South Africa throws away 2 million doses of COVID-19 vaccine due to contamination incident. Photo: Reuters According to RT (Russia) news agency (Russia), the South African Health Products Administration (SAHPRA) has decided not to deploy vaccination for 2 million doses of Johnson & Johnson vaccine being stored at a facility in the city of Gqeberha. , as the raw materials for their production were affected by a contamination incident at the factory in Baltimore (USA). The decision comes after the US Food and Drug Administration (FDA) said that millions of doses of vaccine produced at Johnson & Johnson’s Emergent BioSolutions facility in the US city of Baltimore were not suitable for use in the United States. use. “Based on what has been announced by the FDA, batches of vaccines being stored in our Gqeberha have been affected. The batches of these vaccines correspond to about 2 million doses,” South Africa’s Acting Health Minister Mmamoloko Kubayi-Ngubane said on June 13. These doses of the vaccine have not and will not be used to immunize South Africans, she added. SAHPRA chief executive, Dr Boitumelo Semete, also confirmed the batch of vaccines “cannot be widely distributed.” Meanwhile, South Africa’s health watchdog said in a statement that a new batch of about 300,000 doses of Johnson & Johnson’s COVID-19 vaccine has been approved by the FDA and will be shipped to South Africa at a later date. some point. The agency did not disclose the exact date the shipments arrived. However, Mr. Semete acknowledged that the problem with Johnson & Johnson’s vaccine had a significant negative impact on South Africa’s vaccine deployment strategy. As of June 13, South Africa, the country hardest hit by the COVID-19 epidemic in Africa, has recorded about 1.7 million cases of COVID-19 and over 57,000 deaths. However, the country with a population of about 58.5 million people has only injected 183,000 doses of the vaccine to its people, as of June 9, according to the World Health Organization (WHO). South Africa is also one of the countries that is campaigning to give up patents for a COVID-19 vaccine to allow all countries to produce generic versions at low cost. “If we want to save lives and end the pandemic, we need to expand and diversify our production, put medical products into treatment, and fight and stop the pandemic for as many people as possible,” the president said. South Africa Cyril Ramaphosa speaks at a meeting with G7 countries in the UK on June 13.

After a hacker attack Meat producer JBS pays ransom

Status: 10.06.2021 7:13 a.m.

The world’s largest meat company JBS has apparently paid a ransom of $ 11 million after a cyber attack by hackers. It was another incident in a series of corporate blackmail cases in the United States. The US subsidiary of the Brazilian meat processor JBS paid the equivalent of eleven million dollars in ransom after a hacker attack. The payment was made to prevent further disruption by the hackers and to restore the smooth operation of the affected locations, said the Dallas-based company. According to the US media, the payment was made in Bitcoin. According to the US government, the company had received a ransom note from a criminal organization likely based in Russia. The attack paralyzed JBS production in Australia and affected Canada and the United States.

“A difficult decision”

“This was a very difficult decision for our company and for me personally,” explained Managing Director Andre Nogueira. “However, we felt that this decision had to be made in order to avoid any potential risk to our customers.” The investigations are still ongoing, but preliminary results have suggested “that no company, customer or employee data has been compromised.”

US investigators suspect Russia is behind it

US President Joe Biden said last week that investigators had linked Russia to the JBS case. “JBS USA was in constant contact with government officials throughout the incident,” the company said. In the USA, the state and business are currently fighting a series of attacks with blackmail software known as “ransomware”. The data of the attacked systems are encrypted. The hackers demand cash payments in cryptocurrency so that they can unlock access again and not publish the data.

Ransom payment in Bitcoin

The US utility company was also last month Colonial pipeline The victim of a hacker attack with a blackmail Trojan that temporarily shut down the entire pipeline network. The US Federal Police FBI blames a hacker group called “Darkside” for the attack and later tracked down the ransom of 75 Bitcoin that Colonial had paid – at the time it was worth $ 4.4 million.

A wake-up call about SMALL governance Recently, on social networks in Vietnam, a computer screen shot of a famous artist’s NH account statement related to the incident has attracted a lot of public opinion. Although NH has admitted that its employees spread the word, this is a wake-up call for those working in the banking sector, as well as the leaders of these organizations. In the era of information technology, customer data security can be said to be the most important for banks. Previously, the prestige of the banks was in the solidity of the safes, which were dug deep in the tunnels, through many layers of thick steel doors, resistant to fire and explosion and even earthquakes. Today it is the NH’s security system. Because most assets and liabilities are stored in the form of numbers, lines of data. The disclosure of customer data is often considered an accident of the security system, due to unintentional human error, or due to an external attack. But security risks do not only come from information technology systems. There are three places where security risks arise, that is from a governance perspective in relation to processes, monitoring, information systems, and operations. The above incident shows an error in the operation of the staff, related to the management of the bank. Normally, when signing a work contract, in the contract terms, of course, there must be things that employees must not do, not to mention the business ethics of the industry. And so this is not entirely the fault of the staff, NH is also responsible for regular training, as well as supervision. The consequences of customer data being disclosed are serious on several levels. For example, the bank must be responsible for the damages incurred because the customer account is attacked individually, or the entire information system of the bank is the prey of hackers. Equally important damage is the reputation of NH. As a customer, no one wants to send money or do business with NH but “house” is loose. The more important partners are not. NH is also confused Customer data in banks is the survival of banks. Security is the new generation of “safes”, and the prestige lies in the system, as well as the consciousness and skills of the key holders. In the matter of customer data, banks also have a big confusion between needing a lot of customer data (KYC), security and customer privacy (privacy). Banks themselves also need a lot of KYC, not only to manage risks, but also to develop services to provide to customers, especially cross-selling and value-added services. State regulatory agencies also require banks to perform KYC, mainly for the purpose of anti-money laundering and illegal activities. But when customer data increases, integration from many sources, many systems with heterogeneous standards or formats, is a huge challenge for NH’s information system. Because the more sources, the more “entrances” there are more exposed points, many places can be hacked. The collection of customer data is also met with a certain reaction from them because of privacy. In many developed countries, such as Europe with the General Data Protection Regulation 2016/679 aka GDPR, there is a huge shift from service providers in general and the sector. NH in particular. There are data, currently NH wants to collect the consent of customers. In short, customer data in banks is the survival of banks. The security is a new generation “safe” form, and the prestige lies in the system, as well as the consciousness and skills of the key holders. Domestic banks need to pay attention In terms of customer data security risks, domestic banks compete with each other in technology and there is almost no big difference between banks in the same group, for example, large banks have enough resources to Get the best system. Even later banks have an advantage because technology costs decrease over time. The problem for data security, therefore, mainly lies in the management system of the bank, as well as in the daily operation. In administration, besides processes and monitoring systems, leaders’ awareness of security issues is extremely important. Not only investing properly for the information technology system, leaders must always closely monitor this issue, considering this as their important task. Therefore, there is a need for consistent direction and coordination between the banks’ departments, considering this as the core activity of the bank. In the course of daily operations, it is the awareness and skills of the employees. Periodic and continuous training is absolutely necessary for all employees, especially functions and positions of authority. If the employee is aware of the seriousness of the disclosure of the customer’s account, no employee would dare to act so impulsively, not to mention, besides internal handling, it may also be involved in legal regulations .

