Look at things deformed, be careful of macular edema! Daily health adjustment focuses on three points ~

"Source of this article: Capital Traditional Chinese Medicine"
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Recently, I received a 56-year-old female patient in the outpatient clinic: "Doctor, my eyesight used to be very good, but the other day I saw things suddenly deformed." Now I see that the straight line on the wall is curved, and some things were originally big, but I look smaller. And I can’t see clearly. What’s going on? " The patient said and gestured with his hand.
According to the description, I estimate that the patient may have macular problems. After further inquiry, I learned that the patient had a history of hypertension. A few days ago, he was overworked and stressed, and his blood pressure increased significantly. The author gave her a special examination of fundus, and sure enough, she found fundus hemorrhage and macular bulge. The diagnosis was macular edema, secondary to retinal vein occlusion.
What is macular edema?
Macula is located in the center of the fundus, which is similar to the position of the target’s bull’s-eye 10 ring. It is called macula because it is yellow when dissected. Macula occupies less than 5% of the retina, but it is the center of the most acute vision. The vision we usually measure is the visual function of the macular center. Macula has a very special function, which can distinguish the color, fine shape and brightness of an object, detect the distance of the object and follow the movement of the object.
Visual distortion is mostly related to macular degeneration. Macular degeneration, macular hole, epimacular membrane, mesoosmosis and macular hemorrhage caused by various reasons can also cause visual distortion. Macular edema is one of the chief culprits of visual distortion. Macular edema is a kind of fundus disease that often occurs in middle-aged and elderly people and seriously threatens visual function, but it is not an independent eye disease. Its main symptoms are visual distortion and decreased central vision.
Macular edema can be divided into cystoid macular edema and diffuse macular edema. Often secondary to retinal vein occlusion, diabetic retinopathy, retinal vasculitis, uveitis and cataract after intraocular surgery. Many diseases cause the increase of retinal capillary permeability, the damage of blood-retinal barrier, and the accumulation of fluid between the outer plexiform layer and the inner nuclear layer of the retina, resulting in macular retinal edema.
With the aging of China’s population, the incidence of eye diseases among middle-aged and elderly people has increased, and the number of patients with macular edema has also increased. Long-term non-healing of macular edema can cause photoreceptor apoptosis and irreversible loss of vision, which leads to decreased vision and distortion of vision, which has caused great trouble to patients’ life and work.
Fundus fluorescein angiography is the gold standard for the diagnosis of macular edema. Modern medicine mostly thinks that vascular endothelial growth factor (VEGF) and inflammation are the two main pathogenic pathways of macular edema. At present, the main means of treating macular edema in modern medicine are VEGF therapy, hormone, laser photocoagulation, surgery and non-steroidal anti-inflammatory drugs.
Understanding of ancient and modern Chinese medicine
Ancient doctors couldn’t see the patient’s fundus because they didn’t have an ophthalmoscope, so there was no record of macular edema in ancient literature. According to its clinical symptoms, it should be classified as "seeing straight as a curve" and "seeing the big as small".
The name of "seeing straight as a curve" first appeared in "Seven Tips for Treating Syndrome". The book said: "Seeing straight things as a curve, bowstring rulers and the like, all of them are like hooks." It belongs to the scope of illusion. There is no new expression in the description of straight sight in the later literature. The "Diagnostic Efficacy Standard of TCM Diseases" states: "Seeing straight and crooked is an eye disease in which things with straight vision, such as crooked eyes, are caused by maladjustment of clothing, body fluids and blood overflowing collaterals."
The causes of straight vision are described in detail in ancient books. "Examining Yao Letters and Misconceptions" states: "If the length is short, the white is black, the confusion is reversed, and the divine light is dark, then the essence will decline and change." It is considered that the essence is scattered and cannot be above the eyes, which can lead to delusion. Sun Simiao put forward that "spleen-stomach deficiency leads to nine unknowns" in "Prescription for Preparing a Thousand Daughters for Emergency", and summarized the mechanism of spleen deficiency leading to eye diseases. "The Golden Mirror of Ophthalmology" states: "Those who regard the big as small and the red as white, the onset of this disease is also caused by the stagnation of heat and evil in liver and kidney for a long time."
Modern Chinese medicine scholars think that macular edema is closely related to liver, spleen and kidney. Etiology includes primary cause, secondary cause and inducing factors. As inducing factors, exogenous wind-heat (wind-toxin) and improper diet can all cause or aggravate spleen deficiency, making it abnormal in transportation, improper in ascending and descending, and imbalance in collaterals and qi and blood, which in turn leads to superior yin fire, turbid phlegm, stagnant blood, macular edema, exudation and bleeding, and the symptoms of straight vision appear.
Traditional Chinese medicine has the advantages of definite curative effect, non-invasion, non-trauma, high cure rate, low recurrence rate and relatively low cost in the prevention and treatment of macular edema.
Daily health adjustment
Physical factors, internal and external environment of the body, emotion and other comprehensive factors play an important role in the pathogenesis of macular edema. Therefore, it is very important to do a good job in health care, which can prevent disease before it happens and prevent it from changing.
Control risk factors
Hypertension, diabetes and hyperlipidemia are high risk factors for macular edema. Patients with macular edema should pay attention to reasonable diet, smoking and alcohol restriction, and weight control in daily life to prevent the occurrence of hypertension, hyperlipidemia and diabetes. Patients who have been diagnosed as "three highs" should actively treat the primary disease, control blood sugar, blood pressure and blood lipid in a safe and reasonable range, and have regular eye examinations. Once early changes are found, intervention measures should be taken as soon as possible to prevent the delay from aggravating the condition. Self-test can also be carried out at ordinary times. If you find abnormal conditions such as decreased vision, deformed or reduced vision, and shadow occlusion in front of your eyes, you should go to the hospital in time.
Diet conditioning
Develop good eating habits and maintain a balanced nutrition. To control the total diet and optimize the structure. Eat vegetables, fruits, fish and nuts regularly, and choose foods with the functions of warming stomach, soothing liver and tonifying kidney according to physical conditions. Wax gourd, towel gourd, bitter gourd and amaranth have the functions of clearing away heat and toxic materials, inducing diuresis to reduce swelling, promoting blood circulation and dredging collaterals, so you can eat more with staple food. Lotus plumule and Dioscorea opposita can nourish the mind, tonify the kidney and benefit the lung, and you can also choose Coicis Semen, Euryale Semen, Semen Phaseoli and other decoctions or porridge to eat.
Harmony of seven emotions
Keep your mind inside, calm your nerves and avoid severe and bad emotional stimulation. Arrange work and life in a planned way, reduce work pressure and tension, so as not to get anxious and get angry, causing or aggravating illness. Adjusting mentality, moderate exercise and peace of mind treatment are helpful to mobilize healthy qi and promote rehabilitation.
Content source: China Chinese Medicine News.
Author: Feng Jun, Eye Hospital of Chinese Academy of Traditional Chinese Medicine
Editor: Wang Di
Audit: Zhu Yan
"Capital TCM" ID:
bjtcm010
Official WeChat of Beijing Administration of Traditional Chinese Medicine
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The first meeting of the new year! Liaoning Chaoyang Public Security Bureau carried out the special action of changing work style, improving efficiency and implementing!

