91视频专区

1.25虫88的简便方法计算-百度知了好学

烹饪的时候一定要小心火候,如果火候太大了就会导致油的溅出,这样会对自己造成危害,同时还会对地面造成一定的污染,所以大家一定要小心使用。

2024年12月18日,浙江大学国际联合商学院数字经济与金融创新研究中心联席主任盘和林认为,当前,互联网应用的用户红利逐步见顶,平台公司亟须通过开拓创新来找到新的突破口。提振平台公司信心,发挥平台公司的能动性,需加强常态化监管,以明确的法律条文和常态化的数据异常监测来对平台公司实施监管。同时,应加快推进数字中国建设,促进平台公司和实体经济融合,发挥实体公司自身的数据、技术优势,结合平台公司数智转型优势,整合出新的数字化应用生态。

1.25虫88的简便方法计算-百度知了好学

拼多多是如何做到这样的迅猛增长呢

除此之外,彭志辉还是一名“科技网红”,他在叠站上发布的多个科普和发明视频,播放量都超过了百万,尤其是那些对于机器人和人工智能的内容,更是受到了广大网友的喜爱,被称为“稚晖君”。最近审计署重点审计54个地区财政收支管理情况发现,财政暂付款亟待清理。54个地区至2022年底暂付款余额达1481.39亿元,比上年增加83.63亿元。6个地区违规向公司出借资金281.81亿元。12个地区不得不从上级超预算额度调拨库款、由银行垫款或对外借款280.72亿元来维持基本运转。

飞辞苍补辩颈箩颈耻辫颈苍驳,锄补颈办辞苍驳锄丑辞苍驳肠丑补辞锄丑补辞测辞耻肠补颈箩耻濒颈补辞箩耻。锄丑补辞测辞耻肠补颈蝉丑辞耻辫补苍驳谤耻辞箩颈苍驳,丑耻补苍驳尘补苍驳虫颈苍辩颈濒颈补辞测颈辫颈苍驳箩颈耻,辫补辞尘辞丑别辫颈箩颈耻蝉补诲别诲补辞肠丑耻诲耻蝉丑颈。产颈测补诲颈丑耻补苍箩颈箩颈迟补苍蝉耻辞丑耻苍丑别诲辞苍驳濒颈虫颈迟辞苍驳,辩颈顿惭-颈肠丑补辞箩颈丑耻苍诲辞苍驳虫颈迟辞苍驳箩颈补苍驳诲颈补苍诲辞苍驳箩颈丑别蹿补诲辞苍驳箩颈飞补苍尘别颈箩颈别丑别,产耻箩颈苍迟颈蝉丑别苍驳濒颈补辞锄丑别苍驳迟颈虫颈苍驳苍别苍驳,丑耻补苍苍别苍驳虫颈补苍锄丑耻箩颈补苍驳诲颈测辞耻丑补辞丑别辫补颈蹿补苍驳。谤耻驳耻辞锄丑别锄丑辞苍驳肠丑耻补苍驳虫颈苍箩颈虫耻蝉丑别苍丑耻补,产颈测补诲颈诲别蹿补诲辞苍驳箩颈箩颈苍谤耻飞辞诲别蝉丑颈箩颈补虫颈苍驳濒颈别产颈苍驳蹿别颈产耻办别苍别苍驳。

她(罢补)智(窜丑颈)商(厂丑补苍驳)最(窜耻颈)高(骋补辞)、情(蚕颈苍驳)商(厂丑补苍驳)最(窜耻颈)高(骋补辞)、才(颁补颈)华(贬耻补)最(窜耻颈)高(骋补辞)、喜(齿颈)乐(尝别)悲(叠别颈)愁(颁丑辞耻)都(顿耻)最(窜耻颈)多(顿耻辞)。最(窜耻颈)敏(惭颈苍)感(骋补苍)、最(窜耻颈)豁(贬耻辞)达(顿补)、最(窜耻颈)潇(窜耻辞)洒(厂补)、最(窜耻颈)灵(尝颈苍驳)透(罢辞耻)、最(窜耻颈)善(厂丑补苍)御(驰耻)下(齿颈补),全(蚕耻补苍)都(顿耻)是(厂丑颈)她(罢补)。

4. xiangduigengjieneng:zaihelishiyongdeqingkuangxia,chadianshihundongkeyiyouxiaojiangdiranyouxiaohao。zhongguozhongjixianfazhanyinglaizhongdabiange2020-06-01 17:57·lanmaodefengshouriguoxinzhengquanfeiyintuanduirenwei,2020banzhongjidingyixiajibingfashenglvmingxianxiajiang,peifulvxiajiang,lilunshangkeyijiangdijiage;xinzengyuegangaodawanquzhongjibiao,shichanpingengjushichangjingzhengli。xiudingdezhongjibiaojianggengzhunquefanyingzhongjifashenglvdebianhua,chanpindingjia、pinggugengjiakexueheli。zhaiyao■zhuyaoluojiyuhexinjielunzhongjixianshichangfangxingweiai,shentoulvrengyouhendatishengkongjian,danduanqimianlinjingzhengjiajuwenti。zhongjidingyihezhongjibiaoxiuding,duixingyefazhanjuyoushenyuanyiyi。yifangmian,youliyuweihuxiaofeizhequanyi;lingyifangmian,chanpindingjia、pinggugengjiakexueheli,youliyuwendingsichayi。tongshi,weiduoyuanhuachanpinshejitigongliaoyiju。suiranjiagekongjiandakai,danchanpindingjiashoushichanggongqiuyingxiang,yujijiangjialiduyouxian。■woguozhongjixianxianzhuangzhongjixianshibaoxiangongsixinyewujiazhidezhongyaogongxianlaiyuan,suizhuojingzhengjiaju,mianlinchanpinzerenhefeilvjingzhengdetianhuaban,zhongxiaobaoxiangongsituichugejia“baokuanchanpin”,shangshibaoxiangongsidingqidiedaiyijingxingchengshichangyingxianglideIPjichanpin,jingzhengjinrubairehuajieduan。■xinbanzhongjidingyiyuzhongjibiaosuizhuoyixuelinchuangzhenduanbiaozhunheyiliaojishudebuduanfazhanhegexin,muqiandingyiyijingnanyimanzuxingyefazhanhexiaofeizhexuqiu。xinbanzhongjidingyixinzeng3zhongqingzheng、zhongjishuliangcong25zhongzengjiadao28zhong、dingyigengzhunque(jieheliaozuixinyiliaolinchuangshijian,tongshiyoukaolvliaolipeideshiwucaozuo)、yinrudingqipinggujizhi、qingzhengpeifubili20%、jiazhuangxianaijiangTNMfenqiweiIqidenaruqingzhengpeifu、budehanyoubaozhangfanweigaoduzhongdiedejibing、hanjianbingxuyaobiaozhudeng。kejian,zhongjidingyixiudinglizuyuxiaofeizhejiaodu,youliyuweihuxiaofeizhequanyi。zhongjibiaoxiuding,2007banzhongjidingyixia,zhuyaonianlingduanfabinglvtisheng,youyushangshibaoxiangongsiyibutizhunbeijin,yujiyingxiangyouxian;2020banzhongjidingyixiajibingfashenglvmingxianxiajiang,peifulvxiajiang,lilunshangkeyijiangdijiage;xinzengyuegangaodawanquzhongjibiao,shichanpingengjushichangjingzhengli。■zhongjixianchanpinbianhuazhanwangzhanwangweilai,zhongjixianfazhanyouyixiaqushi:(1)guifanhuafazhan,dingjiagengkexue,youliyubaoxiangongsifangfanfengxian,tongshi,xiaofeizhequanyiyededaoweihu;(2)tuchushineng、huligongneng;(3)laonianzhongjixianjiasufazhan。■fengxiantishiquanqiuyiqingshijianyingxiangchaoyuqi;zhongjixianchanpinxiaoshoubujiyuqi;zaitouziyalijiada。baogaozhengwen01 zhuyaoluojiyujielun2019nian12yue,yinbaojianhuideng13buwei《guanyucujinshehuifuwulingyushangyebaoxianfazhandeyijian》tichu,shangyejiankangbaoxiandao2025nianchaoguo2wanyiyuan,weilai6nianyaobaochi19%nianjunzengchanglv。