For elderly people, it is very important to have a regular physical examination every year. Similarly, it is also important to check what items. Experts pointed out that over 50 years old, in addition to routine mandatory items, personalized special physical examination items should be added according to physical condition, and appropriate "additions" should be made.

After 50 years old, there are many more items to check. Today, let’s talk about how people aged 50-60 choose physical examination items.

01

Basic project, focusing on cardiovascular and cerebrovascular diseases.

The first is the basic items, which everyone must do in physical examination, including weight, pulse, blood pressure, blood routine, urine routine, liver function, renal function, electrocardiogram and so on.

Check type

inspection item

general inspection

height

weight

blood pressure

Laboratory examination

Routine hematuria and feces

Blood lipid and blood glucose

Liver and kidney function

Medical technical examination

electrocardiogram

chest radiograph

Ultrasound, etc

Basic inspection items

People over 50 years old, due to the decline of various functions of the body, many diseases are prone to occur at this time, especially the examination of cardiovascular and cerebrovascular diseases.

In the basic physical examination items, it is suggested to focus on ECG, blood lipid, blood pressure, blood sugar, uric acid, stool routine+occult blood, etc.

Many people only do fasting blood sugar during physical examination, but do not test blood sugar 2 hours after meals, thus missing the diagnosis of diabetes and impaired glucose tolerance. Therefore, it is suggested that people over 50 years old, with a family history of diabetes, obesity and hypertension should check their fasting blood sugar and their blood sugar 2 hours after meals.

02

After the age of 50, screening should also be done for high-risk tumors.

For people over 50 years old, it is best to have a tumor screening once a year. It is suggested to screen some high-risk tumors such as thyroid cancer, lung cancer, liver cancer, gastric cancer, colorectal cancer, breast cancer, cervical cancer and prostate cancer. The main methods of tumor screening are: imaging, gastrointestinal endoscopy, tumor markers and so on.

If you have chest pain, chest tightness, palpitation and other symptoms, it is recommended to add color Doppler ultrasound, 24-hour dynamic electrocardiogram, and if necessary, carry out heart load test.

If you have a history of hypertension, it is recommended to add ambulatory blood pressure to understand the blood pressure control; Add fundus examination to understand the arteriosclerosis; In addition, cardiac color Doppler ultrasound and carotid vertebral artery color Doppler ultrasound are added to understand the heart structure, whether the cervical blood vessels are diseased and whether there are plaques.

If you usually have digestive symptoms such as epigastric distension and pain, nausea and vomiting, it is suggested to carry out gastrointestinal endoscopy and helicobacter pylori detection in order to find some precancerous lesions of gastrointestinal tract at an early stage.

If you are a diabetic, you should increase glycosylated hemoglobin, urinary microalbumin, fundus examination, cardiac color Doppler ultrasound, carotid color Doppler ultrasound and other tests to understand the recent blood sugar control and the damage of target organs.

After getting old, bone diseases should also be paid special attention to. Generally, calcium in bone begins to be lost in the thirties, but the initial symptoms of osteoporosis are unknown. Therefore, it is suggested that men over 50 years old and women over 45 years old should have bone mineral density and 25-hydroxyvitamin D examination. If osteopenia or osteoporosis is found, timely intervention can be made.

/Men aged 50-60/

Focus on the prostate and lungs

Men of this age should pay attention to the screening of prostate cancer, and it is suggested to increase the examination of prostate specific antigen (TPSA and FPSA). If you have a family history of prostate cancer, you need to start screening at the age of 45.

If you have a habit of smoking and a history of chronic obstructive pulmonary disease, it is recommended to have a low-dose spiral CT examination of the lungs every year.

If you have a history of smoking and hypertension at the same time, you need to be alert to abdominal aortic aneurysm. It is suggested that abdominal aortic color Doppler ultrasound should be performed to exclude abdominal aortic aneurysm and abdominal aortic dissection.

In addition to the basic items, the following items can be added to the physical examination of men aged 50-60.

Male aged 50-60, suggested physical examination items.

