In 2019, the Central Rural Work Conference, the No.1 Document of the Central Committee and the spirit of the National "Two Sessions" will be implemented, and the structural reform of the agricultural supply side will be further promoted around the implementation of the rural revitalization strategy. The state will continue to increase investment in supporting agriculture, strengthen overall planning and integration of projects, and accelerate the modernization of agriculture and rural areas. In order to facilitate the broad masses of farmers and all sectors of society to understand the national policy of strengthening agriculture and benefiting farmers and give play to the role of policy guidance, the key agricultural support policies implemented by the Ministry of Agriculture and Rural Affairs and the Ministry of Finance in 2019 are hereby released as follows.

I. Development and circulation of agricultural production

1. Cultivated land fertility protection subsidies. In principle, the subsidy object is farmers who have the right to contract cultivated land. Subsidy funds are directly paid to households through the form of "one card (discount)". All provinces (autonomous regions and municipalities directly under the Central Government) continue to determine the subsidy object, subsidy method and subsidy standard in accordance with the requirements of the Notice of the Ministry of Finance and the Ministry of Agriculture on Comprehensively Pushing Forward the Reform of "Three Subsidies" in Agriculture (Cai Nong [2016] No.26) and in combination with local conditions, so as to maintain the continuity and stability of policies and ensure the direct benefit of farmers. Encourage all localities to innovate ways and means, take green ecology as the guide, explore the mechanism of linking subsidy distribution with the implementation of farmland protection responsibility, and guide farmers to consciously improve farmland fertility.

2. Agricultural machinery purchase subsidies. Provinces (autonomous regions and municipalities directly under the Central Government) shall select and determine the items of subsidized machines and tools in the province within the category of subsidized machines and tools purchased by the central government, and the machines and tools within the scope of subsidies shall be supplemented, giving priority to ensuring the subsidies for machines and tools needed for the production of major agricultural products such as grain and supporting the green development of agriculture, and increasing the items of machines and tools for the resource utilization of livestock manure. Treat the purchase of agricultural machinery products at home and abroad equally. The amount of subsidy is calculated according to the average market sales price of the same product in the previous year, and the calculation ratio is not more than 30% in principle.

3. Advantages and characteristics lead the development of industries. Focusing on the leading industries with regional advantages and characteristics, we will focus on developing a number of small but sophisticated characteristic industrial clusters, and demonstrate and guide the development of one village, one product, one town, one specialty and one county. Select 200 geographical indication agricultural products with distinctive geographical characteristics, development potential and high market recognition to carry out protection and promotion. We will implement green recycling, high-quality and high-efficiency agricultural promotion projects, and form a number of agricultural industrial clusters based on the industrial chain of production, processing, circulation and sales of green and high-quality agricultural products, integrating scientific and technological innovation, leisure and sightseeing, and planting and breeding. The relevant provinces that undertake the task will make overall arrangements to support them from the budget issued by the central government.

4. National Modern Agricultural Industrial Park. Based on advantageous and characteristic industries, we will build a modern agricultural industrial cluster with large-scale planting and breeding bases as the support, leading industrialized enterprises as the driving force, modern production factors as the gathering, and "production+processing+technology". In 2019, we will continue to create a number of national modern agricultural industrial parks, select a number of national modern agricultural industrial parks, and strive to improve the infrastructure conditions of industrial parks and enhance public service capabilities. The provinces (autonomous regions and municipalities directly under the Central Government) are responsible for the creation work, and the central government will arrange part of the subsidy funds that meet the conditions for creation, and then arrange part of the bonus funds according to the situation after being recognized by the Ministry of Agriculture and Rural Affairs and the Ministry of Finance.

5. Demonstration of agricultural industry strengthening the town. Take the villages and towns with active local economy and obvious rural industrial characteristics as the carrier, take industrial integration and development as the path, cultivate local economy and rural industries, standardize and expand the main body of production and operation, innovate the mechanism of farmers’ interest connection and sharing, and build a number of strong agricultural towns with prosperous industries, economic prosperity, green beauty and livable industries. The central government supports it by arranging bonus funds.

6. Information enters villages and households to promote demonstrations throughout the province. In 2019, seven provinces (autonomous regions and municipalities directly under the Central Government) including Tianjin, Hebei, Fujian, Shandong, Hunan, Guangxi and Yunnan were supported to carry out demonstrations. Accelerate the construction and operation of Yi Nong Information Society, and build and repair the "information superhighway" covering rural areas, based on agriculture and serving farmers as soon as possible. Information into the village to take market-oriented construction and operation, the central government to give a one-time award.

7. Dairy industry revitalization action. Focus on supporting the development of high-quality forage planting, family pastures and dairy cooperatives that restrict the development of dairy industry. Accelerate the development of grass and animal husbandry, actively promote grain to feed, vigorously develop the production of high-quality forage materials such as alfalfa, silage corn and oatmeal, and promote the increase of fresh milk output and quality improvement. Incorporate dairy farmers’ development of family farms and dairy cooperatives into the cultivation project of new business entities for priority support and support the construction of high-quality milk source bases. The relevant provinces that undertake the task will make overall arrangements to support them from the budget issued by the central government.

8. Promotion of improved livestock breeds. In eight major grassland and pastoral provinces, such as Inner Mongolia and Sichuan, subsidies will be given to beef cattle farms (communities and households) that use improved semen to carry out artificial insemination in the project area, as well as farmers who can breed ewes and yaks and cows. Encourage and support the popularization and application of excellent breeding pigs and semen, and accelerate the improvement of pig varieties. In 10 provinces where bee owners produce bees, such as Heilongjiang and Jiangsu, we will implement the action of improving the quality of bee industry and support the construction of high-efficiency and high-quality bee industry development demonstration zones. The relevant provinces that undertake the task will make overall arrangements to support them from the budget issued by the central government.

9. Green, high-quality and efficient actions for key crops. Taking key counties as units, we will highlight the three major grains of rice, wheat and corn and oil crops such as soybeans, rape and peanuts, integrate and promote the "all-link" green, high-quality and efficient technology model, explore the construction of "all-process" socialized service system and "all-industrial chain" production model, and promote the production level of "county-wide" by radiation to increase the supply of green and high-quality agricultural products. The relevant provinces that undertake the task will make overall arrangements to support them from the budget issued by the central government.

10. Socialization service of agricultural production. Support rural collective economic organizations, specialized agricultural service organizations, service-oriented farmers’ cooperatives, supply and marketing cooperatives and other entities that have certain capabilities and can provide effective and stable services, and provide agricultural productive services such as agricultural technology promotion, land custody, farming and planting, unified prevention and control, drying and storage for farmers engaged in the production of important agricultural products such as grain, cotton, oil and sugar. Appropriate financial subsidies will be given to reduce the service prices of farmers.

11. Agricultural machinery subsoiling. Support suitable areas to carry out subsoiling and soil preparation of agricultural machinery. The national working area is more than 140 million mu, and the working depth is generally required to reach or exceed 25 cm, breaking the bottom of the plow. The relevant provinces that undertake the task will make overall arrangements to support them from the budget issued by the central government. According to the actual needs of agricultural production, the four northeastern provinces and Guangxi Zhuang Autonomous Region can carry out subsidies for deep ploughing (deep ploughing) of agricultural machinery in suitable areas.

12 farmland rotation fallow system pilot. In 2019, the central government supported the pilot area of rotation fallow for 30 million mu. Among them, the pilot project of crop rotation is 25 million mu, which is mainly implemented in the soybean, peanut and rape producing areas in the cold northeast region, the farming-pastoral ecotone in the north, the Huang-Huai-Hai region and the Yangtze River basin; The pilot project of fallow is 5 million mu, which is mainly implemented in groundwater overexploitation area, heavy metal pollution area, rocky desertification area in southwest China and serious ecological degradation area in northwest China.

