The new version of nucleic acid detection guide for all staff: set up a sampling point for every 1000-1500 people.

  CCTV News:According to the website of National Health Commission, recently, National Health Commission issued a notice on printing and distributing the implementation guide for all novel coronavirus nucleic acid testing organizations (second edition). The full text is as follows:

  All provinces, autonomous regions, municipalities directly under the Central Government and Xinjiang Production and Construction Corps should respond to the joint prevention and control mechanism of COVID-19 epidemic (leading group and headquarters):

  In order to effectively cope with the possible epidemic situation caused by Delta mutant in Covid-19 and further improve the implementation ability of nucleic acid testing organization for all employees, we organized experts to revise the Implementation Guide for Nucleic Acid Testing Organization for All Employees in novel coronavirus (Second Edition) based on the previous work practice, and formed the Implementation Guide for Nucleic Acid Testing Organization for All Employees in novel coronavirus (which can be downloaded from the "Medical Administration" section of the website of the National Health and Wellness Commission). Is issued to you, please refer to the implementation.

  The State Council responds to novel coronavirus.

  Comprehensive group of epidemic prevention and control mechanism

  September 8, 2021

  Guidelines for the Organization and Implementation of novel coronavirus Nucleic Acid Detection for All Staff (Second Edition)

  Nucleic acid detection is an important means of infection prevention and control in novel coronavirus (hereinafter referred to as Covid-19). In order to guide all localities to do a good job in the preparatory work for Covid-19 nucleic acid detection in large-scale population, ensure the completion of all the nucleic acid detection tasks within the designated area with good quality and quantity within the specified time, and realize "early detection, early isolation, early diagnosis and early treatment", this guide is formulated.

  I. General requirements

  Actively respond to the epidemic situation in COVID-19, quickly and efficiently control the epidemic situation, standardize the organization, sampling, testing and reporting of all employees’ nucleic acid testing, and co-ordinate the deployment of nucleic acid testing resources to improve the quality of nucleic acid testing.Cities with a population of less than 5 million should complete the task of nucleic acid detection for all staff within 2 days, and if necessary, they can make overall protection within provinces (autonomous regions and municipalities). Cities with a population of more than 5 million shall complete the task of nucleic acid detection for all staff within 3 days, and may apply for national support if necessary.

  Second, organize the implementation

  (a) the party committee and government take overall responsibility. Party committees and governments at all levels take the overall responsibility for the nucleic acid detection work of all staff, coordinate all relevant departments at all levels, coordinate in many ways, and manage in a flat way.

  (2) Establish an organizational mechanism. Districts and cities are required to set up a nucleic acid detection working group under the local joint prevention and control mechanism, led by the Standing Committee of the Municipal Party Committee, and organize relevant departments such as health, public security, civil affairs, transportation, finance, industry and information technology, publicity, etc., to establish a flat working mechanism, which will be urgently activated in case of epidemic, and coordinate the nucleic acid detection work as a whole. Take residential buildings, natural village groups, schools, institutions, enterprises, companies, markets, hotels, etc. as the smallest units to achieve full coverage and no omissions. Do a good job in the unified purchase and deployment of nucleic acid testing materials for all staff.

  (3) Formulating a work plan. City, county (city, district) to develop an operable large-scale nucleic acid detection work plan, combining emergency with emergency, and timely carry out early warning screening drills.

  (four) the formation of the work force.

  1. Set up teams of nucleic acid sampling, sample delivery, nucleic acid detection, technical support of information platform and corresponding emergency response at all levels, and define the area of responsibility for sampling and detection. When all the people in the province start nucleic acid detection, they can immediately put into work. All emergency teams are guaranteed to be on standby 24 hours a day and make all preparations for starting at any time.

  2. Set up a nucleic acid sampling supervision team to guide each sampling point in the form of piecemeal contract, standardize sampling, personal protection and cross-infection prevention and control, find and solve problems in time, and ensure high quality and efficiency of sampling.

  3. Set up a nucleic acid detection supervision team, organize clinical laboratory experts to establish a patrol and supervision mechanism, conduct inspections of laboratories, and supervise third-party nucleic acid detection institutions.

  4. Set up a special data class to manage nucleic acid detection information in a unified way, determine the flow of nucleic acid detection information, and collect, count and report it by special personnel to improve the efficiency and accuracy of information flow.

  (5) Overall allocation of resources. Establish a support mechanism for nucleic acid sampling and testing areas in the province, dynamically and comprehensively grasp the basic situation and daily (24-hour) testing capacity of various nucleic acid testing institutions around the country, and make scientific and reasonable deployment according to the needs of the starting place for all nucleic acid testing. When necessary, apply for support from the State Council joint defense and control mechanism.

  (six) to formulate emergency plans. Each township and community shall set up a special work class, with sufficient staff, comprehensively find out and dynamically grasp the base number of all members of the grid, do a good job in reasonable planning and material preparation of sampling sites, and make clear the layout and staffing of sampling points. Make an emergency plan and conduct drills regularly to ensure that once it is started, it can be quickly organized and carried out on-site sampling in an orderly manner.

  Third, work preparation

  (a) to find out the base and establish a ledger. Based on the public security household registration and census data, all districts and cities should pre-register the actual population base and distribution of streets (towns), communities and communities within their respective jurisdictions by means of informationization, and accurately grasp the situation of special populations, the ability of testing institutions, the reserve of nucleic acid testing materials, regional sampling and testing teams, sample delivery personnel and vehicle demand. Establish a work ledger, formulate a clear timetable and road map, and timely check and fill the gaps according to the amount of nucleic acid detection tasks and the existing reserves, so as to ensure that all staff will carry out nucleic acid detection in time when there is an outbreak.

  (2) Implement the detection capability. Health administrative departments at all levels should master the local medical institutions, CDC and the third-party nucleic acid detection forces that can be quickly mobilized, and do a good job in the reserve of nucleic acid detection capabilities. When an epidemic occurs, the nucleic acid detection force equivalent to 10%-15% of the actual management population can be quickly dispatched to meet the needs of large-scale nucleic acid detection in the whole region.

  (3) Scientific analysis and accurate screening. According to the epidemic spread trend, taking risk as the guide, the scope of nucleic acid detection is accurately defined and the nucleic acid detection strategy is determined.

  1. Determine the nucleic acid detection strategy. According to the epidemic spread trend, strengthen research and judgment, scientifically delimit risk areas and dynamically adjust them at the first time. In the early stage of the epidemic, at least three rounds of full-scale nucleic acid testing should be carried out in the case of unknown risk sources; After that, the scope and frequency of subsequent detection were determined according to the comprehensive judgment of the traceability of flow regulation, the scope of community control and the results of nucleic acid detection. In principle, quarantine points and streets or communities where cases have occurred in the last three rounds of nucleic acid testing should be inspected once a day, streets or communities where cases have occurred within 14 days but no cases have occurred in the last three rounds of nucleic acid testing should be inspected every other day, and areas where cases have not occurred within 14 days can be inspected every five days.

  2. Determine the sampling method. According to the control measures taken by the target population, the sampling method should be determined. Isolation points and other key populations should adopt single sampling and single inspection, with one household and one tube in the closed community (closed to households), and other areas should adopt 5-mixed 1 or 10-mixed 1 to carry out testing according to the actual situation.

  (4) reasonable dicing and scientific layout. All localities should comprehensively consider the population, geographical transportation, distribution of nucleic acid detection institutions, etc., and plan the layout of sampling points in advance under the guidance of professional departments. The sampling stations should not share the same tent or the same space.

  1. All localities should comprehensively plan the layout of sampling points according to the population, geographical traffic and the distribution of nucleic acid detection institutions.Reference every 1000-1500 people to set up a sampling point, 500-1000 people to set up a sampling station (all localities can set up according to the actual population of communities, streets, towns, rural areas and suburbs), and in principle, set up sampling points in units of communities.

  2. Sampling points should be standardized and put into use within 4-6 hours. On the basis of fixed sampling points, grid management mode should be adopted, with community sampling as the main mode, and the layout should be refined and improved by entering schools, enterprises and units, so as to facilitate citizens’ sampling and improve sampling efficiency. Vulnerable groups such as the elderly over 60, pregnant women and the disabled should set up green channels for independent sampling.

  (five) to strengthen information technology, do a good job of dynamic matching of mining, delivery and inspection.

  1. Establish a nucleic acid detection information system. All provinces shall co-ordinate the establishment of a nucleic acid detection information system, so as to quickly input information, including the information of the examinee (name, certificate type, certificate number, residential address and telephone number) and sampling information (name of sampling point, district (county), sample number, date and time of sample collection, collection location, type and quantity), and quickly feed back the information of the examinee suspected to be positive. Realize the rapid, accurate and real-time monitoring of information collected, sent, tested and reported in nucleic acid detection, and achieve the whole process management of nucleic acid detection. Before the information system is put into use, stress tests should be conducted in advance according to 30% of the actual population under management to ensure the stability of the information system.

  2. Do a good job of matching collection, delivery and inspection. Before starting large-scale nucleic acid detection, the matching of collection, delivery and detection should be done well in advance, and dynamic scheduling should be carried out. According to the set sampling ability of sampling points and the actual testing ability of each testing institution, the matching and preparation of dicing sampling and sample delivery should be done in advance. According to the detection progress and rhythm of nucleic acid detection laboratory, samples are sent in batches and dynamically scheduled to make full use of detection capacity and improve detection efficiency.

  (6) Fully staffed and provided with sufficient materials.

  1. Prepare sampling medical personnel and information entry personnel in advance, and carry out relevant training. Each sampling station shall include one sampling staff and one information entry staff. Calculate according to the sample of 100-150 people collected by each sampling station every hour, reasonably evaluate the workload and allocate personnel. Sampling medical staff should be familiar with the collection methods of nasopharyngeal and oropharyngeal swabs, and carry out strict training on sensory control. Information collectors should be familiar with the operation process of information system and carry out relevant sensing and control training.

  2. In accordance with the principle of "rather prepare than use, not available and not prepared", on the basis of fully considering the special weather conditions such as rain, snow, low temperature and high fever, according to the layout of sampling points, arrange material reserves or establish an effective calling mechanism at the sampling points in list and ledger, and keep them nearby to ensure that sampling tubes (single sampling, 5 mixing, 10 mixing) and throat swabs (nasopharyngeal swabs) are used in large-scale nucleic acid detection. The medical consumables required for sampling shall be stored locally according to the local population, and the cities and counties shall uniformly dispatch them.

  Fourth, the work content

  (1) Improve information registration. In the preparation stage of the whole staff’s nucleic acid testing, the community (village) is taken as the work unit, and the sampling information of residents within the jurisdiction is collected and registered in advance through various ways, including at least the residents’ names, ID numbers, home addresses (specifically to house numbers) and contact numbers. At the same time, we must do a good job in protecting residents’ information security.

  (2) Standardize the setting of sampling points. A sampling point can be composed of multiple sampling stations, and a sampling station should include sampling personnel, information collectors, volunteers and other related staff and related necessary materials.

  1. Personnel preparation.

  (1) It is necessary to compact the responsibilities of the four parties, scientifically divide the grid, standardize the organizational process, and take residential buildings, natural village groups, schools, institutions, enterprises, companies, markets, hotels, etc. as the smallest units, so as not to lack households and people. Fine organization and management, strictly implement the "1 meter" interval requirements, ensure that residents queue for no more than 30 minutes, prevent people from gathering and avoid cross-infection.

  (2) Each sampling station shall be equipped with 1-2 sampling personnel. Arrange the rotation of sampling personnel reasonably, and take a rest every 2-4 hours in principle.

  2. Space preparation. The sampling point should be an independent space with ventilation conditions, and the interior should be divided into corresponding clean areas and polluted areas, equipped with hand hygiene facilities or devices. The sampling points shall be clearly marked, and the sampling process and matters needing attention shall be defined. Set up an independent waiting area to ensure one-way flow of personnel. The sampling point shall not be set in the same place as the vaccination point in Covid-19.

  3. Material preparation.

  (1) Basic facilities: tents, tables, chairs or stools and other necessary materials to ensure the smooth development of sampling work.

  (2) Sampling materials: special sampling swabs, qualified collection tubes, enough test racks, transport vehicles and transport boxes (Class B packaging) and protective materials for sampling personnel.

  (3) Information collection system: All localities should establish a special information collection system to improve sampling efficiency, strengthen information management of nucleic acid sampling, and avoid manual reporting.

  4. Collection method. According to the "Notice on Printing and Distributing the Manual of novel coronavirus Nucleic Acid Detection in Medical Institutions (Trial Second Edition)" (No.313 [2020] of the Joint Prevention and Control Mechanism).

  5. Relevant requirements.

  (1) Personnel requirements. Personnel engaged in the collection of nucleic acid samples in Covid-19 should be doctors or nurses, be familiar with the sample types and collection methods, master the operation procedures and precautions of sample collection, and record the sample information well to ensure that the sample quality meets the requirements and the samples and related information can be traced back. Sampling and Covid-19 vaccination personnel cannot be the same staff. Covid-19 vaccine cannot be inoculated 48 hours before sampling.

  (2) Requirements for collection tubes. The pipe cap and pipe body should be made of polypropylene, the spiral opening can be sealed, the tightness is moderate, the cover has a gasket and is resistant to freezing. The tube is transparent and has good visibility. The outer diameter of the test tube is (14.8 0.2) mm× (100.5 0.4) mm, the outer cap is (15.8±0.15)mm and the height is (12.5 0.5) mm.. The capacity enterprise calibrates 10mL, which contains 3mL (single mining and 5-in-1 mixed mining) or 6mL(10-in-1 mixed mining) of guanidine salt (guanidine isothiocyanate or guanidine hydrochloride, etc.) or other effective virus inactivators, and the sampling tube containing guanidine salt is preferred. The preservation solution should have a color (such as pink) that is easy to observe and identify, and maintain a certain fluidity to facilitate sampling.

  (3) Requirements for swab collection. It is advisable to use non-cotton and non-calcium alginate swabs such as polyester and nylon, and the handle is made of non-wood materials. The breaking point is located about 3cm from the top of the swab head, which is easy to break.

  (4) Requirements for protective equipment of sampling personnel. According to the "Notice on Printing and Distributing the Manual of novel coronavirus Nucleic Acid Detection in Medical Institutions (Trial Second Edition)" (No.313 [2020] of the Joint Prevention and Control Mechanism).

