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　　Whenever we talk about the new quality productivity in the cultural field, we can’t avoid digital travel, virtual exhibition, immersive experience scene, AI big model & HELIP; … With the rapid development of science and technology and the continuous improvement of people’s spiritual and cultural needs, new quality productivity in these cultural fields has gradually emerged.A new cultural format with digital as the carrier, Internet as the space and information technology as the tool has sprung up.. How does the new quality productivity empower the cultural and creative industries, and what opportunities and challenges have it brought? In the international market, how does new quality productivity help creative industries to make progress towards sustainable goals?

　　One,How can new quality productivity empower the development of cultural and creative industries?

　　In the era of new quality productivity, intelligence and creativity have become the key variables of wealth creation, and the brand-new economic development model and value creation logic have promoted the continuous renewal and evolution of new quality productivity in the cultural field.

Logical relationship diagram of new quality productivity Source: CCTV News

　　The new quality productivity in the cultural field refers to the advanced productivity with obvious characteristics of innovation-driven, high-tech support, high efficiency and high quality in the process of cultural production and dissemination, covering technological innovation, content creativity, new format development, personnel training and so on, which can promote cultural inheritance and innovation while meeting people’s needs for a better life.

　　Digitalization and information technology promote the sustainable development of cultural industry.Through technologies such as 5G, VR/AR, augmented reality and AI big model, culture has "come alive" in the digital world. For example, museums, entertainment spaces and other places develop digital products and services to promote the creation, production and dissemination to the "cloud" side; Using digital technology, digital model making and 3D realistic restoration of cultural relics are carried out to realize creative transformation and sustainable development.

The High-tech Interactive Exhibition of the Forbidden City "The Riverside Scene at Qingming Festival 3.0" Source: Official Weibo of the Palace Museum.

　　Intelligentization and networking improve the development efficiency of cultural tourism industry.Intelligentization is mainly reflected in improving the efficient and smooth operation of cultural tourism activities through intelligent monitoring and management; Using AI technology to improve the efficiency and quality of cultural tourism content creation; Enhance the consumption experience of cultural tourism through technological innovation and smart tourism, and realize e-tickets, "cloud" queues, and smart tours.

"One Mind, Stars" Immersive Art Experience Exhibition Source: Xinhuanet

　　Cross-border integration of new formats helps the diversified development of cultural industries.Cross-border integration is an important manifestation of new quality productivity in the field of cultural and creative work. Through the ingenious combination of elements in different fields, such as the integration of traditional crafts and modern design, we can create cultural and creative products with both value and cultural connotation. The cross-border integration of new formats also includes the creation of new consumption scenes, the integration of online and offline consumption, and the development of emerging industries such as online audio-visual, digital publishing, online education and digital animation.

Digital Creation of "Royal Jinbei" Source: Official Weibo of Shaanxi History Museum

　　Innovation and application of industrial chain accelerate cultural inheritance and innovation.Cultural industries related to new quality productivity include strategic emerging industries, national science and technology service industries, core industries of digital economy, "three new" economic activities and high-tech industries. Improving the stability and competitiveness of the industrial chain and building a smart industrial chain system will promote the deep integration of the cultural industrial chain with the Internet and the Internet of Things, and accelerate cultural inheritance and innovation.

　　Second, the new quality productivity in industrial practice

　　The application of new quality productivity can always provide new kinetic energy for the cultural industry, such as producing more competitive high-end products, accelerating the research and development of new products and services, optimizing the allocation of production resources, stimulating the vitality of industry development, empowering the industry to improve quality and efficiency, and promoting industrial transformation and upgrading, thus achieving sustainable development.

　　Although the application of new quality productivity has brought development opportunities for cultural and creative industries, it also faces some challenges. With rapid technological upgrading and short innovation cycle, it is difficult for cultural and creative enterprises to keep up with the pace; Problems such as talent shortage and imperfect intellectual property protection in cultural and creative enterprises also restrict industrial development, including fierce market competition, serious homogenization of products and services, and insufficient innovation ability and so on. Through the following excellent cases at home and abroad, let’s look at how the cultural and creative industries skillfully use new quality productivity to break the development dilemma.

　　1、Digital Dunhuang: AI meets Dunhuang through the Millennium

　　In the Mogao Grottoes, I picked up my mobile phone and the nine-color deer wearing ribbons "flew out" from the murals. Touch it, and the nine-color deer will twist and say hello. Scenes of interaction among people, caves and virtual images often appear in Mogao Grottoes. In recent years, the protection and research of Dunhuang culture has broken through the development dilemma and ushered in a bright future. "Digital Dunhuang" has changed from a dream to a reality.