13. Awards for major grain-producing counties. Rewards will be given to regular grain-producing counties, super-grain-producing counties, oil-producing counties, commodity grain-producing counties, seed-producing counties and provinces where the "Quality Grain Project" is implemented. As a general transfer payment, the incentive funds for conventional grain-producing counties are arranged by the people’s government at the county level as a whole; Other incentive funds are used to support the development of grain and oil industry in accordance with relevant regulations.

14 pigs (cattle and sheep) out of the county awards. Including pigs transferred out of big counties, cattle and sheep transferred out of big counties and provincial-level overall incentive funds. The county-level people’s government will make overall arrangements for the pig (cattle and sheep) production and circulation and industrial development in this county, and the provincial-level people’s government will make overall arrangements for the pig (cattle and sheep) production and circulation and industrial development in this province (autonomous regions and municipalities directly under the Central Government).

15. Subsidies for corn, soybeans and rice producers. Subsidies for corn and soybean producers were implemented in Liaoning, Jilin, Heilongjiang and Inner Mongolia. The central government will allocate subsidies for corn and soybean producers to provinces and regions, and local governments will formulate specific measures for the implementation of subsidies, clarify subsidy standards, subsidy targets, subsidy basis, etc., and be responsible for paying subsidy funds to corn and soybean producers. In order to support the deepening of the reform of rice storage system and price formation mechanism and ensure the basic stability of farmers’ income from grain production, the state continues to give appropriate subsidies to the major rice-producing provinces.

Second, the protection and utilization of agricultural resources

16 grassland ecological protection subsidies and awards. In Inner Mongolia, Sichuan, Yunnan, Tibet, Gansu, Ningxia, Qinghai, Xinjiang and other eight provinces (autonomous regions) and Xinjiang Production and Construction Corps, subsidies for grazing prohibition and rewards for balancing grass and livestock were implemented; In Hebei, Shanxi, Liaoning, Jilin, Heilongjiang and Heilongjiang Provincial Land Reclamation Bureau, the "package" policy and performance evaluation awards will be implemented. The supplementary award funds can be used for grassland ecological protection construction in pastoral and semi-pastoral counties of the country as a whole, and the good practices of the first round of policies can also be continued.

17. Fishery proliferation and release. Carry out fishery proliferation and release in key water areas such as river basins, rivers and seas with serious resource degradation, promote the recovery or increase of fishery population, improve and optimize the fishery population structure in water areas, and realize the sustainable development of fishery.

18 fishery development and ship scrapping, dismantling and updating subsidies. In accordance with the requirements of balanced and coordinated development of marine fishing intensity and resource regeneration capacity, we will support fishermen to reduce ships and switch to production and build artificial reefs to promote the restoration of fishery ecological environment. In order to adapt to the new situation of modernization and specialization of fishery development, under the premise of strictly controlling the "double control" index of the number and power of marine fishing boats and not increasing the fishing intensity, there are plans to upgrade and transform standardized fishing boats with good selectivity, high efficiency, energy saving, safety and environmental protection. At the same time, support the promotion of deep-water cages, navigation AIDS in fishing ports and other public infrastructure to improve the basic conditions for fishery development.

19. Compensation for prohibited fishing in key waters of the Yangtze River Basin. The central government adopts a combination of one-time subsidies and transitional subsidies to support the ban on fishing in key waters of the Yangtze River basin, and promote the restoration of aquatic biological resources and the ecological environment of waters. Among them, the one-time subsidy is used by the local authorities to recover fishermen’s fishing rights and scrap special production equipment, and is directly distributed to eligible fishermen who have retired. Transitional subsidies are used by all localities as a whole for the work directly related to the ban on arrest, such as propaganda and mobilization, early withdrawal of rewards, strengthening law enforcement management, and emergency response to emergencies.

20. Action of replacing chemical fertilizer with organic fertilizer for fruit, vegetable and tea. Select key counties, support farmers and new agricultural operators to use the organic fertilizer generated by the resource utilization of livestock manure, focus on popularizing the technical modes such as returning compost to the field, applying commercial organic fertilizer, returning biogas residue and biogas slurry to the field, and covering with natural grass, and explore a number of production and operation modes such as "fruit biogas livestock", "vegetable biogas livestock" and "tea biogas livestock" to promote the quality improvement and resource recycling of fruits, vegetables and tea.

21. Pilot project of comprehensive utilization of crop straw. Promote the whole county nationwide, adhere to agricultural priority and diversified utilization, cultivate a number of industrialized utilization subjects, and build a number of model counties with full utilization. Stimulate the vitality of market players in all aspects of straw returning, leaving the field, processing and utilization, and explore the technical route, model and mechanism of comprehensive utilization of straw that can be popularized and sustainable.

22. Resource treatment of livestock manure. Support large animal husbandry counties to carry out the resource utilization of livestock manure, and realize the full coverage of the whole county governance for the resource utilization of livestock manure in large animal husbandry counties. In accordance with the principle of government support, enterprise as the main body and market-oriented operation, taking local and nearby use of rural energy and agricultural organic fertilizer as the main utilization mode, new (expanded) treatment facilities for livestock manure collection and utilization, as well as regional centralized manure treatment centers and large-scale biogas projects will be built, so that all large-scale farms can realize manure treatment and resource utilization, and an industrial pattern of combining agriculture with animal husbandry and recycling development will be formed.

23. Plastic film recycling. Support 100 counties in Inner Mongolia, Gansu and Xinjiang to promote the recycling of waste plastic films, and encourage other regions to carry out independent exploration. Support the establishment of a sound recycling and processing system for waste plastic films, establish recycling mechanisms in various ways, such as handing in business entities, organizing recycling by specialized organizations, recycling by processing enterprises, and exchanging old ones for new ones, and explore the extended responsibility system for plastic film producers who produce and recycle.

24. Comprehensive management of groundwater overexploitation. Taking Heilonggang River Basin in Hebei Province as the focus, we will carry out the adjustment of planting structure with fallow as the focus, popularize agronomic water-saving measures such as water and fertilizer integration, rainwater harvesting on greenhouse surface, moisture measurement irrigation, drought-resistant and water-saving varieties, and establish a semi-fallow system for dry farming and rain-fed planting.

25. Comprehensive management of cultivated land polluted by heavy metals. Focusing on Changsha-Zhuzhou-Xiangtan area in Hunan Province, strengthen the monitoring of heavy metals in producing areas and products, popularize VIP (variety substitution, irrigation water source purification, pH value adjustment) and other technical models for the safe utilization of polluted farmland, and explore replicable and scalable models for the safe utilization of polluted farmland. Carry out the adjustment of planting structure and implement the pilot project of fallow of cultivated land.

Third, farmland construction

26. Construction of high-standard farmland. In 2019, in accordance with the five unified requirements of "unified planning and layout, unified construction standards, unified organization and implementation, unified acceptance and assessment, and unified warehousing", more than 80 million mu of high-standard farmland will be built nationwide, and it will be tilted to grain production functional areas and important agricultural products production protection areas. In terms of construction content, in accordance with the General Rules for the Construction of High-standard Farmland, focusing on land leveling, soil improvement, farmland water conservancy, mechanized roads and farmland power transmission and distribution equipment, we will promote the "mechanized" transformation of cultivated land, strengthen the construction of agricultural infrastructure, improve the comprehensive agricultural production capacity, and implement the strategy of "storing grain on the ground and storing grain in technology".

27. Protection and utilization of black land in Northeast China. It will be implemented in Liaoning, Jilin, Heilongjiang and Inner Mongolia, and a centralized contiguous demonstration zone will be established to showcase a number of black land protection and utilization models. Support the development of technical and engineering measures such as controlling black soil loss, increasing soil organic matter content, conserving water and fertilizer, raising black soil, and monitoring and evaluating cultivated land quality. Encourage new agricultural business entities and social service organizations to undertake implementation tasks.

Fourth, agricultural science and technology personnel support

28. Capacity-building of farmers’ cooperatives and family farms. Support the high-quality development of demonstration cooperatives and farmers’ cooperative unions at or above the county level, and cultivate a large number of family farms with moderate scale. Support farmers’ cooperatives and family farms to build primary processing facilities such as cleaning, packaging, cold storage and drying, and carry out "three products and one standard" and brand building to improve product quality and safety and market competitiveness.

