1. Heavy polluted weather with PM2.5 as the primary pollutant is harmful to health.
Interpretation: Polluted weather refers to the phenomenon of air pollution caused by the accumulation of pollutants in the air under unfavorable meteorological conditions such as no wind, inversion and high humidity. Heavily polluted weather generally refers to the air pollution phenomenon that the air quality index is greater than 200, that is, the ambient air quality reaches the level of heavy pollution and above. Heavy polluted weather with PM2.5 as the primary pollutant is commonly known as "smog". When heavy pollution weather may occur, the local government will issue early warning information.
PM2.5 in the atmosphere is the general name of all particles with a diameter less than or equal to 2.5 microns, and its diameter is about one twentieth of that of hair. PM2.5 can stay in the atmosphere for a long time, is not easy to remove, and can adsorb a variety of harmful substances, easily inhaled into the deep respiratory tract, and some components can also enter the blood, which is harmful to human health.
At present, the sources and composition of PM2.5 are different in different regions of China. The main sources of PM2.5 include industrial emissions, coal-fired emissions, motor vehicle exhaust, garbage incineration, rural straw burning, construction and road dust. In addition, open-air barbecues, food cooking, forest fires and volcanic eruptions will also cause PM2.5 to accumulate in the air. Indoor PM2.5 is not only from outdoor air pollution, but also from indoor smoking and food cooking.
Second, the health hazards of heavily polluted weather include acute and chronic.
Interpretation: The acute harm of heavily polluted weather with PM2.5 as the primary pollutant is mainly manifested in symptoms such as cough, sore throat and eye irritation caused by inhaling pollutants in a short time. Heavy polluted weather can also induce acute attack or aggravation of chronic diseases such as bronchial asthma, chronic obstructive pulmonary disease, cardiovascular and cerebrovascular diseases. Seek medical attention if necessary.
Chronic hazards mainly include the effects on respiratory system and cardiovascular system. According to the World Health Organization, long-term and persistent heavy polluted weather can increase the risk of respiratory diseases such as asthma, bronchitis, chronic obstructive pulmonary disease, lung cancer and cardiovascular diseases such as hypertension, coronary heart disease and stroke. Heavy polluted weather can also affect people’s mood.
Third, when there is heavy pollution weather, personal protection should be done.
Interpretation: The public should pay attention to the local heavy pollution weather forecast and early warning information.
In case of heavily polluted weather, the exposure should be reduced as much as possible, and the main measures include:
1. The public should reduce outdoor activities.
2. Children, pregnant women, the elderly, patients with cardiovascular diseases and respiratory diseases should try to avoid outdoor activities.
3. Close the doors and windows in time, don’t smoke indoors, in addition, avoid cooking and other behaviors that may aggravate indoor air pollution. If no new fan is installed indoors, try to avoid the peak period of pollution according to the local air pollution situation, and open the window for ventilation once or twice a day for 10-20 minutes each time. If there are many people in the room and the space is small, the number of windows should be increased appropriately.
4. If conditions permit, air purification equipment can be used.
5. If you have to go out, you should minimize the time and intensity of outdoor activities and wear qualified masks; Wash your face and bare skin when you come back from going out.
Fourth, the correct choice and wearing of masks can reduce the impact of PM2.5 on human health.
Interpretation: The standard mask has good protective performance, which can effectively filter or block PM2.5 and greatly reduce the inhalation of harmful substances. When going out, it is recommended to give priority to masks marked with GB/T 32610-2016 standard.
Pay attention to wearing a mask correctly:
1. Ensure that the mask has a good fit with the face and does not leak.
2. It is suggested that the elderly, children and other special groups should choose masks with better comfort under the guidance of professionals or family members.
3. If the worn mask needs to be used again, it should be dried and put into a clean bag for collection.
4. Wear and replace the mask in strict accordance with the instructions for use.
Fifth, the correct use of air purification equipment is conducive to reducing the concentration of indoor PM2.5.
Interpretation: In heavily polluted weather, you should stay indoors as much as possible. When closing doors and windows, using air purification equipment is conducive to reducing the indoor PM2.5 concentration. Air purifier is a common air purification equipment. If conditions permit, especially in crowded places, we can consider installing new fans with high-efficiency filters.
When purchasing air purifiers, we should pay attention to selecting air purifiers that meet the national standards (GB/T 18801-2015 "Air Purifiers"), mainly referring to two types of indicators, namely, clean air volume (CADR) and cumulative purification volume (CCM). The applicable area of the purifier can be estimated by multiplying the particle CADR value by 0.1 (for example, the applicable area of an air purifier with a particle CADR of 300m3/h is about 30m2). The CCM value reflects the service life of the purification parts (the greater the CCM value, the longer the replacement or cleaning cycle of the purification parts).
Use the air purifier in strict accordance with the instruction manual, and pay special attention to:
1. The room should be closed as far as possible, and the periphery of the purifier should not be blocked, so as not to affect the air inlet and outlet.
2. First turn on the highest gear to purify the air quickly, and then use the silent gear to maintain the purification effect.
3. Open the window in time for indoor and outdoor air exchange.
4. The purification parts should be replaced or cleaned regularly according to the instruction manual.
6. Everyone should start from himself, save energy, care for the environment and reduce PM2.5 emissions.
Interpretation: Environment and health are closely related. Many diseases suffered by human beings are caused by environmental pollution, including air pollution. Protecting the environment means protecting human health. Reducing the harm of air pollution requires the joint efforts of the whole society. Everyone has the responsibility of caring for environmental sanitation and protecting the environment from pollution, and should actively cooperate with the state’s ecological environmental protection work and make contributions to preventing the harm of air pollution. Abide by the laws and regulations on environmental protection, abide by the social morality of paying attention to hygiene, consciously develop good habits of saving resources and not polluting the environment, and strive to create a clean, comfortable, quiet and beautiful environment. Advocate the use of public transportation, bicycles and other green modes of travel, prohibit indoor smoking, prohibit burning straw and garbage, reduce open-air barbecues and fireworks, adhere to a simple and moderate, green and low-carbon lifestyle, and oppose extravagance and waste and unreasonable consumption.
Treating heavily polluted weather scientifically and rationally and adhering to a healthy and civilized lifestyle are beneficial to physical and mental health. For more information about personal protection in heavily polluted weather, please consult the official websites of National Health and Wellness Commission, China Center for Disease Control and Prevention and China Health Education Center.
According to the website of Heilongjiang provincial government on 24th, suifenhe city, Dongning City, Fuyuan City, Tongjiang City, Mishan City, Raohe County, Jiayin County, Luobei County, Aihui District and Xunke County are now declared as land border port cities according to the requirements of the State Council’s joint prevention and control mechanism for novel coronavirus epidemic.