Dunhuang Buddhist Statues Replicated by 3D Printing Technology Source: Xinhua News Agency

　　The "Digital Dunhuang" project uses advanced science and technology and the concept of cultural relics protection to comprehensively collect, process and store the Dunhuang grottoes and related cultural relics digitally, and collect the obtained and to-be-obtained images, videos, three-dimensional and other literature data, so as to build a diversified and intelligent digital resource library of grottoes, share it with the world through the Internet, and establish a digital asset management system and a digital resource science guarantee system. Up to now, the murals of 30 caves have been fully digitized.

　　The "Digital Tibetan Sutra Cave" innovatively launched by Dunhuang Research Institute uses cutting-edge technologies such as high-definition digital scanning and physical rendering of game engines to vividly reproduce the historical scenes of Dunhuang Tibetan Sutra Cave and its 60,000 volumes of precious cultural relics with 4K film and television quality, and combine the modern meticulous painting art scenes with the gamification interaction mechanism in Chinese style, so that users at home and abroad can enjoy Dunhuang culture in an immersive way. Therefore, the "Digital Sutra Cave" has become the first "super-time participatory museum" built by using game technology in the world.

Virtual digital man Jia Yao (inspired by the wonderful bird Jia Ling Pin Jia in Dunhuang murals) Source: Dunhuang Research Institute.

　　In addition, Dunhuang Research Institute also launched the smart scenic spot applet, created the "official virtual human of Dunhuang Mogao Grottoes" Gayao, and produced the 8K high-resolution dome movie "Dream Buddha Palace". Based on the vast resources of "Digital Dunhuang", Dunhuang Research Institute is equivalent to creating a virtual "twin world" in the Mogao Grottoes, and realizing "seeing the cultural relics inside the grottoes outside". With the blessing of digital technology, Dunhuang culture, which is visible, audible, sensible and tangible, has opened up imaginative cultural applications, attracting more people to approach the Mogao Grottoes and understand the splendid Chinese culture.

　 　 　 　2. Shougang No.1 Blast Furnace ·SoReal Science Fiction Park: Opening an "Interstellar Journey" at an industrial site.

　　Shougang No.1 Blast Furnace, which once had a hundred years of industrial history, has done a good job in industrial innovation with the help of new quality productivity, and now it has become a sci-fi space where reality and reality are intertwined, and it has become one of the representatives of urban renewal and industrial transformation and upgrading.

A blast furnace ·SoReal Science Fiction Park Interior Source: Shougang Group official website

　　Shougang No.1 Blast Furnace ·SoReal Science Fiction Park is the world’s first fully-immersed science fiction complex integrating culture, science and technology, entertainment and consumption. The future space of 33 META CLUB in the venue is a multi-functional composite space integrating cultural exhibitions, event releases, e-sports events, performing arts and music bars. The original architectural structure and industrial features are preserved to the maximum extent in the renovation and design, and Cyberpunk design elements, modern lighting and dancing beauty and XR extended reality immersion experience technology are integrated to reshape the meta-space.

　　Based on China’s sci-fi stories, Science Fiction Park has widely deployed innovative technologies such as 5G, cloud computing, AR, VR, MR, AI, digital twins, 3D projection, etc., and built a multi-universe starship integrating the main control room, energy supply layer, research and scientific research area, biological experiment base, information exchange area, commercial and trade area and special training ground — — The "Qitian" space star ship carries out education on popular science, experience technology, catering and shopping, and creates an immersive cultural tourism experience scene. There are also digital sports equipment such as "Star Valley Rescue" simulated rock climbing, "Blade Pilot" C919 space simulated driving and "Meteor Trek" space return capsule.

Training Camp Source: Shijingshan Wenlv WeChat WeChat official account

　　Soon after the science fiction park opened, it attracted many science fiction fans to visit the museum. Its subversive creativity, immersive experience, youthful consumption, interactive communication, and sci-fi experience scenes make Shougang Park a "meta-universe" practice exploration platform, an innovative application platform for scientific and technological achievements, and a new landmark for urban rejuvenation and culture.

　　3. London, UK: The deep integration of digitalization and cultural creation.

　　Britain is the first country in the world to put forward the concept of "creative industry". For more than 20 years, the British government has vigorously promoted the development of creative industries, taking creative industries as a "national strategy" and maintaining a high level of concern and high investment. Today, Britain has become the world’s creative center and the world’s leading creative power.

Street graffiti in East London Source: Internet

　　Take East London Science and Technology City as an example, from the poor gathering place and light industrial zone to the gathering center of global science and technology, digital and creative enterprises, it has mainly experienced three development stages: creative talents gathering, strong government blessing and multi-dimensional sustained efforts. In the 1980s, the deindustrialization of the East End of London attracted many artists and young people to start businesses here, and the industrial workshops became art studios, bars and coffee bars. The East End has gradually developed into the most distinctive and artistic neighborhood in London, and a group of cutting-edge designers have begun to move their studios to the East End. The British government issued the national strategy of "Tech City", and at the same time invested 400 million pounds to build the East London Science and Technology City with the silicon island as the core. East London Science and Technology City began to integrate various resources of the city and build an "ecological circle" of scientific and technological innovation industries. In the marketing strategy, the London Science and Technology Advocacy Group (TLA) was established to vigorously promote the Science and Technology City. In addition, the Science and Technology City also sends science and technology ambassadors overseas to promote international cooperation. With the efforts of various forces, East London Science and Technology City has become the fastest growing science and technology hub in Europe.