  (5) Information collection requirements. Before sample collection, the sampling personnel shall check the identity information of the client.

  (3) Proportion of sampling personnel. When the sampling point needs to register information manually for some reason, the ratio of sampling staff, service support personnel and personnel to be inspected is 1:4:100, that is, for every 100 personnel to be inspected, one group of sampling staff and four service support personnel are required. When information is registered at the sampling point by means of information scanning code, the ratio of sampling staff, service support staff and personnel to be inspected is 1:3:130.

  (4) sample preservation and transshipment. Nucleic acid test samples should be kept at low temperature (2-8℃), equipped with enough vehicles and professionals, and in principle, samples should be collected every 2 hours for transshipment to ensure that the samples are delivered to the laboratory within 4 hours after collection. Non-inactivated samples are packaged in PI602 according to Class A infectious substances of UN2814 in WHO’s Guidelines for the Transport of Infectious Substances, and inactivated samples are packaged in PI650 according to Class B infectious substances of UN3373. Before the sample transfer box is closed, the surface of the container must be disinfected with 75% alcohol or 0.2% chlorine-containing disinfectant.

  Nucleic acid detection working group should accurately grasp the sampling situation and detection ability, accurately match the sampling quantity, and be equipped with enough vehicles and professionals to ensure that the samples are transported by special vehicles. In the whole staff nucleic acid detection work, the vehicle undertaking the transshipment task shall file the transshipment scope, transshipment route, transshipment starting point and destination with the health administrative department for the record. Vehicles shall not be used for other purposes during the transshipment task, and biological safety protection shall be done during transshipment. It is necessary to coordinate public security, transportation and other departments to do a good job in transportation safety guarantee according to actual needs.

  If the samples need to be sent to other provinces (autonomous regions and municipalities) for testing, the provincial health administrative department shall apply to the National Health and Health Commission and implement them according to the reply.

  (5) Standardize sample reception. The laboratory has established a professional team for sample receiving, formulated a scientific, standardized and efficient sample receiving process, and conducted training.

  (six) to ensure the testing ability and quality. Provinces (autonomous regions and municipalities) should strengthen overall planning, do a good job in measuring and equipping personnel and instruments according to the actual situation of population and distribution of medical resources, and on this basis, increase the allocation of personnel and equipment by 20% as the detection capacity reserve, and guide the municipal people’s government in the mainland to formulate the time limit for completing the full detection task and the sampling strategy.10,000 tubes are tested daily (10,000 for single tube, 50,000 for 5-mixed 1 and 100,000 for 10-mixed 1).The detection capabilities to be prepared are as follows:

  1. Detection personnel and equipment: 24-25 Covid-19 nucleic acid detection personnel, 15 related auxiliary personnel, 4-6 96-well nucleic acid extraction instruments, 10-12 96-well PCR amplification instruments, and 4 A2 double biosafety cabinets. Eight-channel pipettes, plate centrifuges, and vortex mixer are used together.

  2. Testing reagents and consumables: prepare corresponding quantities of reagents according to mixed mining or single mining. In addition to conventional detection reagents, 1-2 other reagents with higher sensitivity and different amplification targets from conventional detection should be prepared for the result review. Equipped with a corresponding number of consumables, such as PCR amplification plate, extended suction head with filter element, test tube rack, etc.

  3. Protective equipment: medical protective mask (head-mounted), isolation gown or protective clothing, powder-free latex gloves, shoe covers, protective screen or goggles, hat, hand sanitizer, etc., and the dosage is 2-3 days per person per day. Different types of protective equipment should be configured according to the body type of personnel.

  4. Relevant requirements:

  (1) Personnel requirements. In accordance with the "Covid-19 nucleic acid detection manual of medical institutions (Trial Second Edition)" related requirements.

  (2) Requirements for extraction instrument and amplification instrument. If a nucleic acid extractor is used, the nucleic acid extraction reagent should be used together with the nucleic acid extractor, and the nucleic acid extraction reagent and the amplification instrument specified by the amplification test kit should be selected. All equipment shall undergo necessary verification/calibration, and the procedure documents for the use, maintenance, verification and calibration of instruments and equipment shall be established and strictly implemented according to the procedure documents.

  (3) Reagent requirements. The reagent should be matched with the testing instrument. It is recommended to use a reagent containing at least the gene regions of Covid-19’s 1ab(openreadingframe1ab (ORF1ab) and nucleocapsidprotein (N). The amplification kit shall be a kit with registration number approved by National Medical Products Administration. It is suggested to choose a detection kit with low detection limit and high sensitivity (detection limit ≤ 500 copies /mL). All reagents should be properly preserved in strict accordance with the requirements and conditions, and used within the validity period.

  (seven) standardized testing and timely reporting of results.

  1. Sample testing. After receiving the samples, the laboratory shall immediately carry out testing. Before detection, full shaking elution was carried out, and then nucleic acid extraction and amplification experiments were carried out.

  2. Quality control. Performance verification, indoor quality control, and ventricular interstitial rating shall be carried out in accordance with the relevant requirements of the Manual for Nucleic Acid Detection in Covid-19 of Medical Institutions (Trial Second Edition).

  3. Test report. The qualitative detection report of nucleic acid in Covid-19 should include the detection results (detected/positive, undetected/negative), methodology and detection limit, detection time, etc. According to the instructions of the amplification reagents used, it is judged that the detection result is undetected/negative or detected/positive.

  4. Clear time limit. The test results shall be reported in a timely manner, 6 hours for key people in key areas and 12 hours for other people, and in principle, it shall not exceed 24 hours.

  (eight) standardize the disposal procedures of positive case reports.

  1. The processing flow of positive detection of apheresis. When the test result of single sampling is positive, the testing institution shall immediately report it to the nucleic acid testing working group, and the working group will also push two pieces of information (basic information of positive infected persons and positive report of nucleic acid testing) to six departments. First, inform 120 negative pressure ambulance to transport positive infected persons. The second is to inform the designated medical institutions to prepare to receive the positive infected person. The third is to inform the community (community) where the positive infected person is located to confirm and control the positive infected person and the people who live with him (close contact). The fourth is to inform the public security organs to assist in the transfer of positive infected persons and carry out the trajectory investigation of the positive infected persons. The fifth is to inform the CDC to carry out the work of flow adjustment, close contact investigation, research and judgment on the scope of community closure control, and terminal disinfection of epidemic spots. The sixth is to inform the epidemic prevention and control headquarters. The above six departments push at the same time, in no particular order.

  2. Mixed mining detection positive disposal process. Each city has set up an emergency sampling team, which is on standby 24 hours a day to make all preparations for departure at any time. When the mixed sampling test is positive, the testing institution shall immediately report it to the local nucleic acid testing working group, and the working group shall also notify the emergency sampling team, the community (community) where the mixed sampling sample is located and the public security organ to immediately isolate the people involved in the case in situ and review the single sampling. The first inspection responsibility system is adopted, and the rechecked samples are sent to the original laboratory for testing. If the recheck result of single mining is positive, it shall be handled according to the disposal process of single mining detection, and the detection of mixed positive single mining shall be completed within 6 hours (see Figure 1 for details).

Fig. 1 positive disposal process of mixed mining

  Fig. 1 positive disposal process of mixed mining

   3. Emergency safeguard measures. All districts and counties set up emergency teams according to the actual situation, and re-examine the positive results of mixed mining in time. The emergency sampling team shall be composed of sampling personnel, information collectors and drivers, and equipped with vehicles. Public security, community (village Committee) and other relevant personnel shall cooperate with emergency sampling personnel to take samples at home, adopt nasopharyngeal swab method, and send the samples to the original testing institution for testing.

  (9) Checking and pushing information. Compare the inspected personnel with the population base, organize supplementary inspection to ensure that no one is missed, and form a closed loop of work. Provide a way to query the test results, which is convenient for the public to know and apply the results.

  (10) Medical waste treatment. Medical wastes are generated in all aspects of nucleic acid detection. Do a good job in the collection, packaging, harmless treatment, temporary storage, handover and transfer of medical wastes. Use double-layer packaging bags to contain medical wastes and seal them effectively, so as to ensure that the sealing is tight and the packaging of medical wastes is not damaged or leaked.

  1. Basic requirements. Covid-19 sample collection sites and laboratories carrying out nucleic acid detection shall formulate medical waste disposal procedures. All medical wastes must be labeled in accordance with unified and standardized containers and labeling methods, and the contents of the wastes must be labeled completely and in compliance. Medical waste should be treated by trained personnel using personal protective equipment and equipment.

  2. Treatment measures of medical waste. The treatment of medical waste is the key link to control the biological safety of collection sites and testing laboratories. We must fully grasp the relevant classification related to biological safety and strictly implement the corresponding treatment procedures.

  (1) In the sampling site, a medical waste collection device should be set up, so that it can be cleaned up and transported in time, and the site should be disinfected regularly to prevent environmental pollution. Organized by each street (township), with 3-5 people in each sampling place, responsible for terminal disinfection and medical waste transfer in the sampling place.

  (2) The treatment of laboratory waste liquid and solid waste shall be carried out in accordance with the relevant requirements of the Manual for Nucleic Acid Detection in Covid-19 of Medical Institutions (Trial Second Edition).

  (3) After the sample testing is completed, all samples and medical wastes shall be collected and treated as infectious wastes.

  (4) After the gene amplification test, the reaction tube should not be opened after amplification, but should be sealed once with a sealed bag before being put into a garbage bag, and the mouth of the bag should be sealed, so as not to be sterilized by high-pressure steam, and then be transferred out of the laboratory for treatment as medical waste.

  (5) Every time the laboratory is exposed to high pressure, it is necessary to verify the disinfection effect by chemical method and keep the disinfection and verification records. According to the biological risk assessment, the biological monitoring of autoclaving effect can be carried out once a month or quarterly according to the operation requirements.

  3. Medical waste removal.

  (1) Determine the management unit. Nucleic acid testing institutions can independently choose centralized medical waste disposal units with corresponding qualifications to undertake the tasks of medical waste removal and harmless disposal. When the surge of nucleic acid detection tasks leads to the contradiction between the transportation capacity of medical waste and the amount of waste produced, the local ecological and environmental department can rationally allocate the collection and transportation tasks according to the current collection and transportation route of the centralized medical waste disposal units in the jurisdiction and the principle of convenience nearby, so as to improve the collection and transportation efficiency.

  (2) The nucleic acid testing institution shall negotiate and sign a service contract with the centralized medical waste disposal unit, and the service price shall be guided by the development and reform department. If it fails to sign a contract with the centralized medical waste disposal unit, the local ecological and environmental department shall designate the centralized medical waste disposal unit to be responsible for the collection and transportation of medical waste and sign a contract with the nucleic acid testing institution.

  (3) Ensure timely removal. Nucleic acid detection institutions should make an appointment with the collection and transportation unit for removal time according to the storage situation of medical wastes in temporary storage places, and the removal should avoid strong winds and thunderstorms. Collection and transportation units should optimize the dispatching of transport vehicles, rationally arrange the collection and transportation routes, and do a good job in ensuring the removal and transportation of medical wastes. According to the situation of epidemic prevention and control, when a large number of nucleic acid detection tasks are added, the frequency of removal should be appropriately increased. The temporary storage time of medical wastes in nucleic acid testing institutions shall not exceed 2 days.

  (4) Strengthen the removal protection. Nucleic acid testing institutions should designate special channels for medical waste handling and use special cargo (building) ladders. Medical waste removal personnel should do personal protection (wear work clothes before handling ordinary medical waste and protective clothing before handling medical waste related to epidemic situation), and wear protective equipment such as protective masks and gloves correctly, and try to avoid contact with other staff during handling. The medical waste removal personnel shall deliver the medical waste to the designated place along the special passage according to the agreed time, and shall ensure that the medical waste does not fall to the ground, and shall not discard or omit the medical waste. It is necessary to clearly inform whether this batch of medical waste belongs to "epidemic-related medical waste" during the transfer process.

  After each medical waste removal work, the protective equipment of the removal personnel shall be disinfected and managed according to the medical waste, and the contact parts of the removal personnel such as door handles, the environment of the transfer area (such as the special handling passage, the goods (building) ladder, the empty place of the temporary storage place), facilities, transfer vehicles and containers shall be fully disinfected.

  (5) Implement the system of ledger and joint receipt. Nucleic acid detection institutions (laboratories) should establish a medical waste management ledger system, timely register the output, removal amount and removal unit of medical waste, and keep the registration data for at least 3 years. When transferring medical wastes, the Joint List of Medical Waste Transfer shall be filled in and filed for future reference as required.

  Five, nucleic acid testing support team related requirements

  The party committees and governments of all provinces (autonomous regions and municipalities) may set up at least 10 nucleic acid detection support teams according to the situation of their own provinces, and each nucleic acid detection team reserves relevant materials according to the daily detection capacity of 10,000 tubes.To undertake the task of supporting the full-time inspection in the region or other provinces. The materials required by the nucleic acid testing support team shall be equipped separately, and shall not occupy the material reserves of the units dispatched by the nucleic acid testing support team. Party committees and governments of provinces (autonomous regions and municipalities) can give priority to the national public testing laboratories and urban nucleic acid testing bases as nucleic acid testing support teams according to the deployment of the joint prevention and control mechanism in the State Council, and on this basis, build other nucleic acid testing support teams according to actual needs.

  Each nucleic acid detection support team shall be equipped with at least the following personnel and materials:

  (1) personnel.

  1. quantity. 24-32 people (based on four shifts, 6-8 people in each shift, 15 auxiliary personnel, and the detection capacity is 10,000 tubes /24 hours).

  2. Basic requirements. Working in medical institutions and third-party testing institutions, with clinical gene amplification laboratory post training certificate, unlimited title, more than 2 years of experience in pathogen nucleic acid amplification testing, and Covid-19 nucleic acid testing experience, in good health. One of them is a team leader, who requires team management experience, good comprehensive quality and strong leadership, organization, coordination and communication skills. 1 assistant to the team leader (also liaison officer and mobile detection). At least 1-2 team members have the ability of instrument installation and debugging, maintenance and calibration and information network debugging. At least 4-6 personnel familiar with the quality control of nucleic acid detection and the analysis and reporting of test results. At least one team member has the knowledge and ability of laboratory biosafety risk assessment and taking corresponding protective measures. At least one team member has been trained and qualified in the use of autoclaved containers.

  (2) Instruments and equipment. The packaging of instruments and equipment shall be durable and reusable, so as to prepare for multiple packaging and transportation of instruments and equipment.

