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Weekly quality report： nearly 40% of induction cookers failed to pass the sampling inspection, and some induction cookers were unable to withstand slight bumps.

　　CCTV News:Induction cooker, also known as electromagnetic cooker, has the characteristics of small size, fast heating and no open flame, and has become one of the daily appliances used by thousands of households. However, the national supervision and spot check on the product quality of this product shows that it is such a household appliance with a very high penetration rate that four out of every ten products are unqualified.

　　Nearly 40% of electromagnetic stoves are unqualified.

　　The reporter learned from the General Administration of Quality Supervision, Inspection and Quarantine that this year’s national supervision and spot check on the quality of electromagnetic stoves has ended, and the test results show that the quality problems of electromagnetic stoves produced in China are not optimistic at present.

　　Miao Yuchen, Director of Product Quality Supervision Department of AQSIQ:We organized a total of 48 batches of electromagnetic stoves produced by 48 enterprises in Guangdong, Zhejiang and Jiangsu provinces to carry out national supervision and spot checks. After inspection, 19 batches of products were unqualified.

　　According to the statistics of the General Administration of Quality Supervision, Inspection and Quarantine, in the first half of this year, the state supervised and spot-checked 41 kinds of products, mainly involving 2,674 batches of products in seven categories closely related to consumers, such as electronic appliances, daily use and textiles, building materials and light industry, of which 250 batches were unqualified, with an overall unqualified rate of 9.3%. However, 19 of the 48 batches of electromagnetic stove products in this spot check were unqualified, and the unqualified rate was as high as 39.6%, which was more than four times that of the products in the first half of the year supervised by the state. According to the reporter’s understanding, the electromagnetic stove has therefore become the product with the lowest qualified rate among the 41 products supervised and randomly selected by the state in the first half of this year.

　　Miao Yuchen, Director of Product Quality Supervision Department of AQSIQ:The problems found in spot checks involve abnormal work, energy efficiency grade, mechanical strength, electromagnetic compatibility and other items, among which the unqualified electromagnetic compatibility index is more prominent.

　　The National General Electronic Components and Products Quality Supervision and Inspection Center, located in China Saibao Laboratory, is one of the testing institutions that undertake the national pumping task of electromagnetic stoves. The reporter learned here that according to the relevant national standards and norms, the inspection items of electromagnetic stoves can be divided into three parts.

　　Chen Jun, Director of Home Appliances Room of Quality Inspection Center of China Saibao Laboratory:The first part is the electrical safety requirements of products, which are consistent with the testing standards of compulsory product certification in China and are the basic safety requirements of products. The second part is the energy efficiency grade of products, including thermal efficiency and standby power consumption, which is the basic energy efficiency requirement of induction cooker products in China. The third part is the electromagnetic compatibility of products, including terminal disturbance voltage and electromagnetic radiation disturbance.

　　Testers told reporters that the electrical safety, energy efficiency rating and electromagnetic compatibility of electromagnetic cookers actually cover 19 items such as protection against touching live parts, abnormal work, mechanical strength, energy efficiency rating and electromagnetic radiation disturbance. In this spot check, as many as seven items failed.

　　Then, what impact will these unqualified items have on consumers’ use of electromagnetic stoves? Will it harm the personal safety of users?

　　Some electromagnetic cookers can’t stand a slight bump.

　　During the investigation, the inspector told the reporter that for the electromagnetic cooker, which is a household appliance that must carry other items when it is used, the durability of the stressed microcrystalline panel is the basic requirement. The inspection item of mechanical strength is to specifically check whether the structure and shell of the electromagnetic stove can withstand the knock and impact that may occur during use.

　　Zhou Shuisheng, Electrical Appliance Room Engineer of Quality Inspection Center of China Saibao Laboratory:According to the national standard, we use this spring impact hammer to impact every weak position on the panel for three times, and the impact energy is 0.5 Joule, so it is required that the panel of the induction cooker cannot be damaged after the impact test.

　　The reporter noticed that during the inspection, this microcomputer-based induction cooker named BT220 produced by Zhongshan Pentium Electric Appliance Co., Ltd. had obvious cracks on the microcrystalline panel after three consecutive impacts. According to the inspector, the rupture of the microcrystalline panel of the electromagnetic stove not only affects the normal use, but also may cause personal injury to consumers, and even lead to the risk of electric shock.

　　Zhou Shuisheng, Electrical Appliance Room Engineer of Quality Inspection Center of China Saibao Laboratory:The panel of this induction cooker is cracked, resulting in many cracks. Then these cracks will destroy the overall insulation system of the induction cooker and reduce the safe distance between the human body and the live parts. Then the user may be scratched by the edges of these cracks in the induction cooker during the subsequent use, and may also get an electric shock, which is dangerous. According to the national standards, this induction cooker is a seriously unqualified product.

　　The reporter learned in the interview that in addition to safety, when most consumers buy electromagnetic stoves, the most important thing is whether to save electricity. Therefore, the grade of energy efficiency has become an important index to evaluate the quality of electromagnetic stoves.

　　Mo Yanting, Electrical Appliance Room Engineer, Quality Inspection Center of China Saibao Laboratory:All domestic electromagnetic cookers need to have china energy label. The energy efficiency label will classify the product’s energy efficiency level, in which the first level is the best and most energy-saving, and the third level is the most basic requirement.

