标签： 南京新茶外卖论坛

　　Cctv newsNational Health Commission website reported on September 21st that autism, also known as autism, is a kind of neurodevelopmental disorder that occurs in early childhood. The cause is unclear, and it usually starts before the age of 3, mainly manifested as social communication disorder, communication disorder and limitation, rigidity, repetitive behavior and other psychological developmental disorders, which seriously affects children’s social function and quality of life. The survey shows that the prevalence rate of autism in children in China is 7‰ . Children’s autism lacks effective drug treatment. At present, the main treatment is rehabilitation training, and the best treatment period is before the age of 6. If scientific intervention can be received before the age of 3, the symptoms and prognosis of children can be improved to varying degrees. Therefore, early screening and early intervention are particularly important for children with autism. In order to further improve the service chain of children’s autism, promote the construction of children’s mental health care service network, and promote the early detection, diagnosis and intervention of children’s autism, National Health Commission has formulated the Service Specification for Autism Screening Intervention for Children Aged 0-6 (Trial) (hereinafter referred to as the Service Specification) on the basis of in-depth investigation and systematic summary.

　　The Service Specification consists of 7 parts and 8 annexes. First, the clients are children aged 0-6 who live in the jurisdiction; Second, the purpose of the service is to improve the awareness rate of children’s parents’ autism scientific knowledge, standardize children’s autism screening, diagnosis, intervention and rehabilitation services, improve the intervention effect, reduce the occurrence of mental disabilities and promote children’s health; The third is the service content, including health education, screening (primary screening and re-screening), diagnosis and intervention rehabilitation. The fourth is the technical requirements of service institutions and personnel, which require the housing, equipment and personnel of township hospitals and community health service centers, county-level maternal and child health care institutions, children’s autism diagnosis institutions and intervention and rehabilitation institutions; Fifth, the division of tasks, to further clarify the division of labor and responsibilities of township hospitals and community health service centers, county-level maternal and child health care institutions, children’s autism diagnosis institutions and intervention and rehabilitation institutions, and provincial and prefecture-level maternal and child health care institutions; Sixth, job requirements, which mainly put forward clear requirements for health administrative departments at all levels to promote and guarantee autism screening, diagnosis and intervention rehabilitation services for children aged 0-6; The seventh is the evaluation index, which puts forward three indicators: the initial screening rate, the re-screening rate and the diagnostic rate, so as to promote the work evaluation in various places. The eight accessories are,Screening form for early warning signs of children’s psychological and behavioral development problems, psychological and behavioral development files of children aged 0-6, referral form for initial screening of children’s psychological and behavioral development of children aged 0-6, referral form for re-screening of children’s psychological and behavioral development of children aged 0-6, registration form for re-screening of children’s psychological and behavioral development of children aged 0-6, registration form for diagnosis results of children’s psychological and behavioral development of children aged 0-6, and schematic diagram of contents of rehabilitation services for autism screening, diagnosis and intervention of children aged 0-6.

　　The main features of the Service Specification are as follows:

　　(1) Focus on the key stage of 0-6 years old. According to the characteristics that autism usually starts in infancy, and there is no effective treatment drug at present, the main treatment way is rehabilitation training, and the best treatment period is before the age of 6, and the earlier the intervention effect is, the better the prevention and control work will be. We will focus on the key stage of 0-6 years old, provide autism screening intervention services for children, implement the disease prevention and control strategy of early screening, early diagnosis and early intervention, and strive to improve children by grasping early and grasping small, and implementing early intervention on the basis of early detection.

　　(2) Emphasize the development of group prevention and control. It is clearly required to provide autism screening service for children aged 0-6 years in the permanent population in combination with the national basic public health service project, and to find individuals with abnormal development from the group as soon as possible. Emphasis is placed on establishing and improving the service model of primary screening of children’s autism at the township level, re-screening at the county level and diagnosis and rehabilitation in professional medical institutions, clarifying the responsibilities and tasks of institutions at all levels, gradually forming a service network with division of labor and linkage from top to bottom, and promoting the implementation of group prevention and control.

　　(3) Pay attention to the convenience and accessibility of services. It is clearly required that primary medical and health institutions such as township hospitals and community health service centers undertake primary screening services, and county-level maternal and child health care institutions undertake re-screening services. Special emphasis is placed on the principle of intervention and rehabilitation based on grass-roots units to help autistic children to intervene nearby. By narrowing the service radius, we strive to improve the accessibility of screening intervention services, and at the same time require grassroots units to continuously improve their service capabilities and provide scientific and standardized related services.

　　(4) Guide families to actively participate. Family is a warm harbor for children’s healthy growth. The "Service Standard" clearly requires parents to carry out health education, guide parents to establish the consciousness of being the first responsible person for children’s health, and actively accept autism screening, diagnosis and intervention services. Emphasis is placed on the families of children, parents are encouraged to actively participate in intervention and rehabilitation, and family intervention is carried out through companion interaction, life care and game play in the process of parenting to promote the improvement and rehabilitation of children’s symptoms.

Specification for intervention service of autism screening for children aged 0-6 years (for Trial Implementation)

　　Autism spectrum disorder’s disease (also called autism, hereinafter referred to as autism) is a kind of neurodevelopmental disorder that occurs in early childhood. It is characterized by social communication disorder, narrow interest and repetitive behavior, which seriously affects children’s social function and quality of life. The prevalence of autism in children in China is about 7‰ , seriously endangering children’s health and family happiness. Autism usually begins in infancy, and there is no effective treatment drug at present. The main treatment way is rehabilitation training. The best treatment period is before the age of 6, and the earlier the intervention, the better the effect. Early detection, early diagnosis and early intervention can improve the symptoms and prognosis of children to varying degrees. In order to standardize the screening, diagnosis and intervention services for children with autism and promote children’s health, this specification is formulated.

　　First, the service object

　　Children aged 0-6 who are resident in the jurisdiction.

　　Second, the purpose of service

　　(a) to carry out popular science propaganda for the public, and form a good social atmosphere for the whole society to care for autistic children and their families.

　　(two) strengthen health education for the target population, improve the awareness rate of children’s parents’ autism science knowledge, and enhance the initiative and enthusiasm of parents to receive screening, diagnosis and intervention services.

　　(3) Standardize the screening, diagnosis and intervention rehabilitation services for children with autism, improve the intervention effect, reduce the occurrence of mental disabilities and promote children’s health.

　　Third, the service content

　　Including health education, screening, diagnosis, intervention and rehabilitation.

　　(1) Health education.

　　Through various ways, popularize the basic knowledge of autism to the public and parents of children, publicize screening, diagnosis and intervention measures, and improve the awareness rate of scientific knowledge. Guide parents to establish the consciousness of being the first responsible person for children’s health and actively accept autism screening, diagnosis and intervention services.

　　(2) screening.

　　1. Preliminary screening. Grassroots medical and health institutions such as township hospitals and community health service centers undertake primary screening services. Combined with the service time and frequency of the national basic public health service health management project for children aged 0-6 years, 11 times of psychological and behavioral development screening services were provided for children aged 0-6 years by applying the methods such as "Screening Form for Early Warning Signs of Children’s Psychological and Behavioral Development Problems" (that is, the contents related to the development assessment in the National Basic Public Health Service Standard for Children’s Health Management Services).

　　(1) Initial screening time. Four times in infancy within one year old, at the age of 3, 6, 8 and 12 months respectively; Four times in the early childhood from 1 to 3 years old, at the age of 18, 24, 30 and 36 months respectively; Three times in preschool, at the age of 4, 5 and 6 respectively.

　　(2) Primary screening tools. "Screening Form for Early Warning Signs of Children’s Psychological and Behavioral Development Problems" (Annex 1).

　　(3) Primary screening method and content.

　　Use the "Screening Form for Early Warning Signs of Children’s Psychological and Behavioral Development Problems" to screen the development status of children aged 0-6 and check whether there are early warning symptoms of corresponding months. Any early warning sign in the corresponding screening age group is positive, suggesting the possibility of developmental deviation.

　　Ask parents to find out whether children have language function and social communication ability obstacles or retrogression. For example, you can’t express it in words, don’t look at each other, repeat rigid behavior, or you can express it in words before, look at each other before, but now you can’t express it in words, and now you don’t look at each other.

　　In any of the following circumstances, it is abnormal in the initial screening.

　　First, there are one or more positive early warning signs of children’s psychological and behavioral development problems.

　　Second, children of any age have obstacles or retrogression in language function and social communication ability.

　　According to the examination results, fill in the psychological and behavioral development file of children aged 0-6 (Annex 2, Table 2— Table 4). If no abnormality is found, parents should be informed to take their children for psychological and behavioral development assessment regularly. If any abnormality is found, timely health education and intervention guidance shall be provided, and parents shall be informed to refer them in time.

　　(4) Referral service. For children with abnormal initial screening, fill in the Referral Form for Psychological and Behavioral Development of Children Aged 0 ~ 6 (Annex 3) to guide parents to refer them to county-level maternal and child health care institutions for re-screening as soon as possible. The primary screening referral is made in duplicate. The first copy is kept by the institution that provides primary screening service, and the second copy is taken by the parents to the institution that provides secondary screening service.