  1. Nucleic acid extractor (96 wells): 6 sets.

  2. Fluorescent PCR Amplifier (96 wells): 12 sets.

  3. Micro-adjustable sampler: single channel (1-10μ L、5-50μ L、10-200μ L、200-1000μ L)4-5 sets; 8 channels, 3-4 branches.

  4. Auxiliary equipment: 2-3 single-tube palm centrifuges; 8 2-3 sets of header and/or 96-well plate centrifuges respectively; 2-3 small vortex mixers; 1-2 multi-tube vortex mixers (used for the whole plate vibration mixing of sampling tubes); 5 sampler racks; A2 type biological safety cabinets for two persons, 4.

  5. Instrument spare parts: a certain number of easily worn parts such as magnetic rods, fuses, light bulbs, etc.

  (3) reagents.

  1. Nucleic acid extraction reagent. It can be used for testing 20,000-30,000 samples. The nucleic acid extraction reagent should be matched with the nucleic acid extraction instrument.

  2. Amplification of detection reagents. At least two kinds, one of which should be matched with the extraction reagent for daily detection, and the analytical sensitivity (detection limit) ≤ 500 copies /mL, which can be used for 20,000-30,000 samples. In addition, 1-2 reagents should be different from the amplification area of daily detection reagents, and the analytical sensitivity should be more sensitive than that of daily detection reagents, such as 100-300 copies /mL, which is used for re-examination and confirmation when daily detection reagents are positive. Amplification reagents should be transported in cold chain transport boxes.

  3. Others. Kit for instrument calibration; Pseudovirus particle quality control products used for testing system performance verification and indoor quality control, etc.

  (4) Consumables.

  1. Extended suction head with filter element. Specification 10μ L,100μ L,200μ L,1000μ L, no DNA and RNase, and the quantity corresponds to the detection reagent.

  2. Eight-joint exhaust pipe, matching 96-hole plate, sealing film, sealing bag and sample adding groove. Corresponding to the number of detection reagents, and matched with the amplification instrument. There are 10 sample-adding grooves and 20-30 plate frames for eight-connection pipes.

  3. Test tube rack. 50-100 4×8 or 8×12 test tubes (large holes, which can hold 5-in-1 and 10-in-1 mixed nucleic acid collection tubes).

  4. Protective equipment. Medical protective masks (head-mounted), surgical masks, isolation gown, protective clothing, powder-free latex gloves, shoe covers, face screens or goggles, hats, hand sanitizers, etc., each team member is equipped with one set for 2-3 days per day. Different types of protective equipment should be configured according to the players’ body types.

  5. Others.

  (1) 4-5 walkie-talkies are used to communicate with the outside of the laboratory.

  (2) 1 smart phone. It is used to transmit image information and report results to the outside in time in the laboratory.

  (3) 1 computer. In addition to the computer supporting the amplifier, an additional computer is provided for data processing outside the laboratory.

  (4) 1-2 mobile hard disks or large-capacity USB flash drives.

  (5) Share software. If possible, you can pre-install sharing software on all computers, such as teamviewer, so that the team leader or quality supervisor can check and review the positive results at any time outside the laboratory.

  (6) A first-aid kit, equipped with commonly used drugs and first-aid supplies.

  Six, nucleic acid testing laboratory reserves and security

  Cities with a population of less than 5 million should reserve more than 2 laboratories or areas that can be rebuilt for the nucleic acid detection support team;Cities with a population of more than 5 million should reserve more than 5 laboratories or areas that can be rebuilt for the nucleic acid detection support team. Each laboratory or remodelable area should accommodate at least 5 inspection teams (the daily inspection quantity of each team is calculated as 10,000 tubes), and reserve relevant inspection equipment, reagents and consumables. The personnel, sites and materials that each supporting nucleic acid testing laboratory should be equipped with are as follows:

  (1) personnel.

  1. Personnel receiving, deactivating and sorting samples: 20-25.

  2. Cleaning and medical waste disposal personnel: 4 persons.

  3. Hospital contact person: 1 person, responsible for the communication between the nucleic acid testing support team and counterpart medical institutions.

  4. Government contact person: 1 person, responsible for communication with the local government of the nucleic acid testing support team.

  (2) Site preparation.

  1. Sample receiving and inactivation (if applicable) treatment. The sample receiving space should be about 50 square meters, equipped with 2-3 A2 biosafety cabinets. The pretreatment room should be equipped with at least large sample transfer boxes, freezers, air disinfection machine, air conditioners, a large number of test racks and shelves. If a large number of samples cannot be inactivated in the biosafety cabinet, you can choose a ventilated, spacious, relatively remote and convenient place for sample transfer vehicles to receive samples and inactivate them and number them.

  2. Nucleic acid amplification detection laboratory. There should be at least three physically completely separated working areas, namely, reagent preparation area (more than 20 square meters), sample preparation area (more than 40 square meters) and amplification and product analysis area (more than 40 square meters). If the laboratory has a mechanical ventilation system, the ventilation in each area should be more than 10 times/hour; If there is no ventilation system, the sample preparation area and the amplification and product analysis area must have windows leading to the outside, and 1-2 strong outward exhaust fans can be installed on the windows, and high-efficiency filters should be installed to avoid environmental pollution. There should be enough laboratory tables for placing instruments and equipment such as extractors and amplifiers in the corresponding laboratory areas. At the same time, the electricity consumption load of the laboratory should reach the load of placing instruments.

  3. Lounge. Each nucleic acid testing support team should be equipped with a clean room for staff to work and rest.

  4. Warehouse. Each nucleic acid detection support team should be equipped with a special warehouse to store all kinds of consumables, equipment and packaging.

  (3) Instruments and equipment.

  1. Biosafety cabinets: A2 type, double, 4-5. 2 front-end sample receiving and inactivating areas (if applicable); 2-3 sample preparation areas.

  2. Inactivation incubator: 3-4 sets.

  3. clean bench: 1. Place in the reagent preparation area.

  4. Two freezers at-20℃ are placed in the reagent preparation area. 2 refrigerators at 2-8℃, placed in the sample preparation area.

  5. Movable UV lamps: 8.

  6. Air conditioning: air conditioning should be provided in all areas, and the indoor temperature should be maintained at 18-20℃.

  7. Internal-discharge autoclave: ≥ 80 liters, 2-3 sets.

  8. air disinfection machine: 3-5.

  (4) reagents.

  1. Nucleic acid extraction reagent: the quantity matched with the detection quantity corresponding to the number of people to be screened and detected.

  2. Amplification detection reagent: the quantity matched with the detection quantity corresponding to the number of people to be screened.

  (5) Consumables.

  1. Extended suction head with filter element (boxed, without DNase and RNase, and matched with the sampler used) (10μ L,100μ L,200μ L,1000μ L)。

  2. Sharps box: medium.

  3. Personal protective equipment: medical protective masks, surgical masks, hats, isolation gown, protective clothing, powder-free latex gloves, powder-free latex gloves, shoe covers, boot covers, protective screens and goggles, anti-fogging sprays, split clothes and long rubber boots.

  (6) Disinfectant supplies. 75% alcohol (500mL, 6 boxes), 84 disinfection tablets (1 box), watering cans (10 large and medium-sized ones), trash cans (6 large and medium-sized ones), mops with buckets (5 sets), antibacterial hand sanitizer, hand-washing-free disinfectant, medical garbage bags (large, medium and small), binding tapes, medical waste labels and 1250 pressure steam sterilization chemical indicator cards.

  (7) Office supplies. 5 walkie-talkies, 1 computer, 1 printer, A4 paper, scissors, tweezers, marker pen, gel pen, wide tape and long tail folder.

Wuyang-Honda 2024 new product launch conference, a number of new cars listed.

  [car home Information] On September 14th, during the China Mobo Fair, Wuyang-Honda brought four brand-new models to the majority of motorcycle riders. They are retro straddle CGX150, wide pedal NPF125, sports pedal NWX125 and light retro pedal Spacy 125.

Home of the car

  At this conference, Wuyang-Honda announced the suggested retail prices of three new cars: CGX150 standard version, side package version, special edition, NWX125 and Spacy125.

◆ Daily travel new partner | Spacy125

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  Spacy125 adopts Honda’s new generation eSP 125cc engine, and comes standard with IDLING STOP intelligent start-stop technology and high-definition negative display instrument. At the same time, ABS version of front wheel can be selected according to requirements. The low seat height design of 735mm makes it easy for users of different heights to control.

Spacy125 guide price car make and model Selling price (yuan) Standard edition 8680

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  In terms of travel convenience, Spacy125 has a large-capacity bucket seat space and an open front space, and the pedal space can also be used for carrying goods; The design of integrated saddle and aluminum alloy rear shelf gives consideration to comfort and practicality.

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  Spacy125, which focuses on light retro fashion, has five color schemes to choose from, including Star Moon White, Milk Apricot White, Mechanical Silver, Mo Landi Blue, Magic Black and Cream Green.

◆ Brilliant without borders | NWX125

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  Take the sports style pedal NWX125 to attract young people’s attention with stylish design. V-shaped headlights cooperate with the effect of running water lights, and there is a degree of relaxation. The whole vehicle modeling adopts line+rectangle segmentation; Smoked black taillights and left and right chrome-plated decorative turn signals make the three-dimensional atmosphere full and make the whole car more modern.

NWX125 guide price car make and model Selling price (yuan) Standard edition 9490

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  In terms of intelligent configuration of NWX125, there are not only black technology blessings such as IDLING STOP intelligent start-stop technology, SMART Key intelligent ID key, high-definition negative LCD instrument, 5V3A Type-C charging interface, but also double open front object boxes and large-capacity bucket space, which also make travel more casual and practical.

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  In terms of performance, NWX125 is equipped with Honda’s new generation eSP 125cc engine, with the maximum speed increased by 5%, fuel consumption reduced by 9%, engine output power of 7kW and output increased by 10%. NWX125 can choose the ABS version of the front wheel, which makes the braking force stronger and more stable.

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  NWX125 has a variety of color schemes to choose from, including Yaoye Black, Vitality Orange, Xingyue White, Xinghai Blue and Mechanical Silver. Configuration version includes CBS version, ABS version and ABS·SMK version.

◆ Tolerance, as it should be | NPF125

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  NPF125 is a commuter scooter built by Wuyang-Honda with the concept of comfort. The design of NPF125 shows high-end atmosphere; Double LED headlights show anthropomorphic visual effects through ingenious design such as simplifying contour lines. The taillights are ingeniously integrated into the "H" shape, with higher recognition.

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  The 660mm spacious saddle of NPF125 extends to the flat aluminum alloy rear armrest, and two people can enjoy good comfort when traveling; Wide and flat pedal storage space, so that feet are no longer cramped, but also provide cargo space; The spacious front container can hold 4 bottles of 500mL drinking water, and the bucket space has reached 14.3L after optimization design, and the space is full.

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  In terms of power system, NPF is also equipped with Honda’s new generation eSP 125cc engine, which is more powerful, greener and more comfortable. The fuel consumption per 100 kilometers is only 1.87L, and the full fuel life can reach 300km. NPF is also equipped with optional front wheel ABS, IDLING STOP intelligent start-stop technology, SMART Key intelligent ID key, 5V3A Type-C charging interface and other advanced configurations.

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  In terms of car color, NPF has five colors to choose from: mechanical silver, graphite gray, Xinghai blue, Xingyue white and Polar black, which creates the possibility for diversified travel styles.

◆ Pure Vintage | CGX150

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  The design concept of Wuyang-Honda CGX150 is to restore the essence of pure Vintage to the maximum: the whole body is horizontal, with a long and narrow fuel tank, caterpillar saddle, conical chrome-plated exhaust pipe, round retro headlights, spoke wheels and turtle back tires.

CGX150 guide price car make and model Selling price (yuan) Standard edition 10080 Side-wrapped version 10580 Special edition 11580

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  The CGX150 body adopts a large number of chrome-plated parts, which balances the overall color matching and makes it look more exquisite. The design of lamps is also full of exquisiteness. The smiling face style position lamp, small and exquisite taillights and turn signals are full of fun and show high recognition. The instrument, lock and fuel tank cover are arranged asymmetrically, and the unique retro fuel tank cover with large size makes the design more interesting, unconventional and full of personality.

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  In addition to the standard version, CGX150 has also introduced a special version with a more extreme shape. It adopts the design of single saddle+hump, and the rearview mirror is changed into a horn rearview mirror. The color matching of the special edition has also undergone a comprehensive retro design. The fuel tank is painted in two colors, with red and black color matching saddles and Honda’s classic red painted frame.

Home of the car

  In terms of performance, CGX150 faces stricter emission standards, makes a brand-new adjustment to the engine, optimizes the air-fuel ratio, and strengthens the output of middle and low speed torque. The front and rear double disc brakes are used for braking, so the braking distance is shorter, and the front wheel ABS is blessed, which makes it more secure when dealing with emergencies.

Home of the car

  As such a pure retro model, Wuyang-Honda specially designed the original side bag and windshield for CGX150, and passed the relevant certification. In terms of configuration version, CGX150 provides standard version, side package version and special version for selection; In terms of color matching, there are three standard color matching methods: pearl white, digital silver and polar black, and there is also a special color matching version.

Zhijie S7 and Huawei held a full-scene conference to build a full-scene ecology of the Internet of Everything.

An intelligent electric car slowly drove onto the stage. From the first perspective inside the car, you can see that there is no one in the cockpit, but the car can stop in the center of the stage accurately.

Huawei Smart World S7 and Huawei Full Scene Conference were held in Shanghai yesterday, bringing HarmonyOS Zhixing’s first car Smart World S7, and the new M7 rear-drive smart driving version, as well as a variety of new full-scene products such as Huawei Whole House Smart 5.0, Huawei MatePad Pro 11-inch 2024, Huawei MateBook D 16 2024, etc. The new products cover many scenes such as smart travel, smart home and smart office, and continue to build the full-scene ecology of Huawei’s Internet of Everything.

HarmonyOS Zhixing: Climbing the peak of the era of smart electric vehicles.

At yesterday’s press conference, Huawei officially released the HarmonyOS Smart Car Technology Ecological Alliance-HarmonyOS Zhixing for the first time.

Huawei has adapted the excellent practices of information industry and consumer electronics products to the automobile field, and cooperated with China automobile industry partners to create smart electric vehicle products and provide users with the ultimate smart travel experience, so as to create an open and shared technology platform and jointly climb the peak of the era of smart electric vehicles.

