disease cannot be prevented, it can be treated. Once it is diagnosed, it should be treated as soon as possible:

① High-dose intravenous immunoglobulin (IVIG): 2g/kg, the infusion time is usually 10-12h, and the dosage of 1g/kg per day can be used for children with heavy weight (such as > 20kg) for two days.

② Anti-inflammatory effect of aspirin: 30-50mg/(kg d), taken orally for three times. If the diagnosis of Kawasaki disease is delayed for more than 10 days or even longer, it is still recommended to give the above treatment as long as there are clinical symptoms and/or inflammatory indicators are still abnormal; If the clinical symptoms have subsided, the inflammatory indicators have returned to normal, and echocardiography shows no coronary artery lesions, only subsequent antiplatelet therapy and follow-up can be given.

③ Anti-platelet effect of aspirin: After 48-72h, the inflammatory indexes (white blood cell count and C-reactive protein) returned to normal, and aspirin was reduced to 3-5mg/kg. For children with no coronary artery disease or mild coronary artery dilatation in acute phase but returning to normal within 30 days, aspirin will continue to be used for 2-3 months.

Difficulties in diagnosis and treatment of Kawasaki disease in children

1. Kawasaki disease mainly depends on the clinical features, combined with the manifestations of systemic multi-system vasculitis and laboratory examination for clinical diagnosis, which lacks the gold standard and needs to exclude other diseases. The diagnosis of CKD is usually not difficult, but for the diagnosis of IKD and severe Kawasaki disease, clinicians need to be highly vigilant, combine laboratory indicators with echocardiography to make a comprehensive judgment, and sometimes even need dynamic observation during the course of the disease to make a diagnosis.

2. The main clinical features of Kawasaki disease rarely appear at a single point in time, and some clinical features will fade within a few days, so it is necessary to ask the medical history and physical examination carefully. Kawasaki disease is a self-limited disease, and the fever can stop automatically. Clinicians may ignore the main clinical manifestations of Kawasaki disease because of the cessation of fever, thus delaying the diagnosis and failing to improve echocardiography in time to evaluate whether there is coronary artery damage.

3. Kawasaki disease is systemic vasculitis, with multiple system injuries. The first symptom can be some specific organ injuries, and sometimes it is misdiagnosed as other diseases, such as urinary tract infection, suppurative lymphadenitis or mumps, acute abdomen, hepatitis and arthritis.

Summary:

Simple fever in the early stage of Kawasaki disease may be mistaken for a cold. Parents should see a doctor again in time for children with repeated fever with rash, jealousy and red lips. For children with fever for more than 5 days and poor antibiotic treatment effect, clinicians should consider the possibility of Kawasaki disease, ask for medical history and physical examination in detail, dynamically follow up relevant auxiliary examinations, and improve echocardiography in time. Children treated with IVIG rarely die of Kawasaki disease, and most of them have a good prognosis. The long-term complications are mainly related to the degree of coronary artery involvement. Take medicine according to the doctor’s advice after discharge, follow up regularly for fever and review echocardiography to evaluate the heart involvement.

References:

[1] Cardiology Group of Pediatrics Branch of Chinese Medical Association, Rheumatology Group of Pediatrics Branch of Chinese Medical Association, Immunology Group of Pediatrics Branch of Chinese Medical Association, etc. Expert Consensus on Diagnosis and Acute Treatment of Kawasaki Disease [J]. Chinese Journal of Pediatrics, 2022,60 (1): 613.

[2]McCrindle BW, Rowley AH, Newburger JW, et al. Diagnosis, treatment, and long?term management of Kawasaki disease: a scientific statement for health professionals from the American Heart Association[J]. Circulation, 2017, 135(17): e927?e999.

[3]Fukazawa R, Kobayashi J, Ayusawa M, et al. JCS/JSCS 2020 guideline on diagnosis and management of cardiovascular sequelae in Kawasaki disease[J]. Circ J, 2020, 84(8):1348?1407.

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　　[Global Network Reporter Zhao Yanlong] On Monday (28th) local time, the United States announced sanctions against Venezuelan state-owned oil companies, and CNN said on 28th that this brought the most significant financial pressure to the troubled Venezuelan President Nicolas Maduro Moros. In this regard, Maduro subsequently criticized that the US move was "immoral and illegal".

　　On Monday afternoon local time, U.S. Treasury Secretary Steve Mnuchin and National Security Advisor John Bolton announced in the White House press room that they were interested in the parent company of Citgo Oil Company — — Sanctions imposed by Petroleos de Venezuela,PdVSA). Bolton said that this measure will freeze the company’s assets of about 7 billion US dollars, and will lead to its asset loss of more than 11 billion US dollars in the coming year.

　　The Associated Press said on the 28th that a few hours after the White House announced the sanctions, Maduro attacked it on national television, saying that the actions of the United States were "immoral and illegal". And directly shouted to US President Donald Trump, "Don’t interfere in Venezuela!"

　　Sputnik news agency & radio reported that Maduro also accused the United States of "trying to steal Citgo from us" and said that he would take measures to protect government property in the next few hours, including filing a lawsuit in a US court.　　　　　　　　　　

On May 14th, after many preheating, Lenovo finally showed their Windows 10 PC folding screen prototype equipment in new york.

This unnamed 13.3-inch device will be released in 2020, equipped with a 4:3 2K OLED folding screen, and the screen supplier is LG, which is an Always Connected PC driven by Intel processor, which can provide full-day battery life.

According to Lenovo, the device will be sold in ThinkPad X1 brand series, so it is more durable than a simple consumer laptop. It will be equipped with Wacom stylus and Bluetooth keyboard to improve the actual work efficiency. In addition, it also supports USB-C charging.

As the use scene of Lenovo Windows 10 PC folding screen, you can fully unfold it like a large tablet computer or partially fold it into a book shape. The built-in stand allows you to support the display screen on the desktop for use with the included wireless keyboard and touchpad.

In addition to completing the final design, Lenovo is still waiting for Microsoft to provide Windows system software support for the folding screen device PC-it can be seen that the soft keyboard does not cover the whole lower part of the screen.

Hands-on demonstration of Lenovo Windows 10 PC folding screen;Click this link to watch.

　　In 2024, the "new gambling game" between Lei Jun and Dong Mingzhu once again ushered in the acceptance moment.

　　Dong Mingzhu took another step forward in building cars.

　　Enterprise investigation shows that on October 11th, Shanghai Gree Automobile Technology Co., Ltd. was incorporated, and its legal representative is Zhong Chengbao. At present, he is the assistant to the president of Zhuhai () Co., Ltd. and the general manager of Zhuhai Gree Intelligent Equipment Co., Ltd.. The company has a registered capital of 20 million yuan, and its business scope includes research and development of auto parts, manufacturing of auto parts and accessories, manufacturing of industrial robots, and sales of industrial robots.

　　According to the equity penetration chart, Shanghai Gree Automobile Technology Co., Ltd. is jointly owned by Shanghai Jieyingtu New Material Technology Co., Ltd. and Zhuhai Gree Intelligent Equipment Co., Ltd. under Gree Electric. This move is regarded by the market as Gree once again overweight the layout of new energy car tracks.