29. Agricultural credit guarantee service. Focus on serving family farms, farmers’ cooperatives, agricultural socialized service organizations, small and micro agricultural enterprises and other agricultural moderate-scale business entities. Give full play to the role of the national agricultural credit guarantee system, focusing on agricultural and forestry advantageous industries such as grain production, animal husbandry and aquaculture, vegetable and fruit tea, agricultural socialized services such as agricultural materials, agricultural machinery and agricultural technology, farmland infrastructure, and new rural formats such as the integration and development of rural primary and secondary industries, precision poverty alleviation projects, family leisure agriculture and sightseeing agriculture. Support all localities to adopt ways such as guarantee fee subsidies and business awards to reduce the financing cost of moderate-scale business entities and solve the problem of financing difficulties and expensive financing for agricultural business entities.

30. Cultivation of new professional farmers. Focus on agricultural professional managers, modern young farmers, rural practical talents leaders, the backbone of new agricultural business entities, and the poverty alleviation targets of agricultural industries, and improve their production skills and management level. Support capable farmers’ cooperatives, professional and technical associations, leading agricultural enterprises and other subjects to undertake training work.

31. Reform and construction of grass-roots agricultural technology extension system. Support agricultural counties with high willingness to implement and good tasks to undertake the task of system reform and construction, strengthen the construction of rural service system for agriculture, improve the service ability and level of grassroots agricultural technicians, and popularize and apply a number of major technical models that meet the requirements of high quality, safety, cost saving and efficiency improvement and green development. In poverty-stricken areas, we will fully implement the special appointment plan for agricultural extension services, and recruit a group of special agricultural technicians from local agricultural experts, experts in planting and breeding, technical backbones of new agricultural business entities, and front-line service personnel of scientific research and teaching units to provide strong support for industrial poverty alleviation.

V. Agricultural disaster prevention and reduction

32. Agricultural production for disaster relief. The central government gives appropriate subsidies to the prevention and control of major agricultural natural disasters and biological disasters, emergency relief and post-disaster recovery. The scope of support includes subsidies for materials needed for the prevention and control of major natural disasters and biological disasters in agriculture, subsidies for materials needed for measures to restore agricultural production, harmless treatment fees for dead animals after disasters, and subsidies for straw sheds (warehouses), livestock greenhouses and emergency forage materials needed for disaster prevention and livestock protection in pastoral areas.

33. Prevention and control of animal diseases. The central government grants subsidies for compulsory immunization, compulsory culling and harmless treatment of animal diseases. Compulsory immunization subsidy funds are mainly used to carry out the purchase, storage, injection (feeding) of animal compulsory immunization vaccines (anthelmintics) such as foot-and-mouth disease, highly pathogenic avian influenza, small ruminant plague, brucellosis and echinococcosis, as well as related prevention and control work such as monitoring and evaluation of immune effect and personal protection, and to subsidize the implementation and purchase of animal epidemic prevention services. In the process of preventing, controlling and exterminating animal epidemics, the state shall compensate the owners of animals that have been forcibly culled, and the subsidy funds shall be jointly borne by the central finance and local finance. The state supports the harmless treatment of dead pigs in the breeding process, and all localities should improve the subsidy policy for harmless treatment according to relevant requirements and local conditions, and earnestly do a good job in the harmless treatment of the breeding process.

34 agricultural insurance premium subsidies. On the basis of local finance independently developing and voluntarily assuming a certain proportion of subsidies, the central finance gives premium subsidies to rice, wheat, corn, cotton, potatoes, oil crops, sugar crops, fertile sows, cows, fattening pigs, forests, highland barley, yaks, Tibetan sheep and natural rubber, as well as seed production insurance for rice, wheat and corn, and the proportion of premiums paid by farmers is generally not more than 20%. Continue to carry out and expand the agricultural catastrophe insurance pilot, the level of protection covers "direct materialization cost+land rent", and the protection targets cover moderate-scale business entities and small farmers in the pilot areas; In Inner Mongolia, Liaoning, Anhui, Shandong, Henan, Hubei and other six provinces (autonomous regions), four major grain-producing counties were selected to continue to carry out the three major grain crop full cost insurance and income insurance pilot projects, and the level of protection covered "direct materialization cost+land rent+labor cost"; The central government launched a pilot program to reward and supplement local agricultural products insurance with local advantages and characteristics.

VI. Rural Construction

35. The improvement of rural human settlements was promoted as a whole. We will implement the Three-year Action Plan for Rural Human Settlements Renovation, focus on supporting the central and western regions to promote rural human settlements renovation in counties as a unit, promote the tasks of rural domestic garbage, domestic sewage, toilet manure treatment and village appearance improvement, and speed up the completion of the shortcomings in rural human settlements infrastructure construction.

36 advanced county awards for rural human settlements improvement. Implement the spirit of "Three-year Action Plan for Rural Human Settlements Renovation" and "Notice of the General Office of the State Council on Further Strengthening Incentive Support in Areas with Significant Achievements" (Guo Ban Fa [117] No.2018), and evaluate the rural human settlements renovation work in various provinces according to the Implementation Measures for Rural Human Settlements Renovation Incentive Measures, and determine the list of counties to be recommended. When allocating the annual transfer payment funds for comprehensive rural reform, the central government will give appropriate tilt support to the counties that have achieved remarkable results in the improvement of rural human settlements.

37. The "toilet revolution" in rural areas was promoted throughout the village. The central government arranged special award funds to support and guide all localities to take administrative villages as units, make overall planning and design, organize and launch as a whole, simultaneously implement household toilet renovation and public facilities supporting construction, and establish and improve the later management and protection mechanism. In principle, the popularization rate of sanitary toilets in administrative villages should reach more than 85%. The award funds mainly support the construction of facilities such as manure collection, storage, transportation and resource utilization, and the subsequent improvement of management and protection capabilities, taking into account the renovation of household toilets. The standards and methods of award and compensation are determined by local conditions.

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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This article is the first: Pediatric Channel of Medical Science

Author: PerrineWANG

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In the digital age, QR code has become an important bridge connecting online and offline services. Apple mobile phone users may encounter the need to scan the QR code in the browser. So, how does Apple Browser scan the QR code? The following will answer this question in detail.

First of all, it needs to be clear that Safari browser has built-in QR code scanning function for devices of iOS 11 and later. Users only need to open the Safari browser, aim the camera at the QR code on the page where the QR code needs to be scanned, and Safari will automatically identify and pop up a prompt box to ask the user whether to open the QR code link. After clicking OK, Safari will jump directly to the page pointed by the link.

For iphones that support 3D Touch function (such as iPhone 6S and above), users can quickly start QR code scanning through 3D Touch function. Press the Safari browser icon hard, and a shortcut menu will pop up. Select the "Scan QR code" option to quickly enter the scanning interface.

For the old iPhone that does not support 3D Touch function, although Safari browser does not directly provide code scanning function, users can still achieve it in other ways. For example, you can open the control center and add the function of "code scanner". When you need to scan a QR code, you can directly open the control center and click the code scanner icon to scan it. If the identified QR code content needs to be opened in the browser, it will automatically open the corresponding page in Safari browser.

In addition, users can download and install third-party code scanning applications, such as WeChat and Alipay, which usually have built-in code scanning functions. Users only need to open the QR code page to be scanned in Safari browser, and then switch to the code scanning application to scan.

When using Safari browser to scan QR code, you should pay attention to the following points:

1. Ensure that the device is connected to the Internet, so that the link can be opened normally after scanning.

2. Pay attention to protecting personal privacy and information security and avoid scanning QR codes from unknown sources.

3. If you can’t scan or open the link after scanning, you can try to update the iOS system or Safari browser to the latest version.

I hope the above content can help Apple mobile phone users to better use Safari browser for QR code scanning.