Talents, funds, policies and enterprises gather in London. Source: London Development Promotion Agency.

　　The case of East London Science and Technology City is only a microcosm of London’s development of creative industries. The British government is not stingy with financial incentives, and has introduced the strategy of "culture is digital" to promote innovation and accelerate the transformation and application of cultural digitalization. For example, in the aspect of digital innovation of heritage collections, the British National Archives launched an online collection working group to launch online resources of digital collections; The new version of "British Digital Strategy" is launched, which emphasizes supporting universities to develop new ideas and technologies and encouraging enterprises to innovate by retaining IP and reducing taxes. In addition, London also provides tax relief policies, takes immersive experience as the key area of creative research and development, advocates circular economy, and forms a creative industry form of "resources-products-renewable resources-renewable products".

Source: Cultural and Creative Review WeChat WeChat official account

　　Today, London, England has achieved its own leap and become a well-deserved global creative center: one of the three largest advertising industry centers in the world, one of the three busiest film production centers in the world and the international design capital, which has concentrated about 90% of music business activities, 70% of film and television activities, more than 85% of fashion designers and more than 30% of design institutions in Britain. The annual output value of London’s creative industries exceeds 21 billion pounds.

　　Looking at the development of new quality productivity, the development of new formats of cultural and creative industries with high concentration and sustainability requires a benign interaction between digital technology and creative content, that is, activating content creativity with scientific research and development and leading technical iteration with novel content.With the blessing of science and technology, traditional culture is innovatively transformed and developed, so that more people love traditional culture, thus enhancing cultural identity and cohesion. Excellent cultural products can also become representatives of the national image, showing the country’s cultural heritage and innovation ability to the world.

　　Looking forward to the future, the sustainable development of new quality productivity in creative industries deserves our more attention. This requires the joint efforts of all walks of life from the bottom up in industrial policy, enterprise management and talent cultivation, combining technology research and development with humanistic spirit, strengthening industry collaboration and international exchanges and cooperation through increasingly mature new quality productivity, creating more innovative and sustainable products and services, and injecting sustainable vitality into the prosperity and development of global cultural industries.

　　Reference link

　　1.https://mp.weixin.qq.com/s/RYI2PXzcJCCxTW_Dfsmt9g

　　2.https://mp.weixin.qq.com/s/hMu3I9mk65lF30Ld6Q_tuw

　　3.https://baijiahao.baidu.com/s? id=1793278319851858343&wfr=spider&for=pc

　　4.http://m.xinhuanet.com/ah/2018-12/25/c_1123897137.htm

1905 movie network news Recently, the movie adapted from the game reconfirmed the news of the actor’s joining. It is understood that the actors and actresses successfully joined the crew.

The two new actors are both comedians, so it is widely speculated that the movie version of My World will be a comedy, not a survival movie with the style of "survival in the wilderness". The game My World is a sandbox video game, which focuses on allowing players to explore, interact and change a dynamically generated world consisting of many 1m-sized squares.

The film version of My World will be directed by. He has made films and so on. The film is currently being filmed and will be released in North America on April 4, 2025.

Recently, news came from the market that Tesla’s models are welcoming an important update. According to Tesla’s sales staff, a newly upgraded Model Y is ready for consumers to have a test drive experience. At the same time, in order to welcome the launch of new models, the old Model Y is carrying out a series of price reduction promotion activities. Combined with the car scrapping subsidies and replacement subsidies provided by the state, its starting price has dropped to about 200,000 yuan, providing consumers with attractive car purchase options.

It is understood that this newly upgraded Model Y, internally code-named "Juniper", is expected to be officially launched in January 2025. The third-party renderings circulating on the Internet reveal the design highlights of the new Model Y, including the split-through headlights used in the front and rear, and the headlights under the daytime running lights. There is still a lever behind the steering wheel of the new model, which is supposed to be the steering lever. What’s even more surprising is that the new Model Y also provides screen entertainment facilities for the rear passengers for the first time, further enhancing the ride experience.

At the same time, a well-known blogger in the automotive field revealed that the production of the new Tesla Model Y has quietly started, and the current daily output has reached dozens. However, due to the approach of the Spring Festival holiday, the production line will be suspended for half a month, and it is expected that production will be fully resumed and mass delivery will be realized after the year. This news undoubtedly brings a trace of expectation and suspense to consumers who are looking forward to the new Model Y.