√ Lung CT (especially family history and smoking history)

√ Examination of prostate specific antigen (TPSA and FPSA)

√ Urinary ultrasound

√ Testicular ultrasound examination

√ Abdominal aorta color Doppler ultrasound

√ Gastroenteroscope

√ thyroid color Doppler ultrasound

√ Color Doppler echocardiography

√ Carotid artery and vertebral artery color Doppler ultrasound

√ ambulatory blood pressure

Helicobacter pylori breath test

√ glycosylated hemoglobin

√ fundus examination

√ BMD examination

√ 25 hydroxyvitamin D examination

√ Broad spectrum tumor markers (CEA, AFP, etc.)

Head magnetic resonance

/Women aged 50-60/

Pay attention to osteoporosis and gynecological diseases

Since the age of 50, women have a high incidence of osteoporosis, so we should pay attention to bone diseases.

In addition, women of this age should also pay special attention to the screening of gynecological tumors. It is suggested that gynecological TCT+HPV combined examination should be carried out to exclude cervical cancer, and breast color ultrasound combined with mammography should be carried out to screen breast cancer.

In addition to the basic items, the following items can be added to the physical examination of women aged 50-60.

For women aged 50-60, physical examination is recommended.

√ Breast color ultrasound

Mammary molybdenum target

√ Gynecological ultrasound

√ Cervical TCT (sexually active women)

√ HPV test (women who have sex)

√ Vaginal color Doppler ultrasound (women who have sex)

√ Gastroenteroscope

√ thyroid color Doppler ultrasound

√ Color Doppler echocardiography

√ Carotid artery and vertebral artery color Doppler ultrasound

√ ambulatory blood pressure

Helicobacter pylori breath test

√ glycosylated hemoglobin

√ fundus examination

√ BMD examination

√ 25 hydroxyvitamin D examination

√ Broad spectrum tumor markers (CEA, AFP, etc.)

Head magnetic resonance

【TIPS】

Matters needing attention in physical examination

1. Blood collection time should not be too late.

Physical examination requires fasting blood to be taken at 7: 30-8: 30 in the morning, and no later than 9: 00.

2. Precautions for diet and rest

1-3 days before the physical examination, the diet should be light, do not drink alcohol and overeat, try to avoid drinking strong tea, coffee and other stimulating drinks, and it is best to fast for 8-12 hours before the examination, and fast and water should be banned on the morning of the examination.

Pay attention to rest the day before the examination, avoid strenuous exercise and emotional excitement, and ensure adequate sleep.

3. Precautions for wearing

On the day of physical examination, it is recommended to dress lightly, and it is best to wear two-piece clothes. Women should avoid wearing jumpsuits or dresses, so as to facilitate the medical examination of internal and external surgeons.

It is recommended to wear light and easy-to-take shoes, and women should avoid wearing high boots and stockings. For height measurement, you need to take off your shoes to measure your net height, and for ECG examination, you need to clamp one ankle with a limb lead.

It is recommended not to wear metal ornaments and expensive ornaments on the day of physical examination, and do not wear contact lenses on the day of physical examination.

4. Special precautions for women

Unmarried women are forbidden to have transvaginal examinations such as vaginal B-ultrasound and colposcopy. Young and middle-aged women suggest that physical examination avoid menstrual period (because gynecological examination cannot be carried out during menstruation to avoid infection). Pregnant and suspected pregnant patients should inform the medical staff before the magnetic resonance examination.

Original title: "What do people aged 50-60 need to check when they go for a physical examination? This inspection should focus on "

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　　Xinhua News Agency reporters Li Renhu, Zhang Lina and Wang Yuxiao.

　　In the past, there were thick smoke and dust everywhere, but now there are blue sky and white clouds and beautiful scenery … … Holingol City, Inner Mongolia Autonomous Region, a heavily polluted city that has been concerned by domestic and foreign media, takes aluminum pollution control as a breakthrough, explores international advanced pollution control methods, and promotes a fundamental improvement in the global environment.

