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The highest state of lazy people eating: no fire, no pot washing, no going downstairs to get takeout. Self-heating rice perfectly meets the needs of lazy people. You only need one bottle of mineral water, and then wait for 15 minutes, you can realize the freedom of eating, so don’t be too cool.

There are so many self-heating rice on the market, which one is the king of cost performance? I bought six brands that are very common among offline merchants. Let’s measure them-

Which one is the most convenient?

In order to evaluate the taste of different brands of self-heated rice horizontally, all the common beef flavors were purchased in this evaluation, and the side dishes were mainly beef and potatoes.

Zi Shan’s arrival at Fandian and Honglv should be the gospel for lazy people. You can bring your own water for rice and heating, and you don’t need to prepare extra water, so you can eat freely everywhere.

Zi Hai Guo and Mo Xiaoxian prepared special water for rice, but did not put special water for heating. If you want to eat, you still need to bring your own cold water, which is not convenient.

Be sure to bring mineral water when you are going to eat the baby with a small stove and sea fishing outdoors. A clever woman can’t cook without water.

Is the staple food enough?

Every time you eat self-heating rice, you will have doubts: Why does self-heating rice only need to be heated for 15 minutes to eat? Is this really eating rice?

In order to achieve the goal of "quick" eating, most self-heating rice uses prefabricated rice, that is, processed rice: rice is ground into powder, then boiled into rice paste with water, dried and dehydrated, and then pressed into rice by machine. Simply put, it is cooked-dehydrated-steamed with water.

This can greatly shorten the heating time of rice, but the taste is 108 thousand miles worse than that of rice, and it can not bring real taste enjoyment.

▲ The importance of rice is related to the amount of water added. Here, it is added according to the water injection line given by the merchant or the drinking water that comes with it. The weight is for reference only.

The overall feeling of trying to finish eating: there is no happiness of eating carbon water! There is not enough rice fragrance, not enough q-bomb.

We gave Zi Shan the award for the worst taste, and the taste was exactly the same as that of the overnight meal, with almost no smell of rice and no Q-bomb at all.

Although the taste is not good, according to the dietary guideline of "200~300g of cereal every day", it is absolutely possible to have a full stomach.

▲ Feedback from @ Yogurt Children’s Shoes after tasting.

Is there enough meat?

▲ Because the side dish comes with soup, the actual weight will be less.

Dietary guidelines recommend eating 300~500g of livestock meat every week, which is about 45~70g per day on average. Those who meet the requirements here will open a small stove, and Zi Shan will go to Fandian and Haidilao. I have to say that the amount of meat is directly proportional to the price.

Open a small stove: the beef has a sufficient weight and a large size. It tastes satisfying and tastes delicious. Disadvantages are oily and slightly fishy.

It’s time for dinner: as long as you meet curry, you can say one word: salty! Beef tastes fresh and tastes good.

Haidilao: The meat is soft and moderately salty. @ Coffee scored a perfect score of 10, and @ Yogurt and @ Small Watermelon found the taste strange.

Honglv: Carrots are very heavy, and even beef has a little sweetness. Everyone doesn’t like them very much.

Self-help pot: mushroom and beef are silly and unclear. Although there is little meat, it tastes good and spicy, which is everyone’s favorite.

Mo Xiaoxian: @ Yogurt Comments: I didn’t eat it at all, 0 points! There is really too little meat, which is about the size of the diced beef in Master Kong’s braised beef noodles. It is not enough to eat at all.

Are there enough vegetables?

▲ Because the side dish comes with soup, the actual weight will be less.

Common vegetables in self-heated rice are potatoes, mushrooms, bamboo shoots, green beans, etc., and the weight is very small. In the words of @ Coffee, where is it?

I ate self-heating rice for this meal, so I must remember to eat more vegetables, especially dark vegetables, for the next meal.

Is the salt exceeding the standard?

Generally speaking, all self-heated rice tastes special! No! Salty! After eating this meal, I consumed about 2~4g of salt, plus the other two meals and snacks, and the salt intake in one day was properly exceeded.