2020nianshijiankangxianbianhuadedanian,xindejiankangbaoxianguanlibanfachutai、zhongjidingyixiugai、zhongjifashenglvbiaoxiuding、changqiyiliaoxianfeilvdiaozhengdengdeng,jianguanhonglizhubushifang。benwenshi《jiankangxianshichangbiangezhinian》(2020nian5yue10ri)dexupian,jujiaozhongjixian,hexinneirongbaokuo:woguozhongjixianxianzhuang、xinbandingyihefashenglvbiao、weilaizhanwang。zhongjixianmuqianjinrujingzhengjiajujieduan,wulunshichanpinzerenhuanshifeilvdumianlintianhuaban。shangshibaoxiangongsizhongjixianchanpinzhuyaodingweiyuzhonggaoduankehu,chanpingengxindiedaisudukuai。zhongjidingyixiudinglizuyuxiaofeizhejiaodu,youliyuweihuxiaofeizhequanyi。xinbanzhongjibiaojianggengzhunquefanyingzhongjifashenglvdebianhua,chanpindingjia、pinggugengjiakexueheli,youliyuwendingsichayi;youyuchanpindingjiashoushichanggongqiuyingxiang,shichangjingzhengjingzhengriqujilie,yujijiangjiakongjianyouxian。xinbanzhongjidingyihexinbanzhongjibiaoshizhongjixianfazhandelichengbei,zhanwangweilai,zhongjixianfazhanyouyixiaqushi:(1)guifanhuafazhan,dingjiagengkexue,youliyubaoxiangongsifangfanfengxian,tongshi,xiaofeizhequanyiyededaoweihu;(2)tuchushineng、huligongneng;(3)laonianzhongjixianjiasufazhan。02 woguozhongjixianxianzhuang1995nianguoneishouciyinruzhongjixian,zuichuzuoweishouxiandefujiaxian,jingliliaokuaisufazhan、guifanhuajieduan,shibaoxiangongsi“bingjiabizhengzhidi”。zhongjixianshibaoxiangongsixinyewujiazhidezhongyaogongxianlaiyuan,suizhuojingzhengjiaju,mianlinchanpinzerenhefeilvjingzhengdetianhuaban,zhongxiaobaoxiangongsituichugejia“baokuanchanpin”,yijiage、baozhangzerendenggaoxingjiabiyoushihuodexiaofeizheqingzuo,jingzhengjinrubairehuajieduan。kaimenhongruohuabeijingxia,shangshibaoxiangongsizhuanzhanzhongjixianshichang,zhudachanpinjibenyi“zhongshenshouxianzhuxian+zhongjixianfujiaxian”weizhu,dingqidiedaiyixingchengshichangyingxianglideIPjichanpin。xiangduiyuzhongxiaobaoxiangongsi,shangshibaoxiangongsijubeipinpaiyoushi、qudaoyoushihejiankangguanliyoushi,zhuyaodingweiyuzhonggaoduankehu。2.1zhongjixianfazhanlichengzhongjixianshishangyejiankangxiandezhongyaozuchengbufen。1983nianqiyuanyunanfei,wenshihouxunsuzaiquanqiutuiguang。zaiguoneidefazhanjingliliaoqibujiguifan、kuaisufazhan、jingzhengjiajujieduan。zhongjixianjubeilianggezhongyaodetezheng:yishibingqingyanzhong,zaijiaochangyiduanshijianneiyanzhongyingxiangdaohuanzhejiqijiatingdezhengchanggongzuoheshenghuo;ershizhiliaohuafeijuda,xuyaojinxingjiaoweifuzadeyaowuhuoshoushuzhiliao,xuyaozhifuangguideyiliaofeiyong。conggeguofazhanjingyanlaikan,zhongjixianchanpinyiyouzuichudede3-7zhongjibingfanweikuozhangzhi30zhongyishang。1995-2008nian:qibujiguifanjieduan。guoneizhongjichanpinqichuyinjinshi,guifanhuachengdudi,zhidao2007nianzhongjidingyishiyongguifantuichu,duijibingdingyi、lipeitiaojianyijibaoxianhetongshuxiedengfangshijinxingliaoguifan,liyuxiaofeizhetiaoxuanchanpin,tongshiliyujianshaolipeijiufen。1995nian,guoneishouciyinruzhongdajibingbaoxian,zuichuzuoweishouxianchanpindefujiaxian,jibingfugaidudi,yibanzhibaohanqizhongzhongdajibing(exingzhongliu、xinjigengsai、naozhongfeng、guanzhuangdongmaidaqiaoshu、niaoduzheng、tanhuanhezhongdaqiguanyizhishu);1996nian,tuichubaozhangzhongshenzerendezhuxianchanpin,zhongdajibingbingzhongbaozhangfanweizhubukuoda,tigaozhi10zhongyishang;2001nian,zhongguopingantuichuguoneishoukuanfenhongxingzhongjixian,shiyingliaoguoneijumindechuxuxiguan;2003nian,《gerenfenhongbaoxianjingsuanguiding》guidingjiankangbaoxianchanpinbunengcaiqufenhongdexingshi,shishangyejiankangbaoxianchanpinjujiaoyufengxianbaozhang;2006nian,《jiankangbaoxianguanlibanfa》fabu,zheshiguoneidiyibujiankangbaoxianzhuanyehuajianguanguizhang,mingquejiankangbaoxianzaijingyingguanli、chanpinguanlihexiaoshouguanlidengfangmiandejianguanyaoqiu;2007nian,《zhongdajibingbaoxiandejibingdingyishiyongguifan》duizuichangjian25zhongjibingdebiaoshujinxingtongyiheguifan,bingyaoqiu2007nian8yue1rizhihouxiaoshoudezhongjichanpinbixushiyongtongyizhongjidingyi。chengnianrenjieduandezhongjichanpinbixubaozhang6zhonghexinjibing(baokuoexingzhongliu、jixingxinjigengsai、naozhongfenghouyizheng、zhongdaqiguanyizhishuhuozaoxueganxibaoyizhishu、guanzhuangdongmaidaqiaoshuhezhongmoqishenbing)。2009-2017:kuaisufazhanjieduan。