Efficacy of budesonide/formoterol inhalation powder in treating viral pneumonia in children

BACKGROUND Respiratory viruses are increasingly detected in children with communityacquired pneumonia.Further strategies to limit antibiotic use in children with viral pneumonia are warranted.AIM To explore clinical efficacy of budesonide/formoterol inhalation powder for viral pneumonia in children and its impact on cellular immunity and inflammatory factor production.METHODS A total of 60 children with viral pneumonia were recruited:30 receiving budesonide/formoterol inhalation powder and 30 conventional symptomatic treatment.Outcome measures included peripheral blood levels of inflammatory cytokines,CD4^(+),CD8^(+),Th1,Th2,Th17 and Treg,clinical efficacy,and incidence of adverse reactions.RESULTS Compared with the control group,the observation group showed a significant reduction in interleukin-6 and high-sensitivity C-reactive protein levels after treatment.Compared with the control group,the observation group showed a significant increase in CD4^(+)/CD8^(+)and Th1/Th2 levels,and a decrease in Th17/Treg levels after treatment.The total effective rates in the observation group and the control group were 93.75%and 85.00%,respectively,which was a significant difference(P=0.003).CONCLUSION Budesonide/formoterol inhalation powder significantly improved therapeutic efficacy for viral pneumonia in children.The mechanism of action may be related to downregulation of the inflammatory response and improved cellular immune function.

Effect of Aging on Hardening Behavior of 15-5 PH Stainless Steel

Microstructure transformation and aging hardening behavior of 15-5 PH stainless steel were studied by optical microscopy （OM）, X-ray diffraction （XRD） and transmission electron microscopy （TEM）. The results showed that the 15-5 PH stainless steel consists of NbC precipitates and lath matensite with a high dislocation density after solution treatment. With increasing aging temperature and aging time, the martensitic laths were resolved gradually. Meanwhile, the nanometric-sized Cu precipitates gradually coarsened and lost their coherency with＇the martensite matrix, which exhibited an elliptical shape finally. Fine Cu precipitates can lead to significant dispersion hardening effect, while the coarsened Cu precipitates have no contribution to strengthening. The reversed austenite was observed in the speci- mens aged at 550 ℃ and above; moreover, the amount of reversed austenite increased as aging temperature in- creased. The precipitation hardening behavior of 15-5 PH stainless steel may depend on the balance between the softening caused by the formation of reversed austenite and the hardening caused by the precipitation of copper.