Among them, the new M7 in Wenjie is positioned as a 250,000-class luxury and smart large SUV, which combines great wisdom, large space and super safety. After two and a half months on the market, it has gained 100,000 yuan and ushered in a new milestone. Among them, more than 60% users choose the smart driving version, and the NCA option rate in urban areas reaches 75%. In order to further enrich consumers’ choice space, the new M7 rear-wheel drive version came into being, and the official guide price was 289,800-309,800 yuan.

It is reported that the international community is actively climbing production. Among them, the delivery of the new M7 is accelerating. It may deliver 16,000 to 18,000 units this month, and it is ready to deliver more than 23,000 units next month. Huawei Yu Chengdong said that it hopes to deliver more than 30,000 units every month after January next year.

As the full-scene flagship SUV with Huawei’s deep empowerment, Wenjie M9 is built with a new platform of Huawei’s smart car full-stack technology solution. It has been hot since it was not listed, and the booking volume has exceeded 33,000 units. The year-end giant contribution will be unveiled in December.

At present, HarmonyOS Zhixing owns a series of models such as Wenjie and Zhijie, which will be sold in Huawei flagship stores, smart life houses and other Huawei stores.

Huawei Yu Chengdong also responded at the press conference that Huawei’s car business is moving towards independent operation, introducing investment, and taking the lead in cooperation with Changan. At present, several partners of Huawei Smart Car Selection have received invitations, and more powerful car companies in China are also welcome to participate.

Intelligent S7: Redefining the New Experience of Intelligent Electric Car

At yesterday’s press conference, the intellectual S7 was undoubtedly a bright spot.

The Zhijie S7, the first high-energy and large-space smart car of HarmonyOS Zhixing released this time, brings together Huawei’s leading technology in the field of automobiles, adopts a brand-new platform built by Huawei’s full-stack smart car solution, and redefines the new experience of smart electric cars with brand-new OneBox modeling design, subversive driving experience and forward-looking intelligent technology.

The design of Zhijie S7 continues Huawei’s aesthetic principle of "extreme, pure and simple", which not only creates a powerful appearance, but also achieves the best spatial performance at the same level. The innovative yacht-embracing cockpit adopts a three-zone design with sports driving, exclusive queen space and intelligent large space in the back row, and provides rich technical luxury configuration, which perfectly balances driving pleasure and comfortable riding experience.

It is reported that Zhijie S7 has an acceleration of 0-100km/h of 3.3s, and its driving and control experience is comparable to that of super-running. Thanks to the ultra-low wind resistance and high efficiency of 0.203Cd, the comprehensive power consumption of Zhijie S7 is only 12.4 kW·h, and the comprehensive cruising range of CLTC can reach 855km. The 800V super fast charge can increase the battery life by 215km in 5 minutes.

In addition, Zhijie S7 is equipped with Huawei Turing intelligent chassis for the first time. Through the four core technologies of road perception, intelligent vehicle state perception, dynamic adaptive torque control and intelligent body collaborative control, with the adaptive air suspension system, intelligent driving performance can be achieved. Better driving safety, handling stability and driving comfort are achieved.

Zhijie S7 took the lead in getting on HarmonyOS 4, and has been upgraded again in terms of personalized gameplay, efficiency, intelligence, fluency, security and privacy. At the same time, Zhijie S7 is equipped with HUAWEI ADS 2.0 advanced intelligent driving system, which can realize advanced intelligent driving without relying on high-precision maps.

It is worth mentioning that Zhijie S7′ s first parking and driving function can realize over-the-horizon autonomous parking of vehicles and one-button calling of mobile phones, bringing more convenient and intelligent travel modes to consumers.

There are four versions of Zhijie S7, the price is 249,800-349,800 yuan, and you can enjoy the rights and interests worth 55,000 yuan in the first sale period, which ends on December 31, 2023.

MatePad Pro 11-inch 2024: the world’s first support for two-way Beidou satellite news

As the world’s first popular tablet computer supporting two-way Beidou satellite news, it forms a dual flagship of Huawei tablet with the previously launched Huawei MatePad Pro 13.2 inch, providing professional-grade productivity in HarmonyOS.

It is reported that Huawei MatePad Pro 11-inch 2024 models are as light as 449g and as thin as 5.9mm, making it the thinnest 11-inch tablet in the world; Equipped with OLED primary color full screen, 92% of the screen accounts for 1.07 billion colors, and passed the German Rheinland TV global eye protection 3.0 certification. Equipped with HarmonyOS 4, it supports new functions such as free multi-window and live window. The PC application engine realizes the native experience of desktop applications, and it is matched with Huawei M-Pencil (third generation) stylus with star flash technology. At the same time, the flat plate has four color schemes: Yachuan Green, Crystal Diamond White, Obsidian Gold Black and Xinghe Blue.

Huawei MatePad Pro 11-inch 2024 models, 12GB+256GB version 4299 yuan, 12GB+512GB version 4799 yuan, the above versions will be pre-sold on November 28th, and officially launched omni-channel on December 8th.

Huawei MateBook D 16 2024: Realizing Ultra-long Signal Connection

At the press conference, Huawei also brought a large-screen super-connected notebook-Huawei MateBook D 16 2024. Metamaterial antenna technology and terminal function based on HarmonyOS capability realize multi-device connection and ultra-long signal connection.

As a new product of Huawei MateBook family, Huawei MateBook D 16 2024 adopts a 16-inch full HD IPS anti-glare full screen, which accounts for 90% of the screen and supports 100%sRGB color gamut. The screen has been certified by Rheinland TV hardware-grade low blue light, making it more comfortable to watch. The network experience is equipped with Huawei metamaterial antenna technology, which continues the network advantages of previous generation products and supports long-distance network connection up to 270 meters.

Thanks to HarmonyOS’s ability, Huawei MateBook D 16 2024 achieves intelligent capabilities such as multi-screen collaboration, super relay station, intelligent search, etc. through the super terminal, and functions such as AI eye, AI sound effect and quiet space call also provide a more humanized intelligent interactive experience. In terms of selling price, Huawei MateBook D 16 2024 will start pre-sale on November 28, starting from RMB 4,599, and will be officially launched on December 12.

Author: Xu Jinghui

Text: Xu Jinghui Editor: Zhang Yi Editor: Rong Bing

Please indicate the source when reprinting this article.

"The first explosion in summer" There are not many new dramas in Daxun Wei, and fans are not angry. His fire is different from others.

The Secret Service Task starring Han Geng, Daxun Wei and Li Yitong is being broadcast.

Among them, Daxun Wei, as a supporting role, is known as the first explosion in summer this year, and is a famous table-lifting coffee. With less than 90 minutes’ appearance in a drama with more than 40 episodes, it won the first fault flow and became a miracle this summer.

After becoming popular, a network variety show "Let’s Go Now" as a flight guest has also become the program with the highest click-through rate in the history of its broadcast platform. Participated in the variety show "Hello, Saturday" also won the highest ratings of this program since its broadcast.

Therefore, everyone will naturally pay such high attention to this new work of his and want to see how it performs. However, it’s a pity that he doesn’t have many parts in this play. However, the fans are not very angry, which is not surprising, nor does it conflict, because Daxun Wei’s fire is not the same as others, because it depends on the temperament given to the characters by itself and the carnival of passers-by.

Not to eat the role bonus, but to give life to each other

The whole drama "You are my fireworks" is extremely unfriendly to the role of Meng Yanchen. Because in the novel, he is not the official match of the heroine, and his personality has problems and shortcomings. In addition, because he is the main actor, the scenes in the play have been deleted in pieces, and many high-light scenes have all been cut, and several pseudo-orthopedic scenes expected by countless fans have all been deleted.

To be honest, it is impossible for an actor to get a bonus from such a character who wants to find meat through his teeth. However, this role and the actor himself are all on fire again, which makes everyone fascinated by this role.

Because this character seems to have a life, it is not difficult for everyone to understand that it is not the screenwriter, the novelist or the director who gives Meng Yanchen life, but the actor himself, Daxun Wei who wrote a biography of the character. The character’s fire was watered by Daxun Wei’s painstaking efforts. Moreover, after the fire, Daxun Wei also carefully dared not spend too much on Meng Yan.

In the variety show, Adam asked him why he didn’t make more use of this already popular role to promote himself. He said he didn’t want to spend the banquet. His name is "Banquet Minister". Listening to his gentle voice shout out these two words, many people’s hearts have melted, and it feels that he regards Meng Banquet Minister as a real person.

Not fans brushing data, but passers-by reveling next to them

When Daxun Wei gained a little popularity with the role at first, fans were panicked, because they could not empty bottles, brush data, make pictures or play hyperbole. As for Lian Chao dialect, their hosts were all Daxun Wei himself, and the square was full of living people. There were no two identical Weibo, but all the living people were partying.

Seriously think about it, the data set of rice circles, in addition to improving some commercial value of Zhengzhu, is actually an internal carnival of fans. Capital does depend on the purchasing power of fans, but passers-by don’t buy it at all, and those who win the hearts of the people can achieve great things. This time, the fire in Daxun Wei is also a counterattack by passers-by against the behavior of pink circles that they can’t stand for a long time. No one cares about the life and death of Daxun Wei fans. The main thing is that passers-by support you and make you angry.

Daxun Wei’s fans, during the hottest period, were all quiet, for fear that after the passers-by ebbed, others would attack them, leaving them unable to fight back.

Not thinking about traffic, but hoping to achieve long-term results.

Daxun Wei knows that his looks are really inferior to other handsome guys at first sight, and he has never wanted to develop in idol dramas since he debuted, and he is not bent on being a traffic.

Now, he doesn’t want to consume popular characters to promote his new drama and jump out of the role. He also hopes that it will last for a long time in the future and achieve the long-term effect achieved by other works.

When the fire started, many media came to Daxun Wei to ask him and the role, hoping to get more enthusiasm from him and the role. In his response, Daxun Wei repeatedly said that the role is the role, he is him, and he doesn’t want to use this role for excessive consumption.

Everyone will say anything about the scene, and the real test is to see his state when the new drama is broadcast. Sure enough, he cut with the previous character. Otherwise, the film will use whatever propaganda means it can, that is, hard break, to put everything it can use on it.

Summary of the latest information on the second day after Luding M6.8 earthquake.

At 12: 52 on September 5th, an earthquake of magnitude 6.8 occurred in Luding County, Ganzi Prefecture, Sichuan Province (29.59 degrees north latitude and 102.08 degrees east longitude) with a focal depth of 16 kilometers. Saving lives, we will never give up. At present, the rescue is still in progress nervously. What’s the latest situation?

up-to-date information

The Luding 6.8 earthquake in Sichuan has killed 66 people.

At 16: 00 on September 6, Sichuan Provincial People’s Government, Sichuan Provincial Emergency Management Bureau and Sichuan Earthquake Administration jointly held a press conference in Moxi Town, Luding County, the epicenter. According to the press conference, 66 people were killed in the earthquake, including 38 people in Ganzi Prefecture, 28 people in Ya ‘an City, and 15 people lost contact.

Road damage:Accumulated verification of 12,031 kilometers of highways at all levels and 6,121 points such as bridges, tunnels, slopes and culverts; At present, the whole expressway is unobstructed, with many broken lanes on S217 and S434 lines, 15 rural roads blocked and 4 roads have been rushed through.

Communication damage:As of 7: 00 on September 6, the earthquake caused a total of 334 base stations to be surrendered and 77 base stations to be restored. Accumulated optical cables were damaged by 134 kilometers, and accumulated optical cables were rushed through by 29 kilometers; The number of people affected by communication interruption is 16,000.

Power damage:By 7: 00 on September 6th, two 110kV substations, two 35kV substations, one 500kV line, three 110kV lines, two 35kV lines, 27 10kV lines, 278 substations and 21,922 users have been restored.

Situation of dammed lake:The first tributary of Dadu River, Wandong River, was cut off, forming a dammed lake. At present, there have been more natural discharges, and the risks are generally controllable. The threatened people have been evacuated and transferred.

A graduate student of Chengdu Mountain Institute of Chinese Academy of Sciences was killed in Luding earthquake.

After the Luding M6.8 earthquake, the Gongga Mountain Alpine Ecosystem Observation and Experimental Station in Chengdu Mountain Institute was seriously damaged, and 18 people at the station lost contact for a time.

On the morning of September 6, the reporter learned from Chengdu Mountain Institute of Chinese Academy of Sciences that after preliminary verification, it was confirmed that one person was killed and three people were injured, and the remaining 14 people were safe. The victim was Liu, a 2021 graduate student of Chinese Academy of Sciences who participated in scientific research at the station.

The first "earthquake baby" was born safely after the earthquake.

At 20: 51 on September 5th, six hours after the earthquake with magnitude 6.8 in Luding County, a baby was born safely with a loud cry. He became the first earthquake baby born after the Luding earthquake, and the mother and child were safe.

Sichuan will complete the first round of full coverage investigation of potential hazards in the earthquake zone before 24: 00 on September 7.

On the evening of September 5th, the first meeting of the working group in front of the Sichuan Disaster Command was held in Luding County. The meeting demanded that efforts should be carefully organized to do a good job in emergency investigation of geological disasters after the earthquake, and the first round of full coverage investigation of hidden dangers of geological disasters in the earthquake zone should be completed before 24: 00 on September 7.

On-site direct attack

["Don’t be afraid!" The 4-year-old boy from Luding was rescued first by the zip line]

[The helicopter arrived in Gonghe Village, Luding County and transferred six seriously injured people to a safe area]

[Ganzi Forest Fire Brigade strengthens the "life passage" and transfers the wounded]

[Building a "life bridge" with trees to safely transfer 24 seriously injured people in forest fire control]

[Hit the sea snail ditch directly! It is estimated that the two-kilometer section will be rushed through in three days]

Rescue progress

All the affected people in the disaster area have been transferred and resettled.

At 16:00 on September 6th, the second press conference of the "9.5" Luding M6.8 earthquake in Sichuan was held in Moxi Town. By 8: 00 on September 6th, a total of more than 6,650 people and 9 helicopters had been dispatched from the People’s Liberation Army and Armed Police Force, fire fighting and rescue, forest fire fighting, Anneng Group, safety production, communications and electric power, medical rescue, etc. Among them, more than 3,850 people and 4 helicopters were dispatched from Luding, and more than 2,800 people and 5 helicopters were dispatched from Shimian. Four other helicopters are on standby. Up to now, all the affected people in the disaster areas have been transferred and resettled.

