Writing expert: Zheng Peifen, Zhejiang Hospital, Clinical Nutrition Department, Chief Physician, Department Director.

　

　　According to the definition of WHO, two or more chronic non-communicable diseases coexist in the same person, which is referred to as comorbidity, coexistence of multiple chronic diseases or coexistence of multiple diseases. At present, comorbidity includes not only common chronic diseases such as hypertension, diabetes, coronary heart disease and tumor, but also senile syndrome or senile health problems, such as falls, weakness, sleep disorder, malnutrition, urinary incontinence, delirium, depression and drug addiction.

　　Comorbidity among the elderly is very common. At present, the prevalence rate of comorbidity among people over 65 years old in China is 60%, and the proportion of comorbidity among elderly inpatients is as high as 91.36%. Comorbidity will lead to prolonged hospitalization, increased risk of multiple drugs and adverse events, and increased medical expenses, which seriously threatens the physical and mental health and life safety of the elderly in China.^[1] .

　　The incidence of malnutrition or malnutrition in the elderly with comorbidity is higher.

　　According to the data of prospective and multi-center survey in China, about 10.14% of hospitalized elderly patients are malnourished, and 46.42% are at nutritional risk. The incidence of malnutrition and nutritional risk increases obviously with age.^[2]. The high nutritional risk rate of the elderly in the community is 48.4%^[3]. According to the survey data of nutritional problems of elderly patients with comorbidity in a 3A hospital in Anhui, 68.5% of the elderly patients with comorbidity and multiple drugs are at nutritional risk and 15.7% are malnourished.^[4].

　　Causes of comorbid malnutrition

　　Elderly patients with comorbidity have degraded their own body functions, and at the same time, energy consumption is increased due to disease state and surgery, and their eating and digestive abilities are weakened due to braking, pain, and the need for multiple drugs, which is prone to malnutrition or malnutrition risks. The risk of malnutrition and malnutrition will lead to the increase of daily medication. Comorbidity and malnutrition/malnutrition risk problems interact.

　　Harm of comorbid malnutrition

　　Malnutrition in the elderly population seriously affects the treatment and prognosis of diseases. Malnutrition can not only affect the immune function, drug efficacy, disease or postoperative recovery effect, but also lead to the decline of multi-system function, which is easy to cause infection or make it difficult to control. In addition, poor outcomes caused by malnutrition, such as sarcopenia, cognitive impairment, falls, etc., will also cause weakness or promote the progress of weakness in elderly comorbid patients.

　　Oral nutritional supplement (ONS) has brought many benefits to the elderly with comorbidity.

　　1. ONS can improve the nutritional status of the elderly with comorbidity, which has a positive effect on the treatment of chronic diseases and the prognosis of patients.

　　For a long time, Chinese medical circles have regarded nutrition as a supplement and support, and regarded nutrition as a dispensable auxiliary. In the past 30 years, nutrition research has become a research hotspot. The dual functions of nutrition in significantly improving clinical outcomes and significantly saving medical expenses have been recognized more and more. People’s understanding of the importance of nutrition "treatment" has deepened day by day. Some experts even suggested that the last way to treat chronic diseases is "nutrition treatment". Nutritional therapy plays an important role in maintaining the normal metabolism of cells, supporting the function of tissues and organs, regulating the function of immune system, participating in the physiological function of the body and repairing the structure of tissues and organs.

　　The results of Lancet multi-center research show that compared with providing standard nutrition for hospital kitchens according to patients’ appetite, early ONS nutrition therapy can reduce the risk of complications (the risk of complications in experimental group VS control group is reduced by 19%, 22.9%VS26.9%) and the risk of death (the risk of death in experimental group VS control group is reduced by 35%, 7.2%VS9.9%).^[5].

　

　　Tips: Oral Nutritional Supplements (ONS) are nutritional preparations that can provide a variety of macronutrients and micronutrients for oral use with the aim of increasing oral nutritional intake. ONS has many advantages such as balanced nutrition, scientific formula, safety, effectiveness, convenience and quickness.

　　Click to learn more about ONS.

　

　　2. ONS is the first choice of nutritional intervention for the elderly with comorbidity.

　　ONS is a way of enteral nutrition, which is usually used to supplement the intake when the food is not enough to meet the body’s needs. As a special nutritional supplement formula, ONS can strengthen the content of nutrients such as protein, carbohydrates, fat, minerals and vitamins in food and provide balanced nutrients to meet the body’s needs for nutrients. ONS is safe, effective, economical and convenient, and it is the first choice of nutritional intervention for the elderly with comorbidity.

　　3. Under what circumstances do you need ONS intervention?

　　Standardized nutritional therapy is the guarantee for patients to benefit. According to the 2018ESPEN guidelines for nutritional support for comorbidity of internal medicine patients.^[6]And guidelines for the application of parenteral and enteral nutrition in elderly patients in China (2020).^[7]According to the recommendation, elderly patients with comorbidity need routine nutritional screening; MNA-SF and NRS2002 nutrition screening tools are recommended. Elderly patients with malnutrition or nutritional risk and normal or basically normal gastrointestinal function should start enteral nutrition therapy as soon as possible (within 48 hours) to improve muscle loss and nutritional supply, and ONS is the first choice for enteral nutrition.

　　4. Recommended usage and dosage

　　It was found that ONS with 400～600 kcal and/or 30g protein per day, taken orally for 30 ~ 90 days between meals, can improve the nutritional status and clinical outcome of elderly patients. Attention should be paid to frequency, temperature, speed and concentration during use. The temperature is about 40℃, and it will gradually increase from dilute to thick for the first time according to the patient’s intestinal adaptation.

　　5. Precautions for Comorbid Patients to Use ONS

　　Guidelines recommend that comorbid patients should use a high-energy and high-protein diet to achieve energy and protein intake. High-quality protein, especially the formula rich in whey protein, is beneficial to the synthesis of protein in the elderly and easier to absorb; Long-term adequate dietary fiber intake is conducive to maintaining intestinal function. In clinical practice, according to different basic diseases, it is necessary to consider the specific nutrient composition, taste, texture and preservation of ONS. For example, the powder has a long shelf life and is ready to use, and the liquid formula has a high-energy and high-protein dosage form, which can be eaten immediately after opening, but the shelf life after opening is short. Specifically, it is necessary to focus on the patient’s compliance and the sustainability of improving nutritional status.