　　According to professionals, according to the national mandatory standard "Limits and Levels of Energy Efficiency of Household Electromagnetic Cookers", the energy efficiency level includes two indicators: thermal efficiency and standby power. Thermal efficiency is a specific quantitative index for electromagnetic cookers to convert electric energy into effective thermal energy. For electromagnetic cookers with rated power greater than 1200W, thermal efficiency can be divided into three levels: not less than 90%, not less than 88% and not less than 86%. The higher the thermal efficiency, the higher the energy utilization rate, and the more energy-saving the product. The corresponding energy efficiency level is also higher.

　　Mo Yanting, Electrical Appliance Room Engineer, Quality Inspection Center of China Saibao Laboratory:Although the thermal efficiency is not the safety performance index that directly affects personal safety, such as electric shock prevention and fire prevention, it is closely related to the people’s money bags. Assuming that the electromagnetic stove at home consumes more electricity every time it heats a pot of water, the people will pay more money and cause unnecessary waste over time.

　　The virtual standard energy efficiency grade of a small number of electromagnetic stoves

　　Saving money and electricity affects the purchasing tendency of some consumers. Therefore, in order to cater to consumers’ psychology, some enterprises do not make efforts to improve product quality, but make up their minds on energy efficiency labeling, falsely marking product energy efficiency grades.

　　Mo Yanting, Electrical Appliance Room Engineer, Quality Inspection Center of China Saibao Laboratory:Among the 48 batches of electromagnetic stove products that we randomly selected this time, the energy efficiency grade of six batches of electromagnetic stoves failed to meet the requirements. One batch was standby power, which exceeded its specified value, while the other five batches failed to reach its nominal value of thermal efficiency. The most serious product was a product with a nominal thermal efficiency of 88%, while the measured thermal efficiency was only 85.1%. Can’t even reach the most basic level 3.

　　The reporter noticed that this product marked with energy efficiency grade 2, but the measured value can’t even reach grade 3, is an electromagnetic stove with the name of Suochi brand PS-22 produced by Guixiang Electric Appliance Co., Ltd., Zhongshan City, Guangdong Province. The remaining five batches of products with unqualified energy efficiency grades are respectively labeled as:

　　HW-22 electromagnetic cooker produced by Hawang Electric Appliance Co., Ltd., Zhongshan City, Guangdong Province;

　　An electromagnetic cooker of model YW20A-301 produced by Yongwang Electric Appliance Industry Co., Ltd. in Zhongshan City, Guangdong Province;

　　The VK-20C80E electromagnetic cooker produced by Weiwang Daily Electric Appliance Co., Ltd., Foshan City, Guangdong Province;

　　SJ-20KB electromagnetic cooker produced by Guangdong Shiji Electric Appliance Industry Co., Ltd.;

　　DP22 electromagnetic cooker produced by dongfeng town Hamada Electric Appliance Factory, Zhongshan City, Guangdong Province.

　　The virtual standard energy efficiency of electromagnetic stoves is mostly to cover up Jerry-building.

　　Professionals told reporters that the energy efficiency rating items of electromagnetic cookers are unqualified. On the surface, it seems that manufacturers falsely label product parameters, but in essence it covers up the bad behavior of some enterprises to cut corners in order to reduce production costs.

　　Mo Yanting, Electrical Appliance Room Engineer of China Saibao Laboratory:One of the factors that affect the thermal efficiency of electromagnetic cookers is the coil disk. In order to save costs, some manufacturers often have obvious differences in material selection. Now we can compare it. You see, this is a qualified product. Its coil disk has a thick wire diameter and a very close distance, so the heating effect of this coil disk is very good and energy-saving. Looking at another unqualified product in this spot check, we can see that its wire diameter is only half of that of the previous one, and the distance between the rollers is loose. You see that the tip of this screwdriver is going in, and the heating effect of this coil disk is relatively low. Next, let’s look at another one with worse thermal efficiency. This wire diameter is obviously thinner and the distance is looser, and the screwdriver can pass through it easily and casually. The thermal efficiency of such products is definitely not high, and it can’t meet the requirements of energy efficiency grade at all.

　　Whether it is the protection against touching live parts, the firmness of microcrystalline panels, or the coils that affect thermal efficiency, careful consumers can more or less see some tricks through careful observation. But for the electromagnetic cooker, there are some security risks, because of its special closed structure, which can neither be seen nor touched, so the potential harm is even greater. Continue to watch our program.

　　The annual output of electromagnetic cookers in China exceeds 30 million sets.

　　The reporter learned in the interview that the world’s first household electromagnetic stove was born in Germany in 1957 and entered China in the late 1980s. Because there are many advantages such as no open flame, no smoke and dust, easy to use and so on, the electromagnetic stove is quickly recognized by consumers. At present, there are more than 500 enterprises producing electromagnetic stoves in China, with an annual output of more than 30 million units.

　　Chen Jun, Director of Home Appliances Room of Quality Inspection Center of China Saibao Laboratory:At present, the industry of induction cookers is mainly concentrated in Guangdong and Zhejiang provinces, including Shunde and Zhongshan in Guangdong, where more than 80% of enterprises are located.