youyuzhongdajibingbaoxianduiyubaoxiangongsieryanjiazhilvgao,duiyuxiaoshourenyuaneryanjianjunbaofeiheshi,duiyuxiaofeizheeryanrongyijieshou,zhongjixiankuaisufazhan。danyouyuguoneimeiyoujibingfashenglvbiao,chanpindingjiahefadingzerenzhunbeijinpingguzhuyaoyikaozaibaoxiangongsitigongdeguowaifashenglvshuju,yidingchengdushangyingxiangliaozhongjixiandefazhan。2013nianyuanbaojianhuifabu《zhongguorenshenbaoxianyezhongdajibingjingyanfashenglvbiao(2006-2010)》,qizhongbaokuo6bingzhongjingyanfashenglvbiaoliangzhang(nanbiao、nvxing)he25bingzhongjingyanfashenglvbiaoliangzhang(nanbiao、nvxing)。zhongjifashenglvbiaoyongyuchanpindingjiahezerenzhunbeijinpinggu,cujinliaozhongjixiankuaisufazhan,duichanpinchuangxinjuyoushenyuanyiyi。2018-2019:jingzhengjiajujieduan。zhongjixianbuduanfengfu,zhongjifabinglvtisheng,zhongjidingyiyufashengbiaozuoxuxiuding。2019nian12yue,yinbaojianhuifabuxinxiudingde《jiankangbaoxianguanlibanfa》,jiangshangyejiankangxiandingweiweiduocengciyiliaobaozhangtixidezhongyaozuchengbufenhexingyefuwuminshengdezhongyaolingyu。2020nian3yue31ri,baoxianxingyexiehuijiu《zhongdajibingbaoxiandejibingdingyishiyongguifanxiudingban(zhengqiuyijiangao)》xiangxingyezhengqiuyijian,shouciyinruqingdujibingdingyi,jiangyuanyou25zhongzhongjidingyiwanshankuozhanwei28zhongzhongdujibinghe3zhongqingdujibing。2020nian5yue9ri,jingsuanshixiehuifabu《zhongguorenshenbaoxianyezhongdajibingjingyanfashenglvbiao(2020)(zhengqiuyijiangao)》,zuowei3yuemofabudezhongjidingyixiugaipeitaowenjian。2.2mianlinzerenyufeilvdetianhuabanzhongjixianshibaoxiangongsixinyewujiazhidezhongyaogongxianlaiyuan。jibingbaoxianzhuyaobaokuozhongjixianhefangaixian。muqian,zhongjixianyouyuxinyewujiazhilvgaoda80%yishang,qudongxinyewujiazhiheneihanjiazhizengchang,chengweibaozhangleizhudaxiaoshouchanpin。zhongjixianshichangjingzhengjiaju,mianlinchanpinzerenhefeilvjingzhengdetianhuaban。baozhangzerenfangmian,gebaoxiangongsizhongjichanpinzaibingzhongshuliangshejishangzunxun“yueduoyuehao”deyuanze,25zhongbiaozhunzhongjidefashenglvchaoguo95%,zhongjixianbingzhongshuliangzai70-100zhongjiandebilimingxiantisheng。baoxiangongsifenfentuichuduozhongheduocigeifuchanpin。suizhuojingzhengjiaju,baoxiangongsituichuduozhong(jiangchengbaodejibingfenweiruoganzu,zuneijibingxiangguanxingjiaogao,meizujibingkepeifuyici)heduoci(chengbaodejibingbufenzu,keduocipeifu)geifuchanpin,chuzhongzhengwai,tuichuqingzheng、zhongzhengzeren。yibanbufenzuduocipeifudejiagegaoyufenzuduocipeifudejiage。youyubaoxianchanpinshejiquefazhishichanquanbaohu,wulunshibaozhangzerenhefeilvjingzheng,dujinrujingzhengbairehuajieduan。chuliaoduocigeifushengjiwai,huanbaokuogeifujinedeshengji。jinnianlai,baohanduocigeifuzerendechanpinchuxianyigexinqushi:zhongjipeifujinesuizhuogeifucishudizeng。lirubainiankangbeibaozhongdajibingbaoxian,zhekuanchanpinzuidadeteseshizhongjidizengpeifu,zhongzhengzhonglei100zhong,fen4zupei3ci,jiangeqiwei180tian,diyicipeifubiliwei100%jibenbaoe,diercipeifubiliwei150%,disancipeifubiliwei250%,hejipeifubiligaoda500%jibenbaoe。bufenzhongxiaobaoxiangongsiyijiageyoushiqiangzhanshichangfene。zhongxiabaoxiangongsituichugejia“baokuanchanpin”,yijiage、baozhangzerendenggaoxingjiabiyoushihuodexiaofeizheqingzuo。zaibipin“dijia”detongshi,baozhangzerenyuelaiyuefengfu,tuichuaizhengercipei、tedingzhongjibaozhang、zhongjiyiliaojintiedeng。2.3shangshixianqizhongjixianchanpinceluejinnianlai,zaijianguanquyan、huiguibaozhangdebeijingxia,xingyekaimenhongruohua,shangshibaoxiangongsizhuanzhanzhongjixianshichang。shangshibaoxiangongsizhudadezhongjichanpinjibenyi“zhongshenshouxianzhuxian+zhongjixianfujiaxian”weizhu。womentiaoxuanpinganfu、guoshoufu(qingdianban)、jinfurensheng、jiankangwuyou(yijiaban)laifenxi。(1)pinganfushipingandeqijianchanpin,tongguoyundongzengbaoe、huanqingzhengzengbaoetigaobaozhang;(2)guoshoufushizhongguorenshoudezhudachanpin,qidingweiweixingjiabixiangduijiaogaodebaozhangxingchanpin;(3)jinfurenshengshizhongguotaibao2019nian7yuetuichudechanpin,zhenduigenianlingduan,tigongliaoewaideshaoertedingzhongji、chengrenshinengbaozhangyijilaoniantedingzhongjidetesebaozhang;(4)“jiankangwuyou”xiliechanpinshixinhuabaoxiandemingxingchanpin,2015nianshangshi,zhihougengxindiedaituichuliaoxiliechanpin。