Milan Fashion Week 2024 started on February 20th, and Hu Bing, who just finished her work in London Fashion Week, was also invited to Milan and started a non-stop trip. Compared with going to various show shows, Hu Bing has more important work in Milan this time. He will be invited to participate in the symposium to discuss the experience of "Designers for the Planet" project with many brands and industry leaders of Milan Fashion Week.

Hu Bing’s speech at the symposium of sustainable designers has a long way to go.

On the first day of Milan Fashion Week, Hu Bing, Chairman of CNMI (Italian National Fashion Chamber of Commerce), Head of Sustainable and Group Social Responsibility of Tod’s Group, Chief Marketing and Group Strategy Officer of Moncler Group, Head of Creative Talents Introduction Project of OTB Group, Senior Director of Talent Introduction of Versace and Vice President of Human Resources of Versace Europe, Middle East and Africa attended the meeting. Designers for the planet is a project that CNMI has paid close attention to in recent years, which has created many exhibition opportunities for new brands and cutting-edge designers.

As a guest at the meeting, Hu Bing also expressed his views in the lecture on how creative enterprises go to the international market through brand positioning. "It is a long way to go to discuss the selection criteria of sustainable designers project this season: Designers for the planet, focusing on the sustainable concept of creativity and production process, and exploring the development path of circular economy in the fashion field."

New Identity of Fashion Instructor Hu Bing, Curator of Modern China Lifestyle

In addition to participating in the symposium, Hu Bing also expressed his views on exploring creative talents in the future as a curator of modern China lifestyle. "I think that if you are a young designer, he should actually make more efforts so that he can put success and opportunity together, and then he can become a pair of hands." Hu Bing, who has worked in the fashion industry for more than 30 years, shows great understanding of the practical difficulties that young designers will encounter. "I know many people say today that I have been engaged in the fashion industry for a long time. When can I become a very famous designer?" But learning about fashion should be endless, just like even today, Hu Bing, as a fashion pioneer, has never stopped, keeping an open mind to try and accept new things. "Learning and progress is the key". At the end of his speech, Hu Bing has not forgotten his mission as a "translator" of Chinese and Western fashion culture: I am here today to share Chinese and Western cultures, and I also support that young Chinese and Western designers can communicate better and learn more from each other. In fact, design has no national boundaries, but we should understand each other and make the distance between us closer.

It is an umbrella and a warm-hearted predecessor. Hu Bing feels the same way as a young designer

As a fashion instructor, Hu Bing has always supported and encouraged young designers. "Every time I meet young designers, I have a very special mood. I feel that I hope to be their umbrella. I hope they can give full play to their creativity under the protection and try their best to help them complete their dreams." However, he has worked in the fashion field for many years, and he also knows that his dreams need to be cared for, but he needs to experience the hammer of wind and rain. "The market is a cruel reality. After all, all designs have to be baptized by the buyer’s reality, and the design will eventually be worn by customers." It may be that I realized that my speech at the symposium was too realistic. Hu Bing, who was warm-hearted, was afraid of hitting the young designers. He privately said that he would appease the young people a little bit. After all, as a person who has been through it, he felt very much for the young designers. "It’s really difficult. It needs good fabrics, novel designs, unique styles and cheap prices … I’ll talk to everyone slowly."

It is reported that Hu Bing has long been interested in promoting exchanges between young Chinese and Western designers. He hopes to find some outstanding young Chinese and Western designers in the middle of this year, give them a stage to release their talents to the fullest, and at the same time let everyone see the potential of the China market.

　　CCTV News:According to the "Tianjin Release" WeChat WeChat official account news, according to the results of the National Air Quality Conference,It is expected that a regional heavy pollution weather process will occur in Beijing, Tianjin and Hebei and its surrounding areas from November 19 to 23.In accordance with the requirements of regional emergency response and the relevant provisions of the Emergency Plan for Heavily Polluted Weather in Tianjin, with the approval of the Tianjin Municipal People’s Government,TianjinThe city’s heavily polluted weather was released in emergency headquartersOrange warning of heavy pollution weatherStarting from 8: 00 on November 19th, Class II emergency response will be started., the specific measures are as follows:

　　I. Mandatory emission reduction measures

　　1. Control industrial enterprises, strictly implement corresponding emergency emission reduction measures according to the newly revised list of emergency emission reduction for heavily polluted weather in 2023, by stopping gas-related emission production lines or major production and pollution discharge links (equipment) and improving pollution control efficiency;

　　2. Stop the demolition, spraying, painting, cutting and shotcreting of outdoor buildings;

　　3. Stop all earthwork operations on the construction site (including earthwork excavation, backfilling, on-site transportation, lime mixing, concrete chiseling and other operations, and excavation of supporting roads and pipe trenches for construction projects), and completely stop production and operation of muck storage points;

　　4. Each district should take scientific measures to adjust the frequency of wet operation for the main roads within its administrative area according to the air temperature and relative humidity, and appropriately increase the suction and sweeping operation when reducing the frequency of wet operation;