Emergency increase of funds and materials. On the 5 th, the provincial finance allocated 50 million yuan to Ganzi Prefecture, 50 million yuan to Ya ‘an City, 20 million yuan to Ganzi Prefecture and Ya ‘an City for emergency disposal of earthquake secondary geological disasters, and 20 million yuan for provincial geological disaster prevention and control subsidies. The Emergency Department allocated 83,580 provincial relief materials, and the Red Cross allocated 5,620 relief materials to support the rescue and resettlement work in disaster areas.

The risk of dammed lake in the tributary of Dadu River has been eliminated.

More than 400 people have moved along the river.

On September 5th, an earthquake of magnitude 6.8 in Luding County, Sichuan Province caused the mountain to collapse, and the first tributary of Dadu River, Wandong River, was blocked by rocks to form a dammed lake, which once threatened the downstream safety. On the afternoon of September 6th, China Anneng Group announced that after on-site inspection, the water inflow into the dammed lake was far less than the water outflow, and the risk of dammed lake had been eliminated.

According to the analysis of remote sensing, the dammed lake is about 4 kilometers away from the intersection of Dadu River. After the Wandong River joins the Dadu River, it directly enters the reservoir area of Dagangshan Power Station (with a total storage capacity of 777 million cubic meters). The dammed lake has little impact on the main stream and downstream of Dadu River. At present, more than 400 people threatened along the Bay East River have moved to safety.

Open the channel of life

The life passage from Luding County to Moxi Town in the epicenter has been rushed through the whole line.

At 15: 30 on September 6th, the 10-kilometer section of S434 from Jinguang to Moxi was successfully rushed through, which indicated that the life passage from Luding County to Moxi Town in the epicenter had been rushed through.

The golden section of provincial highway 217 was broken and rushed through.

At 15: 30 on September 6th, after 21 and a half hours of all-out emergency rescue, the collapsed section of provincial highway 217 Jinguang Bridge was rushed through. Combined with the village road near pier 2 of Jinguang Bridge on Lushi Expressway, the temporary road was widened, forming a dual channel for emergency rescue in and out of the disaster area, which further guaranteed the lifeline of disaster relief.

Emergency operation for 3 hours

Roads in Lan ‘an Township, Luding County, Sichuan Province have been fully restored.

It is understood that at 9 o’clock in the morning of September 6, Lan ‘an Township, located near the power station, was affected by landslides, and the only access to the township was blocked. Because there was no large equipment, the obstacles could only be cleared by hand. After learning the situation, the hydropower station acted quickly, and immediately mobilized a rescue team composed of professional construction personnel and large-scale mechanical equipment to rush to the scene to carry out road clearing work. After three hours of intense rescue work, the right half of the road was rushed through at 12 o’clock on September 6. At present, rescue workers are carrying out comprehensive risk removal on landslide slopes and other affected roads to ensure that the roads into the countryside are fully restored.

Sichuan Ganzi issued a notice on vehicle management in earthquake-stricken areas.

Social vehicles are temporarily unable to travel to Luding and Hailuogou.

On September 6th, Ganzi Prefecture Earthquake Relief Headquarters Office issued a notice on vehicle traffic management in earthquake-stricken areas.

According to the announcement, all vehicles entering the disaster areas in Luding and Hailuogou (vehicles for rescue teams, vehicles for transporting relief materials, vehicles for epidemic prevention and control, and vehicles for provincial working groups) will be uniformly issued with vehicle passes by the Ganzi Prefecture Earthquake Relief Headquarters, and the remaining vehicles will not be issued with passes. Among them, the control card points are located at Duogong Toll Station in Ya ‘an City and Yulin Traffic Checkpoint in kangding city (Ganzi Special Police Detachment), and all passes are collected at the above two card points.

The third team of Huaxi Hospital went to Ganzi.

At 10 o’clock on September 6th, following the instructions of National Health Commission and Sichuan Provincial Health and Health Commission, the National Health Emergency Mobile Medical Rescue Center (Sichuan) built by west china hospital once again sent five members of the rapid response team to Ganzi People’s Hospital to give treatment and guidance to the earthquake victims. Previously, on September 5th, west china hospital sent two groups of medical rescue team members with a total of 14 people to the Detuo Town Health Center in Luding, Ganzi and Ya ‘an People’s Hospital to carry out medical treatment guidance.

The masses and students in the town of Detuo, Luding have all been transferred.

According to the information of the Media Center in Luding County, Detuo Town in Luding County is the closest to the epicenter, and the disaster is particularly serious. As of 22: 00 on September 5, 15 people had died and 45 were injured in Detuo Town. Roads in Ziyachang Village, Wandong Village and Fawang Village were damaged and communication was interrupted. Two local teams have been organized to walk to the trapped village group to carry out disaster verification and search and rescue work. On the evening of the 5 th, all the people and students in the town had moved to safety, and the basic living materials such as disaster relief tents and food and drinking water had been guaranteed in an orderly manner. Armed police, public security, fire fighting, militia, medical and other rescue teams have successively arrived in the disaster area to carry out rescue work.

30 lost tourists in Hailuogou confirmed their safety.

Whether the glacier is damaged is still under investigation.

After the earthquake, many netizens asked for help through the cover news "Luding 6.8 Earthquake Cloud Help Platform", saying that their relatives were in Hailuogou Scenic Area and lost contact after the earthquake.

On September 6, in the front headquarters of Moxi Town, a staff member of Hailuogou Scenic Area told the cover journalist that after investigation, there were 30 tourists in the scenic area, all of whom had been contacted and properly placed. No one was injured, and the staff of the scenic area was not injured. Please rest assured.

Hailuogou Glacier and other scenic spots are world-famous. Are they affected by this earthquake? The staff member said that it is still under investigation and there is no latest exact news.

The National Space Administration urgently coordinated more than 10 satellites to help the earthquake-stricken areas in Luding, Sichuan.

At 12: 52 on September 5, 2022, an earthquake of magnitude 6.8 occurred near Luding County, Ganzi Prefecture, Sichuan Province (29.59 degrees north latitude and 102.08 degrees east longitude) with a focal depth of 16 kilometers. At 13: 02, the emergency needs of the National Disaster Reduction Center of the Emergency Management Department and the Sichuan Gaofen Center were tapped. The Earth Observation and Data Center of the National Space Administration started the civil and commercial satellite emergency response mechanism at the first time, and urgently coordinated the China Resources Satellite Application Center, Siwei Shijing, Tianyi Research Institute, 21st Century, Jilin Changguang, Obit, Guoxing Aerospace, Shandong Production Research Institute and other commercial companies, and dispatched Gaofen No.3 01/02/03, Gaofen No.1 D and Gaojing No.1.

The front command group of the western theater arrived at the epicenter.

More than 1,900 people have been dispatched to the war zone area for earthquake relief.

At 2 o’clock in the morning of September 6, the elite troops of the western theater were organized into the front command group and rushed to the earthquake-stricken area overnight to organize and command the army and armed police forces to carry out rescue.

At 8 o’clock in the morning, after nearly six hours of long-distance maneuvering at night, the front command group arrived in Moxi Town, Luding County, Ganzi Prefecture, and quickly organized the opening of the command post, actively communicated with the local government and emergency management departments, grasped the dynamic information of the earthquake and disaster situation, and implemented unified command. According to the actual disaster situation, the troops were used nearby, scientifically and quickly, and rescue operations were organized in a strong and orderly manner.

Up to now, more than 1,900 officers, soldiers, armed police and militiamen have been dispatched to participate in earthquake relief, and disaster relief tasks such as transferring people, setting up tents and carrying relief materials are being organized. Today, we will focus on the transportation of seriously injured people, road dredging, search and rescue of affected people and investigation of key dangers to prevent secondary disasters.

Power supply at centralized resettlement sites is guaranteed. 21,922 households have resumed power supply.

After emergency repair by Sichuan Electric Power of State Grid, as of 6: 00 on the 6th, two 110kV substations, two 35kV substations, one 500kV line, three 110kV lines, two 35kV lines and 27 10kV lines have been restored. 21,922 households resumed power supply.

As of 6: 00 on the 6th, Sichuan Electric Power of State Grid has invested 1,535 emergency repair personnel, 401 emergency repair vehicles, 12 emergency generator cars, 182 emergency generators, 103 emergency lighting lamps, 6 charging cabins, etc., to provide power supply guarantee for front-line headquarters and centralized resettlement sites, and fully carry out emergency repair work.

Sichuan Provincial Department of Natural Resources:

501 potential hazards in Luding earthquake-stricken areas have been investigated.

Transfer 11,252 threatened people.

Up to now, the Provincial Department of Natural Resources has dispatched the Provincial Geological Bureau, the Provincial Geological Survey Institute and the Provincial Natural Resources Investment Group to invest 448 people, 111 vehicles and 146 sets of other equipment such as drones to participate in the emergency investigation of secondary geological disasters.

There are 1,755 registered potential hazards in the earthquake zone. Up to now, 501 potential hazards have been investigated, 72 potential hazards have been rechecked, 15 new potential hazards have been added, 137 temporary resettlement sites have been set up, and 26 projects under construction and disaster prevention and control projects have been rechecked.

At present, 11,252 threatened people have been transferred, and no reports of casualties caused by secondary geological disasters in the earthquake zone and surrounding areas have been received.

Sichuan Provincial Communications Administration:

Preliminary recovery of epicenter communication in Luxi, Luding

On the morning of September 6, the cover journalist learned that the communication in Moxi, the epicenter, has been initially restored after emergency access. By 7: 00 on September 6th, Sichuan communication industry had dispatched 1,040 emergency repair personnel, 325 emergency vehicles, 536 oil generators, 102 satellite phones, 22 emergency communication vehicles and 1 large-scale high-altitude unmanned aerial vehicle. A total of 77 recovery base stations and 29 kilometers of optical cables were rushed through, and large drones provided continuous communication services for 7755 users in Moxi Town and Wandong Village of Luding County.

The earthquake-stricken areas in Luding County, Sichuan Province receive disaster relief donations to the society.

On September 6, the announcement of receiving disaster relief donations for the society in the "9.5" earthquake-stricken area in Luding County, Sichuan Province was released.

At 12: 52 on September 5th, an earthquake with a magnitude of 6.8 occurred in Luding County, Ganzi Prefecture, Sichuan Province, which was deeply affected and spread widely. The state immediately organized earthquake relief work, and the disaster situation attracted the attention of all sectors of society. In order to do a good job in social relief donation, the relevant matters are hereby announced as follows:

Cover journalist Wen Kanglin finishing

RX 590 first evaluation: the new technology has not improved much, but it is enough to hang 1060.

  [PConline first evaluation]This year’s DIY hardware market is not very friendly to gamers. First of all, the mining tide at the beginning of the year led to the soaring price of graphics cards. Finally, the mining tide faded and Intel’s so-called 14nm capacity crisis occurred, and the price of CPU began to soar. The price of NVIDIA’s new RTX graphics cards was even more expensive. When the price of Intel CPU soars, we can choose AMD Ryzen processor, which is more affordable, as a substitute. Then, when the price of NVIDIA soars, we naturally hope that AMD can come up with better new products to make us feel refreshed. It’s not, RX 590 is coming.

  Today, AMD officially released a brand-new RX 590 graphics card. Today, let PConline Jia Xiaobin take you to see if this new graphics card can undertake the sacred task of saving the majority of DIY players.

  Under normal circumstances, there will be a large section of technical analysis about the product in the first test, but not this time, because the RX 590 will not have too many innovations, and we can summarize it from several aspects.

  First, the graphics card still adopts Polaris architecture, and the core code is Polaris 30.

  Second, the number of stream processors for graphics cards is still 2,304, which means that the specifications of RX 590 are the same as those of RX 580, which may not be in line with our cognition. After all, the specifications of AMD graphics cards will be improved compared with those of ~90 models, but this is the reality.

  Third, the graphics card uses Grofonde’s latest FinFET 12nm, which should be the same technology as the second generation Ruilong. Judging from the performance of the second generation Ruilong,GF’s 12nm process can improve the overclocking ceiling of the core and reduce the power consumption of the same frequency.Let’s see if this is the case in the following test.

  Fourth, the video memory of the graphics card is 8GB, and the GDDR5 video memory is still used.

  From the comparison of the following tables, we can see the difference between RX 590 and RX 580 and RX 480 more intuitively.

Parameter comparison of public RX 590, 580 and 480 graphics cards display card RX 590 RX 580 RX 480 structure Polaris Polaris Polaris model Polaris 30 Polaris 20 Polaris 10 Transistor number 5.7 billion 5.7 billion 5.7 billion Core area 232mm2 232mm2 232mm2 manufacture craft GF 12nm GF 14nm GF 14nm Stream processor 2304 2304 2304 Texture unit 144 144 144 ROPs 32 32 32 Memory capacity 8GB 8GB 8/4GB Memory type GDDR5 GDDR5 GDDR5 memory wide 256bit 256bit 256bit core frequency 1469~1545MHz 1257~1340MHz 1120~1266MHz Memory frequency 8000MHz 8000MHz 8000MHz Video memory bandwidth 256GB/s 256GB/s 256GB/s single precision 7.1TFLOPS 6.2TFLOPS 5.8TFLOPS Initial pricing From 1999 yuan From 1999 yuan From 1599 yuan (4GB)
From 1999 yuan (8GB) Current price From 1999 yuan From 1599 yuan Discontinued

  Parameter comments:Because the Polaris 20 core used by RX 580 is already a complete body of Polaris architecture, there is no room for increasing specifications. Therefore, the adoption of Polaris architecture by RX 590 also means parameters such as stream processor and texture unit of graphics card.And RX 580 are exactly the same., but using a better process to Refresh the core, so the improvement of frequency and the change of power consumption have become the biggest differences of RX 590, which are also the focus of this evaluation.

  This is the same routine as the upgrade of RX 580 compared with RX 480. Simply speaking, RX 590 is a duplicated version of RX 480.The difference is that RX 580 uses the same process as RX 480, but the process is more mature and allows AMD to overclock, while RX 590 uses a brand-new 12nm process, and the frequency progress is also relatively large.

  To be honest, Xiaobian is still a little disappointed with the parameters of RX 590. Although the frequency of RX 590 is 205MHz higher than that of RX 580, it is about 15%, but when the graphics card specifications are unchanged,With the increase of frequency, the performance of graphics cards will increase less and less.Just like the so-called barrel theory, how much water can be loaded depends on the short board of the barrel.

