Guide: western medicine treatment of herpes zoster

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guide language

The treatment scheme of herpes zoster can be roughly divided into traditional Chinese medicine therapy and western medicine therapy. Today, we will learn the western medicine therapy recommended by the guide.

Therapeutic goal of herpes zoster

Relieve acute pain; Shorten the duration of skin lesions; Prevent the spread of skin lesions; Prevent or reduce complications.

First, antiviral drugs

Commonly used drugs in clinical treatment of herpes zoster can effectively shorten the course of disease, accelerate the healing of rash, reduce the formation of new rash and reduce the spread of virus to internal organs. It should be used within 72 hours after the eruption, so as to quickly reach and maintain the effective concentration and obtain the best therapeutic effect. At present, the approved systemic antiviral drugs include acyclovir, valaciclovir, famciclovir, bromovudine and foscarnet sodium.

acyclovir

Function characteristics:

Acyclovir triphosphate is produced by phosphorylation of viral thymidine kinase in infected cells, which can inhibit viral DNA polymerase and stop the extension of viral DNA chain.

  Usage:

(1) Oral administration: 400-800 mg/time, 5 times/day, for 7 days;

(2) Intravenous drip: 5 ~ 10 mg/kg for patients with immune impairment or serious nervous system diseases, once every 8 hours, with a course of 7 days. 

Precautions:

Patients should drink plenty of water during the administration of acyclovir to prevent acyclovir from precipitating in renal tubules and damaging renal function.

Valaciclovir

Function characteristics:

The prodrug of acyclovir is quickly absorbed by oral administration and quickly converted into acyclovir in gastrointestinal tract and liver, and its bioavailability is 3~5 times that of acyclovir.

  Usage:

Oral administration: 300 ~ 1000 mg/time, 3 times/day, for 7 days.

Fanciclovir

Function characteristics:

The prodrug of penciclovir is rapidly converted into penciclovir after oral administration, and maintains a long half-life in cells. The mechanism of action is the same as that of acyclovir, the bioavailability is higher than that of acyclovir, and the frequency and dosage of administration are lower than that of acyclovir.

  Usage:

Oral administration: 250 ~ 500mg/time, 3 times/day, for 7 days.

brivudine tablets

Function characteristics:

The antiviral effect is highly selective, and the process of inhibiting virus replication is only carried out in virus-infected cells. 

Usage:

Oral administration: 125mg//day, l times/day, for 7 days.

Sodium foscarnet

Function characteristics:

Blocking the phosphate binding site of viral DNA polymerase in a non-competitive way, thus showing antiviral activity.

  Usage:

Intravenous drip: 40 mg/kg each time, once every 8 hours.

Note meaning 

Patients with renal insufficiency should reduce the dosage accordingly;

If renal function continues to decline, acyclovir should be stopped immediately and famciclovir or other antiviral drugs should be used to continue treatment;

For patients suspected of renal insufficiency, creatinine level should be detected before initial administration (creatinine level is not required for bromovudine).

Second, analgesics

Mild to moderate pain:Acetaminophen and tramadol can be selected; 

Moderate and severe pain:

1. Opioid drugs, such as morphine or oxycodone;

2. Drugs for the treatment of neuropathic pain, such as calcium channel regulator gabapentin and pregabalin, in addition to amitriptyline and 5% lidocaine patch. Severe acute pain during herpes zoster is a risk factor for post-herpetic neuralgia (PHN). Combined with calcium channel regulator can not only effectively relieve pain, but also reduce the occurrence of PHN. Studies have shown that early use of pregabalin can significantly reduce the pain score of herpes zoster, especially within 7 days of herpes occurrence, which can significantly reduce the incidence of PHN. The pain of elderly patients with herpes zoster is more common and severe, which seriously affects all aspects of life, such as anxiety, disorder and inability to work or live normally. Studies have shown that pregabalin combined with oxycodone can not only further reduce the incidence of PHN, but also improve the daily activities and sleep of patients and improve their quality of life.

Third, glucocorticoid

At present, there is still controversy about whether to use glucocorticoid to treat herpes zoster.

It is generally believed that systematic application of glucocorticoid in the early stage of acute onset of herpes zoster and gradual decrease can inhibit the inflammatory process, shorten the duration of acute pain and the healing time of skin lesions, but it is ineffective for the pain with PHN. 

Recommended dose:The initial dosage of prednisone is 30~40 mg//day, which is taken orally and gradually reduced, and the course of treatment is 1~2 weeks.

 Fourth, neurotrophic drugs

It is also helpful to relieve neuroinflammation and neuralgia. Commonly used drugs include mecobalamin, vitamin B1 and vitamin B12, etc., which are taken orally or injected intramuscularly.

Five, topical drugs

Mainly dry and anti-inflammatory. 

Blister fluid is not broken:Calamine lotion, acyclovir cream or penciclovir cream can be used externally. 

After herpes is broken:

3% boric acid solution wet compress;

1: 5000 furacilin solution wet compress;

0.5% neomycin ointment for external use;

2% mupirocin ointment. 

Ophthalmic herpes:3% Acyclovir Eye Ointment and Iodine Eye Drops for External Use.

References: [1] Herpes Zoster Expert Consensus Working Group. Herpes Zoster Expert Consensus in China [J]. Chinese Journal of Dermatology .2018,51 (6): 403-406.

Laiyuan/Yunque

Global news: US stocks fell for three consecutive days, the Dow fell below the 50-day moving average, and US bond yields soared, which continued to put pressure on the market.

  On Thursday, local time, with the soaring yield of 10-year US bonds and the "assistance" of the yield of 10-year British bonds, the risk appetite of market investors continued to be suppressed. The three major indexes of US stocks recorded a three-day losing streak. After the S&P 500 index, the Dow also fell below the 50-year moving average, which is usually regarded as a signal of a short-term downward trend.

  It should be noted that the American Association of Individual Investors released the latest market sentiment survey report on Thursday, and the bullish enthusiasm of American retail investors in the next six months has plummeted, directly from 44.7% to 35.9%, breaking the state of being better than the historical average in the past 10 weeks. It is enough to show that current investors are not optimistic about the future trend of the market.

  The relatively vague monetary policy direction of the Federal Reserve has played a great role. According to the latest calendar of the Federal Reserve in official website, Powell will deliver a speech at the annual meeting of Jackson Hole Central Bank on August 25th, local time. If you have memories, you should remember last year’s "nine minutes of darkness". Powell’s speech directly caused the S&P 500 index to plummet by 3%, and then it went from 4,200 to below 3,500 in the next two months.

  The market may be worried that Powell’s speech this year may still cause market turmoil before inflation is completely tamed, and monetary policy may continue to be tightened during the year. At present, according to the observation tool of CME Federal Reserve, the probability of raising interest rates again at the end of the year has risen to over 30%, while the hope of lowering interest rates is slim, which was originally the biggest catalyst in the market.

  In other important news, on Thursday (August 17th), local time, the latest report released by market research company Counterpoint Research showed that global smartphone shipments will drop by 6% to 1.15 billion units this year. If it is finally true, it will be the lowest level in ten years.

  North America is still the main drag on the global recovery, and the disappointing performance in the first half of the year may bring the year-on-year decline of shipments in this region to double digits. However, the high-end market still maintains some flexibility. The report pointed out that Apple will therefore be in a favorable position, and the company will usher in an important product upgrade in the second half of this year, which may make it perform strongly before the end of this year.

  In addition, on Thursday night, Beijing time, Musk, the world’s richest man, announced his arrival in Japan on the social media platform, but did not disclose the itinerary. A sudden visit to Japan has caused a lot of discussion in the market. The important daily activities of his social media platform X come from Japan, with a population of only one-third of that of the United States, but the daily activities are comparable to those of the United States.

  Musk’s team is still frantically seizing the satellite Internet business in low-earth orbit. Japanese Defense Minister Yasukazu Hamada has previously confirmed that the Japanese Self-Defense Force has started testing this equipment since March this year.

  It is worth mentioning that on the occasion of Musk’s visit to Japan, when Tesla’s redesigned Model 3 was exposed to mass production, did this trip take a fancy to the potential of the Japanese electric vehicle market? The share of electric vehicles in the Japanese market has just exceeded 2%, and the best-selling Mini-EV is Nissan SAKURA, which sold 33,000 vehicles in the whole fiscal year of 2022. Tesla and () are regarded as luxury brands.

  [overnight U.S. stocks]

  Among the large-scale Chinese stocks, Alibaba rose 1.78%, Baidu fell 0.54%, Netease fell 0.09%, Tencent Music rose 5.78%, and Pinduoduo rose 0.81%.

  Among the large US technology stocks, Apple fell 1.46%, Amazon fell 0.81%, Google A rose 0.95% and Netflix fell 3.00%.

  [global index]

  In the European stock market, the FTSE 100 index in Britain fell slightly by 0.63% to 7310 points. The French CAC40 index fell slightly by 0.94% to 7192 points. Germany DAX index fell slightly by 0.71% to 15,677 points.

  [global goods]

  The main contract of WTI crude oil closed at $80.16 per barrel, up 0.98%; The main contract of Brent crude oil closed at $83.90 per barrel, up 0.54%; The main contract of crude oil in the previous period closed at 639.00 yuan per barrel overnight, down 0.08%.

  Overnight, the Shanghai gold main contract closed down 0.30% to 455.42 yuan per gram; The main contract of Shanghai Bank closed down 0.02% to 5627.00 yuan per kilogram.

  [overnight news]

  Powell will deliver a speech at Jackson Hole’s annual meeting next week.

  The Federal Reserve also quietly updated official website’s calendar after the close, showing that Powell will deliver the annual meeting speech of Jackson Hole at 10: 05 local time on August 25th. Investors should still remember clearly that on August 26th last year, with Powell’s famous "9-minute speech", not only did the S&P 500 index drop by 3% that day, but in the next two months, it even fell from 4,200 to 3,500.

  US retail investors’ bullish enthusiasm plummeted

  The American Association of Individual Investors also released the latest market sentiment survey report on Thursday. The bullish enthusiasm of American retail investors in the next six months has "dived down", directly dropping from 44.7% to 35.9%, breaking the state of being better than the historical average in the past 10 weeks.

  Fed officials are increasingly wary of the stock market’s rise.

  According to the latest minutes of the Fed meeting, Fed staff pointed out at the FOMC policy meeting in July that stock prices generally rose, corporate bond spreads narrowed, asset valuation pressure was "significant", and the risk assessment in May was "moderate"; Also named residential and commercial real estate prices, calling them "relatively high in terms of fundamentals".

  Research report: global mobile phone shipments may fall to a 10-year low, and Apple is expected to go against the trend.

  The latest report released by Counterpoint Research, a market research company, shows that global smartphone shipments are expected to hit the worst year in a decade in 2023. Despite the overall decline in smartphone shipments, the high-end market still maintains a certain degree of flexibility. The report pointed out that Apple will therefore be in a favorable position, and the company will usher in an important product upgrade in the second half of this year, which may make it perform strongly before the end of this year.

  After energy and food, the signs of sticky inflation in the United States reappear, and the price of used cars rose for the first time in four months.

  According to statistics, the wholesale data of used cars in the first half of August in the United States rose for the first time in four months, and the market is worried. This is another sign that inflation may be stuck for a long time after the rebound of energy and food prices.

  The global bond market selling added fuel to the fire, and the demand for Japanese bond auctions was the worst since 1987.

  The auction results of 20-year Japanese bonds on Thursday may show that investors are increasingly betting that the Bank of Japan will soon relax the easing policy YCC to control the yield curve. As the global sovereign bond yield has reached a 15-year high, the rising Japanese bond yield threatens global bonds.

  [company news]

  Tesla’s modified Model 3 was exposed to lower bicycle costs or add a "price war" card.

  Tesla’s revised Model 3 may start mass production in Shanghai as early as next month. This electric car faucet is in the final stage of the production of the demonstration car, and the vehicle will be transported to the Tesla exhibition hall later this month. Large-scale production will follow closely, starting in September at the earliest. These people familiar with the matter added that Tesla will also increase production during the National Day holiday.

  One of the people familiar with the matter said that the revised Model 3 has been changed in terms of design and interior parts, making it more fashionable. He added that in the case of full production, its cost will be lower than the current version of Model 3, or as low as 200,000 yuan.