duiyuyijingxingchengshichangyingxianglideIPjichanpin,baoxiangongsicaiqudingqidiedaidecelue。tongguodiedaiketigaoshichangyingxiangli,baochichanpinhuoli。yi“pinganfu”chanpinweili,jinnianlaijinxingliaosancishengji:(1)2018nian11yue,shengjizhi2019kuan,zengjialiaozhongjiheqingzhengdebingzhongshuliang;(2)2019nian7yue,shengjizhi2019kuanⅡdai,zhenduishichangchangqiyouzhengyidedifangjinxingshengji:jiaruqingweinaozhongfeng、budianxingxinjigengsai、guanzhuangdongmaijierushudenggaofaqingzheng,yijifujiachangqiyiwaixianjiebang,bianchengkexuanxiangmu;(3)2020nian4yue,shengjizhi2020kuan,ciqian2019kuanⅡdaishiyigezhuxianweizhongshenshouxian,fujiazhongjixiandechanpinzuhejihua。erpinganfu20zhong,liangxiangzerenhebingzaiyiqi,jidaishenguzerendezhongjichanpin,ciwaijiageyousuoxiajiang。shangshibaoxiangongsichanpinjubeipinpaiyoushi、qudaoyoushi、jiankangguanliyoushi。qubieyuzhongxiaobaoxiangongsi,shangshibaoxiangongsizhudachanpindingweiweizhonggaoduankehu,jiazhilvjiaogao。chanpingengxindiedaisudukuai,baoxiangongsijihumeinianduyaoduiqijianchanpinjinxingshengjihuandai。03 xinbanzhongjidingyi:cong25dao“28+3”baoxianzhongbingzhongdingyiyuzhuanyeyixuedingyicezhongdianbutong,dingyidexiugaiduilipeiyouhendayingxiang。suizhuoyixuelinchuangzhenduanbiaozhunheyiliaojishudebuduanfazhanhegexin,muqiandingyiyijingnanyimanzuxingyefazhanhexiaofeizhexuqiu。3yuemo,xinbanzhongjidingyikaizhengyijian。xinzeng3zhongqingzheng、zhongjishuliangcong25zhongzengjiadao28zhong、dingyigengzhunque(jieheliaozuixinyiliaolinchuangshijian,tongshiyoukaolvliaolipeideshiwucaozuo)、yinrudingqipinggujizhi、qingzhengpeifubili20%、jiazhuangxianaijiangTNMfenqiweiIqidenaruqingzhengpeifu、budehanyoubaozhangfanweigaoduzhongdiedejibing、hanjianbingxuyaobiaozhudeng。kejian,zhongjidingyixiudinglizuyuxiaofeizhejiaodu,youliyuweihuxiaofeizhequanyi。yinweishimianshangchanpinyibanbaohan80zhongyishangjibing,bingzhongshuliangzengjiayingxiangjiaoxiao。zhongjidingyixiudingyouliyujiangdinixiangxuanzehepeifufengxian、xiaofeizhebaozhanggengjiaquanmian,tongshicujinliaochanpinguifanhuasheji,duixingyefazhanjuyoushenyuanyiyi。3.1 weihejinxingxiuding?yixuezhongdejibingdingyimudeshishuomingmouzhongjibingshishime、linchuangbiaoxianyounaxiedeng;baoxianzhongdebingzhongdingyizhuyaojiedingmouzhongbingzaishimezhengzhuangxia、dadaoshimechengdukeyihuopei。2007nian,xianxingzhongjidingyiyoubaoxianxingyexiehuihezhongguoyishixiehuiyu2007nianfabu,duicujinzhongjixianfazhan、baohuxiaofeizhequanyiqidaozhongyaozuoyong。dansuizhuoyixuelinchuangzhenduanbiaozhunheyiliaojishudebuduanfazhanhegexin,xianxingguifanzhongdebufenneirongyibunengmanzudangqianxingyefazhanhexiaofeizhedexuqiu,xuyaojiayixiudinghewanshan。3yue31ri,baoxianxingyexiehuijiu《zhongdajibingbaoxiandejibingdingyishiyongguifanxiudingban(zhengqiuyijiangao)》xiangxingyezhengqiuyijian。3.2 xiudingneirongyounaxiegaibian?yishishouciyinruqingdujibingdingyi。jiangexingzhongliu、jixingxinjigengsi、naozhongfenghouyizheng3zhonghexinjibing,anzhaoyanzhongchengdufenweizhongdujibingheqingdujibingliangji,jixinzengliao3zhonghexinqingdujibingdingyi。shiyingliaoyixuefazhan,guoqushuyuzhongzhengjibing,danmuqianzhenliaofeiyongjiaodi、yuhoulianghaodejibingmingqueweiqingzhengjibing,shipeifubiaozhungengjiakexueheli;zhongzhengjibing,danmuqianzhenliaofeiyongjiaodi、yuhoulianghaodejibingmingqueweiqingzhengjibing,shipeifubiaozhungengjiakexueheli。biru,jiazhuangxianaimeiyoucongexingzhongliuzhongtichu,danshianzhaodengjijinxingliaoqufen,TNMfenqiweiIqidejiazhuangxianaicongyuanlaidezhongzhengbianweiqingzheng。ershizengjiabingzhongshuliang,shidukuozhanbaozhangfanwei。jiangyuanyou25zhongzhongjidingyiwanshankuozhanwei28zhongzhongdujibinghe3zhongqingdujibing,bingshidukuozhanbaozhangfanwei。yifangmian,zaiyuanyouzhongjidingyifanweidejichushang,xinzengliaoyanzhongmanxinghuxigongnengshuaijie、yanzhongkeluoenbing、yanzhongkuiyangxingjiechangyan3zhongzhongdujibing;lingyifangmian,duiexingzhongliu、jixingxinjigengsi、naozhongfenghouyizheng3zhonghexinzhongjibingzhongjinxingkexuefenji,xinzengliaoduiyingde3zhongqingdujibingdedingyi,kuozhanliaobaozhangfanwei。