　　6. The key points of ONS formula selected by patients with different chronic diseases

　　According to the guidelines, the standard whole protein formula is suitable for most elderly patients. For elderly patients with chronic heart failure, high energy density formula is helpful for fluid management; For COPD patients with stable malnutrition, it is suggested to adopt a formula with higher fat ratio; The intake of protein is 1.5g/kg/d; Increasing omega-3 fatty acids and dietary fiber intake is beneficial to improve lung function and outcome; Elderly patients with diabetes can use the formula suitable for diabetes; For the nutritional treatment of elderly patients with high risk of pressure ulcers with nutritional risk or malnutrition, ONS with high protein is the first choice, and special nutrients rich in arginine, vitamin C and zinc can promote wound healing. In the elderly patients with sarcopenia who are at risk of malnutrition, vitamin D and omega-3 fatty acids can improve the decline of muscle strength in the elderly and prevent falls.

　　The incidence of malnutrition in elderly patients with comorbidity is high and the harm is serious. Medical institutions and related professionals need to strengthen the training of standardized nutritional treatment, and families and society should give more support to ONS, such as raising awareness of nutritional treatment and supporting medical insurance policies, which will help improve the nutritional status of elderly patients and bring multiple benefits.

　　References:

　　1. Xu Hu, Li Fan, Cao Feng. Clinical challenges and coping strategies in the management of comorbidity in the elderly [J]. Chinese Journal of Elderly Multiple Organ Diseases, 2019,18 (12), 942-946.

　　2. Cui Hongyuan, Zhu Mingwei, Chen Wei, et al. Multi-center investigation on nutritional status of elderly inpatients in China [J]. Chinese Journal of Geriatrics, 2021,03,364-369.

　　3. Kang Junren, Qiu Yue, Li Hailong, et al. Multi-center cross-sectional survey on nutritional risk of 3885 elderly people in China community [J]. Journal of China Academy of Medical Sciences, 2018,40 (05), 637-641.

　　4. Xu Mengqi, Qin Kan. Analysis of influencing factors of anticholinergic burden and malnutrition in elderly patients with comorbidity [J]. Zhongnan Pharmacy, 2022,20 (04), 934-938.

　　5.Schuetz P, Fehr R, Baechli V, et al. Individualised nutritional support in medical inpatients at nutritional risk: a randomised clinical trial [J]. Randomized Controlled Trial,Lancet. 2019 ; 393(10188):2312-2321.

　　6.Filomena Gomes , Philipp Schuetz , Lisa Bounoure , et al. ESPEN guidelines on nutritional support for polymorbid internal medicine patients[J]. Clin Nutr. 2018 ; 37(1):336-353.

　　7. Guidelines on Parenteral Enteral Nutrition for Elderly Patients in China (2020)[J]. Chinese Journal of Geriatrics, 2020,02: 119-132.

　　　[Related links]

　　Topic-Super Doctor Says Nutrition

Source: Guangming Net

On March 26th, Magic Atoms held the strategy conference of "Atomic Twin" 2025, officially launched humanoid robots and quadruped robots, and launched the end-to-end "Atomic Vientiane Model" for the first time. Magic Atom also announced the launch of the "Thousand Scenes Co-creation Plan", which will expand 1,000 partners around the landing of humanoid robots and create 1,000 landing application scenarios for humanoid robots.

At the press conference, Wu Changzheng, president of Magic Atom, revealed the mass production plan of humanoid robots. It is estimated that 400 humanoid robots will enter industrial and commercial scenes this year.

　　BEIJING, May 23 (Xinhua) According to the Statistical Bulletin on the Development of China’s Health Care in 2018 released by the National Health and Wellness Commission, there were 15.23 million people born in China in 2018, and the proportion of two children remained at around 50%.

　　The total number of medical and health institutions in China is nearly one million.

　　In terms of the number of medical and health institutions, the Bulletin shows that at the end of 2018, the total number of medical and health institutions nationwide reached 997,434, an increase of 10,785 over the previous year. Among them, there are 33,009 hospitals, 943,639 primary medical and health institutions and 18,034 professional public health institutions.

　　Among them, private hospitals accounted for 63.5% of the total number of hospitals in 2018, an increase of 3.1 percentage points over the previous year. The proportion of outpatients and inpatients in private hospitals increased from 14.2% and 17.6% in 2017 to 14.8% and 18.3% respectively.

　　In terms of the number of health workers, at the end of 2018, the total number of health workers nationwide reached 12.3 million, an increase of 551,000 (an increase of 4.7%) over the previous year. Among them, there are 9.529 million health technicians, 907,000 rural doctors and health workers, 477,000 other technicians, 529,000 managers and 858,000 workers and technicians. Among the health technicians, there are 3.607 million licensed (assistant) doctors and 4.099 million registered nurses.

　　In 2018, there were 2.59 licensed (assistant) doctors and 2.94 registered nurses per 1,000 population; There are 2.22 general practitioners per 10,000 population and 6.34 professional public health institutions per 10,000 population.

　　The average resident visits 6.0 times, and the per capita hospitalization expense exceeds 9,000 yuan.

　　According to the Bulletin, in 2018, the total number of outpatients nationwide increased by 130 million person-times or 1.6% over the previous year. The average number of visits by residents increased from 5.9 in 2017 to 6.0.

　　In 2018, the number of people admitted to medical and health institutions nationwide was 254.53 million, an increase of 10.17 million over the previous year, and the annual hospitalization rate was 18.2%, an increase of 4.2% over the previous year. The number of beds in medical and health institutions per thousand population increased from 5.72 in 2017 to 6.03.

　　In terms of medical expenses, in 2018, the average outpatient expenses of the hospital was 274.1 yuan, which was 6.7% higher than that of the previous year and 4.5% higher than the comparable price. The per capita hospitalization expense is 9291.9 yuan, which is 4.5% higher than that of the previous year and 2.4% higher than that of the comparable price. The average daily hospitalization expense is 1002.8 yuan.