The teacher of Fengwafang Primary School reported that the serious pollution problem of the earthworm company next door has not been solved for 8 years, and the children’s physical and mental health has been seriously affected, and they often cough, and many teachers also suffer from bronchitis.

For Fengwafang Primary School in Yunhe Street, Pizhou, a county-level city in Jiangsu Province, and the surrounding residents, the most celebrated thing in these two days is that the "heart disease" that has plagued for eight years has finally been cured.

"Heart disease" comes from a local commercial concrete company called Dilong. According to the national enterprise credit information publicity system, Pizhou Pheretima Commercial Concrete Co., Ltd. (hereinafter referred to as Pheretima Company) was established in 2007 with a registered capital of 28 million yuan. However, since its establishment, the company has caused pollution to the surrounding areas, and the surrounding residents have reported it for 8 years, and it has never been fruitful.

At the end of May, Zhou Tiegen, Mayor of Xuzhou, Chen Jing, Mayor of Pizhou, etc. walked into the hotline program of Jiangsu Province, and after supervising this complaint on the spot, the problem was quickly solved.

Enterprise procedures are incomplete, and it is still "standing" after repeated investigations and punishments.

The Paper (www.thepaper.cn) reporter found that there are many posts on the Internet reflecting the environmental pollution problems of the earthworm company.

For example, in May 2015, some netizens broke the news on the local "Pizhou Forum" in Pizhou, which is under the jurisdiction of Xuzhou City, and the earthworm company discharged sewage indiscriminately, seriously polluting the surrounding fields. The town-run Fengwafang Primary School is next door to the Dilong Concrete Factory, which is separated by a wall. There is often a thick layer of dust on the windows in schools. When the vehicle passes by, it is even "only dust but no car". Therefore, the villagers hope that it can move out of densely populated residential areas as soon as possible.

Netizens broke the news, using PH test paper to detect sewage, and the test paper immediately turned black.

Relevant government departments have also noticed the problems of earthworm company.

The Paper reporterAccording to official website of Pizhou Housing and Construction Bureau, in September, 2012, the bureau issued suggestions on the investigation and disposal of the pollution of Fengwafang Primary School in Yunhe Town by earthworm company.

According to the field investigation, the school is separated from the earthworm company only by a wall, and a sewage ditch flows out from the south wall of the earthworm company, extending to the school gate and gradually opening up, with a maximum of nearly two meters, which is discharged in the open air. The sewage is bluish-brown, with thick cement turbidity, about 30 meters in length, and directly discharged into the drainage ditch on the west side.

The disposal suggestion given by the bureau is that the Environmental Protection Bureau and the Yunhe Town Government jointly interview the person in charge of the earthworm company. At the same time, earthworm company is required to standardize the way of wastewater discharge and lay underground drainage pipe network.

According to official website of Pizhou Environmental Protection Bureau,In August, 2015, Pizhou Environmental Protection Bureau issued a written decision on administrative punishment of earthworm company. According to the decision, the commercial concrete production project and supporting environmental protection facilities of earthworm company "have not been accepted or approved for trial production by the environmental protection department, and the main project has been officially put into production without authorization, and pollutants have not been discharged without a sewage permit".In March 2015, the Environmental Protection Bureau ordered the unit to stop the sewage discharge immediately, but during the on-site inspection in June of the same year, it was found that the sewage discharge had not stopped.

In this regard, Pizhou Environmental Protection Bureau once again ordered the earthworm company to stop production immediately, with a total fine of 180,000 yuan.

According to Article 77 of the Regulations on the Prevention and Control of Air Pollution in Jiangsu Province, if air pollutants are discharged without a pollution discharge permit, "the competent administrative department of environmental protection shall order it to stop pollution discharge or restrict production, stop production and rectify, and impose a fine of not less than 100,000 yuan but not more than 1 million yuan; If the circumstances are serious, it shall be reported to the people’s government with the right of approval and ordered to suspend business or close down. " According to the punishment, it can be seen that Pizhou Environmental Protection Bureau didn’t recognize the "serious circumstances" of earthworm company.

Despite being punished many times, the pollution problem of earthworm company has not been cured.. This enterprise, which has been incomplete since its establishment, has been reported for 8 years and is still "standing".

The mayor was "ashamed" and earthworm was demolished within a week.

On May 27th, 2016, the political hotline of Jiangsu Province entered Xuzhou, attended by Zhou Tiegen, mayor of Xuzhou, and principals of relevant departments of various districts, counties and cities.

The political hotline of Jiangsu Province is a TV broadcast program led by the Provincial Commission for Discipline Inspection and participated by many media. Leading cadres of local or government departments should take the lead in entering radio stations, TV stations and webcasts, actively communicate with the masses, listen to their voices and do things for them.

At the activity site, the teacher of Fengwafang Primary School reported that the serious pollution problem of the earthworm company next door has not been solved for 8 years, the children’s physical and mental health has been seriously affected, they often cough, and many teachers also suffer from bronchitis.The school teacher jointly wrote a letter to report that "the request for closure or relocation was threatened by the earthworm company".

In this regard, Chen Jing, the mayor of Pizhou, said that the fine failed to cure the problem, which showed that there was no linkage awareness among various departments, and it also reflected the drawbacks and shortcomings of administrative law enforcement.

Chen Jing said: "We didn’t pay enough attention to the problem. At that time, everyone thought that we would move in two years and the work would be delayed. I felt very ashamed."

The mayor made a statement and the problem was solved.

Zhang Yun, the propaganda committee member of Canal Sub-district Office where Lumbricus Company is located, told The Paper that by May 30th, all 12 cement tanks of Lumbricus Company had been dismantled, and other plant equipment was also being dismantled. "There is no possibility of resuming work", and Lumbricus Company will find a new site by itself. Zhang Yun said that it is not clear what plans will be made for the demolished land in the future.

Pizhou Municipal Committee set up a joint investigation team to conduct a comprehensive inventory.

In the past eight years, how has the canal street where the enterprise is located handled this problem?

Zhang Yun said that the Canal Sub-district Office is aware of the demands of Fengwafang Primary School and surrounding residents, and has been actively coordinating this, such as reflecting problems to the environmental protection department and urging enterprises to build noise isolation equipment.

How does the EPA look at this matter? Yang Yang, deputy director of Pizhou Environmental Protection Bureau in charge of environmental monitoring and letters and visits, told The Paper that he was also "very ashamed". At present, the earthworm company has been dismantled on the spot, and there is no possibility of "resurgence".

Yang Yang doesn’t want to talk about details such as whether the punishment for earthworm company is in place in the past eight years. He said,The Commission for Discipline Inspection of Pizhou City is investigating the Environmental Protection Bureau and has interviewed many business departments.

Yang Yang said that the Environmental Protection Bureau will fully cooperate with the investigation of the Municipal Commission for Discipline Inspection and humbly accept any processing results of the Municipal Commission for Discipline Inspection.

According to Xinhua Daily,In response to this matter, the Pizhou Municipal Committee has set up a joint working group, and the Supervision Bureau of the Commission for Discipline Inspection has also intervened. It will conduct a comprehensive inventory of the dereliction of duty and dereliction of duty of various competent departments in the past eight years and even issues that may involve violations of the law..

A few days ago, the 2025 Ford L was officially launched, and the new car launched 8 models to choose from, with a price range of 226,800-309,800 yuan. This time, the new car was mainly upgraded in configuration.

In terms of appearance, the new car has not changed, and it is still a family-style design style. The overall shape is very atmospheric and fashionable. In addition,Fashion wheels are upgraded to luxury aluminum alloy wheels, and the colors of the extreme and ST-Line wheels are bright black and silver, and the extreme luggage rack is changed from black to silver.bodyworkIn terms of dimensions, the length, width and height of the new car are 5000/1961/1773mm and the wheelbase is 2950mm respectively.

In terms of interiors, the new car has not changed much, mainly because of the configuration upgrade, such asLuxury Supreme and ST-Line version, upgrade the 540 panoramic image visual system. In addition, the ultimate upgrade "Yunxiang Shuya Seat".