Change the style of work, improve efficiency and implement it.

In order to implement the spirit of the city’s public security work conference, unify the ideological consensus of the whole police, change the work style, improve the quality and efficiency of work, and ensure that all work is effective, on February 7, Chaoyang Public Security Bureau held a meeting."change the style of work, improve efficiency and implement it"Mobilization deployment meeting.

The meeting interpreted"The city’s public security organs" to change style, improve efficiency, grasp the implementation of the "special action plan"The main person in charge of the relevant police departments made a statement, and Zhao Pixian, deputy mayor, party secretary and director of the Municipal Public Security Bureau, made a mobilization and deployment speech.

The meeting pointed out that at the first meeting of the new year, the Municipal Bureau held a mobilization meeting for the city’s public security organs to "change their work style, improve their efficiency and implement them", which was not only a meeting to implement the spirit of the city’s public security work conference, but also an ideological mobilization meeting to stand at a new starting point. By changing the style of work, breaking old habits, improving efficiency, establishing standards, grasping implementation, Qi Xin’s work, unifying thoughts, concentrating on strength, and stirring up confusion, we strive to provide ideological style guarantee for realizing the goal of "doing things in practice, innovating and developing, striving for perfection, and walking in the forefront".

The meeting emphasized that,We must adhere to the problem orientation, start with changing the style of work, and unite new consensus.Style reflects a person’s state of mind and spiritual outlook. Fundamentally speaking, changing the style, improving efficiency and implementing it are all problems of style. The style of work has changed, the party spirit has strengthened, and the thinking has been unified. The work of improving efficiency and grasping implementation will be solved.We should stand on the principle of party spirit and change our style of work.The "style problem" is not just a minor problem of personal ideological and moral level, but a major party spirit problem; It is by no means a minor issue, but a major issue; It is by no means a matter of principle, but a matter of major political principles. We must look at the problem of work style from the aspects of politics, party spirit, and comprehensive and strict management of the party and police. Starting from the construction of work style, we must establish the belief that "I will build the police soul with loyalty", strengthen party spirit, cultivate virtue, keep the police style and obey the rules, and strive to create a political ecology of police camps with a clean and upright atmosphere.We should change our style of work from the standpoint of safeguarding the vital interests of the masses.The mass line is the basic line of our party and the basic line of public security work. Only by firmly establishing the concept of "I regard the masses as my relatives", standing firm on the people’s stand, improving the fairness of law enforcement, enhancing the initiative of service, and doing their best to solve the urgent problems of the masses with all their heart and affection can public security organs win the hearts of the people.We should change our style from the standpoint of high-quality development of Chaoyang public security.The core elements of the high-quality development of Chaoyang public security are to have first-class competitive strength, pragmatic style, enterprising spirit of innovation and development, working standards of Excellence and extraordinary achievements in the forefront. It is necessary to establish a sense of ownership of "I contribute to Chaoyang police", think in one place, work hard in one place, dare to innovate, be willing to contribute, be proactive, and strive to create new air, cultivate new soil and nurture new kinetic energy for the high-quality development of Chaoyang police.