　　Grass-roots medical and health institutions shall fill in the Registration Form for the Initial Screening of Abnormal Psychological and Behavioral Development of Children Aged 0 ~ 6 (Annex 4), regularly count the number of children with abnormal psychological and behavioral development within their respective jurisdictions and relevant information, and report them to county-level maternal and child health care institutions.

　　2. Re-screening. County maternal and child health care institutions undertake re-screening services. Re-screening was carried out through medical history inquiry and autism screening scale.

　　(1) Re-screening tool.

　　Autism screening scale, including "Revised Autism Screening Scale (M-CHAT)" and "Autism Behavior Rating Scale (ABC)"; Development scales such as "developmental behavior assessment scale for children aged 0 ~ 6" (referred to as "child heart scale -II").

　　(2) Re-screening method and content.

　　Medical history inquiry. Understand the current medical history of children, ask and observe whether children have language barriers, communication barriers, rigid behavior, narrow interests and other symptoms, and understand the results of initial screening.

　　The autism screening scale and the "fetal heart scale -II" and other developmental scales were used to carry out re-screening.

　　Children under the age of 18 months should be re-screened with developmental scales such as "Child Heart Scale -II". "Child Heart Scale -II" measures children’s development level from five energy areas: big movement, fine movement, adaptability, language and social behavior. The total evaluation score is less than 70 points, suggesting that there is developmental disorder; A total score of more than 80 points but a single score of less than 70 points in any energy area of language, adaptability or social behavior suggests developmental deviation. If the total score of evaluation is 70 ~ 79, the same method should be used for re-examination within 3 months.

　　Children aged 18 ~ 24 months were re-screened with the Revised Autism Screening Scale (M-CHAT). There are 23 items in the scale, and each item has a grade of 2. Answering "Yes" to items 11, 18, 20 and 22 in the scale, and answering "No" to other items is deemed as failing. If two or more of the core items 2, 7, 9, 13, 14 and 15 fail, or three or more of all the items fail, it is considered as a screening failure, suggesting that there is a risk of autism.

　　Children aged 24 months and above were re-screened with "Autism Behavior Rating Scale (ABC)". There are 57 items in 5 energy zones in the scale. The total score of assessment is greater than or equal to 53, indicating that there are suspicious autism symptoms.

　　All children aged 18 months and above were re-screened with developmental scales such as "Fetal Heart Scale -II". "Child Heart Scale -II" measures children’s development level from five energy areas: big movement, fine movement, adaptability, language and social behavior. The total evaluation score is less than 70 points, suggesting that there is developmental disorder; A total score of more than 80 points but a single score of less than 70 points in any energy area of language, adaptability or social behavior suggests developmental deviation. If the total score of evaluation is 70 ~ 79, the same method should be used for re-examination within 3 months.

　　One of the following circumstances is abnormal re-screening.

　　First, one or more abnormalities such as language barrier, communication barrier, rigid behavior and narrow interest are found by medical history inquiry or observation.

　　Second, the autism screening scale suggests that there are autism risks and suspected autism symptoms.

　　Third, developmental scales such as "Child Heart Scale -II" suggest that there are developmental disorders or developmental deviations.

　　According to the examination results, fill in the Re-screening Record Form of Psychological and Behavioral Development of Children Aged 0 ~ 6 (Annex 2, Table 5). This form is made in duplicate, one for the re-screening institution and one for the parents.

　　(3) Re-screening result processing and referral service.

　　Screening personnel reasonably explain the re-screening evaluation results to parents and decide to review or refer them according to the results.

　　First, there is no abnormality in re-screening. Inform parents to return to primary health care institutions and continue to receive health management services for children aged 0-6; Re-check with the original re-screening institution within 3 months. Those who are still not abnormal will continue to receive health management services for children aged 0-6 years in primary medical and health institutions, and those who are abnormal will be treated as abnormal after re-screening.

　　For children who have been evaluated by the development scale such as "Heart of the Child Scale -II" and the total score is 70 ~ 79, they will be given intervention guidance and re-examined in the original re-screening institution within 3 months. If there is no abnormality in the review, inform parents to return to primary medical and health institutions to continue to receive health management services for children aged 0-6; If it is found that there is developmental disorder or developmental deviation, it shall be treated as abnormal after re-screening.

　　Second, the re-screening is abnormal. Fill in the Refreshing Referral Form for Psychological and Behavioral Development of Children Aged 0 ~ 6 (Annex 5) to guide parents to refer their children to professional medical institutions with the ability to diagnose children’s autism as soon as possible for further diagnosis. The referral is made in duplicate, the first copy is kept by the re-screening institution, and the second copy is taken to the diagnosis institution by the parents. Inform parents to bring the Referral Form for the Re-screening of Psychological and Behavioral Development of Children Aged 0-6 (Annex 5) and the Record Form for the Re-screening of Psychological and Behavioral Development of Children Aged 0-6 (Annex 2, Table 5) when visiting the diagnosis institution.

　　For children with abnormal re-screening, the re-screening institution should actively contact the referral, and at the same time, carry out health education in time, carry out personalized guidance and intervention to alleviate or correct the developmental deviation of children.

　　Maternal and child health care institutions at the county level shall fill in the Registration Form for Abnormal Re-screening of Psychological and Behavioral Development of Children Aged 0 ~ 6 (Annex 6), regularly count the number of children with abnormal re-screening within their respective jurisdictions and relevant information, and report them to the municipal maternal and child health care institutions. Regularly feed back the Registration Form of Re-screening Abnormal Psychological and Behavioral Development of Children Aged 0 ~ 6 (Annex 6) to township hospitals and community health service centers.

　　(3) diagnosis.

　　Medical institutions with autism diagnosis ability undertake autism diagnosis services for children, mainly including pediatrics and child health care departments of general hospitals, pediatrics of psychiatric hospitals, children’s hospitals and maternal and child health care institutions.

　　1. Auxiliary diagnostic tools. Children Autism Rating Scale (CARS), etc.

　　2. Diagnostic methods. According to the International Statistical Classification of Diseases and Related Health Problems (ICD-10), the diagnosis of autism was made after comprehensive evaluation through medical history inquiry, behavior observation, physical examination and nervous system examination, autism scale evaluation and necessary auxiliary examination.

　　(1) medical history inquiry. Learn about children’s growth and development history in detail, focusing on social communication, speech, cognitive ability, sports and other aspects of development, and learn about children’s present and past history, as well as parents’ gestation history and family history.

　　(2) Behavior observation. Focus on children’s behavior observation, focusing on children’s social interaction, verbal and nonverbal communication. Some specific environments and activities can be set up to observe children’s social communication, reaction to people, reaction to environment and toys, eye contact, attention state, spontaneous speech expression and special speech expression, emotional adjustment, special behavior and interest, physical activity and sports coordination. The behavior of the developmental scale should also be recorded properly.

　　(3) Physical examination and nervous system examination. Understand physical growth, measure head circumference, height and weight, understand development, observe facial features and whole body skin, check whether there are congenital malformations, audio-visual impairment, and check whether there are positive signs in the nervous system.

　　(4) Scale evaluation. Children Autism Rating Scale (CARS) and other scales were used for evaluation. There are 15 items in CARS scale, and each item has 4 grades. A total score of less than 30 is considered as non-autism, and more than 30 is considered as autism.

　　(5) Auxiliary inspection.

　　To identify mental disorders caused by nervous system diseases and metabolic diseases, or to find possible related pathogenic factors for children who meet the diagnostic criteria of autism. Necessary auxiliary examinations, such as electrophysiological examination (EEG, evoked potential), imaging examination (head CT or magnetic resonance imaging), chromosome and gene examination, can be selected according to the specific situation of children.

　　The diagnosis of autism needs to be differentiated from speech and language development disorders, intellectual development disorders, reactive attachment disorders, childhood social anxiety disorders, selective mutism, childhood schizophrenia and so on.

　　At the same time, pay attention to the diagnosis of comorbidity, such as attention deficit hyperactivity disorder, TIC disorder, epilepsy, obsessive-compulsive disorder and so on.

　　According to the diagnosis results, fill in the Diagnostic Record of Abnormal Psychological and Behavioral Development of Children Aged 0 ~ 6 (Annex 2, Table 6). This form is made in duplicate, one for the diagnosis institution and one for the parents.

　　3. Diagnosis result notification and referral service.

　　(1) For children diagnosed with autism, explain the diagnosis results and illness to parents, inform them of the intervention and rehabilitation methods that can be adopted, the rehabilitation assistance policies and information of relevant government departments, and choose general hospitals, children’s hospitals, psychiatric hospitals, maternal and child health care institutions and qualified intervention and rehabilitation institutions for intervention and rehabilitation.

　　(2) For children with autism, explain the diagnosis to their parents in combination with clinical symptoms, developmental assessment and related examination results. If you find any health problems other than autism, you should inform the corresponding medical institutions for further diagnosis and treatment.

　　(3) For children who can’t be diagnosed for the time being, inform parents to go to the original diagnosis institution for reexamination two months later, and guide parents to intervene as soon as possible.

　　The diagnosis institution shall fill in the Registration Form for Diagnosis Results of Abnormal Psychological and Behavioral Development of Children aged 0-6 (Annex 7), record the diagnosis results and suggestions for intervention and rehabilitation of children with abnormal re-screening within its jurisdiction, and feed back to the municipal maternal and child health care institutions, which will feed back to the county-level maternal and child health care institutions, and then feed back to township hospitals or community health service centers.