Each Miss pageant is a long journey, where the contestants have to show themselves to be outstanding and brilliant in all activities, not just on the stage. That’s why every girl dresses up gorgeously and beautifully in the hope that she’ll be the one to shine the brightest in the crowd. In a dinner party at the 69th Miss Universe, the Misses all chose luxurious dresses and Miss Universe Thailand wore a dress that could not be more outstanding. From the extremely eye-catching banana color tone to the sleeve design cape (cloak) helps Amadan Obdam wherever he goes, he attracts attention. But also because the outfit was too loose, Miss Universe Thailand walked slowly to pose in front of the camera, so she was accidentally stepped on by Miss Ghanna behind her skirt, leaving a pretty big tear. Miss Universe Ukraine also had a similar problem with a long fishtail dress. When the Misses went to the photo booth together, the person behind stepped on her skirt, but fortunately, there were no consequences. Looking at the clothing troubles of Thai or Ukaine representatives, the more netizens see that Khanh Van and the crew have a smart costume strategy, very carefully calculated to prevent possible incidents. When attending events that need to be moved a lot, Khanh Van always chooses dynamic and neat clothes, but still stands out and is extremely flattering. The designs of short-cut skirts, and dresses with bold cut-outs with continuous vibrant colors help Khanh Van both shine and not encounter unexpected incidents. Miu Miu According to many sources

Our reporter/Li Mingzi Du Wei “Zhang Yu, a medical oncologist at the Third Hospital of Beijing Medical University, reflects on the shady tumor treatment by his real name” is still under investigation. Zhang Yu said in an article that Lu Wei, deputy chief physician of General Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, performed unnecessary NGS gene sequencing on patients, prescribed inappropriate chemotherapy drugs, and recommended ineffective, expensive, and illegal NK treatments (1) A series of behaviors such as cell immunotherapy), which caused the patient’s cost to increase tenfold but died earlier. Regarding several controversial issues during the diagnosis and treatment, Ma Rong, the eldest daughter of the deceased patient Ma Jincang, and the doctor Lu Wei were interviewed by China News Weekly. How to seek medical treatment for advanced gastric cancer that has metastasized? Ma Rong did not expect that the progress of medical treatment to Shanghai Xinhua Hospital would be so fast. On the afternoon of July 1, 2020, Ma Jincang, accompanied by his wife and daughter, flew from Qinghai to Shanghai. Earlier, Ma Rong only told him that there was a tumor in his stomach, and he did not explicitly say it was a “malignant tumor.” Ma Jincang’s attitude towards “seeking a doctor” was very complicated and he was instinctive to survive, but he was also worried about hearing “There is no other way.” “It’s best to go back to my hometown for chemotherapy”. On the one hand, Ma Rong encouraged his father to “visit relatives” because his sister Ma Jincang was treating stomach cancer at Xinhua Hospital. On the other hand, Ma Rong asked his aunt’s cousin to tell Ma Jincang’s condition to his aunt’s attending doctor Lu Wei, and Lu Wei listened to it. Later, he decided to let Ma Jincang come to the hospital for treatment the next day. At about 8:40 am on July 2nd, Ma Jincang walked into Xinhua Hospital. Ma Rong’s aunt (ie Ma Jincang’s sister) was discharged from the hospital on the same day. His father Ma Jincang was admitted to the hospital. He lived in the same bed as his aunt and was admitted to the Department of Orthopedic Surgery of Xinhua Hospital. The tenth floor. Ma Jincang was diagnosed with gastric cancer a month ago. Ma Jincang, who almost never went to the hospital, was notified that he was in advanced gastric cancer the first time he was “hospitalized”. The diagnosis at the Affiliated Hospital of Qinghai University showed “gastric malignant tumor”, as well as secondary liver malignant tumors and lymphatic secondary tumors. Malignant tumors, hypertriglyceridemia, hydrocele, etc. Because there is already metastatic cancer, the gastroenterologist recommends that you don’t need surgery and go directly to the oncology department for chemotherapy. Ma Rong was worried that local hospitals had limited conditions and misdiagnosis. He entrusted him to seek medical treatment in a third-class hospital in Beijing. The PET-CT examination once again confirmed the previous diagnosis. At the time of the Beijing epidemic, doctors in Beijing advised them to “go back to their hometown for chemotherapy. The cost of treatment in Beijing is high, not to mention that the beds don’t have to wait until when.” Ma Jincang heard that chemotherapy is very painful and uncomfortable, so after returning to his hometown of Haidong City, Qinghai Province, he did not go to the hospital for conventional chemotherapy. Instead, with the help and recommendation of relatives and friends, he tried some folk remedies. They even drove more than 300 kilometers and spent 40,000 yuan to buy a “small party”, “it turned out to be fooled.”

Regarding the Ma family’s motives for seeking medical treatment, Ma Rong explained, “Whoever does not yearn for birth, as far as the daughter’s affection for his father is concerned, even if the doctor says that there is a genius doctor on Snow Lotus Mountain, as a family member of the patient, I will look for it.”

At this moment, Ma Rong’s cousin found a new way. At that time, cousin Ma Rong, on the recommendation of his classmates, visited Lu Wei’s special needs clinic through an online consultation platform. After a few days of treatment for the aunt who also suffered from stomach cancer, her mental state and appetite improved.

In this way, under the recommendation of his cousin, Ma Rong took his father on the road to seek medical treatment again.

Should I do NGS sequencing and what should I do?

It takes no more than 1 hour from Ma entering the warehouse to receiving NGS gene sequencing.

At about 8:40 in the morning on July 2, after Ma Rong and his mother arrived at the hospital with his father, Lu Wei called Ma Rong and her cousin to a conference room. Ma Rong recalled that at that time Lu Wei asked her: “Is there no other hospital? Accept?” Ma Rong nodded in response. Later, Lu Wei told her: Your father’s condition is very serious and it is impossible to cure it, but according to my plan, it is no problem to live for three years. Work hard to live to five or six years.

This is the first time Ma Rong has heard from a doctor how long his father can live since his father was diagnosed. At least there is a glimmer of hope. In the conference room, Lu Wei instructed Ma Rong to “have a checkup later, people have just contacted.”

Later, a person who called himself “Manager Wu” hurried over, called Ma Rong to the safety exit of the stairs, stood in front of the window and took out the POS machine, and brushed away Ma Rong 18,600 yuan. The swiping voucher shows that the time is 9:29 on July 2nd.