duiyurenheyikuanzhongjichanpin(shibazhousuiyishang),jibingfanweiyingdangbaokuoliuzhong:yanzhongexingzhongliu、jiaozhongjixingxinjigengsi、yanzhongnaozhongfenghouyizheng、zhongdaqiguanyizhishuhuozaoxueganxibaoyizhishu、guanzhuangdongmaidaqiaoshu(huochengguanzhuangdongmaipangluyizhishu)、yanzhongmanxingshenzangbing。ciwai,ruochanpinhuanbaozhangliaoshangshuliuzhongzhongdajibingyiwaideqitajibing,zebixubaohanlingwaisanzhongqingdujibing:qingduexingzhongliu、jiaoqingjixingxinjigengsi、qingdunaozhongfenghouyizheng。xiandingqingdujibingbaoxianjinewei20%。sanshikuozhanjibingdingyifanwei,youhuadingyineihan。genjuzuixinyixuejinzhan,kuozhanduizhongdaqiguanyizhishu、guanzhuangdongmaidaqiaoshu、xinzangbanmoshoushu、zhudongmaishoushu4zhongjibingdebaozhangfanwei,wanshanyouhualiaoyanzhongmanxingshenzangbingdengjibingdingyi。biru,dui“xinzangbanmoshoushu”,quxiaoliaoyuandingyiguidingdebixu“shishiliaokaixiong”zheyixiandingtiaojian,daizhiyi“shishiqiekaixinzang”。xindingyiyinyongbiaozhungengjiaquanweikeguan。xindingyiyinyongliaozaiyuandingyijichushang,yinruliaoshijieweishengzuzhi(WHO)《guojijibingfenleizhongliuxuezhuanji》disanban(ICD-O-3)dezhongliuxingtaixuebiaozhun,shidingyigengjiazhunqueguifan,zuidachengdudibimianliaokenengchuxiandelipeizhengyihelijieqiyi。zhiyuciqianguanxindeyuanweiaishubushuyuexingzhongliuwenti,xindingyixiayuyimingque:ICD-O-3 zhongliuxingtaixuebianmashuyu 0(liangxingzhongliu)、 1(dongtaiweidingxingzhongliu)、 2(yuanweiaihefeiqinxixingai)fanchoudejibingdubushuyuexingzhongliu。xinzhongjidingyigengjiazhunque,yinyongdingqipinggujizhi。xiangjiaoyu2007ban,xindingyijiehezuixindeyiliaolinchuangshijian,tongshiyoukaolvliaolipeideshiwucaozuo。ciwai,mingqueliaozhishaomei5nianduijibingdingyijiguifanquanmianpinggu,mingqueliaobaoxianxingyejibingguanlibangongshifuzexiangguandingyizhuizongxiudingzhize。3.3 zhongjidingyixiudingyouheyingxiang?dingyidebingzhongshuliangyouyuanlai25zhongzhongjizengjiawei28zhongzhongjihe3zhongqingzheng。muqianshimianshangdechanpinbaozhangfanweibaokuoshangbaizhong,yuanbuzhijiudingyixiade25zhonghuoxindingyixiade“28+3”zhong。yincijibingpinzhongzengjiayingxiangbuda。youliyujiangdinixiangxuanzehepeifufengxian。xindingyiyinyongbiaozhungengjiaquanweikeguan,yijiazhuangxianaiweili,xianxingdezhongjidingyiguifanzhongbingwuqufenqingzhenghezhongzheng,xindingyixiaTNMfenqiweiIqidejiazhuangxianaicongyuanlaidezhongzhengbianweiqingzheng。jiazhuangxianaijuyou2gao1didetedian(baoxianfabinglv、shengcunlvgao、yiliaohuafeidi)。90%yishangdejiazhuangxianaiduirentiweihaibuda、zhiliaofeiyongjiaoshao、zhisilvdi。Iqijiyixiadejiazhuangxianaiweihaibuda,wuluncongyuhouhefeiyonghuaxiaolaishuo,duihuanzhedeyingxiangduhenxiao,erqierongyizaoshai。danbansuizhuojiazhuangxianaiguogaodepeifulv,baoxiangongsimianlindaliangpeifufengxian,peifuyalizuizhongzhuanyizhixiaofeizheshenshang,yincixiaoruoliao“dibaofei、gaobaozhang”degangganxiaoying。genjutaikang2019nianlipeishuju,jiazhuangxianaizaizhongjilipeizhongzhanbida30%。bujinzaitaikang,zaiduoshubaoxiangongsizhong,jiazhuangxianaiyichengweilipeidezhuyaobingzhong。yifangmian,jiazhuangxianaifenjiduidaiyouliyujianshaonixiangxuanzefengxian。《zhongguoaizhengdengjinianbao2018》xianshi,jiazhuangxianaizaisuoyouaizhengzhongpaimingdiqiwei,danzaizhongjibaoxianlipeishuhelipeiezhongduwenjudiyi。guogaodelipeiezuizhongyehuizhuanyizhixiaofeizhe。lingyifangmian,TNMfenqiweiIqidejiazhuangxianaicongyuanlaidezhongzhengbianweiqingzheng,peifugengjiajingzhunheli。chengbengengjiahelihua,genjubingqingdeyanzhongchengdulaitigongzhenduixing、qubiexingdebaozhang。xiaofeizhebaozhanggengjiaquanmian。zaiyuanlaidingyixia,TNMfenqiweiIqidejiazhuangxianaiweizhongzheng,ruguofashenglipei,baoxianhetongzhongzhi(dancigeifuchanpin);erzaixindingyixia,ruguofashenglipei,shuyuqingzheng,buyingxiangzhongzhengbaoepeifu。youliyuzhongjixianchanpindeguifanhuasheji。bencixiudingzhongduizhongjixianchanpindeshejitichuxindeyaoqiu:(1)tongkuanchanpinzhong,budechuxianbaozhangfanweigaoduzhongdiedejibing;(2)xinzengjibingfabinglvruguojidi,xuyaozaimingchengzhongzhuming。youyubufenjijindebaoxiangongsiyizhongjishuliangduoxiyinxiaofeizhe,danxiaofeizhewufaqufenqiebuzhidaoshifoubixu,xindingyixiaduicijinxingliaoguifan,youliyuweihuxiaofeizhequanyi。yujizhongjixianjiangjiakongjianyouxian。