　　In addition, in 2018, the average outpatient drug cost (112.0 yuan) accounted for 40.9%, down 1.8 percentage points from the previous year (42.7%); The per capita hospitalization expenses (2621.6 yuan) accounted for 28.2%, which was 2.9 percentage points lower than the previous year (31.1%).

　　The population born in 2018 was 15.23 million. The average life expectancy is 77 years.

　　According to the Bulletin, the average life expectancy of China residents has increased from 76.7 years in 2017 to 77 years in 2018, the maternal mortality rate has dropped from 19.6/100,000 to 18.3/100,000, and the infant mortality rate has dropped from 6.8‰ Down to 6.1‰ .

　　In terms of newborn population, there were 15.23 million people born in China in 2018, and the proportion of two children remained at about 50%. The sex ratio continues to decline steadily. Maternal and child health services have been actively promoted, the whole-course maternity service has been strengthened, and the construction of maternal and child facilities has been solidly promoted. The allocation rate of public places that should be equipped with maternal and child facilities has reached 88.3%. (End)

Image source: Nanfang Daily

　　From November 18th to 19th, the first "Bright Cup" cycling race between the two sides of the Taiwan Straits and Hong Kong and Macao was held in Shenzhen. 210 contestants from both sides of the Taiwan Strait and Hong Kong and Macao competed on the spot, and nearly half of them came from Taiwan, Hong Kong and Macao. This event is an important part of the 2023 Cross-Strait Exchange and Integration Month series. The competition adopts a novel competition system of circling and scoring, and on the 18th and 19th, several rounds of competitions are held to decide the champions of each group.

　　In addition, this year’s competition also carried out supporting activities such as bicycle carnival, parent-child activities of roller coaster, and "natural dream starry night", which allowed athletes to experience test riding, taste food and share extreme challenge stories face to face.

　　[News] Recently, Chongqing Automobile Co., Ltd. filed a recall plan with the General Administration of Quality Supervision, Inspection and Quarantine according to the requirements of the Regulations on the Management of Defective Automobile Product Recall, and decided to recall CS75, CS35, Zhishang XT and other models from March 31, totaling 121,003. The detailed models are as follows:

『CS75』

Rui Cheng and CS35』

"to Shang XT and"

● Recall models:

　　(1) A total of 21,538 CS75 and Ruicheng vehicles were produced from January 3, 2015 to February 12, 2015 (inclusive);

　　(2) A total of 65,686 vehicles of CS35, Yidong, Zhishang XT and V7 were produced from December 9, 2014 to January 30, 2015 (inclusive);

　　(3) A total of 14,334 CX20 vehicles were produced from December 1, 2014 to January 30, 2015 (inclusive);

　　(4) A total of 19,445 automobiles were produced from December 5, 2014 to February 27, 2015 (inclusive).

● Reason for recall:

　　Due to the supplier’s production batch, the oxidation resistance of vehicles within the scope of this recall is insufficient, which may cause the cooling performance to decrease and affect the cooling effect. In extreme cases, the water temperature may increase, which may pose a safety hazard.

● Solution:

　　Chongqing Changan Automobile Co., Ltd. cleaned the cooling system of the vehicles within the above-mentioned recall range free of charge and replaced the coolant to eliminate potential safety hazards.

　　Chongqing Changan Automobile Co., Ltd. will notify relevant car owners by telephone, text message and letter through Changan Automobile Special Service Station to arrange free maintenance. Owners can call the service hotlines: 400-888-6677, 400-884-0066 or visit the official website of Changan Automobile (www.changan.com.cn) for more information. (Text/car home Xingyu)

　　Read more:

　　2015 Changan Yidong /CS35/ Zhishang XT was officially launched.
　　//www.autohome.com.cn/news/201503/864081.html

　　Xi ‘an, June 23 (Reporter Lei Kai correspondent Zhang Weifeng Zhao Yajuan) Shaanxi Food and Drug Administration announced 10 major food safety violations today (June 23).

　　These 10 typical cases are:

　　1. Xi ‘an Guzhen Catering Service Co., Ltd. is suspected of using food additives beyond the scope.

　　Brief introduction: The brown sugar buns, steamed buns and pot helmets processed and produced by Xi ‘an Guzhen Catering Service Co., Ltd. on April 11, 2016, after sampling inspection, the aluminum residue items did not meet the food safety standards. Law enforcement officers of the Food Inspection Team of beilin district Food and Drug Administration of Xi ‘an timely conducted on-site inspection and investigation on Xi ‘an Guzhun Catering Service Co., Ltd., which really started to use baking powder in the production of brown sugar buns, steamed buns and Guo Kui in October 2015, and successively sold 4,554 unqualified products with a value of 37,936 yuan. According to the Food Safety Law, the Administrative Punishment Law of the People’s Republic of China and the Provisions on the Transfer of Suspected Criminal Cases by Administrative Law Enforcement Organs, the case has been transferred to the Public Security Bureau, and the Beilin Branch of Xi ‘an Public Security Bureau has filed an investigation.

　　2. Zou’s case of producing and selling toxic and harmful food.

　　Brief introduction of the case: In the second half of 2015, Tongguan County Food and Drug Administration conducted law enforcement sampling inspection on the hot pot bottom material of Tongguan Tianle self-service barbecue restaurant operated by Zou, and the inspection results showed that papaverine was detected in the hot pot bottom material in the store. After investigation, Zou started to operate a hot pot project in Tongguan Tianle self-service barbecue restaurant in June 2014, and purchased poppy shells and added them to the hot pot base. According to the Food Safety Law, the Administrative Punishment Law and the Provisions on the Transfer of Suspected Criminal Cases by Administrative Law Enforcement Organs, the case has been transferred to the public security organs for investigation, and two suspects have been arrested.