Ma Rong recalled that at that time, Lu Wei called the nurse to draw blood from his father, but no one was in charge. Only one trainee nurse helped to draw two tubes of blood, which was later packed in plastic bags by “Manager Wu”. Ma Rong didn’t understand why he needed an institution other than the hospital for testing and secretly traded. His cousin told Ma Rong: “My mom did the same at the time. The results will be available a week later.”

“At the time, I couldn’t even call the name of the genetic test. After the blood was drawn, I asked Dr. Lu Wei, and he told me that it was a genetic test to find chemotherapy drugs faster. At the time, I didn’t say that a puncture should be done, nor did he say. You can take the organization for testing, I think it can be done just by drawing blood.” Ma Rong said in an interview.

However, Lu Wei explained to China News Weekly that he informed patients of the pros and cons of choosing blood and organizing tests. Lu Wei explained that when the patient came, there were multiple liver metastases from gastric cancer, multiple lymph node metastases in the abdominal cavity, and a huge metastatic lesion on the left clavicle. After taking musk for a month, it should be because the tumor was not controlled. The abdominal pain was severe and the pain was grade 6-8. , Can not eat, affect sleep. Therefore, the patient is reluctant to do another gastroscopy biopsy, and he cannot force it. The reason why NGS sequencing is done is to avoid ineffective treatment. The principle of helping patients choose a genetic testing company, Lu Wei said, is that the report can be understood by patients, the genes tested are more complete, and the results are reliable, but the price is relatively low.

However, Zhang Yu said in an article published on Zhihu that the NGS results of blood draws have almost no reference value. According to the routine, it is more accurate to detect the pathological tissue slices of the gastroscope used in the diagnosis of patients. In an interview with other media, Zhang Yu also added that the current clinical work found that NGS sequencing is extremely inaccurate in sensitivity to chemotherapy drugs and can only be used to screen targeted drugs instead of chemotherapy drugs. At the same time, the accuracy of NGS is very related to the collection of materials, especially for gastric cancer. It is very irresponsible to use blood for NGS. In the NCCN (National Comprehensive Cancer Network) gastric cancer clinical practice guidelines, this “liquid biopsy” is more used in patients whose disease has progressed and it is difficult to obtain tumor tissue samples. It is used in the CSCO (Chinese Society of Clinical Oncology) 2020 version of gastric cancer diagnosis and treatment. In the guidelines, it is listed as the third type of evidence, which is the lowest level of evidence.

The chief physician of the Department of Oncology of a third-class hospital in Beijing told China News Weekly that at present, it seems that NGS examinations are more suitable for patients with advanced stages. Of course, different tumor types have different requirements. For advanced patients, such as targeted therapy, there are mutation sites after tumor recurrence, and there are a few percent of genetic changes. Through testing, finding special drugs for the changed sites can sometimes have miraculous effects. Generally, when chemotherapeutic drugs are used in the clinic, we do not completely follow the NGS test results. NGS has relatively little reference significance, and there are more references to NGS for targeted drugs and immunotherapy.

NGS is usually detected by tissue or blood draw. “But sometimes, for example, after recurrence, the tissue is not available and it is not suitable for puncture. Then the blood is used to replace the tissue. Some tumors have been studied accordingly, and the consistency of blood and tissue in some tissues reaches 70%- 80%. When tissues cannot be taken, replacing tissues with blood NGS also has certain reference significance. I suggest that patients should be punctured. After the tissues are formed, blood will be drawn for testing at the same time, so that the accuracy rate will be higher.” The Chief Physician of the Department of Oncology of the Top 3 Hospital said.

Is there any recommendation for NK therapy?

“Whether to recommend/guide patients to adopt NK therapy” is the biggest controversy in this incident.

Lu Wei told China News Weekly that for NK therapy, “My family and I talked about the principle. They learned about it from other sources and then came to consult and decide. I didn’t take the initiative to introduce it, and they certainly did not only consult me. A person is indeed not recommended by me, and I did not stop it out of hope that my life can be effectively prolonged.”

But Ma Rong recalled, “When I heard it for the first time, I couldn’t remember the word NK. This was introduced to us by Dr. Lu Wei.” Ma Rong, who had already returned to work in his hometown on the morning of August 1, After receiving a WeChat call from Lu Wei, suggesting to give Ma Jincang “strengthen (treatment)”, Lu Wei said on the phone: “In the beginning, work hard and add a NK cell therapy. For him, recovery is better and easier. It produces results, especially when he has insufficient immunity and poor digestion of tumors.”

Before that, on the evening of July 29, Ma Rong’s mother asked her on WeChat, “I have a 30,000 yuan needle, do you want to get it?” Ma Rong felt that the cost was too high and did not agree.

However, Ma Rong insisted that the first time he heard “NK cell therapy”, it was Lu Wei who said that because he was worried that asking twice would make the doctor unhappy, so he recorded the sound and planned to listen carefully after hanging up. NK pin”. Ma Rong remembered that at the time, Lu Wei explained patiently on the phone, “Chemotherapy is a policeman, NK injection is a mercenary, and tumor is a thief. It is equivalent to the police and mercenary fighting the thief together.” Lu Wei also mentioned on the phone that his After a patient received NK injections, the lesions disappeared. “Lu Wei said that NK works well, but it is very expensive. It costs 50,000 yuan per injection. I sympathize with us from afar. It can be cheaper, but don’t say he introduced it. Yes. He said on the phone that he would send my cousin the contact information and address.” Ma Rong said.

After hanging up, Ma Rong received a document introducing NK treatment from Lu Wei, which included the name of the company “Shanghai Jiakang”. Ma Rong thought at the time, since the doctor recommended it, let his father try it. In an interview with “Medical Circle”, Lu Wei explained that before accepting Ma Jincang and his sister, he had received another pancreatic cancer patient. This patient had received NK treatment. After further treatment at Xinhua Hospital, the tumor The index dropped exponentially and was discharged smoothly. The company providing NK treatment is “Shanghai Jiakang”. The actual controller is Xu Yibing. Xu Yibing and him met at alumni gatherings. This pancreatic cancer patient had experience in the same ward with sister Ma Jincang during chemotherapy. “They learned about NK therapy during the chat, come and ask me.” Lu Wei said that he told Ma Jincang’s sister and son the principle, and told that this is not a standard treatment, and it is more expensive, it is only in the experimental stage, and may not be effective. Afterwards, Ma Jincang learned that NK treatment for patients with pancreatic cancer was free, so they asked them to help communicate and reduce the cost.

As for Lu Wei’s claim that he was once a related shareholder of a company related to “Shanghai Jiakang”, Lu Wei said that during the postdoctoral period, he and Xu Yibing’s company had CTC cooperative research. The transfer of 10,000 yuan, but this is a scientific research contract, not a share, as to why I became a shareholder, I don’t know.”

On August 3, Ma Rong’s cousin, mother and younger brother went to the “laboratory” where Dr. Lu suggested NK injections. On the same day, Ma Rong’s mother told her, “That place looks like a beauty salon.” At that time, NK injections were tested. The manager of the office also told Ma Rong’s mother that if the rich come here for injections, the wrinkles and spots on the face can be removed.