In terms of power, the new car is equipped with a 2.0T engine, with a maximum power of 185kW and a maximum torque of 378N·m, matching the 8AT gearbox. The hybrid version is equipped with a 2.0T turbocharged engine +EcoBoost E hybrid system with a comprehensive cruising range of 1188km.

Since its release on July 27th, the box office of "Wolf Warriors 2" has gone red all the way, breaking 2.4 billion by the time of press release.

Wolf Warriors 2 released a poster with a box office of 2.4 billion.

This box office figure is equal to that of monster hunt, but the goal of Wolf Warriors 2 seems to have already pointed to Stephen Chow’s Mermaid.

In fact, before the release you see now, Wolf Warriors 2 had already killed three scripts: the first was about the Indian border, the second was about the Myanmar border, and the third was the active version of Lengfeng. Screenwriter Dong Qun recorded that time in Weibo @ Dancing Demon Ji: "We kept trying all kinds of stories and kept standing still, and everyone was so upset that their temper was crazy."

Dong Qun talks about the script of "Wolf Warriors 2" in her Weibo @ Dancing Demon.

Dong Qun is still a newcomer in the screenwriter industry. His first screenplay was Wolf Warriors, which won the Best Screenplay Award in the 20th Huading Award and was shortlisted by Hundred Flowers Award. Before that, more people knew him because he had written online novels on military subjects for eleven years and was a platinum writer at the starting point.

"In 2013, Jason Wu looked for nine screenwriters before looking for me, and it was a helpless move for him to look for me. Because I have never been a screenwriter before. " On August 4th, Dong Qun was interviewed by a reporter from The Paper. "There is a big difference between writing a script and writing a novel. Writing a novel can vent my emotions, but I will be highly nervous when writing a script, because the script is logically much more demanding than the novel. "

Arguing about details can make Liu Zhenwei angry.

Before and after, the script of Wolf Warriors 2 took Dong Qun and two other screenwriters, Jason Wu and Liu Yi, a year. In this year, quarreling is a common occurrence.

"Liu Yi’s personality is still relatively mild. Both Jing Ge and I are particularly paranoid, and we can often argue for an hour or two on a detail."

Dong Qun recalled that he once argued with Jason Wu about whether there should be a picture of someone vomiting on the street when the cold front first arrived at the African market. Jason Wu’s idea is yes, suggesting that there is a virus spreading here. Dong Qun thinks that this burden must not exist-if the virus spreads like this, this area will be listed as a red alert by the World Health Organization, and then overseas ships are not allowed to enter Hong Kong at all.

Just for this little detail, Jason Wu was so anxious that he even struck the table and said, "If you want to do this, then don’t shoot.".

"After calming down, he still took the initiative to apologize first." Dong Qun said with a smile, everyone can be stubborn, but the director still has the final say. "Later, when the movie was released, I found that this’ goof-off’ shot was still cut off, which was very happy."

Six minutes underwater, a mirror to the end.

Similar disputes are too numerous to mention. Dong Qun is particularly serious about details. The six-minute opening scene left a deep impression on many people. Perhaps only a few people noticed what weapon the cold front took and how to take it out. But these non-military fans may not pay attention to the details at all, which made the writers argue for another day.

"At the beginning, it was set that the cold front took a rifle and aimed at the pirate’s head hundreds of meters away. I was impatient when I heard it, and the rifle had a range of 50 meters. Isn’t this a joke? Later, it was changed to an old rifle prepared by the captain to shoot lions. I said it still missed. Then it can only be a military sniper rifle, but how can there be a military sniper rifle on the cargo ship? "

At that time, the producer Liu Zhenwei, who was on the side, couldn’t listen to it anymore and said to Dong Qun, "According to your method, The Fast and the Furious can’t shoot it."

"Later, I got angry with Mr. Liu. Now I am very embarrassed to think about it. But I think the success of Wolf Warriors has a lot to do with our clinging to some details. " Dong Qun told The Paper reporter, "Reality is divided into reality reality and film reality, and there is no need to equate the two. But once you make the audience doubt the truth of your film, the logic of this film will collapse and the audience will play in minutes. For example, in The Fast and the Furious, jumping from Building A to Building B is inclined downward, which is in line with the parabola principle. But if you change it to fly from bottom to top, the audience can’t stand it. "

Dong Qun during the filming of Wolf Warriors 2.

"Although the plot and picture of the movie are exaggerated, it should also conform to the reality of the movie. The audience of our military films, especially military enthusiasts, will have higher requirements for details. "

"There are also many times when movies don’t explain to the audience and need the audience to think." For example, when the mercenary leader was only one shot away from killing the cold front, he chose to retreat because of the command of the military region leader. Some viewers will have doubts: "It would be nice to shoot at this moment."

Dong Qun said, "First, there is the aura of the protagonist, and second, there is a strategic priority. In the situation at that time, the mercenaries no longer regarded the cold front as an opponent, but just a prey to play with, and the military leaders who clamored for "hurry back" were their opponents in the future to seize power. If you don’t listen to orders at the scene, it’s like tearing your face. Therefore, the mercenary leader chose to go back and kill the military leaders first. "

The earliest box office estimate was 1.5 billion to 2 billion.

Dong Qun recalled that when Wu Jinggang found himself in 2013, the online atmosphere was very bad. "After the release of Wolf Warriors, a famous film critic said,’ I am so ashamed to see it’, and before the release of Wolf Warriors 2, thousands of people gave it a star. There are still a lot of sprays, but now more and more comments have pulled back the douban score. Generally, movies are expected to have high scores. After the actual release, the scores are reduced, and we count as counterattacks. "

"In fact, we can come together. First of all, we all have a common belief. We love our country and firmly believe in our army. "

"From the point of view of the founders, both Wolf Warriors are good. When filming Wolf Warriors, no one in the industry was optimistic about this kind of film, and the investment was small. We can only use the money in one scene, that is, sniper warfare in the jungle. Now people often compare the two Wolf Warriors, saying that 2 is much better than 1. It is much better, because the money invested by 2 is five times that of 1. "

Wolf Warriors 2 tank

"But the first" Wolf Warriors "made a movie that made everyone happy with very little money, and with more than 500 million box office receipts, it was a small opening of this theme. When filming "Wolf Warriors 2", the investment was in place. The martial arts direction and music direction we were looking for were all Hollywood. The whole process had the style of Hollywood heavy industry movies, and then we maintained our persistence and concentration on details in "Wolf Warriors". "

Dong Qun told The Paper that his initial box office estimate for "Wolf Warriors 2" was 1.5 billion to 2 billion, and the minimum estimate was 1 billion. "Because I think it represents the rise of heavy industry movies in China. Now there is too much traffic, small fresh meat and big IP, so please ask Shuijun to go online and say’ Happy New Year’ in an attempt to lower the aesthetic IQ and standards of the audience, but the audience is not stupid. When "Wolf Warriors 2" finally appeared at a level close to Hollywood heavy industry movies, the audience’s enthusiasm suddenly broke out. "

Wolf Warriors 2 chose Hans Zhang, which is closer to people, instead of the popular small fresh meat.

However, Dong Qun also admitted that military movies were still greatly restricted. "One is professionals, such as screenwriters. For example, there are too few China action actors who really went to the special operations brigade for 18 months in order to shoot a good role. The other is the control of the policy, that is, in the’ pony crossing the river’, which draft will be taken. "

Military novels are well written because they are "unreasonable"

When "Wolf Warriors" came out in 2015, some netizens shouted in the post bar: "Who is the screenwriter of" Wolf Warriors "? Dare to admit that you copied the novel bullet marks? "

User tucao screenshot

But in fact, Dong Qun is the author of this smash hit military novel "Bullet Marks". He took "Dancing Demon" as his pen name, and also wrote works such as The Pirate King of the Fifth Army, The Law of Survival, Thorning, The Fifth Army, Special Kind: We were Special Forces.