　　3. The case that Wang mixed formaldehyde into his hairy belly.

　　Case Description: In January 2016, when the Hanbin District Market Supervision Administration of Ankang City supervised and inspected Wang’s aquatic product shop in Xing ‘an Community of Hanbin District of Ankang City, law enforcement officers used quick inspection equipment to test the hairy belly, yellow throat and duck blood on sale, and the test results were positive. The detained suspected food was inspected by Shaanxi Keyi Sunshine Detection Technology Service Co., Ltd., and formaldehyde was detected in the hairy belly. According to the Food Safety Law, the Administrative Punishment Law and the Provisions on the Transfer of Suspected Criminal Cases by Administrative Law Enforcement Organs, the case has been transferred to the public security organs for investigation and investigation, and one suspect has been arrested.

　　4, Weinan Tongguan County Center for Disease Control and Prevention unlicensed health food case.

　　Brief introduction: From April to July, 2015, Tongguan County Food and Drug Administration seized the case that Tongguan County Center for Disease Control and Prevention did not obtain the Health Food Business License to operate health food. The amount involved was 127,560 yuan and the illegal income was 5,850 yuan. According to the relevant provisions of the Food Safety Law, the Tongguan County Center for Disease Control and Prevention was given the following administrative penalties: confiscation of illegal income of 5,850 yuan; Confiscation of 868 boxes of unlicensed health food; The fine was 637,800 yuan.

　　5. Ren Mou produced and sold counterfeit "Red Bull" drinks without a license.

　　Brief introduction: In September 2015, Yulin Food and Drug Inspection Brigade seized the case of Ren’s unlicensed production and sales of counterfeit "Red Bull" drinks. In this case, a counterfeit den was destroyed, and the parties illegally produced 104 counterfeit "Red Bull", involving 10,900 yuan and 1,680 yuan of illegal income. According to the relevant provisions of the Food Safety Law, the party concerned was given the following administrative penalties: 54 counterfeit "Red Bull" drinks were confiscated; Confiscation of tools and equipment used in illegal production and sales; Illegal income of 1680 yuan was confiscated and a fine of 109,200 yuan was imposed.

　　6. Shaanxi Jinniu Dairy Co., Ltd. produced and sold infant formula goat milk powder that did not meet the national food safety standards.

　　Brief introduction of the case: On October 27th, 2015, Shaanxi Jinniu Dairy Co., Ltd. produced 900g/can of Jinbeimeiduo infant formula goat milk powder. (1) After inspection by the National Food Quality and Safety Supervision and Inspection Center, the Enterobacter sakazakii project did not meet the requirements of national food safety standards. The amount involved was 85,293 yuan, and the illegal income was 52.24 yuan. Weinan Food and Drug Administration, in accordance with the relevant provisions of the Food Safety Law, ordered the enterprise to implement rectification, investigate the causes of the problems, and complete the rectification work before January 5, 2016, and imposed the following administrative penalties on the enterprise: confiscation of 1,430 cans of unqualified infant formula goat milk powder; Confiscation of illegal income of 52.24 yuan; The fine was 938,223 yuan.

　　7. The case of Xianyang Aijia Supermarket Co., Ltd. Aijia Shopping Plaza Fuyuan Store operating unqualified food.

　　Brief introduction of the case: Sanhuang chicken produced by Shandong Jinxin Meat Food Co., Ltd., which is operated by Aijia Shopping Plaza Fuyuan Store of Xianyang Aijia Supermarket Co., Ltd. on July 13, 2015, was inspected by the National Meat Food Quality Supervision and Inspection Center, and the veterinary drug oxytetracycline residue exceeded the standard. When the Xianyang Food and Drug Administration conducted an on-site inspection, all the products had been sold out. Because the enterprise can’t provide relevant certificates, records and credentials for incoming inspection, according to the relevant provisions of the Food Safety Law, the enterprise was given an administrative penalty of 80,000 yuan. The Provincial Bureau has sent a letter to Shandong Food and Drug Administration to investigate relevant enterprises.

　　8. The case that the fish fashion charcoal grilled fish shop in Xincheng District of Xi ‘an manages to produce food with recycled food as raw material.

　　Brief introduction: At the beginning of 2016, the daily supervision and inspection by law enforcement officers of the Food and Drug Administration of Xincheng District of Xi ‘an found that the kitchen of Xincheng District Fish Fashion Charcoal Grilled Fish Shop used a metal filter to filter food residues and recycle waste oil. After investigation, during the period from November 27th to December 22nd, 2015, the store processed and produced two kinds of dishes, spicy grilled fish and spicy grilled fish, for customers to eat, involving a value of 8,700 yuan. The company was ordered to rectify, and according to the relevant provisions of the Food Safety Law, the following administrative penalties were imposed on the store: confiscation of illegal income of 8,700 yuan; A fine of 100,000 yuan.

　　9. Hanzhong Yongfeng Trading Co., Ltd. sells food with production date changed.

　　Brief introduction of the case: In November 2015, the law enforcement officers of Hanzhong Food and Drug Inspection Detachment found that the red oil watercress sold in Borun Shopping Plaza in Chenggu County was suspected of tampering with the production date. After investigation, Chen Mou, the person in charge of the company, admitted to using banana oil and coding machine to wipe off the original production date of red oil watercress and put it on a new date before putting it into the market again. Due to the timely discovery, illegal food basically did not flow into the market. Ordered the enterprise to rectify, and according to the relevant provisions of the Food Safety Law, gave the company the following administrative penalties: confiscation of illegal income 18 yuan; A fine of 65,000 yuan was imposed.

　　10. The case of selling food beyond the shelf life in Saigao Shopping Plaza of Xi ‘an Renrenle Supermarket Co., Ltd.

　　Brief introduction: In December, 2015, according to the reports of the masses, when the Food and Drug Administration of weiyang district, Xi ‘an, Zhang Jiabao Food and Drug Administration was in Saigao Shopping Plaza of Xi ‘an Renrenle Supermarket Co., Ltd., it found 1 bag of crispy eggs, 9 pieces of Wangwang yellow peach and peach pulp jelly, 95 pieces of Wangwang tangerine and pineapple pulp jelly, and 26 pieces of Wangwang assorted pulp jelly. Ordered the supermarket to rectify, and according to the relevant provisions of the Food Safety Law, the company was given the following administrative penalties: confiscation of expired food; Confiscation of illegal income and a fine of 80,000 yuan.