On August 10, Ma Jincang and his sister went to get the first injection of NK. With the help of Ma Rong’s cousin, the laboratory manager said that “you can buy 5 and get 1 free.” Ma Jincang and his sister each had 3 injections. Since then, Ma Jincang received the remaining two NK injections on the afternoon of August 27 and September 18.

On September 27, when Ma Jincang was undergoing a gastroscopy, a doctor sighed that “the stomach was so bad that it was so bad.” At that time, Lu Wei comforted Ma Rong as “nothing (more and more serious).” By October, Ma Jincang’s physical condition was getting worse and worse. Ma Rong couldn’t help but doubt the efficacy of the NK injection. He called Lu Wei again and asked why his aunt and father did not respond after the NK injection. “Lu Wei was angry at the time. He said that he hadn’t said that it was 100% effective. Only 70% was effective. Your dad might be the 30%. After that conversation ended unhappily, Lu Wei told my dad that your daughter didn’t Trust me.” Ma Rong recalled.

Does the surgeon plan the chemotherapy regimen?

In addition to the controversial drug selection and dosage of the second version of the chemotherapy regimen, whether surgeons can lead medical chemotherapy is also a focus of this incident.

On July 15 last year, Lu Wei told Ma Rong that because Ma Jincang was in hospital for too long, he had been complained and introduced them to a private hospital called Zhongda Cancer Hospital for the first chemotherapy. According to the information provided by Ma Rong, the chemotherapy drug at that time was oxalibo + fluorouracil.

According to Ma Rong’s recollection, after the “unpleasant call” in October last year, Lu Wei’s attitude became cold and he changed his father’s chemotherapy regimen at the same time. Starting from the fifth chemotherapy, the patient’s chemotherapy regimen changed to a combination of pemetrexed, anlotinib, oxaliplatin, capecitabine and tamoxifen. At the same time, Ma Jincang on October 3 ” “Intravenous chemotherapy drugs” still write “Lu Wei” in the column of the operating physician.

Regarding the reasons for the replacement of chemotherapy drugs, Lu Wei said: After adopting the first-line treatment plan, the patient’s first 2 cycles of treatment are effective in symptom control, and “you can eat and sleep.” But the blood AFP continues to rise to more than 10,000, and it may be more than 7,000 when it comes. Therefore, during the 2-3 cycle, it is recommended to evaluate with the family members, “The evaluation shows that the liver lesions are in a stable state, and the supraclavicular lymph nodes have disappeared. However, the patient’s symptoms reappear.” After discussing with the patient, the family members said that the patient was young and decided to adopt Individualized treatment plan. Moreover, the patient’s NGS results showed low sensitivity to paclitaxel and high side effects of irinotecan, and then recommended the above-mentioned second-line drugs, referring to the Chinese and English literature and drug principles of this disease. After this, Lu Wei was sent to Hainan without further follow-up treatment. “In fact, the family members only partially implemented this plan. They should have multiple consultations, but the follow-up did not go on.” Lu Wei said.

But Ma Rong did not agree with this statement. “My father took the chemotherapy drugs for a long time, and I bought anlotinib from outside after taking it. Up to now, there are only one or two of each drug left.” Ma Rong said.

It is worth pointing out that Lu Wei is not an oncologist, but a general surgeon. A medical oncologist at a top domestic oncology hospital said that such authorization is not allowed abroad, but in China, it is not uncommon for surgeons to perform medical treatments and perform tumor chemotherapy in surgery. Another doctor told China News Weekly that surgeons cannot lead internal medicine treatment plans. As doctors who traditionally dominate tumor treatment, it is understandable that surgeons habitually write some plans for reference. The final internal medicine plan should be decided by multidisciplinary consultation. .

In Ma Rong’s impression, his father’s chemotherapy regimen does not seem to have undergone “multidisciplinary discussion.” Ma Rong recalled that every time she went to Lu Wei’s office to consult her father’s condition, Lu Wei would ask her to wait until after get off work, or after other doctors had left, or she would go into the corridor and say, “I feel he is evasive. The doctor asked him those questions.” Ma Rong said.

Is it a good doctor or a bad doctor?

At the end of October last year, Ma Jincang, who had undergone NK injections and the second version of the chemotherapy regimen, was already thin to the point. At the time, Ma Jincang always said that the back spine hurts. Ma Rong didn’t know that it was cancer pain, or even that his father had bone metastases. Before that, every time he asked Lu Wei about the progress of his father’s condition, Lu Wei said, “Yes. very good”.

Unwilling to reconcile, Ma Rong asked for leave to accompany his father in Shanghai, and on November 1 he went to the clinic of a doctor surnamed Zheng in the Oncology Department of Xinhua Hospital. At that time, the other party had read all the treatment records and told Ma Rong that he and Dr. Lu were in the same hospital. It is hard to say much, but “this treatment is ridiculous.”

After that, Ma Jincang underwent another chemotherapy. Ma Rong had already returned to the Qinghai class. His mother was illiterate, and every time he accompanied his father to see a doctor, he had to ask people around. Ma Rong couldn’t bear the tossing of the old couple, and he also followed the doctor’s advice to “take the old man back to his hometown while he was alive.” On December 24, 2020, Ma Jincang passed away in the arms of his wife at home. In March of this year, sister Ma Jincang passed away.

After the death of the two elderly people, on April 9, 2021, Ma Jincang’s eldest son also wrote a thank-you letter to Lu Wei. The letter stated that during the entire treatment process, “Dr. Lu Wei was very concerned about the treatment of the two elders”, “After the treatment, my uncle’s stomach seldom hurts and the bulge on his neck disappeared.” But Dr. Lu Wei thinks He is in a special condition and the laboratory test results are not satisfactory.” So he adopted a special medication plan, and informed him about the dosage, side effects, and time of taking the medication. The letter also stated, “During the treatment, Dr. Lu Wei never tricked us into spending high prices on treatment, but instead helped us save money everywhere.”

But on the same day, Ma Rong reposted Zhang Yu’s latest article on his Weibo and wrote: “If this will worsen the doctor-patient relationship, then the people really deserve to be deceived, and the world is the power of the strong. The doctors in the big hospital expected that we were from the countryside, and there was no way to get him, so we asked us to get a 30,000 injection of cell needles, giving us hope at a time, letting us down again and again, until Dad was gone. If this is the case, go to death if you get sick in the future, because when you go to the hospital, you will also die.” On April 2 before this, Zhang Yu published an article criticizing Lu Wei for the first time. Regarding the thank-you letter, Ma Rong said, “I don’t know, I didn’t write it.”

“Is NK treatment legal? Will the NK injection be as effective as Dr. Lu Wei said? If it is illegal and ineffective, why do doctors in large hospitals say such things to patients? We only ran from Qinghai to Shanghai for treatment. I only hope that this matter can be investigated clearly. Don’t wrong a good doctor or let go of a bad doctor.” Ma Rong said in an interview that this is her. The final appeal.