　　Advanced technology, the lowest pollution emission in China.

　　A city is built and prospered by coal. Over the years, Huolinguole City, under the jurisdiction of Tongliao City, Inner Mongolia, has taken an industrial path of coal-fired power generation, aluminum smelting and aluminum post-processing according to local conditions, which is considered by industry experts to be the most ideal integrated industrial base of coal, electricity and aluminum in China. Now it has formed 33.25 million tons of coal, 4.42 million kilowatts of installed power, 1.77 million tons of primary aluminum and 1.61 million tons of aluminum post-processing capacity. However, dust, fluoride and sulfur dioxide are produced in the process of aluminum electrolysis, and the ecological environment of the surrounding grasslands is polluted. A large number of cattle and sheep and other livestock are sick and die, and the local people are miserable.

　　"In June 2016, the central environmental protection inspector severely criticized and promoted an environmental governance storm in Huolin River." Li Jiexiang, secretary of Tongliao Municipal Party Committee, said that the government urged enterprises to achieve ultra-low emissions on the basis of the original environmental protection standards. At the end of 2016, Inner Mongolia Huomei Hongjun Aluminum and Electricity Company, an integrated enterprise of coal, electricity and aluminum, was the first to "eat crabs".

　　There are no demonstration cases in the industry. What should we do with ultra-low emission projects? The technical backbone of the company formed a research team, repeatedly studied and demonstrated, and finally decided to adopt limestone — — Gypsum wet flue gas purification technology. Hui Jingming, deputy general manager of the company, said that this is the first time that this technology has been used in electrolytic aluminum production. At the end of 2017, all four sets of devices were running stably, which was the first ultra-low emission device in China.

　　Today’s Hongjun company factory is clean and tidy, with flowers and plants everywhere. Hui Jingming introduced the national emission standard particulate matter ≤ 20mg/Nm3, sulfur dioxide ≤ 200mg/Nm3, fluoride ≤ 3mg/Nm3, the actual emission index of particulate matter is less than 5mg/Nm3, sulfur dioxide is less than 35mg/Nm3, and fluoride is less than 0.3mg/Nm3, all of which are the lowest in China.

　　Two other major aluminum producers, Inner Mongolia Jinlian Aluminum Co., Ltd. and Inner Mongolia Chuangyuan Metal Co., Ltd., also implemented ultra-low emission projects in succession last year. At the beginning of July this year, 11 industry experts, including Zhang Wenhai, an academician of China Academy of Engineering, identified that limestone was used for the first time on the basis of dry defluoridation of electrolytic flue gas. — The synergistic purification technology of wet desulfurization and defluoridation of gypsum was applied to the purification of aluminum electrolysis flue gas with low concentration of sulfur dioxide, and the emission index was obviously better than the national emission standard of pollutants in aluminum industry. This achievement has been industrialized in three enterprises.

　　Turning environmental protection into an advantageous enterprise to taste the sweetness.

　　"Either be eliminated in the environmental protection inspector, or use scientific and technological innovation to kill a way to turn environmental protection into a competitive advantage for enterprises!" Zhang Hongfu, secretary of the Municipal Party Committee of Holingol, said that enterprises have implemented emission reduction according to the highest standards. Although they have increased investment and raised costs, they have also tasted the sweetness.

　　"Four sets of devices invested 310 million yuan, and no one knew the result. I didn’t expect the final effect to be better than expected." Cao Guanghua, secretary of the Party Committee of Hongjun Company, said with a smile, "The cost per ton of aluminum has increased by more than 90 yuan, but protecting grassland ecology is the responsibility that central enterprises must fulfill, and it can play an exemplary role for other enterprises. This money is well spent!"

　　Jinlian Company invested 249 million yuan in two sets of ultra-low emission devices, and the cost per ton of aluminum increased by about 70 yuan. "In the short term, the input cost has indeed increased, but with the country’s increasingly high environmental protection requirements for enterprises, whoever takes this step first will be ahead of the industry." Gao Heng, general manager of Jinlian Company, said.