"The cold front is very similar to the hero’s chivalrous song in Bullet Marks in terms of personality, behavior and fighting skills, but the sense of substitution is still different." Dong Qun said that he is still writing online articles on military subjects, which is just equivalent to "practicing writing" and will not be published online.

"If you can’t guarantee the speed, you can’t guarantee the results." Dong Qun said, "The competition in online writing is particularly fierce. When I left (in 2013), there were 3 million people writing, and all the people who can fight for it are people with both speed and quality. It took me 11 months to write the 1.8 million-word bullet mark, which is only moderate in the online circle. But now it’s slower, sometimes one or two thousand words a day. Because writing is a rest and pastime for me now. "

"However, the average quality of online writers is far lower than that of our period (early 2000)." Dong Qun bluntly said, "The net text is updated too quickly. We started writing more than ten years ago, when the net was not profitable. That’s true literature lovers, that is, they didn’t use the word’ faith’, at least they had pursuits. Now that online literature has formed an industry, it has also spawned plagiarism, which has become a common problem. "

Dong Qun is still confident about his achievements and position in the history of military online novels. "The key is that I believe in something." He said, "People with faith write different things. After the hit of Bullet Marks, the website also held a military novel creation competition while it was hot, and a large number of authors appeared. If it is not what you believe in, words will lose their souls. Faith is unreasonable. I think I write well because I am unreasonable. "

"Wolf Warriors 2" stills

The first film to be filmed in the future will be Bullet Marks, which is more publicity than Wolf Warriors.

It can be said that Dong Qun’s "brute strength" is also reflected in several identity changes: from online writer to screenwriter, and then to the director who is starting. "I just don’t like standing still."

"At first, I just wanted someone to read it. I started writing in 2001 and became a full-time online writer in 2005; Later, I came up with a physical book, and it was still difficult to publish it in 2006. But in the second year, "Bullet Marks" sold more than 1 million copies, which were sold in all airport bookstores at that time. "

A wish came true, and Dong Qun came up with another idea-to push the work to Taiwan Province and publish the traditional version. "Friends say it’s impossible, because people don’t watch mainland military novels. So I specially wrote a military novel "The Trapping" which is more in line with Taiwan Province’s aesthetic, and the result was also published in Taiwan Province. I asked the publishing house if it had lost money, and people said it was a small profit, so I felt it was worth it, and I no longer considered publishing in Taiwan Province, because I had already done it. "

"Later, I was tired when I wrote the net, because I felt that I had been spinning around. So when Jason Wu found me in 2013, I felt that the opportunity came. "

Dong Qun said that he had been studying in the director department of Beijing Film Academy since last year. He said frankly: "My future is not a screenwriter, but a director. I want to have a try. At present, I will spend most of my effective working time on my studies: watching movies, reading director’s books and learning how to use the lens. "

"Some readers want to see the original" Bullet Marks "and have been waiting for ten years. If I am a director, my first film will also be Bullet Marks, and it will be more flamboyant than Wolf Warriors. I believe that as soon as the name "Warrior Song" comes out, book fans will be excited. " However, Dong Qun said that he does not want to limit himself to military themes. "For example, making science fiction films, in short, don’t seal up your choices."

(2023yearfourmoon18Day)

Shenzhen Satellite TV reporter:

What are the reasons for the rebound in industrial production in the first quarter? What positive changes have taken place in industrial production and operation? What do you think of whether industrial production will continue to accelerate next? Thank you.

CCTV reporter from the Central Radio and Television General Station:

In the first quarter of this year, China’s economy showed a trend of stabilization and recovery. What are the main characteristics? How do you evaluate the economic performance in the first quarter? Thank you.

American International Market News Agency reporter:

ChinathreeThe export was strong in June, and the data was higher than expected. Do you think this strong momentum is sustainable?

Reuters reporter:

Production data inthreeMay reached a gratifying level, and now production has returned to the pre-epidemic level, but consumption is still sluggish, leading to the imbalance of economic recovery. Will new policies be introduced to balance this situation? How can we persuade China consumers to spend more instead of putting more money in the bank?

Japan Economic News reporter:

aboutCPIThe problem.threeMonth coreCPIYear on year increase0.7%Although the economy began to recover after the adjustment of epidemic prevention measures, the coreCPIThe year-on-year increase is still relatively low. How does the National Bureau of Statistics view the core?CPIThe main reason for stagnation? Is there deflation risk in China’s economy? Thank you.

First Financial Reporter:

How do you evaluate the investment data in the first quarter? Recently, private investment has been at a low level and only increased in the first quarter.0.6%What are the reasons?

Russian News Agency reporter:

It is understood that the consumption of China during the epidemic is rightGDPThe contribution of growth has declined. Excuse me, what is the situation now? What kind of forecast does the National Bureau of Statistics have? Thank you.

Japan’s Kyodo News reporter:

What is the economic outlook in the second quarter? Is it expected that the economic data will get better in the second quarter of this year? If there are risks, what are the main aspects?

The Paper reporter:

Current ChinaPPIThe year-on-year negative growth for six consecutive months, what does the National Bureau of Statistics think?PPIWhat is the trend? Thank you.

Voice of China reporter from Central Radio and Television General Station:

Since the beginning of this year, the service industry has shown an accelerated recovery trend. What do you think of the main reasons? How do you judge this growth trend? What is the trend of service industry in the next stage? Thank you.

Beijing News reporter:

This year’s employment season has attracted much attention.2023The national college graduates are expected to reach1158Ten thousand people, this year Beijing master’s degree graduates surpassed undergraduate graduates for the first time. From the data of the first quarter, how do you evaluate the job market prospects this year?

　　I went to Cambodia to work with the Cambodian police to arrest the suspect’s hiding place. Photo courtesy of Jiaxing Public Security

　　Legal Daily, Jiaxing, September 18 (Reporter Zhang Hongbing) Jiaxing Public Security Bureau recently cracked a case of spreading obscene articles on a large cross-border network, in which the platforms involved were the aggregation platforms with the largest number of live broadcasts, the largest number of cloud broadcasts and the largest number of agents in the cases cracked by domestic public security organs. The public security organs went to Cambodia twice, and after coordination and communication, they arrested 18 suspects in one fell swoop and escorted them all back to China in six batches. By the time the main suspect was arrested, the mobile App platform has developed more than 16,000 agents, watched more than 3.5 million so-called members and involved 250 million yuan.

　　Aggregate more than 110 live broadcast platforms

　　In March of this year, the public security organs of Jiaxing City found in their work that a mobile App software named "Max" aggregated more than 110 obscene and pornographic live broadcast platforms, and stored many obscene and pornographic videos. It illegally made profits by developing agents at different levels and attracting users to buy membership cards (similar to mobile phone recharge cards). In the live broadcast module, members can watch live performances of hundreds of pornographic platforms, and they can also order obscene pornographic videos. The case involves a large number of people and a huge amount of money. On April 5th, Jiaxing Public Security Bureau set up a task force composed of the leader of the Municipal Bureau, the network police detachment, Nanhu District and the Public Security Bureau of the Economic and Technological Development Zone, and the network security corps of Zhejiang Public Security Bureau mobilized all resources to fully support it.

　　On April 12th, according to the preliminary investigation, the task force dispatched more than 300 police officers to 20 provinces and cities, including Fujian, Shanghai and Guangdong, to carry out centralized network-closing operations on the first batch of identified platform agents, and arrested more than 200 criminal suspects, including Xie Moujian (male, 23 years old, from Zhangzhou, Fujian), the largest domestic agent of the platform, among whom 144 people took criminal compulsory measures. After receiving the net for the first time, the platform still didn’t know how to stop, and continued to develop agents, and constantly promoted obscene pornographic apps in social software such as WeChat, QQ and Weibo, and at the same time colluded with gambling gangs to promote gambling sites with pornographic traffic.