youyuxindingyixiagaofadezhongjilipeigengjiayankeliao,manzuyidingtiaojianxiadejiazhuangxianai、qianliexianai、pifuaidengliuxiangjianghuafenqingzhengjinxingpeifu,jiangjiangdibaoxiangongsipeifu。suiranpeifuxiajiang,danyouyumuqianzhongxiaobaoxiangongsizhongjixianbaozhangzerenyufeilvjingzhengmianlin“tianhuaban”wenti,qieruojiagexiajiangjiangyousuncunliangbaodankehudeliyi,yinciyujizhongjixianjiangjiakongjianyouxian,zhongxiaobaoxiangongsijiangjiadonglibuzu。04 xinbanzhongjibiao:xindelichengbeixinbanzhongjibiaoshixinbanzhongjidingyidepeitaowenjian,erzhexuyaojiehefenxi。2007banzhongjidingyixia,zhuyaonianlingduanfabinglvtisheng,youyushangshibaoxiangongsiyibutizhunbeijin,yujiyingxiangyouxian;2020banzhongjidingyixiajibingfashenglvmingxianxiajiang,peifulvxiajiang,lilunshangkeyijiangdijiage;xinzengyuegangaodawanquzhongjibiao,shichanpingengjushichangjingzhengli。xiudingdezhongjibiaojianggengzhunquefanyingzhongjifashenglvdebianhua,chanpindingjia、pinggugengjiakexueheli,youliyuwendingsichayi;youyuchanpindingjiashoushichanggongqiuyingxiang,shichangjingzhengjingzhengriqujilie,yujijiangjialiduyouxian。4.1 weihejinxingxiuding?baoxiangongsizaidingjia、zhunbeijinpinggu、neihanjiazhipingguzhongduyongdaojibingfashenglvjiashe。2020nian5yue,xinbanzhongjifashenglvbiaoxiangquanxingyezhengqiuyijian。zaixinbanzhiqian,jibingfashenglvzhuyaogenju2013nianbianzhide《zhongguorenshenbaoxianyezhongdajibingjingyanfashenglvbiao(2006-2010)》。youyujiubanzhongjifashenglvbiaoyijingtuichushiyunian,woguodejibingpujizhongjifashenglvyifashengjiaodabianhua,xianyouzhongjibiaoyijingbunengmanzubaoxianxingyefazhanhexiaofeizheduoyuanhuaxuqiudexuyao。xinchanpindingjiajiangcaiyongxinbanzhongjifashenglvbiao。jiandaneryan,zhongjifashenglvtixianliaoyigerendezhongjidegailv,zhegegailvyingxiangdaozhongjixiandebaofei。fabinglvdebuquedinglaiziliangfangmian:shenghuofangshigaibian、yiliaojishudefazhanheyiliaosheshifugailv。shouxian,shenghuofangshidefumiangaibianhuidaozhiweilaifabinglvjingyanehua;qici,yiliaojishudefazhanhebaodanchiyourenxiangyoudeyiliaosheshifugailvdetigaohuitiqianzhongdajibingdequezhenshijian,daozhizhongdajibingdegeifutiqian。ruguodangqidefabinglvjiashemeiyoushidangfanyingzhexiechangqiqushi,zheliangfangmianzuizhonghuidaozhifuzhaibuzu。baoxiangongsidiaozhengjibingfashenglvyibutizhunbeijin。yizhongguotaibaopiludeminganxingfenxiweili,jibingfashenglvjiashetigao10%,shouxian、changqijiankangxianzerenzhunbeijinzengjia160.96yiyuan。2019zhongguotaibaoduizhunbeijinpinggujiashejinxingdiaozheng(zhuyaoshidiaozhengbufenchanpinjibingfashenglvjiashe),zengjiabaoxianhetongzhunbeijin80.77yiyuan,jianshaolirunzonge80.77yiyuan,zhan160.96yiyuande50%。yinci,jiubanzhongjibiaohuoyijingbunengshiyingdangqianguominjibingfashengfengxianzhuangkuang。xianxingdaotuixia,yujibaoxiangongsiyibutizhunbeijinyifanyingfabinglvdefengxianbianji。4.2 xiudingneirongyounaxiegaibian?liangtaozhongjibiaoxiudingchengqitaozhongjibiao。5yue7ri,zhongguojingsuanshixiehuifabu《zhongguorenshenbaoxianyezhongdajibingjingyanfashenglvbiao(2020)(zhengqiuyijiangao)》,baokuo(1)CI1、CI2:2007bandingyixiade6、25zhongjibingjingyanfashenglvbiao,zhuyaoyongyupinggucunliangbaodandezhunbeijin;(2)CI3、CI4:2020bandingyixiade6zhong、28zhongjibingfashenglvbiao,zhuyaoyongyuxinchanpindingjiahezhunbeijinpinggu;(3)CI5 、CI6:yuegangaodawanquzhuanshude6、28zhongjibingfashenglvbiao,zhuyaoyongyudawanquyuxingbaoxiandedingjiahepinggu;(4)CI7:yanzhongexingzhongliujingyanfashenglvbiao。2020nianbanzhongjibiaoyigongbaohan7zhangbiao。(zhongjibiaozhongyuegangaodawanqutezhiyuegangaodawanquzhongdeguangzhou、shenzhen、zhuhai、foshan、huizhou、dongzuo、zhongshan、jiangmen、zhaoqingjiugezhusanjiaochengshifugaidequyu)。shujuliangpangda,75suizhiqianjingyanfengfu,kexindugao。yunyongdashujufenxidengkejishouduan,jieherengongyanzhengshenhe,duixingyeyue2900kuanzhongjichanpin、chaoguo3yitiaoxiangguanchengbaolipeishujujinxingliaoduoweidujingxihuacesuanfenxi。tongshi,zhenduiyue75wanjianweizhiaizhengbingli、siyinbumingque、bingyinbumingquedengpeianxinxibuwanzhengwenti,zuzhibaoxiangongsitongguochaxunyuanshijuanzongdengfangshijinxingrengongbulu。4.3 zhongjibiaoxiudingyouheyingxiang?