　　5. Construction sites, enterprises and institutions stop using non-road mobile diesel machinery with national emission standards of two or below (except those undertaking emergency maintenance tasks);

　　6. Stop using transport vehicles such as construction waste, muck, sand and gravel with national emission standards of four or below to drive on the road;

　　7. Enterprises in key industries shall, in accordance with the technical guidelines of the Ministry of Ecology and Environment and the performance grading requirements of enterprises in key industries with heavy polluted weather in this Municipality, implement the transportation management measures for heavy trucks (except white-listed trucks);

　　8. Large car users stop using heavy-duty trucks (including gas) with national emission standards of four or below for transportation (except vehicles with white list of trucks);

　　9. Stop using heavy trucks (including gas) with national emission standards of 5 and below for short-term transportation of iron ore and coke in Tianjin Port area.

　　II. Health Protection Guidelines

　　1.Remind children, the elderly and patients with heart disease, lung disease and allergic diseases to stay indoors and stop outdoor sports.,If the general population really needs to go out to reduce outdoor sports, protective measures should be taken;

　　2.Schools and kindergartens stop outdoor courses and activities;

　　3 medical and health institutions to strengthen the protection of patients with respiratory diseases publicity and medical guidance.

　　III. Suggestive measures

　　1. Advocate public green travel and green life, and try to travel by public transport or electric cars;

　　2. Advocate public green consumption and minimize the use of raw materials and products such as paints, paints and solvents containing volatile organic compounds;

　　3. Strengthen the guarantee of public transport capacity.

The news from The Paper seems to be earlier and faster than expected. At this moment, Shanghai began to usher in the first wave of infection after the "New Ten Articles".

Since last week, almost every Shanghai resident has found himself or someone around him "caught". Omicron has spread rapidly in an unpredictable manner, and the number of positive infected people has surged. On December 22nd, Zhang Wenhong, director of the National Center for Infectious Diseases, said that Shanghai is expected to reach the peak of infection within one week.

At the other end of the shock wave, the medical staff stuck to the line of defense. Medical institutions are high-risk areas. Recently, many medical staff have been infected one after another. Now, most of the first infected medical staff quickly return to their posts after the symptoms are relieved, and make every effort to ensure the orderly operation of medical services.

On December 22nd, six first-line doctors from Shanghai 3A hospitals, district hospitals and community health service centers told The Paper (www.thepaper.cn) reporters about the current situation of hospitals and the status of medical care at this time. Some doctors were infected with Covid-19 not long ago, and they have not fully recovered. A slightly hoarse voice came from the other end of the phone; During the brief interview, they were still busy explaining their work matters.

Pressure, responsibility, worry, risk, mission … At this time, every doctor has too many things on his shoulders and is busy, which has also become a state of irresponsibility. Perhaps their voices are weaker than usual, but the power they emit is even more awe-inspiring.

On December 22nd, in the emergency building of Shanghai Changhai Hospital, the number of visits was much higher than before the current epidemic. The picture in this article is provided by the interviewee.

The infection of medical staff is earlier and faster than that of society, but the emergency can’t stop for a moment.

Narrator: Wang Meitang, Director of Emergency Department of Shanghai Changhai Hospital

I haven’t left the hospital or the emergency department since this wave of epidemic. I was infected with the virus on December 16th, and the symptoms were very serious that day. I lay in the office for a day and returned to work on the 17th. Because the emergency department is very busy and stressful recently, I really don’t have time to rest. My symptoms have been much better these two days, such as stuffy nose and sore throat, which basically do not affect my work.

Stress can be seen from some data. On December 21st, the number of emergency visits reached 1,517. Before this wave of epidemic, the number of emergency visits per day was about 800 to 900, but now it has almost doubled and is still climbing. In the emergency building, most patients will leave after seeing the doctor, and seriously ill patients will be diverted to the inpatient ward after rescue. There are about 20 temporary observation patients stranded in the emergency room at ordinary times, and now it has reached more than 50. These patients are all our care.

On December 22nd, in the emergency building of Shanghai Changhai Hospital, the number of visits was much higher than before the current epidemic.

On the other hand, the infection of medical staff is earlier and faster than that of society. I think this is understandable. First, because medical staff themselves are members of society, they have the same risk of infection in the community as ordinary people. Second, with the surge of medical staff, the risk of hospital environment is higher than that of society, and medical staff have to face such risks every day.

Judging from the situation in the past week, nearly 80% of our more than 100 emergency medical staff have been infected with COVID-19, which is really cruel. Most of the emergency doctors and nurses are young and middle-aged, all of them have been vaccinated, and the symptoms are generally in the upper respiratory system, such as fever, cough and headache, but there are still medical staff who even have high fever for four or five days, which is very distressing.

At present, most of the medical symptoms have been relieved, and they have all returned to their posts, which is remarkable. As we all know, the emergency department can’t stop for a moment. The hospital has also been sending staff to support emergency and fever clinics, but to be honest, working here for two or three days will soon face the risk of infection.