　　Chuangyuan Company, which integrates wind, light, coal, electricity, aluminum and aluminum processing, installed ultra-low emission devices at the time of construction, and the cost per ton of aluminum only increased by about 40 yuan. Cao Yong, the general manager of the company, told the reporter that the ultra-low emission standard is high and the pollution is small, and it will be implemented simultaneously during the construction, so the cost increase is not high.

　　Cao Guanghua said that since the beginning of this year, electrolytic aluminum enterprises in Shanxi, Yunnan and other places have come to Hongjun Company to learn from the experience and learn ultra-low emission treatment technology. "The environmental awareness of enterprises has generally improved, and we hope to provide ultra-low emission technology experience for the industry."

　　Global environmental governance, reproduction of green mountains and green waters

　　Narenbaoligacha in Zhalute Banner, less than 10 kilometers away from the nearest aluminum factory, was once heavily polluted and began to move in 2013. Herder Haas Bater said that when I was a child, the grass could grow waist-high, but in the past few years, it didn’t even reach my ankles, and livestock often got sick.

　　Since 2016, Holingol City has carried out the most vigorous pollution remediation since its establishment. The city has invested 470 million yuan in ultra-low emissions and more than 1 billion yuan in closed storage and transportation of coal, and the ecological environment is being reversed.

　　There are 11 coal mines in Holingol, 8 of which are open pit mines. Since 2017, Holingol requires coal-related enterprises to "store coal without seeing coal, transport coal without exposing coal, and produce coal without burning". All 14 thermal power units in the city will complete the ultra-low emission transformation before the end of 2019.

　　Implement the policy of "who governs who invests who benefits" and treat 100,000 mu of land damaged by mining in the city by stages; To control desertification and bare mountains, more than 12,000 mu of farmland has been returned to grassland since last year; More than 8,700 sheds have been changed, and all of them will be provided with central heating by the end of this year; In the past three years, the city’s green area has increased by 3990 mu, and the green rate has reached 42%; In 2016, it was awarded as "Eco-livable Demonstration City in Autonomous Region" & HELIP; …

　　The monitoring commissioned by Tongliao Environmental Protection Bureau shows that after the three electrolytic aluminum enterprises are put into operation with ultra-low emission, they can reduce 640 tons of dust, 350 tons of fluoride and 21,000 tons of sulfur dioxide every year based on the production capacity of 1.77 million tons of electrolytic aluminum. According to the monitoring of Holingol weather station, the average annual dust storm was 15.6 days in the past 45 years, while it was only 5.1 days in the last three years.　

　　Haas Bater said that now, the grassland has slowly changed back to what he remembered.

　　People’s Daily, Beijing, November 12 (Reporter Liu Zhiqiang) Recently, the Ministry of Transport and other 13 departments jointly issued the Guiding Opinions on Strengthening the Supply Guarantee and Joint Supervision of Low-sulfur Marine Fuel, proposing to maintain a fair, orderly and healthy marine fuel circulation market order, enhance the supply capacity and quality of low-sulfur marine fuel in China and promote the development of green transportation through policy guidance, industry self-discipline and strengthened supervision.

　　It is understood that with the implementation plan of ship emission control zones in the Pearl River Delta, Yangtze River Delta and Bohai Rim (Beijing-Tianjin-Hebei) and the approaching of the time limit for ships to use low-sulfur fuel in 2020 proposed by international conventions, ensuring the compliance of marine low-sulfur fuel supply has become the key to control air pollution from ships at present and in the future.

　　The Guiding Opinions make it clear that the supply of low-sulfur fuel for ships should be guaranteed through policy guidance to meet the needs of the shipping market. First, establish a basic supply system for marine low-sulfur fuel, complete relevant policy formulation this year and next, guide domestic refining and chemical enterprises to produce compliant marine low-sulfur fuel, and dredge the information channels of "production, marketing and use". The second is to speed up the revision of marine fuel standards, and complete the research and revision of relevant standards and specifications such as Marine Fuel Oil, Ordinary Diesel Oil and Ship Fuel Supply and Receiving Procedures and Testing Methods in 2019.