Although the first anniversary of the unprecedented negative oil price “black swan” event has passed, its impact on the market has not disappeared.

Brokers China reporter noted that in recent times, many banks have adjusted their precious metal businesses one after another. For example, if they have raised investor risk tolerance limits, they have also gradually shut down and suspended their precious metal businesses.

Some senior executives close to major banks revealed to the brokerage China reporter that in the current international environment, banks’ initiatives are mostly voluntarily shrinking in response to regulatory requirements, aiming to take precautions. The reporter also learned from some large state-owned banks and joint-stock banks that current banks are putting “preventing business risks” to the forefront, and business adjustments are also out of consideration for risks and hedging responsibilities.

Zhou Maohua, an analyst at the Financial Markets Department of Everbright Bank, told reporters that the current adjustment of precious metals business has limited overall impact on domestic investors. First, domestic banks have not completely closed such business windows. Second, the domestic futures market has developed very rapidly and the market depth has increased significantly. .

Tightening of precious metals business

In fact, since March, a number of banks have announced their tightening plans for precious metals business. If there are restrictions on raising the risk tolerance of investors, there are also measures such as gradual shutdown and suspension of precious metals business.

“Considering the high risk in the precious metals market, ICBC will further restrict its account-based precious metals business in the future. For customers who have account-based precious metal holding balances, it is recommended that you choose the opportunity to reduce your holdings to prevent and control your own risks.” ICBC pointed out in a recent announcement.

ICBC The official website announced on April 20 that in order to comply with the changes in the market situation, the bank will adjust the account precious metal business rules and trading system on May 23 this year, including but not limited to: raising the account precious metal product risk level to level 5 (R5), and the requirements of customer risk tolerance assessment results are adjusted to an aggressive type (C5); the account precious metal business functions are gradually closed for customers who meet certain conditions without positions.

April 9th, China Merchants Bank According to the announcement, the risk level of the two-way paper gold and silver and real paper gold and silver business has been adjusted from the original “R3 medium risk” to “R5 high risk”. Existing customers whose risk assessment results are lower than “A5 (aggressive)” cannot conduct two-way New opening transactions for paper gold and silver and new purchase transactions for real paper gold and silver. At the same time, adjustments were made to the starting point of a single transaction for related businesses.

March 30, Shanghai Pudong Development Bank The announcement stated that the account-based precious metal business will be suspended from opening trading on April 6, and the implementation of the stock precious metal fixed investment plan will be suspended. In addition, at the end of this month, the bank will collectively terminate contracts for customers who have no positions in account precious metals business and precious metals fixed investment business. Not long ago, Shanghai Pudong Development Bank also announced that it had adjusted its personal precious metal business as an agent of the Shanghai Gold Exchange, and it had tightened its position limit and contract margin ratio.

March 11, Industrial Bank The announcement also shows that the account precious metals system will stop newly opened positions starting on the 6th of this month; positions that have not been closed after September 30 will be closed by the bank.

In the announcements of the above-mentioned banks, the “prevention of business risks” has been moved to the forefront.

However, some banks stood still. A grassroots person from a major bank in East China told a brokerage China reporter that his grassroots institution has not yet received the notice of adjustment of precious metals-related businesses, but from a risk perspective, it is mainly related to the fluctuation of international gold. The employee bluntly said: “Our grassroots The bank’s business adjustment signs are not obvious, and no specific notice has been received.”

Market risk is in dynamic change, aiming to take precautions

Some senior executives close to major banks revealed to the brokerage China reporter that under the current international market environment, the bank’s initiatives are also actively shrinking in response to regulatory requirements, aiming to take precautions.

“In fact, we just think this thing is too risky and we don’t want customers to do it, but we can’t stop it directly, so we raised the risk level and suggested that they don’t move it.” The person spoke bluntly to reporters.

Why did you choose to tighten adjustments at this time? Many people in the industry said that this is actually the performance of financial institutions to guard against market volatility risks.

Zhou Maohua, an analyst at the Financial Markets Department of Everbright Bank, pointed out to reporters that since April, the overall trend of overseas markets has been “abnormal”, and the recent global epidemic has experienced repeated trends, national policies have diverged, differences in U.S. inflation expectations have been difficult to bridge, and geopolitics have emerged one after another. It indicates that the volatility of precious metals in the external market may increase, and financial institutions will tighten their account precious metal investment business and reduce their exposure to precious metal investment risks.

Some market analysts also told reporters that banks are now following up and making adjustments to avoid risks, mainly out of consideration of risks and responsibilities for hedging. In addition, the epidemic has improved, the U.S. economy has begun to recover, U.S. bond yields have risen, the Fed’s interest rate hike expectations have increased, and the U.S. dollar index has increased, which has caused a certain impact on the price of gold. To prevent it from causing losses in a fluctuating economic environment”.

Specifically, the bank’s move is to implement the appropriate management obligations of financial institutions. “Market risk is undergoing dynamic changes, and the volatility of foreign-market futures businesses is often greater. Financial institutions adjust risk ratings based on actual conditions to ensure that investors’ risk appetite and tolerance are more matched.” Zhou Maohua mentioned that the bank’s move would also help. In order to reduce some potential investment disputes in the future, and maintain its own market reputation.

Zhou Maohua further analyzed that, from some cases, banks may face risks in external disk business in several aspects: first, market risk, market risk of external disk volatility, especially commodity futures business, which is relatively more volatile; second, regulatory and reputation risk , “To attract customers” may also cause some banks to effectively perform investor suitability management obligations, and this may cause investor disputes, resulting in damage to the institutional market reputation; the third is the stability of the information system and the operational risks of traders.

The first anniversary of the negative oil price “black swan” event

Last year, the May contract price of US crude oil futures fell into a “negative value” event, which is also one year old. Judging from the intuition of industry insiders, there have been obvious changes in both the regulatory authorities’ strengthening of the protection of investors’ legal rights and the vigilance of institutions.

“The’Black Swan’ incident is very scary. As a bank, I have never encountered such a situation before.” A senior practitioner from a major industry told reporters frankly that once such a situation is encountered, whether it is personal economic or social impact At the level, banks have to bear a lot of responsibilities, “so be more careful now, and the related risks are tightly guarded.” Zhou Maohua also said that in recent months, banks have successively tightened related external disk businesses, which itself shows that institutions have significantly increased their vigilance against potential risks of similar businesses.

Some analysts said that in the short term, it will be relatively difficult to reopen new accounts for precious metals customers, and some banks will also shrink their personal account transactions.

Both investors and banks have suffered certain losses. “There is still much room for improvement in the experience and ability of Chinese banks to participate in international futures transactions. The professional quality training of relevant personnel and the design of related products by banks are in urgent need of improvement.” A senior bank practitioner told the brokerage China reporter. At the same time, the “oil treasure” incident should also be alert to domestic investor education.