The meeting pointed out that,We should adhere to the goal orientation, start with improving efficiency and strive to achieve a new leap.We should adhere to the unity of objectives and efficiency, strive to achieve a new leap in Chaoyang public security with higher standards, deeper planning and stronger pursuit.We must adhere to high standards of work.We should adhere to the meticulous and exquisite work standards, and each work should have a "steelyard" and a "ruler" as the standard. Only by adhering to high standards and strict requirements, establishing work carriers, establishing work indicators and formulating a standard system around the "five modernizations" can we go further on the road of achieving high quality and high level development.We must strive for Excellence and be the leader.Leading cadres, especially young comrades, must be determined to be people with ambition, backbone and pursuit, performance appraisal, training competition, normalization and rectification, big data intelligence, and three-dimensional public security prevention and control system construction. Every job dares to take the lead in the city, dare to take the lead in the province, and dare to walk in the forefront of the country.We should base ourselves on reality and plan deeply.As the leader of all fronts in the city, the police department of the municipal bureau should grasp the "three emotions" and accurately understand the emotions, not only with the mind of "the country is the biggest" and "the important thing of the province", but also always remember "the decision of the city" and "the deployment of the bureau"; It is necessary to fully grasp the facts, know the actual situation in all aspects of this front like the back of your hand, have a good idea, know your own shortcomings, adjust measures to local conditions, foster strengths and avoid weaknesses, and learn from each other’s strengths; We should learn from foreign situations, broaden our horizons and broaden our thinking, and gain useful enlightenment from successful experiences in other places with an open mind and a learning attitude.We should aim at the actual big research.Work in the state of study, thinking and research. All party and government bodies and police departments should form a normal state of frequent investigation at the grass-roots level, be close to the grass-roots, go into the grass-roots, sink and squat down, grasp the tendency and crux of the problem for analysis and research, grasp the essence from the phenomenon, find the crux from the reasons, put forward countermeasures and suggestions to solve the problem and promote the implementation of the decision from practice, and make good ideas and be good staff for the party Committee of the Municipal Bureau.It is necessary to promote a fast pace of work."Three major strategies", "five modernizations" and "eight public security" should be implemented in every work.To strengthen efficiency orientation,Look at attitude with speed. We should establish the concept of time, have the spirit of seizing every minute, and resolutely do what we say and do once. We should be proud of what we can do today and ashamed of what we can do tomorrow.We should concentrate on our work,Only the essence, no distractions, no distractions, concentrate all your thoughts on your work, and quickly improve your work efficiency in a limited time.To break the "skill panic",Strengthen study, exercise and actual combat, polish yourself into a "Jin Gangzuan" and a "great craftsman", and don’t be an optimist who is comfortable with a small fortune, but be a striver and strive to achieve a great leap!