　　(4) Intervention and rehabilitation.

　　Intervention rehabilitation training is undertaken by special education institutions with the ability to intervene and rehabilitate children’s autism, pediatrics and child health care departments of general hospitals, pediatrics of psychiatric hospitals, children’s hospitals, maternal and child health care institutions, qualified primary medical and health institutions and qualified children’s psychological rehabilitation institutions.

　　1. Basic principles.

　　(1) Early intervention. Early intervention can significantly improve the prognosis of autistic children, and the earlier the intervention, the better. The diagnosed children should be intervened immediately, and the children who meet the referral conditions at the initial screening and re-screening stages should be given health education, guidance and intervention in time.

　　(2) Individualized intervention. The development level of autistic children is different, so the development level of children’s social interaction, language, cognition and adaptability should be evaluated, and an individualized education intervention plan should be made according to the evaluation results.

　　(3) scientific evidence. At present, there are many intervention methods for autism, and scientific and effective methods with clear evidence-based medical evidence should be chosen.

　　(4) Long-range high strength. Autism, as a neurodevelopmental disorder, needs long-term intervention, which usually lasts for several years or even longer. At the same time, we must ensure that there is enough effective intervention time every day, and the weekly intervention time should be more than 20 hours.

　　(5) Grass-roots units are the mainstay. Actively promote the intervention and rehabilitation model based on county-level maternal and child health care institutions and grassroots medical and health institutions, and help autistic children to intervene nearby. At the same time, give play to the backbone role of medical and health institutions at the prefecture level and above, and strengthen technical guidance to primary medical and health institutions.

　　(6) Family participation. Encourage families and parents to actively participate in the intervention, provide all-round support and education to families and parents, and improve the participation of families in the intervention.

　　2. Intervention methods.

　　(1) Behavior intervention. Choose early intervention methods based on evidence-based medicine according to age and development level, with improving social communication, verbal and nonverbal communication skills as the core content, behavioral therapy as the basic means, structured education and parenting in natural situations as the basic framework of intervention, cultivate self-care and independent living ability, reduce unsuitable behavior, and improve survival skills and communication ability.

　　(2) Family intervention and support. The participation and support of parents and family members is an important strategy and measure for the intervention and rehabilitation of autistic children. Encourage parents and family members to learn autism-related knowledge and family intervention methods through popular science education and demonstration consultation. The main principles include: understanding, acceptance, tolerance, respect and care for autistic children’s behavior; For the emotional and behavioral problems of autistic children, family intervention is carried out in a happy, moderate and ingenious way through companion interaction, life care and play in the process of parenting; Pay attention to children’s growth performance, discover children’s special interests and personal abilities, and cultivate and transform them accordingly. At the same time, care about parents’ psychological state and physical health, and provide corresponding help.

　　(3) medication. At present, there is a lack of drugs for the core symptoms of autism in children. Autistic children with serious emotional and behavioral disorders and comorbid diseases should be referred to relevant medical institutions in time, and drugs should be selected and used strictly under the guidance of specialists.

　　3. Intervention steps.

　　(1) Conduct assessment. Before the intervention, we should use the standardized developmental and behavioral assessment scale to evaluate the core symptoms, the development level of various abilities and the quality of life of children with autism.

　　(2) make a plan. According to the evaluation results, the intervention objectives, intervention plans, intervention methods and intervention places are determined to promote the emergence and development of autistic children’s social communication behavior, improve autistic children’s serious emotional disorder, correct autistic children’s abnormal behavior, cultivate good adaptive behavior, and promote the all-round development of language, communication and cognition.

　　(3) implement intervention. Make long-term, medium-term, short-term and daily training plans; Intervention training should focus on children’s social communication and communication obstacles and pay attention to all-round development; Emphasize the application of behavior analysis technology and natural development behavior intervention.

　　(4) Effect evaluation. Intervention rehabilitation institutions should cooperate closely with diagnostic institutions. For autistic children who receive intervention rehabilitation, the intervention effects such as improvement of core symptoms, ability development and improvement of quality of life are evaluated every 3 to 6 months, so as to understand the improvement situation and evaluate the intervention effect, and the intervention rehabilitation institutions adjust the objectives, programs and methods in time according to the evaluation results.

　　4. Intervention in rehabilitation places.

　　In the process of intervention and rehabilitation, appropriate intervention and rehabilitation places and methods can be selected according to the age, severity of illness, ability level and family status of autistic children.

　　Children under the age of one and a half can be guided by professional medical institutions to give priority to family intervention, helping parents to take the initiative to use various resources and constantly learn and improve rehabilitation training techniques.

　　Children aged one and a half to three can choose professional medical institutions for rehabilitation training and family intervention at the same time.

　　After the age of 3, children with relatively mild illness and certain social communication and communication skills can receive integrated education in ordinary kindergartens and be trained in professional institutions; Those who are seriously ill and have weak social communication and communication skills can receive rehabilitation in professional medical institutions, special education institutions or qualified rehabilitation institutions, and continue to encourage family participation.

　　Intervention and rehabilitation institutions should evaluate the rehabilitation of children in time and make records of intervention and rehabilitation.

　　See Annex 8 for a schematic diagram of autism screening, diagnosis, intervention and rehabilitation services for children aged 0-6.

　　IV. Technical Requirements of Service Organizations and Personnel

　　(1) Township hospitals and community health service centers that undertake primary screening services. A relatively independent space should be set up, equipped with necessary measuring tables and chairs, measuring beds and other equipment, and the environment is relatively quiet and safe. Identify at least one medical staff who has been trained in screening techniques for children’s psychological and behavioral development and is qualified to engage in children’s health care services.

　　(2) County-level maternal and child health care institutions that undertake re-screening services. A consulting room and an independent psychological and behavioral testing room should be set up, equipped with necessary testing facilities and equipment, and the environment is quiet and safe. Identify at least 2 medical personnel who have received training in screening and developmental assessment techniques for children’s autism and are qualified to engage in child health care services.

　　(3) institutions for diagnosing children’s autism. It is a medical institution with the ability to diagnose autism. It should be equipped with 1 consulting room and 1 independent psychological and behavioral testing room that meet the requirements of clinical diagnosis and treatment. Diagnostics should be doctors in mental health department, pediatrics department and children’s health department with diagnostic qualifications.

　　(4) Intervention in rehabilitation institutions. With corresponding qualifications, facilities, equipment and personnel can meet the needs of intervention services for autistic children.

　　V. Division of tasks

　　(1) Township hospitals and community health service centers.

　　1 to carry out social publicity and health education on children’s psychological and behavioral development-related scientific knowledge, and to promote autism by early screening, early diagnosis and early intervention. Mobilize parents to take their children to receive autism screening services regularly.

　　2. To undertake the initial screening of children’s psychological and behavioral development from 0 to 6 years old, provide referral service for positive children, provide intervention guidance at the same time, and establish and improve children’s psychological and behavioral development files.

　　3. Follow-up the children with abnormal initial screening who did not receive re-screening in time, and cooperate with county-level maternal and child health care institutions to follow-up the children who did not review in time after re-screening.

　　4. Regularly summarize the basic information and data of children with abnormal screening within the jurisdiction, and report to the county-level maternal and child health care institutions in time.

　　(2) County-level maternal and child health care institutions.

　　1 to carry out social publicity and health education on children’s psychological and behavioral development-related scientific knowledge, and to promote autism by early screening, early diagnosis and early intervention.

　　2. Re-screen children with abnormal initial screening results, refer children with abnormal re-screening and re-examination results, provide intervention guidance, follow-up services and parents’ psychological support, and manage and improve children’s psychological and behavioral development files.

　　3. Follow-up children who failed to re-examine in time after re-screening, and children who failed to visit the diagnosis institution in time after re-screening or re-examination results were abnormal.

　　4. Conduct personnel training, technical guidance and quality assessment for institutions providing primary screening services within their jurisdiction.

　　5 responsible for the project management of autistic children within the jurisdiction. Regularly summarize the basic information and data of re-screened abnormal children within the jurisdiction, report them to the maternal and child health care institutions at the prefecture level in time, and feed back the information of re-screened abnormal children and the information of diagnosed children fed back at the prefecture level to township hospitals and community health service centers.

　　(3) institutions for diagnosing children’s autism.

　　1 to carry out social publicity and health education on children’s psychological and behavioral development-related scientific knowledge, and to promote autism by early screening, early diagnosis and early intervention.

　　2. To provide diagnosis for children with abnormal re-screening results, put forward suggestions for intervention and rehabilitation, assist children in need to be referred, and inform parents of relevant medical security and social assistance policy information.

　　3. Follow-up services should be provided to children with autism diagnosed, in principle, once every 3 months for children under 3 years old and once every 6 months for children over 3 years old. By evaluating the intervention effect of children with autism diagnosed, suggestions for intervention and rehabilitation in the next stage are given.

　　4. Assist health departments to carry out autism screening, diagnosis and intervention rehabilitation technology promotion, business guidance, personnel training and quality control.

　　5. Statistically summarize the information related to the diagnosis and intervention suggestions of children’s autism in this institution, and feed it back to the corresponding municipal maternal and child health care institutions in time.

　　(4) Intervention in rehabilitation institutions.