  Musk suddenly announced his arrival in Japan. What is he going to do?

  On Thursday night, Beijing time, Musk, the world’s richest man, announced on his social media platform X that he had arrived in Japan. In view of his extreme love of showing himself on the Internet, this totally unexpected trip triggered a hot discussion among netizens: What is he doing in Japan?

  The important daily activities of Musk’s social media platform X come from Japan, with a population of only one-third of that of the United States, but the daily activities are comparable to those of the United States. Musk’s team is still frantically seizing the satellite Internet business in low-earth orbit. Japanese Defense Minister Yasukazu Hamada has previously confirmed that the Japanese Self-Defense Force has started testing this equipment since March this year.

  Mardner: The latest version of COVID-19 vaccine can produce a strong response to EG.5 mutant.

  Mardner disclosed on Thursday that preliminary clinical trial data confirmed that the company’s COVID-19 vaccine updated in autumn and winter this year showed a strong immune response against the latest dominant mutant strain EG.5 Mardner’s vaccine was developed for XBB.1.5 mutant, which belongs to Omicron mutant family with EG.5. The latest version of the vaccine is expected to be supplied for autumn vaccination in the next few weeks, and is subject to the approval of relevant departments.

  [AI dynamic]

  Google’s Gemini, the "most powerful model of mankind", will be released in autumn.

  The media broke the news that Google’s "brand-new killer" Gemini combines the capabilities of GPT-4, Midjourney and Stable Diffusion, and can also provide analysis charts, create graphics with text descriptions, and use text or voice command control software.

  AI enters the consulting circle McKinsey launches the first AI chat application Lilli.

  McKinsey, the world’s largest consulting firm, launched Lilli, the first AI chat application, for consulting project assistance. Lilli has been tested in the company for two months, and it is reported that the effect is good, which can shorten the task that originally took several weeks to several hours.

  [financial calendar]

Dozens of dead birds fell from the sky! A rare scene on the streets of Russian cities leads netizens to speculate.

  Russian video screenshot today

  Overseas Network September 22ndAccording to the news of "Russia Today" on the 21st, some pictures and videos have been circulated on Russian social media platforms recently: a street in Barakovo is full of dead birds. This rare scene triggered a series of brain hole conjectures by netizens.

  According to reports, this incident occurred in Barakovo, Saratov State, southwestern Russia, which is famous for its large nuclear power plant. According to videos and pictures uploaded by Russian social media users, local residents witnessed the bodies of dozens of dead birds scattered on a road.

1600758482562342.png

  Source: Russia today

  Below the video, Russian netizens gave many conjectures about why dead birds fell from the sky. Some people blame it on natural phenomena, such as a strong wind or an accidental collision between two birds. Others think that fireworks and exhaust gas from factories may cause a large number of deaths, and some even say that it is related to 5G equipment, although this technology has not yet entered Russia.

  "At the beginning of the nuclear disaster TV series Chernobyl, all the birds died." A comment with the highest praise linked the incident to the American HBO hit drama. The animal medical department of Saratov State is currently investigating this incident, which some people think may be related to bird flu. (Overseas Network Zhang Qi)

Apocalypse of the Great Plague of the World: Polio: After dealing with human beings for more than 3,000 years, what is the "resurgence" of this mysterious virus?

◎ Science and Technology Daily reporter Zhang Jiaxing

"At the hospital, the doctor took him away from us soon. I never saw my son again. He died alone like that. We had no chance to say goodbye to him at all. Now there is only his wardrobe and tropical fish …"

The grief and separation described in the father’s intermittent gibberish in the novel Nemesis really and frequently occurred in North America, Europe and other places in the first half of last century.

The source of all tragedies is a virus called poliovirus. Thousands of infants and young children developed fever and inflammation for unknown reasons at first, and then suddenly they could not breathe spontaneously, were paralyzed and even died. In the classroom full of children’s voices in the past, several seats are vacant every day, some because of isolation, some because of illness, and no one knows which day "you at the same table" will disappear. Historical pictures show that in 1944, a sixth-grade classroom in Milwaukee, the largest city in Wisconsin, USA, was almost empty on the first day of school, and a teacher only taught one student. This scene is embarrassing.

On the other side of the city, the huge cylinder "iron lung" has "eaten" more and more children to help them breathe. Some people walk out of the "iron lung", some people fail to walk out alive, and some people spend the rest of their lives in the "iron lung", with their limbs and bodies in jars, only showing their heads to eat, drink and breathe …

Image source: vision china

According to records, on June 17th, 1916, new york officially announced the existence of epidemic polio infection. That year, the first polio epidemic broke out in new york, with more than 9,000 cases and 2,343 deaths. The polio epidemic in 1952 was by far the worst, with 57,628 cases reported in the United States alone.

Searching for "patient zero" thousands of years ago.

Who was the first "patient zero" infected with polio virus?

The most famous origin comes from the lithographs in ancient Egypt. A lithograph of the 18th dynasty in ancient Egypt (1403 -1365 BC) depicts a person with muscular atrophy in his right leg, which is regarded as the earliest verifiable document reflecting the pathological state of polio.

There are also manifestations of clinical manifestations of poliomyelitis in TCM books. The earliest record is found in Huangdi Neijing, such as Su Wen Wei Lun, which says, "The five internal organs are hot, which can make people sick and flaccid, and the cover is hot inside and flaccid outside."

Patients with polio sequelae in ancient Egyptian lithographs. Image source: shell

People know that the existence of poliovirus is only a short hundred years, but poliovirus has accompanied the evolution of human society like a ghost. The age is so long that the pursuit of polio virus zero infection is meaningless.

It can’t be traced back to the first "intruder" in the whole human society, but in some parts of human society, either because of the fear brought by the unknown, it is necessary to find an outlet to vent, or because of unspeakable political purposes, people will offend each other and even fight for who is the "patient zero" who brought it.

Gao Xi, a professor of history at Fudan University, pointed out in a speech that in the dark European Middle Ages, the scale, duration, coverage, number of deaths and variety of diseases that ravaged the European continent were unprecedented. Infectious diseases, including typhoid fever, smallpox, polio and scarlet fever, spread from one country to another and soon spread in Europe.

Countries go to war and blame each other for this. Among the people, rumors spread everywhere. Witches, Jews and children … Any group that is considered to be different may cause public anger at any time because of a rumor and be pushed into the painful abyss of publicly offending.

"At that time, a more common and excusable statement was that Columbus and his companions brought diseases from the New World to Europe and then spread them all over the world." Gao Wei said.

Ignorance leads to rumors and conviction. The haze of the virus enveloped the European continent at that time, and at the same time, human ignorance made the disaster spread like a virus.

Draw a circle and search for the cause of disease for a hundred years.

At first, people couldn’t relate the figurative and mechanized symptoms of sudden muscle paralysis and limb paralysis to a tiny microorganism, which is why polio has another name: polio.

At one time, polio was considered to be congenital and acquired. There was a secular view that children with polio had problems during embryo gestation, and even it was attributed to ghosts and gods. As a result, generations of polio patients had argued about their rights to get married and have children as adults for nearly half a century.

Back in the 20th century, before the Russian pathologist ivanovski discovered the virus, people knew nothing about this microorganism that could not be seen through the optical microscope. At that time, the disease was called: tooth paralysis, infantile spinal paralysis, primary paralysis of children, degenerative paralysis, anterior horn myelitis, early morning paralysis, etc., and it had no "half a cent" relationship with the virus.

In 1789, a British doctor named Michael Underwood made a clinical description of polio, which he called "weakness of lower limbs".

In 1840, Jacob von Heine, a German orthopedic surgeon, first separated the paralysis caused by polio from other forms of paralysis, calling it polio.

In 1887, Karl Oskar Medin, a Swedish scholar, went out to study individuals and regarded them as epidemics. He recorded an epidemic situation in Stockholm from an epidemiological point of view, and reported the epidemiological characteristics and nervous system complications of polio for the first time.

It was not until 1908, 10 years after the concept of Virus was accepted, that Austrian-born doctors Karl·Landsteiner and Erwin·Popper obtained samples from the central nervous system tissues of patients after death, and then isolated the virus by inoculating monkeys, finally associating paralysis and paralysis with the virus, and drew a closed-loop "circle" in finding the cause.

However, up to now, the closed-loop "circle" of polio caused by virus still can’t erase the prejudice brought by this terrible disease, especially the mutilation it brings is clearly visible, which will make people wonder whether it may be inherited in future generations or associated with "bad luck" regardless of scientific objectivity.

Together, NATO and Warsaw Pact are both healthy covenants.

In the summer of 1921, a cluster of small particles of poliovirus with a size of only 20 nanometers and a icosahedron swam in the water near Campobello Island on the Atlantic Ocean. Small particles drift with the tide, and their surrounding environment is as leisurely and quiet as the earth in ancient times.

A 38-year-old man dived into the water to enjoy the beauty of nature. A small wave came, and the small particles trapped by the sea water entered the man’s mouth and nose.

In just one day, the virus reached the man’s local lymphoid tissue, such as tonsils and other places to multiply and grow; Then the virus further invaded the blood stream, and on the third day, it reached various non-nerve tissues, such as heart, kidney, liver and pancreas, and propagated. The antibodies in the man’s body didn’t have time to stop this powerful offensive of the virus, and watched the virus break through the "blood-brain barrier" and go straight to the central nervous system.

After this trip, the man began to have incontinence, fever and facial paralysis. The paralyzed part began to spread from the hip, and gradually his legs were completely paralyzed, and then his waist … He was franklin roosevelt, who was later elected president of the United States. He was paralyzed for life from the waist down because of polio virus.

His infection and illness brought panic about this virus in the United States in the short term, but in the long run it sounded the "assembly number" for fighting polio virus.

With the emergence of vaccinia to contain smallpox, vaccines have become the "killer" for human beings to deal with viruses. Vaccine makers start with real viruses and try to eliminate their toxicity, so as to produce vaccines.

In 1953, the swimming pool in Elmira, New York, had a sign indicating that it was closed due to polio. Image source: shell

At the American Public Health Association conference in 1935, two groups of researchers reported their experiments on polio vaccine. In the first group of about 10 thousand children vaccinated, five died of polio and ten were paralyzed. There was no control group in this group of experiments, but John Ke Ermo, who led the experiment, said that the infection rate would be higher without vaccination. Such speculation without factual data made the scene in an uproar.

The second group is Maurice Brodie of new york University. One of the 7500 people vaccinated with the vaccine he developed was infected with polio; One of the 900 people vaccinated in the control group was infected with polio. Although the data is statistically significant, when the audience learned that the infection in the vaccinated population was caused by the vaccine, they all condemned Brody’s research for making healthy people suffer from polio.

Shortly after the report, Brody lost his position at new york University and was found to have committed suicide at home.

The research of vaccine is tortuous, but the scientific spirit and unremitting efforts will inevitably push forward the research and development of vaccine.

On April 12, 1955, the Journal of salk reported an exciting news with a full page: "’s vaccine works! 》(《SALK’S VACCINE WORKS! 》)

In 1947, jonas salk, an American scholar, set up a three-person research team to jointly overcome the problem of polio. Unlike most researchers who studied live attenuated polio vaccine at that time, salk’s research used inactivated virus as vaccine.

In the United States in 1952, under the threat of epidemic disease, the scale of human trials of vaccine research and development continued to expand. Salk’s vaccine was tested on 1.8 million children, making it the largest medical experiment in human history at that time. Almost the day after the test results were announced, millions of children across the United States were vaccinated against polio.

The debate between "dead" vaccine and "live" vaccine has not stopped because of large-scale vaccination.

Albert Bruce Sabin, who is developing research and development in parallel with salk, insists that only when the live virus enters the human body can the vaccinated people get immunity.

However, Sabin’s "live" vaccine was born a little late. When he developed an attenuated polio vaccine, salk’s vaccine had become the mainstream of the United States, and the government no longer supported his project, so he had to cooperate with other countries.

Disease is not political, and science has no borders. The research and development of attenuated polio vaccine spanned the two political and military camps "North Atlantic Treaty Organization" and "Warsaw Treaty Organization". In 1959, with the support of the Soviet Union, Sabin completed a large-scale clinical trial involving 10 million people, which verified the effectiveness, safety and accessibility of the vaccine.

Ark, leading billions of people away from polio.