  The starting price did not increase, and it remained at the same 1999, which is good.

  Considering the huge performance gap between GTX 1070 and GTX 1060, it seems impossible for RX 590 to challenge GTX 1070 this time. Is this the case? Don’t worry, the later on-board measurement can solve your doubts.

  This time, RX 590, like RX 580, is also the first launch, and it is directly released in a non-public version. This time, we also got a non-public version of the sapphire RX 590 Ultra Platinum Aurora Special Edition, which is also the protagonist of this RX 590 evaluation.

RX 590

  The appearance of the graphics card is basically the same as that of RX 580 Ultra Platinum Aurora Special Edition, with the ancestral "gas stove" shape, but the graphics card is dominated by light blue color matching and decorated with a little gray, which makes the square graphics card look very energetic and no longer rigid.

RX 590

  The video card fan is an LED fan with a diameter of 95mm, and its blades are transparent, which makes it easy to transmit light when starting. At the same time, the video card fan is designed to be detachable, so consumers can replace it themselves when they don’t like light pollution or the fan is faulty.

RX 590 evaluation

  There will be a sapphire RGB belief light at the top of the graphics card, which supports 6 modes.

RX 590 evaluation

  The external power supply of the graphics card is designed as 8+6pin, which is consistent with the RX 580 Ultra Platinum Aurora Edition.

RX 590 evaluation

RX 590 evaluation

  The thickness of the graphics card is about 2.2 slots, and it is filled with very dense fins, which is a good material in the mid-range graphics card, which also shows that the heat of the graphics card should be considerable.

RX 590 evaluation

  The graphics card also has a large area of backboard, and the backboard is mainly light blue. The large area of backboard can not only play a protective role, but also assist the graphics card to dissipate heat.

RX 590 evaluation

  The graphics card also has two BIOS, and the mute BIOS is close to the video output interface.The core frequency is 1545MHz consistent with the public version, the video memory frequency is 8000MHz, and the other side is the game BIOS, with the core frequency of 1560MHz and the effective video memory frequency of 8400MHz.

RX 590 evaluation

  The video output interface of the graphics card is designed as 2 HDMI+2 DP+1 DVI.

RX 590 evaluation

  It is not difficult to disassemble the graphics card. Just unscrew all the screws on the back plate with a moderately sized Phillips screwdriver. The heat dissipation material of the graphics card is still good. The part in direct contact with the GPU uses a pure copper base, and the parts in contact with the video memory and power supply are also covered with heat conduction stickers.

RX 590 evaluation

  The graphics card uses 4 heat pipes, 2 8mm and 2 6 mm.

RX 590 evaluation

  Next, look at the PCB board of the graphics card.

RX 590 evaluation

  This is the high-definition codeless recent photo of Polaris 30 core.

RX 590 evaluation

RX 590 evaluation

  The core size is about 14 mm * 18 mm.

RX 590 evaluation

  The memory comes from magnesium light, with a single capacity of 1GB, a total of 8.

RX 590 evaluation

  The power supply of the graphics card is designed as 6+1+1, and the fourth generation black diamond inductor and 16K black gold capacitor are used to ensure the stability of the power supply of the core and video memory.

  The disassembly of the graphics card is here. Let’s carry out the on-board measurement that everyone is most concerned about.

 The platform collocation of graphics card test is very important. The following is the test platform used in the initial evaluation of RX 590.

Introduction of hardware platform CPU Core i7-8700K mainboard Asus ROG MAXIMUS X FORMULA memory Qiqi Flare X flame gun series DDR4 memory 8GB×2 2400MHz, frequency set to 3200MHz. hard disc Samsung 960PRO 512GB Power Supply  Xingu Kunlun KL-650W radiator REEVEN RC-1401 CPU radiator display card Sapphire RX 590 8D5 Ultra Platinum Aurora Special Edition
NVIDIA GTX 1060 6GB Founders Edition
Asus DUAL RX580 O8G
Sapphire RX VEGA 56 Ultra Platinum Limited Edition
Asus dragon knight DRAGON GTX1070 TOP8G
Introduction of software platform operating system Windows 10 x64 Professional Edition 1803 Graphics driver NVIDIA: GeForce 416.34 WHQL
AMD: 18.10.2(RX 580&RX VEGA 56)
   18.8.1(RX 590) Theoretical performance test items 3DMark Frie Strike Extreme
3DMark Frie Strike URLRA
3DMAark TIME SPY Game test project Tomb Raider 11: Shadow
Extreme Racing: Horizon 4
Singularity ashes
Strange squad
Assassin’s Creed: Odyssey
Whole territory blockade Power consumption temperature item 3DMark Frie Strike URLRA stress test

  In order to ensure that the CPU and memory of the platform will not become bottlenecks, we all try to use high-standard hardware. Although the i7-8700K is the flagship of the previous generation, it is more than enough to squeeze out the performance of the mid-range graphics card, and the memory of 3200MHz is also luxurious for the mid-range installed configuration.

  The above is the information displayed by the sapphire RX 590 Ultra Platinum Aurora Special Edition in GPU-Z. Because GPU-Z has not been updated, some information is displayed incorrectly, such as the process or the 14nm process.

  Because the sapphire RX 590 Ultra Platinum Aurora Special Edition uses mute, the frequency of the graphics card is exactly the same as that of the public version.Therefore, we also use silent BIOS for testing, which can be directly regarded as the performance of RX 590 public version.

  GTX 1060 uses the public version. There is nothing to say. RX 580 uses ASUS DUAL RX 580 O8G.Because its frequency is 1360MHz, it is very close to the public version, and its performance is about 1~2% different from that of RX 580, which can basically be regarded as RX 580 public version..

  The GTX 1070 was close to production stop a long time ago, so it was difficult to find this graphics card, and the evaluation room could only find this ASUS DRAGON GTX 1070 TOP8G. It is worth noting that the frequency of this GTX 1070 has reached 1671MHz, and the nominal maximum frequency is 1874MHz (of course, the actual BOOST frequency of the N card is definitely much higher than this), which is 11% higher than that of the public version.It is one of the strongest GTX 1070 non-public versions, and its theoretical performance is 6~8% stronger than that of GTX 1070 public version.Of course, the power consumption of the graphics card will be about 40w higher, so you want to know the performance gap between the RX 590 public version and the GTX 1070 public version in the following test.Properly reduce the performance of GTX 1070 in the test..

  The situation of RX VEGA 56 is similar. We only found the sapphire RX VEGA 56 ultra-platinum limited edition as the test graphics card, but we used the silent BIOS of the graphics card.The performance is 2~4% better than that of RX VEGA 56 public version.The power consumption is about 30w higher.

  First, the theoretical test of 3DMark, in addition to the two commonly used tests of FireStrike Extreme and FireStrike Ultra, there is also the Time Spy of DirectX 12 benchmark performance test for game PC launched by 3DMark. At the same time, in order to ensure the beauty of the chart, the name of the graphics card is omitted.

  Summary of theoretical performance test:In the end, sapphire RX 590 is 12%, 14% and 11% stronger than ASUS RX 580 in the three tests, which is not a big improvement, but the gap is not small.

  Compared with the GTX 1060 public version, it is 17~22% stronger, and compared with the ASUS DRAGON GTX 1070 TOP8G, it is about 22~28% behind, not to mention the sapphire RX VEGA 56 ultra-platinum limited edition.

  Simply put, the theoretical performance of RX 590 should be just inserted between GTX 1060 and GTX 1070..

  However, 3DMark can only measure the theoretical performance of the graphics card after all, and how many game frames the graphics card can bring is what we are most concerned about. Let’s measure the game below. There are 6 games we tested, including the latest and most popular 3A masterpieces Assassin’s Creed: Odyssey, Tomb Raider: Shadow and Extreme Racing: Horizon 4, as well as the game Singularity Ashes, which Microsoft used to promote DX12′ s own operation. The test results are very representative.

1. Tomb Raider: Shadow

I9-9900K evaluation

  Unconsciously, Laura has been with us for 20 years, and has developed into the 11th generation. Today, she has been able to support all kinds of latest, true and most eye-catching graphics technologies.

2. Extreme Racing: Horizon 4

i9-9900K

  As an old racing game, forza motorsport series is very famous. This series is made by Playground Games. The open world of this series is the biggest highlight different from the original series. It is known as "the best racing game in this century", and its picture quality is exquisite and optimized. Netizens who like racing must not miss it.

3. Assassin’s Creed: Odyssey

I9-9900K evaluation

  Assassin’s Creed: Odyssey is the 11th work in the Assassin’s Creed series, which was created by Ubisoft. In the game, players will return to ancient Greece and play a mercenary with Spartan ancestry who was sentenced to death by his family, thus starting an epic journey from a young abandoned man to a legendary hero. The plot design and image quality of the game are very brilliant, and it is a strong competitor for the best game of the year.

4. "Singularity Ash"

I9-9900K evaluation

  Microsoft’s personal work to promote DX12 API perfectly supports all the effects of DX12. Benchmark optimization is in place, and it is also very suitable for testing DX12 performance and graphics performance of graphics cards.

5. Strange Squad

I9-9900K evaluation

  "Strange Squad" is also a new game that went on the market only at the end of August. The PC started and supported DX12 perfectly, and the Steam list was highly rated.

6. "Whole Territory Blockade"

  It is also a classic masterpiece created by Ubisoft, which is all the rage. It is said that the second one will come out soon, and then our evaluation room will test the game with the new version.

  Summary of game evaluation:The improvement of RX 590 compared with RX 580 is obvious. At 1080p, it can generally improve about 7 or 8 frames. In many games, it can be improved from "playable" to "fluent 60 frames", which is not bad. We summarize the performance of five graphics cards in six games under 1080p, and get the following chart.

  At 1080p, sapphire RX 590 Aurora Special Edition can lead GTX 1060 public edition by about 14% and ASUS DUAL RX 580 O8G by about 13% on the frequency of public edition. However, the RX 590 is still about 25% behind the ASUS DRAGON GTX 1070 TOP8G, and about 35% behind the sapphire RX VEGA 56 ultra-platinum limited edition.

  When it comes to 2k resolution, because A card has always been willing to allocate video memory, the bandwidth of video memory of A card at the same level will be larger than that of N card. The higher the resolution, the better the performance of A card in comparison, and this time is no exception. At 2K resolution, RX 590 is 20% ahead of GTX 1060, and about 23% behind ASUS DRAGON GTX 1070 TOP8G.

  Since it is impossible to test the power consumption of a certain hardware separately, the following are all the power consumption of the whole machine, which are three application scenarios. The game is fully loaded with the peak power consumption of the whole machine in the 11》Benchmark process of Tomb Raider 11, and the graphics card is fully loaded with the peak power consumption of the whole machine in the 3DMark stress test.

  Power consumption has always been the most disadvantage of A card. From the results, A card really can’t reach the excellent energy efficiency ratio as N card, and the gap is not small. The platform power consumption of RX 590 is about 100w higher than that of GTX 1060, and 30~40w higher than that of high-frequency GTX 1070.

  We mainly look at the new technology to make the new AMD graphics card compare with the old one. From the results, the power consumption of RX 590 with public version frequency is still higher than that of RX 580 with public version frequency, which is about 40 W. Does this mean that GF’s 12nm process is useless?

  We also found the sapphire RX 580 ultra-platinum limited edition as a comparison. The sapphire RX 580 ultra-platinum limited edition is the highest frequency RX 580, reaching 1450MHz. From the results, the platform power consumption of sapphire RX 580 Ultra Platinum Limited Edition is basically the same as that of sapphire RX 590 Ultra Platinum Aurora Special Edition, and even the RX 590 platform is slightly lower.However, the frequency of the sapphire RX 590 Ultra Platinum Aurora Special Edition is 95MHz higher.

  That is to say, GF’s 12nm technology can increase the power consumption of graphics cards by about 100MHz.Looking at the new technology in this way is not a gimmick, it is indeed an improvement. In fact, we probably know how much progress GF has made at 12nm from the performance of the second-generation Ruilong compared with the first-generation Ruilong, and the GPU core is larger, which makes it more difficult to improve the frequency. We can only say that the performance of this process is in line with Xiaobian’s expectations, and there is progress, but the improvement is not great.

  Let’s take a look at the performance of sapphire RX 590 Ultra Platinum Aurora Special Edition in terms of temperature, noise and stability. The test performance of this graphics card is closely related to the design and manufacturing skills of sapphire graphics cards.

3DMARK stress test results:

  In the 3DMark stress test, 97% passed, and finally the graphics card passed the test with a score of 98.6%, indicating that the stability of the graphics card is no problem. In the stress test, the highest instantaneous frequency of the graphics card is 1514MHz, which does not reach the nominal value of 1545. It may be limited by TDP. Click on the picture to see the specific value.

  Summarizing the stability performance of the tested graphics cards, the performance of sapphire RX 590 Ultra Platinum Aurora Special Edition is quite good, which reflects the basic skills of sapphire graphics card manufacturing.

Full load temperature test:

  In fact, the 3DMARK stress test just now also showed this temperature performance.

  Although the heat dissipation material of the graphics card is very willing, RX 590 is indeed a big fever. Finally, the full-load temperature of the graphics card still reaches 75 C, but this temperature is OK, and the difference of several degrees Celsius will not obviously affect the user experience.

Noise test:

  The noise of the graphics card is 54 decibels, which belongs to a quiet level, and the noise control of the graphics card is quite good.

About noise:

  0-20 decibels: very quiet, almost imperceptible; 20-40 decibels: quiet, like whispering; 40-60 decibels: general indoor conversation; 60-70 decibels: noisy: harmful to nerves; 70-90 dB: It is noisy and nerve cells are destroyed. 90-100 decibels: increased noise and hearing loss; 100-120 decibels: unbearable, temporarily deaf after staying for one minute. Above 120 decibels: extremely deaf or totally deaf; About 300 dB or above: 20km of people in Fiona Fang are irreparably deaf.

  From the above power consumption test, we know that the new technology is really helpful to reduce the power consumption of the graphics card (at the same frequency), so can the new technology greatly improve the overclocked ceiling of the graphics card? Let’s do the overclocking test of the graphics card.

  We downloaded TRIXX from official website of Sapphire as overclocking software for graphics card, and overclocked the core with a gradient of 50MHz until the graphics card appears abnormal situations such as split screen, blue screen and stuck, and then gradually lowered the frequency at 10MHz. After the core frequency is determined, the memory frequency is properly exceeded in the same way.

