瑞金医院普外科主任郑民华等20名上海市政协委员提案《关于在药品集采背景下如何能够用到疗效好的药物》：高血压糖尿病药物、肠镜泻药麻醉药集采后药效不佳，加大药量也不起效。希望放开国产仿制与进口原研药比例限制，把选择权交给医生；落实不良反应报告制度，及时报告疗效存疑的药物。
国家医保局去函上海医保局，要求其联系瑞金医院郑民华，代表国家局致谢并进一步了解具体品种，责成中选企业回应临床关切，确有质量问题的解除采购协议。
要求上海局举一反三，对于临床反映“集采中选药品降价后存在质量问题”的参照跟进，如存在严重质量问题的报药监。欢迎医务人员做药品价格和质量问题的吹哨人。
（东方网，健识局）
BY Lymbo@碎碎念
Telegram’s stand out feature is its encryption scheme that keeps messages and media secure in transit. The scheme is known as MTProto and is based on 256-bit AES encryption, RSA encryption, and Diffie-Hellman key exchange. The result of this complicated and technical-sounding jargon? A messaging service that claims to keep your data safe.Why do we say claims? When dealing with security, you always want to leave room for scrutiny, and a few cryptography experts have criticized the system. Overall, any level of encryption is better than none, but a level of discretion should always be observed with any online connected system, even Telegram.
Telegram has made it easier for its users to communicate, as it has introduced a feature that allows more than 200,000 users in a group chat. However, if the users in a group chat move past 200,000, it changes into "Broadcast Group", but the feature comes with a restriction. Groups with close to 200k members can be converted to a Broadcast Group that allows unlimited members. Only admins can post in Broadcast Groups, but everyone can read along and participate in group Voice Chats," Telegram added.
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