"Group-type" medical assistance in cooperation between the east and the west builds a "healthy bridge" for the city and Wei.

Xin Dingxi Dingxi Daily correspondent Zhao Jingting

The mountains and seas are far apart, and the hearts and hands are closely connected. In recent years, Weiyuan County and Chengyang District of Qingdao have continuously increased their cooperation in medical cooperation. By implementing the management of Luoxi Hospital, increasing capital investment, building facilities, exchanging talents, and building disciplines, the rapid development of health care in Weiyuan County has been effectively promoted.

During the Dragon Boat Festival holiday this year, a parturient in Weiyuan County People’s Hospital suffered from rapid and massive bleeding and weak uterine contraction in a short time after giving birth to a newborn by cesarean section. After receiving the notice, Liu Qi, a help expert from Chengyang District People’s Hospital in Qingdao, arrived at the department at the first time to quickly understand the changes in the condition and guide the start of the emergency plan for obstetric hemorrhage.

"By adjusting anesthesia, optimizing fluid replacement and using vasoactive drugs, the circulation was stable. The operation lasted for more than four hours. After a lot of fluid replacement, blood transfusion and diuresis, the stability of maternal vital signs and the normal function of tissues and organs were ensured." Liu Qi said. During half a year’s assistance and cooperation, he mainly carried out surgical anesthesia, carried out new technology projects in the front line of clinical anesthesia, taught more than 200 cases in one-on-one teaching and guided practical operation, and gave more than 20 lectures on professional technology. In the form of small classes, he studied some new anesthesia methods and guidelines at home and abroad with everyone and shared his experience.

Since 2021, Weiyuan County has sent 55 medical technicians to Shandong Province for further study, which has achieved remarkable results, learned advanced diagnosis and treatment technology, promoted the improvement of medical technology and improved the comprehensive diagnosis and treatment service capacity. Qingdao Chengyang District People’s Hospital sent 12 experts to assist and guide the general surgery, critical care medicine, endocrinology, anesthesiology, brain department, pediatrics, cardiology and other departments of the county people’s hospital; Qingdao Hospital of Integrated Traditional Chinese and Western Medicine sent 3 experts to help and guide the departments of orthopedics, cardiology, radiology and encephalopathy in the county hospital of traditional Chinese medicine, and 3 experts to help and guide the departments of neurology, obstetrics and gynecology and orthopedics in the county hospital of integrated traditional Chinese and western medicine.

In 2022, Chengyang District helped 500,000 yuan to equip Huichuan Town Health Center and Yangzhuang Branch of Huichuan Town Health Center with 2 ambulances and vehicle-mounted equipment; The assistance fund is 4.94 million yuan, which is used for the construction of grassroots medical and health quality improvement projects in cooperation between the east and the west. Qingdao also donated more than 500,000 anti-epidemic materials to the county.

In 2023, the assistance fund was 300,000 yuan, which was used for the construction of primary health care quality improvement projects in cooperation between the east and the west. Seven medical institutions, including Chengyang Street Community Health Service Center in Chengyang District, donated 100,000 yuan to 11 medical institutions, including Qingyuan Community Health Service Center in Qingyuan Town, through the Weiyuan County Red Cross Society, to purchase medical equipment, further enhancing the county’s medical service capacity. Qingdao Hisense Medical Equipment Co., Ltd. donated medical materials worth 2.3 million yuan to the county hospital of integrated traditional Chinese and western medicine.

Talents, technologies and ideas from Qingdao’s medical and health fields are being continuously imported into Weiyuan, based on expanding the space of health cooperation between the two sides, and promoting the exchange of ideas, interaction of ideas and mutual learning of styles. In the past three years, Qingdao City, Shandong Province has changed from "blood transfusion" to "hematopoiesis" by means of "personnel attachment, hospital-hospital cooperation, remote consultation, technical support and personnel training", thus realizing the desire of the people not to leave the county after serious illness.

The combination of physical education and football dreams is clearer

  Wandering in the beautiful campus of Yan ‘an Second Road Primary School in Qingdao, intoxicating black and white elves can be seen everywhere. On the playground, small football jumps at the feet of children, and the pictures displayed along the stairs tell the course of the development of school football characteristics … The whole school has become a "football cultural magnetic field", infecting every member in it.