　　The Guiding Opinions make it clear that it is necessary to strengthen supervision to crack down on illegal acts of non-compliant marine fuel entering the circulation market and promote the fair, orderly and healthy development of the marine fuel circulation market. First, strengthen the supervision of marine fuel. From 2018, comprehensively strengthen the supervision of the production, circulation and use of marine fuel, and increase the proportion of "double random" sampling. The second is to strengthen the cooperation of marine fuel supervision departments, establish a multi-sectoral joint law enforcement system in the production, circulation and use of marine fuel in 2018, and organize special governance actions; Establish a regulatory information notification system, open up information communication channels between various regulatory departments, and regularly disclose regulatory information to the public.

　　After reading Detective Conan: Boxing of the Qing Dynasty, I realized the creative thinking of this series of new works: pushing roles and selling CP. Detective Conan’s theatrical version is not only an enhanced version of TV animation in scale, but also a Hollywood action film, which is a temple fair-style work of all ages and sexes. Just as "The Avengers" has built a Marvel hero universe with many characters, Iron Man American captain Raytheon Black Widow is all in battle, and there is always a role for you; Conan’s theatrical version is guaranteed to be dazzling in 100 minutes. Even if you forget the plot when you leave the theater, you will find your favorite role and willingly pay for the surrounding derivative goods.

　　Producers take care of old fans and accommodate new audiences. In addition to the fixed cast, the moderator of each new theater pushes one or two other fresh male characters, successfully opening up the road of role idolization.

　　In 2018, "The Executor of Zero" made An Shi Tou popular. The fan story of "spending money like water on An Shitou" has been written into the new issue of the best-selling book "Waste of Women’s Picture Book". Crazy people collect more than 20 An Shitou dolls and spend more than their total clothes. In order to make An Shitou (Seiyuu Furuya Rei) a "man of 10 billion yen" (that is, "The Executor of Zero" achieves the goal of breaking the box office by 10 billion yuan), they posted "Guarding the box office" on the online forum.

　　There is no doubt that Detective Conan has become the largest IP brand of Japanese movies, and the consumption mode of Conan’s theatrical version is different from that of ordinary movies. Conan is popular, suitable for children, and deeply loved by female audiences; Conan can also be a minority, allowing a few diehard house fans to follow the model similar to idol idolize.

　　In 2017, "Tang Hong’s Love Song" successfully topped the Japanese annual box office champion. In 2018, although "Executor of Zero" failed to break 10 billion yuan in the end, it narrowly defeated "Code Blue" in the box office list, but its revenue was 9.1 billion yen, which still set its own box office record for six consecutive years, greatly surpassing its previous work. In 2019, the theatrical version of Detective Conan: Boxing of the Qing Dynasty still maintained this momentum. After 10 days of release, the box office has exceeded 3.5 billion yen, once again hitting the highest level in the same period. Therefore, this film is expected to become the first animated film derived from TV series to break through the 10 billion yen mark in history. In addition, even though Avengers 4, which swept the world, was released in the same period, Conan still maintained a strong momentum. The former only took the Japanese box office championship in the first week of release, and then it was overtaken by Boxing of the Qing Dynasty which had been released for three weeks … …

　　One of the leading characters in Boxing of the Qing Dynasty is Kaito Kuroba, and the other is Serena Sebastian’s boyfriend, karate king Kyogoku Makoto. As early as 1999, when the second theatrical version of "The Magician at the End of the Century" was released, the cartoonist G?sh? Aoyama had this awareness: "Hiraji and Kidd are very popular, so let them appear in the film". Kaito Kuroba’s appearance frequency in the theatrical version is higher than that in the TV version (6 of the 23 theatrical versions feature Kidd; Hattori Heiji also made six appearances, drawing a tie). As the main character of Boxing of Guo Qing, this time, not only the case revolves around Kidd, but Kidd monopolizes two of the three love lines.