From a literal perspective, “investor education” refers to the dissemination of investment knowledge and experience to individual investors by institutions, departments, etc., but investor education is also a process of investors’ self-learning, exploration, and improvement, as well as the mentality of individual investors. The process of maturing experience and ideas, but the basic requirement of institutions with relevant advantages is to perform investor suitability management obligations. Zhou Maohua predicts that before the precious metals market becomes clear, institutions will continue to be cautious about the business in the short term, and the major banks have a demonstration effect. It is not ruled out that some banks will follow up in the future, but it does not mean that institutions will completely shut down such businesses. business.

“The overall impact on domestic investors is limited. On the one hand, domestic banks have not completely closed such business windows; on the other hand, the domestic futures market has developed very rapidly. The depth is significantly enhanced.” Zhou Maohua said bluntly.

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At the Shanghai Auto Show three days ago, a female car owner from Anyang, Henan rushed to the roof, and Tesla rushed to the forefront of public opinion.The owner of the car complained of “brake failure” in the Tesla car he purchased.

In the past few days, the incident has continued to ferment, and the central media and regulatory agencies have voiced one after another. Tesla’s attitude has changed from “uncompromising” to an apology from the beginning, and expressed its willingness to provide vehicle data. On the evening of April 22, Tesla provided the original vehicle data half an hour before the incident to the car owners who defended their rights.

This is a positive beginning for Tesla’s “brake failure” incident to restore the truth and solve the problem. However, behind the data provided by Tesla, there are still many questions to be solved. For example, what do these data say? With data, can the truth of the incident be restored? Which institutions can do a comprehensive analysis and testing of the data?

One question:

What is the problem with the vehicle data before the incident?

On the evening of April 22, Tesla provided the Beijing News Shell Finance reporter with one-minute data on the previously questioned “brake failure” accident. Tesla said that because the data belongs to the privacy of the car owner, it is not convenient for Tesla to disclose more data unless the car owner publishes it himself.

According to Tesla’s description, in the 30 minutes before the accident, the vehicle had more than 40 records of depressing the brake pedal.

Tesla said that when the driver stepped on the brake pedal for the last time, the speed of the vehicle was 118.5 kilometers per hour. Within 2.7 seconds after the driver stepped on the brake pedal, the maximum brake master cylinder pressure was only 45.9 bar. After that, the driver increased the stepping on the brake pedal, and the brake master cylinder pressure reached 92.7 bar. The front collision warning and automatic emergency braking function were activated (the maximum brake master cylinder pressure reached 140.7bar) and played a role, reducing the amplitude of the collision. 1.8 seconds after the ABS was applied, the system recorded the occurrence of the collision. After the driver stepped on the brake pedal, the vehicle speed continued to decrease, and before the collision, the speed decreased to 48.5 kilometers per hour.

Tesla said that the vehicle was driving at a higher speed, and the driver began to depress the brake pedal lightly. After that, the automatic emergency braking function was activated and played a role, increasing the braking force and reducing the impact of the collision. The braking system is normally involved in the work and reduces the speed of the car.

According to the owners of rights defenders, after the accident, they found that Tesla asked for vehicle data without being satisfied. With the attention of the regulatory authorities and public opinion, Tesla expressed its willingness to provide the original data of the vehicle before the incident to the owner.

On the evening of April 21, Tesla issued a statement stating that it was willing to provide raw vehicle data half an hour before the incident. On the afternoon of April 22, Tesla responded to the Beijing News Shell Finance reporter that the company has actively contacted Zhengzhou Zhengdong Market Supervision Bureau and reported the progress. On the same day, it will provide the original vehicle data of the vehicle half an hour before the incident to the owners of Anyang.

Tesla said that the vehicle’s identification and testing content is mainly the analysis of the cause of the traffic accident and the identification of brake quality. The identification materials are the vehicle itself, the accident certificate, and related audio-visual materials. The inspection of the automobile brake system will be carried out by a combination of actual vehicle survey and vehicle data. All qualified domestic appraisal agencies have the appraisal and inspection capabilities and permits for the above-mentioned content.

The cousin of the activist car advocates lady previously publicly stated that she was worried that the “brake failure” vehicle has been repaired by Tesla, and that Tesla will automatically clean up the previous fault information after the system restarts, causing the third-party testing agency to fail to detect the truth. result.

In this regard, Tesla said that the vehicle data is that the vehicle gateway reads the signals of various components in the vehicle and stores them in encrypted driving. The stored data is recorded using encryption technology, and related data cannot be directly read, modified, or deleted. In the event of product quality disputes, Tesla will provide true and complete vehicle data in accordance with the law.

Second question:

Who will be the third party to inspect the Tesla accident vehicle?

On the evening of April 21, Tesla announced the progress of the rights protection incident on Weibo, and also urged the Zhengzhou Municipal Supervision Bureau to designate an authoritative and qualified third-party testing and appraisal agency to carry out testing and appraisal work to restore the truth as soon as possible. , “No matter what the test result is, we will accept it.”

According to Ms. Zhang’s previous introduction, on February 21, the Tesla driven by Ms. Zhang’s father had a car accident due to a brake failure and his parents were hospitalized. Ms. Zhang later requested a refund of the car, but Tesla asked the insurance company to repair the car and sell the car.

Ms. Zhang’s cousin previously stated publicly that Tesla had provided a 5.09-second background driving data showing that the Tesla’s speed reached 118.5km/h at the time of the accident, while Ms. Zhang’s cousin stated that the incident occurred at the time of the incident. During peak off hours, the 341 national highway has a speed limit of 80km/h, so the above data provided by Tesla is disagreeable.

Because of this, Ms. Zhang also refused to conduct third-party testing.

The response of the head of the Press and Publicity Department of Zhengzhou Market Supervision Bureau also confirms this point. According to reports, the Zhengdong New Area Market Supervision Bureau organized three mediations between the complainant and Tesla Motors Sales Service (Zhengzhou) Co., Ltd. on March 15, March 18, and March 24, respectively. The complainant disagreed with the third party’s technical appraisal and requested “provide complete driving data half an hour before the accident occurred”. Tesla Motors Sales and Service (Zhengzhou) Co., Ltd. refused to provide relevant data because of concerns that the data would be used by the parties for hype and publicity. Due to the large differences between the two parties, they could not reach an agreement.

On April 22, Zhengzhou Municipal Supervision Bureau and Zhengdong New District Municipal Supervision Bureau of Zhengzhou City both stated to reporters that as a mediation agency, the Municipal Supervision Bureau will not designate an appraisal agency. The appraisal agency is mainly composed of the complainant and Tesla. From time to time, third-party testing agencies with testing qualifications are all within the scope of options, not limited to Zhengzhou, as long as the two parties negotiate well, “anyone nationwide is possible.”

Three questions:

Can the identification test find out the truth of the incident?

Cui Dongshu, secretary-general of the National Passenger Car Market Information Joint Council, told reporters that the institutions currently on the market basically only test mature and long-running technologies. Tesla’s software and systems are relatively new to some institutions. It is difficult to detect, and even if it can be detected, the process is relatively long.

