Current Status, Diagnosis, and Treatment Recommendation for Tic Disorders in China.

Tic disorders (TD) are a group neuropsychiatric disorders with childhood onset characterized by tics, i.e. repetitive, sudden, and involuntary movements or vocalizations; and Tourette syndrome (TS) is the most severe form of TD. Their clinical manifestations are diverse; and are often associated with various psychopathological and/or behavioral comorbidities, including attention deficit hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), anxiety, depression, and sleep disorders. Individual severity and response to treatment are highly variable, and there are some refractory cases, which are less responsive to conventional TD treatment. TD/TS are also common in the Chinese pediatric population. To help improve the understanding of TD for pediatricians and other health professionals, and to improve its diagnosis and treatment in China, the Chinese Child Neurology Society (CCNS) has developed an Expert Consensus on Diagnosis and Treatment of TD in China, which is based on our clinical experience and the availability therapeutic avenues. It is focused on clinical diagnosis and evaluation of TD and its comorbidities, psychological and educational intervention, nonpharmacological therapy, pharmacological treatment, including traditional Chinese medicine and acupuncture, as well as prognosis in children with TD in China. A summary of the current status of TD and up-to-date diagnosis and treatment recommendations for TD in China is presented here.

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus.

Ultrasound is a safe bedside imaging tool that obviates the use of ionizing radiation diagnostic procedures. Due to its convenience, the lung ultrasound has received increasing attention from neonatal physicians. Nevertheless, clear reference standards and guideline limits are needed for accurate application of this diagnostic modality. This document aims to summarize expert opinions and to provide precise guidance to help facilitate the use of the lung ultrasound in the diagnosis of neonatal lung diseases.

Characterizing the Existence of Fluorescence Quenching Agents Using EEM Fluorescence and UV Spectra: Taking the Interaction of Humic Acid and Fe(â ¢) as an Example.

The fluorescence quenching agents was characterized with three-dimensional fluorescence and ultraviolet (UV) spectra. When there was Fe (Ⅲ) in the sample, the humic fluorescence would be quenched and their UV spectra were not affected. The variation of fluorescence intensity (I) at Ex/Em=300/510 nm and UV absorbance(A) at UV300 were investigated in the article. The smaller the ratio of fluorescence intensity versus UV absorbance (I/A) is, the higher the fluorescence quencher Fe(Ⅲ) concentration is. According to Stern-Volmer equation I/I0=1-fc×Kc×[c] /(1+Kc×[c] ) and fitted function I/A=f×[k/(cFe3++c)+b] , the fitted fluorescent quenching constant Kc was ranged between 1.08 to 1.15, the ratio of bounded fluorophores versus total fluorophores, i.e. fc, was ranged between 1.10 to 1.14. The ratio of fluorescence intensity and absorbance of humic acid was fitted with Fe(Ⅲ) concentration and the constants were acquired as following: f=0.83～1.19, k=587.19～612.19, c=0.87～0.92, b=-87.09～-46.36. The correlation curve values were 0.99. The Stern-Volmer formula was used to describe the quenching effect of humic acid fluorescence by Fe (Ⅲ). However, due to the fact that the fluorescence intensity I0 without quencher was difficult to acquire during the analysis of practical samples, the fitted function between the ratio of I/A and Fe(Ⅲ) was used to reflect the quenching effect of Fe(Ⅲ) on the fluorescence of humic acid, which was based on the correlations between the fluorescence intensity I0 and ultraviolet absorbance A. The fitted formula was used to predict the iron ions concentration of the resin separated and concentrated samples from wastewater treatment plant and receiving waters. The predicted values were in good accordance with those determined with inductively coupled plasma atomic emission spectroscopy(ICP-AES) method when the iron ion concentration was above 0.4 mg·L-1, which could be used to ascertain the existence of fluorescence quenching agent and their corresponding concentration.