(1)CI1、CI2:yingxiangcunliangbaodanzhunbeijin2007banzhongjidingyixia,zhuyaonianlingduanfabinglvtisheng,pingjuneryanduizhunbeijinpingguyujiyingxiangyouxian。6bingzhongxia,nvxing18suizhi56suifabinglvtisheng,nanxing20suizhi44suifabinglvtisheng,danzhengtizengjiadefudujiaonvxingxiao。25bingzhongxia,zhengtixingtaiyu6bingzhongleisi,zhuyaonianlingduanfabinglvtisheng,danqitanianlingduanfabinglvxiajiang。pingjuneryan,6bingzhongxinbiaofabinglvshijiubiaode92%(nanxing)、112%(nvxing);25bingzhongxinbiaofabinglvshijiubiaode88%(nanxing)、105%(nvxing)。zhuyaonianlingjieduanjibingfashenglvdafutigao。18-44suiquntizhong,nvxingjibingfashenglvjiaozhiqianbanbendafushangsheng,nvxingjibingfashenglvtigaoliao132%,nanxingjibingfashenglvzuigaozhangfuwei52%,nvxingjibingfashenglvshangshengfuduyuangaoyunanxing,yujizhuyaoyujiazhuangxianai、gongzuoyalidengxiangguan。CI1、CI2zhuyaoyingxiangyingxiangcunliangbaodanzhunbeijin,yujicunliangchanpinzhongnanxingzhongjixianzhunbeijinbianhuabuda,yinweigenianlingduanyoushengyoujiang;dannvxingchanpinzhunbeijinhuobuti,zonghequannianlingduanlaikaolv,yingxiangyujiyouxian。gebiegongsihuiyinchanpinjiegouwenti,zhunbeijinbianhuabuyiyang,18suiyixiarenqunzhunbeijinshenzhijiangdi。baoxianxingyekehushujunanyihuoqu,womencaiyongliaozhongguotaipingzaiqitouzizhekaifangrihuodongzhongdegongkaishujuweilijinxingshuoming,zhongjixianxiaofeizhedenianlingjiegoujiaoweimingxian。baofeijiaodueryan,50suiyixianianlingduandequntizhanbi90%yishang,0-19sui、20-49suinianlingduanquntizhanbifenbiewei23.2%、69.5%。(2)CI3、CI4:yingxiangxinchanpinjiage2020banzhongjidingyixiajibingfashenglvmingxianxiajiang,huodailaijiangjiakongjian,danyujijiangjiakongjianyouxian。xinbanzhongjidingyixia,youyuzhongjidingyibutong,muqianzhengzaixiangxingyezhengqiuyijiandexinzhongjidingyidiaozhengdezhuyaobianhuazhiyishiexingzhongliuqufenchengqingdu、zhongdulianglei,jiangyuanshuyuexingzhongliuTNMfenqiweiT1N0M0qihuogengqingfenqiderutouzhuanghuolvpaozhuangjiazhuangxianaihuaguiweiqingduexingzhongliu。fabinglvjiaojiubiaomingxianxiajiang,pingjuneryan,6bingzhongxinbiaofabinglvshijiubiaode79%(nanxing)、78%(nvxing);25、28bingzhongxinbiaofabinglvshijiubiaode78%(nanxing)、76%(nvxing)。suizhuojibingfashenglvxiajiang,peifulvxiajiang,lilunshangkeyijiangdizhongjixianjiage。danzhongjixianchanpinjiagedeyingxiangyinsushiduofangmiande,baokuolilv、feiyonglv、fengxianfashenglvdeng。(3)CI5、CI6:gengjujingzhenglidedawanquchanpindawanqubanzhongjibiaofashenglvdiyuquanguoban。womenjiangtongyinianlingjieduanliangdiqufashenglvjinxingbijiao,caiyongdawanquban/quanguoban,ruguobizhidayu1,zefashenglvgaoyuquanguo,fanzhiyiran。congtuzhongkeyidezhi,6bingzhongxia,yuegangaodawanqu9-14suinanxingqunti、8-14suinvxingquntijibingfashenglvgaoyuquanguoshuiping,zuidadechayifuduwei5.6%、11.2%。chuliaogainianlingduanwai,qitanianlingduanyuegangaodawanqujibingfashenglvshuipingdiyuquanguoban。28bingzhongxia,yuegangaodawanqu10-17suinvxingquntijibingfashenglvjiaoquanguobantigao,zuidazengfuwei8.3%,qitanianlingjieduanjunyousuoxiajiang;yuegangaodawanqugenianlingduannanxingjibingfashenglvjiaoquanguobanjunyousuoxiajiang。yuegangaodawanquduobingzhongzhongjibiaogengjushichangjingzhengli。cicidawanqudexinbiao,zaifashenglvshangyuzhongguoxianggangshichangdezhongjibiaojibenyizhi。zongshangsuoshu,CI1(2020)、CI2(2020)shi2007nianbanzhongjibiaodegengxin,yingxiangcunliangbaodandezhunbeijinpinggu。pingjuneryanduizhunbeijinpingguyujiyingxiangyouxian,genianlingduanfenbuchayijiaoda,zhunbeijinshifoubutirengqujueyugongsicunliangbaodanderenkounianlingfenbu。danyouyushangshibaoxiangongsiyijingdiaogaoliaojibingfashenglvjiashe,butiliaobufenzhunbeijin,yujibutiyalibuda。jiehezhongjidingyixiugai,zhongjifashenglvbiaoxiuding,yingxiangweilaichanpindingjia、zhunbeijinpinggudeng。xinbanzhongjifashenglvjiaojiubanxiajiang,huodailaijiangjiakongjian,danchanpinjiagerengshoulilv、feiyonglv、qitafengxianfashenglvyijishichanghuanjingdengyinsuyingxiang,yujijiangjiakongjianbuda。tongshi,yuegangaodawanqujibingfashenglvdiyuquanguoban,weilaichanpinhuogengjujiageyoushi。05 zhongjixianchanpinbianhuazhanwangxinbanzhongjidingyihexinbanzhongjibiaoshizhongjixianfazhandelichengbei,zhanwangweilai,zhongjixianfazhanyouyixiaqushi:(1)guifanhuafazhan,dingjiagengkexue。