On April 22, a reporter from the Beijing News Shell Finance and Economics randomly called a number of automobile testing agencies. The other parties said that they can perform hardware testing for vehicles, but if there is a problem with the software or system, the existing technology of the agency cannot be guaranteed. Detected.

“Tesla has its own brand protection and has set restrictions on private data, which cannot be read by the outside world.” The service personnel of one vehicle and one inspection told reporters that it is more difficult to detect whether Tesla really has brake failure. .

The other party explained that if the vehicle brakes fail, it is generally not a hardware problem, most of which are software problems, which can be identified through OBD computer testing and read engine and gearbox data, but Tesla uses its own internal Sensors and monitoring equipment obtain data and send it back to the headquarters, which cannot be done by external technical means, “even the approximate (data) cannot be read out.”

The other party further stated that if Tesla is willing to provide historical data, such as stepping on the brakes on the highway but not decelerating, and the brake lights are on but not decelerating significantly, these data may prove that Tesla may have a brake failure problem. , But this can only be provided by the brand.

“In this case, it is still recommended to find a manufacturer.” The service staff of Pony Testing Group told reporters that if a certificate of entrustment of the car 4S shop is issued, the car can be inspected in the group, but the group can only test for hardware problems, if it is a system problem Manufacturers are required to issue data and test reports, and the group cannot conduct tests in this regard.

“We have no way to detect, because we need to use Tesla’s special computer.” The service staff of the car inspector also told reporters that the company had done vehicle inspections for Tesla before, but it was mainly in terms of hardware and software. , The company uses OBD whole-vehicle computer testing. Because Tesla has many functions, OBD testing cannot be used. “Tesla’s battery and brakes are all controlled by software, and we can’t test it”.

The service staff of the car inspector told reporters that the software inspection is not completely related to the background data, and the Tesla software cannot be inspected because the inspection agency does not have the equipment. The service staff of Pony Group also said that if you get the background data, you can directly let the manufacturer analyze it.

Four questions:

What’s the current situation of car owners who defend their rights?

On April 19, at the Tesla booth at the Shanghai Auto Show, Tesla advocated that women wear “brake failure” shirts and stood on the roof yelling “Tesla brake failure”. The incident caused crowds to watch. . The woman involved was then taken away by the staff.

The next day, the Shanghai police notified that at about 11:24 on April 19, 2021, Shanghai Qingpu Public Security Bureau received a report that someone was making trouble in a booth at the Shanghai Auto Show. The police immediately rushed to the scene for disposal. After investigation, Zhang (female, 32 years old) and Li (female, 31 years old) went to the auto show on the same day to express their dissatisfaction due to a consumer dispute with the brand company. During the period, the two people used arbitrary noise in the booth area, which once caused chaos on the scene. Zhang also ignored the staff’s dissuasion and forcibly climbed onto the roof of a show car, causing damage to the vehicle to a certain extent. Currently, Zhang has been sentenced to administrative detention for five days for disrupting public order, and Li has been given an administrative warning for disrupting public order.

The Beijing News Shell Finance reporter learned from the relatives of the female car owner that she is currently in detention and will be released the day after tomorrow (April 24).

On the afternoon of April 22, when Tesla disclosed the latest progress, it said that it would provide the original vehicle data half an hour before the incident to the car owner. Given that the female car owner is currently in detention, it can provide an electronic version or mail it to the female car owner’s husband.

Five questions:

What is the latest statement of the regulatory authorities?

As the Tesla owner’s rights protection event fermented, official voices also appeared.

On April 20, Xinhua News Agency commented that as a “star” brand in the automotive industry, Tesla’s self-requirements for quality and commitment to users must match market expectations in order to gain more consumer trust and favor. . For enterprises, it is the right way to provide high-quality products and services.

Subsequently, the Central Commission for Discipline Inspection and the State Supervisory Committee commented on the rights protection of Tesla owners and stated that companies must abide by the law, respect consumers, and respect the market. The Central Political and Legal Committee Chang An Jian also issued a document saying that Tesla must face the torture of Chinese customers. What is the responsibility? Where are you responsible?

On the night of April 21, the State Administration of Market Supervision issued a document stating that the rights protection of Tesla owners at the Shanghai Auto Show has attracted widespread attention. The State Administration of Market Supervision attaches great importance to it and has instructed the market supervision and management departments of Henan Province, Shanghai and other places to protect the legitimate rights and interests of consumers in accordance with law. At the same time, it is emphasized that enterprises must earnestly fulfill their main responsibility for quality and safety, and provide consumers with high-quality and safe products and services.

The China Consumers Association also issued a document stating that the first prerequisite for business operations is to respect consumers. Enterprises should implement product quality responsibilities in accordance with the law and take effective measures to protect consumers’ safety rights and interests. Enterprises are obliged to produce evidence to prove product safety, take measures to improve the quality of products and services, and show sincerity to resolve consumer demands involved.

Prior to this, the Zhengdong New Area Market Supervision Bureau ordered Tesla Motors Sales and Service (Zhengzhou) Co., Ltd. to unconditionally provide the rights defending vehicle Ms. Zhang with complete driving data half an hour before the accident.

After a series of voices of supervision and public opinion, Tesla began to go from “uncompromising” to an apology, and then to providing vehicle data to cooperate in restoring the truth.

Writing | Beijing News reporter Lin Zi

Edit | Zhao Ze

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This article is the original content of the car reading

It is not allowed to reprint and use without the written authorization of the Beijing News

China-Singapore Jingwei Client, April 22. Recently, Tao Lin, the “uncompromising” vice president of Tesla, fell into a whirlpool of public opinion due to the “Tesla owner’s roof rights protection” incident. It is reported that a suspected Baidu insider was helping her to change her resume overnight and deleted CCTV, Baidu and Renren related work experience. In this regard, Baidu Encyclopedia issued a statement on the official Weibo on the 21st to deny it, saying that the two recent edits of the entry “Tao Lin” were all normal news event completions and incorrect content corrections, and there is no such thing as the media “What to hide”, “Internal help to change the resume” and other situations. Baidu Baike claims that Baidu Baike is an open platform and everyone can edit it. After investigation, the entry “Tao Lin” has been edited twice recently, and the editing account is a user of the Baike platform, not an internal employee of Baidu. The search on the Sino-Singapore Jingwei client found that the entry of “Tao Lin” on Baidu Encyclopedia has been changed ten times in history. Screenshot source: Baidu Encyclopedia website Regarding the two amendments to the Baidu Encyclopedia entry after Tesla’s rights defense incident, Baidu Encyclopedia’s explanation for this is that the two recent edits of the entry are all normal news event completions and error corrections. There are situations such as “hiding what” and “internal help to change the resume” as described by the media. Specifically, Baidu Baike stated that it has been revised twice recently, and the revisions were passed at 19:17 on April 19 and 16:29 on April 21 (the modification time shown in the screenshot is the time when the user submitted it). Image source: Baidu Baike Weibo

According to Baidu Encyclopedia, through the historical version function view, the revision on April 19 added the content of the entry character’s recent response to the auto show rights protection incident.