　　The rapid development of electromagnetic stoves has attracted the attention of relevant regulatory authorities, and the General Administration of Quality Supervision, Inspection and Quarantine has listed electromagnetic stoves as national supervision and spot check products for seven consecutive years. However, compared with the pass rate of spot checks in the past seven years, the reporter noticed an abnormal phenomenon, that is, the pass rate of national supervision and spot checks of electromagnetic stoves was not less than 80% for four consecutive years from 2011 to 2014, but by 2015, this value fell off a cliff and plummeted to 7.7%; After that, it rebounded slightly in 2016, accounting for 28.8%. The qualified rate of 48 samples selected this year was 60.4%. They are all electromagnetic cookers, but why does the qualified rate of national supervision and spot check on product quality fluctuate so much?

　　Miao Yuchen, Director of Product Quality Supervision Department of AQSIQ:In 2015, we added two indicators of electromagnetic compatibility and energy efficiency grade for the first time, and checked 78 batches of products, 72 of which were unqualified, so the main problem focused on electromagnetic compatibility.

　　 In the survey, professionals told reporters that almost all electrical equipment will send out electromagnetic harassment signals when working. Electromagnetic compatibility (EMC) means that when electrical equipment is working, the signals generated will neither interfere with other electrical equipment nor be interfered by other electrical equipment, so as to ensure that all equipment can work normally and be compatible with each other. For electromagnetic cookers, there are two kinds of electromagnetic disturbance signals: those transmitted to the power grid through power lines are called conduction disturbance, and those emitted through space are called radiation disturbance. In the standard, terminal disturbance voltage and electromagnetic radiation disturbance items are used to assess respectively.

　　Shao E, Engineer of EMC Room, Quality Inspection Center of China Saibao Laboratory:What is the essence of terminal disturbance voltage test? The induction cooker works, and when it works, your induction cooker takes electricity from the power grid. After work, some electromagnetic interference signals will be emitted to the power grid. This electromagnetic interference signal, it is all on the power grid. If your other electrical equipment, such as washing machine, air conditioner, TV set, all other electrical equipment and household electrical equipment, are hung on the power grid, you may receive the interference signal generated by the induction cooker, resulting in some faults. For example, it is possible that the washing machine just mentioned is interrupted and the TV set is short-circuited.

　　 The reporter saw in the laboratory that this logo is calledAn electromagnetic cooker of model YW20A-301 produced by Yongwang Electric Appliance Industry Co., Ltd., Zhongshan City, Guangdong Province.When testing, the terminal disturbance voltage obviously exceeds the limit specified by the national standard.

　　Shao E, Engineer of EMC Room, Quality Inspection Center of China Saibao Laboratory:The red line above represents a quasi-peak value limit stipulated by the national standard, the red line below is an average value limit stipulated by the national standard, and the blue line and pink line at the bottom are the results of our test of this sample, which respectively represent that the blue line is a peak value and the pink line is an average value. From this result, it can be seen that these frequency points have obviously exceeded the limit requirements stipulated by the national standard, so from this test result,

　　Some electromagnetic cookers are not designed properly.

　　The inspector told the reporter that the electromagnetic stove terminal disturbance voltage project was unqualified, mainly because the electromagnetic compatibility design of the product was unreasonable. The reporter noticed that as many as 17 of the 48 samples of the electromagnetic stove were unqualified in the terminal disturbance voltage test. This is also the highest unqualified item among all the 19 inspection items of the electromagnetic stove. Followed by another test item of electromagnetic compatibility: electromagnetic radiation disturbance, 14 unqualified samples, only 3 less than the unqualified number of terminal disturbance voltage test. Among them, the nominal name is:

　　Model J-C electromagnetic cooker produced by Jieliou Electric Appliance Co., Ltd., Shunde District, Foshan City, Guangdong Province;

　　The electromagnetic cooker with the model IC-A2102 produced by Guangdong Taikoo Electric Technology Co., Ltd.;

　　The model SYG-22 electromagnetic cooker produced by Songyangge Electric Appliance Technology Co., Ltd., Shunde District, Foshan City, Guangdong Province13 batches of samples, such as electromagnetic compatibility, terminal disturbance voltage and electromagnetic radiation disturbance, were unqualified.

　　The failure rate of the two items of EMC inspection far exceeds that of other inspection items. Why?

　　With the further investigation, the reporter learned that before 2015, the two national mandatory standards, Safety of Household and Similar Electrical Appliances and Energy Efficiency Limits and Energy Efficiency Grades of Household Electromagnetic Cookers, which were the basis for electromagnetic cooker products testing, did not involve electromagnetic compatibility testing. In January, 2015, the national mandatory standard "Limits and Measurement Methods of Disturbance Characteristics of Industrial, Scientific and Medical (ISM) RF Equipment" was officially implemented, which clearly stipulated that electromagnetic cookers, microwave ovens and other appliances were applicable to this standard, so the national supervision and spot check of electromagnetic cookers in that year included electromagnetic compatibility in the inspection scope for the first time. However, two years later, the reporter found that there are still many electromagnetic stove manufacturers who turn a blind eye to the EMC test of their products. In the investigation, the reporter noticed a detail. All the 48 samples in this spot check were marked as meeting the national use safety standards and energy efficiency standards, but none of the products were marked as meeting the national electromagnetic compatibility standards.