In order to effectively control the risk of epidemic spread, from the date of announcement to March 15, 2022, you must have a negative nucleic acid test certificate within 48 hours when you leave the above port cities. Please ask the relevant personnel to seriously abide by the requirements of epidemic prevention and control, and cooperate with relevant departments and units to check the nucleic acid test certificate. If the epidemic prevention and control obligations are not fulfilled and the spread of infectious diseases is caused, they will bear corresponding legal responsibilities.
Hulin City, Sunwu County, Huma County and Mohe City will strengthen the implementation of epidemic prevention and control measures according to the above-mentioned land border port cities.
With the epidemic under control, the passenger flow in Taikooli, Chengdu slowly resumed photography.
"Encourage the implementation of a flexible working system of 4.5 days a week and 2.5 days on weekends." Since March, Jiangxi, Zhejiang and other places have taken measures to actively guide cadres and workers to go out for leisure holidays on weekends, in order to boost consumption, promote economic growth and reduce the impact of the COVID-19 epidemic on the economy.
On March 25th, Wang Qiyan, a professor at Renmin University of China and director of China Leisure Economy Research Center, said in an interview with Chengdu Business Daily-Red Star News reporter that the income of employees in government agencies, enterprises and institutions is relatively stable, and the flexible working system is pioneered by this group. It is undoubtedly a feasible practice to promote consumption and drive a wider range of consumer groups by increasing the supply of time. Su Hainan, a special researcher in china association for labour studies, is more cautious. He said that the first thing to do to resume production at present is to ensure safety and prevent the epidemic from rebounding.
Five years ago, a 2.5-day weekly holiday was introduced.
But the implementation effect is not ideal.
On March 19th, Jiangxi Provincial People’s Government issued "About laying a good ‘ Combination boxing ’ Notice to boost tourism consumption. " It is mentioned that all localities and units should optimize their work arrangements according to the actual situation. In the second quarter of this year, they will try out 2.5 days of flexible work and rest on weekends and actively guide cadres and workers to go out for leisure and vacation on weekends. The working hours reduced by flexible work and rest can be compensated by extending the length of other working days.
Recently, the "Implementation Opinions of the General Office of the People’s Government of Zhejiang Province on Boosting Consumption and Promoting Stable Economic Growth" issued by Zhejiang Province mentioned that it encourages the implementation of a 4.5-day flexible working week and supports qualified organs, social organizations, enterprises and institutions to implement the paid vacation system.
In fact, encouraging the implementation of flexible working system is nothing new. In the Opinions of the General Office of the State Council on Further Promoting Tourism Investment and Consumption issued in August 2015, it is mentioned that flexible work and rest are encouraged, and places and units with conditions can optimize and adjust summer work and rest arrangements according to the actual situation, creating favorable conditions for employees to go out for leisure and vacation on Friday afternoons and weekends. Since then, more than 10 provinces, including Hebei and Chongqing, have issued opinions to encourage flexible work and rest for 2.5 days, but after five years, the implementation effect is not ideal.
Why is it difficult to implement?
Experts say that labor efficiency is relatively low.
The reason is that Wang Qiyan, a professor at China Renmin University and director of China Leisure Economy Research Center, believes that in the final analysis, the labor efficiency is relatively low.
Regarding the voice on the Internet that "two weekends are difficult to implement, not to mention flexible working system", Wang Qiyan believes that if society wants to make progress, there will always be some people who have to sacrifice, such as those who stand at the forefront of science and technology. There are still some groups, because of the characteristics of the industry or the particularity of the occupation, who can’t reach the average rest standard, which is also a reality.
4.5-day flexible working system
How much effect does it have on stimulating consumption?
From the perspective of stimulating consumption, Su Hainan thinks that the effect is not necessarily great.
He said that industries with relatively high wages and relatively stable incomes are willing to spend if they are given more rest time under safe circumstances. But for many employees of small and medium-sized enterprises, especially migrant workers, the first consideration may not be how to spend, but how to earn money quickly and maintain a normal life.
Su Hainan suggested that consumption should be gradually restored while ensuring safety. In the process of restoring consumption, people must be isolated according to the relevant requirements and regulations of epidemic prevention, and retaliatory consumption in crowded places is not advocated, because there are still risks. "Don’t look at the possibility that the turnover has come up, but if there is another infection in Covid-19, it will be terrible."
As double 11 approaches, many people have already filled their shopping carts with health care products in advance, just waiting for the zero discount time to start shooting. Among them, one of the hottest and most publicized commodities is probably imported joint health care products. However, the latest research proves that the key ingredients in joint health care products may not be as useful as placebos. At the same time, because its formula changes at will, its medicinal properties and toxicity are also difficult to monitor. Friends who want to buy such health care products at special prices need to think twice before you do.
Today’s two articles bring together some kinds of goods that should be bought carefully or even not. Among them, the e-cigarettes that we strongly warned about were completely removed from Taobao and Tmall on November 6. So far, the online sales platform has completely banned the sale of e-cigarettes.
Writing | Shi Juan
Maybe you exercise a lot, maybe you need to sit still for a long time because of your work, or maybe you are old. In either case, the concept of protecting your joints must be familiar.
Known as a health care product that is good for joints, the most popular brand at present is Move Free, which is a brand of Schiff, a famous American health care company. Common models are as follows:
Image from Schiff official website
Costco, a famous American supermarket, also has several kinds that people often buy.
Image from CVS official website
The main components of these drugs are glucosamine and chondroitin sulfate. Some of them are added with vitamin D or an organic sulfur compound: dimethyl sulfone (MSM, an essential substance for human collagen synthesis).
Glucosamine claims to "strengthen, protect and rebuild joints", while chondroitin sulfate "can help lubricate and cushion joints", thus finally relieving joint pain, joint stiffness and arthritis.
I believe everyone has read many online articles recommending this health care product (the screenshot is omitted here).
However, are glucosamine and chondroitin sulfate really good for joints?
One study after another published in authoritative magazines shows that glucosamine and chondroitin sulfate health care products have no effect on joints. Even in the United States, there are several class actions, accusing the manufacturers of these health care products of making false advertisements, misleading and deceiving ordinary consumers [1, 2].
Photo: In June 2019, consumers collectively sued Schiff Move Free for false advertising and formally filed a case. [2]
A series of studies, the answer is getting clearer and clearer.
The most famous research is called Gait (Glucosamine/Chondroitin Arthritis Intervention Trial), which took four years and cost $12.5 million. It was funded by two departments under the National Institutes of Health (NIH), namely National Center for Complementary and Alternative Medicine (NCCAM) and National Institute of Arthritis/Musculoskeletal/Dermatology (NIAMS).
The purpose of this study is to determine whether glucosamine and chondroitin sulfate are effective in the treatment of osteoarthritis.
Let’s take out these studies and analyze them for everyone.
one
This study was published in the authoritative medical journal New England Medicine in 2006 [3].