Image source: Baidu Encyclopedia’s official Weibo

The amendment on April 21 added “Sla” to “Tesla” in the original entry.

Image source: Baidu Encyclopedia’s official Weibo

Baidu Baike’s statement introduced that there are 10 historical versions of the Wikipedia entry “Tao Lin”. After investigation, none of the historical versions described by the media described his work experience at CCTV, Baidu, and Renren.

The statement pointed out that every modification of Baidu Encyclopedia’s entry will retain the historical version and use blockchain technology to store the evidence. The “documentation information” cannot be modified manually in the future. Encyclopedia users with an encyclopedia level of 4 and a pass rate of over 85%, as well as professional users with an encyclopedia level of 6 and a pass rate of over 85%, can use the historical version comparison function to view all historical versions of entries.

Source of screenshots of the latest version of “Tao Lin” entry: Baidu Encyclopedia website

(Zhongxin Jingwei APP)

Covid-19 vaccination for medical staff – Photo: Minh Anh The World Health Organization (WHO) has requested vigilance, monitoring, early detection and timely management of rare human events after Covid-19 vaccination with suspected immune thrombocytopenia. , scattered blood clots in the lumen, cerebral venous thrombosis. The rate of thrombosis after AstraZeneca vaccination is 4.6 / 1 million doses of the first injection, Pfizer-BioNTech Covid-19 vaccine is 0.2 / 1 million doses of the first injection. Thrombosis after AstraZeneca vaccination is mainly seen in women, in Germany there are 29 out of 31 women with thrombosis are women. The rate of blood clotting after AstraZeneca vaccination in young people is higher than in the elderly, especially in the age group 20-29. After vaccination AstraZeneca, the phenomenon of blood clotting seems less likely to occur in people over 60 years old, only about 0.2 / 1 million doses of the first injection. Complications of coagulation after AstraZeneca vaccination depend on genetic factors, underlying disease, lifestyle, medications, factor V Leiden (risk of blood clots). According to the clinical symptom guidelines, the above events are rare and usually appear 4 to 28 days after Covid-19 vaccination with persistent, severe headache; localized neurological symptoms; convulsions, blurred vision, or double vision; difficulty breathing or chest pain; stomachache; pain, swelling of the lower extremities. In particular, patients rarely present with bleeding, skin hemorrhage, or internal bleeding. The Ministry of Health believes that lower level medical facilities can completely handle the clotting phenomenon According to the Ministry of Health, at commune, ward, district or equivalent health centers of grade IV, people should be monitored after vaccination. If at least 1 of the above clinical symptoms appears, it is necessary to transfer the person after Covid-19 vaccination to a higher level or seek emergency treatment if any. In the case of the district hospital, district or equivalent grade III, after injection appears one of the above symptoms need to carry out the following tests: Count the platelet count; basic coagulation tests; quantitative D-dinmer assay; Ultrasound, X-ray exploration … In case of after injection, symptoms need to be transferred to higher level for treatment. At the provincial, city or equivalent level II health facilities, basic tests are needed to count platelet count, and basic coagulation test; quantitative D-dimer assay; imaging tests to assess thrombosis and bleeding; perform other exploration if available. In cases beyond the capacity of diagnosis and treatment, it is necessary to consult a higher level specialist. At the central grassroots level or equivalent grade I, the special class will take in people after vaccination with severe complications transferred by the levels, and carry out all necessary investigations for diagnosis and treatment according to the diagnosis and treatment guidelines of the Ministry of Health; Consult experts as needed. According to the Ministry of Health, by the morning of April 23, an additional 20,203 people were vaccinated against Covid-19 of AstraZeneca. Thus, from March 8 to now, a total of 128,610 people have been vaccinated against Covid-19 of AstraZeneca phase 1 and phase 2 in 28 provinces and cities and have not recorded any cases of blood clots later. injection.

“One thing that I still hide from my audience and my colleagues and many of my friends is that my marriage has broken down. My husband and I broke up about a year ago. With their small family. It was a really hard time for me, but now we have found a way to make each of us better “, Hoang Quyen suddenly shared. Hoang Quyen was born in 1992 in Thai Nguyen and is the runner-up of Vietnam Idol 2012. She is highly appreciated for her voice by many musicians such as Le Minh Son, Quoc Trung, Anh Quan. As the guide Hoang Quyen and brought her to the position of runner-up Vietnam Idol 2012, My Linh spread her heart on her personal page. “About three weeks ago, the rare low-voice singer Hoang Quyen called to me and told her, I want you to help me practice my vocal range so that I can develop my vocal range. Of course she agrees! Quyen comes to study, extremely hard. She is also extremely smart and stubborn, and she is also a stubborn and stubborn hand with a number of cheeks, so in the end Quyen stays quiet and tells her that she wants to study whenever she is free. This morning, I read Quyen’s latest interview with two main shares, the first one: Quyen wrote music for herself to fully cover Quyen’s own vibrations that others could not take away from the end of love. love freedom, the woman’s singing and the girl’s “zero up hero”. This is so good, the right trend and the right thing! Second share: Quyen said “I have been divorced more than this year”, I am now living my aspirations at the age of 28, the age of the first nine of the woman, the woman sing”. Hoang Quyen has released a number of albums such as Sunshine Fragrant Door (2014), Go (2015), Attractive Wave (2018). My Linh confided, read the interview and looked at the picture of her student, suddenly thinking back to her twenty-eight years old. Back then, My Linh was like Hoang Quyen full of desires and storms. The diva recalls an overnight conversation with her husband on a 28-year-old absence. “I know my personality often forgets and when I feel more emotional or forgetful, I think ahead and compose an outline, key words for a vital conversation. I mean: Will you love me like I love your daughter? Or be generous as your love for your sister? Please put yourself as your father or brother, but be generous and compassionate to love you because you deserve it? And if you can’t do that, please let go Let me go, I’m just 28 still pretty and still have many opportunities for others to do it for me? Can you do that? In short, the answer was that he practiced and would try … “, the voice of” Spring whisper “recalls. My Linh shares a memorable 28-year-old photo She said, recently reading the book “Search inside your self” that said to maintain any relationship good behavior always has to be three times more than bad behavior. What is good behavior or vice versa may still have to say long, but basically love and understanding to love. Yet the same book has the conclusion of psychologists that in marriage the ratio is five to one. Meaning good behavior should be five times greater. So many! How difficult it is! “My marriage is still the same as everyone else’s still difficult but I know how to stop to listen to breathe to understand and to love. No one can say anything in advance but I hope I will practice well in my own house! Wish Quyen and other girls find success in their career and quiet in their souls! Age 28 is a milestone in a person’s life “, My Linh concluded.