　　In 2016, after Dong Mingzhu personally held shares in Zhuhai Yinlong New Energy (hereinafter referred to as "Yinlong"), he began to formally set foot in the car-making business. Yinlong gradually became a holding subsidiary of Gree Electric, renamed Gree Titanium New Energy, and deeply cultivated the business technology of new energy buses and lithium titanate batteries. However, in the eight years since it was acquired by Dong Mingzhu, Yinlong’s performance began to decline in 2017. As of June 30, 2024, the total debt of Gree Titanium New Energy was 24.786 billion yuan. Dong Mingzhu, who makes cars across the border, has been filling the "pit" of Gree Titanium. "The pit has a process of filling, which I think is very promising." Dong Mingzhu had previously said.

　　As early as 2013, Dong Mingzhu and Lei Jun gambled on their operating income ten years later. In 2019, Dong Mingzhu shouted to Lei Jun: "Don’t want 1 billion yuan, gamble for another five years": bet on who can make the world really fall in love with China manufacturing because of their products and technology; Second, bet on who can become the world leader in his own industry. In 2024, the five-year "new gambling game" between Lei Jun and Dong Mingzhu once again ushered in the acceptance moment.

　　"Building a car is a century-old track." Lei Jun, who started to build cars across the border three years ago, believes. For Dong Mingzhu, who also has her own topic, Gree’s car-making business failed to have the positive blessing of traffic like Xiaomi’s, but Miss Dong was unwilling to let go easily.

　　Eight-year "Car Bureau": Input, Loss and Acquisition

　　Dong Mingzhu and Lei Jun’s billion-dollar bet continued from air conditioning to building cars. Xiaomi, who has been building cars for three years, has become a dark horse in China auto market this year, while Gree, who has been working on the car-building track for eight years, has not yet entered the harvest period.

　　As early as 2016, Dong Mingzhu had the idea of building a car, only one year later than today’s star new car company Ideal and Weilai. At that time, Dong Mingzhu wanted to buy 100% equity of Zhuhai Yinlong New Energy with 13 billion yuan, but failed to pass the collegial meeting of shareholders on November 16th. In Miss Dong’s view, small and medium-sized shareholders are "shortsighted", and she firmly believes that "although we didn’t succeed in the acquisition, we must be a new energy vehicle."

　　Less than a month later, Dong Mingzhu still "put all your eggs in one basket" and took a stake in Yinlong with his personal assets. At the same time, she also brought Dalian Wanda, Jiangsu JD.COM Bangneng Investment Management Co., Ltd., () and other enterprises to jointly increase the capital of Yinlong by 3 billion yuan.

　　At that time, some new car-making enterprises in the new energy vehicle market began to emerge, and traditional car companies such as Geely, BAIC, Jianghuai and Changan were all testing new energy sources. Why does Dong Mingzhu prefer Yinlong, which was established only eight years ago?

　　Yinlong once made a difference in the new energy bus track. In 2016, Yinlong’s business was mainly the manufacture of new energy buses and lithium batteries. On the track of commercial vehicles, there is a blessing for the development prospect of new energy vehicles, and Dong Mingzhu is firmly optimistic about the future value of Yinlong. In the next two years, Yinlong proved Dong Mingzhu’s vision with sales. In 2017, Yinlong New Energy Bus ranked fourth in the country with an annual sales volume of 6,626 vehicles; In 2018, its sales volume increased to 7,278 vehicles, second only to Yutong and (), ranking third.

　　But the blow followed. In January 2018, Yinlong was repeatedly exposed to arrears in supplier payment, and there was a problem in the capital chain. By November 2018, Yinlong exposed its "dirty laundry" and publicly disclosed that its major shareholder Yinlong Group, actual controller Wei Yincang and former executive Sun Guohua were suspected of encroaching on the company’s interests by over 1 billion yuan. In 2019, the sales volume of Yinlong New Energy Bus declined in a cliff-like manner, with the annual sales volume of only 2,708 vehicles, down 62.76% year-on-year. The following year, Yinlong began to lose money continuously, and even began to be auctioned by Zhuhai Intermediate People’s Court. By the end of 2020, Yinlong’s liabilities had exceeded 22.5 billion yuan.

　　Although "Yinlong became a hole", Dong Mingzhu still insisted on buying Yinlong. In August, 2021, Gree acquired 30.47% equity of Yinlong New Energy for 1.83 billion yuan through public bidding through judicial auction. In addition, 17.46% equity previously held by Dong Mingzhu was entrusted to Gree, and Yinlong officially became a holding subsidiary of Gree Electric, and was later renamed Gree Titanium New Energy (hereinafter referred to as "Gree Titanium").

　　Gree’s blood transfusion also failed to rejuvenate the sales of Gree Titanium. In 2022, Gree Titanium sold 1,789 buses, down 11.65% year-on-year. In the same year, the sales of new energy buses in (), Suzhou Jinlong and () ranked in the top three with 11,515, 5,306 and 5,032 respectively.

　　Dong Mingzhu said in March 2024 that she believed Gree Titanium New Energy could turn losses into profits that year. According to Gree’s mid-year report in 2024, as of June 30, 2024, Gree Titanium New Energy had a total debt of 24.786 billion yuan and a net loss of 1.905 billion yuan. However, according to Gree Electric’s financial report, the net profit of home appliance business can still cover the loss of car-making business, but the commercial vehicle track, lithium titanate battery and hydrogen fuel power battery technology bet by Gree Titanium have not yet entered the harvest period.

　　For entering the field of new energy vehicles, Dong Mingzhu has publicly stated that he has no regrets. The newly established Shanghai Gree Automobile Technology Co., Ltd. once again confirmed Dong Mingzhu’s determination.

　　"The pit has a process of filling up, and the dawn is ahead."

　　The road of building cars is a new way out for Gree by Dong Mingzhu. Gree has been seeking diversified development since 2012, which is also a strategy that Dong Mingzhu vigorously promoted when he took over Gree.

　　She is keenly aware that the era of high growth of household air conditioners is gradually coming to an end. According to the data, from 2010 to 2015, the year-on-year growth rate of Gree’s operating income gradually declined. Dong Mingzhu’s task is to lead Gree to find a new growth curve. To this end, she has tried mobile phones, small household appliances, new energy, medical care and even prepared vegetable tracks.

　　Dong Mingzhu started with car air conditioning business. After personally taking a stake in Yinlong, Dong Mingzhu said that Gree Electric had been studying automobile air conditioning three or four years ago and had fully mastered the technology of this product. In 2017-2018, Yinlong, which was in full swing, made Dong Mingzhu see the hope of Gree’s transformation, and also planned to enter the new energy car track vigorously in the future.

　　Dong Mingzhu attaches great importance to the layout of battery business. Except for the new energy bus business, Gree Titanium has always chosen lithium titanate as its own technical route. In the field of new energy vehicles, lithium carbonate and its derivative battery products, Ferrous lithium phosphate and ternary lithium battery, are widely used at present. Dong Mingzhu’s "safer" lithium titanate battery has low energy density, so its application space in domestic transportation field is relatively small. "We chose this project not to make money, but to do it because of future development needs." Dong Mingzhu has publicly stated.

　　However, Gree Titanium, which insists on the lithium titanate battery track, also shows signs of compromising to the market. Enterprise investigation shows that Gree Titanium is laying out lithium iron phosphate batteries. On June 11th, 2024, Gree Titanium applied for a patent named "Lithium iron phosphate battery and its preparation method". Although Gree Titanium, which went out to sea in the past two years, has gained a small number of foreign orders for energy storage business and new energy buses, its technical investment has not been realized enough.