In 1950s, poliovirus also occurred from time to time in all parts of China. Even if the weather is sultry, families will let their children stay at home, because there is an invisible and frightening polio virus outside, which will make children disabled after a fever. What is even more frightening is that this virus can be invisible like a "ghost", and healthy people who seem to have no symptoms may also carry it.

At that time, which of the three polio viruses was prevalent in China had not been determined, and the etiology and serology research was almost zero. In 1957, Gu Fangzhou, a scientist from China, led a team to isolate poliovirus from patients’ feces in 12 cities across the east and west, and found that the three types of virus had different characteristics. Through a large number of clinical practice studies, the popular virus types in China were determined, and the laboratory diagnostic criteria of poliovirus were established.

A large number of cases obtained from the investigation made Gu Fangzhou more and more worried. He reported to his superiors that if the incidence of polio was not high, the prevention work could be carried out slowly, but now the incidence is high, and a big outbreak will eventually occur somewhere in a certain year. The outbreak in Berlin in 1947 was a warning, and the pandemics in Nantong in 1955 and Wenzhou in 1956 in China have also sounded the alarm.

In 1959, Gu Fangzhou was ordered to go to the Soviet Union to study the development method and production technology of polio virus vaccine. He found that the existing technology was good, but neither the cost nor the inoculation period was suitable for China at that time. In Gu Fangzhou’s mind, public health should not be "bookish" at all, and any work should be useful and beneficial to the people.

At the international conference on polio vaccine in 1959, Gu Fangzhou, who is good at learning, made it clear that vaccines can be divided into "dead" and "live", and that dead vaccines are safe, but they will not form an immune barrier in human body. Attenuated live vaccines may theoretically restore their virulence, but they can become natural vaccines and form an immune barrier.

With the courage and rational judgment of scientists, Gu Fangzhou made a choice for all the people of China. He wrote to the Ministry of Health at that time, suggesting to choose an attenuated live vaccine that was not proved to be safe and had no mature production process, and personally brought the virus back to China from the Soviet Union.

Gu Fangzhou Image Source: Voice of China

In December, 1959, the polio live vaccine research collaboration group was established with the approval of the former Ministry of Health, with Gu Fangzhou as the team leader. Vaccine research and development started from scratch, and the team overcame the difficulties of material shortage and harsh environment, and finally got a vaccine sample. With the start of clinical trials of vaccines, it becomes a problem who will take them first.

At the risk of possible paralysis, Gu Fangzhou drank a small bottle of vaccine solution, and the rest of the lab joined the experiment.

The vaccine is harmless to adults, but how safe is it for children? "At that time, my son Xiaodong was just under one year old and qualified." Gu Fangzhou’s oral memory history records: "My own children don’t eat, let others eat, which is not very righteous."

With the development of clinical trials of vaccines, the epidemiological data of 2 million children after taking vaccines show that the epidemic peaks in Shanghai, Tianjin and Qingdao have basically disappeared, and domestic vaccines are safe and effective biological products to prevent polio epidemic.

China polio eradication confirmation report signing ceremony. Image source: Voice of China

In Gu Fangzhou’s polio immunization strategy, every child in China cannot be left behind. The oral vaccine rate should reach 95% to form an immune barrier. This means that children who are far away from the Tibetan Plateau, the desert in Xinjiang and the deep mountains in Guizhou must enter the protective barrier without exception. If there is a slight omission, the virus may recur. At that time, there was no cold chain, so it was very difficult for vaccines to circulate effectively in the country in a short period of time. The local method of mixing popsicles with wide-mouthed thermos flask is not very effective.

According to Biography of Gu Fangzhou, Gu Fangzhou, who came home after work, was still thinking about the immunization strategy. His son looked at him. He picked up the candy on the table and shook it in front of his son. His son held out his little hand urgently to make him laugh. Sugar! Gu Fangzhou started the research on vaccine sugar pills. He developed the polio vaccine "Sugar Pill", which made China enter a polio-free era.

In 2000, the World Health Organization announced that polio had been eradicated in the western Pacific, which was closely related to the effective immune barrier formed by polio vaccine in China with a population of more than one billion.

Play around and be alert to the resurgence of sophisticated viruses.

Extinction, doomsday, end …

Since April 8, 1994, when the World Health Organization announced that polio was basically extinct, a large number of reports used similar words to summarize the fate of polio virus.

However, contrary to expectations, polio has never become one of the few infectious diseases that can be eliminated.

In 2000, Cape Verde reported 33 cases of acute polio, including 7 deaths.

In recent years, there have also been cases of infection in Pakistan, and the number of cases has dropped from 306 in 2014 to 54 in 2015, 20 in 2016 and 8 in 2017.

By 2018, less than 30 cases of naturally occurring polio had been reported in Afghanistan and Pakistan.

On March 10th, in Mazar-e-Sharif, the capital of Balkh province in northern Afghanistan, a health department worker vaccinated children against polio. Image source: Xinhuanet

However, according to Science, workers found the virus in a vast area of Pakistan. This disturbing latest discovery shows that it still exists in the environment and is far from disappearing.

Will this virus, which has been dealing with human beings for more than 3000 years, resurface?

As far as the virus itself is concerned, one of the secrets that it has lasted for thousands of years is that more than 90% of the carriers are "secret". These secret infected people have no symptoms, but they provide a secret habitat for the virus to preserve its vitality and wait for the opportunity to revive.

For human beings, rumors can still fuel its "resurgence." For example, rumors that vaccines cause autism are exploited by some religious organizations. Some commentators believe that the resurgence of polio in Nigeria in 2016 after two years of extinction has a lot to do with Boko Haram, an extremist organization in the country. The organization spread rumors among local people, saying that the real purpose of polio vaccine is to sterilize Africans, which led to a large-scale protest in Nigeria, and even several immunization workers were shot dead by extremist organizations.

In the face of ancient viruses, human beings should always remember:

For human tragedies and disputes,

The virus looked on coldly in secret.

For the change and migration of the environment,

The virus "secretly" sees the needle.

Source: Science and Technology Daily

Original title: "Apocalypse of the Great Plague in the World: Polio: After dealing with human beings for more than 3,000 years, what is the" resurgence "of this mysterious virus"

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7 categories of mainstream 3D printing technologies, all of which can be understood.

Many people think that 3D printing is to extrude materials from hot nozzles and stack them into shapes, but in fact 3D printing is far more than that! Today, Antarctic Bear will introduce seven kinds of 3D printing processes. Even 3D printing can clearly distinguish different 3D printing processes.

In fact, 3D printing, also known as additive manufacturing, is a general term, covering several completely different 3D printing processes. These technologies are worlds apart, but the key process is the same. For example, all 3D printing starts with a digital model, because the technology is digital in nature. Parts or products are originally electronic files designed by computer aided design (CAD) software or obtained from digital parts library. Then the design file is decomposed into slices or layers by special construction preparation software for 3D printing, and the path instructions to be followed by the 3D printer are generated. Next, you will understand the differences between these technologies and the typical uses of each technology.

Why are there seven types?

The types of additive manufacturing can be classified according to the products they produce or the types of materials they use, and the International Organization for Standards (ISO) divides them into seven general types (but these seven 3D printing categories can hardly cover more and more technical sub-types and mixed technologies). :

● Material extrusion

● Reduction polymerization

● Powder bed fusion

● Material spraying

● Adhesive spraying

● Directed energy deposition

● Sheet lamination

First, material extrusion

△ Material extrusion 3D printing

Material extrusion as the name implies: material is extruded through a nozzle. Usually, this material is a plastic filament, which is melted and extruded through a heated nozzle. The printer places materials on the building platform along the process path obtained by software. The filament then cools and solidifies to form a solid object. This is the most common form of 3D printing. At first glance, it sounds simple, but considering the extruded materials, including plastics, metals, concrete, bio-gel and various foods, it is actually a very broad category. The price of this type of 3D printer ranges from $100 to seven figures.

● Subtypes of material extrusion: fused deposition modeling (FDM), building 3D printing, micro 3D printing and biological 3D printing.

● Materials: plastic, metal, food, concrete, etc.

● Dimensional accuracy: 0.5% (lower limit: ±0.5mm)

● Common applications: prototype, electrical enclosure, shape and fit test, fixture and fixture, investment casting model, house, etc.

● Advantages: 3D printing method with the lowest cost and wide range of materials.

● Disadvantages: Generally, the material performance is low (strength, durability, etc.), and the dimensional accuracy is usually not high.

1. Fused Deposition Molding (FDM)

△FDM parts can be made of metal or plastic on various 3D printers.

FDM 3D printer is a multi-billion dollar market with thousands of machines, ranging from basic models to complex models of manufacturers. The FDM machine is called Fuse Manufacturing (FFF), which is exactly the same technology. Like all 3D printing technologies, FDM starts with a digital model and then converts it into a path that a 3D printer can follow. Using FDM, one filament (or several filaments at a time) on the bobbin is loaded into a 3D printer and then sent to the printer nozzle in the extrusion head. The nozzle or nozzles of the printer are heated to the required temperature to soften the filament, thus connecting successive layers to form a solid part.

When the printer moves the extrusion head along the specified coordinates on the XY plane, it will continue to lay the first layer. Then the extrusion head rises to the next height (Z plane), and the process of printing the cross section is repeated, building layer by layer until the object is fully formed. Depending on the geometry of the object, it is sometimes necessary to add a support structure to support the model when printing, for example, if the model has a steep overhang. These supports are removed after printing. Some supporting structure materials can be dissolved in water or another solution.

△FDM 3D printers provide a wide range of machines for amateurs, small businesses and manufacturers (sources: Creality, Raise3D, Stratasys).

2.3D biological printing

△3D bio-printing is similar to traditional 3D printing, but the raw materials are quite different.

3D biological printing or biological 3D printing is an additive manufacturing process in which organic or biological materials (such as living cells and nutrients) are combined to create a natural three-dimensional structure similar to tissues. In other words, bioprinting is a kind of 3D printing, which can produce anything from bone tissues and blood vessels to living tissues. It is used in various medical research and applications, including tissue engineering, drug testing and development, and innovative regenerative medicine therapy. The actual definition of 3D bioprinting is still developing. Essentially, the working principle of 3D bio-printing is similar to FDM 3D printing, and it belongs to the material extrusion series. (Although extrusion is not the only bio-printing method)

3D bio-printing uses the material (bio-ink) discharged from the needle to create a printed layer. These materials, called bio-inks, are mainly composed of living substances, such as cells in carrier materials, such as collagen, gelatin, hyaluronic acid, silk, alginate or nano-cellulose, which serve as molecular scaffolds for structural growth and nutrients.

3. Building 3D printing

△ Building 3D printing

Building 3D printing is a rapidly developing field of material extrusion. This technology involves the use of super-large 3D printers (usually up to tens of meters) to extrude building materials such as concrete from nozzles. These machines usually appear in the form of gantry or robotic arm systems. 3D architectural printing technology is now used in residential buildings, architectural features and construction projects from wells to walls. Some researchers say that it may significantly change the whole construction industry, because it reduces the demand for labor and construction waste.

There are dozens of 3D printed houses in the United States and Europe, and 3D building technology is being researched and developed, which will use materials found on the moon and Mars to build habitats for future expeditions. Printing with local soil instead of concrete as a more sustainable building method has also attracted attention.

Second, reduction polymerization

△ Reduction polymerization using laser

Barrel polymerization (also known as resin 3D printing) is a series of 3D printing processes, which uses a light source to selectively cure (or harden) photopolymer resin in a barrel. In other words, light is precisely directed at a specific point or area of liquid plastic to harden it. After the first layer is cured, the building platform will move up or down (depending on the printer) by a small amount (usually between 0.01 and 0.05 mm), and the next layer will be cured and connected with the previous layer. This process is repeated layer by layer until a 3D part is formed. After the 3D printing process is completed, the object is cleaned to remove the remaining liquid resin and post-cured (in the sun or ultraviolet room) to enhance the mechanical properties of the parts.

The three most common forms of barrel polymerization are stereolithography (SLA), digital light processing (DLP) and liquid crystal display (LCD), also known as mask stereolithography (MSLA). The fundamental difference between these types of 3D printing technologies lies in the light source and the way it is used to cure the resin.

△ vats polymerization uses light to harden photosensitive resin layer by layer.