As the head of the emergency department, my responsibility is self-evident, and I dare not slack off. In addition to management matters, now I insist on making rounds every day, always on the front line, and my colleagues go all out to ensure the smooth operation of the emergency department.

Under such a high-pressure environment, our colleagues have become "yang" one by one.

Narrator: Emergency doctor of Huashan Hospital affiliated to Fudan University in Gao Jiamin.

On December 7 th, a big white background photo was circulated in the circle of friends, and the three characters of "the end of the whole drama" behind it poked the cheers that had been suppressed in our hearts for three years. However, we are well aware that after the "liberalization", the medical system, especially the first portal of hospitals, fever clinics and emergency departments, will face the biggest challenge in the past three years.

The isolation ward on the second floor of the fever clinic first accepted the hospitalization task of the patient under observation. On December 12th, the situation of the fever clinic was still under control. From December 13th, the "painting style" began to change. Not only were there more and more people with high fever, but also COVID-19-positive patients with hospitalization needs began to appear.

At 16: 50 on December 13th, I received a message from a fever clinic doctor that a 27-year-old female patient with neurogenic bladder, positive for antigen, had undergone left nephrectomy and ureterovesical reconstruction, and had high fever with low back pain and dysuria for 2 days. When I saw the patient in the hall, she was sitting in a chair and her spirits were very low. I learned that her parents are far away from Beijing, and the whole family, including her elderly grandmother, is suffering from high fever. She has a very obvious low back pain after high fever, and she is very worried that her only kidney will be affected.

After admission, we actively evaluated her condition, and through drug treatment, her urinary tract infection was quickly controlled. As the low back pain continues, she is very anxious and puts forward a lot of demands, and we will fully communicate with her every time. In the end, her condition was completely relieved. Before leaving the hospital, she said that she would send banners to our fever clinic and emergency department, and said, "Maybe you don’t think it is necessary, but for me, you saved my life."

Recently, Huashan Hospital affiliated to Fudan University received a banner from a positive patient in the isolation ward of fever clinic.

Since then, we have devoted ourselves to the treatment of other positive patients. There are a lot of patients, including people with serious basic diseases. We need to help them with lumbar puncture and deep vein puncture in the isolation ward … In such a high-pressure environment, our colleagues have become "yang" one by one, and some colleagues have to take a short break under the high fever.

Dr. Wang Xinxin, who just joined Huashan Hospital this year, and I encouraged each other to drink more water, milk and fruit, so as to preserve our strength and strive for "sunset". When many comrades fell down beside them, two original people in the isolation ward had been working overtime for a week to collect patients and write medical history to ensure the orderly diagnosis and treatment of positive patients. At the same time, under the protection of the isolation ward, colleagues who are completely asymptomatic continue to work.

At the end of the night rounds, I passed by the transitional rescue room. When I saw the patients who were still temporarily under observation, I looked at the brothers and sisters who were sticking to their posts, looked at the busy figures in each post, and then looked at the first pennant in the isolation ward, and my heart was filled with infinite emotion. Perhaps this challenge is unprecedented, this rainstorm is violent, but as long as we work together, it will eventually be the last darkness before dawn, and if we break through the darkness, we will see the light.

General practice is almost wiped out, but we can’t stop working because of a fever.

Narrator: Zhang Jiaxiong, Director of Otolaryngology, Shanghai Tenth People’s Hospital

This wave of epidemic situation is grim. When we examine patients, almost all patients need to take off their masks, so our otolaryngology department is a high-risk post. After this wave of infection, the whole department is almost "completely annihilated". Of the more than a dozen employees in the department, only one is not infected with Covid-19, but she also has mild symptoms of sore throat. My wife and children are also infected. In the past two days, my fever has reached nearly 39 degrees, and my throat is particularly painful. I feel that the disease is still developing.

However, everything in the department is still running as usual. We can’t go to work because we have a fever. We have to go to the specialist clinic, and the operation and emergency should be as usual. Everyone is basically sick and feverish, working and on duty in the front line. If a colleague’s symptoms are serious and he can’t persist, the person with lighter symptoms will help him put his class on top and make some adjustments to the shift schedule. Everyone will carry forward the spirit of unity and mutual assistance.

Now doctors, nurses, anesthesiologists and patients are all infected and feverish, and the number of our patients is still increasing. Because of the characteristics of the specialty and the need for patients to take off their masks, the risk is higher than that of fever clinics. At the same time, because many people infected with Covid-19 have symptoms such as sore throat, dry throat and itching, our outpatient department and emergency department are under great pressure, which has become the reason why we can’t stop.

Recently, Zhang Jiaxiong (first from right), director of the Department of Otolaryngology, Shanghai Tenth People’s Hospital, performed an operation on the patient.