　　In the upstream and downstream of the car-making industry, Gree also intends to lay out. In 2022, Gree Electric invested RMB 3 billion to hold () 410 million shares, accounting for 38.78% of the company’s total share capital after issuance. The latter is a leading enterprise in the refrigeration component industry, and the company’s main business is divided into two parts: refrigeration parts business and refrigeration equipment business, and thermal management business of new energy vehicles. In the field of auto parts, the main business of Gree Intelligent Equipment established in 2015 is to provide GA-GF2755 CNC machine tools for high-speed and high-precision machining of new energy auto parts. Gree Intelligent Equipment is a wholly-owned subsidiary of Gree Electric, which once provided support for Tesla parts manufacturing.

　　Li Bin, CEO of Weilai, said "Don’t build a car without 20 billion yuan", which is also applicable here in Dong Mingzhu. Judging from Dong Mingzhu’s car-making actions, it is still the main means to make a car with the revenue of the parent company as the guarantee, and vigorously purchasing and widely distributing it. However, the most fundamental purpose of building a car is to sell cars. Without new business income, Gree Titanium has also become the only loss source of Gree Group, and surviving is the top priority.

　　In terms of financing, Gree Titanium has no other sources of funds except the support of Gree Electric and Dong Mingzhu. According to the announcement, in December, 2023, Gree Electric announced that Gree Electric further increased its shareholding in Gree Titanium to 72.47%, and planned to wholly hold Gree Titanium in the future. Enterprise investigation shows that except for Gree’s increase in holdings, Gree Titanium has not gained any financing in the past five years.

　　It’s not too late for Dong Mingzhu to build a car, but when the industry took off, it failed to get dividends and gain market share. Instead, it gradually fell behind. "Gree Electric will not enter the field of new energy family cars for the time being." In February 2022, Dong Mingzhu said. The new energy bus track has never been the mainstream competition field of new energy. Limited by the demand for buses in the B-end market, it is unlikely that its market cake will become bigger. The report shows that the domestic new energy bus sales market will be around 40 billion yuan in 2022, and it is estimated that the market size will be 47 billion yuan by 2028.

　　The new energy bus industry leader appears, and its market share is further concentrated. According to the data of China Bus Statistics Information Network, in the first half of 2023, Yutong Bus ranked first in China, accounting for nearly 15% of the sales volume, followed by Foton Ouhui, BYD and Jinlong Bus, all of which accounted for more than 10% of the sales market. This also means that in the new energy bus track, Gree Titanium, which has not successfully run out of results, is under great pressure.

　　Consistent with Dong Mingzhu, in order to find new growth points, many home appliance industries are aiming at new energy vehicles. Midea and Haier, which have not officially built cars, also have automobile business layouts. () Through its subsidiary Weiling Auto Parts Company, it has officially entered the field of new energy auto parts. Haier Group focuses on using its industrial Internet platform and smart home technology to cooperate with car companies.

　　There are also many home appliances that directly enter the car. As early as 2010, Huang Hongsheng, the "king of color TV", has begun to lay out new energy commercial vehicles and passenger cars. In September this year, Skyworth Automobile, founded by Huang Hongsheng, announced that it would launch a modified model of its medium-sized SUV and the first A-class compact crossover product in 2025. According to the official data of Skyworth Automobile, the total sales volume in 2023 was 18,630 vehicles, with an average monthly sales volume of about 1,500 vehicles, while the monthly sales volume of zero-running vehicles in the same period was about 12,000 vehicles. On September 17th, this year, Sharp presented a conceptual model "LDK+" of an electric vehicle (EV) in Tokyo, Japan, and said that Sharp will officially launch the pure electric vehicle business.

　　Compared with peers, there is a certain gap in the performance of Gree Titanium. However, Dong Mingzhu is still optimistic. At the Gree shareholders’ meeting in June 2023, "there is a process of filling the pit, which I think is very promising." Dong Mingzhu said, "The dawn (of Gree Titanium) is ahead."

　　The knockout round of cross-border car-building has already started. When will the stones invested by Dong Mingzhu stir up water?

　　[Pacific Auto] On May 11th, we got the information of the second generation (|) from, which had previously made its debut in 2024. The new car is positioned as a new hard-core intelligent driver, adopting a brand-new "ecological function" design language, and has been upgraded in terms of intelligence and three-electric system. It is equipped with ADIGO 5.0, advanced intelligent driver assistance system (Orin-X chip+lidar) and AI model ADiGO SENSE, and the CLTC cruising range reaches 750km, and it can be charged for 370 km in 15 minutes.

　　In terms of appearance, the second generation AION V adopted a brand-new "ecological function" design language, which was jointly designed by global design teams in Los Angeles, Milan, Shanghai and Guangzhou, and its modeling design was inspired by the classic life force totem — — Tyrannosaurus rex, the classic, pure hard-core genes to the extreme.

　　From the point of view of vehicle modeling, the second generation AION V uses tough lines with rectangular features, embellishes the vehicle design with cyber dragon claws, and adopts AION alphabet at the rear.

　　In terms of body size, the length, width and height of the new AION V are 4605/1854(1876)/1660(1686)mm and 2775mm, respectively, with a five-seat layout. In addition, the new car/is 19 degrees and 27 degrees respectively.

　　In addition, the new car can also choose different color spoilers, rear tail labels, different color calipers, door handles, privacy glass, different color luggage racks, roof lidar, different color side skirts, different color front trim strips, rims, different color rear trim strips, different color front lips, rear windshield and other configurations.

　　Power aspectAccording to the application information, the new AION V is equipped with a front-mounted permanent magnet synchronous motor, 150 kW and 160km. In terms of battery life, it is known that the car will be built on a 400V silicon carbide platform. The CLTC has a pure electric cruising range of 750km and can be charged for 370 km in 15 minutes.

　　In addition, the second-generation AION V is equipped with a self-developed second-generation ITS2.0 intelligent temperature control system (the first in the world in terms of integration). It adopts the industry’s first 12-way valve multi-mode high-efficiency thermal management integrated module, and comes standard with a heat pump. The low-temperature energy consumption is reduced by 50% compared with the previous generation, and the adaptive temperature range is the widest in the industry (-30~ 55℃).

　　Combined with the previous news, the second-generation AION V will also be equipped with ADIGO 5.0 intelligent driving interconnection ecosystem, and integrated into the AI ? ? big model ADiGO SENS, which is carefully trained based on the data of millions of car owners in Ai’ an, can accurately identify and meet the individual needs of users, and has self-learning interactive logic. There is no upper limit to understanding ability. At the same time, it is also equipped with 4-tone voice interaction, which can recognize many languages and super-personify colloquial output.

　　At the same time, it will also be equipped with a high-order intelligent driving system, adopting an intelligent driving scheme of "BEV (pure electric vehicle) +OCC (occupied network technology) +Transformer (neural network model based on self-attention mechanism)", and equipped with intelligent driving hardware consisting of NVIDIA Orin-X chip, a high-thread laser radar, five millimeter-wave radars and 11 cameras, which can realize the pilot-assisted driving ability on highway sections and urban sections.