Some 3D printer manufacturers, especially those that manufacture professional 3D printers, have developed unique and patented photopolymerization variants, so you may see different technical names in the market. Carbon, an industrial 3D printer manufacturer, uses a barrel polymerization technology called Digital Photosynthesis (DLS), Origin of Stratasys calls it Programmable Photopolymerization (P3), Formlabs provides a technology called Low-Force Stereolithography (LFS), and Azul 3D is the first to commercialize the barrel polymerization in the form of large-area rapid printing (HARP). There are also photolithography-based metal manufacturing (LMM), projection micro-stereolithography (PμSL) and digital composite manufacturing (DCM), which is a technology of filling photopolymer and can introduce functional additives (such as metal and ceramic fibers) into liquid resin.

● Types of 3D printing technology: Stereolithography (SLA), Liquid Crystal Display (LCD), Digital Light Processing (DLP), Micro Stereolithography (μSLA), etc.

● Material: photopolymer resin (castable, transparent, industrial, biocompatible, etc.)

● Dimensional accuracy: 0.5% (the lower limit is 0.15mm or 5nm, using μSLA).

● Common applications: injection molding polymer prototypes and end-use parts, jewelry casting, dental applications, consumer goods.

● Advantages: smooth surface finish and fine feature details.

1. Stereolithography (SLA)

△ Stereolithography (SLA) Examples of SLA 3D printing from 3D Systems, DWS and Formlabs.

SLA is the first 3D printing technology in the world. Stereolithography was invented by Chuck Hull in 1986. He applied for a patent for this technology and set up 3D Systems Company to commercialize it. Today, this technology can be used by enthusiasts and professionals from many 3D printer manufacturers. SLA uses laser beam to aim at a barrel of resin, selectively solidifies the cross section of the object in the printing area, and builds it layer by layer. When most SLA printers use solid-state lasers to cure components. One disadvantage of this barrel polymerization is that compared with our next method (DLP), the point laser may take longer to track the cross section of the object, and the latter will flash light to immediately harden the whole layer. However, laser can produce stronger light, which is required by some engineering-grade resins.

△SLA 3D printer uses one or more lasers to track and cure a single layer of resin at one time.

Micro-stereolithography (μSLA)

Micro-stereolithography technology can print micro-parts, and the resolution is between 2 microns (μm) and 50 microns. For reference, the average width of human hair is 75 microns. It is one of the "micro 3D printing" technologies. μSLA involves exposing photosensitive material (liquid resin) to ultraviolet laser. The difference lies in the special resin, the complexity of laser and the addition of lens, which will produce almost incredible small light spots.

△Nanoscribe and Microlight3D are two leading manufacturers of TPP 3D printers (source: Nanoscribe and Microlight3D).

Two-photon polymerization (TPP)

Another micro 3D printing technology, TPP (also called 2PP), can be classified as SLA, because it also uses laser and photosensitive resin, and it can print parts smaller than μSLA, as small as 0.1 micron. TPP uses pulsed femtosecond laser to focus on a narrow spot in a large barrel of special resin. This point is then used to cure a single 3D pixel, also called a voxel, in the resin. By curing these nano-scale to micron-scale voxels layer by layer in a predefined path. TPP is currently used in research, medical applications and the manufacture of micro parts, such as microelectrodes and optical sensors.

△ Micro 3D printing: TPP technology

2. Digital Light Processing (DLP)

△ DLP 3D printing parts of △Anycubic, Carbon and ETEC

DLP 3D printing uses a digital light projector (instead of a laser) to flash a single image of each layer on a layer or resin at the same time (or to expose a larger part for multiple times). DLP (more common than SLA) is used to produce larger parts or larger parts in a single batch, because no matter how many parts are in construction, each layer needs exactly the same exposure time, which is more efficient than the point laser method in SLA. The image of each layer consists of square pixels, resulting in a layer formed by small rectangular blocks called voxels. Light is projected onto the resin using a light emitting diode (LED) screen or a UV light source (lamp) and onto the construction surface through a digital micromirror device (DMD).

△ Digital Light Processing (DLP) resin 3D printer has a hobby version and a complete manufacturing machine.

Modern DLP projectors usually have thousands of micron-sized LEDs as light sources. Their on-off states are independently controlled, which can improve the XY resolution. Not all DLP 3D printers are the same. The power of light source, the lens it passes through, the quality of DMD and many other parts that make up a machine worth 300 dollars are quite different compared with a machine worth more than 200,000 dollars.

Top-down DLP

The light source of some DLP 3D printers is installed on the top of the printer, and shines down on the resin barrel instead of up. These "top-down" machines flash one layer of images from the top, curing one layer at a time, and then put the cured layer back in the vat. Every time the building board is lowered, the recoating machine installed at the top of the vat will move back and forth on the resin to level the new layer. According to the manufacturer, because the printing process will not resist gravity, this method can produce more stable parts output for larger prints. There is a limit to how much weight can be hung vertically from the building board when printing from bottom to top. The resin barrel also supports printed parts during printing, which reduces the need for supporting structures.

△BMF’s MicroArch S230 can print detailed parts of polymers or ceramics as small as 2 microns (source: BMF).

Projection microlithography (PμSL)

As a unique type of barrel aggregation itself, PμSL is classified as a subcategory of DLP. This is another micro 3D printing technology. PμSL uses ultraviolet rays from the projector to cure the specially formulated resin layer in micron scale (2 micron resolution and as low as 5 micron height). This additive manufacturing technology is developing continuously because of its low cost, accuracy, speed and the range of materials (including polymers, biomaterials and ceramics). It has shown the application potential from microfluidic and tissue engineering to micro-optics and biomedical micro-devices.

Metal Manufacturing Based on Lithography (LMM)

This is another "distant relative" of DLP. This method of 3D printing using light and resin can create tiny metal parts for applications such as surgical tools and micromechanical parts. In LMM, metal powder is uniformly dispersed in photosensitive resin, and then selectively polymerized by blue light exposure through a projector. After printing, the polymer components of the blank parts are removed, leaving all-metal degreased parts, which are completed in the sintering process in the furnace. Raw materials include stainless steel, titanium, tungsten, brass, copper, silver and gold.

△ Micro-metal 3d printing parts made on Incus 3D printing with LMM technology.

3. Liquid crystal display (LCD)

△ LCD 3D printing components from Elegoo, Photocentric and Nexa3D.

Liquid crystal display (LCD), also known as mask stereolithography (MSLA), is very similar to the above DLP, except that it uses LCD screen instead of digital micromirror device (DMD), which has a significant impact on the price of 3D printer. Like DLP, LCD photomask is digitally displayed and consists of square pixels. The pixel size of LCD photomask determines the granularity of printing. Therefore, the XY accuracy is fixed and does not depend on the zoom or zoom degree of the lens, just like DLP. Another difference between DLP printers and LCD technology is that the latter uses an array of hundreds of individual emitters instead of a single point emitting light source like a laser diode or DLP bulb.

△ Today, LCD resin 3D printing technology is shifting from consumer machines to industrial machines.

Similar to DLP, LCD can achieve faster printing time than SLA under some conditions. This is because the whole layer is exposed at one time instead of tracking the cross-sectional area with a laser spot. Due to the low cost of LCD unit, this technology has become the first choice in the field of low-cost desktop resin printers, but this does not mean that it has not been used professionally. Some industrial 3D printer manufacturers are breaking through the technical limits and achieving remarkable results.

Third, powder bed fusion

△ Powder bed fusion

Powder bed fusion (PBF) is a 3D printing process, in which a thermal energy source selectively melts powder particles (plastic, metal or ceramic) in a construction area to create solid objects layer by layer. Powder bed fusion 3D printer spreads a thin layer of powder material on the printing bed, usually using a blade, roller or wiper. The energy from the laser fuses a specific point on the powder layer, and then another powder layer is deposited and fused to the previous layer. This process is repeated until the whole object is manufactured, and the final product is wrapped and supported by unmelted powder.

△ Metal laser powder bed fusion process

PBF can manufacture parts with high mechanical properties (including strength, wear resistance and durability) for the end use of consumer goods, machinery and tools. 3D printers in this market segment are getting cheaper and cheaper (starting at around $25,000), but it is considered as an industrial technology.

● Types of 3D printing technology: selective laser sintering (SLS), laser powder bed melting (LPBF) and electron beam melting (EBM).

● Materials: plastic powder, metal powder and ceramic powder.

● Dimensional accuracy: 0.3% (lower limit: ±0.3mm)

● Common applications: production of functional parts, complex pipes (hollow design) and small batch parts.

● Advantages: functional components, excellent mechanical properties, complex geometry.

● Disadvantages: The cost of the machine is high, usually high-cost materials, and the construction speed is slow.

1. Selective laser sintering (SLS)

△ SLS 3D printing parts of △Sinterit

Selective laser sintering (SLS) uses lasers to make objects from plastic powder. First, a box of polymer powder is heated to a temperature just below the melting point of the polymer. A very thin layer of powder material (usually 0.1 mm thick) is then deposited on the building platform using a recoating blade or wiper. The laser begins to scan the surface according to the pattern arranged in the digital model. The laser selectively sintered the powder and solidified the cross section of the object. When scanning the whole cross section, the building platform moves down one layer in height. The recoating blade deposits a new layer of powder on the recently scanned layer, and the laser sinter the next cross section of the object onto the previously solidified cross section.

△ SLS 3D printing parts can be dusted and cleaned manually or automatically.

Repeat these steps until all objects are made. The unsintered powder remains in place to support the object, which reduces or eliminates the need for supporting structures. After the parts are taken out of the powder bed and cleaned, there is no need for other necessary post-treatment steps. Parts can be polished, coated or colored. There are many differentiation factors between SL3D printers, including not only their size, but also the power and quantity of laser, the spot size of laser, the time and mode of heating bed and the distribution mode of powder. The most common materials in SL3D printing are nylon (PA6, PA12), but flexible parts can also be printed with TPU and other materials.

△SLS 3D printer uses polymer powder and laser to form solid parts.

2. Micro-selective laser sintering (μSLS)

μSLS belongs to SLS or laser powder bed fusion (LPBF) described below. It uses laser to sinter powdery materials, such as SLS, but this material is usually metal rather than plastic, so it is more like LPBF. It is another micro 3D printing technology, which can create parts with micro (less than 5 μm) resolution.

△ Metal 3D MicroPrinting from 3D microprint

In μSLS, a layer of metal nanoparticle ink is coated on the substrate and then dried to produce a uniform nanoparticle layer. Next, the laser patterned with the digital micromirror array is used to heat the nanoparticles and sinter them into a desired pattern. This set of steps is then repeated to build each layer of the 3D component in the μSLS system.

3. Laser Powder Bed Fusion (LPBF)

△ Xact Metal test piece showing SLM accuracy (source: Xact Metal)

In all 3D printing technologies, this item has the most aliases. The formal name of this metal 3D printing method is laser powder bed melting (LPBF), which is also widely known as direct metal laser sintering (DMLS) and selective laser melting (SLM). In the early days of this technology development, machine manufacturers created their own names for the same process, and these names have been used to this day. In particular, these three terms refer to the same process, even though some mechanical details are different.

As a sub-type of powder bed fusion, LPBF uses a metal powder bed and one or more (up to 12) high-power lasers. LPBF 3D printer uses laser to selectively fuse metal powder layer by layer on a molecular basis until the model is completed. LPBF is a highly accurate 3D printing method, which is usually used to create complex metal parts for aerospace, medical and industrial applications.

△Sandvik’s LPBF metal 3D printing

Like SLS, LPBF 3D printers start with a digital model divided into slices. The printer loads the powder into the building chamber, and then spreads it into a thin layer on the building board with a scraper (such as a windshield wiper) or a roller. The laser tracks the layer onto the powder. Then the building platform moves down, and then a layer of powder is coated and blended with the first layer until the whole object is built. The building chamber is closed and sealed, and in many cases it is filled with inert gas, such as nitrogen or argon mixture, to ensure that the metal will not be oxidized during the melting process and help to remove the debris during the melting process. After printing, the parts are taken out of the powder bed, cleaned and often subjected to secondary heat treatment to eliminate stress. The remaining powder is recycled.

The differentiation factors of LPBF 3D printer include the type, intensity and quantity of lasers. A small compact LPBF printer may have one 30-watt laser, while the industrial version may have 12 1,000-watt lasers. LPBF machines use common engineering alloys, such as stainless steel, nickel superalloy and titanium alloy. Dozens of metals can be used in LPBF process.