　　According to the relevant person in charge of the Inspection Bureau of Shaanxi Food and Drug Administration, since 2015, the province’s food and drug supervision and management system has carried out a series of special governance activities in key areas such as meat products, edible oil, flour products, dairy products, catering and food workshops. Up to now, 11,772 illegal food cases have been put on file in the province, involving a total amount of 21.45 million yuan, 263 cases have been transferred to judicial organs, and 97 illegal food dens have been destroyed, effectively curbing the arrogance of illegal elements and purifying the food market in the province. Reporting 10 major typical cases of food safety violations is mainly to warn the majority of food and drug production and marketing enterprises and catering service units to engage in production and business activities according to law.

　　The person in charge also said that in the next step, the food and drug supervision department will continue to maintain a high-pressure situation, have zero tolerance for food and drug safety violations, and strictly investigate all kinds of violations in accordance with the law to ensure the "safety on the tip of the tongue" of the masses. It is hoped that all social sessions will actively report clues about food and drug safety violations. Once the clues are verified, they will be rewarded in accordance with the "Shaanxi Province Food and Drug Violations Reporting Incentive Measures (Trial)". You can call 12331 or report to the local food and drug supervision department.

The establishment of the "Panguo" industrial development alliance and the 2023 "Panguo" production and marketing docking conference were recently held in Panzhihua. The heads of nine member units of the Alliance Council signed a contract on the spot, and will establish an agricultural modern business model of "leading alliance, alliance with base and base with farmers" through "unified standards, unified marketing and unified brands" to promote the high-quality development of Panzhihua characteristic fruit industry and let industry subjects share the industrial development dividend.

The alliance was jointly established by the Agricultural Technology Extension Service Center of Panzhihua Agricultural and Rural Bureau and Panzhihua Panguo Development Co., Ltd. The first batch of 41 alliance members covered the production, processing, sales and supporting services of Panzhihua characteristic fruit industry.

The planting of characteristic fruits in Panzhihua City has reached 1.1 million mu, and the planting technology and process have initially formed corresponding standards. In recent years, the problems of scattered management, single variety and weak brand have become the bottleneck of upgrading Panzhihua characteristic fruit industry. "At present, it is urgent to build an industrial system of division of labor and cooperation in industrial links, extending the chain and supplementing the chain, transforming industrial advantages into market advantages and realizing benign and sustainable development." The relevant person in charge of the Agriculture and Rural Bureau of Panzhihua City introduced that after the establishment of the alliance, it will continuously enhance the brand value of "Panguo", and at the same time guide industry entities to strengthen cooperation, build a docking platform for production, supply and sales, optimize the allocation of industrial resources, and add momentum to the standardization, scale and intensive development of Panzhihua characteristic agriculture. (Reporter Tang Ziqing)

County, District People’s governments, municipal commissions and bureaus, and municipal directly affiliated units:

"Measures for the supervision and management of the planning and construction of commercial and residential land in Lianyungang city" has been deliberated and adopted at the 43rd executive meeting of the 15th municipal government, and is hereby issued to you, please earnestly organize its implementation.

　 　 　 　 　 　 　 　 　 　 　 　 　 Lianyungang Municipal People’s Government Office

　 　 　 　 　 　 　 　 　 　 　 　 　 2024yearfourmoonthreesun

(This piece is publicly released)

Measures for the supervision and administration of planning and construction of commercial and residential land in Lianyungang city

Article 1 In order to strengthen the supervision and management of urban commercial and residential land planning and construction, and ensure that commercial service projects are planned and designed according to the standard, constructed and delivered simultaneously with residential buildings, these Measures are formulated in light of the actual conditions, such as the Urban and Rural Planning Law of People’s Republic of China (PRC), the Urban Real Estate Management Law of People’s Republic of China (PRC), the Regulations on Urban and Rural Planning of Jiangsu Province, and the Opinions of the Ministry of Housing and Urban-Rural Development and other departments on Carrying out Short-board Actions for Urban Residential Community Construction (Jian Ke Gui [2020] No.7).

Article 2 These Measures shall be applicable to the planning, construction, supervision and management activities of newly leased commercial and residential land within the urban area of this Municipality (excluding Ganyu District).

Article 3 The term "commercial and residential land" as mentioned in these Measures refers to the same piece of land that is sold by way of listing and has the nature of commercial service land and urban residential land in a planning condition.

The term "commercial service land" as mentioned in these Measures refers to the land mainly used for commerce and service industry, including retail commercial land, wholesale market land, catering land, hotel land, commercial and financial land, entertainment land and other commercial service land.

The term "urban residential land" as mentioned in these Measures refers to all kinds of housing land and its ancillary facilities used for living in cities and towns, excluding supporting commercial service facilities and other land.

Article 4 Adhere to the principle of integrating economic benefits, social benefits and environmental benefits, and implement overall planning, rational layout, comprehensive development and supporting construction, so as to coordinate the business and service environment with the living environment.

Article 5 The District People’s Government (Functional Board Committee) shall establish and improve the management system and mechanism of commercial and residential land within its administrative area, fulfill the responsibility of territorial supervision, and urge the construction unit to fulfill the obligation of commercial service project construction; Participate in the whole process supervision of the layout, planning and design, construction, acceptance and handover of commercial service projects within the jurisdiction.

Article 6 The natural resources and planning department shall organize the preparation and supervision of detailed planning, and coordinate the special planning such as connecting commercial outlets; Organize the formulation and implementation of the annual land use plan, implement the control system of commercial and residential land use, and handle the real estate registration procedures for commercial buildings according to laws and regulations.

Development and reform, housing and urban and rural construction, commerce, urban management, market supervision and other departments shall, in accordance with their respective responsibilities, strengthen coordination and cooperation, establish and improve the information sharing mechanism of construction projects, and jointly do a good job in the supervision and management of commercial and residential land.

Article 7 The construction unit shall, according to the planning conditions, specify the location, function, construction scale and other contents of the commercial service land in the planning scheme of commercial and residential land, and carry out the commercial service project construction according to the planning requirements, land transfer agreement and investment supervision agreement.