　　In terms of configuration, the new AION V adopts the 8-point massage SPA+ of the main driver and the auxiliary driver+the chaise longue in the rear, which can realize 137-degree adjustment, so that the rear passengers can find a comfortable sitting position that best suits their spine angle. Master-tuned 9 Belgian Premium speakers and 8-inch bass speakers bring better audio-visual enjoyment. The new car also comes standard with VtoL external discharge function, three-mode four-control cold and warm refrigerator and so on. (Text: Pacific Auto Wu Qi)

　

Wen | Deep burning trainee author Wan Qi

Editor | Li Qiuhan

Netease Cloud Music’s road to listing is a bit difficult.

Recently, Netease Cloud Music responded to the outside world. Based on the consideration of the overall market environment and other comprehensive factors, the management of the company decided to suspend the IPO, and will choose a better opportunity to promote IPO-related matters as soon as possible.

The first consideration of capital is the market, and the second is the return on investment.

In the opinion of an analyst, Netease Cloud Music’s move is first related to the big environment. With the tightening of supervision, listing at this time will face uncertainty. Then, on August 16th, news came out that Tencent Music would also shelve its listing plan in Hong Kong.

Some people in the industry have analyzed that the bad market is only one of the reasons. The huge losses of Netease Cloud Music have made investors lack confidence in Netease Cloud Music IPO. According to the prospectus, from 2018 to 2020, the adjusted net losses of Netease Cloud Music were 1.8 billion yuan, 1.6 billion yuan and 1.6 billion yuan respectively, totaling as high as 5 billion yuan, and it is expected that the losses will continue. At the same time, its biggest competitor Tencent Music has achieved net profits of 1.8 billion yuan, 3.9 billion yuan and 4.1 billion yuan respectively.

Netease Cloud Music, established in 2013, has gone through seven years. Due to the constraints of music copyright, it has been difficult for its paying users to grow at a high speed. However, the prospect of using high-viscosity community culture to find the second revenue growth is not clear. In the big environment, in addition to Tencent Music, the short video platforms such as Tik Tok and Aauto Quicker also pose a threat to the traffic.

Netease Cloud Music, which was listed "almost in one breath", has been "besieged on all sides".

Can Netease Cloud Music break through by lifting the exclusive copyright?

Judging from the prospectus, in Netease cloud music revenue, the proportion of membership fees in 2020 is as high as 53.6%, and letting users spend money to listen to music is the main source of profit.

On July 24th this year, according to the anti-monopoly law, the State Administration of Market Supervision ordered Tencent and its affiliated companies to cancel the exclusive music copyright within 30 days, which made the online music market explode.

Si Si, an associate professor at China Conservatory of Music, believes that the company with the most exclusive copyright will undoubtedly be greatly affected after the exclusive copyright is lifted. In other words, this has a greater impact on Tencent Music. Wang Chao, the founder of Yuan Wen think tank, also thinks that this is good for Netease Cloud Music, which has the opportunity to buy some exclusive copyrights that originally belonged to Tencent at a lower price.

"Cancellation of exclusive copyright" is regarded as the lifeline of Netease Cloud Music, but is this really the case?

In 2018, under the impetus of the National Copyright Administration, Tencent Music and Netease Cloud Music transferred their authorized music works to each other, and the two companies only retained 1% of the exclusive music copyright. But this 1% directly affects Jay Chou and Mayday, and many national singers’ songs are controlled by Tencent Music. "Without Jay Chou’s Netease cloud music, there is no soul." A netizen lamented that losing the copyright of some core singers really frustrated Netease Cloud Music.

But in fact, for it, it is not easy to re-light the user’s grayed song list. After all, money still needs to be spent. A record company executive expressed a similar idea about Deep Burning. He guessed that without exclusivity, the copyright fee would be reduced, but their company was unwilling to lower the price. He prefers new forms of binding, such as going deep upstream for content cooperation. This is exactly what Tencent Music is accelerating. In other words, exclusivity has been cancelled, but the threshold of cooperation with music production companies has not disappeared.

At present, the problem of Netease Cloud Music in the music field is not only copyright, but also liquidity efficiency.

The revenue model of online music has not been fully developed. Basically, the platform buys copyright at a high price, and then sells it to users in the form of payment, so as to earn the difference, with a single form.

How much does the copyright price bother Netease Cloud Music? In the earnings conference call of Netease in the first quarter of last year, Ding Lei directly criticized that Netease Cloud Music paid more than 2 to 3 times the reasonable price under the exclusive sales mode of copyright. In the prospectus, from 2018 to 2020, its content service costs were 1.97 billion yuan, 2.85 billion yuan and 4.79 billion yuan respectively, accounting for 171.7%, 123.1% and 97.8% of its revenue respectively.

With such investment, Netease Cloud Music’s "harvest" is that the prospectus shows that in Q1, 2021, the number of monthly users of Netease Cloud Music’s online music service has reached 183 million, but the number of monthly paid users of online music service is only 24 million, which is about one-third of the 60.9 million paid users of Tencent Music in Q1, 2021.

In fact, in 2020, the payment rate of Netease Cloud Music is 8.8%, which is higher than that of Tencent Music’s 7.7%, but compared with the foreign music market, the gap is still very obvious. According to the report data of Guoyuan International Securities in July 2020, the subscription payment rate of Spotify, an overseas music streaming platform, has reached about 50%.

The promotion of the willingness to pay cannot be achieved overnight, and it is worth noting that the premise of its promotion is that the platform needs enough funds to bet on high-quality and even scarce copyright content, so as to attract users to pay. It is not easy for Netease Cloud Music, which has suffered a long-term loss, to spend more money to supplement copyright ammunition.

According to industry-related sources, from 2019 to 2020, Netease Cloud Music was included in the service of paying users of Taobao VIP88 in 88 yuan, and the number of paying users increased from 8.63 million to 16 million. He predicted that Tencent Music would also be connected after Tencent and Ali Eco opened in August. In other words, after Netease Cloud Music Drainage Barrier is broken, its advantages will be further weakened.

Source/Analysys Qian Fan Data

From the product level, according to Analysys Qian Fan data, the online user duration of Netease Cloud Music continues to decline, and the coincidence rate with QQ Music and Cool Dog Music is relatively high, and the exclusive user rate is also the least among the three. The advantage of Netease Cloud Music is not obvious.

In the context of a single profit model and low willingness to pay, "music itself does not make money" is not a ridicule.

Listing is not easy, can social entertainment solve the problem?

Netease Cloud Music is clearly aware that it needs to find a new way out under the pressure that paying users are difficult to break through.

Tencent Music, which achieved profitability earlier, once accounted for more than 70% of the total revenue from social entertainment, relying on the high-margin "online karaoke+live reward" business. Netease Cloud Music is also using social entertainment to "save the country by curve".

Wang Chao explained this realization logic. In terms of consumption power, the member-paid business model is to attract users with low prices, and the business can be at a loss, but it can be realized after the users are introduced. At present, live broadcast realization is a highly efficient business. Since Netease Cloud Music Live Broadcasting Service was launched in the second half of 2018, its revenue has increased from 500 million yuan in 2019 to 2.3 billion yuan in 2020 in just one year.