　　Three pairs of CP Conan × Kidd, Xiaolan × Kidd and Garden × Kyogoku Makoto all have enough freshness.

　　Conan × Kidd: Conan, who had no passport, bypassed the customs and came to Singapore under Kidd’s cover. Kidd borrowed the identity of Shinichi with Conan’s acquiescence; The two exchanged (beat) each other (love), ridiculed (scold) and satirized (Qiao) all the time, and they also shared a room in the hotel.

　　Xiaolan × Kidd: Kidd played Shinichi all the time, accompanied Xiaolan as a couple, and traveled to Singapore together. One of the selling points of this theatrical version is that Singapore is based on real scenes, and the scene in the trailer that Jinsha Bay air swimming pool enjoys the night scene together turns out to be Xiaolan and Kidd.

　　Serena Sebastian × Kyogoku Makoto: This couple has more to watch. Serena Sebastian sometimes has a big nerve, and from time to time shows a girl’s heart; Kyogoku Makoto exudes the hormone of "a man in physical education" and has a honest and frank personality. Conan’s cases solved by using anesthesia needles to borrow the mouth of the garden are usually very exciting. In "Boxing of the Purple Youth", Yuanzi, who has the identity of Miss Suzuki Consortium, helped Kyogoku Makoto to qualify for the karate meeting, and showed her infatuation with "Lord Kidd" without scruple, showing the appearance of taking off hairband for the first time, which was extremely cute.

　　Kyogoku Makoto’s gentleness and shyness at ordinary times are in sharp contrast with his strong fighting capacity in the battle mode. "She’s my girlfriend. Do you have a problem with that?" — — Kyogoku Makoto’s directness contrasts with Kudou Shinichi and Hattori Heiji, who are hesitant in love. The small details buried in Kyogoku Makoto (such as the secret of a band-aid on his head) are also full of interesting points. It can be said that Kyogoku Makoto has the same potential of being as popular as An Tong.

　　If Conan is Spider-Man, then Kyogoku Makoto is Hulk. There are two memorable climaxes in Boxing of the Qing Dynasty. One is the critical moment before the Big Bang, when the picture was switched between several landmark buildings in Singapore, and Debussy’s Moonlight Sonata was played to the music. On one side is Xiaolan, who knows nothing about the immediate crisis, and on the other side is Conan, who is anxious. In the atmosphere created by Moonlight Sonata, it seems that time is frozen instantly. The story of the hero saving the United States, which will be staged next, is familiar to the audience, which is equivalent to Spider-Man peter parker rescuing his girlfriend Mary Jane. The second place is that Serena Sebastian was attacked, and Kyogoku Makoto became angry like a Hulk (or the Super Saiyan in Dragon Ball).

　　Comics have been serialized for 25 years, animation has been broadcast for 23 years, and there is no sign of ending. "Ten thousand pupils" has become a kind of teasing to Conan. The old fans of Conan series are very dissatisfied with the theatrical version in recent years. One of the common complaints is that there are too few reasoning elements, and the details can’t stand scrutiny, underestimating the audience’s IQ; The second complaint is that "Kudou Shinichi, a junior high school detective, vs. the dark organization" is Conan’s main plot, but the theatrical version has not promoted the main plot at all.

　　Such a complaint stems from a fundamental misunderstanding of Conan’s work. Conan’s comic/TV version is different from the theatrical version. The TV version accompanies the audience with an approachable sense of daily life. The "famous detective in Heisei era" has become a veritable witness in Heisei era (some critics have published a book "Detective Conan and Heisei"). The theatrical version belongs to its own field, which not only carries out more extensive business cooperation (for example, the 11th Striker commemorates the 20th anniversary of the start of the J League in 2012), but also pays more attention to the replacement of scenes, taking the story stage to cruise ships or to Kyoto and Singapore. Japanese-made live-action movies have been in the doldrums all the year round, but Conan’s theatrical version has a steady pace and played steadily, giving people a general sense of peace of mind as Hollywood action movies.

　　Li Si Garden