  The process of overclocking omits 10 thousand words, and finally we put the graphics cardThe core frequency has stabilized at 1650MHz.The overclocking amplitude is 6.8%.The actual frequency of video memory has exceeded 2120MHz.The overclocking range is 6%. The overclocking range of this graphics card really surprised me. Let’s take a look at the performance of the graphics card after overclocking.

Overfrequency test
model RX 590 RX 590 overclocking promote 3DMark TS 4817 5032 +4.4% 3DMark FSU 3610 3888 +7.7% 3DMark FSE 7170 7708 +7.5% Tomb Raider 11
1080p 63 66 +4.7% Tomb Raider 11
2K forty-two forty-four +4.8% Strange squad
1080p eighty-nine 92 +3.4% Strange squad
2K 64 66 +3.1% over-all properties 100% 105.1% +5.1%

  The higher the frequency of the graphics card of the same specification, the smaller the income after overclocking, but the performance of the graphics card is still improved by about 5% after overclocking, and it is still a little far from touching the GTX 1070 ass. The closest one is 3DMark FSU, which is about 8% different from the GTX 1070 public version.

  The cost of overclocking is also quite high. The power consumption of the graphics card has increased by about 60w. Strangely, the power consumption of the platform game is basically the same as that of the baking machine, but it is the same after repeated tests, probably because the frequency of the graphics card in the game is not stable. In short, players who want to overclock should remember to prepare a high-power power supply with good quality. After all, this wattage is almost catching up with RX VEGA 56.

  The comprehensive evaluation of RX 590 is here for the time being. I believe that after reading the whole article, everyone will have a more comprehensive understanding of AMD’s new graphics card. Next is your favorite comprehensive performance percentage chart.

  Finally, we synthesize the game performance of the graphics card at 1080p/2K and the theoretical performance of 3DMark, and get the above chart.The comprehensive performance of RX 590 with public frequency is about 18% ahead of GTX 1060, and about 11% ahead of ASUS DUAL RX 580 O8G which is close to public performance.

  However, the graphics card is still about 25% behind the ASUS DRAGON GTX 1070 TOP8G, and about 37% behind the sapphire RX VEGA 56 ultra-platinum limited edition. However, these are non-public graphics cards, and the reduction of the non-public edition will bring the corresponding performance increase. Xiao Bian roughly estimated that RX 590 is about 16% behind the GTX 1070 public edition and about 33% behind the RX VEGA 56 public edition. Of course, this is only a rough estimate. Please read it.

I prefer to call it RX 580X rather than RX 590.

  Previously, the RX 580 high-frequency non-public comparison RX 480 public version has only increased by 13%. Although the RX 590 also adopts the routine of frequency raising, the improvement is more sincere. GF’s 12nm technology can improve the performance of the second generation Ruilong by about 10% compared with the first generation Ruilong, and also improve the performance of RX 590 by about 12% when the power consumption is slightly increased. This 10% improvement is really good in the CPU field, but it is not enough in the graphics card field, not to mention that NVIDIA’s 10-series graphics card has an amazing 70% improvement compared with the 9-series graphics card, even if AMD’s own graphics card is upgraded, such as RX 480 compared with R9 380X. 

  AMD may also consider this point, and did not give the new graphics card the title of RX 680, but it is the first time that AMD~90 model’s graphics card specifications have not changed ~80 model’s graphics card has not changed. I prefer to call it RX 580X rather than RX 590. (Although RX 580X already exists, it is a RX 580 vest specially supplied by OEM channel.)

Even so, RX 590 is still very competitive in the market.

  Having said that, the pricing of RX 590 graphics card is more sincere, and most models are still set below 2000 yuan.Considering that even the public version of RX 590 still has a performance gap of at least about 10% compared with the top non-public version of GTX 1060 6GB.That ticket of GTX 1060 priced at 1900 yuan or above has no purchase value, unless your power supply quality is really poor or wattage is low.

  Most models of RX 590 in the market, such as the sapphire RX 590 Ultra Platinum Aurora Special Edition and Dylan RX 590 Demon, are top-level non-public workmanship. In contrast, many GTX 1060 materials of 1800~2000 yuan are very poor, which makes RX 590 more competitive in the mid-range graphics card market.

  So is the RX 580 no longer worth buying? Actually, it’s not. Now the price of RX 580 has dropped rapidly. Many beggar versions of RX 580 have dropped to 1599 yuan in JD.COM. Just like GTX 1060, it depends on whether it’s worth buying or not and the actual price.

  In the face of the GTX 1070 graphics card, which is currently priced at about 3,000 yuan, Xiaobian can only say that the RX 590 is still fragrant.

  It is reported that AMD’s new graphics card will be put on shelves in JD.COM at 10: 00 on November 16th.And the purchase of RX 580, RX 590 and RX VEGA graphics cards on the same day will send Blizzard game cards worth 210 yuan.Interested netizens can pay attention to a wave.

Write it at the end

  Although the RX 590 has not improved much this time, AMD’s strategy of running in small steps is quite successful. After all, although high-end graphics cards are the facade, most people buy dessert graphics cards of around 2,000 yuan. Since high-end graphics cards can’t beat them, it is also a smart choice to continue to exert strength in mid-range graphics cards.

  Many netizens may think that 2060 is coming soon, and it seems useless to produce this graphics card. However, according to the high cost and pricing strategy of this new generation of NVIDIA graphics cards, Xiaobian guessed that the pricing of the new generation of 2060 graphics cards should be around 2500~3500 yuan, which is no longer a competitive product in the pricing range with RX 590. The competitor of RX 590 should be the current GTX 1060 6GB. As for GTX 1070, both performance and price are not in the same range as RX 590.

  In a word, RX 590 is a graphics card for the market, with few technical highlights. If you have any expectations for the development of A-card, you should wait for the release of 7nm game graphics card NAVI next year, when the process of A-card will be rarely ahead of that of N-card, and AMD may also greatly narrow the gap with NVIDIA by virtue of the double progress of architecture and technology.

Dylan DEVIL RX 590

  When RX 580 was released last year, Dylan launched the top-end model DEVIL RX 580, and this time is no exception. DEVIL series is commonly known as the devil, which has always represented the top workmanship level of A card and even all graphics cards. The color scheme of red and black and the magic circle have always been the symbol of the devil series.

  Dylan’s first DEVIL RX 590 looks basically the same as DEVIL RX 580, continuing the relatively dark design style of the devil, and its face value is online. In addition, the frequency of the graphics card will reach 1575MHz, which is the relatively high frequency RX 590.

Asus STRIX RX590 8G GAMING

  As a card manufacturer, ASUS is naturally indispensable. This STRIX RX590 8G GAMING is the RX 590 model launched by ASUS.

  I believe everyone is familiar with the appearance of ASUS STRIX graphics card using ancestral radiator. The model released this time is not O8G or T8G, and its performance should be relatively conservative.

Ministry of Transport: High-speed congestion has been significantly alleviated after the cancellation of provincial toll stations.

  BEIJING, Aug. 27 (Xinhua)-At the regular press conference held by the Ministry of Transport on the 27th, Sun Wenjian, a spokesman, said that since the resumption of toll collection on May 6, the national expressway network has been running smoothly, the congestion situation has been obviously alleviated, and the traffic efficiency has been significantly improved.

  At the meeting, a reporter was concerned about the operation of the national road network since the national highway toll was resumed on May 6. Sun Wenjian made a related introduction to this:

  First, the traffic volume has basically recovered. With the further recovery of China’s economic and social order, the data of June and July show that the total traffic volume of expressways in China has reached 1.7 billion, which has recovered to 97.4% of the same period last year, and the recovery speed is still relatively fast.

  Second, the traffic efficiency has been significantly improved. In June and July, the traffic data of expressway networks in 26 provinces across the country showed that the average speed of vehicles increased from 61 kilometers per hour in the same period last year to 71 kilometers per hour now, of which trucks increased from 51 kilometers per hour to 55 kilometers per hour, and buses increased from 67 kilometers per hour to 84 kilometers per hour now.

  For the improvement of highway traffic efficiency, Sun Wenjian believes that there are several main reasons:

  First, the provincial toll station has been abolished, and the provincial toll station is no longer congested, and vehicles can pass through the provincial toll station unimpeded.

  The second is the application of ETC card in trucks and buses. The utilization rate of ETC card in buses has exceeded 70%, and the utilization rate of ETC card in trucks is close to 50%. These two factors have obviously improved the traffic efficiency of the whole expressway network. There is a typical case, that is, on the Beijing-Guangzhou line, the long-distance truck from Beijing to Guangzhou saves a day’s travel time before and after the stop, which is very strong for truck drivers.

  Third, the congested road sections have been greatly reduced. In June and July, the average daily number of congested and slow-moving sections of expressways in China was 2,453, a decrease of 379 compared with the same period of last year, with a decrease of 13.38%. There are 271 expressway toll stations with daily congestion in China, a decrease of 431 compared with the same period of last year, which is even more obvious, reaching 61.43%. These two indicators can show that the highway traffic has become more and more smooth.

  Fourth, the traffic volume of trucks increased and the no-load rate decreased. In June and July, the number of expressway trucks in China was 506 million, up 13.05% year-on-year. Among them, the average no-load rate is 24%, which is 4.1% lower than the same period of last year. As the main force of expressway transportation, the average heavy-load rate of large trucks with five axles or above is 61.6%, which is 4.3% higher than the same period of last year. The actual load rate of trucks has obviously increased, one of which has decreased by 4.1% and the other has increased by 4.3%, which well illustrates the impact on trucks after changing from weighing to axle charging.

  Sun Wenjian pointed out that at present, the Ministry of Transport is paying close attention to the operation of the road network after the withdrawal of the station, scientifically evaluating relevant policies, and making timely amendments to ensure that the broad masses of people can travel with satisfaction.

Do a good job in drought relief and ensure the national economy and people’s livelihood

    For some time, the drought in many places in China has developed rapidly, superimposed with high temperature and heat damage, which has adversely affected the production and life of many people. A few days ago, the Ministry of Agriculture and Rural Affairs, the Ministry of Water Resources, the Emergency Management Department and the China Meteorological Bureau jointly issued an urgent notice, demanding that the relevant areas do their best to prevent and reduce disasters, go all out to win the battle against high temperature, heat, drought and harvest of autumn grain, and clearly put forward that we should do everything possible to broaden drought-resistant water sources, strengthen the scientific dispatching management of water sources such as rivers, lakes and reservoirs, and strive to ensure the demand for agricultural irrigation water.

    "Thirst" cannot be delayed, and ensuring people’s water use is the top priority. Allowing rural residents to drink "safe water" and "safe water" for a long time is the basic premise of getting rid of poverty, an important content of realizing rural revitalization, and the proper meaning of protecting farmers’ rights and interests. In addition, as the saying goes: "Spring drought is not a drought, and autumn drought is halved." To prevent the autumn grain from decreasing production, we must do our best to fight drought and win the battle of autumn grain harvest.

    Earlier, the person in charge of the relevant departments of the Ministry of Water Resources said that the drinking water safety situation of rural people in drought-stricken areas had been comprehensively explored, so as not to miss one household or one person. It is an urgent and important task to solve the drinking water difficulties of urban and rural residents and let the people drink "safe water" and "safe water".

    According to the news from all sides, many places have also acted quickly. From water storage and water conservation, to water replenishment, to water supply by turns and emergency water supply in sections and districts, in order to ensure the people’s water use. In addition, from opening up new water sources, to time-sharing water supply, and then to pulling water to deliver water, relevant local departments have also introduced targeted measures according to local conditions to minimize the impact of drought.

    Some implement artificial precipitation enhancement to "quench thirst" for the land; Some are "well organized" to fight drought, and "big wells, small wells, deep wells and old wells are together"; Others mobilize scientific and technical personnel to show their strength at critical moments. For example, agricultural technicians help growers to use water sources such as wells, rivers, ponds and canals to replenish water for irrigation, timely topdressing panicle fertilizer, and strengthen pest control and monitoring. Drought resistance and bumper harvest, proper measures and comprehensive efforts can achieve great results.

    It should also be noted that it is difficult to achieve the expected results by individual strength alone in dealing with this drought. Farmers everywhere took action spontaneously, and their spirit was commendable. However, it is necessary to unite the group to fight drought, especially the relevant departments should organize capable personnel, mobilize the forces of all parties, and form a huge and sustained joint force to maximize the effectiveness of drought relief. In this process, we must also fight drought scientifically, spend money on the cutting edge and use our strength in critical areas.

    Drought resistance is not a matter of one department, but needs multi-department linkage. The emergency notice issued by the 4 departments this time reflects this point. The water conservancy department should strengthen the scientific dispatching management of rivers, lakes, reservoirs and other water sources, the emergency department should preset emergency response forces and materials and equipment for flood control and drought relief, the meteorological department should dispatch operational aircraft to the severely drought-stricken areas in time, and the agricultural and rural departments should further improve the technical guidance for fighting disasters and harvesting crops. While completing their own work, they should also hold hands with each other and strengthen linkage to better cope with this round of drought.

    China is a country with frequent floods and droughts, and has accumulated rich experience in the long-term drought relief process. However, in the face of this rare serious drought, we must not be the slightest bit careless. It should be admitted that it is not easy to do a good job in drought early warning and strengthen risk management, but it does not mean that human beings can only do nothing. We should vigorously fill shortcomings, plug loopholes, and improve drought resistance, optimize drought resistance means with the greatest strength, and introduce advanced technology to effectively reduce the harm caused by drought.

    Strengthening the prevention and control of natural disasters is related to the national economy and people’s livelihood, and to everyone’s life safety. Drought is the command. We should not only make strategic preparations for "fighting against severe drought and long drought", but also try our best to refresh more effective "fighting methods" in tactics, improve the drought-fighting effect and fully protect the national economy and people’s livelihood.

    (Author: Wang Shichuan, a media commentator)

Big-name doctors "hold a group" to start a business (focus on visiting doctors group (I))

In 2014, China’s first doctor group outside the system was established. Subsequently, various forms of doctor groups such as outside the system, inside the system and online have emerged. According to incomplete statistics, there are 160 famous doctor groups on the list, which shows the vitality of the development of doctor groups. Doctor group is a new thing in the process of promoting the construction of healthy China and deepening the reform of medical and health system in China. From today, we will launch a special report on "Visiting Doctor Group", focusing on the development status of doctor group, hoping to attract everyone’s attention.