△ LPBF 3D printers from One Click Metal, Farsoon and Kurtz Ersa.

3. Electron beam melting (EBM)

△ electron beam melting (EBM)

EBM, also known as Electron Beam Powder Bed Fusion (EB PBF), is a metal 3D printing method similar to LPBF, but using electron beam instead of fiber laser. This technology is used to manufacture parts, such as titanium orthopedic implants, turbine blades of jet engines and copper coils.

Electron beams generate more energy and heat, which are needed by some metals and applications. Moreover, EBM is not an inert gas environment, but is carried out in a vacuum chamber to prevent light beam scattering. The temperature of the building chamber can reach up to 1,000 °C, and even higher in some cases. Because the electron beam is controlled by electromagnetic beam, it moves faster than laser, and can even be separated to expose multiple areas at the same time.

△ Electron beam melting (EBM) metal 3D printers from JEOL, GE Additive and Wayland Additive.

One of the advantages of EBM over LPBF is that it can handle conductive materials and reflective metals such as copper. Another feature of EBM is that individual components can be nested or stacked in the building room, because they do not necessarily have to be connected to the building board, which greatly increases the volume output. Compared with laser, electron beam usually produces larger layer thickness and rougher surface features. Due to the high temperature in the building room, EBM printing parts may not need to be heat-treated after printing to relieve stress.

Fourth, material spraying

△ material injection

Material ejection is a 3D printing process in which tiny droplets of material are deposited and then solidified or solidified on the building board. Use photopolymer or wax droplets that will cure when exposed to light to build objects one layer at a time. The nature of the material spraying process allows different materials to be printed on the same object. One application of this technology is to manufacture parts with various colors and textures.

● Types of 3D printing technology: material ejection (MJ) and nanoparticle ejection (NPJ)

● Material: photosensitive resin (standard, pouring, transparent, high temperature resistant), wax.

● Dimensional accuracy: ±0.1 mm

● Common applications: full-color product prototypes, prototypes similar to injection molds, low-running injection molds, medical models, and fashion.

● Advantages: textured surface finish, full color and various materials available.

● Disadvantages: Limited materials are not suitable for mechanical parts requiring precision, and the cost is higher than other resin technologies used for visual purposes.

1. material injection (M-Jet)

△Stratasys’s material jet 3D printing parts

Material jet of polymer (M-Jet) is a 3D printing process, in which a layer of photosensitive resin is selectively deposited on the building board and cured by ultraviolet (UV). After one layer is deposited and solidified, the building platform reduces the thickness of one layer, and the process is repeated to build 3D objects. M-Jet combines the high precision of resin 3D printing with the speed of wire 3D printing (FDM) to create parts and prototypes with realistic colors and textures.

All material jet 3D printing technologies are not exactly the same. There are differences between printer manufacturers and proprietary materials. M-Jet machines deposit building materials from multiple rows of print heads in a line-by-line manner. This method enables the printer to manufacture multiple objects on a line without affecting the construction speed. As long as the models are arranged correctly on the construction platform and the space in each construction line is optimized, M-Jet can produce parts faster than many other types of resin 3D printers.

△ Material jet 3D printers from Stratasys, DP Polar/3D Systems and Mimaki.

The object made by M-Jet needs support, and it is printed by soluble materials at the same time during the construction process, which is removed in the post-processing stage. M-Jet is one of the few 3D printing technologies, which can provide objects made of multi-material printing and full color. There is no amateur version of the material jet machine. These machines are more suitable for professionals of automobile manufacturers, industrial design companies, art studios, hospitals and all kinds of product manufacturers. They want to create accurate prototypes to test concepts and bring products to market faster. Unlike barrel polymerization technology, M-Jet does not need post-curing, because the ultraviolet rays in the printer will completely cure each layer.

Aerosol jet

Aerosol Jet is a unique technology developed by a company named Optomec, which is mainly used for 3D printing electronic products. Components such as resistors, capacitors, antennas, sensors and thin film transistors are printed by aerosol spraying technology. It can be roughly compared to painting, but it is different from industrial coating process in that it can be used to print complete 3D objects.

Put the electronic ink into the atomizer, which will produce droplets with a diameter between 1 and 5 microns. Then the aerosol mist is transported to the deposition head and focused by the sheath gas, thus producing a high-speed particle spray. Because the whole process uses energy, this technology is sometimes called directional energy deposition, but because the material is in the form of droplets in this case, we include it in the material injection.

Plastic free forming

Arburg, a German company, has created a technology called plastic freeform molding (APF), which is a combination of extrusion technology and material injection technology. It uses commercially available plastic particles, which are melted in the injection molding process and moved to the unloading unit. The closing of the high-frequency nozzle produces a rapid opening and closing movement of up to 200 plastic droplets with a diameter of 0.2 to 0.4 mm per second. The droplets combine with the hardened material when cooling. Generally speaking, no post-treatment is needed. If supporting materials are used, they must be removed.

2. Nanoparticle Jet (NPJ)

△ Metal parts created by using nanoparticle injection technology and XJet 3D printer.

NanoParticle Jetting (NPJ) is one of the few proprietary technologies that are difficult to classify. It was developed by a company named XJet. It uses a printhead array with thousands of inkjet nozzles to spray millions of ultrafine material droplets onto the ultra-thin building tray at the same time, and simultaneously spray supporting materials. Metal or ceramic particles are suspended in a liquid. This process takes place at high temperature, and the liquid evaporates when spraying, leaving mostly metal or ceramic materials. Only a small amount of adhesive remains in the generated 3D parts, and these adhesives are removed in the post-sintering treatment.

V. Adhesive spraying

△ adhesive spraying

Adhesive spraying is a 3D printing process in which liquid adhesive selectively adheres to areas of a layer of powder. This technology type has the characteristics of powder bed fusion and material injection. Similar to PBF, adhesive spraying uses powder materials (metal, plastic, ceramics, wood, sugar, etc.), and like material spraying, liquid adhesive polymer is deposited from an inkjet. Whether it is metal, plastic, sand or other powder materials, the adhesive spraying process is the same.

First, the recoating blade coats a thin layer of powder on the building platform. Then, a print head with an inkjet nozzle passes over the bed and selectively deposits adhesive droplets to bond the powder particles together. After the layer is completed, the building platform moves down and the blade recoats the surface. Then repeat the process until the whole part is completed.

Adhesive spraying is unique in that there is no heat in the printing process. The binder acts as glue that binds the polymer powders together. After printing, the parts are wrapped in unused powder, which usually remains for curing. Then the parts are taken out of the powder bin, and the excess powder is collected and can be reused. From here on, according to different materials, post-treatment is needed, except for sand, which can usually be directly used as cores or molds from printers. When the powder is metal or ceramic, the post-treatment involving heating will melt the binder, leaving only the metal. Post-treatment of plastic parts usually includes coating to improve surface finish. You can also polish, paint and grind the polymer adhesive spraying parts.

The adhesive has high spraying speed and high productivity, so it can produce a large number of parts more economically and efficiently than other AM methods. Metal adhesive spraying can be used for a variety of metals and is very popular in end-use consumer goods, tools and bulk spare parts. However, the material selection of polymer adhesive injection is limited, and the structural performance of the produced parts is low. Its value lies in being able to make full-color prototypes and models.

● Subtypes of 3D printing technology: metal adhesive spraying, polymer adhesive spraying and sand adhesive spraying.

● Material: sand, polymer, metal, ceramics, etc.

● Dimensional accuracy: 0.2 mm (metal) or 0.3 mm (sand)

● Common applications: functional metal parts, full-color models, sand castings and molds.

● Advantages: low cost, large building volume, functional metal parts, excellent color reproduction, fast printing speed and unsupported design flexibility.

Disadvantages: It is a multi-step process for metals, and polymer parts are not durable.

1. Metal adhesive spraying

△ HP stainless steel 3D printing parts using metal spraying technology

Binder Jetting can also be used to manufacture solid metal objects with complex geometries, which is far beyond the capabilities of traditional manufacturing technologies. Metal adhesive spraying is a very attractive technology, which can be used to mass-produce metal parts and realize lightweight. Since adhesive spraying can print parts with complex patterns instead of solids, the weight of the parts obtained is greatly reduced, but the strength remains unchanged. The porosity characteristics of adhesive injection can also be used to realize lighter end parts for medical applications, such as implants.

Generally speaking, the material properties of metal binder sprayed parts are equivalent to those of metal parts produced by metal injection molding, and it is one of the most widely used manufacturing methods in mass production of metal parts. In addition, the adhesive spraying parts show higher surface smoothness, especially in the internal channels.

△ Metal adhesive jet 3D printer produces fine solid metal parts for end-use applications.

Metal adhesive spraying parts need secondary processing after printing to obtain good mechanical properties. Just coming out of the printer, the parts are basically composed of metal particles bonded together with polymer adhesives. These so-called "green parts" are too fragile to be used as they are. After the printed parts are taken out of the metal powder bed (called the process of powder removal), they will be heat-treated in the furnace (called the process of sintering). Both printing parameters and sintering parameters are adjusted according to the geometry, material and required density of specific parts. Bronze or other metals are sometimes used to penetrate the voids in the adhesive spraying parts, thus achieving zero porosity.

2. Plastic adhesive spraying

△ Plastic adhesive spraying

Plastic adhesive spraying is a process very similar to metal adhesive spraying, because it also uses powder and liquid adhesive, but its application is quite different. After printing, plastic parts will be taken out of their powder beds and cleaned, and usually can be used without further treatment, but these parts lack the strength and durability in the 3D printing process. The plastic adhesive spraying part can be filled with another material to improve the strength. Using polymers for adhesive spraying can produce multicolor parts for medical modeling and product prototyping.

3. Sand binder spraying

△ sand binder injection

Sand adhesive spraying and plastic adhesive spraying are different in printer and printing process, so they are distinguished here. Producing large sand casting molds, molds and cores is one of the most common uses of adhesive injection technology. The low cost and speed of this process make it an excellent solution for foundry, because it is difficult to produce fine pattern designs in a few hours with traditional technology.

The future of industrial development constantly puts high demands on foundries and suppliers. Sand 3D printing is at the beginning of its potential. After printing, the printer needs to remove the cores and molds from the construction area and clean them to remove any loose sand. The mold can usually be ready for casting immediately. After casting, the mold is disassembled and the final metal parts are removed.

4. Multi-jet fusion (MJF)

△ BASF and HP cooperated to develop a new industrial grade polypropylene for MJF.

Another unique and brand-specific 3D printing process, which is not easy to fall into any existing category, is actually not adhesive spraying, and this is HP’s Multi Jet Fusion. MJF is a polymer 3D printing technology, which uses powder materials, liquid fusion materials and refiners. The reason why it is not considered as adhesive spraying is that the heat is increased in this process, which will produce parts with higher strength and durability, and the liquid is not completely adhesive. The name of this process comes from multiple inkjet heads that perform the printing process.

In the process of Multi Jet Fusion printing, the printer lays a layer of material powder, usually nylon, on the printing bed. After that, the inkjet head passes through the powder and deposits a melting agent and a refining agent on it. Then the infrared heating device moves on the printed matter. No matter where the flux is added, the lower layers will melt together, while the areas with refiners will remain powdery. The powdery part falls off to produce the required geometry. This also eliminates the need for modeling support, because lower layers support layers printed on them. In order to complete the printing process, the whole powder bed and the printing parts in it are moved to a single processing station, and most of the loose unmelted powder is evacuated and can be reused.

Multi Jet Fusion is a multifunctional technology, which has been applied in many industries such as automobile, medical care and consumer goods.

△HP Jet Fusion 5200 series is one of the many sizes and styles of HP Multi Jet Fusion 3D printer (source: HP).

Six, powder directional energy deposition

Directional Energy Deposition (DED) is a 3D printing process. Metal materials are supplied and melted by powerful energy while being deposited. This is one of the most extensive 3D printing categories, including many subcategories, depending on the material form (wire or powder) and energy type (laser, electron beam, arc, supersonic, heat, etc.). Essentially, it has a lot in common with welding.