A total of 1583 patients with osteoarthritis were recruited and randomly assigned to take:
Placebo (the same shape as medicine, but without the ingredients of medicine, it can be simply understood as sugar ball)
1,500 milligrams of glucosamine per day
1200 mg chondroitin sulfate per day
1500 mg glucosamine +1200 mg chondroitin sulfate per day
200 mg of prescription drug celebrex (an analgesic used to relieve pain for arthritis and other diseases) every day.
It is worth noting that this dose is the dose of glucosamine and chondroitin sulfate in popular health care products at that time. It is emphasized here that there was a reason for the dose in health care products at that time, which will be further explained later.
If the patient feels that the joint pain is still uncontrollable, he can take up to 4000 mg of acetaminophen (the main component of Tylenol) every day.
The main purpose of the study is to see if the pain in the knee joint is reduced by 20% after taking the medicine for 24 weeks.
The result is as follows:
It can be seen that there is no significant difference between the group taking glucosamine and chondroitin sulfate and the placebo group.
However, it is worth noting that at 24 weeks, 60.1% (more than half) people who took placebos also felt that their symptoms had improved. This extraordinary placebo effect is often seen in clinical trials of arthritis. Without knowing what they are eating, patients think they are taking useful drugs, and strong psychological hints will make the pain less intense.
Source: The-Science-Site.com.
This trial is a good example to explain why clinical trials are rigorous only if they are randomized and double-blind. Randomized double-blind trials should make sure that there is basically no difference in appearance between the pills in the placebo group and the real pills. The people who eat them can’t guess what they are eating at all, and the people who collect data don’t know what each patient is eating, so as to ensure that there will be no bias in the data collection process.
After taking celebrex for 24 weeks, those who felt that their pain was reduced by 20% were about 10% higher than those in the placebo group, achieving a statistically significant effect. Once again, it proves that this prescription drug is effective.
Finally, the author of this study divided the patients into groups according to the severity of symptoms, and found that the combined therapy of 1500 mg glucosamine and 1200 mg chondroitin sulfate/day seems to have certain effect on patients with severe symptoms. However, it is worth noting that the number of volunteers with severe symptoms in this study is relatively small, and the sample size is too small to be conclusive, which needs further research to confirm.
2
So, these authors continued to study. The new results were published in the journal Arthritis and Rheumatism in 2008 [4]. We call it study 2 (the last one was called study 1).
The time of the second study was extended from 24 weeks to 24 months (two years), and the patients with severe symptoms were studied emphatically, because the last short-term trial found that the combination therapy of glucosamine and chondroitin sulfate might be useful for these patients.
572 patients with moderate or severe knee osteoarthritis were recruited and randomly divided into five groups:
placebo
Glucosamine (500 mg each time, 3 times a day: 1500 mg/day)
Chondroitin sulfate (400 mg each time, 3 times a day: 1200 mg/day)
Glucosamine (500 mg each time, 3 times a day)+chondroitin sulfate (400 mg each time, 3 times a day)
Celebrex (200 mg once a day)
The final effective index of this experiment is not the subjective pain feeling in the first experiment (this kind of patient’s feeling is the most prone to error), but the change of joint space width is determined by X-ray at 24 months. The more severe osteoarthritis is, the more cartilage loss is, and the smaller joint space is. If a drug can stop or even reverse the shortening of joint space, it can improve the joint structure and relieve symptoms.
Finally, in the second study, the average joint spacing of patients with osteoarthritis in the placebo group decreased by 0.166 mm after two years, which meant that osteoarthritis was aggravated.
Compared with placebo, glucosamine, chondroitin sulfate or their combination therapy did not significantly reduce the loss of joint space width (arthritis did not relieve).
The researchers even observed that the joint space shortening (arthritis aggravation) of combined therapy was more serious than that of other groups, probably because taking two drugs at the same time affected the absorption of each drug-and most health care products on the market mixed these two ingredients together.
three
The final result of the GAIT study was published in Rheumatology Annual Report in 2010 [5]. We call it study three.
The third study was similar to the first study, except that the experiment was extended from 24 weeks to 24 months.
This time, the researcher recruited 662 volunteers with moderate to severe osteoarthritis and randomly divided them into five groups as in the second paper. The main index is, as in the first study, to see whether the pain of knee joint is reduced by 20% compared with that before taking medicine.
The results of this long-term experiment are similar to those of study 1. All groups had significant pain and functional improvement within 2 years. However, no treatment is significantly better than placebo. There was no statistically significant difference between the treatment groups, which once again proved the powerful placebo effect.
The good news is that no serious side effects were observed in all the treatment groups-it seems that these drugs are safe to take for at least two years in this experiment.
GAIT research tells us:
1. The curative effect of glucosamine and chondroitin sulfate comes from strong psychological suggestion to a great extent. Even if you eat "sugar balls", if you think you are eating drugs that are useful for joints, more than half of people will feel that joint pain is reduced.
2. Taking glucosamine and chondroitin sulfate at the same time may affect the absorption of any single component.
3. Glucosamine and chondroitin sulfate can not improve the shortening of joint space after illness.
four
The latest study on glucosamine and chondroitin sulfate was completed in 2016 [6]. This experiment recruited 164 patients with knee pain caused by osteoarthritis, and half of them took glucosamine (1500 mg/day) and chondroitin sulfate (1200 mg/day). The other half took a placebo.
However, the study was terminated early for an unusual reason: compared with the placebo group, the symptoms of patients who took glucosamine and chondroitin sulfate worsened.
Further than the previous three experimental results, this result suggests a terrible possibility: taking glucosamine and chondroitin sulfate may make the joint condition worse than doing nothing.
Move Free, hepatotoxicity?
I often hear friends around me say that most people eat health care products without any side effects. What if they eat them? If you don’t eat, don’t you miss that "one thousand" opportunity?
However, have you overlooked the "one thousand" harmful situation?
In fact, there are no published prospective studies on the efficacy, tolerance and safety of most health care products.
Remarks:
Prospective study usually involves observing a group of subjects for a long time, and studying whether some observed results (such as illness) are related to other factors (such as suspicious risks or protective factors) during the trial. The prospective study related to the safety of health products mentioned here is to observe whether a group of people who eat health products will have some adverse reactions related to eating health products.
This is because the ingredients of health care products are not strictly monitored by FDA, and the formula can be changed frequently. This not only makes it difficult to study its security, but also means that its security is even more insecure. Who knows which batch of formula will go wrong?
Take the current Schiff Move Free series products as an example.
If you look closely at the website of Schiff Nutrition International, the manufacturer of Move Free, you will find that there is a small line below:
“Our packaging and/or formulas change from time to time. Please refer to the actual packaging for current product information.”
Our packaging and/or formula will change from time to time. Please refer to the actual packaging for current product information. "
Figure: Composition description of a Move Free product on Schiff Nutrition International website.
At present, many cases have been reported, saying that patients taking Move Free have obvious liver damage in clinic.