The meeting emphasized that,We must adhere to the effect orientation, start with implementation, and accelerate the creation of new kinetic energy.One point for deployment and nine points for implementation. Deployment is the beginning of attracting jade, implementation is the process of hard work, and the effect is the result of action. The key to this trilogy lies in implementation, and success or failure lies in implementation. Leading cadres at all levels should continue to take the "implementation of the Thirteen Articles" as the guide, carry forward the spirit of "doing", tighten the chain of responsibility, strengthen closed-loop supervision, gather together and be passionate about fighting spirit, and promote all work to achieve results as soon as possible.We should pay attention to methods and strategies to implement it.Leading cadres should take the lead in implementing, be good at implementing, and implement at all levels.We should start with changing the style of work and implement it.Changing the style of work depends on consciousness, checking it yourself and changing it yourself; It is necessary to take the lead, leading cadres take the lead to turn first, government police take the lead to turn first, and grassroots civilian auxiliary police follow suit; To grasp the carrier, the five major governance actions should be grasped firmly, realistically and effectively; It is necessary to establish an organization, establish a leading group and a special work class, comprehensively coordinate, publicize and educate, and supervise accountability, and transfer out the "spirit", "new image" and "new achievements".We should start with improving efficiency and implement it.It is necessary to have high standards, good state and fast pace.We should start with facing the problem directly and implement it.We should clearly realize the objective reality that the "four risks" in our city cannot be underestimated, the "three thinking" needs to be broken urgently, the "two abilities" needs to be improved urgently, and the "one fundamental" needs to be strengthened. We should face up to the problems, be brave in fighting, be good at fighting, carry forward the spirit of nailing, hammer by hammer, work by work, and see the rainbow after the storm!To implement it, we must carry forward the spirit of hard work.Do it seriously.We must have a strong sense of ownership, a strong sense of professionalism and responsibility, treat every job as our own business, be serious and conscientious, and make "Chaoyang Public Security is myself, and I am Chaoyang Public Security" a consensus, and make "I contribute to Chaoyang Public Security" a fashion.Work hard.We should sink our hearts, hold our breath, do things in a down-to-earth manner, do not retreat to fame, do things for small profits, do not play tricks, do things with all our heart, be willing to be an old ox, a willing ox and a pioneering ox, and never be a "lobbyist" or a "spectator" who just talks and talks without practice.It is necessary to innovate.We should innovate closely around science and technology, practical application, service mode and law enforcement, and focus on modern policing mechanism, rural policing strategy, digital policing and smart policing, and strive to realize the transformation from "sweat policing" to "smart policing".Want Qi Xin to do it.We should be open-minded, devote our energy, thoughts and time to our work, concentrate on doing things inconsistently, concentrate on doing things without pulling, concentrate on one thing and concentrate on one thing, and there will be no flaming mountain that we can’t cross and no unfinished task.We should work with firm confidence.Learn and carry forward the spirit of China women’s football team, which is firm in belief, fearless of difficulties, fearless of challenges, never giving up, never giving up, United and tenacious in fighting. We must be firm in our belief in winning at all times, have the fighting spirit of daring to fight at all times, and never give up and strive for first-class status!Grasp the implementation and tighten the chain of responsibility.To strengthen the sense of responsibility,Adhere to hard work, overcome difficulties, face problems directly, do not avoid contradictions, do not cover up problems, do know the responsibility in your heart, take responsibility in your body, and fulfill your responsibilities, and earnestly shoulder the heavy responsibility of the times to cultivate new machines in the crisis, open new opportunities in the changing situation, and promote high-quality development.To strengthen inventory management,Carefully plan the "fine management construction", implement quantitative, qualitative, fixed posts and fixed responsibilities management, list the objectives, tasks, time and responsibilities, and refine them to specific people, so as to promote the rigid implementation of "quality, time, standards and responsibilities";To strengthen the implementation of projects,Break down the tasks into projects that can be landed one by one, and highlight that "projects are king". The goals and tasks set by the city’s public security work conference must be resolved into specific "projects" to promote. Without "projects" as the starting point, everything will become empty;To strengthen the promotion of engineering,Be good at using engineering thinking and engineering methods, make the work deployment more executive, make the scattered work form a systematic synergy, and form a work situation of grasping the first level and implementing it layer by layer.Grasp the implementation and lead the team.We should establish the concept that bringing a good team is a political achievement.Whether the team is strong or not depends on the "monitor". The "squad leader" should be strict at all times, set an example by himself, be hands-on and be strict in self-discipline, so as to form the "head geese effect" and produce the effect of "self-motivation without whipping".We should unite to do business.Leading cadres should stress party spirit, attach importance to principles, have lofty ideals, be open-minded and aboveboard, take the overall situation into account, promote democracy, "make up for Taiwan" and "make up for it", and make up for it without being offside, especially not engaging in "small circles" or building "small groups". They should not exclude dissidents, show favoritism and treat comrades equally, and they must never neglect comrades who are responsible for the affairs.We should shoulder the heavy responsibility of cultivating talents.We must pay attention to the cultivation of internal potential and the training of talents. We can’t say that we can’t do it without people. The desert will never become an "oasis" without governance.We should improve the reward and punishment mechanism.Promote the institutionalization of positive incentives, talk about heroes with performance, take a clear-cut stand to support cadres who can be officers and implement them, never let honest people suffer losses, never let those who do things shed tears, hang medals on the chest of those who are officers, and hand over important leadership positions to those who are officers; To promote the institutionalization of restraint and punishment, we must strictly investigate the things that are not implemented and the people who are not implemented, and resolutely put an end to doing the same with not doing it, doing more and doing less, and doing well and doing badly; It is necessary to establish a closed-loop supervision system integrating the discipline inspection commission of the organs, the special supervision of inspectors, the supervision of legal audit letters and visits, the front-line supervision of police departments and the supervision of supervision and responsibility, and form a supervision pattern of vertical penetration, horizontal coordination and full coverage without dead ends.

If you set a foolish ambition, you can break through all the barriers.In the new year, Chaoyang Public Security will"change the style of work, improve efficiency and implement it"For the beginning, we will strive to build the Chaoyang police team with the most core competitiveness, and strive to win the most recognizable victory of Chaoyang police, with the development of my feelings, the passion of striving for selflessness and the pursuit of the realm of selflessness.

The meeting was held in the form of video teleconference, with the Municipal Public Security Bureau as the main venue, and the county (city) public security bureaus, relevant police departments and directly affiliated branches as sub-venues.

Source: Chaoyang Micro Police

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How to implement administrative law in one place? Let’s look at the three-year growth of Jiaxing’s "comprehensive investigation"