　　In view of the seriousness of the case, according to the requirements of the "full chain strike" of the leaders of the main bureau of Jiaxing Public Security Bureau, the task force decided to continue to dig deep into the case and further discovered that the organizer and manager of the platform were in Sihanoukville, Cambodia. In the meantime, the National Anti-vice and Illegal Publications Office made a special trip to Jiaxing to listen to the investigation of the case. The Ministry of Public Security designated the case to be under the jurisdiction of Jiaxing City and listed it as a special action of the net. During the investigation, Alibaba Security Department also gave strong support.

　　Two went to Cambodia to arrest suspects.

　　According to Zhu Zhonghua, executive deputy director of Nanhu Public Security Bureau of Jiaxing Public Security Bureau, in order to make the case solid, the public security organs went to Cambodia twice. The first time was from May 24th to mid-June, with the strong support of Cambodian police, the criminal dens were basically found out. In order not to startle them, they live in Phnom Penh, which is 6 hours’ drive from Sihanoukville. Every time they go back and forth for 13 hours, they come and go in a hurry.

　　The second time was on August 13th, when the Network Security Bureau of the Ministry of Public Security, the Network Security Corps of the Provincial Public Security Department, the Network Police Detachment of the Municipal Public Security Bureau and the Nanhu Public Security Bureau sent elite troops to Cambodia to carry out arrest and repatriation work. After many coordination and docking with the Cambodian police, the two sides finally reached an agreement on arrest and repatriation. The suspect was hiding in a two-story villa on the outskirts of Sihanoukville, with barbed wire and spikes on the high wall.

　　On August 24, the working group and the Cambodian police arrested the suspect’s hiding place. In one fell swoop, 18 suspects including Chen Mou (male, 37 years old, from Xiamen, Fujian), the person in charge of the platform involved, were arrested, and this mega-criminal gang, which occupied abroad and used the Internet to spread obscene articles for profit, was successfully destroyed.

　　Zhu Zhonghua said that when they arrested the suspect, they opened the room, which was very calm, and 18 people were sitting in front of their computers "working". Where they thought it was safe, they never dreamed that the China police would fall from the sky.

　　Eighteen suspects were escorted back to China in six batches and six flights.

　　The sales card is secretly passed on and sold.

　　It has been found that since August 2017, the criminal suspect Chen Mou, together with Zhou (male, 37 years old, from Xiamen, Fujian) and Guo (male, 32 years old, from Xiamen, Fujian) and others, has solicited members by setting up servers overseas, developing an App to access pornographic live broadcast sources, etc., and spread obscene videos for illegal profit.

　　The suspects are mainly from Fujian. In September 2017, they experimented with pornographic apps in Xiamen, rented servers in Hong Kong and started operations in Macau. Later, I felt that Macau was also the territory of China, and the risk of being hit still existed, so I moved to Cambodia.

　　Chen Mou and other major criminal suspects have been hiding in Cambodia and other places for a long time. By manipulating the domestic general agent, they have unlimited development of first-level agents, second-level agents and third-level agents, increasing prices at different levels, distributing cards, and maliciously spreading obscene pornographic apps, which has caused adverse social impact. Among them, the price of the card sold by the platform to the general agent is about 6 to 7 yuan, and the price of the card sold by the general agent to the first-level agent and the second-level agent to the second-level agent can reach 20 to 40 yuan. By the time Chen Mou and others were arrested, the mobile App platform has developed more than 16,000 agents, watched more than 3.5 million so-called members, and involved 250 million yuan. It is the largest pornographic live broadcast aggregation platform that has been cracked by public security organs nationwide.

　　This case captured the organizer of the criminal group, and also dealt a blow to the entire chain organization structure involving people from more than 20 provinces and municipalities. Under the leadership of the Ministry of Public Security and the Zhejiang Provincial Public Security Department, the four-level public security organs participated in the investigation of the cross-border dissemination network obscene articles. The successful detection of this case has a great deterrent and influence on purifying the network, and the case has a strong demonstration effect. It has achieved the goal of "chasing the source, destroying the platform and breaking the chain", severely cracked down on the illegal and criminal activities of spreading obscene and pornographic information on the Internet, and effectively purified the cyberspace.

　　All sentient beings: It’s all about money.

　　On September 17th, the reporter met the suspects Guo Mouya, Li Mou and Chen Mou Ming in Jiaxing Detention Center and Tongxiang Detention Center.

　　It is understood that Li graduated from junior college and studied locomotive inspection and maintenance. After graduation, he worked in a hospital in Tianjin. Later, he became fascinated with live broadcast, and his monthly income of more than 1,000 yuan was basically rewarded to the live broadcast girl. At the end of 2016, the bonus of more than 10,000 yuan was also brushed to the live broadcast woman. Slowly, he enlisted more than 30 live broadcast women and became the head of the live broadcast platform. He built a group, and the contact with the live broadcast women relied on WeChat, and the commission of the live broadcast women was also paid through WeChat. As long as he found a new live broadcast platform, he took the initiative to contact and lead a team to join. According to him, there are five or six live broadcast women under his command, and some of them took 28,000 yuan in seven days.

　　Guo Mouya studied computer at University. After being introduced by a friend, he went to Cambodia in April this year, mainly responsible for the technical maintenance of the platform. According to him, he took a 20% commission of more than 1 million yuan. He regretted it and felt sorry for his wife and two children at home. He said that when he comes out of prison, he must take the right path and never do anything illegal again.

　　Chen Mou, a 23-year-old graduated from Ming technical secondary school, is the customer service of aggregation platform. When interviewing him, at first he kept his mouth shut and said nothing to the reporter’s questions. Inspired and encouraged by the reporter, he slowly showed the expression of pain and regret. He said that he was not the leader, didn’t know anything, and didn’t earn much. Now he is locked up, which is really worthless.

　　In this aggregated webcast platform, except for a few bosses who can get millions of yuan each, the income of agents and live broadcast women varies widely. Some people get hundreds of thousands of yuan, some people get thousands of yuan, and others get hundreds of yuan.

　　Li Qi, a policeman from Tongxiang Public Security Bureau, said that it was a word "money" that hurt many people. There are four sisters who dragged their children into the live broadcast room, and there are also husband and wife who went into battle together. They don’t care about their children’s studies, and sometimes they even do shameless things in front of their children.

　　Change the vest and commit a crime against the wind

　　Huang Haitao, deputy head of the Netan Corps of Zhejiang Public Security Department, summed up five characteristics in the case of Jiaxing extra-large cross-border network spreading obscene articles for profit.

　　First, the snowball-type development agent, and the platform involved in the Yellow River is huge. Judging from the current investigation, the App platform aggregates 117 pornographic live broadcast sources and stores 18,000 pornographic videos, so as to provide live broadcast and on-demand pornographic performances. Then, through pyramid schemes, agents are developed layer by layer and members are recruited to buy cards, which is illegal for profit, with an average daily sales amount of 150,000 yuan. Up to the time of the incident, the platform has developed more than 16,000 domestic agents, more than 3.5 million members and tens of thousands of anchors who perform obscene and pornographic performances.

　　Second, pornography and gambling are intertwined, and the social impact is extremely bad. In order to attract the attention of netizens, some anchors of the aggregated App platform openly performed obscene and pornographic performances in public places such as parks, and social morality was ruined. Even a large number of platform anchors and members are minors, and the social impact is extremely bad. At the same time, it was found that the criminal gangs that closed the net in Cambodia also set up the gambling sites named "Crown", set up games such as "Baccarat", "Lottery" and "Long Hudou", and put advertisements on the yellow platform to attract members to log on to the website to bet on gambling.

　　Third, the technical tracking of cases is difficult, and it is difficult to strike abroad. In this case, the main suspects, such as platform management, operation promotion and technical support, have been hiding in Cambodia for a long time, and overseas arrest faces many uncertain factors such as the possible existence of "umbrella". The App server involved in the case is located in Hong Kong, and the domain name registration information is stored in the overseas domain name service provider, so it is impossible to obtain effective clues through certificate adjustment. The platform and the agent use special chat tools and special work identities. The above situation has brought great difficulties to the public security organs.