Doing social entertainment is not difficult for Netease Cloud Music. From the product level, Netease Cloud Music has always been differentiated by song list culture, accurate recommendation mechanism and product tonality. The users account for 89% of the post-90 s young group, which has cultivated a highly sticky community culture.

In recent years, Netease Cloud Music has launched LOOK live broadcast, listening, anchor and other columns around the live broadcast business, which are arranged on various pages. The song room service includes Yuncun KTV, Yuncun singers, parties, etc. At the same time, podcasts are opened to introduce high-quality audio content, and the action is constant. In terms of commercial realization, it includes live broadcast service, virtual goods sales and music-related products sales, among which live broadcast service is the main revenue source of social entertainment.

The effect is obvious. In 2018, the revenue of online music services and social entertainment services accounted for 89.4% and 10.6% respectively. By 2020, the revenue of the two major businesses will become 53.6% and 46.4%, and the revenue of the latter will also increase from 120 million to 2.27 billion. The number of paying users of social entertainment services has also increased rapidly, from 0.58 million in 2018 to 91,700 in 2019, and then to 327,000 in 2020. The monthly income of paying users has also increased from 477.6 yuan in 2019 to 5.73.8 yuan in 2020.

The realization channel of Netease Cloud Music is tilting towards "social entertainment", and there is a trend of overweight this year.

Taking advantage of the unique community atmosphere, the latest version of Netease Cloud Music upgrades "attention" to a first-class entrance, so that users can view the trends of friends and musicians more quickly, and the "cloud circle" adds group chat to find the same hobby. The "cloud village" section also integrates Mlog, song room and chat room. The prospectus also shows that in this year’s strategic adjustment, the user group and participation of the "Yuncun" community will be expanded.

But this doesn’t mean that this business can always make great strides.

According to the statistics of Analysys Qian Fan, since September, 2020, the usage time of Netease Cloud Music has shown a downward trend as a whole, and the rich entertainment and social functions are not as good as expected for retaining users.

Whether the appearance of these new functions will affect the original community tonality is not discussed for the time being. An industry insider believes that online music platforms, social media and short video platforms are accessing related content in the market. From a technical point of view, live broadcast rewards such business segments are highly competitive and reproducible, and there are no industry barriers.

In his view, at the same time, the ceiling of such income will not be high. Based on the consumption scene of music socialization, the extended value-added services, the most important of which is to reward the anchor by ordering songs and giving virtual gifts live, which is not much different from other platforms. Tencent Music, Huya and other platforms have occupied most of the market share, and it is very difficult for Netease Cloud Music to "grab food".

And in Wang Chao’s view, at present, around the realization of live broadcast business, it will become rivals with Tik Tok and Aauto Quicker. When Netease Cloud Music attacks the market share of these two platforms, it will not move.

What is the value of original musicians?

Netease Cloud Music also has a trump card-the original music plan.

Netease Cloud Music was previously restricted by copyright, playing independent musicians, with the purpose of differentiating operations and attracting users. More than one person in the industry mentioned that although the platform has a certain traffic tilt to the musicians in the head, after the exclusive copyright is lifted, it will be beneficial to the original musicians at the waist and even at the tail. After all, the deep binding between the platform and the original musicians is equivalent to having scarce content.

The prospectus also mentioned that by December 2020, the number of registered original music of Netease Cloud Music reached 230,000, and the music tracks of registered independent musicians accounted for more than 45% of all music streaming media. Lao Fan, an original musician who has now entered the mainstream vision, became popular in Netease Cloud Music in his early days.

However, from the perspective of revenue, it is difficult to generalize the contribution of original musicians to the platform. Earlier, an independent musician told Deep Burning that Netease Cloud Music had collected a large number of independent musicians’ works for some time, which was a bit like venture capital. "But it’s worth it to hit one." Wang Chao explained that the industry still follows the "28 Law", and only a small number of people can earn money after they become big names. It is very difficult for most original musicians to count on this to earn money, but it is difficult for the platform to cultivate original musicians to make direct profits, and its greater role is to enrich the sound sources.

And now, after the era of exclusive copyright has passed, all platforms are aware of the importance of supporting independent musicians and are increasing their support.

Source /Pexels

In June this year, according to the news of LatePost, Tencent Music will set up an open platform department for musicians, a group of content studios, a music cloud business center, a promotion market center and a list and data product center on the basis of the original content cooperation department after setting up a content business line. Its main business direction includes, mining and introducing high-quality musicians; Cooperate with the music industry in content co-creation and live performance; Provide distribution and promotion services for music.

In addition, the short video platform is also eyeing. In June this year, Tik Tok APP has launched a music player and began to test the "K song" function; Also launched the "See Music" program. On the other hand, in March this year, Aauto Quicker held the Music Copyright Ecology Conference, which launched the industry’s first music copyright settlement standard. In June, the "Aauto Quicker Double-click Music Plan" was launched to support original musicians through traffic support and copyright settlement.

At present, the advantage of Netease Cloud Music in creating original musicians is weakening. According to the Q2 financial report of Tencent Music in 2021, the number of original musicians has also exceeded 230,000, and Tencent Music is connected with Tencent Video, which can build more music consumption scenes with music programs, and the resources are more attractive for independent musicians.

More importantly, the impact of short video platforms.

According to "Tik Tok Music Ecological Data Report 2020", in the second half of last year, the number of musicians in Tik Tok increased by over 300 million, 6 musicians increased by over 10 million, and 23 musicians increased by over 5 million.

While seizing the resources of musicians, the song-making ability of short video platform is also being verified. For example, the early "Imitating Cats" produced a series of Tik Tok Divine Comedy. This year, in the program "Praise for Songs" produced by Tik Tok and Zhejiang Satellite TV, Phoenix Legend’s adaptation of "Underwater" was also circled. Some people in the industry have analyzed that the short video platform is more suitable to be an incubator for explosive songs and musicians.

A business that needs investment but does not necessarily guarantee to make money is also facing strong new competitors. The advantages of Netease Cloud Music in the original musician sector are gradually being diluted.

Suspension of listing is an active choice, but it is also a wake-up call.

Netease cloud music has been frequently circled by marketing, and it is regarded as a dark horse of online music platform. It is not easy to break the three mountains of online copyright, social entertainment and original musicians.

* The title map comes from Pexels.

　　Chapter I General Provisions

　　Article 1 In order to further meet the needs of reform and opening up, strengthen the management of Sino-foreign joint ventures and cooperative medical institutions, and promote the healthy development of China’s medical and health undertakings, these Measures are formulated in accordance with the Law of People’s Republic of China (PRC) on Sino-foreign Joint Ventures, the Law of People’s Republic of China (PRC) on Chinese-foreign Cooperative Enterprises, the Regulations on the Administration of Medical Institutions and other relevant national laws and regulations.

　　Article 2 Sino-foreign joint ventures and cooperative medical institutions mentioned in these Measures refer to medical institutions established by foreign medical institutions, companies, enterprises and other economic organizations (hereinafter referred to as joint ventures and cooperative parties) in China (except Hongkong, Macau and Taiwan Province, the same below) with medical institutions, companies, enterprises and other economic organizations in China (hereinafter referred to as joint ventures and cooperative parties) on the principle of equality and mutual benefit and with the approval of the competent department of China government.

　　Article 3 These Measures shall apply to the application for the establishment of Sino-foreign joint ventures and cooperative medical institutions in China.