This technology is used for layer-by-layer printing, usually followed by CNC machining to achieve stricter tolerances. The combination of DED and CNC is very common. There is a sub-type of 3D printing called hybrid 3D printing, which contains a hybrid 3D printer with DED and CNC units in the same machine. This technology is considered to be a faster and cheaper substitute for small-batch metal castings and forgings, as well as a key maintenance for offshore oil and gas industries, aerospace, power generation and utilities.

△DED metal 3D printing technology can quickly create a solid metal part, and then it can be processed to strict tolerances.

● Subtypes of directional energy deposition: powder laser energy deposition, wire arc additive manufacturing (WAAM), wire electron beam energy deposition and cold spraying.

● Materials: various metals, wires and powder forms.

● Dimensional accuracy: ±0.1 mm

● Common applications: repairing high-end automotive/aerospace components, functional prototypes and final components.

● Advantages: high stacking rate, and the ability to add metal to existing components.

● Disadvantages: Because the supporting structure cannot be made, it is impossible to make complex shapes, and the surface smoothness and accuracy are usually poor.

1. Laser directed energy deposition

△ 3D printing metal using laser and powder metal

Laser-directed energy deposition (L-DED), also known as laser metal deposition (LMD) or laser engineering net shaping (LENS), uses metal powder or metal wire sent through one or more nozzles and melted by powerful laser to build platforms or metal parts. With the movement of nozzle and laser or the movement of parts on the multi-axis turntable, objects will be piled up layer by layer. The construction speed is faster than that of powder bed melting, but it will lead to the decrease of surface quality and precision, and usually requires a lot of post-processing. Laser DED printers usually have a sealed chamber filled with argon to avoid oxidation. When dealing with less reactive metals, they can also operate with only local argon or nitrogen.

Metals commonly used in this process include stainless steel, titanium and nickel alloy. This printing method is usually used to repair high-end aviation and automobile parts, such as jet engine blades, but it is also used to produce whole parts.

△Meltio M450 wire feeding laser DED 3D printer, Optomec LENS CS 600 metal powder feeding laser DED 3D printer and DMG Mori Lasertec 65 DED powder feeding laser DED 3D printer.

2. Electron beam directional energy deposition

△ electron beam DED 3D printing

Electron beam DED, also known as linear electron beam energy deposition, is a 3D printing process very similar to laser DED. It is carried out in a vacuum chamber and can produce very clean and high-quality metals. When a wire passes through one or more nozzles, it will be melted by the electron beam. The layer is constructed separately, the electron beam forms a tiny molten pool, and the welding wire is fed into the molten pool by a wire feeder. When dealing with high-performance metals and active metals (such as copper, titanium, cobalt and nickel alloy), electron beam is selected for DED.

DED machines are virtually unlimited in print size. For example, Sciaky, a 3D printer manufacturer, has an EB DED machine that can produce parts nearly 6 meters long at a speed of 3 to 9 kilograms of materials per hour. Electron beam DED is touted as one of the fastest methods to manufacture metal parts, although it is not the most accurate, which makes it an ideal machining technology to build large structures (such as fuselage) or replace parts (such as turbine blades).

△ 3D printing of wire by electron beam deposition

3. Line-controlled energy deposition

△Gefertec arc additive manufacturing (WAAM) printing

Wire Directed Energy Deposition, also known as wire arc additive manufacturing (WAAM), is a kind of 3D printing, which uses energy in the form of plasma or arc to melt the metal in the form of wire, and deposits the metal layer by layer on a surface, such as a multi-axis turntable, to form a shape by a robotic arm. This method is chosen instead of the similar technology of laser or electron beam because it does not need a sealed chamber and can use the same metal (sometimes the same material) as traditional welding.

Direct energy deposition is considered to be the most cost-effective choice in DED technology, which can use the existing arc welding robot and power supply, so the entry threshold is relatively low. But unlike welding, this technology uses complex software to control a series of variables in the process, including the thermal management of the robot arm and the tool path. This technology has no supporting structure to be removed, and the finished parts are usually CNC machined when necessary to achieve strict tolerance or surface polishing.

△Gefertec and WAAM3D’s line arc additive manufacturing 3D printer.

4. Cold spraying

△ cold spraying

Cold spraying is a DE3D printing technology, which sprays metal powder at supersonic speed to combine them without melting, and hardly produces thermal cracks or thermal stress. Since the early 2000s, it has been used as a coating process, but recently, several companies have used cold spraying for additive manufacturing, because it can print at a speed 50 to 100 times higher than that of a typical metal 3D process and does not require inert gas or vacuum chamber.

Like all DED processes, cold spraying will not produce prints with good surface quality or details, but the parts can be used directly from the printing bed.

5. Melting direct energy deposition

△ Melting Direct Energy Deposition: Aluminum parts printed by ElemX 3D liquid metal of Xerox.

Melting direct energy deposition is a 3D printing process, which uses heat to melt metal (usually aluminum) and then deposits it layer by layer on the building board to form 3D objects. The difference between this technology and metal extrusion 3D printing is that metal raw materials containing a small amount of polymer are used for extrusion, so that the metal can be extruded. Then the polymer is removed in the heat treatment stage, and pure metal is used to melt DED. One can also compare molten or liquid DED to material injection, but instead of a series of nozzles to deposit droplets, liquid metal usually flows out from the nozzles.

Variants of this technology are being developed, and molten metal 3D printers are rare. The advantage of using heat to melt and then deposit metal is that it can use less energy than other DED processes, and it is possible to directly use recycled metal as raw material instead of metal wire or highly processed metal powder.

VII. Lamination of sheets

△ Sheet lamination

Sheet lamination is technically a form of 3D printing, which is quite different from the above technologies. Its function is to stack and laminate very thin pieces of material together to create 3D objects or stacks, and then cut them by machinery or laser to form the final shape. The layers of materials can be fused together in a variety of ways, including heating and sound, depending on the material, ranging from paper to polymer to metal. When the parts are laminated and then laser cut or processed into the required shape, it will produce more waste than other 3D printing technologies.

Manufacturers use sheet lamination to produce cost-effective non-functional prototypes at a relatively high speed, which can be used in battery technology and composite materials, because the materials used can be interchanged in the printing process.

● Types of 3D printing technology: Laminated Object Manufacturing (LOM) and Ultrasonic Consolidation (UC)

● Materials: paper, polymer and sheet metal.

● Dimensional accuracy: ±0.1 mm

● Common applications: non-functional prototyping, multi-color printing and casting.

● Advantages: rapid production and compound printing.

● Disadvantages: low precision, much waste, and some parts need post-production.

Laminated additive manufacturing

△ Laminated additive manufacturing

Lamination is a 3D printing technology, in which sheets of materials are laminated and glued together, and then the layered objects are cut into the correct shape with a knife (or laser or CNC router). This technology is less common nowadays, because the cost of other 3D printing technologies has decreased, and the speed and ease of use have greatly increased.

△BCN3D viscous lithography manufacturing (VLM) 3D printing process using resin (source: BCN3D)

Viscosity lithography (VLM): VLM is a patented 3D printing process of BCN3D, which can laminate a thin layer of high-viscosity photosensitive resin onto a transparent transfer film. The mechanical system allows the resin to be laminated from both sides of the film, so that different resins can be combined to obtain a multi-material part and an easily detachable support structure. This technology has not been commercialized, but it can also belong to one of the laminated 3D printing technologies.

Composite-based additive manufacturing (CBAM):Startup Impossible Objects applied for a patent for this technology, which combines carbon, glass or Kevlar mats with thermoplastics to manufacture parts.

Selective Laminated Composite Manufacturing (SLCOM): Envision Tec, now called ETEC, owned by Desktop Metal, developed this technology in 2016, which uses thermoplastics as the base material and woven fiber composite.

Note: There are many kinds of 3D printing technologies. These are the seven most common additive manufacturing technologies in 3D printing, which do not cover all 3D printing technologies in the market.

Original title: "7 mainstream 3D printing technologies, all of which can be understood"

Read the original text

The craftsman’s heart behind the network explosion should not let the inheritance get into too much money.

  CCTV News:Because of the broadcast of a food documentary, in recent days, "Zhangqiu Iron Pot" can be said to be a red overnight. This kind of iron pot forged by traditional manual skills has become a popular product snapped up by everyone.

  "Zhangqiu Iron Pot" is popular, but the business owner who produces iron pots has begun to worry? Why?

  China 3 on the tip of the tongue: "Twelve processes, 18 times of heat, more than a dozen hammer tools, large and small, 1000 degrees of high temperature smelting, 36,000 times of forging, each forging is the most powerful experience of iron, while injecting strength into the iron pot."

  Every season, "China on the tip of the tongue" will bring some food or utensils with it. The third season of "China on the tip of the tongue" broadcast in the Spring Festival this year will make Zhangqiu iron pot, which has always been unknown, popular overnight.

  In the documentary, not only Zhangqiu’s long history as the "hometown of blacksmiths" is presented, but also the tedious manual production process is displayed. In the dozens of minutes after the broadcast of the program, more than 2,000 iron pots in the inventory of Zhangqiu Iron Pot Online Store were robbed and emptied.

  At the same time, the experience store in Jinan, Shandong Province, which is being renovated, has also flooded into consumers from all over the country.

  The experience store, which was intended to be officially opened in March this year, had to open ahead of schedule because of the large number of visitors.

  In the hastily opened physical store, consumers not only bought all the goods in the store, but also the samples hanging on the wall.

  According to statistics, the sales of Zhangqiu iron pot on Tmall platform increased by nearly 6,000 times year-on-year. But the current reality is that Zhangqiu iron pot is hard to find.

  In desperation, four days after the China broadcast on the tip of the tongue, the merchants put up the slogan "Zhangqiu has no pot, Luoyang paper is expensive" on the homepage of the website, and removed all the pots and pans. At the same time, in the persuasion statement, consumers are advised to "consume rationally, I hope everyone will refund, and then buy slowly when the heat dissipates, so as not to let the inheritance get into too much money."

The cold wave is coming. You should know these questions about vaccines.

  CCTV News:Recently, COVID-19 vaccination for children aged 3-11 has been started, so which should be vaccinated first, influenza vaccine or COVID-19 vaccine? What problems should children pay attention to when they are vaccinated with COVID-19 vaccine? About vaccination, we know together.

  There is no difference in the protective effect between children vaccinated with COVID-19 vaccine and adults

  Is COVID-19 Vaccine Safe for Children?

  Jiang Rongmeng, Vice President of beijing ditan hospital, Chief Physician of Infectious Diseases:The inactivated vaccine of Covid-19 produced in China has been carried out in clinical experiments on people aged 3-17. After evaluation and demonstration, it is safe to use inactivated vaccine of COVID-19 in people aged 3-17.

  Is there any difference between the dose and dosage of Covid-19 vaccine for children and adults?

  Jiang Rongmeng, Vice President of beijing ditan hospital, Chief Physician of Infectious Diseases:There is no difference in dosage, dosage and process between children vaccinated with inactivated Covid-19 vaccine and adults.

  The interval between influenza vaccination and COVID-19 vaccination should be more than 14 days.

  Should children get the flu vaccine or COVID-19 vaccine first?

  Zhang Yuntao, Chairman of the Quality Committee of China Vaccine Association:You can get the flu at the same time when you hit COVID-19, but the interval must be greater than or equal to 14 days. At present, Covid-19 and the flu virus are different viruses, and there is no cross protection between them, so you must get the flu when you hit COVID-19.

  Vaccination against influenza or COVID-19 vaccine is not recommended if you are catching a cold and coughing.

  Can the child be vaccinated against COVID-19 or flu if he is allergic?

  Xu Baoping, Director of Respiratory Department of Beijing Children’s Hospital affiliated to Capital Medical University:The vast majority of children with allergies can be vaccinated, as long as they are not in the acute stage.

  Jiang Rongmeng, Vice President of beijing ditan hospital, Chief Physician of Infectious Diseases:If you have symptoms such as fever, diarrhea, or cough, you should still suspend the vaccination of COVID-19 vaccine, including influenza vaccine, and wait until these symptoms disappear and relieve, then evaluate and make an appointment for vaccination.

  Is it completely safe after vaccination?

  Even if you are vaccinated with influenza vaccine or Covid-19 vaccine, you should stick to personal protection, and at the same time actively exercise and enhance your immune function.