  Qingdao is a well-known football city in China, and the popularity of campus football is ahead of many places in China. In football activities, students have been trained, improved their skills, learned to cooperate, and enhanced the cohesion of the community.

  In the past year, the national campus football developed vigorously. Like Qingdao, all localities took measures according to local conditions and created a good atmosphere for the development of campus football. Campus football is sweeping across the country with a rapid momentum. There are more and more green fields on campus, and more and more children are jumping on the green fields. The characteristics of campus football are constantly expanding …

  Promote campus football into an upgraded version.

  Over the past year or so, all provinces in China have innovated campus football work, designed the overall idea of campus football work at the provincial level, and issued relevant implementation opinions on promoting campus football in primary and secondary schools.

  Beijing’s 2016 football project will be included in the selected test items of the senior high school entrance examination, and at the same time, the football project test will be explored in the senior high school physical education examination.

  Guangdong Province has initially established a campus football network with national cities as the main line and provincial cities as the supplement. In the next step, Guangdong will continue to expand the football population and cultivate educated football people, and integrate the promotion of campus football into all aspects of school education as a breakthrough to promote school physical education reform.

  In order to promote the popularization of campus football, Hubei Province has included football in students’ extracurricular sports and extracurricular sports activities. The Office of the Leading Group for Campus Football Work in Henan Province has "three chapters" for all campus football pilot schools in the province: football classes should be included in the school-based curriculum, and at least one football class must be guaranteed every week; Two big recess activities for half an hour every day, one of which must arrange football-related content; A class football league must be held once a year.

  ……

  There is a strong "whirlwind" in campus football.

  In this atmosphere, the League Four has been promoted smoothly, the camp activities have been carried out brilliantly, and various cups have continued.

  On November 26, 2014, a national video conference on campus football for teenagers was held. The meeting proposed that we should adhere to the combination of sports and education, be determined to reform and innovate, and promote the popularization of campus football.

  Yuan Guiren, Minister of Education, said that the Ministry of Education will dominate campus football and launch a series of measures to promote campus football into an upgraded version. The goal of the Ministry of Education is to strive to support the construction of about 20,000 schools with football characteristics in primary and secondary schools and 200 high-level football teams in colleges and universities nationwide by 2017, and to form regional characteristics. In addition, according to the national campus football competition plan, four leagues are organized for primary schools, junior high schools, senior high schools and universities.

  Then, on March 16th, 2015, the General Office of the State Council released the Overall Plan for the Development and Reform of Football in China, which is the goal of China’s 10-year plan for football and has raised football to the height of "national policy".

  Known as "the biggest reform in China’s football history", this plan has defined 50 specific measures, covering the reform of the Football Association, league reform, national football construction, youth training system, bid for the World Cup, China League Football Lottery and other fields. It is estimated that by 2025, 50,000 schools with football characteristics will be built with 50 million students.

  On August 13th, the website of the Ministry of Education officially published the "Implementation Opinions of the Ministry of Education and Other Six Departments on Accelerating the Development of Youth Campus Football". The "Opinions" pointed out that the goal of campus football is to basically build a youth campus football development system with China characteristics by 2020, which conforms to the law of talent growth, with extensive participation of young people, continuous improvement of sports level, dynamic institutional mechanisms, strong basic conditions and vigorous cultural atmosphere.

  In September 2015, after comprehensive selection, the Ministry of Education identified and named 8,627 primary and secondary schools such as Chongwen Primary School in Beijing as national youth campus football characteristic schools, and 38 counties (districts) such as Yanqing County in Beijing as national youth campus football pilot counties (districts).

  The Ministry of Education requires that characteristic schools and pilot counties should open an Internet-based campus football information platform, publicize the progress of campus football, report football activities, exchange work experience and display characteristic achievements. Education administrative departments at all levels in various localities incorporate the work of characteristic schools and pilot counties into the education supervision and inspection and the evaluation of school physical education, and carry out special inspections on a regular basis.

  Since then, the blueprint for the development of campus football has been basically drawn. However, how to make this whirlwind of campus football stronger and more lasting? You can find the answer in the concrete practice at the grassroots level.

  Hardware and software "grasp with both hands"

  For a long time, a prominent problem that restricts the development of campus football is the lack of venues. In some schools, "there is no place for children to do exercises, and there is no place for them to play football".