　　1 to carry out social publicity and health education on children’s psychological and behavioral development-related scientific knowledge, and to promote autism by early screening, early diagnosis and early intervention.

　　2. Provide intervention and rehabilitation services for autistic children according to the assessment results and training plan, and record the intervention and rehabilitation situation in time.

　　3 to publicize the knowledge and methods of intervention and rehabilitation, as well as relevant medical security and social assistance policies to parents of autistic children.

　　4 to provide counseling and guidance services for parents of autistic children, carry out family intervention rehabilitation technical skills training, and provide psychological counseling and support to parents.

　　5 do a good job in the management and referral of autistic children, and cooperate with diagnostic institutions to organize regular follow-up services to evaluate the rehabilitation effect.

　　(five) provincial and municipal maternal and child health care institutions.

　　Combined with the functional orientation of maternal and child health care institutions, strengthen the capacity building of their own children’s mental health care departments and rehabilitation departments, and assist health administrative departments to focus on the construction of service networks and information systems, personnel training, business guidance, technology promotion, quality control, health education and data management.

　　VI. Job Requirements

　　Health administrative departments at all levels should attach great importance to the screening, diagnosis, intervention and rehabilitation of children with autism, strengthen organizational leadership, strengthen arrangements and work guidance, and continuously improve the screening rate, diagnosis rate and intervention rate. Continue to improve the capacity of primary health care institutions, strengthen the capacity building of county-level maternal and child health care institutions, rationally arrange diagnosis institutions and intervention and rehabilitation institutions in combination with medical and health resources in the jurisdiction, and build an integrated service chain for screening, diagnosis, intervention and rehabilitation of children’s autism. Strengthen personnel training, strengthen quality control and ensure service quality. It is necessary to strengthen information security and privacy protection, strengthen the construction of regional information platforms, promote the interconnection and sharing of information on children’s autism screening intervention, improve service quality, reduce the burden on the grassroots, and facilitate the masses to do things.

　　VII. Evaluation indicators

　　(1) Primary screening rate. The number of children aged 0-6 years in the jurisdiction receiving the initial screening of psychological and behavioral development within the statistical period/the number of children aged 0-6 years in the jurisdiction within the statistical period ×100%.

　　(2) Re-screening rate. The number of children aged 0-6 years who have been screened for abnormal psychological and behavioral development in the jurisdiction for re-screening institutions within the statistical period/the number of children aged 0-6 years who have been screened for abnormal psychological and behavioral development within the statistical period ×100%.

　　(3) Diagnostic rate. The number of children with abnormal psychological and behavioral development who have been referred to the diagnosis institution for diagnosis within the statistical period/the number of children with abnormal psychological and behavioral development who have been re-screened within the statistical period ×100%.

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　　Drink hot water anytime, anywhere

　　Rumor tracking: A variable-temperature water cup "55-degree cup", known as the drinking artifact, has become a hot topic of concern because of its magical function. Whether it is hot water or cold water, just pour it into a cup and shake it, and it can become 55-degree warm water suitable for people to drink. It is said that the water cup is a high-tech product with utility model patent, and its core lies in the function of heating and cooling through phase change materials.

　　Expert Interpretation: Wu Guangheng, a researcher at the Institute of Physics of the Chinese Academy of Sciences, said that professional tests showed that hot water dropped to 55 degrees and cold water rose to 37 degrees. The manufacturer claims to use the "high-tech" technology of phase change metal, and according to the test report, all the metals in it will not change phase in the temperature range of daily life. Its principle is very simple, there is no high-tech material at all, but the stainless steel layer is filled with salt water, and the hot water conducts heat to the cold water. The so-called high-tech materials are actually ordinary metals.

　　"Rose salt" contains trace elements.

　　Natural minerals can detoxify and protect skin.

　　Rumor tracking: pure natural, crystal structure, detoxification and skin care … On the Internet, "rose salt" once attracted many people’s favor. Merchants claimed that "rose salt" came from Himalaya, Pakistan and other places, containing 84 kinds of trace elements and natural minerals, without adding anti-caking agents, which is more beneficial to health than ordinary salt.

　　Expert Interpretation: Yan Shichun, president of Jinan Food Industry Association, said that "rose salt" is actually a kind of crude salt, which is pink because it contains more impurities, and it does not have the health care effect claimed by merchants. There is little difference between the sodium content of "rose salt" and refined salt. The sodium content of pure salt is 39.36%, which is not much different from the sodium content of "rose salt" claimed by merchants of 38.78%. In terms of trace elements, although there are many elements such as iron and calcium in "rose salt", these elements can be obtained from daily diet, and the amount of salt people consume every day is very limited, so the trace elements in salt can’t play the role advertised by merchants. The so-called health care and other effects are just publicity gimmicks of businesses. He reminded consumers that "rose salt" should not replace ordinary salt for a long time, and should try to use iodized low sodium salt.

　　Strawberry pesticide exceeded the standard by 7 times.

　　Eating too much is easy to cause cancer.

　　Rumor tracking: In April this year, some media reporters randomly bought 8 strawberry samples from several farmers’ markets and supermarkets in Beijing for testing. The results showed that the pesticide acetochlor in strawberries exceeded the standard, and the highest residue was 0.367 mg kg, which exceeded the standard by more than 7 times. Acetochlor is classified as a class 2B carcinogen, which may cause cancer if it is used in large quantities for a long time.

　　Expert Interpretation: Yun Wuxin, a master of nutrition and food research, said that acetochlor is one of the most widely used herbicides in China. Compared with American standards, China has stricter regulations on the detection of acetochlor, which can only be detected in brown rice, corn, soybeans, peanuts and rapeseed, and the residue limit is lower. If it is really used in strawberries, it is illegal and should be severely cracked down. However, acetochlor is a kind of pre-bud-blocking herbicide, which is generally used before crops sprout, and there is generally no high residue until strawberries mature. Moreover, acetochlor will kill strawberry seedlings and affect the harvest, and it will not be used in large quantities during planting.

　　Then, will eating a large number of strawberries with excessive pesticide residues for a long time be toxic and carcinogenic? According to Chinese standards, the daily allowable intake (ADI) of acetochlor is 0.02 mg/kg body weight. In the report, the highest content of acetochlor detected in strawberries is 0.367 mg/kg. If this reference value is followed, an adult weighing 50 kg will have to eat more than 2.72 kg of this strawberry every day to exceed the range. Even in Europe with stricter requirements (the European Union does not allow the use of acetochlor), the European Food Safety Agency (EFSA) estimates that the ADI of acetochlor is 0.0036 mg/kg body weight, and an adult weighing 50 kg will eat 490 grams of strawberries every day to exceed this range. The cultivation of strawberries is also limited by seasons. It is unrealistic for most people to eat so many strawberries every day.

　　DIY fruit ferment

　　Can help you detoxify and lose weight

　　Rumor tracking: Recently, many online posts titled "Homemade Fruit Enzymes Can Detoxify and Lose Weight" have been reprinted in large numbers on the Internet. According to the instructions in the net post, you can cut seven or eight kinds of fruits casually, add water and a lot of sugar, and seal and ferment for weeks or even months to get a bottle of so-called "enzyme stock solution".

　　Expert Interpretation: Lv Wanyong, a senior nutritionist in China, pointed out that the essence of enzymes is actually enzymes. The enzyme is protein, which will denature or even decompose under the action of protease in gastric acid and digestive juice after oral administration, thus losing its biological activity. The method of self-made fruit enzyme is essentially a natural fermentation. However, the content of enzyme in the whole fermentation broth is very low, which can not reach the effective amount, and other components in "fruit enzyme", such as lactic acid and alcohol, as the main fermentation products, can not reach the effect of "fruit enzyme".

　　Eating’ fruit enzyme’ may also cause certain harm to health. A large amount of sugar needs to be added when making homemade enzymes, which increases the sugar intake. In addition, in nature, the microbial composition on the surface of fruit is very diverse, except for yeast or lactic acid bacteria needed for fermentation, there are other microorganisms that may be harmful. A little carelessness in the production process makes the mixed bacteria grow rapidly in the fermentation process, so the "fruit enzyme" produced in this way will not only not be healthy, but will pose a threat to health.

　　Rootless bean sprouts are easy to cause precocious puberty in children.

　　Rumor tracking: Rootless bean sprouts refer to the rootless and tender bean sprouts produced by adding "rootless water" when bean sprouts are cultivated. The "rootless bean sprout essence" used by bean sprout producers is a hormone pesticide that can make bean sprout cells divide rapidly, and it has the same carcinogenic and teratogenic effects on human body as nitrogen fertilizer. Even if the intake of hormone drugs for human use is excessive, it will do some harm to the human body, such as precocious development of children, physiological changes of women, osteoporosis of the elderly and so on.

　　Expert Interpretation: Experts pointed out that rootless bean sprouts are not only nontoxic, but also contain essential trace elements for human body. The Anti-Cancer Institute in Texas, USA and food experts in Sweden also found that bean sprouts can reduce gastric cancer, esophageal cancer, lung cancer, skin cancer and bladder cancer. B12 in bean sprouts is 10 times higher than the original bean seeds, which is of great benefit to human nerves and liver. The scientific discovery and certification of these experts are very convincing.