In 2010, the first case report on liver injury caused by taking Move Free was published in the United States [7]. Subsequently, new cases were reported in August 2012 and September 2013. In these published cases, patients developed acute hepatocyte injury within 1-3 weeks after taking a Move Free product. The degree of injury is moderate and can be relieved within 1 to 2 months after stopping taking it; There is no immune allergy and autoimmune reaction, and it can finally recover completely in all cases. However, one patient resumed using the product when he was half well, and immediately developed acute liver injury with similar symptoms. In addition, although no more cases have been published, there are three prospective studies on drug-induced hepatotoxicity in the United States, all of which mentioned acute liver injury cases related to Move Free, all of which occurred in 2012-2013 [October 12].
The specific Move Free products mentioned in these cases at that time, in addition to the main glucosamine and chondroitin sulfate, also contained a patented herbal mixture, including China Scutellaria baicalensis and Acacia catechu.
These reports attributed the liver injury caused by Move Free to Scutellaria baicalensis Georgi in China [13], and only one case was attributed to glucosamine [11]. However, China Scutellaria baicalensis Georgi protects the liver in animal models, but not damages it [14-16]. Why can it cause human liver injury? The report did not reasonably explain its mechanism of liver injury. There is also a kind of explanation that the China Scutellaria baicalensis Georgi in Move Free contains pollutants, or maybe it is not China Scutellaria baicalensis Georgi at all (the manufacturer made a mistake and added a similar plant as China Scutellaria baicalensis Georgi).
Therefore, it is still uncertain what specific components may cause liver injury. Manufacturers often change the composition and concentration of health care products, so it is not certain whether the products currently on the market still contain these harmful ingredients. At present, Move Free series products no longer list "including China Scutellaria baicalensis Georgi and other herbal ingredients", but give a patented ingredient with a new name on some products, which is called "uniflex (fruitex-b calcium fruitoborate)", claiming to be a mineral extracted from vegetables and fruits.
What’s more noteworthy is that the content of chondroitin sulfate in the Move Free series products listed on the official website in the United States has been greatly reduced (see the figure below), and the dosage has been reduced from 1200mg per day to 200mg per day. There is no glucosamine and chondroitin sulfate in the Move Free Ultra series products, one of which only contains calcium and calcium borate, and the other contains a patented cartilage mixture. However, most of them are produced by different manufacturers, such as similar products of Kirkland brand sold by Costco, and the dosage is still 1500 mg of glucosamine and 1200 mg of chondroitin sulfate every day.
Figure: The ingredients of four existing Move Free series products (from official website, USA) are chondroitin sulfate content in the red box. Click to see a bigger picture.
Figure: Components of four existing Move Free Ultra series products (from official website, USA).
In addition, a small study in 2013 found that taking glucosamine may increase the risk of glaucoma, which will threaten vision if it is not treated in time [17]. Chondroitin sulfate can play the role of blood anticoagulant, so it may cause internal bleeding.
Another problem that is often overlooked is drug interaction: any combination of compounds may produce bad interactions. If you are taking other drugs, you must decide carefully whether to take health care products. Because they may not contain the amount indicated on the label, or they may contain pollutants-this will make it more difficult for you to accurately judge whether there will be drug interactions.
Other side effects of glucosamine and chondroitin sulfate include:
Heartburn, heartburn
feel tired and sleepy
headache
Allergic reaction (especially if you are allergic to shellfish)
What drugs/treatments are there for arthritis?
So far, there is no therapy or medicine that can cure arthritis.
There are many drugs that can be used to improve symptoms (mainly to relieve pain) and slow down the deterioration of the disease, but they cannot completely reverse the structural damage.
Because there are more than 100 different kinds of arthritis, each specific type of treatment is not exactly the same. We should prescribe the right medicine after diagnosis.
After the doctor looked around and guessed the type of arthritis he might have, there were two main methods for further diagnosis:
1. Body fluid analysis. Analyzing blood, urine and joint fluid can help determine what type of arthritis you may have. In order to obtain a sample of joint fluid, doctors usually need to put a needle into the joint space to suck some fluid.
2. Imaging analysis. Commonly used imaging methods include X-ray, CT, magnetic resonance imaging (MRI) and ultrasound.
After confirming the type of arthritis, you may need to try several different treatments or combinations of treatments to find the one that suits you best.
There are usually three types of therapies: drugs, physical therapy and surgery.
01
medicine
Different types of arthritis, should use different drugs. Commonly used arthritis drugs include:
Analgesics These drugs help to relieve pain, but they can’t diminish inflammation. For example, acetaminophen (the main component of Tylenol), Ultram (Ultracet), and some strictly regulated painkillers (such as oxycodone).
Non-steroidal anti-inflammatory drugs (NSAIDs). These drugs can relieve pain and diminish inflammation at the same time. Over-the-counter NSAID include ibuprofen (Motrin) and naproxen sodium (Aleve). Some types of NSAID must be obtained by prescription. Oral NSAID may cause stomach upset, and some may increase the risk of heart attack or stroke. Some NSAID can also be rubbed on joints as creams or gels. I have talked about the points for attention in the use of Tylenol and Ibuprofen before. If you are interested, you can go and see it (→ How to use Tylenol and Ibuprofen correctly? | 117 threesome).
Anti-irritant Some kinds of ointment contain menthol or capsaicin. Rubbing these ointments on the skin of painful joints may interfere with the transmission of pain signals, thus achieving the effect of relieving pain.
Antirheumatic drugs. Usually used to treat rheumatoid arthritis, it can slow down or prevent the immune system from attacking joints. Such as methotrexate (Trexall) and hydroxychloroquine.
Specific immune response modulators. It is usually used with anti-rheumatic drugs, which target certain protein molecules involved in immune response. Such as etanercept (Enbrel) and infliximab (Remicade).
Corticosteroids. These drugs, including prednisone and cortisone, can reduce inflammation and suppress the immune system. Corticosteroids can be administered orally or directly into joints.
02
physiotherapy
Physical therapy is helpful for some types of arthritis. Moderate exercise can improve and strengthen the muscles around the joints.
03
operation
If nothing works, it will be operated. Include joint repair or joint replacement.
04
Acupuncture, yoga, Tai Ji Chuan and massage.
There is little data to support these unconventional treatments, but there is no conclusive evidence that they are ineffective. You can look at your own reaction to see if you try.
Total knot
Although there is no convincing data to prove that health products containing glucosamine and chondroitin sulfate are beneficial to joints, many people will buy and take them. Some people think that even if there is no effect from the overall data of the population, it may be useful for individuals because of some factors; Others believe that even if most of the effects come from the placebo effect, the benefits of the placebo effect are real and hard to give up.
However, the latest clinical results and several cases of side effects show that these health care products may also be harmful to health. Manufacturers often change the formula, and the actual ingredients and dosage may be far from what you expected.