　　Article 4 Chinese-foreign joint ventures and cooperative medical institutions must abide by the relevant laws, regulations and rules of the state. The legitimate business activities of Sino-foreign joint ventures and cooperative medical institutions and the legitimate rights and interests of both parties are protected by the laws of China.

　　Article 5 The Ministry of Health and the Ministry of Foreign Trade and Economic Cooperation (hereinafter referred to as MOFTEC) shall be responsible for the administration of Chinese-foreign joint ventures and cooperative medical institutions throughout the country within their respective functions and duties.

　　The administrative department of health of the local people’s governments at or above the county level (including the competent department of traditional Chinese medicine/pharmacy) and the administrative department of foreign trade and economic cooperation shall be responsible for the daily supervision and management of Sino-foreign joint ventures and cooperative medical institutions within their respective administrative areas.

　　Chapter II Setting Conditions

　　Article 6 The establishment and development of Sino-foreign joint ventures and cooperative medical institutions must conform to the local regional health planning and the establishment planning of medical institutions, and implement the Basic Standards for Medical Institutions formulated by the Ministry of Health.

　　Article 7 Both Chinese and foreign parties applying for the establishment of a Sino-foreign joint venture or cooperative medical institution shall be legal persons who can independently bear civil liabilities. The Chinese and foreign parties to a joint venture or cooperation shall have experience in directly or indirectly engaging in medical and health investment and management, and meet one of the following requirements:

　　(a) to provide international advanced management experience, management model and service model of medical institutions;

　　(two) to provide medical technology and equipment with international leading level;

　　(three) can supplement or improve the local medical service capacity, medical technology, funds and medical facilities.

　　Article 8 A Sino-foreign joint venture or cooperative medical institution established shall meet the following conditions:

　　(1) It must be an independent legal person;

　　(two) the total investment shall not be less than 20 million yuan;

　　(3) The equity ratio or rights and interests of the Chinese side in a Sino-foreign joint venture or cooperative medical institution shall not be less than 30%;

　　(4) The term of joint venture and cooperation shall not exceed 20 years;

　　(5) Other conditions stipulated by the health administrative department at or above the provincial level.

　　Article 9 In a joint venture or cooperation, if the Chinese side participates in the investment with state-owned assets (including the contribution at a fixed price or as a condition of cooperation), it shall be approved by the corresponding competent department, and the state-owned assets to be invested shall be evaluated by an evaluation agency confirmed by the state-owned assets management department in accordance with the relevant provisions on the evaluation and management of state-owned assets. The evaluation results confirmed by the state-owned assets management department at or above the provincial level can be used as the basis for pricing the state-owned assets to be invested.

　　Chapter III Establishment, Approval and Registration

　　Article 10 To set up a Sino-foreign joint venture or cooperative medical institution, an application shall be submitted to the municipal health administrative department where the district is located, and the following materials shall be submitted:

　　(1) An application for establishing a medical institution;

　　(two) the project proposal signed by the legal representatives of the joint venture and the cooperative party and the feasibility study report on the establishment of the Sino-foreign joint venture and cooperative medical institution;

　　(3) Registration certificates (photocopies), identity certificates of legal representatives (photocopies) and bank credit certificates of both parties to the joint venture and cooperation;

　　(four) the state-owned assets management department’s confirmation document on the evaluation report of the state-owned assets to be invested.

　　The municipal health administrative department with districts shall conduct preliminary examination on the materials submitted by the applicant, and put forward preliminary examination opinions according to the regional health planning and medical institution setting planning, and submit them to the local provincial health administrative department for examination together with the application materials, local regional health planning and medical institution setting planning.

　　Article 11 The provincial health administrative department shall review the application materials and the preliminary examination opinions of the municipal health administrative department with districts and report them to the Ministry of Health for approval.

　　For approval, the provincial health administrative department shall submit the following materials to the Ministry of Health:

　　(a) the applicant to set up application materials;

　　(2) The Plan for the Establishment of Medical Institutions approved and implemented by the municipal people’s government with the establishment of districts, and the audit opinions of the municipal and provincial health administrative departments with the establishment of districts on whether the proposed Sino-foreign joint venture and cooperative medical institutions conform to the local regional health plan and the plan for the establishment of medical institutions;

　　(3) the examination opinions of the provincial health administrative department on the establishment of the Sino-foreign joint venture and cooperative medical institution, including the opinions on the name, site selection, scale (beds, dental chairs), diagnosis and treatment subjects and operating period of the proposed Sino-foreign joint venture and cooperative medical institution;

　　(4) Other materials as prescribed by laws, regulations and the Ministry of Health.

　　The Ministry of Health shall, within 45 working days from the date of acceptance, make a written decision on approval or disapproval.

　　Article 12 An application for the establishment of a Chinese-foreign joint venture or cooperative medical institution of traditional Chinese medicine (including a Chinese-foreign joint venture or cooperative medical institution of integrated traditional Chinese and western medicine and a Chinese-foreign joint venture or cooperative medical institution of ethnic medicine) shall, in accordance with the requirements of Articles 10 and 11 of these Measures, be subject to the preliminary examination of the local municipal health administrative department with districts and the examination of the local provincial health administrative department, and be submitted to state administration of traditional chinese medicine for examination and approval.

　　Article 13 After obtaining the permission of the Ministry of Health, the applicant shall apply to the Ministry of Foreign Trade and Economic Cooperation in accordance with relevant laws and regulations, and submit the following materials:

　　(1) Setting up application materials and approval documents;

　　(2) The contract and articles of association of the Sino-foreign joint venture and cooperative medical institution signed by the legal representatives of the parties or their authorized representatives;

　　(3) A list of members of the board of directors of the medical institution to be established as a Sino-foreign joint venture or cooperative medical institution, and a letter of appointment from each party to the joint venture or cooperative medical institution;

　　(four) the notice of pre-approval of the organization name issued by the administrative department for industry and commerce;

　　(5) Other materials stipulated by laws, regulations and MOFTEC.

　　MOFTEC shall, within 45 working days from the date of accepting the application, make a written decision on approval or disapproval; If it is approved, a Certificate of Approval for Foreign-invested Enterprises shall be issued.

　　A Chinese-foreign equity joint venture or cooperative medical institution approved for establishment shall, within one month from the date of receiving the Approval Certificate for Foreign-invested Enterprises issued by the Ministry of Foreign Trade and Economic Cooperation, go through the registration formalities with the State Administration for Industry and Commerce by virtue of this certificate.

　　Article 14 The application for establishing a Sino-foreign equity joint venture or cooperative medical institution in the central and western regions of China or in the old, less developed, border and poor areas or the scope and content of medical services provided by the Sino-foreign equity joint venture or cooperative medical institution applied for establishment belong to the service field encouraged by the state, and the conditions stipulated in Articles 7 and 8 may be appropriately relaxed.

　　Article 15 A Chinese-foreign equity joint venture or cooperative medical institution that is approved to be established shall apply to the health administrative department specified by the local provincial health administrative department for practice registration and obtain the Practice License of Medical Institution according to the procedures and requirements stipulated in the Regulations on the Administration of Medical Institutions and the Detailed Rules for the Implementation of the Regulations on the Administration of Medical Institutions.