　　The so-called "poisonous bean sprouts" is to add "rootless water" (that is, 6- benzyl adenine and other substances) to produce rootless and tender bean sprouts. In fact, 6-BA is widely used in agriculture, fruit trees, horticulture and even crops, and has achieved good results in both yield increase and preservation. Moreover, according to China’s regulations, it can be used for the production of pollution-free fruits. The existing evidence shows that 6-BA and other plant growth regulators are safe, and the management measures of relevant departments in China can also prove their safety.

　　Infant feeding should use "baby water"

　　Rumor tracking: Not long ago, there appeared all kinds of strange water on the market: moon water, pregnant women’s water, baby water, etc. These waters not only have strange names, but also have ridiculously high prices, because they add more trace elements, which are more nutritious than ordinary water and more suitable for infants and pregnant women to drink.

　　Expert Interpretation: Yu Liang, a member of Beijing Dietitians Association and one of the top ten national gold medal nutrition lecturers, said that the purpose of drinking water is to supplement water and a small amount of minerals. In fact, as long as it is clean and hygienic ordinary drinking water, it is enough to meet people’s daily needs, and babies are the same. Drinking water does not need to make a fuss about special people. Although pregnant women, nursing mothers, infants, students and other people during pregnancy and childbirth do need more nutrients than ordinary people, such as iron, calcium, zinc, DHA and so on. However, the amount of soluble nutrients in water is saturated, and it is almost impossible to increase the content of nutrients in water through additional addition, not to mention that DHA is a lipid and cannot be dissolved in water at all. In addition, because the intake of minerals mainly depends on food, there is no need to worry about the lack of nutrition caused by pure water with few minerals. Therefore, it is useless to make "baby water" by strengthening minerals with water.

　　Eat red meat and processed meat.

　　May cause cancer easily.

　　Rumor tracking: The International Agency for Research on Cancer under the World Health Organization assessed the carcinogenicity of red meat and processed meat products, and issued a conclusion on October 26th, which listed processed meat products (ham, sausage, jerky and other processed meat products) as the first-class carcinogen, and considered that eating red meat (fresh red meat, that is, the meat of mammals such as cattle, sheep and pigs) may cause cancer, so it was classified as "with high carcinogenicity".

　　Expert Interpretation: Barry, President of American Meat Industry Association? Carpenter said that this result "is completely unsuitable for human health and belongs to theoretical danger". Cancer is a complex disease that is not caused by a single food, and a balanced diet and a healthy lifestyle are essential to health.

　　The WHO representative office in China responded to this statement. Regarding the carcinogenic risk of processed meat, it is actually a reaffirmation of the report submitted in 2002. The original intention is not to stop people from eating meat, but to remind people to eat meat reasonably and reduce possible dietary risks. At the same time, it is also said that the processed meat products are classified as first-class carcinogens, which only shows that "there is enough medical evidence and animal experiments to prove that it can cause cancer". In fact, the risk or ability of meat carcinogenesis is very low.

　　Drinking soybean milk may lead to breast cancer.

　　Rumor tracking: A 45-year-old woman bought a soymilk machine to grind soymilk by herself, and took soymilk every morning for nearly three years. Later, she was diagnosed with breast cancer in physical examination, and her estrogen level was several times that of ordinary people. The report that drinking soybean milk caused breast cancer caused people’s panic.

　　Expert Interpretation: Professor Zhang Hua, former director of the Nutrition Department of the 309 Hospital of the People’s Liberation Army, said that the statement that drinking soy milk can cause breast cancer is unfounded and untenable. The so-called phytoestrogen is not a hormone, but two concepts and two substances with estrogen in human body. In fact, this estrogen-like substance exists in most plants, especially in flax seeds, food products, beans and fresh vegetables and fruits. Because people equate phytoestrogen with estrogen, it leads to the strange theory that drinking soybean milk causes cancer. Experts said that most people in Chinese like to drink soy milk or eat soy food, but the probability of women suffering from breast cancer in China is lower than that in Europe, America and other countries. Drinking soy milk or eating soy products will not actually lead to breast cancer. On the contrary, eating soy products is good for the human body.

　　Bubble tea is prone to intestinal obstruction.

　　Rumor tracking: In late October, a CT picture of a netizen’s stomach after drinking bubble tea was circulated on the Internet. The picture shows that after drinking bubble tea for half an hour, many undigested white dots still appear in the stomach of netizens. These dots are the "pearls" in milk tea. Because these pearls are all made of plastic, they are easy to cause gastroptosis and even intestinal obstruction if they are not digested.

　　Expert Interpretation: Ruan Guangfeng, an expert from the Food and Nutrition Information Exchange Center, pointed out that the "pearl" in bubble tea is actually a round product made of starch as the main raw material, and cassava starch is commonly used. In addition, in order to have a good taste and chewiness, some wheat protein and food additives will be used. Wheat protein is a kind of protein. Except for some people who are allergic to wheat, wheat protein will not cause any harm to human body.

　　All starchy foods will produce dextrin after entering the digestive tract, which is the degradation product of incomplete hydrolysis of starch. Usually, foods containing starch, such as eating bread, are gradually decomposed into dextrin and glucose after entering the digestive tract before being absorbed by the human body. Whether "pearl" can cause intestinal obstruction is related to the gastrointestinal absorption function of consumers and all foods. People with poor gastrointestinal function, such as children and the elderly, drink a lot of bubble tea, which is not only easy to cause poor gastric emptying, but also dangerous to inhale into organs. Therefore, you should chew slowly when eating, especially foods such as pearl powder balls.

　　Waxing apples may cause cancer.

　　Rumor tracking: Recently, a video of "Apple Waxing" spread in the circle of friends. In the video, a gloved employee smeared a reddish-brown liquid evenly on the apple, and the color of the apple was "radiant" immediately. This video has caused some people to question, and some netizens even said that eating waxed apples is easy to cause cancer.

　　Expert Interpretation: Ruan Guangfeng said that waxing is allowed on the surface of fruits in China. According to the Hygienic Standard for the Use of Food Additives, morpholine fatty acid salt (also known as fruit wax) and carnauba wax can be used as coating agents on the surface of fresh fruits. Waxing looks fresher and brighter in order to prevent water loss and insect erosion during apple production and transportation. This kind of wax is a food additive, and it will not be harmful to human body if used reasonably.

　　But some unscrupulous vendors will use industrial wax to save costs. The composition of industrial wax is complex, and it may contain heavy metals such as lead and mercury, which will bring risks to human health. However, this risk is potential and unknown at present. As for the carcinogenesis of waxed apples, it is completely unfounded and exaggerates the risk. Experts suggest that if you are worried about health problems, you can peel apples and eat them. If you don’t want to peel them, you can clean them reasonably.

　　Vegetable oil cooking can cause cancer

　　Rumor tracking: British researchers heated different kinds of cooking oils in the laboratory, and measured the content changes of aldehydes, which are "carcinogenic poisons". They concluded that cooking with vegetable oils such as corn oil or sunflower oil may lead to many diseases, including cancer, and suggested using olive oil, coconut oil, butter and even lard instead of ordinary vegetable oils.

　　Expert Interpretation: Fan Zhihong, Center for Nutrition and Food Research, China Agricultural University, said that the experimental results of scientists can only show that the oil rich in polyunsaturated fatty acids is not suitable for frying, not a carcinogenic problem.

　　First of all, the conditions used in the study are quite different from those used in ordinary home cooking. The temperature used in the experiment is 180℃, which is about 50% to 60% hot, and it can only be achieved when a large number of foods are fried at this temperature. Usually, the time for burning oil during cooking is far less than that.

　　Secondly, for frying oil, China Standard [4] stipulates that the carbonyl value should not exceed 50meq/kg (mg equivalent/kg), which includes the total amount of aldehydes and ketones. It can be considered that there is no obvious adverse effect on health when the content does not exceed this limit. Considering that domestic cooking rarely fries food continuously, there is no need to worry too much. The thermal stability of butter and lard is indeed better, but it is too one-sided to choose only one factor. Frying and excessive intake of saturated fat are unhealthy diets, and reasonable cooking and balanced diet are the most important.

　　CCTV News:On the eve of Spring Festival travel rush, the Party branch of Shenyang Police Detachment of Shenyang Public Security Bureau of Shenyang Railway Public Security Bureau held a security swearing-in meeting in Spring Festival travel rush to convey and implement the spirit of the mobilization meeting of "1.14" of the Ministry, "1.15" of the Public Security Bureau and "1.16" of the Public Security Bureau in Spring Festival travel rush, and made every effort to make a decisive security battle in Spring Festival travel rush for re-mobilization and redeployment. All 102 police officers participated except the police. The whole police mobilized and called on all police officers Do not forget your initiative mind to bear in mind their mission, be loyal, resolutely win the tough security battle in Spring Festival travel rush in 2019, and hand in a satisfactory answer to the party and the people.

　　In order to further strengthen the implementation of various measures in Spring Festival travel rush, actively respond to the call of the party committees and detachments at the bureau and department levels, standardize their own law enforcement and discipline behaviors, and successfully complete the security tasks in Spring Festival travel rush in 2019. All police officers of the police detachment guarantee: First, firmly establish a sense of discipline, remember Spring Festival travel rush’s wartime security discipline, put discipline ahead of all work, strictly regulate behavior and demand themselves with iron discipline; Second, resolutely implement the work requirements of the party committees at the bureau and department levels and the party branches of the detachment, and strive to achieve the work goal of "four resolute guarantees, three comprehensive upgrades, and two best in history"; Third, strictly implement the nine security measures in Spring Festival travel rush, and go all out to create a travel atmosphere of "Safe Spring Festival travel rush, Orderly Spring Festival travel rush, Warm Spring Festival travel rush, Better Experience for Passengers".