Most types of arthritis are chronic and will affect life-long diseases. Knowing all kinds of risk factors (including obesity, sedentary lifestyle, eating habits, joint injuries, smoking, etc.), changing lifestyle and reducing the chance of getting sick are the best preventive measures. It is absolutely unacceptable to put all your hopes on health care products without fundamentally changing your living habits.
[3] D. O. Clegg et al., Glucosamine, chondroitin sulfate, and the two in combination for painful knee osteoarthritis. N Engl J Med 354, 795-808 (2006).
[4] A. D. Sawitzke et al., The effect of glucosamine and/or chondroitin sulfate on the progression of knee osteoarthritis: a report from the glucosamine/ chondroitin arthritis intervention trial. Arthritis Rheum 58, 3183-3191 (2008).
[5] A. D. Sawitzke et al., Clinical efficacy and safety of glucosamine, chondroitin sulphate, their combination, celecoxib or placebo taken to treat osteoarthritis of the knee: 2-year results from GAIT. Ann Rheum Dis 69, 1459-1464 (2010).
[6] J. A. Roman-Blas et al., Combined Treatment With Chondroitin Sulfate and Glucosamine Sulfate Shows No Superiority Over Placebo for Reduction of Joint Pain and Functional Impai rment in Patients With Knee Osteoarthritis: A Six-Month Multicenter, Randomized, Double-Blind, Placebo-Controlled Clinical Trial. Arthritis & Rheumatology 69, 77-85 (2017).
[7] S. A. Linnebur, O. C. Rapacchietta, M. Vejar, Hepatotoxicity associated with chinese skullcap contained in Move Free Advanced dietary supplement: two case reports and review of the literature. Pharmacotherapy 30, 750, 258e-262e (2010).
[8] L. Yang, A. Aronsohn, J. Hart, D. Jensen, Herbal hepatoxicity from Chinese skullcap: A case report. World J Hepatol 4, 231-233 (2012).
9. R. Dhanasekaran, V. Owens, W. Sanchez, Chinese skullcap in move free arthritis supplement causes drug induced liver injury and pulmonary infiltrates. Case Reports Hepatol 2013, 965092-965092 (2013).
[10] V. J. Navarro et al., Liver injury from herbals and dietary supplements in the U.S. Drug-Induced Liver Injury Network. Hepatology (Baltimore, Md.) 60, 1399-1408 (2014).
[11] S. Rossi, V. J. Navarro, Herbs and Liver Injury: A Clinical Perspective. Clinical Gastroenterology and Hepatology 12, 1069-1076 (2014).
[12] N. Chalasani et al., Features and Outcomes of 899 Patients With Drug-Induced Liver Injury: The DILIN Prospective Study. Gastroenterology 148, 1340-1352.e1347 (2015).
[13] V. J. Navarro, L. B. Seeff, Liver Injury Induced by Herbal Complementary and Alternative Medicine. Clinics in Liver Disease 17, 715-735 (2013).
[14] Q. Dong et al., Scutellaria baicalensis Georgi extract protects against alcohol?induced acute liver injury in mice and affects the mechanism of ER stress. Mol Med Rep 13, 3052-3062 (2016).
[15] J. Boer et al., Protection against aflatoxin-B-1-induced liver mutagenesis by Scutellaria baicalensis. Mutation research 578, 15-22 (2005).
[16] H. N. Thanh et al., Ethanol extracts of Scutellaria baicalensis protect against lipopolysaccharide-induced acute liver injury in mice. Asian Pacific Journal of Tropical Biomedicine 5, 761-767 (2015).
[17] R. K. Murphy et al., Oral Glucosamine Supplements as a Possible Ocular Hypertensive Agent. JAMA Ophthalmology 131, 955-957 (2013).
The pen name is "Cats at My Will" and now lives in Boston, USA. I graduated from the Department of Biological Sciences and Technology in Tsinghua University with a bachelor’s degree, and joined a multinational well-known pharmaceutical company to engage in drug research and development after obtaining a doctorate in the United States. For more than ten years, he led the team to fight diabetes and muscular dystrophy. In recent years, he focused on the research and development of anti-aging drugs. Personal WeChat WeChat official account "Feel Free" to talk to you about medical care.
Shi Juan
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Original title: "double 11 carefully buys joint health products: the formula is changed at will, and the effect is not as good as placebo | 117 threesome"
On December 27th, the People’s Bank of China publicly solicited opinions on the Implementation Measures of the People’s Bank of China for the Protection of Financial Consumers’ Rights and Interests (Draft for Comment). The "Implementation Measures" specifically regulate the behavior norms of financial institutions, the protection of consumers’ financial information, and the settlement of financial consumption disputes.
What should financial institutions do?
Protection of consumers’ rights and interests should be included in the assessment.
The "Implementation Measures" require that financial institutions should formulate the overall plan and specific work measures for the protection of financial consumers’ rights and interests in their own institutions. Establish a full-time department or designate a lead department to protect the rights and interests of financial consumers, clarify the responsibilities of departments and personnel, and ensure that they have enough manpower and material resources to work independently.
Financial institutions shall carry out special training on the protection of financial consumers’ rights and interests at least once a year.
When financial institutions carry out evaluation, they should take the protection of financial consumers’ rights and interests as an important content, rationally allocate the proportion and weight of relevant indicators, comprehensively consider business compliance, customer satisfaction, timely complaint handling rate and qualified rate, and not simply take the number of complaints as the evaluation index.
Relevant information shall be kept for at least three years after the termination of business relationship.
The "Implementation Measures" stipulate that when financial institutions disclose information on financial products and services, they should use a way that is conducive to the reception and understanding of financial consumers. The rules for the collection and use of consumer financial information should be made public, and the purpose, method and scope of the collection and use of consumer financial information should be clearly stated. For important information related to the immediate interests of financial consumers, such as interest rates, fees, benefits and risks, key technical terms should be explained according to the complexity and risk level of financial products and services, and financial consumers should be confirmed to have received complete information in an appropriate way.
When explaining important contents and disclosing risks to financial consumers, financial institutions shall keep relevant materials in accordance with laws, regulations and regulatory provisions, and the retention time shall not be less than three years from the date of termination of business relations. Where laws and administrative regulations provide otherwise, such provisions shall prevail. The retained materials include but are not limited to: product or service agreement confirmed by financial consumers, and risk warning letter confirmed by financial consumers; Record audio and video recordings or system logs and other related data messages that explain important contents to financial consumers.
What can’t financial institutions do?
Shall not handle business on behalf of financial consumers without authorization.
The Implementation Measures require that financial institutions should assess the suitability of financial products and services to financial consumers according to their characteristics, reasonably classify the risk levels of financial products and services and the risk tolerance levels of financial consumers, and provide appropriate financial products and services to appropriate financial consumers.