  This situation is particularly prominent in some schools located in the center of big cities and in the old campuses of some schools. These schools are not short of money and excellent teachers, but the limited space is the biggest problem that restricts them from developing campus football.

  In order to solve the problem of football venue conditions, Beijing has adopted the overall planning of the municipal and district governments, rented social venues to carry out football activities through the government’s purchase of services, and built small venues and cage football and other characteristic venues according to local conditions inside and outside the urban campus; And in the outer suburbs, thousands of simple football venues have been transformed by using community space and idle lots.

  There are more than 1,200 students in Chongren No.2 Primary School in Qiaokou District, Wuhan City. The school is located in the commercial and prosperous hexagonal street area with limited sports venues. Schools adjust measures to local conditions, strengthen the basic technical training of small venues, such as dribbling, bouncing, arch passing, simple two-one tactics. With the help of the resources of the District Cultural and Sports Bureau, the school carried out football training in the nearby Liujiaoting Stadium. In 2014 alone, the school "produced" four national youth team players at one time.

  In terms of funding guarantee, many cities are unequivocal and give strong support to the development of campus football. In 2014, Guangzhou Education Bureau issued a subsidy of 1.76 million yuan to 54 traditional football schools and 4.56 million yuan to 304 campus football promotion schools in Guangzhou, totaling 6.32 million yuan.

  For many problems that have long plagued the development of campus football, many places have innovated systems and mechanisms to solve them, and made breakthroughs in building campus football league system, compiling campus football teaching materials with local characteristics, and creating campus football development atmosphere, so that more and more children can enjoy the happiness of campus football.

  In addition to paying attention to the improvement of "hardware" conditions, many places have also set their sights on upgrading the "software" of campus football. In many places, combined with the local actual situation, the superior resources are used to develop campus football. In the promotion of campus football, various localities have made characteristics in building platforms, innovating institutional mechanisms, constructing campus football league system, compiling campus football teaching materials with local characteristics, and creating campus football development atmosphere.

  Don’t give extra points for exams, just for freedom.

  "We can’t guarantee that every child will become an international and a star in the future, but we can bring joy to each of them." Wu Mingyu, director of Mianyang Education and Sports Bureau, Sichuan Province, said that according to the calculation of Mianyang Education and Sports Bureau, by 2017, there will be more than 100 youth football teams in the city, and thousands of students will participate in football training and competitions.

  Combining popularization with improvement, paying equal attention to class and playing field, and persisting in benefiting all students are the ideas of Chongqing Pengshui to carry out campus football. In the process of promoting village school football education, Pengshui County insists on classification and popularization, and promotes it according to its materials. For schools with only grades one to three, focus on offering theoretical courses to popularize the basic knowledge of football and promote basic skills; For students above the fourth grade, in addition to theoretical promotion, they will also try to popularize simple skills.

  "The significance of vigorously promoting the end campus football is not to cultivate future football stars, but to let the children in the mountains have a healthy body and tenacious will with the help of football as a carrier, and put wings on their football dreams." Jiang Yong, director of Pengshui County Education Committee, said.

  In such a campus football environment, which does not add extra points to the exam, is not utilitarian, but only happy, the children are galloping freely and growing healthily.

  Campus football activities have been carried out in many schools, and a large number of schools have achieved certain results in carrying out campus football activities. In order to get to school early and play more football, many students in the primary school attached to Tsinghua gradually develop the habit of going to bed early and getting up early.

  The person in charge of Chaisang Primary School in Xunyang District, Jiujiang City, Jiangxi Province told the reporter that carrying out campus football activities has improved the qualified rate of students’ physical health, improved their overall quality, and achieved ideal competition results in various sports competitions at all levels.

  Accelerating the development of youth campus football is an important measure to fully implement the party’s educational policy and promote the physical and mental health of young students, and it is also a basic project to improve the development level of national football.

  It can be predicted that when children who practice football reach a certain scale and their skill level reaches a certain height, high-level children will naturally emerge, and China football will have a bright future.

  The deputies said

  Alva Wang, member of Chinese People’s Political Consultative Conference and deputy director of Sichuan Provincial Department of Education:

  Campus football should do good things well and do big things.

  For campus football, we should do good things and do big things.