"Source of this article: Zhejiang Rong Media"
Zhejiang news client reporter Wan Xiaoying Xiao Wei correspondent Jin Rudan
Xiuzhou comprehensive law enforcement, market supervision, etc. conducted a "comprehensive investigation" on a restaurant.
A few days ago, the State Council’s "Notice on Further Implementation" clearly stated that the experience of "comprehensive investigation once" should be replicated and promoted, and joint inspections and investigations should be carried out by multiple administrative organs at the same time for the same law enforcement object to prevent law enforcement from disturbing the people.
What is a "comprehensive check"? In March 2018, in order to solve the problems of cross-enforcement, multi-head enforcement, repeated enforcement and random inspection in the field of comprehensive law enforcement, Jiaxing pioneered this law enforcement inspection mode in the country, effectively integrating the original multi-department and multi-frequency law enforcement inspections, and carrying out the "one list" and "general practice mode" comprehensive law enforcement inspection within the department and joint law enforcement inspection between departments for the same object, so as to realize "one visit and multiple inspections" In 2019, the model was written into the "Implementation Opinions on Deepening the Reform of Comprehensive Administrative Law Enforcement" issued by the provincial party committee and the provincial government, and the exploration results were awarded as outstanding practice cases of reform and innovation in Zhejiang Province in 2020, which was further promoted throughout the province.
After more than three years of practice and exploration, Jiaxing Comprehensive Administrative Law Enforcement Bureau has repeatedly upgraded the "comprehensive investigation once" and explored a global scene list based on the needs of the people, a double random and open spot check feedback mechanism, and a prior notice system. In particular, the application of "comprehensive check once" established in June this year has realized the closed loop of the whole process of law enforcement supervision from early warning management to evaluation feedback.
What are the pain points and difficulties encountered in the process of advancement? How to solve it? How effective is it? A few days ago, the reporter walked into the comprehensive administrative law enforcement system of Jiaxing city and county to explore the mystery of administrative law enforcement in one place.
Pinghu comprehensive law enforcement and other departments conducted a "comprehensive investigation" of a cafe.
Multi-span integration
Enter the door once and check many things.
In the winter afternoon, the restaurant gradually became quiet. Chen Xingfu, the owner of Laopinghu Hotel, looked at the neatly arranged garbage collection and transportation records on the front desk and suddenly realized that it had been more than half a year since the last special law enforcement inspection.
In his memory, the most impressive inspection was at the end of August, 2018, when people complained about the smoke pollution caused by damaged flue, and pinghu city Comprehensive Administrative Law Enforcement Bureau, Market Supervision Bureau, Ecological Environment Bureau and other departments jointly made a door-to-door inspection.
"In the past, even for the same thing, it was’ you come today, he will come tomorrow’, which not only consumed energy, but sometimes their inspection standards were different. Just after the requirements of the previous inspection team were implemented, the latter inspection team put forward new requirements." Chen Xingfu told reporters that the inspection more than three years ago was different. Not only did the relevant departments come together with the same inspection list, but they also helped the hotel to have a "general physical examination", involving domestic waste sorting, fire fighting, drainage, employee hygiene and other aspects.
This inspection mode, which makes Chen Xingfu feel different, is Jiaxing’s "comprehensive inspection" which takes the lead in testing the water in the reform of law enforcement inspection mode. In order to solve the problems of high frequency of inspections, small number of law enforcement inspectors and difficult positioning of comprehensive law enforcement in the field of comprehensive law enforcement, Jiaxing exploringly implemented "one visit, many things to check" in seven fields, including safety production, planning and construction, land and resources, and environmental protection, and then gradually extended it to all related fields.
"This reform is not imaginary, but has accumulated a certain foundation." Huang Xuelin, director of the Comprehensive Law Enforcement Division of Jiaxing Comprehensive Administrative Law Enforcement Bureau, told the reporter that as one of the two pilot cities in the first round of comprehensive administrative law enforcement reform in our province, Jiaxing at that time had passed five years of reform practice and became the province’s most extensive reform and transfer area, and took the lead in realizing the full coverage of law enforcement agencies in towns and streets. "All these provide conditions for this multi-span integrated inspection."
For Chen Xingfu, there are still many surprises brought by "comprehensive investigation". In June 2019, he planned to move the restaurant from Renmin Road to Nanhetou historical and cultural block. When renovating the new restaurant, he took the initiative to contact a law enforcement officer who had been inspected before, requesting the placement of the lampblack purification device and whether the emergency lighting facilities met the requirements.
After this "general pre-investigation", Laopinghu Hotel has never been inspected by administrative law enforcement for complaints. According to the inspection records of pinghu city Comprehensive Administrative Law Enforcement Bureau, this hotel has only undergone two routine inspections since the opening of the new store at the end of September 2019, namely, the annual comprehensive inspection in early October 2020 and the "comprehensive inspection once" inspection of the catering industry at the end of April 2021.
On the day before the inspection at the end of April, Chen Xingfu was surprised to find that the Notice of "Comprehensive Inspection of Catering Industry" was received in the SMS, which not only informed the inspection time and related requirements for cooperation with the inspection, but also prompted to prepare relevant materials. In his inertial thinking, most of the inspections are sudden, and notifying in advance is like "leaking the exam questions."
"It is necessary for everyone to prepare." Huang Xuelin declassified with a smile, because the number of law enforcement inspectors is limited, it is impossible to inspect all restaurants. Only on the day of inspection, based on the principle of no more than two spot checks on the same market subject in the same year (except for those who have been reported many times and included in the business exception list), a considerable number of spot checks and inspectors were randomly selected, but still could not be found. "But prior notice is different. After receiving the news, all restaurants will check themselves to prevent problems from being found after being drawn. In this way, it is equivalent to checking all the restaurants in the city. "