In the process of diagnosis and treatment, we take "one-level plus" protective measures, that is, wearing hats, masks and face screens, plus anti-dressing. Our emergency doctors are the hardest, because the emergency department is open 24 hours a day, and they can’t refuse patients. The longest duty time for emergency medical care is 24 hours, and they can’t get off work until 8 am the next day. If there is surgery, they can’t get off work. As far as I’m concerned, I take an expert clinic in the morning and handle the operation in the ward in the afternoon. It is definitely uncomfortable to wear a mask to work for a long time when you have a fever, but we must persist, persist and persist.

I think at present, it is incumbent on us as medical staff to bite our teeth, tide over the difficulties together and face the impact of this epidemic together. If it used to be based on social prevention and control, now is the time for hospitals to really face the test.

So at this time, as a medical worker, as a Communist party member, and as a department director, I must also rush ahead and command from the front. If I hide behind alone, other employees will see it, so every day, no matter how high my fever is, I am the first to go to work and the last to leave, in order to give you a demonstration and become the backbone of the staff in the department.

The peak of infection hasn’t come yet, and we are actively expanding the beds for severe illness and rescue.

Narrator: Director of Emergency Department, Fengxian District Central Hospital, Chen Kang.

Recently, the number of emergency cases received by the emergency department has increased significantly, and the focus of our department is also here.

There are so many patients who need to be rescued, mainly from two parts. First, because the weather turns cold, some patients with basic diseases get worse and are sent to rescue. The other part was sent by patients with basic diseases complicated with respiratory diseases for rescue. Therefore, the total number of patients now is twice or even more than that before this round of epidemic.

There are 70% to 80% infected medical staff in our department. Generally speaking, there are no symptoms and they will return to their posts soon. Of course, departments and hospitals will seek the opinions of rehabilitation personnel, and only when their physical symptoms are relieved and they are willing to return to work will they come back, and at the same time, they will arrange work for those who return to work as much as they can.

Recently, Fengxian District Central Hospital.

I am under great management pressure as the director of the department. For example, every day, there are new situations and new problems. In the past, the schedule was arranged every two weeks and once a month. Now it is arranged once a day or even half a day, and people should be coordinated every day.

The admission of patients to the hospital is also one of my recent key tasks. With the increase of patients, beds and wards have become very tense. It is definitely not possible for patients to be confined to the emergency department, and problems such as hospitalization and discharge need to be solved.

I’m more worried about the trend of the peak infection now. When it will come, we should prepare in advance. At present, although the number of critically ill patients has increased, the peak has not yet come, and the elderly and people with basic diseases will be about two weeks later than the peak of social surface infection. After these people are infected, the rescue pressure of medical institutions will be great. We are actively making preparations to expand the beds for critical illness and rescue.

There’s nothing else to say. In the event of such a century epidemic, we must rush up. This is also the duty of medical staff, and we must go all out. Otherwise, what should we do? It’s not only the medical staff who are under pressure, but everyone is facing challenges. Only with the concerted efforts of Qi Xin, we can get through this epidemic together.

I really want everyone to go back to rest, but the medical staff has gone back to rest. What about the residents?

Narrator: Zhang Jianmin, Deputy Director of Changbai Community Health Service Center in Yangpu District, Shanghai.

These days, my feelings are very deep, and it is really not easy for everyone. I found that when meeting with you, many people’s voices were "pulled".

Last week, we were informed to start the deployment. This Monday (December 19th), our fever sentinel clinic was officially opened, and 54 people were admitted that day. The number of people basically doubled the next day. In recent days, the number of patients in this clinic has reached more than 100 every day. In order to serve as many residents as possible, we can only make some dynamic adjustments. On the first day, we dispensed medicine for residents for about three days, and then changed it to two days later.

At the same time, the statistics of our community health service center today are: 97 medical workers, 49 on the job; 16 logistics workers, 4 on the job, others are infected. Some of the employees on the job are symptomatic, but everyone is really "slightly injured."

To be honest, I really want everyone to go back to rest, but our medical staff has gone back to rest. What about the residents? I am very moved that all of us have the same heart. As long as we can support it, we want to go to work. We also have two doctors, Yuan Jin and Zhang Lei, who actively responded to the call of the municipal government and joined the emergency temporary medical rescue team, which really stepped forward at a critical moment.

Recently, Changbai Community Health Service Center recently visited the site.

At present, our manpower is very precious, and the more tired we are, the easier it is for the virus to take advantage of it. Therefore, we also hope to adjust everyone’s workload as much as possible. For example, if patients come to see a doctor and prescribe medicine in the morning, we will try our best to let employees with less things at hand go home and rest in the afternoon. The center is also trying to replenish some materials for everyone. Frankly speaking, yellow peaches are not easy to buy, so we gave lemons or something to the employees.

I’ve been working at the management level for a while, and it’s actually the sixth day of infection. Today I officially returned to work, but I had to deal with my work at home a few days ago.