  Campus football is a breakthrough in cultivating people by virtue and educating people by competition. The country also considers it a major event, so it should give full play to the scientific effect of campus football. Campus football is different from social football and competitive football. It should have its own rules. Its more goal is to educate people, rather than focusing on achievements. Campus football needs to let students know why they win, because they win with their own strength and wisdom. At the same time, campus football can also cultivate students’ awareness of obeying rules. For example, the basic rules of "you can’t play football with your hands" and "you can’t play basketball with your feet" are helpful to establish students’ awareness of rules, professionalism and professional ethics.

  Campus football is not about cultivating athletes. There are 12 million students in Sichuan who take part in campus football, but few of them can become professional football players. Then why should all students participate? Because we promote campus football, we hope to cultivate seeds, seedlings, top players and players. The goal of campus football is to cultivate builders who understand football, abide by rules and have a strong body, not competitive athletes. (Interview with our reporter Zhang Chunming)

  ——■ Typical case—

  Wuhan Xinhe Village Primary School:

  In 49 years, "kicked out" 34 international players.  

  Located in a crowded old residential area, Wuhan Xinhe Village Primary School is surrounded by buildings on three sides. Campus area is small, only more than 6000 square meters, is a standard "sparrow school". However, there are not many students at all, and more than 80% of the 1036 students come from the families of migrant workers.

  It is such an ordinary primary school that regards "Happy Football" as a characteristic education. It has persisted for 49 years in a narrow space and lack of professional teachers, and has successively stepped out of 34 "international players" such as Feng Zhigang, Zheng Bin and Lei Tenglong, and has become a famous campus football characteristic school in China.

  The school only has a trapezoidal artificial lawn sports ground and a stormy playground. In the words of principal Hou Lin, "there is no place to row the runway".

  However, when you enter the school, you will find that most of the children here wear jerseys and sneakers to go to school; During recess activities, students flock to the playground, mostly playing football; Even during the break, teachers and children danced self-made football exercises. Every class has a football lesson every week, and both boys and girls will kick a few feet.

  "In order for all children to feel the joy of football, the school adopts time-sharing, venue-sharing and reasonable arrangement of teaching content to ensure the implementation of school-based curriculum." Hou Lin said, "At present, there are 24 classes in the school, and each class has a football team. Every day, more than 100 members of the school team practice on the playground for two hours after school.

  Although the campus is small, Xinhe Village Primary School has turned "small" football into a "big" culture on campus.

  The flags, uniforms and slogans of each class are designed by the children themselves. On the court, girls also have to show up. When boys play football, girls play football baby and cheer for boys. Teachers also put football into Chinese and math classes. In addition, every year’s "Campus Football Festival" and every semester’s "Healthy Cup" class football league, all children participate and enjoy the endless happiness brought by football.

  "For children who don’t like playing football and love painting, they can draw football; Love writing, can be a football reporter; If you love to be handmade, you can create your own World Cup. " Wang Jianhong, director of the school’s football education, said.

  The "cradle of international players" originated from the first children’s football team in Xinhe Village Primary School in 1966-Shan Ying Team. In that year, Yang Zheng, a math teacher who had just joined the work, tried to gather children to practice football in teams. In the past few decades, school leaders have changed from batch to batch, and the "Shan Ying Football Team" has been marching from district and municipal leagues to national stadiums step by step, and the characteristics of football education have become brighter and brighter.

  Now, Xinhe Village has two full-time football coaches, and hired retired parents from the provincial team to coach the football team to ensure the implementation of the school-based curriculum.

  In a class football match after school, although the players were all teenagers, the game was wonderful. On the court, he played well and was very devoted; Off the field, the cheerleaders on both sides kept shouting and cheering. The goal was scored, everyone cheered, lost the goal, stamped their feet and regretted it, and the joy was written on the tender face.

  In Xinhe Village Primary School, such competitions are held almost every day. Children not only get health and happiness from football, but also have many other gains.

  A recent survey by Wuhan CPPCC shows that compared with other schools, there are fewer "chubby" and "nearsighted" students in Xinhe Village Primary School. "This is due to the popularity of campus football." Wang Jianhong told reporters. (The original text was published in the fifth edition of China Education News on March 25, 2015. Our reporter Zhang Chen Li Xiaowei Cheng Mo)

186 million in 3 years! 66.8 million a year! The Lakers offered the highest salary, with an average price of 62 million, ranking first in history.