Jiaxing comprehensive administrative law enforcement information command hall "comprehensive investigation once"
Intelligent early warning
The needs of the masses, "one thing" to solve.
Cai Kun is the owner of a transportation company in Jiashan County. At the end of last month, he received a penalty decision issued by the county comprehensive administrative law enforcement bureau, and fined 5,000 yuan.
It turned out that more than 10 days ago, six law enforcement officers from the county comprehensive administrative law enforcement bureau, the Construction Bureau and the Transportation Bureau randomly checked a construction site next to Renmin Avenue and found that several engineering vehicles nearby did not take airtight or other measures to prevent materials from being scattered when transporting earthwork. Among them, there were vehicles belonging to this company in Cai Kun. Therefore, according to the Law of People’s Republic of China (PRC) on the Prevention and Control of Air Pollution, law enforcement officers decided to put it on file for investigation and collect evidence from the scene according to law.
Looking at the notice of filing a case in his hand, Cai Kun, who repeatedly lamented that he couldn’t take any chances, didn’t know that the "sharp weapon" that punctured his fantasy was the "comprehensive investigation once" application created by Jiaxing Comprehensive Administrative Law Enforcement Bureau. This digital joint command system of administrative law enforcement, which focuses on the complex multi-span collaborative process, single source of inspection plan and heavy discretion, has a very important function: intelligent early warning.
"This system gets through the data of 32 administrative law enforcement departments and sorts out six categories of people’s livelihood, safety, order, service, public welfare and environment, covering 60 multi-span collaborative scenes such as children’s amusement parks, transportation of hazardous chemicals, farmers’ markets and surrounding environment, and has generated a total of 1156 inspection items." Lu Qi, deputy director of the Information Command Center of Jiaxing Comprehensive Administrative Law Enforcement Bureau, said that the system will automatically compare with these inspection items and intelligently analyze and generate a "red, yellow and green" three-color warning after capturing the items complained by the people in nine major digital source systems, such as 12345, letters and complaints.
The investigation of Cai Kun’s company vehicles stems from the recent complaints from the masses about dust and night construction. After the automatic warning of the system, the construction site and surrounding environment scenes automatically jumped out of the yellow warning of medium risk, and this inspection was triggered according to the automatically generated law enforcement plan. More intelligently, after law enforcement officers add inspection tasks, the system will also generate a checklist with one click, clarify the inspection departments and corresponding inspection items involved in the construction site and surrounding environment scenes, and automatically distribute them to relevant departments to avoid random inspection and repeated inspection.
After careful analysis of the whole process, it is not difficult to find that in addition to the breakthrough of technical means, there is also a key factor to realize digital intelligence-multi-span collaborative scenarios and inspection items.
"When a specific inspection was carried out in the past, the lists listed by counties (cities, districts) were often different." Hu Ligang, director of the Legal Publicity Department of Jiaxing Comprehensive Administrative Law Enforcement Bureau, introduced that in order to screen and unify the standards, in April this year, the bureau started with the "one thing" that people are most concerned about, sorted out 60 demand-side "one thing" scenarios, and then arranged the list items of each line accordingly, and determined a total of 1156 items.
Taking the scene of construction site and surrounding environment as an example, they first determined that the scene was related to housing construction, comprehensive law enforcement, fire protection, quality supervision, health protection, civil air defense, people’s society and natural resources, and then selected 103 items related to construction site from the power items library of these departments.
"The most difficult thing is to sort out the matters and determine this stage." Hu Ligang told reporters that only seminars have been held for more than 20 times, and there are countless daily consultations with relevant departments. "Finally, based on the complaint data and relevant legal basis, we divided into two categories: site safety and special equipment, and screened out 12 inspection contents, such as whether to obtain a safety production license and meet the corresponding qualifications, and whether the construction hoisting machinery user designated full-time equipment management personnel to conduct on-site supervision and inspection. Other comprehensive matters were implemented in various departments according to the lines, and a total of 9 items were screened out. "
"In the past, it was what the administrative law enforcement departments wanted to check, and now it is what the people need to check." Hu Ligang believes that changing from "one thing" on the supply side to "one thing" on the demand side makes law enforcement more targeted and efficient.
Jiashan comprehensive law enforcement, public security and other departments to conduct a "comprehensive investigation" of an enterprise.
Overall government
Integrated coordination and comprehensive linkage
In the view of Zheng Dongliang, deputy director of Jiaxing Comprehensive Administrative Law Enforcement Bureau, whether it is "going to the door once and checking many things" or "one thing" on the demand side, it is the embodiment of the overall government concept. "Only by thinking and planning from this height, promoting the" comprehensive investigation once "to go deep and practical, reshaping the administrative law enforcement in a structural, institutional and mechanistic manner, and building a cross-departmental, cross-disciplinary and cross-level coordination mechanism for optimizing law enforcement can we really promote Jiaxing’s" great comprehensive integration "administrative law enforcement reform."
On the eve of the 2021 world internet conference Wuzhen Summit, Wuzhen Branch of Tongxiang Comprehensive Administrative Law Enforcement Bureau, together with Wuzhen Town, Municipal Bureau of Commerce, Bureau of Culture and Tourism, Market Supervision Bureau, Fire Department and other relevant departments, carried out a "comprehensive investigation" on Wuzhen Station and its surrounding areas.