Frankly speaking, I am also very sad every day, except for bedtime, things are full. In the morning, I mainly look at the situation of the outpatient service and whether there are enough people in the post; In the afternoon, I will take a look at the situation of the medicine, which is enough for a few days; I will also attend the dispatching meeting of the higher authorities and communicate with the employees.

Recently, in the friends group of medical staff and WeChat group of Changbai Community Health Service Center, everyone encouraged each other.

Including our community health service center and vaccination work, in this special period, this part of the work may also face downsizing. We must find ways to deploy and arrange limited personnel to the most needed positions to ensure the operation of our center. After consultation with the street, we can only stop the vaccine door-to-door service, but the work of the vaccination point is still in progress.

In addition, in order to cope with the emergency treatment of severe patients who may come later, our community should also undertake some research and health monitoring work for high-risk groups and susceptible groups, including the elderly, infants, pregnant women, people who need hemodialysis, cancer patients, etc. Of course, we are also doing this part of the work every day. We need family doctors and neighborhood committees to cooperate in this work, and now both of them are facing the problem of downsizing, so the workload of colleagues who are still on the job will also increase.

I think the hardest thing is only these two weeks. I believe that when the peak passes, it will gradually return to normal. My wife is also a doctor, and she has been very busy recently. A few days after I had a severe fever, she still had to go to the hospital, and especially told our first-grade son not to come to my room. The child still understands and understands. Last week, he drew me a card. I saw it later, and it was really touching.

As long as my physical condition permits, I will always stick to my first-line position.

Narrator: Endocrinologist, tongji hospital, Liu Guanghui.

After the introduction of the "New Ten" optimized prevention and control policy, our hospital immediately opened a positive clinic, an Internet hospital fever clinic and a positive patient ward in COVID-19. As a physician, I was also transferred to support the work of positive clinic and emergency department.

During the defending war of Great Shanghai in the first half of this year, I participated in the rescue work of three shelters. In the second half of this year, I signed up for the support of Sanya shelter in Hainan and had some anti-epidemic experience. In the positive diagnosis area, I am mainly responsible for helping some positive infected people with chronic diseases to prepare medicines, giving patient answers and professional treatment. In the epidemic, once this kind of people stop taking drugs and the basic diseases are not controlled, they may be in danger of developing into severe diseases. In addition, these patients have been infected with Covid-19. If they go to the outpatient clinic to get their prescriptions, there is bound to be a risk of cross-infection. The establishment of a positive clinic will help reduce the risk of infection in the whole outpatient clinic.

Liu Guanghui, an endocrinologist from tongji hospital, Shanghai, once worked in Shanghai Shelter (data map).

While working in the positive clinic, I also take care of the work in the fever clinic of the Internet hospital. I meet many patients who are worried about COVID-19. I will give them comfort at the first time, evaluate their condition and give guidance in drug treatment. For some mild cases, I will suggest that they can use antipyretics, cold medicines or cough medicines at home first, so as to reduce their rush to the hospital and avoid the risk of cross-infection. For some people with basic diseases, I will comprehensively judge whether it is necessary to come to the hospital for further diagnosis and treatment according to their situation.

With the recent increase in the number of fever clinics and emergency treatment, the work intensity has suddenly increased, and many medical care workers have been infected one after another. Faced with the situation of combative "downsizing", I was immediately transferred to emergency support, and I have been working for a week now. In the emergency room or temporary observation room, most of the recent arrivals are positive. They may be complicated with basic diseases such as coronary heart disease, chronic bronchitis, emphysema and diabetes, and even have the risk of sudden death at any time. We need to identify these critically ill patients and prevent them before they happen.

Every time we take over, we not only have to deal with the patients handed over from the previous class, but also receive new patients from time to time. The nerves are very tight throughout the work. The whole medical process needs the full cooperation of medical care and other links, from pre-examination and triage to final diagnosis and treatment, every step needs to be meticulous. As Director Wu Xianzheng of the Department of Emergency Medicine said, Tongji Emergency Department spent sleepless nights to protect every patient, risking high risks and fighting at the forefront of the fight against the epidemic. "243650"-24 hours, 365 days and 0 rest, this is the solemn promise of Tongji emergency patients!

As long as my physical condition permits, I will always stick to my first-line position. I’m also a party member, so I go to help wherever I need it. Here, I would also like to appeal to some patients with chronic diseases to pay attention to the observation of their own condition during their stay at home, and come to the hospital in time in case of wheezing and dyspnea. If the condition is stable, you can carry out some moderate home exercise at home, but the intensity is less than usual, while maintaining regular work and rest and developing good eating habits.

Help each other in the same boat, I hope we can win the battle against the epidemic as soon as possible!

Original title: Self-report of six first-line Shanghai doctors: Perhaps the biggest challenge in three years, we must go all out.

Editor: Yang Sihai

Editor: Zhou Shangdou

Audit: Feng Fei