<P> The new rules are highly pattern - based . The rulebook contains 81 combinations, based on patterns and scoring elements popular in classic and modern regional Chinese variants; some table practices of Japan have also been adopted . Points for flower tiles (each flower is worth one point) may not be added until the player has scored eight points . The winner of a game receives the score from the player who discards the winning tile, plus eight basic points from each player; in the case of zimo (self - drawn win), he receives the value of this round plus eight points from all players . </P> <P> The new rules were first used in an international tournament in Tokyo, where, in 2002, the first global tournament in Mahjong was organized by the Mahjong Museum, the Japan Mahjong Organizing Committee, and the city council of Ningbo, China . One hundred players participated, mainly from Japan and China, but also from Europe and the United States . Mai Hatsune, from Japan, became the first world champion . The following year saw the first annual China Mahjong Championship, held in Hainan; the next two annual tournaments were held in Hong Kong and Beijing . Most players were Chinese; players from other nations attended as well . </P> <P> In 2005, the first Open European Mahjong Championship was held in the Netherlands, with 108 players . The competition was won by Masato Chiba from Japan . The second European championship in Copenhagen (2007) was attended by 136 players and won by Danish player Martin Wedel Jacobsen . The first Online European Mahjong Championship was held on the Mahjong Time server in 2007, with 64 players, and the winner was Juliani Leo, from the U.S., and the Best European Player was Gerda van Oorschot, from the Netherlands . The Third Open European Mahjong Championship 2009 at Baden / Vienna, Austria, was won by Japanese player Koji Idota, while runner - up Bo Lang from Switzerland became European Champion . There were 152 participants . </P> <P> In 2006, the World Mahjong Organization (WMO) was founded in Beijing, China, with the cooperation of, amongst others, the Japan Mahjong Organizing Committee (JMOC) and the European Mahjong Association (EMA). This organization held its first World Mahjong Championship in November 2007 in the Chinese town of Chengdu, attended by 144 participants from all over the world . It was won by Li Li, a Chinese student at Tsinghua University . The next World Championship took place in Utrecht, the Netherlands, 27 to 29 August 2010 . </P>

What items does ma keep and what does she discard