　　At the swearing-in meeting, all police officers signed 204 letters of guarantee and determination from Spring Festival travel rush one by one to express their determination. Ding Lei, the political commissar, led everyone to take an oath, saying that they should resolutely unite around the Party branch, strictly implement the requirements of the Party committees at the bureau and department levels, be loyal to the Party, strictly observe discipline, enforce the law impartially, work hard, resolutely win the "nine tough battles" and make every effort to ensure the safety of railway transportation during Spring Festival travel rush.

　　The Party branch of Shenyang Police Detachment issued a mobilization order, calling on all police officers participating in the war to firmly establish the "four consciousnesses", and to work together with the highest attitude, the greatest determination and the strictest standards, and make every effort to contribute to the security work in Spring Festival travel rush and resolutely win the tough security battle in Spring Festival travel rush in 2019.

　　In order to promote the source of "student flow" in Spring Festival travel rush, further enhance college students’ safety awareness in Spring Festival travel rush, further improve the basic work of passenger train security, and fully build a new pattern of joint prevention and control of public security with concerted efforts and multiple efforts, Shenyang Police Detachment went deep into the university to carry out Spring Festival travel rush safety publicity activities with the theme of "Traffic Power, Railway First, Safe Travel and Iron Police Escort".

　　Through this publicity activity, we will publicize the common sense of railway travel for college students, improve the safety awareness of college students traveling by train, advocate college students to join the ranks of railway police volunteers, and increase the security defense force of the police detachment. The college students and the police detachment will work together to safeguard the basic environment of train security.

　　The picture shows that before the departure, the South Korean army, the detachment leader of the Shenyang Police Detachment, concentrated on the activities of sending lectures to the school gate and asked the young police to effectively publicize and explain the actual travel of college students.

　　The Youth League Branch of Shenyang Police Detachment actively cooperated with Shenyang Federation of Trade Unions and Shenyang human resources market, collected 2,700 job requirements of 349 positions from 108 enterprises in all walks of life in the city, and printed 10,000 copies of the "Directory of Enterprises Recruiting Migrant Workers in 2019" and "Eight Measures for Sincerely Serving Passengers". In K387 (Chengdu — Shenyang North) bus provided lectures and introductions for more than 400 migrant workers who returned to work in the city after the holiday, and also presented a special "red envelope" for migrant workers with free physical examination, free training, free movie viewing, free fitness and free book borrowing. The policemen taught the migrant workers friends to scan the code and use the micro-police alarm service platform of Shen Tie Public Security Bureau. The friends of migrant workers on the train were full of interest, saying that this activity really made them realize their desire of "getting on the train to find a job, and getting off the train to get on the job", and also really saw the accuracy, convenience and informationization of the one-button alarm of Shen Tie Public Security Bureau.

　　The Party branch of Shenyang Police Detachment sent a letter to the family members, reporting the achievements of the young police in one year in the letter to the family members, thanking the family members of the police for giving up their families and caring for everyone, shouldering the heavy responsibilities of caring for the elderly, raising their children and doing housework, building a harmonious family with tolerance, supporting the public security work with actions, and building a strong backing of the public security cause with dedication … … A pair of kind eyes, warm words, and innocent smiles have gathered the majestic power of all police officers to carry forward, overcome difficulties and forge ahead, and engraved a vivid picture of the families of police officers who are silently paying, willing to contribute and brave to take responsibility.

　　In 1986, China’s first 110 alarm service platform was opened to receive and handle police work. In the past 33 years, the police receiving platform of public security organs has also been developing with the progress of the times. Shenyang Railway Public Security Bureau actively explores the important role of "internet plus" in the comprehensive management of social security, and develops a fast and intelligent alarm platform. By setting the QR code of Shen Tie Public Security Micro-Police on the station and passenger train, one-button alarm can be realized. The Shenyang Police Detachment implemented the application of the micro-policing platform of Shenyang Railway Public Security Bureau, and displayed the alarm information of passengers scanning the QR code on the train in the large-screen display system of the command room of the police detachment. The command room of the police detachment can view the alarm information in real time through the alarm management background, and the command room calls the police of this train to handle the alarm situation through the intelligent command and dispatch platform. After receiving the information, the police will immediately handle the passengers’ alarm and help, so as to achieve the purpose of quickly calling the police and solving the passengers’ alarm demands in time. Since the implementation of the micro-policing platform, Shenyang Police Detachment has received 112 micro-policing alarms, including 20 reported losses, 69 passengers seeking help, 5 disputes and 7 others. The police detachment recovered 6 runaways, 42 lost items, recovered more than 79,000 yuan in finance, returned 13 lost mobile phones and mediated 5 disputes. On July 4th, 2018, Li Zhixin, a passenger on the K387 train, received a micro-alarm from the passenger that his colleague’s mobile phone was lost, and immediately called the train monitoring to retrieve the passenger’s lost mobile phone. It only took the train a period from Jinzhou to Panjin to solve the case.Through the use of micro-policing platform, the police of Shenyang Police Detachment are faster and more efficient, and the public security order of trains under the jurisdiction of Shenyang Police Detachment has obviously improved. The measures of sincerely serving passengers have won unanimous praise and passengers have a better travel experience.

　　The picture shows the young police introducing eight measures to serve passengers sincerely.

　　With the coming of Spring Festival travel rush, the passenger flow of trains is gradually increasing, and the cases of train traveling money are on the rise. In this regard, the Shenyang Police Detachment launched a special "escort" campaign on the Qianli Railway Line, organized the police to strengthen law enforcement, accurately cracked down on illegal and criminal acts against passengers’ property, and effectively safeguarded the safety of passengers’ property. Spring Festival travel rush is approaching, and the police remind the passengers to avoid carrying a lot of valuables such as cash when traveling. When traveling, it is best to put the luggage on the luggage rack on the opposite side of your seat, and you can see it when you look up. Pay attention to the luggage before and after the train stops to prevent the luggage from being taken by mistake or stolen.

　　Since the security work in Spring Festival travel rush was carried out, Comrade Wang Weidong has taken learning from Lei Feng and sincerely serving passengers as his daily work guidelines, and actively practiced eight measures of sincerely serving passengers. Since working in the police detachment, he has been sticking to the Z188 train from Shenyang North to Shenzhen, which is the hardest and the most complicated passenger flow in the police detachment. In view of the special public security situation of complex train composition and large passenger flow, he has carefully summed up his experience and worked out a set of working methods that are in line with railway police. Every time the train stops, Wang Weidong will broadcast his own train precautions to all the passengers in the train broadcasting room, reminding them to pay attention to their property safety. Therefore, he taught himself broadcasting skills, improved his Putonghua level, and put his sincere service to passengers into practice. In recent years, Comrade Wang Weidong has made great achievements and won praises from the masses with his superb business skills and enthusiasm for serving passengers.

　　Comrade Wang Weidong overcame his own difficulties, gave up his family for everyone, dutifully served the passengers, stood well in every shift and was willing to make contributions. His touching deeds were broadcast in the feature film "Looking forward to people’s return in a year, Z186 times, and driving for six thousand miles home from north to south" in the CCTV news broadcast room on the first day of the New Year’s Day. This report has achieved great social repercussions and excellent social effects, adding luster to railway police, shaping a new image of railway police police in the new era, and carrying forward the spirit of railway police’s silent dedication to their posts for the reunion of thousands of families.

　　When Xiao Hao was three years old, his mother found that his bones became more and more "hard": he couldn’t squat, his arms were difficult to bend, and he was accompanied by hepatosplenomegaly and heart reflux. Sadly, he was never diagnosed … …

　　After six years, Xiao Hao was finally diagnosed — — Suffering from mucopolysaccharide storage type ⅱ, thus, a family knows that there is such a rare disease in the world.

　　May 15th every year is the International Care Day for Mucopolysaccharide Storage. When children have symptoms such as rough face, stunted growth, thick joints, big head, "chicken breast", hepatosplenomegaly, abnormal heart and even mental retardation, they must be careful of Mucopolysaccharide Storage. Mucopolysaccharide, also known as glycosaminoglycan, is a macromolecular substance widely existing in human cells. Mucopolysaccharide is a big family. Your skin is white and tender, your joints are flexible, and your eyes are bright, which is closely related to the members of the "Mucopolysaccharide" family.

　　Although the mucopolysaccharide family is miraculous, there must be a premise that our cells can digest them normally, and the cells have specially prepared a "digestion workshop" — — Lysosome.

　　Lysosomes specialize in degrading foreign or endogenous biological macromolecules, such as lipids, glycogen and mucopolysaccharides, etc., and they can take this big job because of more than 60 enzymes contained in them.

　　More than 60 kinds of enzymes have their own functions, without any one of them, a specific biological macromolecule may not be degraded normally, thus being stored in lysosomes.

　　Lysosomes began to swell, eventually making cells bloated and abnormal, and indigestible macromolecules deposited in various organs of the body, and people’s symptoms became more and more obvious.