　　Chen Jun, Director of Home Appliances Room of China Saibao Laboratory:Some enterprises may not fully understand this requirement of electromagnetic compatibility, and think that it is not a requirement of compulsory certification of this product, so they do not produce products according to this standard, which leads to the product not meeting the requirements.

　　Professionals believe that electromagnetic cookers are products in China’s 3C compulsory certification catalogue, that is to say, 3C certification is the basic threshold for electromagnetic cookers to go on sale. In view of the fact that manufacturers generally ignore EMC projects at present, it is suggested that relevant departments revise the implementation rules of 3C certification of electromagnetic stove products in time, and bring the national standards related to electromagnetic compatibility into the scope of 3C certification, so as to promote enterprises to better understand and implement the standards and further improve product quality.

　　Experts said that the radiation power of induction cooker mainly depends on the leakage value of electromagnetic wave of induction cooker, and the greater the leakage, the greater the impact on users. Although there is no sufficient factual basis to prove that the radiation of induction cooker is harmful to human body, it is obvious that the lower the electromagnetic leakage level, the better the safety of products with lower radiation disturbance level. Therefore, it is safe and reliable for consumers to choose to buy induction cooker products that meet national standards.

　　(CCTV reporter Wang Jun)

New issue of Reading ｜ Wang Yifang： Welfare of Disease

Original Wang Yifang reading magazine

editorial comment/note

Diseases, especially malignant diseases, are hard to avoid in everyone’s life. The author advocates that when this happens, we should still be optimistic, and at this moment, the society should be equipped with a channel of "hospice care" to effectively improve the quality of life of patients. This is an appeal for "hospice care", which is a relatively missing part of our national medical system and deserves attention from all sides.

Welfare of disease

Wen | Wang Yifang

(The third issue of Reading in 2024)

When talking about the welfare of diseases, people will naturally bypass the disease itself and point to the miracle of modern medical care or the increasingly perfect insurance system. In fact, without disease and suffering, medical benefits will not be born automatically, and the love and care parallel to medical benefits will be eclipsed. This is clearly a kind of "paper clip effect" welfare. The initial port can be traced back to the independent reflection and collective response of diseases. If we glance into the deep well of philosophy, it is a reflection and awe of patients’ subjectivity.

Hospice Care (Source: stchristophers.org.uk)

It was an American community doctor who first made me understand this bitter philosophy. More than 20 years ago, I visited the United States. On the way, I suffered from a bad cold, fever, cough and sore throat, and I was sore all over. So, I hurried to choose a doctor for treatment. The general practitioner, who was nearly half a century old, enthusiastically accepted me. After some consultation, he didn’t prescribe medicine for me. His belief was that the common cold didn’t need to take medicine, and he humorously told me that "take medicine for seven days, don’t take medicine for a week", just take a full rest and strengthen nursing. He explained the reasons in detail. The common cold symptoms are serious but not dangerous, and it is a self-healing disease, except It also urged the patient to review his lifestyle. More interestingly, he also talked to me about "Aesthetics of cold". Although the course of a cold is not long, the patient’s identity has shaped the image of the sick and weak who are cared for, cared for and loved, won an opportunity to feel sorry for themselves (be kind to themselves), and allowed relatives and friends to fully express their love (care for others). Sure enough, during my week of illness, I was cared for by my colleagues and friends, and my heart was full of love. This also reminds me of the deep association of disease welfare. It seems that the word "welfare" can be divided and analyzed. Happiness is a blessing and a benefit. However, in the concept of China people, happiness and misfortune are interdependent, with mutual interests and full of dialectics.

Perhaps it is too common to talk about a cold, and it is not easy to attract people’s attention. If you change a cold into a tumor and change it into a malignant cancer, will you feel the same? Obviously, the mood will be heavier and more shattered. If readers inadvertently type "aizheng" on the keyboard, there will be "being punished" on the computer screen at the same time as "cancer", which means that cancer equals being punished. In susan sontag’s Metaphor of Disease, cancer is labeled as a modern devil, ranking first in the disease spectrum and death spectrum. Nearly ten million people die of malignant tumors every year in the world. For such a number one malignant disease, people avoid it, sigh, and talk about welfare. Isn’t it deliberate to find a flat? Actually, there are two sides to everything, and so are tumors. First of all, tumor is just a "different fruit" that grows after the loopholes in human immune system appear, just like the "crooked melon and cracked jujube" in nature, which is closely related to the aging process of human beings. However, a few days ago, an academic report by Academician Cheng Shujun made me feel refreshed. The report cited a group of elderly people who were over 80 years old. They were complacent and enjoyed their life, but in the autopsy, they found that 60% of the deceased had "prostate cancer", which they didn’t know before their death. This is the so-called "lazy cancer" phenomenon. Its natural growth cycle is long, even exceeding the natural life span, but it only proliferates slowly without making a mess. Therefore, a familiar oncologist often teases patients with slow progress of prostate cancer: "Congratulations, you have snail cancer." As for cancer, Academician Fan Daiming, who is the chairman of China Anti-Cancer Association, has some strange ideas. In his eyes,Cancer cells are the "revolutionary party" in the body. In the process of aging, weakness, atrophy, degradation, and even exhaustion and decline, cancer cells are changing locally, inspiring a new atmosphere of proliferation, expansion, prosperity and transfer. This is clearly a retrograde force of "rejuvenation". The problem lies in their "crazy" growth and breaking the internal ecology, which leads to physical harm.