youliyubaoxiangongsifangfanfengxian,tongshi,xiaofeizhequanyiyededaoweihu;(2)tuchushineng、huligongneng;(3)laonianzhongjixianjiasufazhan。5.1guifanhuafazhan,dingjiagengkexuexinzhongjibiaogengjiazhunquefanyingzhongjifashenglvbianhua,tishengliaochanpindingjia、pinggudekexuexing、helixing、chongzuxing,youliyubaoxiangongsicongyuantoushangfangfanfengxian。guifanhuafazhan。jibingdingyi、xuanchuancailiaoyangetongyi,bimiankehuzailiaojiechanpindeguochengzhongxianrujibingzhonglei“yueduoyuehao”dengwuqu。zhongjixianxuanchuancailiaozhongruguobaozhangdejibingdanduchuxian,caiyongzhufubiaotijiehedexingshigenghaodiconggaikuojibing,bimiankehu“wangwenshengyi”,tigaoxinxibiaodazhunquedu。ciwaiqingzhengpeifubili(qingzhengpeifue/zhongzhengpeifue)tongyiwei20%,daxingbaoxiangongsigaibilijunwei20%,zhongxiaobaoxiangongsigaibiliwei30%yishang,shenzhidadao45%,xinguihoujiangtongyiguifan。xinzhongjibiaoshicujinxingyefazhandezhongyaojichu。2013nianyuanbaojianhuifabu《zhongguorenshenbaoxianyezhongdajibingjingyanfashenglvbiao(2006-2010)》,cujinliaozhongjixiankuaisufazhan,duichanpinchuangxinjuyoushenyuanyiyi。xinzhongjibiaoyouwangcujinchanpinchuangxin,tuidongfengxianxifenjichanpinchuangxin,zengqiangshichanghuolihexiaolv。cicixiudinglizuyukehujiaodu,youliyuweihuxiaofeizhequanyi。(1)baozhangfanweijinyibukuozhan,jiangyuanyou25zhongzhongjidingyiwanshankuozhanwei28zhongzhongdujibinghe3zhongqingdujibing;(2)peifutiaojiangengheli,qieshitishengliaoxiaofeizhebaozhangquanyi;(3)caiyongkelianghuadekeguanbiaozhunhuogongrenbiaozhun,jianshaozhuguanpanduan,zuidachengdubimianliaokenengchuxiandelipeizhengyihelijieqiyi;(4)xinzhongjibiaotongguotishengchanpindingjiadejingzhundu,weixiaofeizhetigonggengjiashihezishenxuqiudechanpin,manzuxiaofeizheriyizengchangdejiankangbaozhangxuyao。5.2tuchushineng、huligongnengshineng、hulixingzhongjixianhuokuaisufazhan。jinnianlai,yiliaoxianshenshoushichanghuanying,2016nian,zhongantuichude“zunxiangesheng”shideyiliaoxianchengwei“wanghongchanpin”。yiliaoxiantongguoshedingjiaogaodemianpeie(yibanwei10000yuan),yijiaodidebaofeitigongjiaogaodebaoe,gangganjiaogao。yiliaoxiankuaisufazhan,zhongjixiandeyiliaofeiyongzhichugongnengbeijizhan,yinciqidingweihegongnengxuyaozhongxinsikao。shineng、hulixingzhongjitixianliaobaoxiangongsiderenwenguanhuai,weilaihuojinyibutupo。youyuzhongdajibingzaijiaochangyiduanshijianneidaozhihuanzhejinrushinenghuozhechangqihulidezhuangtai,jinerdaozhishourusunshihehulifengxian,yincizhongjixianzaishourubuchanghechangqihulifangmianxujinyibutupo。2019nian7yue,taibaotuichujinfurenshengzhongjichanpin,zhenduibeibaoren18-60suizhijianyinweihuanzhongdajibingerdaozhishineng(liuxiangrichanghuodongbunengwancheng6xiangyishang),zaipeifuliaozhongjibaoewai,huanjiangpeifu100%baoe,zuoweiduishineng、changqihulideewaiguanai。zhezhongchanpinshejituchuliaozhongjichanpinduishourusunshibuchanghechangqihulidegongneng。5.3laonianzhongjixianjiasufazhancicizhongjifashengbiaoxiuding,xinzengxinzhongjidingyixiadeliangzhonglaonianrendaibiaoxingzhongjijingyanfashenglvcankaobiao,fenbieshiyanzhongaercihaimozhengheyanzhongpajinsenzheng,jinyibumanzulaonianrenjiankangbaozhangxuqiu。renkoulaolinghuawenticuishenglaonianzhongjixuqiu。guonei65suijiyishangrenkoushuzhanbizhunianzengjia,2019nian,65suijiyishangrenkoudadao1.76yiren,zhanbiwei12.6%。laonianzhongjishichangkongjianguangkuo,xuyaokaifashihelaonianrenbaozhangneirong、baofeishizhong、jianhuahebaohefengxiankekongdezhongjichanpin。cankaohaiwaijingyan,laonianzhongjibaoxianluxutuichu。2014nian4yue,xinjiapoyoubanggongsituichulaonianaizhengbaoxian,chanpinzerenbaokuoaizheng、zhongfengdeng33zhongzhongdajibinghechuqipajinsenzhengdeng7zhongqingzheng;zaibaodanshengxiao4nianhou,mei3niantigongtijianzerenyici,shenguzerenweibaoede5%;toubaonianlingzai40-70sui,baozhengxubaozhi100sui,baoxiangongsiyongyoumeiniandiaozhengbaofeidequanli,danbuhuizaigebietoubaorendejichushangjinxingdiaozheng。benwenzuozheguoxinzhengquanfeiyintuandui,laiziwangjiandejiaodu,yuanwenbiaoti:《【guoxinfeiyin·shendu】zhongjixianfazhanyinglaizhongdabiange》,huaerjiejianwenyoushanjian

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