　　The reason of enzyme deficiency is often gene mutation. Mucopolysaccharide storage disease (MPS) is a congenital genetic and metabolic disease, which leads to the deposition of this kind of mucopolysaccharides because of the lack of enzymes that decompose the corresponding mucopolysaccharides.

　　According to the different enzymes, mucopolysaccharide storage disease can be divided into seven types and multiple subtypes.

　　Although there are many types, MPS patients have some basic characteristics: multiple organs in the whole body are affected, the development is delayed, and the condition is gradually aggravated; Short stature, rough face, big forehead protrusion, skeletal deformity, thick joints, claw-shaped hands, corneal opacity, otitis media, narrow respiratory tract, hepatosplenomegaly, heart disease, and serious cases will affect intellectual development.

　　There are differences between different types. For example, the majority of patients with type II are men, patients with type III show obvious mental retrogression, and patients with type IV concentrate on skeletal deformity. Similarly, the disease has brought a heavy burden to every patient’s family.

　　Most of the patients with mucopolysaccharide storage disease are children, and they are affectionately called "sticky babies" in China, because the symptoms of MPS are complex and rare, and there may be many undiagnosed MPS patients who are struggling to seek medical treatment in confusion.

　　At first, there was no specific treatment for MPS, and only symptomatic treatment could relieve the pain. In recent years, enzyme replacement therapy has become an effective treatment for some MPS. Simply put, it is "what enzyme is lacking".

　　In recent years, with the country’s increasing attention to rare disease groups, the research and development or introduction of drugs for rare diseases is accelerating. At present, MPSⅣA has become the first MPS therapeutic drug approved for marketing in China. Type I and type II drugs are also expected to be listed in China soon. Type III drugs are still under development; However, as far as the drugs on the market are concerned, they are expensive. Without medical insurance, ordinary families will face an unbearable situation.

　　If we can use specific drugs from an early age, Sticky Baby can enjoy a high-quality life like us. Even if they can’t take medicine, there are still many MPS patients who insist on going to school or work actively, playing their own part.

　　May 15th every year is the International Care Day for Mucopolysaccharidosis. The MPS family in trouble needs everyone’s attention and support. Let’s join these lovely "sticky babies" and hope that the day when medicine can be used will come soon!

　　Medical Guidance: Chief Physician Zhang Huiwen

　　Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine

　　Shanghai Institute of Pediatric Medicine

　　Shanghai Children Rare Disease Treatment Center

　　References:

　　[1] Zhang Huiwen, Wang Yu, Jun Ye, Qiu Wenjuan, Han Lianshu, Gao Xiaolan, Gu Xuefan. Common enzymatic classification of 47 cases of mucopolysaccharide storage disease [J]. Chinese Journal of Pediatrics, 2009,47 (4): 276-280.

　　Shi Huiping. Case diagnosis and prenatal diagnosis of lysosomal storage disease [J]. Chinese Journal of Pediatrics, 1999,37 (1): 57-58.

　　Wu Xiru, Bao Xinhua. Progress in diagnosis and treatment of lysosomal storage disease [J]. Journal of Peking University (Medical Edition), 2005,37 (4): 440-444.

　　Tian Zhiqiang, Ji Shengli. Relationship between glycosaminoglycans and inflammation [J]. Chemistry of Life, 2005,25 (6): 485-487.

　　(Written by Hao Yu, Illustrator/Mai Chuan)

　　CCTV News:On the 26th, the Guiding Opinions on Promoting the Reform of Talent Evaluation Mechanism by Classification issued by the General Offices of the General Office of the Central Committee of the CPC and the State Council was published. With "classification" as the key word, the Opinions subdivide the evaluation criteria for talents in different industries, different fields and different job natures, and the evaluation methods of talents such as focusing on papers, emphasizing qualifications and "measuring to the end with a ruler" will change.

　　"Opinions" implements classified evaluation, based on professional attributes and job requirements, and establishes and improves scientific and reasonable talent evaluation standards covering moral character, knowledge, ability, performance and contribution.

　　Yu Jiadong, Director of Ministry of Human Resources and Social Security Professional and Technical Personnel Management Department: "In the past, there was a one-size-fits-all phenomenon in talent evaluation. For example, as we always said, we emphasized education, ability, seniority, performance, thesis, contribution, quantity and quality. There are still some problems in the way of evaluation. For the first-line talents at the grassroots level, the positive incentives are not enough and the inclination is not enough. "

　　Yu Xing ‘an, Dean of China Institute of Personnel Science: "For example, in the field of scientific research, if one is engaged in basic scientific research and the other is engaged in technology development, then his evaluation criteria, evaluation methods and measurement indicators should not be the same."

　　At the same time, the "Opinions" put forward to pay attention to evaluating talents by ability, performance and contribution. Overcome the tendency of focusing only on academic qualifications, qualifications and papers, rationally set and use evaluation indicators such as papers, solve the problem of "one size fits all" evaluation criteria, and carry out differentiated evaluation of different talents. In addition, the evaluation of scientific spirit, professional ethics and professional ethics will also become an important standard for talent evaluation.

　　Who will judge? Peer review and social review

　　In view of the problems existing in the current talent evaluation, such as single subject, weak evaluation professionalism and convergence of evaluation methods, who will evaluate talents after the reform? What is the evaluation cycle?

　　The "Opinions" first clarified the industry evaluation mechanism based on peer evaluation, and at the same time played the role of multiple subjects such as market and society. According to the characteristics of different talents, different evaluation methods are adopted. Break the restrictions on household registration, region, ownership, identity and personnel relations, and smooth the channels for talent declaration and evaluation in non-public economic organizations, social organizations and emerging occupations. We will improve the methods for reporting and participating in the evaluation of the introduction of overseas high-level talents and foreign talents.

　　Yu Jiadong, Director of Ministry of Human Resources and Social Security Professional and Technical Personnel Management Department: "Peer-to-peer evaluation, expert evaluation, can integrate social and market-oriented means, rather than a single administrative means."

　　At the same time, the "Opinions" also clearly set the evaluation and assessment cycle scientifically, explore the implementation of the employment evaluation system, and appropriately extend the evaluation and assessment cycle for basic research talents and young talents.

　　How to comment? What are you doing? What are you judging?

　　Science, teaching, literature and health, everyone works in different fields of economic development. The Opinions issued this time are relevant to everyone and realize "what to do and what to evaluate".

　　Yu Jiadong, Director of Ministry of Human Resources and Social Security Professional and Technical Personnel Management Department: "It mainly mentions six major fields, namely, scientific and technological talents, philosophy and social sciences, cultural and artistic talents, educational talents, medical and health talents, and technical and technical talents. The sixth one is enterprise talents, young talents and grassroots front-line talents."

　　For scientific and technological talents, the Opinions emphasize the implementation of representative achievement evaluation and pay attention to the combination of individual evaluation and team evaluation. For talents in philosophy, social sciences and culture and art, Opinions are classified and evaluated according to different disciplines and types such as humanities, social sciences, culture and art..

　　For educational talents, the Opinions regards teaching and educating people as the core content of evaluation, and scientifically sets the evaluation content according to the characteristics of teachers’ responsibilities in different types of universities and different positions. Highlight the evaluation of education and teaching performance, and strengthen the assessment of teaching quality and classroom teaching discipline.

　　For medical and health personnel, the Opinions strengthen the evaluation of clinical practice ability of medical and health personnel, improve the evaluation index system covering medical ethics, clinical practice, scientific research and teaching, public health services and other factors, and reasonably determine the evaluation focus of talents in different medical and health institutions and different professional positions.

　　For technical and skilled talents, the Opinions establish and improve the evaluation criteria for engineering and technical talents in different professional fields, and strive to solve the problem that the evaluation criteria are too academic. For skilled talents, we will speed up the construction of multi-level professional standards and improve the multi-evaluation methods such as vocational qualification evaluation, vocational skill level determination and special vocational ability assessment.

　　In view of enterprises, grassroots frontline and young talents, the Opinions increase incentives and expand career development space.

　　Yu Xing ‘an, Dean of China Institute of Personnel Science: "For a comrade who works at the grassroots level, how can you ask him to have so many papers, and he has such a high degree and such a deep qualification? Therefore, I am afraid that we should relax some standards in the evaluation of comrades working at the grassroots level, so as to really attract our vast number of talents, the vast number of science, education, culture and health workers, and go to the front line to do services and make contributions. "

　　How to manage? Unit leadership will have supporting policies.

　　How to implement the reform? The Opinions clearly respect the leading role of employers, and a number of reform supporting programs will be launched in the future. The Opinions clarify that the leading role of employers will be respected in talent evaluation, the talent evaluation authority will be reasonably defined and decentralized, and qualified universities, research institutes and other enterprises and institutions will be promoted to independently carry out evaluation work, promote the organic connection between talent evaluation and training, use and motivation, and maximize the evaluation efficiency. In addition, the "Opinions" clearly need to improve the market-oriented socialized management service system, actively cultivate and develop social organizations and professional institutions for talent evaluation, and undertake the government’s talent evaluation functions in an orderly manner.

　　Yu Xing ‘an, Dean of China Institute of Personnel Science: "To untie talents, we should delegate power to the employer, so that the employer can truly have the autonomy of employing people, and can make independent arrangements in terms of post setting, recruitment of personnel, and salary distribution, including performance evaluation."