Susan sontag and Henri Cartier-Bresson were filmed in 1972 (Source: Beijing News)

Metaphor of Disease, by susan sontag, translated by Cheng Wei, Shanghai Translation Publishing House, 2020 (Source: dangdang.com).

Unfortunately, the balance technology of connivance-controlling the growth of cancer cells has not yet come out, and more patients are tortured by crazy and barbaric growth of cancer cells and die young. This is the harsh cancer world. If so, it is obviously inappropriate for me to explore the welfare of diseases under the cruel aesthetic situation. But it’s not that no one dares to think and say. Susan sontag, who has suffered from cancer twice, is such a brave man who dares to face up to the suffering of cancer. She tells the world that it is the existence of cancer that reveals people’s "dual nationality", that is, they are citizens of the health kingdom and the disease kingdom, rather than absolutely healthy people or patients. Everyone is so-called "healthy with illness". Even if they do not suffer from such a malignant disease as cancer, they may be patients with one disease or another but not diagnosed, or linger in "disease" Don’t fantasize that after a serious illness, you should rely on high consumption and high technology mastered by a famous doctor to save yourself from danger, but you should always maintain a good lifestyle, avoid all kinds of risk factors, intervene in time when you are sick at the end of the disease, and refuse the evil disease from the "Xiao Qiang".

However, with the development of modern medicine, it seems that human beings have no magic to resist all sufferings, including cancer that makes the body and mind tremble. The dice of suffering in God’s hands will eventually be thrown out. The arrival of evil diseases is the fate of life, and someone needs to bear it. With the advent of the age of longevity, the probability of suffering from cancer and other malignant diseases is still rising, even young people are not spared, and they need to be psychologically prepared to meet the malignant diseases. The talented boy who died young wrote proudly, especially in dealing with cancer: "God is going to send a golden tumor to a person, and to whom?" He is afraid that timid people can’t support it, and he is afraid that strong people will bear it flatly, so he will give it to an optimistic person, and those who are optimistic and have no aftertaste will just give it to me. I am beyond everything! " In the face of human suffering, we really need a superman who chews pain like this and then transcends it. Nevertheless, modern medicine should also design a spiritual soothing journey of "arrival of love" and "redemption of suffering" for cancer and other malignant diseases besides coming back to life, so that they can "step on thorns, feel no pain, have tears to shed, and are not sad" (Bing Xin: Send a Letter to a Little Reader), which can be regarded as an ultimate pursuit for cancer patients in pain. It is a set of "holistic pain" for cancer patients, highlighting the value of care and creating a dignified and quality survival and life plan. This scheme, once known as palliative care, began in 1967, marked by the British nurse Sanders.Dame Cicely Saunders established a hospice ward in St Christopher’s Hospital in south London, which started the modern hospice movement. Julia M. Addington-Hall, Saunders’ successor and the current director of the hospice care unit of St. Christopher’s Hospital, co-authored with Irene Higginson, and Li Xiaomei, Zhu Ping, Li Fan and Liu Duanluan led 46 elite colleagues in the hospice care industry in China to jointly translate (to adapt to the multidisciplinary and interdisciplinary characteristics of the book) the book palliative care for non-cancer patients. It describes the difficult course of hospice care concept and action advocated by Saunders from initial germination to worldwide popularity, and also describes the difficult butterfly change of hospice palliative care from exclusive service for cancer patients to universal benefit for all chronic patients (such as heart, lung, liver and kidney failure, severe blood diseases, gradual freezing and other neurodegenerative diseases, AIDS, serious and rare diseases of children and adolescents). After reading this book, people will deeply feel that the opening, construction and perfection of modern hospice and palliative medical system are the greatest medical benefits born of cancer and chronic diseases.

British nurse Saunders who established the hospice ward (Source: stchristophers.org.uk)

Palliative care for non-cancer patients, by Julia and Irene, translated by Li Xiaomei and Zhu Ping, Science Press, 2023 (Source: dangdang.com).

In the initial hospice ward, there were mainly patients with advanced cancer, who suffered from physical and mental pain, shivering in the eyes of death and crying to the sky. The focus of palliative care is no longer to exterminate cancer cells, but to dispel physical and mental pain, gain insight into the end-of-life counseling of death, and improve the dignity and quality of life. People often say that the highest state of life is "come crying (be born) and go laughing (die)", but it is not easy to really be on the cliff of life and death without shaking your feet. In the late stage of cancer, it is a narrow road to meet death. just visiting, who heard the footsteps of death approaching, must pierce the window paper as soon as possible, so that patients and their relatives can accept the unexpected encounter of death. Montaigne, a French writer who was tortured to death by lithiasis, once said heroically: It is better to stop and invite death to drink a cup of bitter wine than to be chased by death.