Article 8 The commercial department shall take the lead in compiling the special plan for the layout of commercial outlets. The natural resources and planning departments shall implement it in the corresponding detailed planning according to the layout planning of commercial outlets.

Ninth commercial and residential land through Lianyungang natural resources online trading system for listing transfer. Natural resources and planning departments shall, in accordance with the planning conditions of commercial and residential land, inform the commercial and residential land transfer announcement and transfer instructions in advance of the construction requirements of the commercial service project, and clearly stipulate them in the land transfer agreement.

Article 10 In principle, commercial service projects shall be planned, constructed, accepted and delivered synchronously with residential projects, and the construction units that postpone the commencement of construction shall bear corresponding responsibilities according to the agreement.

If the commercial service project and the residential project cannot be built simultaneously, the two parties shall agree on the construction ratio of the commercial service project and the residential project in the land transfer agreement, so as to ensure synchronous acceptance and simultaneous delivery with the residential project.

Eleventh large-scale commercial projects in the project planning approval, should seek the views of the commercial sector, the implementation of use control, to ensure the effective implementation of commercial network planning. For commercial and trade circulation projects that have a great impact on the local business environment, commercial and other departments should organize relevant units, industry experts and public representatives to hold hearings or demonstration meetings, and put forward suggestions to the local government to eliminate adverse effects.

Article 12 During the development and construction of commercial service projects, the construction unit shall promptly report to the natural resources and planning departments about the commencement, progress and completion of the project, and set up public signs at the construction site to announce the owner of the construction land use right, the construction unit,Information on the nature, scale, start-up development, completion time and land development and utilization standards of the project.

Thirteenth construction units shall, in accordance with the planning conditions, planning permission and agreement, build commercial service projects. Commercial service project construction does not meet the planning conditions and planning permission, the natural resources and planning departments shall not go through the planning verification and go through the formalities of property right registration, the construction unit shall not organize the completion acceptance, and the housing and urban-rural construction departments shall not go through the formalities of completion acceptance filing. Failing to build a commercial service project as agreed, it shall be liable for breach of contract according to law.

Fourteenth construction units shall, within 15 days from the date of completion and acceptance of the commercial service project, apply to the local housing and urban-rural construction departments for filing.

Housing and urban-rural construction departments found that the construction unit in the process of completion and acceptance in violation of state regulations on the quality management of construction projects, should be ordered to stop using and reorganize the completion and acceptance.

Article 15 The department of natural resources and planning shall, jointly with the relevant departments of housing and urban-rural construction, commerce and urban management, strengthen the supervision over the supply transaction and post-supply development and utilization of commercial and residential land, establish mechanisms such as credit supervision and dynamic inspection, punish major dishonesty in the construction land market according to law, and disclose relevant information according to law.

Article 16 The market supervision department shall investigate and deal with illegal acts such as false advertising, unfair competition, and infringement of consumers’ rights and interests by using standard terms.

Seventeenth construction units should support and cooperate with the natural resources and planning, urban management and other law enforcement departments in the supervision and inspection of land, planning and other legal implementation, to provide convenient work, and shall not refuse or obstruct.

Eighteenth natural resources and planning departments in the supervision and inspection work found that the existence of illegal acts of state personnel, should be dealt with according to law; If it has no right to handle it, it shall be transferred to the supervisory organ or the relevant organ for handling according to law.

Nineteenth counties, Ganyu District can refer to these measures.

Twentieth these Measures shall come into force as of June 1, 2024, and shall be valid until May 31, 2029.

Related reading:Policy Interpretation of Supervision and Management Measures for Planning and Construction of Commercial and Residential Land in Lianyungang City

　　After three years in Chengdu and two years in Wuhan, the sixth Global Automobile Forum 2015 will be held in Chongqing Yuelai International Conference Center on June 9-10. With the theme of "Great Change: Restructuring the Industrial System", more than 800 Chinese and foreign professionals gathered to discuss the future changes of the automobile industry structure. The following is a speech by Li Xinqiang, Assistant to the President of Changan Automobile and Minister of Purchasing.

　　Li Xinqiang: Good host, good morning everyone! I am honored to be invited by the organizing Committee to discuss with you how to build a cooperative relationship between automobile and parts enterprises. Changan Automobile was founded in 1862, with a history of 153 years, but we have only entered the automobile industry for 30 years. At present, Changan Automobile has established R&D centers in Italy, India, the United States and Yokohama, Japan, and has more than 6,000 R&D teams around the world. At the same time, we have established joint ventures with Ford and Mazda, and have 12 production bases and 32 automobile plants around the world, and established strategic cooperative relations with world-class parts enterprises. In 2014, Changan Automobile sold 2.54 million vehicles, including 1.38 million vehicles sold by China brand.From January to May this year, 1.25 million vehicles were sold, of which 730,000 were sold by China brand.The sales of China brand of Changan Automobile ranked first in China and 14th in the world for 8 consecutive years. It can be said that Changan Automobile is not only a long-standing enterprise, but also a young enterprise. It not only adheres to the road of independent research and development, but also constantly integrates excellent global resources. It not only cultivates local parts enterprises, but also hopes to carry out in-depth cooperation with multinational parts suppliers.

　　In China, there are vehicles from Europe, America, Japan and South Korea, as well as state-owned enterprises and private enterprises. Parts enterprises also have suppliers’ management from different countries and different properties, capital cooperation based on equity, long-term strategic cooperation and some ways of full market competition. For a long time, it has been centered on the automobile factory, and has not paid attention to the voices and demands of suppliers. With the slowdown of market growth and the intensification of competition, the contradiction between suppliers and automakers has gradually intensified. Suppliers complain about low prices, frequent design changes and inaccurate plans, while automobile companies also accuse poor quality and slow response. These problems are not only found in China brands, but also in joint venture brands. The reason, I think, is that automobile enterprises still stay in the single imperative management of suppliers, lacking sufficient communication, understanding and trust with suppliers, which will inevitably reduce the synergy efficiency of supply chain and weaken the competitive advantage of products. We should change from supplier management to supplier relationship management. From single command management to double collaborative relationship. First of all, we must make clear the goal of two-way management.