About Anthony Davis’ contract renewal, I finally got the result! According to Woj, agent Ricky Paul revealed that Anthony Davis and the Lakers reached a three-year contract with a maximum salary of $186 million. The average salary of this contract is $62 million, which is the highest average salary renewal contract in the NBA. In this way, Davis’ contract with the Lakers will last until 2028, with a total price of more than $270 million.

186 million in 3 years! 66.8 million dollars a season!

It is reported that the starting salary of this contract will be $40.6 million next season. Until the 2027-28 season, the amount of this contract in the last year will reach 66.8 million US dollars, which is the highest level in history. This contract is undoubtedly a high recognition and trust for Davis, and also a guarantee for the Lakers’ long-term competitiveness. Davis has proved his value and role in the Lakers. He is the pillar of both offensive and defensive ends of the team and James’ most reliable partner. Davis’ staying in the team also means that the Lakers will continue to build a lineup around him and James and seek more championships.

Last season, due to injury, Anthony Davis played 56 games for the Lakers in the regular season, averaging 25.9 points, 12.5 rebounds, 2.6 assists, 1.1 steals and 2.0 blocks. Playoff stage, played 16 games, averaging 22.6 points, 14.1 rebounds, 2.6 assists, 1.4 steals and 3.1 blocks.

Anthony Davis in the regular season is in the top ten in scoring, rebounding and blocking, and his shooting percentage is 56.3%. In the playoff stage, especially against the Warriors G3, he scored 40 points, 20 rebounds, 5 assists and 4 blocks in a single game, helping the Lakers to eliminate the Warriors 4-2 and reach the Western Conference finals. However, in the face of the overall Nuggets, the strength of the Lakers was not enough, and eventually it was swept away.

Hidden dangers of AD

First, injury factors: Davis has been plagued by injuries in the past two seasons. He missed 36 and 30 regular season games and 11 playoff games respectively. His injuries are mainly concentrated in his legs and back, which is very dangerous for a big man who is 6 feet 10 inches tall and weighs 253 pounds. Davis needs to stay healthy and in shape to play his best and help the Lakers win the championship.

Second, role positioning: The Lakers brought in Hayes this summer and renewed his contract by eight inches, plus Fan Debiao was on the team. The heavy eyebrows in the new season may be transferred from the 5 th position to the 4 th position. Previously, in order to play center, AD gained a lot of weight, which caused great pressure on his knees and back. This time Hayes joined, which can liberate the thick eyebrows and return to the No.4 position, which is also excellent.

Since the park won the championship in 2020, the Lakers have failed to make it to the finals for three seasons. This summer, Pelinka not only retained the core players such as Reeves, Bacunculi and Russell, but also introduced Vincent, Prince, Hayes and Reddish to the free agent market. While ensuring the chemical reaction of the team, it further deepened the depth of the team’s lineup. They have excellent scorers and defensive gates on the inside and outside. They have the most luxurious front line-up, they can compete with any team and have the strength and confidence to win the championship.

The Lakers need to maintain their health and state in order to play their best and help the Lakers compete for the championship. The Lakers need to arrange their own training and competition plans reasonably to avoid unnecessary injury risks.

Benny: Ronaldo will be persuaded to join Flamengo, Brazil!

When Cristiano Ronaldo went to Saudi Arabia in the shirt of Al Nassr, Brazilian singer Nado Benni said that he would try to persuade the Portuguese striker to join Flamengo, one of the most outstanding clubs in Brazil. He hopes to use his small relationship with the five-time Golden Globe winner to achieve his goal.

In fact, Benny revealed that he will soon go to Saudi Arabia and meet Cristiano Ronaldo in this Middle East country. As a note, he is friends with the Portuguese superstar. He also talked about his desire to persuade players to join the Brazilian club Flamengo: "I’m going to Arabia on Sunday, and I’m going to see Cristiano Ronaldo. We met in 2016, and in Madrid, he was my partner. We have been in contact, and I was invited to go there. Now it’s time for Flamengo to convince him, "Diario Do Fla quoted him as saying.

Cristiano Ronaldo joined Riyadh as a free agent after leaving Manchester United. It is reported that the Saudi club paid 173 million pounds each for his two-season contract. Therefore, people can’t help asking whether Flamengo can be such an economically profitable choice for the former Real Madrid player.