Ten years ago, the authoritative website of British Medical Journal published a wonderful article entitled "Death from cancer is the best death". The author is Richard Smith, the former editor-in-chief of the journal. Compared with the mentality of ordinary people talking about cancer discoloration (in essence, talking about death discoloration), his views are shocking. Because compared with sudden death without saying goodbye, cancer death may be more elegant, and it is a death benefit exclusively for cancer patients. From diagnosis to death, there is at least three months, and most people have a buffer period of more than one year. It is a prepared death, and there is enough time to arrange their last time, wave goodbye to my relatives, say goodbye in heaven and reflect on life. Leave your last words to your family and friends, and maybe you will have time to go to your favorite place, read some favorite poems, listen to your favorite music, and make all the preparations for the last moment. In Smith’s view, romantic death is love, morphine (powerful analgesic) and good wine, instead of forcing ambitious oncologists to waste a lot of money trying to cure cancer, which will make cancer death worse. The most terrible death is the kind of life that depends on modern medical technology, the kind of endless lingering. In the name of Hippocrates, doctors created one of the most exquisite and elegant tortures for human beings: the delay of slow illness and slow death.

Richard smith, former editor-in-chief of British Medical Journal.

Hospice palliative care, also known as hospice care, is a shift of attention, concern, care and clinical work focus between doctors and relatives, from coping with diseases to coping with pain, including symptomatic solutions to physical pain: pain relief, cough relief, antiemesis, itching relief, spasmolysis and asthma relief, nursing of fever, swelling reduction, skin bedsore and oral ulcer, improvement of weak nutrition, and community situation and emergency situation. The list of work is detailed in the book, which is not only of guiding value to occupational medical care, but also of guiding significance to the family members (that is, non-professional caregivers) who are taking care of at home. It also introduces the life care of the whole person’s pain and the spiritual comfort method of parting. At this time, although life cannot be healed, life can be respected, inquired and cared for, giving new meaning to life. The transfer of hospice care purpose brings about the change and adjustment of ideas. The object of intervention is not just a simple body, but a whole person; Intervention means are not just medicine, injections and surgery, but stories and narratives, music and drama, life review and reconstruction of life meaning. Clinical thinking is no longer confined to the intervention of biotechnology, but extends to life care, individual dignity and quality of life. What is worth cherishing is the discussion of ethical topics in hospice care, especially the problem of fairness and justice in the allocation of medical resources, and the detailed discussion of social, cultural and psychological projection of various symptoms in hospice care and cross-cultural care, which not only broadens the field of vision, but also closely follows the practice, and the content is not empty or informal.

Undoubtedly, cancer is only one of many chronic diseases. Human beings have entered the era of chronic diseases because of their super longevity. Its basic feature is that medicine and medical treatment are experiencing unprecedented incompetence, powerlessness, ineffectiveness and helplessness. First of all, more and more chronic diseases are treated, and the war model of diagnosis and treatment fails. The pathogenic factors (enemies) are not limited to external bacteria and viruses, but more are internal life stalls, immune out of control, dysfunction, psychological disorder, loss of value, weightlessness of soul, and life out of focus-frustration. It is necessary to get out of the trenches and put down fighting thinking; Secondly, the course of chronic diseases is getting longer and longer, and the alternative model of diagnosis and treatment (technical survival) encounters the dilemma of high cost, low quality of life, maintenance of physical function and mental decline; Third, the disease is becoming more and more difficult, and the medical performance is declining (ineffective medical treatment is obvious): quick cure and quick recovery to slow cure and slow recovery, and then to no cure and no recovery, from quick death (sudden death) to slow death (relying on a complicated life support system to survive), and then to neither death nor life (unconscious, dignified and quality-free survival); Fourthly, the body-mind-society-spirit representation of the disease is becoming more and more stereoscopic, and the role of the doctor is changing silently, from the rescuer to the companion, comforter and witness, bidding farewell to the obsession of never giving up, moving towards the acceptance and openness of death, ending the dependence and moving towards a good death (a good death); Fifth, psychological, social and spiritual weights are getting heavier and heavier, and medical intervention is turning, from drugs and scalpels to language, picture books (life and death narration) and music (looking back at youth and looking forward to heaven) to realize psychological comfort (consciousness) and spiritual comfort (liberation); Sixth,The purpose of medicine is changing quietly, from safety and well-being to tranquility, serenity and settlement, concluding the legacy of love, turning cold death into warm love arrival, and realizing both life and death in farewell, love, apology, thanks and love.

Hospice care at St. Christopher’s Hospital (Source: stchristophers.org.uk)

Hospice care at St. Christopher’s Hospital (Source: stchristophers.org.uk)