-editor

The doctor group provides one-stop and continuous service, which is completely different from the doctor’s "going to the hole" and "flying knife"

Ms. Shen, 61, discovered atrial fibrillation in 1999. She has undergone three operations and her condition has not been alleviated. She learned that Hartrim Cardiologist Group can do one-stop hybridization surgery, so she found Liu Xingpeng, an expert of the group. Liu Xingpeng organized a team of experts in the group to carefully analyze Ms. Shen’s condition, worked out a feasible surgical plan, and performed surgery in October 2016. Since then, Ms. Shen has bid farewell to atrial fibrillation that has plagued her for 17 years.

Ms. Shen had the operation in Hebei Yanda Hospital. Liu Xingpeng is a cardiologist at Beijing Chaoyang Hospital and one of the co-founders of Hartrim Cardiologists Group. Yanda Hospital is the second practice place of Liu Xingpeng and one of the cooperative hospitals of the Group.

"It truly reflects the patient-centered and gathered many experts in cardiac surgery. As a patient, I simply can’t invite so many well-known experts. " What Ms. Shen is talking about is the characteristic of Hartrim Cardiologist Group-multidisciplinary expert group collaborative diagnosis and treatment mode, that is, a group of relatively fixed experts from more than two disciplines discuss a patient’s organ or system diseases in a normal way, form a diagnosis and treatment plan, and execute it by members of the corresponding disciplines.

"Unlike the consultation with administrative departments in public hospitals, this is a multidisciplinary expert group collaboration initiated on the initiative according to the needs of patients, which is completely considered for patients and does not involve the interests of departments." Fan Rui, CEO of Hartrim Cardiologist Group, said. The hybrid surgery mentioned by Ms. Shen is a new type of surgery developed by the group, which can enable multiple specialist teams to cooperate and provide patients with various necessary surgical treatments during one operation, thus reducing the pain of patients undergoing multiple operations.

Doctors of the doctors’ group practice in Yanda Hospital, which is not the so-called "flying knife". In 2015, the doctor group cooperated with Hebei Yanda Hospital at the beginning of its establishment, and in 2016, the "1+N" cooperation mode was launched, that is, doctors from large 3A hospitals in the group went to the cooperative hospital full-time to be responsible for the daily diagnosis and treatment of the cardiac department, and many experts in the group fully supported it. Tan Chen, the chief physician from the Army General Hospital, has been stationed in Yanda Hospital full-time since March 2016, and led a cardiac ward. With the support of many experts such as Mei Ju, a professor of cardiothoracic surgery at Shanghai Xinhua Hospital, more than 400 cardiac operations were completed in the first year of its opening. There is another model "N+1", that is, there are many experts in the system to help the same hospital collectively. "1" refers to the leader of the cardiac discipline of the cooperative medical institution itself.

"We not only helped cooperative institutions in terms of discipline development, but also set up a team of follow-up nurses. Follow-up nurses are mainly responsible for supervising patients to take medicine, reminding them to review regularly, follow-up and other services. The general consultation needs of patients can be met by asking the follow-up nurse, and doctors can be found through the follow-up nurse when treatment is needed. The group provides one-stop and continuous services, which is completely different from the doctor’s’ walking the hole’. " Fan Rui said.

In the form of a company, the doctor group absorbs doctors with high technical level to practice in a managed and organized way, and is strong and powerful.

In addition to Yanda Hospital, Hartrum Cardiologist Group also cooperates with five hospitals, and the experts of the group make house calls or provide technical assistance in the cooperative hospitals with the advantage of "N" to jointly build a cardiology discipline.

In May 2015, Liu Xingpeng and other seven first-line cardiologists from six top-three hospitals in Beijing jointly established Hartrum Heart Rate Specialist Group, which is the first specialist group in the field of heart disease in China. In 2017, it was renamed Hartrim Cardiologist Group. The services mainly include arrhythmia, coronary heart disease, heart failure, structural heart disease and other diseases, and there are four sub-professional expert teams and nurse teams to provide diagnosis and treatment and technical output services for cooperative hospitals. Due to the multi-disciplinary cooperation of heart disease and the characteristic hybrid surgery, the group’s diagnosis and treatment volume and business income have soared year after year.

The Donglei Brain Doctor Group, which was established in the same year as Hartrem, was initiated by Song Donglei, an expert in neurosurgery at Huashan Hospital affiliated to Fudan University, and is also a specialist doctor group. The group has very high requirements for doctors’ professional skills and academic level. Most of the group experts and cooperative experts have overseas study and study backgrounds, focusing on the diagnosis and treatment of brain neurological diseases. The founders and experts of Donglei Brain Doctor Group are mostly full-time doctors who leave the system. When cooperating with the hospital, the full-time doctors of the group need to sign a labor contract with the hospital and register the cooperative hospital as the practice place; If it is an identity within the system, it is enough to carry out multi-point practice filing.

The reporter found that these doctor groups are all in the form of companies, attracting doctors with higher technical level to practice in a managed and organized manner. They combine with each other with their technological advantages to obtain technical value returns in the market.

In June 2016, the practice license of medical institutions in the outpatient department of Shenzhen Bode Jialian Doctor Group was officially approved. Nearly 300 contracted experts of the doctor group can carry out disease diagnosis and treatment in the outpatient department, and the clinical disciplines cover 26 specialties, including gastrointestinal surgery, hepatobiliary surgery, congenital heart disease, asthma and chronic obstructive pulmonary disease.

Chuanpai Doctor Group is a specialist group specializing in the field of pain medicine. At present, it has purchased a second-class hospital of integrated traditional Chinese and western medicine and named it "Chuanpai Medical Prescription Museum".

There is also a kind of doctor group, which belongs to the management service type and is similar to the doctor broker, such as Everyone Medical Association and Zhongyu Doctor Group. This kind of doctor group is positioned as a doctor’s agent company, which is mainly responsible for providing management services related to doctors’ practice, such as establishing an information exchange platform, helping doctors choose contracted hospitals, centralized negotiation, and risk response.

In the management service doctor group, there are also some Internet doctor groups such as Xingxiangyuan. This kind of doctor group mainly relies on the Internet platform to become a professional assistant and multi-point practice platform for doctors, and relies on the Internet to achieve accurate matching between doctors and patients offline. On the one hand, it provides consulting, brand communication, customer development, service operation, payment system, legal risk control and other services for the doctor team; on the other hand, it serves as an information release and integration platform for doctors and patients and acts as an intermediary.

Doctors are not affiliated resources of public hospitals, but common resources of the whole society.

Most of the founders of doctors’ groups are already big-name doctors. Why should we start a doctor’s group? Huo Yong, the co-founder of Peking University First Hospital and director of the Department of Cardiology, said that the doctor group is an organizational form that adapts to the transformation of the social system, and it is more compact and efficient, which is convenient for doctors to better safeguard public health. "The situation that doctors only belong to hospitals will definitely change, and doctors should be freelancers." He said that it is a common phenomenon for doctors to go out from hospitals and form a doctor group to partner, sign contracts and engage in practice, but it has just started in China.

Huo Yong has been a cardiovascular doctor for 35 years. In the course of practicing medicine, he found that the interventional therapy technology of coronary heart disease in China is becoming more and more mature, but the mortality rate of coronary heart disease is also rising. Therefore, interventional therapy alone is not enough, and we must consider it as a whole and pay more attention to primary, secondary, tertiary or even zero prevention. "Through the organization of doctors’ groups, more hospitals, especially primary hospitals, will be promoted to join, and industry standards and standardized procedures for cardiovascular treatment will be established." He believes that the demand for cardiovascular treatment in county hospitals is the most urgent. Because the regional population is relatively stable, the concept of tertiary cardiovascular prevention can be well practiced and people’s health level can be improved.

It is one of the main reasons for the establishment of most doctor groups to better rely on technology to obtain sunshine income. "I founded the People’s Medical Association with the aim of establishing a mutual aid platform for multi-point practice. I am also a doctor in Fuwai Hospital of China Academy of Medical Sciences. I also have to go out for outpatient service and have surgery. Under the premise of not affecting my job, I will make the platform bigger and help doctors use their own technology to treat more people, especially grassroots people, so that they can enjoy quality medical services at home. " Hongtaosun, the founder of the All-China Medical Association, said that the profit of the All-China Medical Association is very thin, but the income of doctors who go out for an operation is very considerable, which greatly improves the income level.

The All-China Medical Association is the first doctor group within the system in China. Some experts have commented that it not only created a precedent for doctors to start businesses within the system, but also opened a door across the system for deepening medical reform. Hongtaosun said that Dr. China’s personal brand has not been established, and it is still difficult to practice completely freely outside the system. The best business model is to practice more within the system.

Nowadays, there are more and more doctor groups inside and outside the system, led by doctors, capitalists and pharmaceutical companies. After many investigations, Miao Yanqing, a researcher at the Health Development Research Center of the National Health Planning Commission, roughly counted that the number of well-known doctor groups in the country has reached 160, and a few doctor groups have just been established and are not known to the industry.

Miao Yanqing believes that the increasingly relaxed policy has created a good environment for the emergence of doctor groups. From 2009 to 2017, China has successively issued a number of policies to support and encourage the rational flow of medical personnel between different medical institutions, and gradually realize the goal of "one registration and regional effectiveness". In particular, "Healthy China 2030" Planning Outline clearly puts forward "actively exploring doctors’ free practice, individual doctors signing services with medical institutions or forming doctors’ groups".

"At present, a single mode of medical service supply is difficult to meet people’s diversified needs. From the aspects of medical platform, doctor’s practice mode, people’s choice of medical treatment, medical insurance, etc., the doctor group has promoted the transformation of medical services from a centralized supply mode to meeting diversified medical service needs, and explored new formats for building diversified medical service supply. " Miao Yanqing said.

Cai Jiangnan, director of the Center for Health Management and Policy of China Europe International Business School, believes that the problem of doctors has been the bottleneck of medical reform for many years. Doctors’ groups touch on a series of institutional issues such as graded diagnosis and treatment, doctors’ employment treatment, etc., which are likely to become the breakthrough of medical reform and should be supported and cared for. "Doctors are not affiliated resources of public hospitals, but common resources of the whole society, which should be well utilized."

People’s Daily (February 23, 2018, 20th edition)

After the two-year-old girl attended the wedding banquet, the suspect of tetramine poisoning turned out to be an uncle.

  Liu Yurui, Chief Reporter of Jimu News

  On January 7, Xiaoman (a pseudonym), a 2-year-old girl from Liaocheng, Shandong Province, was still receiving treatment in the hospital.

  A month ago, Xiaoman and his uncle attended the wedding banquet in the village. Unexpectedly, after returning home, Xiaoman showed symptoms of poisoning, and the hospital diagnosed it as tetramine poisoning.

  While treating Xiaoman, he reported the case to find the murderer. But as a result, Xiaoman’s father couldn’t figure it out.

  The police said that this was a criminal case of intentional homicide. The suspect is Xiaoman’s uncle.

Receipt of acceptance. jpg

  Receipt of acceptance

  Candy at the wedding banquet

  Xiaoman lives in Chenmiao Village, Douhutun Town, Liaocheng City, Shandong Province. At the age of 2, she is deeply loved by her elders.

  On December 9, 2021, Mr. Hua (a pseudonym), a villager in the same village, held a wedding banquet, and Xiaoman’s uncle took her with him.

Xiaoman is being treated in the hospital. jpg

  Xiaoman was treated in the hospital.

  Xiaoman’s father told Jimu journalist that an old man gave Xiaoman a candy that day. About 20 minutes after Xiaoman ate it, she developed symptoms of physical discomfort, and her uncle took her home. Unexpectedly, after returning home, Xiaoman began to have convulsions, foaming at the mouth, blue face and other symptoms, and was then sent to the Pediatric PICU of Liaocheng People’s Hospital for rescue.

  Soon the results came out, and the medical certificate issued by the hospital showed that Xiaoman was poisoned by tetramine. According to the data, tetramine was listed as a banned pesticide by the former Ministry of Agriculture and Rural Affairs as early as 2002 because it is highly toxic to humans and mammals and can cause secondary poisoning and environmental pollution.

Hospital diagnosis certificate. jpg

  Hospital diagnosis certificate

  "The test results show that the content of tetramine in Xiaoman’s blood reached 876ng/ml." Mr. Man said that he immediately called the police.

  Subsequently, after nearly 20 days of repeated transfer treatment, Xiaoman’s condition gradually stabilized. "My wife is a temporary teacher in kindergarten, who is mainly responsible for taking care of the safety of children." Mr. Man said that such a thing happened to his children, which was a great blow to his wife.

Xiaoman's previous photos. jpg

  Xiaoman’s previous photos

  The suspect is an uncle.

  The filing notice shows that Dongchangfu Branch of Liaocheng Public Security Bureau has filed a case for investigation on December 10, 2021. The journalist noticed that the name of the case on the notice of filing was "12.09 intentional homicide".

  At 9 o’clock on the evening of the 7 th, the journalist contacted the police investigating the case. He said that the case has been characterized as a criminal case, and the specific details are inconvenient to disclose.

  Mr. Man recalled that on December 9, after Xiaoman was sent to the hospital, he found the candy wrapping paper that she had eaten that day in her daughter’s bag. "I gave the candy paper to the criminal police, and later they told me that there was something wrong with the candy." Mr. Man said.

  The next day, the police found Mr. Man and told him that he had found the monitoring of the wedding banquet scene at the time of the incident. "I saw an old man acting suspiciously." Mr. Man said that he recognized it at that time. This is his uncle who lives near his home, that is, Xiaoman’s uncle.

  "At that time, we couldn’t believe it, because even if we had contradictions, it was just trivial things." Mr. Man said that his family and uncle had a small dispute because of the trend of water pipes before, but he never thought that these were enough for him to poison Xiaoman.

Notice of filing a case. jpg

  Notice of filing

  At present, the case is still under investigation by the local police. Xiaoman has been transferred to Shandong Provincial Hospital for rehabilitation treatment. "Now I can open my eyes." Mr. Man said that the previous treatment has cost nearly 150,000 yuan, and the future treatment of Xiaoman is conservatively estimated to need 100,000 yuan.

  Mr. Man told reporters that the doctor also said that Xiaoman may not be able to fully recover. "There is a little hope, and we also want to try it." Mr. Man said.