　　Changan Automobile’s vision is to build a world-class automobile brand. Therefore, we should take the establishment of an internationally competitive supply system as our ultimate goal. Create an efficient China brand supply chain. The core is to cultivate a batch of supply systems that are not only excellent in ability, but also capable of serving our institute. The key is to build a two-way collaborative and sustainable system. The function of procurement has been changed. Chang ‘an headquarters is responsible for purchasing strategy and planning, while molecular companies are responsible for purchasing vehicles, transportation and implementation, and a special supplier relationship management department has been set up at the headquarters. Unified management of supplier performance evaluation relationship improvement, strategic cooperation and capability improvement. Then, the procurement process is reformed, so that suppliers can be integrated into R&D, procurement, production, sales and other links, so that suppliers are not only participants, but also co-makers of rules. Not only implementation, but also suggestions for the development of vehicle enterprises, and truly achieve win-win development.

　　It is necessary to change the management of suppliers from one-way to two-item. Changan Automobile has carried out a lot of experiments and innovations in this process. In terms of quality, in order to improve the product quality of China brand, we have formulated and published the strategy of Changan Automobile Parts, and constructed the first supplier quality ability certification standard of China brand. At the same time, we have set up SP teams in various projects of Changan Automobile to cooperate with suppliers to improve quality and improve cooperation. And work with suppliers to develop the quality standards and technology of each component. In terms of cost, the management mode of purchasing cost has been changed, from purchasing price management to whole life cycle management of parts, and accurate cost analysis of parts has been established. Guide suppliers to control the cost in all stages from design, development to mass production, and at the same time, build the first supplier cost management diagnosis of China brand to optimize the cost together with suppliers. In terms of sales, according to the logistics properties of parts, we plan in advance the suppliers that each production base will enter the industrial park and build nearby. The release mechanism of product planning and production planning has been established to guide suppliers to build property rights in advance. At the same time, efforts should be made to improve the accuracy of production planning and minimize the impact on suppliers’ production and delivery. In addition, a supplier relationship model is constructed to evaluate the cooperative relationship in a two-way way. The purpose of monitoring suppliers’ performance is to develop suppliers’ risks and guide suppliers to improve and upgrade. If the supplier is rated as high risk, it will be stopped.On the other hand, suppliers are regularly invited to evaluate automobile enterprises, mainly through high-level seminars and questionnaires. The purpose is to force the management of automobile enterprises. It is necessary to improve a management level of informatization, which must be supported by the level of informatization.

　　In 2011, Changan Automobile cooperated with Oracle Bone Inscriptions Company to realize an online management of the whole process of supplier access, selection and elimination. It not only improves the efficiency of supplier management, but also makes the procurement process more open and transparent. Implement a two-way management system of supplier relationship to support the rapid development of enterprises in many aspects. First, the ability of suppliers has been rapidly improved, from meeting the needs of our maintenance cars and economical cars to meeting the development of middle and high-class cars, supporting Changan Automobile to go out of Chongqing and lay out the strategy of the whole country. Second, the quality of our spare parts has increased at an average annual rate of 50%, which has greatly improved the quality of the whole vehicle. At present, the quality level of some models has reached or even surpassed that of the same class of cars.

　　Third, while ensuring the product quality, we should strictly control the continuous optimization of material cost and give full play to the leverage of purchasing, so that the profitability of China brand has been significantly improved. Since 2012, the supplier’s satisfaction with Changan Automobile has increased by 20% for three consecutive years, which has laid a solid foundation for the long-term development of China brand. With the arrival of big data, new energy and mobile internet, the individual needs of customers and the upgrading of products have brought more challenges to supply management. Customer-oriented, greatly improving the response speed and customer experience will be the next goal of supply chain management. Continuously improving the cooperative relationship with suppliers and forming a virtuous circle will surely make China brand cars become world-class at an early date. Welcome friends to know about Chang ‘an, enter Chang ‘an, and go hand in hand with Chang ‘an for win-win development. Thank you for your trip to Chang ‘an.

On July 22nd, in the durian planting base in Sanya Ecological Yucai District, Hainan, a batch of durians were ripe, and when they were opened, a burst of fragrance came out. According to Du Baizhong, the person in charge of the base, at present, the price of this batch of mature durian is one catty in 60 yuan, but the quantity is small, so it is only for some consumers to try it.

In this regard, netizens have speculated: What is the taste of durian in Hainan? Can everyone eat cheap and delicious durian in the future? Will the parity era of durian in Hainan come?

Is there a surprise for durian in Hainan?

"At present, the area of planting durian in Sanya Ecological Yucai District is 12,000 mu, and it is estimated that more than 1,300 mu will be listed before the end of July this year." Du Baizhong, general manager of Hainan Youqi Agricultural Co., Ltd. introduced that consumers are welcome to come to the base to taste Hainan durian.

Photo by Wang Chenglong, durian planting base in Yucai Ecological Zone, Sanya City

Recently, some consumers have "tasted" Hainan durian through online shopping booking. In a shop in JD.COM, durian with the label "fresh fruit of durian produced in Sanya, Hainan" began to be pre-sold in June. The price of 3.5-4.5 kg was 188 yuan, and the price of 7.7-8.5 kg was 358 yuan. The average price was more than 40 yuan per kg, which was not cheap. A netizen who bought durian from Hainan commented: "There are surprises when the fruit is opened, and the fruit yield is 2.5 kg-3.5 kg, with thin skin and good taste."

"At present, most of the durians circulating in the market are 70% semi-cooked durians imported from abroad. The durian in Hainan is’ cooked on the tree’ and tastes very good!" Liu Xinyuan, chairman of Hainan Rouming Agricultural Co., Ltd., who started planting durian in Ledong five years ago, is also very confident in the durian industry in Hainan.

Du Baizhong also said that the main advantage of Hainan durian is "ripe on the tree" and its quality is guaranteed. But at present, the amount of listing is still relatively small. He introduced that the company currently plans to set up sales channels in durian entity tasting shops in Beishangguang and other places, and the online e-commerce platform only attracts consumers to adopt early adopters.