Financial institutions shall ensure the property safety of financial consumers when purchasing and using financial products and services according to law, and shall not illegally misappropriate or occupy financial consumers’ funds and other financial assets.
At the same time, we should respect the real wishes of financial consumers to buy financial products or services, and we should not arbitrarily act as agents for financial consumers to handle business, modify financial consumers’ business instructions, or force tying other products or services.
There must be no format clause.
Unfair and unreasonable regulations for consumers
Many consumers usually sign the format clauses of financial institutions without reading them clearly. In order to prevent the infringement of consumers’ legitimate rights and interests, the Implementation Measures require that when financial institutions provide financial products or services to financial consumers, they should draw financial consumers’ attention to the contents of financial products or services that are of great interest to financial consumers, such as the quantity, interest rate, expenses, time limit and method of performance, precautions and risk warning, and explain them according to the requirements of financial consumers. If the standard terms are in electronic form, they should be identifiable and easy to obtain.
At the same time, financial institutions shall not make provisions with the following five contents in the form of standard clauses, notices, statements, notices, etc.: (1) Reducing or exempting financial institutions from the liability for compensation for financial consumers’ property losses; (2) stipulating that financial consumers shall bear liquidated damages or damages exceeding the statutory limit; (3) Exclude or restrict the right of financial consumers to inquire, delete or modify their financial information according to law; (4) excluding or restricting the right of financial consumers to choose financial products or services provided by other financial institutions; (5) Other unfair and unreasonable provisions for financial consumers.
The "Implementation Measures" require that financial institutions should promptly revise or clean up the format clauses and service agreement texts that infringe on the legitimate rights and interests of financial consumers.
Promoting non-guaranteed products should not mislead people into believing that profits are guaranteed.
The "Implementation Measures" require that financial institutions should be responsible for the authenticity of marketing propaganda content. The actual obligations of financial institutions shall not be lower than the standards promised to financial consumers in the form of advertisements, materials or explanations in marketing and publicity activities.
Financial institutions shall not engage in the following five acts when conducting marketing and publicity activities: (1) false, fraudulent, concealed or misleading propaganda; (2) Exaggerated propaganda on performance or product income; (3) misleading financial consumers into thinking that the financial management department has provided a guarantee for the financial product or service by using the procedures of auditing or filing the financial product or service by the financial management department; (4) The marketing propaganda contents of non-guaranteed investment financial products mislead financial consumers into believing that the principal can be guaranteed to be safe or profitable; (five) other acts in violation of laws, regulations and regulatory provisions related to the protection of the rights and interests of financial consumers.
Shall not be forced to collect consumer financial information in disguise.
The Implementation Measures has a special chapter to regulate the protection of consumers’ financial information, including consumers’ personal identity information, property information, account information, credit information, financial transaction information and other information related to the purchase and use of financial products or services by specific consumers.
According to the "Implementation Measures", financial institutions should follow the principles of legality, legitimacy and necessity in collecting and using consumer financial information, with the express consent of financial consumers. Financial institutions shall not collect consumer financial information unrelated to their business, nor shall they collect information in an improper way, nor shall they collect consumer financial information in a disguised form.
Financial institutions shall not take the consent of financial consumers to the use of financial information for external provision as a prerequisite for establishing business relations with financial consumers, unless the nature of the business relationship requires prior consent.
Where a financial institution obtains the consent of consumers for the collection and use of financial information through standard clauses, it shall specify the purpose, method, content and scope of use of the collection in the clauses, and remind financial consumers of the possible consequences of the consent in a conspicuous way as easily as possible.
At the same time, financial institutions shall use consumer financial information in accordance with the provisions of laws and regulations and the purposes agreed by both parties, and shall not use it beyond the scope.
Can’t "throw the pot" to the outsourcing service provider
The "Implementation Measures" stipulate that the obligation of financial institutions to protect consumers’ financial information security will not be transferred or reduced because of their cooperation with outsourcing service providers.
Financial institutions shall fully review and evaluate the ability of outsourcing service providers to protect consumers’ financial information, clarify the responsibilities and confidentiality obligations of outsourcing service providers to protect consumers’ financial information in relevant agreements, and take necessary measures to supervise outsourcing service providers to perform the above responsibilities and obligations. After the termination of the cooperative relationship, the financial institution shall supervise the outsourcing service provider to destroy the consumer financial information obtained from the financial institution in time.
Encourage financial institutions to transfer their financial information to other financial institutions designated by financial consumers on the premise of technical feasibility.
What if something goes wrong?
The "Implementation Measures" clarify that if there is a financial consumption dispute between financial consumers and financial institutions, they should first complain to the financial institutions. If a financial consumer does not accept the handling of complaints made by a financial institution, he may make a complaint through the branch of the People’s Bank of China where the financial institution has its domicile or where the business behavior takes place.
After receiving complaints from financial consumers, the branches of the People’s Bank of China can answer whether to accept them on the spot, and should answer them on the spot; If you can’t answer on the spot, you should make a decision on whether to accept it within 7 working days from the date of receiving the complaint; If the complainant needs to make corrections to the complaint application, he shall make a decision on whether to accept it within 7 working days from the date of completion of the correction. For complaints that are not accepted, the complainant shall be informed of the reasons for not accepting them. For the complaints received, the complaint shall be transferred to the complained financial institution for handling or to the financial consumer dispute mediation organization to provide mediation services within 5 working days from the date of receiving the decision.
The financial institution shall reply to the complainant within 15 working days from the date of receiving the complaint forwarded by the branch of the People’s Bank of China. If the situation is complicated, the handling period may be extended, and the complainant shall be informed of the reasons for the extension, but the longest handling period shall not exceed two months. (Reporter Cheng Wei)
1905 movie network news The film, which was planned by Lv Housheng, Wang Baoyu, Sun Jianduo, written by Wang Xianqing and supervised by zhang huimin, released its concept poster and preview on November 19th, and was officially finalized on December 6th. This film, directed by Li Zhengwei and starring Bai Zhidi, Wu Di and Suya Sun, tells the story of an old man who once participated in the construction of the Hongqi Canal. After many years, he returned to the Hongqi Canal with his grandchildren, riding all the way, overcoming difficulties, and finally meeting with his old friends to realize his dream together. The story of the film spans several decades, reappearing the hardships of building the Hongqi Canal in the 1960s, and also showing the new look of Linzhou in the new era. The concept poster highlights the working people’s indomitable spirit, and the trailer is based on the background of the times, showing the shocking scene of the construction of the Hongqi Canal, which is fascinating.
Officially finalized on December 6
"Red Flag Canal" reproduces the scene of the 1960 s
Hongqi Canal is a man-made irrigation canal, located in Linzhou City, Henan Province, which is at the junction of Henan, Shanxi and Hebei provinces. It has been seriously dry and short of water in history. After the founding of New China, with the support and instructions of national leaders such as Chairman Mao and Premier Zhou, the people of Linzhou, under the command of Yang Gui, secretary of the county party committee, United to "split the Taihang Mountain" and build the "Red Flag Canal". Against this background, the film tells the story of the difficulties and dangers encountered by the captain Shi Tianlin in leading the villagers to build the Hongqi Canal.