　　In the next step, the Ministry of Human Resources and Social Security will work with relevant parties to study and formulate the division of tasks in the Opinions, and formulate supporting policies for the reform of talent evaluation mechanisms in the fields of science and technology, philosophy and social sciences, culture and art, education, medical care and technical skills.

　　Yu Jiadong, Director of Ministry of Human Resources and Social Security Professional and Technical Personnel Management Department: "It should be combined with the implementation of the reform opinions of the professional title system and the reform opinions of the vocational qualification system. The evaluation should be unified with the training and development of talents in front and the use of incentives for talents in the back. "

　　BEIJING, Beijing, April 15 (Reporter Zhang Xi) On the evening of the 15th, the opening ceremony of the 8th Beijing International Film Festival was held in Beijing. For the first time, the top three directors in the box office list of domestic films were on the same stage. Among them, Jason Wu, director of Wolf Warriors 2, said that China filmmakers are working hard to be craftsmen, and China audiences are increasingly supporting domestic films. He said frankly, "As long as the audience likes it, it is worthwhile to suffer again."

　　This year, the Beijing International Film Festival continues the seven main activities of the Tiantan Award, the opening ceremony, Beijing screening, Beijing planning theme forum, film market, film carnival, closing ceremony and award ceremony.

　　As the chairman of the International Jury of the Tiantan Award, Wong Kar-wai, a well-known director, said that although judging a movie can be very subjective, different people have their own tastes, but good movies must have one thing in common regardless of the theme and length, that is, the concentration and persistence of the creators.

　　Wong Kar-wai mentioned on the stage that when he was drinking soybean milk in a shop recently, he saw the words "I am willing to grind for you all my life" written at the bottom of the bowl, and he was deeply touched. In his view, although grinding beans and making movies are two different things, spirit and temperament are closely related. "I remember the famous director Mr. Yasujirō Ozu once commented on his creative process. He said that he just opened a tofu shop and only sold tofu. So I believe that only through this purity can an excellent work be achieved, so I value this purity. "

　　At the opening ceremony, for the first time, the three directors who won the first place and the third place in China box office were on the same stage. As the third-place director of Detective Chinatown 2, Chen Sicheng said with emotion that at first, a cinema manager pointed out that the film’s 123-minute length was too long, and suggested that it would be more beneficial to arrange the film if it was cut to 90 minutes. "But I hope to put ‘ Tang Tan ’ As a brand, the audience’s word of mouth is far more important than the box office, so I persisted. "

　　Lin Chaoxian, the director, said that no matter whether it’s "operation mekong" or the box office hit Operation Red Sea, such war movies are very tiring to shoot, but he likes them very much. "I like this kind of movies that make people excited and have positive energy.".

　　Jason Wu, the director who won the box office title with the film Wolf Warriors 2 last year, is also impressed on the stage today. "I was still very uneasy when I recommended Wolf Warriors 2 at the Beijing Film Festival last year. The film took three years from preparation to shooting, and finally presented 4,077 shots, which won 159 million people’s views. This shows that China filmmakers are trying to be craftsmen, while China audiences are increasingly supporting domestic films. As long as the audience likes it, they will suffer again.

　　Later, the three directors also looked forward to China’s films in ten years. Lin Chaoxian thought that there would be more and more realistic films, Chen Sicheng hoped that more foreign audiences would see China’s films, and Wu Jing bluntly said, "We need to study hard and exercise hard in this decade, and Do not forget your initiative mind will serve China’s films for another ten years."

　　It is worth mentioning that the shortlist of the Tiantan Award of this year’s Beijing International Film Festival was also announced at the opening ceremony. After five rounds of screening, 15 films from 19 countries and regions were shortlisted, including two China films such as Eighteen Cave Village in Operation Red Sea, and 13 overseas films such as Dark Wind, End of Journey in Britain and Scorching Summer in Iran. (End)

creator in chief


"Green Pants" Bao Beier


Bao Beier and the "green pants shape" on the poster at the back set each other off.

　　　The Chinese comedy movie "The Battle of Shama Town" finally broke through the fog to reveal its deity and made its grand premiere on June 23rd. Director Li Weiran, together with Sun Honglei, Lin Chi-ling, Huang Hai Bo and Bao Beier, made their debut at Sina Entertainment to promote the film release.

　　The Battle of Shama Town broke the traditional Chinese comedy style, and the word "original" took the lead. The film’s leading actor is even more subversive, including Sun Honglei and Lin Chi-ling, who have made great breakthroughs in both modeling and deductive techniques. Bao Beier, a young actor who has gradually emerged in the film and television circle, has become the focus of media discussion with his "green trousers" style.

Green Pants Mix and Match Fashion Show Bao Beier Leads Fashion Style

　　No matter from which actor, the shape of "Battle of Shama Town" is a major feature of the film. Li Weiran, the director, revealed that these clothes didn’t have much features when they first arrived at the crew, but the popular "mix and match style" of the "Final Battle" crew brought full inspiration to everyone. So under everyone’s careful mix and match, Lin Chi-ling’s "Rose of Chopper", Sun Honglei’s "Sharp Village Head" and Bao Beier’s "Green Pants" were released. In addition, Bao Beier added a lot of originality to his green trousers, such as the "urinal opening" at the back and the "thigh gap" looming, all of which became the highlights of the whole play, which was impressive. So that when Li Liqun first came to the crew, he saw the image of Bao Beier and said, "Xiao Bao, I want to go crazy when I see your green pants." Sun Honglei said with a smile: "Some friends from the French and German fashion circles are very interested in Bao Beier’s green wool pants, saying that it is very promising to lead the fashion trend in the next few years."

For the first time, I joined hands with nervous people in Bao Beier, Sun Honglei.

　　Bao Beier, who became popular in the entertainment industry with his superb acting skills, was once praised by many audiences as "Little David". Bao Beier said with a smile: "I wanted to take the idol route, but the food of the crew was too good, which was self-defeating and distorted." Compared with the unkempt image of "touching the dog" on the poster of "Battle of Shama Town", Bao Beier lost a lot of weight. When talking about the reason, Bao Beier laughed. "I was a normal person. For the first time, I cooperated with big names like Brother Hong Lei and Sister Zhiling. I was so nervous that I couldn’t sleep well, so I was swollen." The master revealed that Bao Beier’s "Touching the Dog" was not a fool at first, but under Bao Beier’s repeated experiments, discussions with the director, second creation and "everyone’s help and pressure", what was presented to the audience was "Touching the Dog", which was different from the original script. Although this image was quite distorted, it became a classic of the film and added a lot of color to the film.

　　In addition, Bao Beier admitted that the biggest treasure he "dug up" when filming "The Battle of Shama Town" was his cooperation with other actors, and he "benefited a lot from them". Li Weiran, the director, also said that it was like working together to achieve a dream. "The sense of fulfillment is indescribable.".

If you want to buy a car, it is estimated that you are also struggling to buy what products are best for you. Today, Xiaobian picked a car in the compact suv and introduced it to everyone. It is. So whether this car is a mule or a horse, let’s take a look at its actual performance.

Let’s take a look at the appearance of Changan CS75PLUS. The front face of Changan CS75PLUS is very cool, and it is very sporty with a large butterfly-wing air intake grille. Coupled with the elegant headlights, the shape is very domineering and stylish. The car is equipped with LED daytime running lights, automatic opening and closing, adaptive far and near light, delayed closing and so on. Coming to the side of the car, the size of the car body is 4770 mm * 1910 mm * 1705 mm. The car adopts stable and atmospheric lines, and the car side presents a streamlined design style. With large-sized thick-walled tires, the overall visual effect is very simple. In the rear design, Changan CS75PLUS has exquisite rear lines, comfortable taillight style and fashionable and simple shape.

In terms of interior, the interior looks very cold and it is easy to impress the hearts of young consumers. The steering wheel of the car is very in line with the interior style, and it is equipped with functions such as manual steering wheel up and down+front and rear adjustment, and its practicality and face value are not bad. From the central control point of view, the car is equipped with a touch-sensitive LCD central control screen, which makes the interior style impressive and the details are still in place. The interior feels good. Let’s take a look at the dashboard and seats. The dashboard design is remarkable, and the information is easy to read and clear. The car uses imitation leather seats, which are wide and thick and very comfortable to ride.

Changan CS75PLUS matched automatic (AT) gearbox, with an acceleration time of 7.9s seconds per 100 kilometers, has good power performance and is completely OK for daily use.

Next, look at the configuration. Changan CS75PLUS is equipped with driving mode selection, remote control key, Bluetooth key, rear wiper, interior atmosphere light, engine start and stop and other configurations.

This class of cars can often give consideration to both cost performance and practicality, and is often considered by most consumers as the first choice when buying a car. If you have plans to buy a car, Xiao Bian thinks it can be included in the alternative list.

A friend is asking me how to open my skylight. It can be opened in three ways.

First of all, start the car and control it quickly. There is a skylight here, which can be opened here, and this place can be opened and closed.

How else can I open it? See it here? This is the canopy, this skylight, this is ventilation, touch it and it will open, press it again, it is two gears, you should pay attention.

How to make the remaining one? Voice control, hello Xiao Qi, close the skylight, the skylight has been closed.

So it has three ways, friends who can’t, can try it.