Background The guidelines addressed the evidence-based indications for the management of children with acute infectious diarrhea in Chinese pediatric population. Data sources The experts group of evidence development ...Background The guidelines addressed the evidence-based indications for the management of children with acute infectious diarrhea in Chinese pediatric population. Data sources The experts group of evidence development put forward clinical problems, collects evidence, forms prelimi-nary recommendations, and then uses open-ended discussions to form recommendations. The literature review was done for developing this guideline in databases including PubMed, Cochrane, EMBASE, China Biomedical Database, and Chinese Journal Full-text Database up to June 2013. Search the topic 'acute diarrhea' or 'enteritis' and 'adolescent' or 'child' or'Pediatric patient' or 'Baby' or 'Infant'. Results For the treatment of mild, moderate dehydration, hypotonic oral rehydration solutions (ORS) are strongly recom-mended. Intravenous (IV) rehydration is recommended for severe dehydration, with a mixture of alkali-containing dextrose sodium solution. Nasogastric feeding tube rehydration is used for children with severe dehydration without IV infusion conditions with ORS solution. Regular feeding should resume as soon as possible after oral rehydration or IV rehydration. The lactose-free diet can shorten the diarrhea duration. Zinc supplements are recommended in children with acute infectious diarrhea. Saccharomyces boulardii and Lactobacillus Rhamnus are recommended to be used in acute watery diarrhea. Sac-charomyces boulardii is recommended in children with antibiotic-associated diarrhea as well. Montmorillonite and Racec-adotril (acetorphan) can improve the symptoms of diarrhea or shorten the course of acute watery diarrhea. Antibiotics are recommended with dysenteric-like diarrhea, suspected cholera with severe dehydration, immunodeficiency, and premature delivery children with chronic underlying disease;otherwise, antibiotics are not recommended. Conclusion The principles of the most controversial treatments with of acute infectious disease are reaching to a consensus in China.展开更多
Through in situ transmission electron microscopy observation on SUS304 metastable austenitic stainless steel during stretching at room temperature,it is found that e martensite plates were induced preferentially from ...Through in situ transmission electron microscopy observation on SUS304 metastable austenitic stainless steel during stretching at room temperature,it is found that e martensite plates were induced preferentially from the sites of dislocation pile-ups.With increasing deformation,some of ε thin martensite platelets disappear and reversibly transform toγ austenite without heating treatment,which is different from the previous result that ε martensite can entirely transform toα'martensite.Then,some of deformation twins appear and grow along the vertical direction of ε martensite due to(111)_γ⊥(1010)_ε.Moreover,it is directly observed that multiple transformation mechanisms via γ→ε→γ,γ→ε,γ→α′,γ→ε→α′,γ→ deformation twins →α′ can co-exist.展开更多
文摘Background The guidelines addressed the evidence-based indications for the management of children with acute infectious diarrhea in Chinese pediatric population. Data sources The experts group of evidence development put forward clinical problems, collects evidence, forms prelimi-nary recommendations, and then uses open-ended discussions to form recommendations. The literature review was done for developing this guideline in databases including PubMed, Cochrane, EMBASE, China Biomedical Database, and Chinese Journal Full-text Database up to June 2013. Search the topic 'acute diarrhea' or 'enteritis' and 'adolescent' or 'child' or'Pediatric patient' or 'Baby' or 'Infant'. Results For the treatment of mild, moderate dehydration, hypotonic oral rehydration solutions (ORS) are strongly recom-mended. Intravenous (IV) rehydration is recommended for severe dehydration, with a mixture of alkali-containing dextrose sodium solution. Nasogastric feeding tube rehydration is used for children with severe dehydration without IV infusion conditions with ORS solution. Regular feeding should resume as soon as possible after oral rehydration or IV rehydration. The lactose-free diet can shorten the diarrhea duration. Zinc supplements are recommended in children with acute infectious diarrhea. Saccharomyces boulardii and Lactobacillus Rhamnus are recommended to be used in acute watery diarrhea. Sac-charomyces boulardii is recommended in children with antibiotic-associated diarrhea as well. Montmorillonite and Racec-adotril (acetorphan) can improve the symptoms of diarrhea or shorten the course of acute watery diarrhea. Antibiotics are recommended with dysenteric-like diarrhea, suspected cholera with severe dehydration, immunodeficiency, and premature delivery children with chronic underlying disease;otherwise, antibiotics are not recommended. Conclusion The principles of the most controversial treatments with of acute infectious disease are reaching to a consensus in China.
基金financially supported by the National Natural Science Foundation of China (No. 51105248)
文摘Through in situ transmission electron microscopy observation on SUS304 metastable austenitic stainless steel during stretching at room temperature,it is found that e martensite plates were induced preferentially from the sites of dislocation pile-ups.With increasing deformation,some of ε thin martensite platelets disappear and reversibly transform toγ austenite without heating treatment,which is different from the previous result that ε martensite can entirely transform toα'martensite.Then,some of deformation twins appear and grow along the vertical direction of ε martensite due to(111)_γ⊥(1010)_ε.Moreover,it is directly observed that multiple transformation mechanisms via γ→ε→γ,γ→ε,γ→α′,γ→ε→α′,γ→ deformation twins →α′ can co-exist.