The command of this operation is a newly established institution in Tongxiang this year-the administrative law enforcement command center. As a specialized agency to coordinate the city’s administrative law enforcement work, the center is headed by the executive deputy mayor, and the deputy mayor in charge is the deputy commander. The 31 law enforcement subjects and 11 towns and streets in the city are all members of the command center.
"This action not only involves the inspection department at the city and county levels, but also covers a number of’ one thing’ scenes around the station, shop signs, catering services and so on. Unified coordination and scheduling by the command center can maximize operational efficiency. " Xu Kun, deputy director of Tongxiang Comprehensive Administrative Law Enforcement Bureau, said that on the same day, 22 law enforcement officers from various departments sorted out the list of all items that need to be inspected according to the unified command, and then went to the scene to check and check one by one, aiming at the behavior of walking dogs without leashing dogs, and vehicles illegally parked and occupied fire exits. 18 notices were issued.
"This is another exploration of Jiaxing in the reform of administrative law enforcement of" great comprehensive integration ",and it is also a manifestation of the" comprehensive investigation once "entering the stage of in-depth promotion." Tong Jianhua, member of the Party Committee and vice president of the School of Law and Law of Jiaxing University, believes that the transition from "multi-department joint law enforcement" to "overall government administrative law enforcement" will integrate law enforcement responsibilities in a wider range, optimize the allocation of law enforcement resources, improve the law enforcement coordination mechanism, and also help government management to move from decentralization to centralization and from fragmentation to integration to a certain extent.
In this regard, He Ping, who lives in Yaozhuang Town, Jiashan County, also has a deep understanding. At the end of last year, he received an investigation notice issued by the county comprehensive administrative law enforcement bureau. Someone reported that he illegally occupied and hardened the land at the junction of Yaozhuang Town and Lili Town, Wuxing District, Suzhou.
On the day of the on-site investigation, He Ping, who had thought that he would have to make several trips because of involving two provinces, found that not only the law enforcement officers from Jiashan County Natural Resources and Planning Bureau and Comprehensive Administrative Law Enforcement Bureau arrived on time, but also the law enforcement officers from the same department in Wuxing District "joined hands". At the scene, the law enforcement officers of the two regions surveyed the illegally occupied land in their respective jurisdictions, and after comprehensively considering various factors such as the size of the area and the execution ability of the parties, they jointly determined the time when the goods were cleaned up and the hardened land was restored to its original appearance.
He Ping’s surprise is actually a refresh of the original cognition by the overall government concept. "In the eyes of ordinary people, no matter which local department comes to investigate or which department’s law enforcement officers come to investigate, it represents the government." Wang Yafeng, deputy director of the Comprehensive Administrative Law Enforcement Bureau of Jiashan County, said that in order to strengthen the integrated coordination of administrative law enforcement at the junction, the comprehensive administrative law enforcement departments of Qingpu District, Suzhou Wuxing District and Jiashan County not only jointly established a unified standard, unified monitoring and unified law enforcement coordination mechanism, but also signed the Agreement on Joint Jurisdiction and Enforcement of Adjacent Areas, which also gave them the authority to jointly enforce the law.
"Breaking boundaries and realizing functional integration, structural reconstruction and administrative system integration have become the inevitable trend of administrative law enforcement reform." Zheng Dongliang introduced that a few days ago, the Regulations on Comprehensive Administrative Law Enforcement in Zhejiang Province, which was reviewed and adopted at the 32nd meeting of the Standing Committee of the 13th Provincial People’s Congress, stipulated that the people’s governments at or above the county level should lead the administrative law enforcement work in their respective administrative areas in a unified way, and through deepening the reform of comprehensive administrative law enforcement, build a large comprehensive integrated administrative law enforcement system with full supervision and full closed loop of law enforcement. "Jiaxing’s’ comprehensive inspection once’ reform is a useful attempt to build a whole chain supervision system. We will continue to explore and strive to contribute experience to the construction of’ comprehensive integration’ administrative law enforcement reform, so that’ one government administration’ will become the daily life of ordinary people dealing with government departments." Zheng Dongliang said.
(Chen Xingfu, Cai Kun and He Ping are pseudonyms in the text)
[Zhejiang News+]
The growth of "comprehensive investigation once"
In March 2018, "comprehensive investigation once" was first proposed and promoted in Jiaxing’s comprehensive law enforcement system.
In December 2018, "Jiaxing’s first" comprehensive inspection "law enforcement inspection model" was awarded the nomination project for innovation of legal work of Zhejiang provincial government in 2018.
In June 2019, the provincial party Committee and the provincial government issued the "Implementation Opinions on Deepening the Reform of Comprehensive Administrative Law Enforcement", proposing to explore joint law enforcement through "comprehensive investigation once" and other means.
In May 2020, the Provincial Comprehensive Law Enforcement Guidance Office issued the Notice on Learning from Jiaxing’s Experience and Practices to Promote the Reform and Innovation of Comprehensive Administrative Law Enforcement, and "Comprehensive Check Once" was promoted and applied to the whole province.
In November, 2020, The Practice and Value of Jiaxing’s "Comprehensive Check Once" Reform from the Perspective of the Whole Government won the first prize for the outstanding theoretical research achievements of the comprehensive administrative law enforcement system in Zhejiang Province.
In January, 2021, the reform of "comprehensive investigation once" from the perspective of the whole government (Jiaxing City) was awarded as the outstanding practice case of reform and innovation in Zhejiang Province in 2020.
In August, 2021, "comprehensive investigation once" was included in the Action Plan of "Great Comprehensive Integration" administrative law enforcement reform in Zhejiang Province (2021-2022).
In August 2021, the digital application of "comprehensive check once" was officially launched and promoted to the whole province.
In December 2021, Jiaxing’s "comprehensive check once" application was selected as the first batch of good applications of digital rule of law in Zhejiang Province.
Reporting/feedback