　　According to the category and scale of Sino-foreign joint venture and cooperative medical institutions, the provincial health administrative department or the municipal health administrative department with districts shall accept the application for practice registration of Sino-foreign joint venture and cooperative medical institutions.

　　Article 16 The naming of Sino-foreign joint ventures and cooperative medical institutions shall follow the provisions of the Detailed Rules for the Implementation of the Regulations on the Administration of Medical Institutions issued by the Ministry of Health. The names of Chinese-foreign joint ventures and cooperative medical institutions are composed of local place names, identification names and common names in turn.

　　Article 17 Chinese-foreign joint ventures and cooperative medical institutions shall not set up branches.

　　Chapter IV Alteration, Extension and Termination

　　Article 18 Where an established Sino-foreign joint venture or cooperative medical institution changes its institution scale (beds and dental chairs), diagnosis and treatment subjects, joint venture and cooperation period, it shall go through the corresponding change registration procedures at the original registration authority according to the examination and approval procedures specified in Chapter III of these Measures.

　　Changes in the relevant clauses of contracts and articles of association of Chinese-foreign joint ventures and cooperative medical institutions shall be reported to the Ministry of Foreign Trade and Economic Cooperation for approval.

　　Article 19 If it is really necessary to extend the joint venture and cooperation period of a Chinese-foreign joint venture or cooperative medical institution after the expiration of 20 years, both parties may apply for an extension of the joint venture and cooperation period, and shall apply for an extension 90 days before the expiration of the joint venture and cooperation period. The application for extension shall be submitted to the Ministry of Health and the Ministry of Foreign Trade and Economic Cooperation for approval after being examined and approved by the provincial health administrative department and the foreign trade administrative department. The examination and approval authority shall, within 45 working days from the date of receiving the application, make a written decision on approval or disapproval.

　　Article 20 A Chinese-foreign equity joint venture or cooperative medical institution approved for establishment shall complete the relevant registration procedures within the time limit prescribed by the examination and approval authority; If it fails to be completed within the time limit, the joint venture and cooperation project shall be revoked after approval by the examination and approval authority.

　　Chapter V Practice

　　Article 21 Chinese-foreign joint ventures and cooperative medical institutions, as independent legal entities, shall be responsible for their own profits and losses, conduct independent accounting and bear civil liabilities independently.

　　Article 22 Chinese-foreign joint ventures and cooperative medical institutions shall implement the regulations on the administration of medical institutions and the detailed rules for the implementation of the regulations on the administration of medical institutions on the practice of medical institutions.

　　Twenty-third Chinese-foreign joint ventures and cooperative medical institutions must implement the medical technology access standards and clinical diagnosis and treatment technical standards, and abide by the relevant provisions on the clinical application of new technologies, new equipment and large medical equipment.

　　Article 24 Medical accidents in Chinese-foreign joint ventures and cooperative medical institutions shall be handled in accordance with relevant state laws and regulations.

　　Article 25 The employment of foreign doctors and nurses by Chinese-foreign joint ventures and cooperative medical institutions shall be handled in accordance with the Law of People’s Republic of China (PRC) on Medical Practitioners and the Measures of People’s Republic of China (PRC) for the Administration of Nurses.

　　Article 26 In case of major disasters, accidents, epidemics of diseases or other unexpected situations, Chinese-foreign joint ventures and cooperative medical institutions and their health technicians shall obey the assignment of the health administrative department.

　　Twenty-seventh Chinese-foreign joint ventures and cooperative medical institutions shall publish their own medical advertisements in accordance with the Advertising Law of People’s Republic of China (PRC) and the Measures for the Administration of Medical Advertisements.

　　Twenty-eighth Chinese-foreign joint ventures and cooperative medical institutions shall pay medical fees in accordance with the relevant provisions of the state.

　　Article 29 The tax policies of Chinese-foreign joint ventures and cooperative medical institutions shall be implemented in accordance with the relevant provisions of the state.

　　Chapter VI Supervision

　　Thirtieth local health administrative departments at or above the county level shall be responsible for the daily supervision and management of Sino-foreign joint ventures and cooperative medical institutions within their respective administrative areas.

　　The Medical Institution Practice License of Sino-foreign joint venture and cooperative medical institutions shall be verified once a year, and the verification of the Medical Institution Practice License shall be handled by the medical institution practice registration authority.

　　Article 31 Chinese-foreign joint ventures and cooperative medical institutions shall, in accordance with the relevant provisions of the state on foreign-invested enterprises, accept the supervision of relevant state departments.

　　Thirty-second Chinese-foreign joint ventures and cooperative medical institutions that violate the relevant laws, regulations and rules of the state shall be investigated and dealt with by the relevant competent departments according to law. For Chinese-foreign joint ventures and cooperative medical institutions that violate these measures, the health administrative departments at or above the county level and the foreign trade and economic cooperation departments may punish them according to relevant laws, regulations and rules.

　　第三十三条　 地方卫生行政部门和地方外经贸行政部门违反本办法规定，擅自批准中外合资、合作医疗机构的设置和变更的，依法追究有关负责人的责任。

　　中外各方未经卫生部和外经贸部批准，成立中外合资、合作医疗机构并开展医疗活动或以合同方式经营诊疗项目的，视同非法行医，按《医疗机构管理条例》和《医疗机构管理条例实施细则》及有关规定进行处罚。

　　第七章　 附则

　　第三十四条　 香港特别行政区、澳门特别行政区、台湾地区的投资者在大陆投资举办合资、合作医疗机构的，参照本办法执行。

　　第三十五条　 申请在中国境内设立外商独资医疗机构的，不予以批准。

　　第三十六条　 各省、自治区、直辖市卫生、外经贸行政部门可依据本办法，结合本地实际制订具体规定。

　　第三十七条　 本办法由卫生部和外经贸部负责解释。

　　第三十八条　 本规定自2000年7月1日起实施。

　　一九八九年二月十日颁布的卫医字〔89〕第3号文和一九九七年四月三十日颁布的〔1997〕外经贸发第292号文同时废止。

　　Recently, "drinking oil" has become a hot search term. Some anchors died because of "drinking oil+drinking"; Some stars say that drinking oil to detoxify can treat diabetes, hypertension, liver cirrhosis and other diseases; Some people say that drinking oil can reduce weight, and some people say that drinking oil can lower blood fat and blood sugar … …

　　In fact, so far, there is not enough scientific evidence to prove that swigging oil and eating oil in a big bowl are good for health.

　　High-fat diet has adverse effects on intestinal flora.

　　Some people say that primitive people did not eat grains, but ate low-carbon water meals. However, archaeological research shows that even in the Stone Age, the energy supply ratio of carbohydrates was around 40%. Moreover, there was no technology to extract oil at that time, so oil was not the food of ancient humans.

　　Two or three thousand years ago, oilseeds such as hemp seeds and soybeans were eaten directly, so there were "hemp" and "glutinous rice" (soybeans) in the "five grains" at that time. It was not until after the Song Dynasty that oil became a common food raw material in China.

　　Although in recent years, scholars have disputed the question of "what is the best ratio of fat to energy in diet", more than one recent study has found that high-fat diet has adverse effects on intestinal flora.

　　Recently, Gut, an authoritative scientific journal, published the new findings of Chinese scientists, which once again proved that eating too much fat increases the harmful flora in the intestine and decreases the beneficial flora.