  Jiang Rongmeng, Vice President of beijing ditan hospital, Chief Physician of Infectious Diseases:It doesn’t mean that you won’t be infected after vaccination, so we should stick to these non-pharmaceutical and non-vaccine measures in our daily life, such as wearing masks, avoiding places where people gather, doing hand hygiene well, and not washing your hands and touching your eyes and nose, which is very important for us to prevent these respiratory virus infections.

The best nurse in ICU has been fighting for 49 days! Pull up a 60-kg oxygen tank and still run fast.

CCTV News:Intensive care unit is the last line of defense to save the lives of critically ill patients in COVID-19. Doctors and nurses in the intensive care unit of Jinyintan Hospital in Wuhan have been fighting for 49 days since they received the related patients on December 29th last year.

At the 2020 Spring Festival Gala at the reception desk, hundreds of millions of viewers got to know this nurse in protective clothing. When they saw this nurse named Liu Hongjuan again after more than 20 days, she had just come out from work in the ward. Talking about the work scene shown on the Spring Festival Evening, Liu Hongjuan said that she was actually very tired at that time.

Liu Hongjuan, nurse in intensive care unit of Wuhan Jinyintan Hospital:At that time, the support people had not arrived, and our physical strength was in an overdraft state. I took care of three patients, and the patients’ condition was not very good. The air supply system on their backs was ten kilograms, and then they were busy. The patients had to be rescued, so they couldn’t take care of themselves.

Nurses who are busy in the intensive care unit have more than five years of experience. This job is dangerous and heavy. All 48 nurses have been working for a month and a half without a day off.

Qu Zhaohui, head nurse of intensive care unit of Jinyintan Hospital in Wuhan:Generally speaking, if you go in, you may stay in it for twenty or thirty minutes, and you will feel chest tightness and discomfort, but my nurse, she will stay for at least five to six hours, and the longest will stay for 10 to 12 hours. We are all the best nurses.

The best thing is not only technology, but also physical strength. It is still fast to pull up a 60-kg oxygen tank!

Song Jingyuan, nurse in intensive care unit of Wuhan Jinyintan Hospital:The patient uses high-flow oxygen, and the concentration needs to be very high. A can of oxygen can only be used for half an hour.A patient needs it one day.More than 20 bottles, nearly 30 bottles.

Nurses take turns in shifts and wait around critically ill patients 24 hours a day. Nurses carry out all the doctor’s orders, including basic nursing care for patients, such as turning over, patting back, sucking sputum, caring for gastric tubes, urinary tubes, arteriovenous catheters, thoracic and abdominal drainage tubes, etc., always paying attention to patients’ vital signs such as ECG, blood pressure, oxygen saturation, etc., in addition, they have to undertake life care such as feeding, nasal feeding, washing hair, cleaning urine and so on, and are often exhausted at the end of the day.

Lu Li, nurse in intensive care unit of Wuhan Jinyintan Hospital:After all, this is an infectious disease. Although we are wearing layers of protective clothing, it can protect us to a certain extent, but because it is closed inside the protective clothing, it will also affect our hearing, smell and sensitivity. In case we are not careful, we may be pricked by needles, contaminated by blood and body fluids, and then when we suck sputum or do other operations, there may be droplets splashing on our faces, which is actually quite dangerous.

On January 23rd, Wu Wenjuan, director of the intensive care unit, suffered from headache and fatigue due to staying up late and working hard. CT showed that there was a ground glass image in his lungs, and he was isolated and hospitalized. Although fully prepared for the virus infection, when I heard that Director Wu Wenjuan was suspected to be infected, all the people in the department inevitably experienced emotional fluctuations.

Ma Dan, nurse in intensive care unit of Wuhan Jinyintan Hospital:What if I get infected? Then my dad said, people always have to do something meaningful in this life, and when you look back when you are old, you will feel that you won’t have any regrets. He said that you should leave things at home alone, and then work hard and work with peace of mind.

All the medical staff silently withstood the pressure, and Ma Dan not only returned to his post, but also submitted an application for joining the Party.

Ma Dan, nurse in intensive care unit of Wuhan Jinyintan Hospital:If we don’t stick to our posts, then no one can do what we do, and no one will stick to it. We should move forward unswervingly.

Fortunately, after treatment, Director Wu Wenjuan quickly returned to work.

Ten days after its launch, the box office counterattacked to the top of the list. What did Yilan Love Story do right? | Dialogue

Author | Netscape Internet Editorial Department

 "Love Story of Yilan is really so good to cry!"

"Cry while watching, and give me the whole defense directly in the middle of the night …"

It’s hard to imagine that this is the audience’s evaluation of a comedy movie.More and more viewers went to the comment area to take photos of crying and watch "crying noisily". Some people cried nose bubbles, others cried their faces deformed, and a large number of "tap water" spontaneously went crazy on the Internet.

What is even more unimaginable is that,On April 27th, "Yilan Love Story", which was broadcasted by Tencent Video alone, was able to soar by 350% in a single day after it was launched for 10 days, and returned to the top of Tencent’s video hot search list. On the 11th day of its launch, the single-day box office reached the highest value of 1.268 million, far exceeding its initial box office, and it topped the list of movies hot search NO.1 for five consecutive days.At present, the box office of the film has exceeded 10 million, ranking second in the online movie box office list in April.

Box office curve of Yilan love story

You know, for most online movies, the box office in the first week can account for 80% of the total box office, and then the box office will plummet and become less and less. But the Love Story of Yilan is obviously an exception.

It is rare to get out of the long tail rising box office curve by "tap water" after 10 days on the line. Only a handful of movies, such as The Return of the Great Sage, Dying to Survive and Nobody, are unique in online movies. Such cases deserve our further discussion and study.

On May 17th, NetVision Internet × Ruyu Culture jointly hosted an online sharing meeting with the theme of "How to achieve box office counterattack in Yilan Love Story", and we invited.Zhang Yuntian, co-founder of Zhisheng, chief producer of Yilan Love Story, CEO of Ruyu Culture, and Qiu Heng, chief marketing officer of Yilan Love Story.From the perspectives of industry, content, data and marketing, we talked about the content playing and marketing experience behind the box office counterattack of Yilan Love Story. Such experience may bring more enlightenment to the industry.

Content: realism+comedy, inciting social topics and emotional fulcrums

"Laugh and cry …" This is the most authentic and common viewing experience of "Love Story of Yilan" on the Internet, and "crying" seems to be more violent than "laughing". This is extremely abnormal for comedies that always take humor as the first element.

But it is this "abnormality" that has created the counterattack of the box office of Yilan Love Story.In Zhang Yuntian’s view, there may be three main reasons for the counterattack: First, emotional resonance; Second, it has certain social topicality; The third is the interaction between on-site and off-site marketing.

Zhang Yuntian, co-founder of Zhisheng and chief producer of Yilan Love Story

"Everyone has a first love. Are you still in touch with your first love?" "Have you ever made a mistake? Have you ever regretted it?" "If you can choose your life again, will you continue to go wrong?" "Are you cherishing the person in front of you?" Life is always full of regrets, and similar questions are believed to have been asked by everyone. "It’s just that we used movies to incite that emotion and poke the softest part of everyone’s heart." Zhang Yuntian said this.

The Love Story of Yilan is adapted from the national music IP of the same name., tells the story of a business crocodile who accidentally crossed into a parallel world, returned to a small town to live an ordinary life with his first love, and had a series of funny love stories. There are not only thoughts about wealth and love, but also discussions about family education, dreams and pursuits of that year and a new understanding of happiness.

It is equivalent to that "Love Story of Yilan" has already planted seeds in the topical and emotional direction at the beginning of its creation. Once this seed is fermented, everyone will watch the Love Story of Yilan, not just the movie, but their own inner regrets.

But what is even more rare is that the Love Story of Yilan selects the core theme of realism and the most grounded expression.

Zhang Yuntian revealed a trick of internet film creation. "If you want to express something and let everyone have a aftertaste after watching the movie, then keep the core and make the way of presentation as grounded as possible, which is funny and memorable. It is not far from success."

In fact, as a hot comedy brand in the online market in recent years, Zhisheng United has produced many explosive comedies, and most of them discuss social topics and are also related to emotions. For example, My Gentle Dad discusses the affection between father and daughter, Let me have fun discusses middle-aged marriage, and Love Story of Yilan discusses the love of middle-aged men. The next upcoming "Warm Smile" is campus+comedy, which discusses the relationship between teachers and students."We will express the most common emotional elements in the most humorous and grounded way."

If "strong stimulation" is the standard for a film to pass in entertainment, then "strong empathy" is the key to reflect the reality and impress the audience. The Love Story of Yilan has undoubtedly been done.

It takes almost a week for a film to rely on word-of-mouth counterattack and tap water to discuss and share. Judging from the box office curve of Love Story of Yilan, the time node of box office counterattack coincides with the period of word-of-mouth fermentation.

Perhaps a good comedy is just like this, and it can always incite a certain social mood. Affection, friendship, love, happiness, sadness or love for the country, like Dying to Survive and Hi, Mom, also take comedy as the table, realism as the center, and also move people with emotion, making the audience "laugh first and then cry" and willing to spare no effort to "Amway".

Qiu Heng, as the general manager of marketing, also said, "This film has become a carrier of’ crying’ social emotions. In the context of the epidemic, it has touched some emotional points of everyone. Whether it is a cinema or an online movie, there has been no movie that can make people cry for a long time. "

Marketing: from "tap water" to "strong interaction" to arouse the audience’s response

At the sharing meeting, Qiu Heng, as the general manager of marketing, shared several sets of interesting data:

1. There were 25,000+comments in the "Love Story of Yilan" station, exceeding 99% of online movies released by Tencent;

2. The effective broadcast ratio of "Yilan Love Story" by Tencent has soared from about 6% in the first three days to 15% in the box office counterattack, exceeding 99% of online movies released by Tencent;

3. The first vibrato video about "Yilan’s love story is so crying": 70,000 likes, 90,000 forwards and 40,000 comments, and "Sanlian" accounts for a very high proportion.

Qiu Heng, CEO of Entertainment Culture and head of marketing of Yilan Love Story.

Obviously,"Love Story of Yilan" is to attract "tap water" through word of mouth, form "strong interaction", promote high transformation, and finally feed back to the box office in the station.

After the launch of "Love Story of Yilan", there was a lot of crying in the comment area, and all kinds of crying photos were overwhelming, just like invisible hooks, simple and direct, but full of interest, which inherited the audience’s love for the film and even established some emotional connection with netizens, which triggered the spontaneous spread of social media and users, and further deepened the user’s impression of the film in the spread, and finally became a distinctive symbol.

These "crying in the sun" are logical and seemingly accidental, but in fact, the promotion and guidance of "marketing" behind it is equally indispensable. From the marketing link of the Love Story of Yilan, we can also see the whole process of the film’s counterattack.

At the beginning of the film’s launch, the main direction of marketing was to attract people with IP, win with laughter, and move people with emotion. After all, the songs of "Yilan Love Story" are very popular, with a broad audience base and national goodwill. The film itself outputs comedy tonality and fantasy colors, which are also very attractive.

"At about 11: 00 p.m. on the seventh day of the film’s launch, we monitored that there were a lot of hot photos of" Yilan Love Story "crying in the comment area on Tik Tok, so we took out the emotional point of’ best crying’ and did a lot of marketing actions with Tencent video to maximize the topic and emotional point.Qiu Heng said.

Perhaps this is the sensitivity of a professional marketing company, that is, to make appropriate adjustments to the marketing rhythm at any time according to the actual situation, and finally find the most suitable point for amplification, so as to revitalize the whole marketing and achieve the effect of maximizing marketing under the limited resources.

At the sharing meeting,Qiu Heng emphasized, "We have always had the idea that no matter how good the marketing is, it is just icing on the cake, which is particularly obvious in the Love Story of Yilan. It should be that we thank the film for its good reputation and give us the opportunity to play marketing."In Qiu Heng’s view, the box office may be supplemented by marketing, and the traffic can be accurately obtained through channels, but the audience’s recognition of the film is the foundation for the box office to counterattack.

So when it comes to marketing, Qiu Heng said it lightly, but we noticed that,Before and after discovering the emotional point of "crying", a large number of targeted marketing work has been quickly paved and followed up.For example, the maintenance of crying comments in the comment area, the follow-up of official shaking and crying video, the crying in the Zhou Yunpeng comment area, the crying in the Weibo diffusion comment area, the flop in the Zhou Yunpeng airborne comment area, the release of Zhou Yunpeng’s one-second crying video, the crying of real people, the follow-up fermentation of entertainment queen, and the second breaking of defense with unexposed ending, etc., are all hot waves after waves.