　　Fourth, the people involved are distributed all over the country, and it is difficult to investigate the whole case. In this case, in addition to some major suspects hiding abroad for a long time, there are also individual platform shareholders and a large number of agents distributed in 20 provinces and cities, while there are only a few bottom-level platform members in Jiaxing, so it is difficult to carry out the whole case investigation. After being reported to the Ministry of Public Security for designation, the case was under the jurisdiction of Zhejiang Province. In the arrest stage of the case, the task force coordinated and mobilized the overall police force, adopted the combat mode of the large corps, and went to various places to carry out the network-collecting operation to achieve the full coverage of the case.

　　Fifth, the suspect was arrogant and did not know how to stop committing crimes against the wind. On April 12, after the task force launched the first wave of arrests against the main agents of the platform involved in the Yellow River, the platform relied on its core team to commit crimes abroad, and it could act recklessly. Instead of stopping, it changed its name to "Green" and later renamed it "urbox" and "color", and continued to promote it with great arrogance. After Xie Moujian, a first-class domestic agent in Fujian, was arrested, the platform turned to find a new first-class agent to replace its position, and committed crimes against the wind, seriously provoking the public security organs.

　　This cross-border mega-case, jointly supervised by the National Office for Combating Pornography and Illegal Publications and the Ministry of Public Security, once again proves that the main battlefield for combating pornography and illegal publications is the Internet. The network has no boundaries and borders, and the number of people changes rapidly. Therefore, the whole society must take action and cooperate with various departments to continuously maintain a high-pressure and severe crackdown on all kinds of illegal and criminal activities related to pornography on the current network. At the same time, we should strengthen the safety supervision of webcasting platforms, key websites and new applications, resolutely eradicate the breeding ground for online obscenity and pornography, and strive to create a clear cyberspace.

　　Wang Bin, Song Yao/CCTV News

　　On November 15th, local time, the reporter of the General Desk was informed that Russian President Vladimir Putin had a telephone conversation with German Chancellor Angela Scholz on the same day. Subsequently, the Kremlin confirmed the news.

　　The Kremlin released a message saying that this is the first time that the two sides have spoken since December 2022.

　　The two sides had a detailed and frank exchange of views on the situation in Ukraine. Putin pointed out that the current crisis is directly caused by NATO’s long-term aggressive policy. The purpose of this policy is to ignore Russia’s security interests, infringe on the rights of Russian residents and establish an anti-Russian "bridgehead" in Ukrainian territory.

　　Talking about the prospect of political and diplomatic settlement of conflicts, Putin pointed out that Russia has never refused and has always been open to the resumption of Russian-Ukrainian negotiations. The possible agreement should take into account Russia’s security interests, proceed from the new territorial reality, and the most important thing is to solve the root causes of the conflict.

　　The leaders of the two countries also talked about the current situation of Russian-German relations. Putin pointed out that due to the unfriendly policy of the German authorities, Russian-German relations have deteriorated unprecedentedly in all aspects. Putin emphasized that Russia has always strictly fulfilled its contracts and contractual obligations in the energy field. If Germany shows interest, Russia is willing to carry out mutually beneficial cooperation.

　　Besides, the leaders of the two countries also discussed the situation in the Middle East. Putin introduced Russia’s efforts to ease and peacefully resolve the regional crisis.

　　The two sides agreed that the assistants of the leaders of the two countries will keep in touch after this call.

　　World internet conference is held once a year, and the Internet, digital economy and artificial intelligence have already penetrated into every corner of our daily life. What will happen to the Internet in the next 30 years? What new business opportunities will the debut of 5G bring? What problems has the digital economy solved for us? This year, several Internet café s have made in-depth thinking on these issues, and at the same time, they have also brought us inspiration.

　　Ma Yun: In the next 30 years, the Internet will be "from scratch".

　　If the Internet was "from scratch" in the past 20 years, it will be "from scratch" in the next 30 years. This "nothing" is "nothing" everywhere, and no one can exist without the network.

　　In Ma Yun’s view, there may be many people who hate artificial intelligence now, but in the future, if there is no artificial intelligence, the whole society will not be able to operate. "Four years ago, my mother complained that she couldn’t use a mobile phone, and now they can use it. In China, many 70-year-olds can easily use technologies unimaginable five years ago. " Ma Yun said.

　　"I am a firm optimist of the digital economy. From the beginning, I firmly believed in the power of the digital economy and platform. This is a good opportunity for the world to achieve inclusive growth. The world needs leadership in digital technology. The speed of world change is definitely getting faster and faster, which will bring many social problems and uncertainties, but no one is an expert of tomorrow, and the government, academia and enterprises need to work together to solve problems. " For the digital economy, Ma Yun made this thinking. "In addition, we also need to formulate smart policies at the moment of wisdom, and don’t use yesterday’s practices to solve tomorrow’s problems."

　　Ma Huateng: Science and technology are good, not just simple Internet public welfare.

　　For the next wave of technology, Ma Huateng has a judgment: in the next two or three years, large-scale commercialization of 5G will be gradually rolled out, and 1 million devices can be connected to the network at the same time per square kilometer. This large bandwidth, low delay and high reliability network will send all kinds of applications driven by artificial intelligence to thousands of households. The threshold for transformation and upgrading of all walks of life will be continuously lowered, and the development of industrial Internet will enter the "fast lane".

　　Looking forward to cutting-edge technology, Ma Huateng emphasized that "technology is good": "We hope to think and explore with the industry, build correct values, social responsibilities and behavioral norms in the digital age, and build a healthy, inclusive, reliable and sustainable smart society."

　　Lei Jun: 5G+AIoT will become the next generation super Internet.

　　In the past, the massive applications provided by the Internet brought a lot of convenience to our lives, and the future Internet will become a part of intelligent life itself. Lei Jun believes that many AI products, from smart assistants and smart speakers in mobile phones to all kinds of robots, have been integrated into our daily lives. With the AI+ voice interaction becoming more and more daily, using voice to control the lighting switch, even turning on the air conditioner and watching TV is just a matter of words, which is particularly natural, even for the elderly and children.

　　"It is foreseeable that in the future, people’s lives will have an ubiquitous Internet figure, and all personal and home devices can be interconnected to truly provide 24-hour companionship services in our lives. Among them, many new intelligent life scenes and more new business opportunities will be added with innovative interactions such as voice and artificial intelligence. " Lei Jun said.

　　The combination of AI and IoT Internet of Things platform forms AIoT (abbreviation of AI and IOT, intelligent interconnection of all things), which is the next generation of super Internet, bringing super opportunities several orders of magnitude larger than the mobile Internet. Lei Jun firmly believes that it will become the most important driving engine of the digital economy.

　　Li Yanhong: Artificial intelligence is the main course. If you don’t eat it, you will lose an era.

　　"In the past year, artificial intelligence has become a social consensus." In August this year, Li Yanhong said in his speech at China International Intelligent Industry Expo, "In the past, everyone paid more attention to artificial intelligence and defeated the world Go champion. Today, we are more concerned about what convenience artificial intelligence has brought to people’s lives and how much efficiency it has improved people’s work. In the past, we may have paid attention to a driverless car running thousands of kilometers without human intervention. Today, we may be more concerned about how driverless driving can truly achieve safety, how to reduce costs, and how to run on the open road in a low-speed environment. "

　　Li yanhong believes that the internet is a starter, and its characteristic is fast; Artificial intelligence is the main course, which needs to be simmered slowly, but it is nutritious. In the future, no enterprise can claim that it has nothing to do with artificial intelligence. If you can’t eat this main course, you will lose an era.

　　Ding Lei: The digital economy solves the problems of efficiency and content.

　　What problems has the digital economy solved? In Ding Lei’s view, it is mainly manifested in two points: one is efficiency, and the other is content.

　　Ding Lei further explained that the efficiency of e-mail, search engine, e-commerce or payment system has been improved. In addition, the development of digital economy also meets the needs of consumers for different content positioning. "For example, with Netease Cloud Music, many independent musicians no longer need to distribute their works through record companies, but can directly publish their works on Netease Cloud Music."