　　In this randomized controlled human dietary intervention study, the researchers recruited 217 healthy people aged 18-35. They have no chronic diseases and no obesity problems. These volunteers ate three different kinds of meals as required for half a year.

　　Then, the researchers collected their blood and measured the indexes related to inflammatory reaction, such as IL-1β 、IL-6、IL-8、TNF-α Cytokines, such as PGE2, TXB2, leukotrienes, LTB4, etc. Their feces were collected, and 16S rRNA was sequenced to analyze the flora. During the experiment, all the food and most drinks were provided by the researchers.

　　The calorie levels of these three diets are completely consistent, with an average of 2080~2100 kcal, and the dietary fiber intake is also consistent. However, the proportions of the three nutrients are different, and their nutrient energy supply ratios are as follows:

　　Type I: the energy supply ratio of fat is 20%, that of carbohydrate is 66%, and that of protein is 14%.

　　Type II: The energy supply ratio of fat is 30%, that of carbohydrate is 56%, and that of protein is 14%.

　　Type III: Energy supply ratio of fat is 40%, energy supply ratio of carbohydrate is 46%, and energy supply ratio of protein is 14%.

　　Maybe non-professionals can’t understand what this means, so they have to explain it.

　　The so-called nutrient-to-energy ratio is how much of the calories (calories, energy) gained in a day come from fat, carbohydrates and protein.

　　Type I, the so-called fat-to-energy ratio of 20% and carbohydrate ratio of 66%, is a fairly low-fat diet similar to that eaten in poor times before the reform and opening up.

　　Food energy mainly comes from grain, and a large proportion of cooking is cooked in cold salad. Basically, there is no oil flower and little meat in the serving.

　　There are few kinds of nuts, peanuts and melon seeds, such as boiled fish, fried meatballs, hand-torn bread, egg tarts, fried dough sticks, crispy rice, potato chips and so on … … Just don’t even think about it

　　Type II, the ratio of fat to energy is 30%, and the ratio of carbohydrate is 56%, which is recommended by the Nutrition Society of China, and it is slightly lighter and less oily than the current diet of most residents in China. There are nuts, but the quantity should be controlled; There is fish, but you can’t always fry it in oil.

　　Type III, the ratio of fat to energy is 40%, and the ratio of carbohydrate is 46%, which is the daily life of many wealthy families in China.

　　The fat energy supply ratio of fried instant noodles is about 40%~45%. Cooking with more oil, often eating out, often eating fried dishes, often eating fried cakes and fried dough sticks, and often eating cake biscuits will all increase the fat energy supply ratio.

　　The latest experiment proves that high-fat diet can promote inflammatory reaction.

　　Okay, let’s get down to business. Eating these three kinds of meals is naturally a world of difference in taste enjoyment. So, what is the change of the body?

　　The researchers found that after six months, there were no significant changes in the weight, waist circumference, blood sugar and blood lipid of the three groups. However, the intestinal flora has changed significantly.

　　First of all, the low-fat diet group with 20% fat has the most diverse fecal flora. High-fat diet reduces the diversity of flora.

　　Secondly, the quantitative proportion of flora has changed. High-fat diet increased the number of Alistipes and Bacteroides, and decreased the number of fecal bacteria. Low-fat diet increased bacteria of Blautia and fecal Bacillus. The simple explanation is that the bacteria increased by high-fat diet are mostly varieties that are easy to increase in patients with metabolic diseases such as diabetes; Most of the fungi it reduces are those that are easily lacking in diabetic patients, which produce beneficial components such as butyric acid and reduce intestinal inflammatory response.

　　The third finding is that the short-chain fatty acids in the feces of subjects in the 40% fat diet group are significantly lower than those in the other two groups. This is not good news, because butyric acid produced by large intestine fermentation is beneficial to control blood lipids, and recent research has just found that it is beneficial to reduce the risk of diabetes.

　　The fourth finding is that in the low-fat diet group, the contents of cresol and indole in feces are relatively low, and these components are less, indicating that it is far from various chronic diseases. Conversely, there are more arachidonic acid and lipopolysaccharide in the feces of high-fat diet groups, and more of these components represent higher risk of inflammatory reaction.

　　The analysis of blood samples shows that many proinflammatory factors in plasma of high-fat diet group are relatively high. In the 40% fat group, the content of TXB2 was significantly higher than that in the 20% low-fat group, and the content of C-reactive protein was significantly higher than that in the middle-fat diet group with 30% fat. Conversely, in the low-fat diet group with 20% fat, the contents of LTB4 and PGE2 were lower than those in the other two groups. In a word, a high-fat diet will obviously promote the inflammatory reaction.

　　This means that those who are prone to acne and inflammation should avoid eating high-fat meals.

　　Too much fat can lead to obesity and various chronic diseases.

　　In fact, the results of this study are not too surprising.

　　In fact, as long as Chinese people recall the past a little, they have to admit that in the past, when food was the mainstay and they could not eat much oil, people were very thin, and chronic diseases such as diabetes, fatty liver and coronary heart disease were rare, and intestinal cancer was also rare. With the development of economy, the only thing that keeps pace with the income level is fat. At the same time, obesity and various chronic diseases have increased. In addition to the decrease of infectious diseases and infectious diseases (which are related to malnutrition and poor sanitation), diseases related to chronic inflammation have also increased.

　　In this study, although the ratio of fat to total calories is different among the three groups, the total calories and total dietary fiber intake are strictly consistent. In real life, eating more high-fat foods will inevitably bring more calories and less dietary fiber, which is even more unfavorable for preventing fertilizer, disease and intestinal cancer.

　　In short, rational friends, don’t be fooled by stars, anchors and people who sell all kinds of oil. The recommendations of dietary guidelines for China residents are still very reliable. Cooking oil can be used, but it must be limited. Cooking can’t be "oily" and fried food can’t be eaten freely. Steak, fat sheep slices, pork belly and other high-fat meats are not inedible, but they can only be eaten occasionally, and they can’t be enjoyed every day.

　　Text/Fan Zhihong (Director of China Nutrition Society)

The opening process of the charging port cover of Weilai ET7 need not be complicated, and the following are the detailed steps:

1, car machine operation: You only need to find the charging interface on the central control screen, and click it to easily open the charging port cover, which is convenient and fast.

2. Physical operation: When you get off the bus, find the charging port cover located at the left rear fender of the car body, and apply a little force to open it. It is worth noting that when Weilaijia pile is used for charging, when the charging gun is pulled out from the pile, the charging port cover plate will automatically open; After charging, just unplug the charging gun first, and then through the operation on the central control panel or press the charging port close button, the cover will automatically close.

Special instructions: In order to simplify the design and reduce the cost, Weilai ET7 cancels the AC charging port and only retains the DC fast charging function. This is because according to the usage data of Weilai users and market trends, the demand for AC charging is extremely low, and the return on investment in building AC charging piles is not high. Many operators have stopped updating related facilities.

Reduce costs: By canceling the AC charging port, Weilai ET7 can save the installation of the vehicle charger, further reducing the production cost.

Precautions: When using, please ensure that the charging gun matches the charging port, and avoid using the wrong charging method to avoid damaging the equipment.

The above is the guide for opening and using the cover plate of Weilai ET7 charging port, hoping to help you.