"In fact, at that time, we tried to follow up’ Good Cry’ for emotional marketing on the whole platform. For example, Aauto Quicker, Xiaohongshu, Weibo, bilibili, Hupu, etc. all made corresponding launches. We found that Aauto Quicker’s early publicity and solicitation effect was very good. Tik Tok, Weibo and Xiaohongshu, including soul, surprised us in the later emotional fermentation, and then we targeted it on a platform that could arouse more extensive interaction among netizens. Qiu Heng revealed.

In fact, not only the film side and the marketing side, but also the in-station recommendation of the video platform is rapidly following up.Love Story of Yilan was originally an S-level project, but in fact the resources given by the platform are S+ level.After all, the video platform is also willing to give more opportunities for interactive films with high conversion rate.

Through the marketing track of Love Story of Yilan, we can see that the ability of professional marketing companies to grasp hot spots is very important for the adaptability of marketing rhythm and direction, and innovative marketing strategies and more vivid interactive ways are obviously more efficient and dominant than traditional marketing.

From the whole marketing process, the workload of the project "Love Story of Yilan" is 1.5 times or even more than that of other online movie projects such as entertainment culture. There are as many as 25 posters and new media pictures, and the marketing strategy from funny to crying has been adjusted in time. But in the end, it’s all worth it.

Through the slow and steady marketing strategy at the initial stage of its launch, Yilan Love Story took the lead in establishing emotional links with users in Tencent’s video core circle, making them the first users of topic fermentation, and then expanding their openings through all-platform marketing, thus realizing the massive user coverage of the film audience and further expanding the audience circle. By amplifying the emotional point of "crying" and vivid and flexible interaction, Yilan Love Story experienced circle explosion, spread to more people, and effectively guided the hot search in the long video platform.This is not only an extension of the vitality of the film, but also effectively expands the marketing gameplay of online movies.

This set of combination punches comes down,The Love Story of Yilan is not only a one-way "drainage" or "indoctrination", but also an effective guidance to stimulate the two-way interaction between the plot and the audience and form a strong "echo" from the audience.. The crying photos in the comment area are the best proof of the audience’s "echo".This echo from the audience has caused a wide range of spontaneous communication, making the whole marketing more efficient and lasting.

When a movie, even the photos printed by netizens in the comment area, can become an expression pack and is spontaneously spread by netizens, it is not difficult to understand that this work can be countered at the box office.

Online movies enter the "word of mouth era"

In recent months, the "Northeast Element", as a widely accepted regional culture, began to rise in the field of online movies, including the counterattack of "Yilan Love Story", so that many people feel that the "spring" of Northeast comedy has come.

However, Zhang Yuntian did not recognize this."I don’t think it should be said that the spring of comedy in Northeast China has come, but in the big environment, ordinary people need to release their emotions. Good comedies will always be there, and there are many good themes waiting for everyone to explore. Spring has always been there."

Indeed,The spring of good content has always been there, including comedy.The reason why Love Story of Yilan was able to counterattack at the box office was not only because it was a northeast comedy and used northeast actors, but also because of its refined and differentiated content strategy and realistic expression that could incite the audience’s emotions, coupled with accurate and efficient marketing methods, content and marketing interlocking, which created the box office counterattack of Love Story of Yilan.

The unique long-term return cycle of online movies for half a year determines that the content side can constantly tap the long tail of the content, and after the hot broadcast period, it will usher in the second spring or even the third spring of return. But the reality is,Cases like Love Story of Yilan are still very rare.

"Online movies have relatively limited investment in marketing and are not allowed to pull the cycle too long. However, with the implementation of quality improvement and quantity reduction and the new accounting model, I believe that the case of full-cycle marketing will gradually emerge and the life cycle of the film will be further extended. " At the same time, Qiu Heng emphasized that "if a movie wants to achieve a long tail counterattack, marketing is only a means to expand its mouth, and word of mouth is the most critical variable in box office counterattack."

With the development of online movies, a series of actions such as users’ cognition, on-demand, experience and evaluation of online movies are the complete process of trading. No matter which link or level, it is inseparable from the guidance and assistance of marketing, but it needs the foundation of good content.If people’s attention to online movies in the past few years still stays in concept discussion, genre concern and visual wonders, then the box office counterattack of Yilan Love Story seems to indicate that online movies have entered a "word-of-mouth era" and entered a new era in which they can express reality, explore emotions and present value.

Throughout the sharing session, both Zhang Yuntian, as the chief producer, and Qiu Heng, as the chief marketing officer, repeatedly emphasized one word-"emotion".

In the view of NetVision Internet,This is also the greater significance of "Love Story of Yilan", that is, in the past, only the cinema screen could bear huge social emotions. Through "Love Story of Yilan", we found that online movies can also bear social emotions and mainstream values, and become the carrier for the broad masses to release their emotions, even if it is only a part. This itself is the embodiment of the progress of online movies.

Click here to view.→ Online sharing meeting and dialogue record of how the box office of Yilan Love Story counterattacked.

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Talk about GDP, talk about xiong’an new area, talk about "gas shortage" … This conference is really full of dry goods!

  Cctv newsThe Press Center of the First Session of the 13th National People’s Congress held a press conference this morning (6th), inviting He Lifeng, director of the National Development and Reform Commission, Zhang Yong, deputy director, and Ning Ji Zhe, deputy director, to answer questions from Chinese and foreign journalists on "innovating and perfecting macro-control and promoting high-quality development".

  Talk about GDP

  He Lifeng: Last year, China’s economy made good achievements and still lived in the second largest economy in the world.

  A reporter asked: Last year, China’s GDP growth rate exceeded expectations, and this year’s economic growth rate is still set at around 6.5%. Due to great uncertainties in investment, consumption and exports, is it difficult to have such a large increase as last year?

  In this regard, He Lifeng, director of the National Development and Reform Commission, said that in 2017, the situation faced by China’s economy was complicated, with black swan incidents and grey rhinoceros incidents. However, China has made relatively good achievements in various fields. Finally, the year-end GDP reached 82.7 trillion RMB. China is still the second largest economy in the world.

  He Lifeng said that the economic situation in 2017 is remarkable in four aspects. First, it is stable: the economic growth rate in the first quarter, the first half of the year, the first three quarters and the whole year is 6.9%, and the related physical indicators are also very stable, which shows that China’s economy is in good coordination and integrity. Second, structural reforms are very strong, and the excess capacity has reached 55 million tons; Third, great progress has been made in green development, and the energy consumption per unit GDP has dropped by 3.7%; Fourth, 12.89 million poor people were lifted out of poverty.

  He Lifeng said that in this case, the expected target of economic growth in 2018 proposed in the Government Work Report is 6.5%, which is in line with expectations and demand.

  On rural revitalization

  Zhang Yong: Rural Revitalization Strategy to Solve the Principal Contradictions in the New Era

  In response to a question about the implementation of the strategic plan for rural revitalization, Zhang Yong, deputy director of the National Development and Reform Commission, said that the implementation of the rural revitalization strategy is an urgent requirement for solving the main social contradictions in China in the new era.

  Zhang Yong said that the 19th National Congress pointed out that the main contradiction in our society in the new era has been transformed into the contradiction between people’s yearning for a better life and unbalanced and inadequate development. In a sense, the most unbalanced development is the imbalance between urban and rural development, and the most inadequate is the insufficient development of rural areas. To implement the rural revitalization strategy, we must do a good job in top-level design, plan well, distinguish key points, and promote it step by step. To this end, the National Development and Reform Commission is working with relevant departments to formulate a strategic plan for rural revitalization in the next five years.

  Talk about xiong’an new area

  He Lifeng: The planning and construction of xiong’an new area is progressing steadily.

  In response to the planning and construction of xiong’an new area, He Lifeng, director of the National Development and Reform Commission, said that the planning and construction of xiong’an new area is progressing steadily, and infrastructure projects that meet the requirements of the outline to be issued in the future, such as the intercity railway from Beijing to Xiong ‘an and large-scale afforestation, have been started without objection. The next step will be to steadily and solidly promote the planning and construction of xiong’an new area according to the planning outline approved by the central authorities.

  1. Further improve the planning. Especially in the near future, do a good job in planning the start-up period.

  2. Prepare guidance. Plan how to build and form Xiong ‘an quality system, including planning and building future projects, process materials, etc., and promote and copy them to all parts of the country.

  3. Pay close attention to the implementation of some visible projects, including waterway electricity and Baiyangdian renovation.

  4. Those that meet the requirements of high-quality development and have non-capital functions will be further studied and transferred to xiong’an new area item by item.

  On attracting foreign investment

  Ning Ji Zhe: The rapid growth of China provides good opportunities for the development of foreign-funded enterprises.

  When answering a reporter’s questions about the environment for attracting foreign investment, Ning Ji Zhe, deputy director of the National Development and Reform Commission, said that China has made remarkable achievements in attracting foreign investment, and its policies for attracting foreign investment have been continuously improved, so improving the investment environment is still on the way. To improve and perfect the investment environment, we need to continue to make great efforts and take hard measures to promote the formation of a new pattern of all-round opening up, especially to meet the internationally accepted economic and trade rules. Market access will be greatly relaxed, investment facilitation will be vigorously promoted, foreign capital will be attracted on a large scale, and the opening up of western, inland and Yanbian areas will be intensified.

  On the Construction of Social Credit System

  Zhang Yong: The next step is to focus on four aspects.

  When answering questions about the construction of the social credit system, Zhang Yong, deputy director of the National Development and Reform Commission, said that so far, the construction of the social credit system is still in its infancy and needs continuous improvement. The next step is mainly to focus on four aspects:

  First, we must constantly improve and perfect the laws, regulations and standards system.

  The second is to further improve the level of credit information sharing and disclosure.

  The third is to increase joint rewards and punishments, so that those who break their promises will be punished and those who keep their promises will be encouraged, and at the same time, the red and black list system will be further standardized.

  Finally, we should strengthen the construction of honesty culture.

  On the phenomenon of "gas shortage"

  He Lifeng: Passing the heating season with a narrow margin and steadily promoting the construction of gas storage capacity.

  A reporter asked about the "gas shortage" in some areas of China during the warm season last winter. What measures did the NDRC take to deal with it? He Lifeng, director of the National Development and Reform Commission, replied that after December last year, there was a shortage of natural gas in some areas in northern China. With the joint efforts of all parties, at present, it can be said that this winter heating season has passed smoothly and narrowly.

  He Lifeng said that the once tight supply of natural gas exposed the problem of insufficient system and mechanism in natural gas production, supply and marketing and infrastructure, among which the lack of gas storage capacity was a big shortcoming. "The best thing in this respect is Shanghai, which has reached the gas storage capacity of about 15 days." He Lifeng said that the National Development and Reform Commission (NDRC) is summing up Shanghai’s practice and promoting it to the whole country, striving to achieve gas storage capacity in all places for about 10 days in a short time. At the same time, gas supply enterprises and gas production enterprises should also ensure gas storage capacity of 3 to 5 days. "The gas storage capacity of developed countries is generally around 15 days, and we hope to steadily promote the construction of gas storage capacity."

  In terms of imported gas sources, China will strengthen the signing of closer and longer-term gas supply agreements with neighboring countries, including Central Asia, Russia and Pacific coastal areas, and make every effort to meet the needs of the people by self-producing gas at home.

  Talking about the business environment

  Ning Ji Zhe: Promote the transformation from competing for funds and projects to striving for a high-quality business environment

  When talking about optimizing the business environment, Ning Ji Zhe, deputy director of the National Development and Reform Commission, said that this year we will focus on the following four aspects:

  First, fully implement the negative list system for market access.

  The second is to further simplify administration, reduce taxes and fees.

  The third is to protect all kinds of property rights equally in strict accordance with the law.

  Fourth, we should step up efforts to establish an evaluation mechanism for the business environment, formulate relevant evaluation indicators and methods, and promote the transformation of all localities from competing for funds and projects in the past to striving for a high-quality business environment. At the same time, speed up the establishment of a new supervision mechanism characterized by credit commitment and credit publicity.