In the event of a traffic accident, the perpetrator proposed to re-evaluate the disability level on the grounds that the victim had cervical spondylosis. How did the court judge?

Referee standard
Although the victim’s personal physique has a certain influence on the occurrence of damage consequences, it is an objective fact and has no legal causal relationship with the consequences caused by the accident, and the victim’s personal physique does not belong to his own fault, so he should not bear the corresponding responsibility because his personal physique has a certain influence on the disability caused by traffic accidents.
01
Case facts
In January 2019, while driving a vehicle, Li collided with Peng, who was driving a non-motor vehicle, causing Peng to be injured. The traffic police detachment issued a road traffic accident certificate, which determined that Li was mainly responsible for the accident and Peng was responsible for the accident. The vehicle involved in the accident was insured by A Insurance Company for compulsory insurance and three-person insurance. The judicial expertise center appraised Peng’s degree of disability, and the appraisal conclusion was: Peng was disabled at grade 9 due to a traffic accident. Peng Mou sued the court, requesting to order A Insurance Company to pay its medical expenses and other related expenses within the compulsory insurance and three-person insurance, and Li was liable for the excess.During the trial, both the defendant Li and the insurance company applied for participation appraisal of Peng’s neck disability grade on the grounds of "cervical degeneration and disc herniation".
02
Focus of controversy
In this case, the parties mainly disputed whether Peng’s personal physique problem with cervical spondylosis should be identified by injury participation and whether the infringer’s responsibility should be reduced with reference to the proportion of injury participation.
Referee result
The court held through trial that,The reasons why the defendant Li and A Insurance Company demanded to reduce the defendant’s civil liability on the grounds that the plaintiff Peng had cervical degeneration and disc herniation could not be established.
In the tort liability disputes caused by traffic accidents, whether the infringer’s compensation liability should be reduced by referring to the factors of injury participation should return to the essence of the identification of tort liability in traffic accidents, that is, whether it meets the constitutive requirements of tort, especially whether there is fault and legal causality. Without affecting the elements of tort, damage participation is not a legal situation to reduce the infringer’s liability for compensation.
First, the degree of injury participation can determine that the individual’s physical condition or original disease has a certain proportion of influence on the occurrence of injury consequences, but it is not the same as the mistakes stipulated by the Tort Liability Law and other laws. The physical condition of the victim Peng is an objective condition of his body. Peng has neither intention nor gross negligence in the occurrence of the damage result.Although Peng’s personal physical condition of cervical degeneration and disc herniation objectively exists and has certain influence on the occurrence of damage consequences, it does not belong to the situation that the victim himself is at fault as stipulated in the Tort Liability Law.The victim’s personal physique or original disease is only the objective factor of the consequences of the accident. If the victim is not at fault for the occurrence or expansion of the damage, there is no legal situation to reduce or exempt the liability of the offender.
Second, Peng has no legal causal relationship with the occurrence of traffic accidents and the identification of damage consequences in this case because of his own cervical degenerative diseases and disc herniation.Peng should not bear the corresponding responsibility because his physical condition has certain influence on the disability caused by traffic accidents.
Theoretical expansion
First, what is injury participation?
"Injury participation" is a concept of forensic medicine, which refers to the proportional relationship between injuries and diseases (including aging and physical differences) that jointly affect human health and damage human health. In the event of personal injury, if an individual dies, or physical injury or mental injury occurs due to the effect of secondary symptoms and complications caused by injury or injury (called injury-related injury and illness), it is determined whether the injury behavior or physical difference is the cause or correlation degree of the final damage consequence through the identification of injury participation.
In 1980, Professor Fujio Watanabe of Japan used the method of quantitative proportion to study traffic accidents and damage results (death, legacy obstacles), and put forward the concept of "accident contribution degree" to determine the role of accidents in damage results. In 1986, the concept of "accident contribution degree" was introduced to the forensic science field in China, and the term was changed to "injury participation degree" in the forensic science field in China.
Second, what is the eggshell head rule?
In common law countries, there is an important rule in dealing with personal injury compensation disputes, namely the "eggshell head" rule. This rule assumes that someone’s head is as thin as an egg shell, and a blow that does not harm ordinary people does fatal harm to that person. According to the "eggshell head" rule, a person whose head is as thin as an egg shell cannot legally take more risks than normal people because of the fragility of his own head, and it cannot be a reason for confrontation after others damage his health. The rule of "eggshell head" originated from a precedent in England. The judge held that the victim’s head can’t be assumed to be normal rather than extremely thin because of negligence, and the degree of damage may be lower, so as to resist the victim’s claim for compensation. The rule of "eggshell head" pays attention to protecting the victim, making the victim get full treatment and warning the perpetrator. Any act of hurting people may lead to the most serious injury, and the perpetrator will bear all the compensation responsibilities. The "eggshell head" rule has been gradually established in the trial practice of many countries, such as the United States and Britain, that is, the victim should not take higher risks than ordinary people for his own defects or his own old diseases.
The "eggshell head" rule has not directly entered the current legal provisions of our country, but it is determined according to the Tort Liability Law of our country.The principle of fault liability, the traffic accident victim’s own defects or old diseases are not at fault for the occurrence of damage consequences, and this cannot be used as a reason to determine that the victim is at fault or to reduce the liability of the infringer.
■ Source: Hengyang Railway Transport Court
■ Author: Liu Denghui
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What is the resolution size of Huawei mate50pro screen? Is Huawei Mate50 a Type-C interface?

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