Shooting such a film about the great feat of building the Red Flag Canal requires a lot of data collection and extremely accurate textual research. This is very handy for director Li Zhengwei, a native of Linzhou. At the beginning of filming, the director did a lot of work, inspected the Red Flag Canal Memorial Hall and visited the old people who had participated in the construction of the Red Flag Canal. From the mouths of these witnesses, he tried to restore a true situation about that era. Through the trailer of the film, we can see that the efforts of the director and the crew are successful, and the film vividly depicts the scene of "building the Red Flag Canal" in the 1960s.
Re-take the Road of Hongqi Canal
The adventures of grandparents and grandchildren
Shi Tianlin, the hero of the film, is played by the famous actor Bai Zhidi. He and Aska, the little actor who plays the grandson Shuanzhu, have staged scenes that make people laugh. They met many old friends and many difficulties and dangers while riding. In the filming process, Bai Zhidi personally went into battle to overcome the hardships of the environment and the lack of physical strength, and his professionalism is worthy of admiration.
In the film, the grandparents and grandchildren re-take the road of the Red Flag Canal, and the old and the young represent glory and inheritance. With a story of seeking, they look back on history and martyrs, and entertain and educate in interesting movie stories, teaching young people to inherit the legacy of their ancestors and carry forward the spirit of the Red Flag Canal. What is commendable is that the film also puts forward its own opinions on the significance of the spirit of Hongqiqu in the new era, which is worth learning from all of us.
Time is not old, and the red canal is always there.A story of grievances spanning 60 years, a tribute to the people of Hongqiqu. The movie "The Return of Hongqi Canal is still a teenager"On December 6 th, the shock was released!
On September 19th, 2021-2022, the "Listed Brand of Family Standing Drugs in China" was announced, and Shensong Yangxin Capsule developed and produced by Yiling Pharmaceutical for the treatment of arrhythmia was selected as the "Listed Brand of Family Standing Drugs in China-Cardiovascular and Cerebrovascular Drugs", which showed the brand strength and consumer popularity.
It is understood that since the brand activity of China Family Standing Drugs was first held in 2016, it has been deeply concerned and expected by the drug consumption market, and has been praised as "the vane of family standing drugs" by the industry. Based on in-depth consumer surveys, online voting results, multi-dimensional expert evaluation, etc., this activity will create a more complete and scientific guide for ordinary families to know, buy and keep good medicines.
Nourishing heart, regulating rhythm, treating arrhythmia and caring for people’s mental health
In life, many people often have symptoms such as palpitation, shortness of breath, fatigue, chest tightness, blackness, syncope, etc., but they don’t care and think it’s just a minor problem. As everyone knows, these are all "signals" of arrhythmia. If we don’t pay attention to them, it is likely to induce a series of diseases such as heart failure and even sudden death.
The data shows that one in every four people suffers from arrhythmia, which is not alarmist! We should know that our heartbeat is regular (60-100 beats /min), whether it is too fast or too slow, it belongs to arrhythmia, and we should never think that we can "sit back and relax" at a young age. Most sudden deaths of young people are caused by ventricular arrhythmia. Almost everyone will have arrhythmia in his life. Arrhythmia is also closely related to age and work pressure. The older he is, the higher his work intensity and the more nervous he is, and the incidence will increase accordingly.
Arrhythmia can be effectively prevented and controlled by self-management. As a "rhythm-regulating" drug, Shensong Yangxin Capsule has been recognized by doctors and patients. According to a large number of clinical studies, Shensong Yangxin Capsule has a unique curative effect of treating arrhythmia, which can regulate sodium, calcium and potassium cardiac ion channels that cause tachyarrhythmia, regulate cardiac autonomic nerve function, effectively treat ventricular premature beats and reduce the frequency of ventricular premature beats. Moreover, the drug can also regulate pacing current related to bradyarrhythmia, improve cardiac conduction, thus effectively raising the heart rate and filling the gap in drug treatment of bradyarrhythmia.
Evidence-based medicine is the "international gold standard" for testing efficacy.
As a family medicine, we should also pay attention to scientific basis and clinical value in order to fully care for public health and safety. Evidence-based medicine research has confirmed that Shensong Yangxin Capsule can effectively treat rapid arrhythmia such as premature beats and paroxysmal atrial fibrillation. Improve slow heart rate and treat slow arrhythmia; At the same time, it can effectively treat heart failure with premature beats, sinus bradycardia with ventricular premature beats and other complex arrhythmia, fill the gap of drugs for treating both fast and slow arrhythmia at home and abroad, and obviously relieve clinical symptoms such as palpitation, shortness of breath, fatigue, insomnia and dreaminess.
Shensong Yangxin Capsule has also carried out a number of randomized, double-blind, multi-center clinical evidence-based studies on the treatment of various arrhythmia. Its unique theoretical formula and exact clinical research results have won many national awards. The application research of Shensong Yangxin capsule in treating arrhythmia won the second prize of national scientific and technological progress in 2009, and the evidence-based research of Shensong Yangxin capsule in treating sinus bradycardia with ventricular premature beats and heart failure with ventricular premature beats won the first prize of national scientific and technological progress in 2019, which is the only highest prize in the medical and health field as an important part of the project of "Construction of Chinese medicine vein theory and its guidance for the prevention and treatment of microangiopathy".
Based on conclusive evidence and good curative effect, Shensong Yangxin Capsule was listed in National Health Commission’s Guide to Rational Use of Arrhythmia, China Expert Consensus on Ventricular Arrhythmia (2016 and 2020), Atrial Fibrillation: Current Understanding and Treatment Suggestions (2015, 2018 and 2021) and China Expert Consensus on Ventricular Arrhythmia (Basic Edition).
Pay attention to drug safety and be a reassuring drug in the hearts of the people
From "experience" to "evidence", evidence-based medicine promotes the inheritance and innovation of traditional Chinese medicine. Over the years, Shensong Yangxin Capsule has always adhered to the evidence-based approach. In the long-term clinical application process, its effectiveness and safety have been widely recognized, and a large number of clinical evidence-based evidence and practical application experience have been accumulated. Shensong Yangxin Capsule is an innovative patented Chinese medicine for arrhythmia developed under the guidance of collateral disease theory of traditional Chinese medicine. As a pure Chinese medicine preparation, it belongs to the national list of essential drugs and a class of medical insurance, and is also the first Chinese patent medicine to carry out evidence-based medicine research on arrhythmia in China.