How big is the durian market?

The news of the listing of durian in Hainan has attracted a lot of attention of durian powder in recent days.

Durian, a tall tropical evergreen tree of Kapok family, is native to Malay archipelago and has the reputation of "king of all fruits".

How much does China love durian? 821,500 tons, US$ 4.205 billion. This is the data that China imported fresh durian from Southeast Asia in 2021.

In 2022, durian ranked first in the amount of fruit imported from China, reaching US$ 4.03 billion, and the import volume reached 825,000 tons, nearly tripled compared with 2014; According to customs data, between 2015 and 2022, the compound growth rate of fresh durian imports in China reached 17%.

The golden pillow durian Wang Chenglong, who is about to mature in the durian planting base in Yucai Ecological Zone, Sanya City.

Although China is a big consumer of durian, durian could not be made in China before. Based on the information publicly reported by various countries, Thailand, Vietnam, Malaysia, Indonesia and the Philippines are the countries with large scale and high output of commercial durian in the world.

Feng Xuejie, director of the Tropical Fruit Research Institute of Hainan Academy of Agricultural Sciences, said that durian has a longer growth cycle than other fruits, and it takes six or seven years from planting to fruiting. In terms of characteristics, durian is a very "picky" and "enjoyable" fruit. It must "live" in the mountains, like a warm winter and cool summer climate, grow in the lee, and the humidity should be controlled at 75% to 85%. At the same time, the planting technology requires high requirements, and various typhoon weather, pests and diseases will also affect the growth progress of durian; Because the "height" is relatively high, durian trees in their prime can grow to more than 20 meters, and the picking cost is also quite high.

Why can you grow durian in Hainan?

Hainan and durian have a deep fate. Hainan is the only tropical island province in China. Its climatic conditions are similar to those of Thailand and Malaysia, which are the main durian producing countries, and it has the inherent advantages of planting durian.

According to related books such as Records of Agriculture in Hainan Province and Records of Farming in Hainan Province, from 1956 to 1961, Hainan Farming introduced 20 species of tropical fruit trees such as durian and mangosteen from Indonesia, Malaysia, Cambodia and other countries in 82 batches, which were planted by four breeding stations including Baoting Tropical Crops Research Institute at that time.

Photo by Maoshanwang durian Wang Chenglong, who is about to mature in the durian planting base of Yucai Ecological Zone in Sanya City.

However, due to various reasons, the durian tree has not blossomed and produced no fruit for a long time, which has created a general impression that "Hainan is not suitable for planting durian". Some durian growers also admit that in the process of planting durian, "durian is planted dead and died", which is very tortuous. Up to now, the above-mentioned Youqi Company has invested 320 million yuan to grow durian, which is a heavy investment project.

In 2015, 44 durian trees were introduced to Hainan Huasheng Ecological Agriculture Base in Sandao Town, Baoting Li and Miao Autonomous County, Hainan Province, and they actually blossomed and bore fruit in 2019. The news has aroused widespread concern, and it has also doubled the confidence of planting enterprises in the wait-and-see.

In recent years, with the joint efforts of scientific research teams and enterprises in Hainan, durian cultivation has made great progress.

Growers imitate the "micro-ecological environment" for durian growth abroad to improve the planting environment. The scientific and technological innovation team of tropical excellent and rare fruit trees of Hainan Academy of Agricultural Sciences conducted appraisal and regional adaptability tests on durian variety resources, and developed corresponding fertilizer and water management technologies, cultivation models and pest control technologies.

These scientific and technological supports have enabled durian to grow up in Hainan, and also reduced the mortality rate of durian trees in the base to 2‰.

Technicians take care of the maturing durian Wang Chenglong.

At the same time, the company also invited experts from Southeast Asia to teach durian, and made continuous efforts to transform the irrigation system. At present, the durian planting base in Sanya Ecological Yucai District adopts the digital agricultural platform, which can monitor the growth of trees through sensors, start the micro-spray system when water is scarce, and make fine water replenishment in time to help durian grow.

According to the statistics of the Agriculture and Rural Affairs Department of Hainan Province, at present, the area of planting durian in Hainan Province has reached 30,000 mu.

How far is "durian freedom"?

Can planting durian in Hainan help netizens realize "durian freedom"?

Generally speaking, the "durian freedom" expected by netizens may be understood from these angles to a greater extent: First, with the increase of supply places, consumers have more channels to choose high-quality durian; Second, you don’t have to go to Southeast Asia, but you can eat durian cooked on the tree in Hainan.

From the global durian supply side, since the Regional Comprehensive Economic Partnership Agreement (RCEP) came into effect on January 1, 2022, consumers have more and more channels to choose durian. Thailand is a major supplier of fresh durian in China. In July last year, the General Administration of Customs of China issued an announcement to allow the import of Vietnamese fresh durian that meets the relevant requirements; In April this year, Philippine durian entered China for the first time through Nanning Airport.

From the supply and demand side of durian in Hainan, according to the relevant data provided by Hainan Academy of Agricultural Sciences, the area of durian that can blossom and bear fruit in Hainan this year is about 2,000 mu, and the estimated output is 50 tons, which is far from the customs statistics that the import of durian in China has reached more than 800,000 tons. Even after several years, durian has grown to 100,000 mu or even 300,000 mu, which still cannot meet the domestic market demand.

Therefore, it is not easy to realize "durian freedom" in price in the short term. A consensus in the industry is that in order to realize the industrial cultivation of durian from the source, it is necessary to cultivate new varieties suitable for local cultivation.

At present, scientific research institutes and enterprises in Hainan have established a gene bank of durian seedling living germplasm resources, combining local varieties and foreign varieties for grafting and domestication, and durian varieties with independent intellectual property rights in Hainan are expected to appear in recent years.

In the future, in order to cultivate durian industry in Hainan, it is necessary to do a good job in variety cultivation, variety screening and key technology research and development under the organization and guidance of the government, give full play to China’s advantages in technical equipment and cultivation technology, explore durian varieties with Hainan characteristics, further enrich the "fruit plate" of Chinese people, and let more consumers experience the "happiness of durian". (Fu Renyi)