Regarding the evolution of the concept of hospice care in the era of chronic diseases, there are some basic principles worth spreading and letting the world know and agree. First of all, the irreversible process of life failure and death can only be alleviated by any medical intervention, but it can’t be cured. There is a huge gap between it and the reversible disease, the psychological expectation that it can regain vitality and reach rehabilitation through intervention. The pathological features of aging and the end of life are the degeneration of organs, tissues and cells, rather than alienation and disproportionation, which are mainly manifested in functional degeneration, behavioral withdrawal and intellectual degeneration, leading to disorder, disability, amnesia, loss of emotion and will, loss of personality and dignity. Modern medicine prides itself on the failure of the war model of etiology control and the substitute model of functional improvement, and the palliative, tranquil and palliative medical model appears. Secondly, there is a huge gap between physical pain and the core of human pain. Pain is not pain, and pain relief is not soothing. The primary intervention of hospice care is full analgesia (symptomatic treatment). Its advanced intervention is caring: attention, concern, concern and empathy, which is the psychological decompression of the concentration of talking and listening. You say it, I am listening carefully, and I have had this pain experience … Advocating a dialogue between doctors and patients on pain experience. Thirdly, healing is not dignity, and the primary goal of hospice care is to pursue etiological improvement, while the advanced goal is to safeguard the life dignity of patients and help patients and their families rediscover the meaning of life. Fourthly, in the end-stage palliative care, the dual-track paradigm of technology and humanities and the simple paradigm of technical intervention are judged. Here, treatment is no longer killing and repairing.It is caring and caring, and its primary vision is to focus on disinfection and repair. Etiology, pathogenesis and symptomatic treatment can eliminate the cause and restore disability, but they cannot cope with dementia, frustration, disqualification and disrespect. The advanced vision of treatment is to focus on the improvement of the whole person’s situation and quality of life, and to implement the whole person’s care and care. Fifth, there are many cognitive biases in the end-stage physical and mental intervention. Psychological intervention is not spiritual comfort, the former is the relief of psychological symptoms and the dilution of negative psychological motivation, and the latter is spiritual comfort and the ultimate care. Sixth, there are also cognitive misunderstandings in the process and meaning of death. Physical death is not the whole person’s death (which can’t cover sociological death), and mortuary is not the end of life journey. The early task of death counseling is to face the warning and interpretation of death crisis, and the later task is to recognize the meaning of death, maintain tension between refusing death and accepting death, controlling death and excessive intervention, and help patients and their families to be open-minded about life and death and conclude a legacy of love. Finally, communication between doctors and patients in palliative care is not doctor-patient communication. Communication training only increases the affinity of communication between doctors and patients and nurses through language improvement, while communication training expands the depth and abundance of communication between doctors and patients and nurses through empathy training, integrates into patients’ life and life experience, and improves the quality of life.

In the hospice care unit, doctors and nurses have to deal with all kinds of complicated difficulties at the end of their lives. Traditional medicines, needles and scalpels are of course important, but they also need the devotion of humanity and the nourishment of humanity, including companionship, witness, comfort and settlement. Among them, companionship and witness are the advanced circumstances of care. Doctors and nurses are not only present, but also their personality charm brings hope and human light to patients and experiences "being with angels" (tasting divinity). Medical care witnesses the existence of a weak life and the suffering of a vicious disease. "I know that you are suffering, I can touch and feel your suffering, and I can pay attention to and understand how difficult it is for you now." It is not difficult to imagine that patients and elders are often trapped in emotional loneliness, language loneliness and meaning loneliness because of the sharp contraction of social relations, and feel that they will become "lonely souls and wild ghosts", and they will live without belief support. At this time, they need more determined eyes, loving language and body language to secretly deliver life energy (empowerment). Comfort in palliative care is often a miraculous force, just like the spring breeze blowing the body and mind, which is carried out at four levels: first, physical comfort, such as hugging and touching the forehead, managing the living situation, trimming the margins (haircut, shaving, bathing, changing underwear), recovering life confidence and identity and dignity; The second is language comfort: intimate words, private words, life course review and dignity therapy; Third, psychological comfort, dissolve the psychological knot, and call back distant family ties; Fourth, spiritual comfort, life education, suffering, death counseling, dignity and belief therapy, and reconciliation with nature and the world after death. Undoubtedly,Care at the end of life is a systematic project that constantly updates its connotation, and needs multiple coordination and support. First, it is the four-all cognition of peaceful care, that is, to establish the thinking of caring for the whole family, community, general practitioner, team and whole process; Secondly, it is the support of blood and affection to overcome the companionship fatigue of "no dutiful son before a long hospital bed"; Third, the social and emotional support beyond consanguinity (empathy and empathy), to maximize the mobilization of social workers and volunteers to participate in hospice care; Fourth, the professional value support of hospice care team, such as constructing continuous professional behavior driven by virtue and bioethics, overcoming empathic exhaustion and job burnout; Fifth, caring financial support, overcoming the utilitarian thinking of curative effect. At present, patients and their families generally have the psychology of giving up without hope of healing, unwilling to spend money to improve their dignity and quality of life, and long-term care consumes limited health insurance and medical resources, which is difficult to guarantee continuously; Sixth, social care financing: internationally, there is a dichotomy, that is, medical insurance and long-term care insurance are operated separately, and the resources for etiological treatment are gradually transferred to caring resources for hospice care.

Hospice care in China (source: baidu. com)

Hospice care in China (source: baidu. com)

In all fairness, China’s hospice care is still in a difficult climbing stage, with technical and resource bottlenecks easily broken and concept and system bottlenecks hard to get rid of. Nowadays, not only patients with terminal cancer have not fully entered the hospice palliative medical channel, but also dare not expect non-cancer patients to enjoy the welfare of hospice care. However, the frame and road map of hospice and palliative care carefully described by Julia and Irene are very detailed, and the road signs and objectives are very clear, which undoubtedly adds confidence and strength to our future journey of hospice and palliative care. I think that as long as the whole society really pays attention to death as the "terminal welfare" of life, there will be showers of wealth and wisdom coming simultaneously, which will moisten the hospice and ease the medical cause and make it a towering tree.