With the improvement of living standards and the aging of the population, the incidence of arrhythmia in China is also increasing year by year. In addition to common symptoms, more than 60% patients with arrhythmia are accompanied by insomnia and dreaminess. Traditional drugs mainly treat arrhythmia by "resistance", which can’t solve the fundamental problem, and can’t improve the symptoms of palpitation, chest tightness, shortness of breath and poor sleep at the same time. Shensong Yangxin Capsule has the unique advantage of "nourishing the heart and regulating the rhythm", which breaks through the bottleneck of drug treatment, can treat arrhythmia comprehensively, effectively and safely, can block the occurrence of arrhythmia in multiple ways, links and targets, is suitable for the prevention and treatment of various arrhythmias, and is more beneficial if taken for a long time.
Since the establishment of Yiling Pharmaceutical for 30 years, it has inherited the essence, kept the integrity and innovated, systematically constructed the collateral disease theory system, and promoted the research and development of innovative drugs under the guidance of collateral disease theory. At the same time, it verified the efficacy of Shensong Yangxin Capsule and other series of drugs with modern evidence-based research, and devoted itself to explaining the efficacy of traditional Chinese medicine clearly in modern medical language, which was recognized by the public and even the world. (Kong Xinjie Yixuan)
Bananas, which we are most familiar with, have a laxative effect. However, bananas still have other functions, and I will list them for you today. At the same time, I will tell you how to choose and store bananas. Friends who like bananas, come and have a look together.
Banana 9 has to know the function.
Relieve premenstrual syndrome: Vitamin B6 in bananas can regulate blood sugar level and relieve premenstrual symptoms.
Regulating blood pressure: Banana is high in potassium and low in sodium, which can regulate blood pressure well. The U.S. Food and Drug Administration has allowed the banana industry to advertise the efficacy of bananas in lowering blood pressure and preventing stroke.
Improve brain power: A study of 200 students in Britain found that eating fruits with high potassium content such as bananas can help improve students’ attention and improve their learning efficiency and grades.
Prevention and treatment of constipation: bananas are rich in dietary fiber, which helps to restore intestinal function, and can naturally relieve and prevent constipation without the help of laxatives.
Relieve hangover: One of the best ways to relieve drunkenness is to drink a banana honey milkshake. Banana can protect the stomach, honey can raise blood sugar level, and milk can help relieve dehydration after drinking.
Prevention and treatment of heartburn: acid reflux can easily lead to heartburn, and eating a banana can relieve discomfort.
Prevention of morning sickness: Eating a banana between meals is helpful for pregnant women to prevent morning sickness.
Calm tension: bananas are rich in B vitamins and have a calming effect on the nervous system.
Anti-gastric ulcer: Bananas are soft and help to relieve gastrointestinal disorders. Bananas can also neutralize excessive gastric acid and protect gastric mucosa.
So, how to buy and store bananas?
Methods of purchasing and storing bananas
The peel of high-quality banana is bright yellow or bluish yellow, and the comb handle is complete, without defects and shedding. A single banana has a curved body, plump and fat fruit, fresh and bright color, smooth fruit surface, no disease spots, insect scars, mold and trauma, and the fruit is easy to peel off and the flesh is slightly hard.
When buying bananas, people often like to pick fruits with bright yellow color and no spots on the skin. In fact, the inside of this banana has not been completely de-astringent and cooked, and the pulp is hard and astringent, and the aroma cannot be fully emitted.
Bananas are tropical fruits, and the suitable storage temperature is 11~18 degrees. Generally, the longest storage time is 13 days, so try not to store them in the refrigerator.
Bananas are easy to turn black when stored in the refrigerator. You should put them in a plastic bag, put an apple in it, and then try to exhaust the air from the bag and tie the bag tightly, so that bananas can be kept for about a week.
CCTV News:At present, it is the season of spring ploughing and spring management in the north and south of China, and the northeast region ensures agricultural production while preventing and controlling the epidemic situation.
In order to ensure the production of spring ploughing, Harbin, Heilongjiang Province resumed the agricultural business activities in an orderly manner, liberalized the travel restrictions of agricultural production, and unblocked the green channel of agricultural transportation. Local agricultural distributors have resumed business one after another, and all kinds of agricultural materials have resumed their import and export in an orderly manner. Cooperatives have also started land preparation operations. At present, cooperatives implement two-point and one-line management for operators.
Xu Chengde, head of Taian modern agricultural machinery Cooperative in Harbin, Heilongjiang:We sow (plant) the land on April 18th every year. This year, we will try to finish ridging all the land on April 14th, and sow it on April 15th.
Du Shulin, Director of Planting Management Department of Harbin Agricultural and Rural Bureau, Heilongjiang Province:At present, the hemming rate of seed fertilizer in the city has reached 93% and 74% respectively, and the maintenance of rice shed and agricultural machinery has been basically completed. In the next step, we should guide all levels to seize the agricultural season, speed up the progress of agricultural materials, and start various agricultural production activities in due course.
Jilin City, Jilin Province held a press conference today (April 4), which will further smooth the green channel for the transportation of agricultural materials for spring ploughing and ensure that the materials for spring ploughing will be placed in households. Engaged in agricultural sales and transportation personnel to implement the system of certificates. Agricultural stores take the form of "online ordering, door-to-door delivery and point-to-point transportation" to carry out the purchase, sale and distribution of agricultural materials.
In order to ensure the rapid delivery of key materials such as fertilizers, Shenyang Bureau of China Railway co-ordinates and organizes relevant units to make concerted efforts to coordinate and solve the problem of highway connection at both ends of the collection and distribution, and effectively improve the efficiency of fertilizer loading and unloading vehicles. Since March, 133,500 tons of key materials such as fertilizers have been transported, up by 119% year-on-year.
BEIJING, Feb. 19 (Xinhua) According to the US Chinese website, a senior US government official said that US President Biden will announce on the 19th that he will provide US$ 4 billion for the COVID-19 Vaccine Implementation Plan (COVAX) led by WHO, which aims to help poor countries promote vaccination.
Biden will outline the plan at a virtual meeting with G7 members on the 19th. The official said that the White House plans to allocate $2 billion immediately, which was approved by Congress in December 2020. Biden will also promise another $2 billion in aid in 2021 and 2022.
The official said that the money will come from the funds already allocated by Congress for international vaccination and will not affect the Biden administration’s domestic vaccination plan. The Biden administration said this week that it is expected to vaccinate every American adult by July.
According to reports, the Trump administration refused to participate in the COVAX program.
COVAX plans to provide more than 330 million doses of vaccine in the first half of 2021, and about 145 countries will receive enough doses to vaccinate 3.3% of their population.
In December, 2020, COVAX officials said that the donations in place were still $4 billion short of the pledged amount. If the donations were not fulfilled, both rich and poor countries would suffer from "protracted epidemic and serious economic consequences".
The White House said it would release the second batch of $2 billion after other countries fulfilled their pledges and COVAX provided the first batch of vaccine doses to 92 low-income and middle-income countries.