Cristiano Ronaldo has been in good shape for the victory team in Riyadh since he made his debut in the Saudi professional league in January. So far, he has scored 13 goals and provided 3 assists. And despite Benny’s eagerness, it is very unlikely that the five-time Golden Globe winner will join Flamengo.

Lampard said that his favorite midfielder is De Braune.

Lampard said that his favorite midfielder is De Braune.

Chelsea will play Manchester City away in this week’s league, and Lampard talked about De Braune at Friday’s press conference.

Lampard said: "As a player, I have always liked De Braune. I liked him very much when he played with us at Chelsea. We were teammates at that time and I like him now as a top midfielder."

"When I think back to his time at Chelsea, we played mainly in the 4-2-3-1 formation. I played a little further back, and Kevin was more fighting for the No.10 position or one of the two wingers."

"So I won’t say that we are competitive, but you can see his strength. Kevin is an excellent player. In the past few years, he has become a top player in Manchester City. He is definitely one of the many threats we have to plan. "

"When he was with us when he was young, our layout on the offensive end might be good. Azar is here, Huerle is here, Mata is here, and I remember that Kevin was really eager to play. "

"I personally don’t know what complicated things happened between him, the club and the head coach, but in retrospect, I respect the fact that he left the club. You can see that desire in his games. He always wants to show his talent. He is getting stronger and stronger. As a player, he has made incredible progress. I like to watch him play football. "

"His goals and assists in midfield are excellent, and his passing range is amazing. If he is not the best midfielder in the league, he must be among the best here. "

The second vertical racing competition in Xihu District of Hangzhou started.

Recently, the second vertical racing competition in Xihu District of Hangzhou started in EAC Europe and America Center. The theme of this competition is "Dedicated to the Asian Games", which aims to enrich the amateur cultural and sports life of building workers in Xihu District, show the healthy style of residents in Xihu District, and welcome the arrival of the Hangzhou Asian Games.

Vertical racing takes the stairs of high-rise buildings as the runway, which is a new urban fitness sport. The race runs from the starting point on the first floor to the end point on the top floor of the building, and an effective timing technology system is adopted. In the competition, participants can not only experience the pleasure of climbing mountains, but also reduce the influence of the weather.

It is understood that about 100 people participated in this competition, and the players on the scene were divided into groups of men and women, and finally the third runner-up was decided. Wang Yong, a contestant, said: "Vertical racing is a very interesting sport, which not only tests your physical fitness, but also requires good coordination and psychological quality." "I experienced the fun of competition and realized that I still have a lot to improve in training and preparation." Contestant Zhang Jianhua said. (Yang Ling/graphic)

Tuesday’s transfer gossip: Ronaldo, Badiashile, Nunes, Bellingham, Felix, Mudryk

Cristiano Ronaldo has a clause in his Al Nassr contract allowing the Portugal forward, 37, to join Newcastle United on loan if they qualify for the Champions League this season. (Marca)

France centre-back Benoit Badiashile, 21, is in London to undergo a medical after Chelsea agreed a deal worth 38m euros (£33.6m) with Monaco. (Football London)

Liverpool are exploring a deal to buy Portugal midfielder Matheus Nunes, 24, from Wolves in the summer. (Telegraph)

England midfielder Jude Bellingham, 19, is set to meet with Borussia Dortmund officials before 6 January, when he will inform them of his desire to leave this summer. The German club will seek 100m euros (£88.5m), plus add-ons that could take his total fee to about 140m euros (£124m). (AS)

Arsenal, Manchester United and Chelsea have been approached about signing Portugal forward Joao Felix, 23, on loan but Atletico Madrid are seeking a 15m euro loan fee (£13.3m), plus 6m euros (£5.3m) to cover his wages. (Athletic – subscription required)

Chelsea, meanwhile, are in negotiations over the structure of a club record deal to sign 21-year-old Argentina midfielder Enzo Fernandez from Benfica. (Evening Standard)

Arsenal have submitted a second offer for Ukraine winger Mykhailo Mudryk, thought to be significantly below Shakhtar Donetsk’s asking price of 100m euros (£88.5m). (ESPN)

Manchester United and Bayern Munich are interested in Randal Kolo Muani but Eintracht Frankfurt want 60-70m euros (£53-62m) for the France forward, 24. (Nicolo Schira)