Let’s hope that this day will come soon.

(palliative care for non-cancer patients, by Julia and Irene, translated by Li Xiaomei and Zhu Ping, presided by Li Fan and Liu Duanmao, Science Press, 2023).

　

Original title: The New Issue of Reading | Wang Yifang: Welfare of Diseases

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Lei Bai 2020 Excellent Agents Cooperation Exchange and Commendation Conference was successfully held.

Go ahead with a sharp edge and open up the market. Lei Bai 2020 Excellent Agents Cooperation, Exchange and Commendation Conference was held in Shenzhen on January 8, 2020. Mr. Ceng Hao, Chairman and General Manager of Shenzhen Lei Bai Science and Technology Co., Ltd., Ms. Yu Xin, Executive Vice President, and Ma Xu, Senior Vice President, attended the meeting and laid out the future with a forward-looking vision with excellent agents from all over the country.
Stick to the initial heart, break the situation and innovate, and achieve win-win growth.
With the transparent and smooth communication mechanism, in 2019, Lei Bai continued to consolidate the harmonious relationship of mutual trust and win-win with agents, and the brand always maintained its mainstream position among peers. The 2019 Lei Bai Science and Technology Excellent Agent Award was specially announced at the conference. Mr. Ceng Hao, Chairman and General Manager of Lei Bai Science and Technology, and Ms. Yu Xin, Executive Vice President, presented honorary certificates, honorary trophies and cash prizes of 100,000 yuan to the representatives of the award-winning agents, which showed that Lei Bai Science and Technology attached great importance to the agents.
Create value and share wealth. Treating each other with sincerity and sharing benefits is gratitude, affirmation and encouragement, and it also conveys the firm belief that Lei Bai will continue to grow stronger, stand together through thick and thin, and win the future with agents. Work together to stabilize the dominant position, and work together to create a new bureau.
Winner list of outstanding agents of Lei Bai Science and Technology in 2019 (in no particular order):
Shanghai kaixin industry co., ltd
Shenzhen leinengtong technology co., ltd
Fuzhou taijiang district zhanhao computer co., ltd
Shenzhen yidingfeng technology co., ltd
-Brand power-
"Integrated supply chain" strategy
Brand-new strategic thinking empowers channel sales. While actively deploying product offensive, in 2020, Lei Bai will comprehensively integrate and optimize the supply chain to achieve a win-win situation. This is a kind of soft power, but also a manifestation of comprehensive competitiveness. By controlling the information flow, logistics and capital flow, we can integrate, simplify and optimize the process, realize an efficient and collaborative supply chain service system in the whole process of design, technology, production, sales and service, reduce costs and improve efficiency, ensure product quality, and bring more competitive products and services to customers.
Brand as the key link, continuous construction. In 2020, Lei Bai will continue to increase market launch, further convey brand value and enhance brand height. Through a series of rhythmic and strategic innovation measures, we will help the brand to develop upwards, bring together a number of e-sports teams, show the passion and blood of new forces, and ensure that the brand will continue to maintain its competitiveness in a dynamic and rapidly changing market.
-Channel network-
Differentiate marketing and make a profit.
Under the new strategic mode, Lei Bai will optimize the production, sales and service of products and accelerate the circulation of products. Specifically, based on Lei Bai’s independent intelligence, systematic technical support and supply chain integration guarantee. Lei Bai will pay more attention to the advantages of online and offline channels, formulate differentiated products, provide differentiated preferential policies, meet personalized channel needs, and realize channel diversification and multi-channel.
Improve quality, reduce costs, make profits from channels, and pay close attention to the common development of channels and operations. Driven by multi-dimensions from single product to overall solution, from price to value, from product to service, and from concept to brand communication, Lei Bai will serve customers efficiently and quickly with a more professional attitude, and give the industry the best choice with a comprehensive and rich product line. Realize a truly healthy, profitable and sustainable channel win-win situation.
-Product offensive-
Break through innovation and subvert tradition
With sincere heart, Lei Bai has been established for nearly 13 years, and its product line has been fully expanded from the initial mouse and keyboard, covering office peripherals, game peripherals, audio peripherals, mobile peripherals and other fields.
When the driving force of consumption presents a diversified development trend and the market is becoming more and more detailed, how to deal with the challenges thrown by the changes of the times? Multi-mode connection in 2018, multi-device connection switching technology, "wireless connection"+"wireless charging" Gemini technology in 2019, and what brand-new strategic plan will Lei Bai face the market in 2020?
Accumulate thick and become a weapon, and seek far-reaching because of the situation. At the meeting, Lei Bai put forward the core strategy of "quality, precision and brand". Increase the launch of high-end series, promote the improvement of product structure, base on the present with strong lineup, innovative design language, cutting-edge interactive experience and flagship performance, break through the limitations, integrate design and technology into life insight through the diversity of boutique life, and redefine personalized user needs.
In 2020, walk with one heart and win-win results.
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