It is not recommended to eat often.

To sum up

● The rice is just right, and the amount of self-heated rice can meet the needs of most people. But for some people who eat a lot, it may not be enough. You can bring some corn, sweet potatoes, etc. These miscellaneous grains are nutritious and easy to carry.

● The calorie of a self-heated rice is 500~600kcal, which can basically meet the calorie demand of a meal, but the amount of protein is too small (to put it bluntly: too little meat! )。

● The weight of meat is directly proportional to the price. The higher the price, the more meat there is.

● Almost no vegetables can be seen. Potatoes, carrots and mushrooms are common vegetables, and the amount of vegetables is far from enough. It is suggested to eat more dark vegetables such as green leafy vegetables in the next meal.

● Put too much salt. Everyone tries to finish the unified feeling of self-heating rice: it is too salty and needs to drink water. Remember to drink less soup and more water when eating, and eat with high-potassium fruits such as bananas.

● I have to say that it tastes terrible! It is better to eat instant noodles!

Today interaction

Have you ever eaten self-heating rice?

What do you think of its taste?

Edit | Small Watermelon

Design | grapefruit

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The above information is only popular science and should not be regarded as medical advice.

Can not replace the doctor’s individualized judgment on a specific patient.

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Original title: "Don’t try self-heating rice easily, I’m afraid you’ll dazzle two bowls of" old uncle "at a time"

Read the original text

　　"Subsidize 1000 yuan every month. Are you willing to have two/three children?" In January this year, in order to further optimize the birth support policy, the Zhejiang Provincial Health and Health Commission conducted a survey on the parenting cost of infants under 3 years old among some people of childbearing age. A question about parenting subsidies in the questionnaire attracted widespread attention.

　　In August last year, Panzhihua City, Sichuan Province was declared as a local registered family with two or three children, and 500 yuan allowance was paid to each child every month until the child was 3 years old. The reporter found out that since the second half of last year, Hunan, Jilin, Anhui and other provinces have issued documents, clearly proposing the establishment of a childcare subsidy system.

　　How to pay the childcare allowance? What is the effect on encouraging fertility? What support do people of childbearing age need?

　　Solve some "milk powder money"

　　"Although 500 yuan is not much every month, it can solve some problems ‘ Milk powder money ’ 。” Xu Junfeng, deputy mayor of Panzhihua City, Sichuan Province, said.

　　Many provinces in China have introduced the child-rearing subsidy system to provide supporting support for the "three-child policy". Last November, the "14th Five-Year Plan for Public Services in Guangdong Province" proposed to explore the provision of inclusive economic subsidies for children. In January this year, Beijing issued the "Implementation Plan on Optimizing the Birth Policy and Promoting the Long-term Balanced Development of the Population", which clearly and gradually established and improved the family parenting subsidy system.

　　Zhejiang Province stipulates that the county (city, district) people’s government may, according to local conditions, give child-rearing allowance and child-care expenses subsidies to infant families under the age of 3. It is clear in Heilongjiang Province that the people’s governments at the municipal and county levels should establish a child-rearing subsidy system for families who have given birth to a second or more children according to law, and appropriately tilt to border areas and old revolutionary areas. Jilin Province advocates the establishment of a county-level childcare subsidy system, and the provincial finance will give appropriate subsidies according to the implementation of local systems.

　　Compared with the principle provisions at the provincial level, some cities and counties have planned the implementation details. For families with two or three children, Panzhihua will set the subsidy amount as 500 yuan per child per month. Linze County, Zhangye City, Gansu Province, grants subsidies on an annual basis, with families with two children paying 5,000 yuan a year and families with three children paying 10,000 yuan a year until their children are 3 years old.

　　Qiao Lin, a Beijing Baoma who has just given birth to two children, hopes that the policy will come to an early date. "The second child has just reached the full moon, and milk powder, complementary food and diapers will cost money." She said that from the extension of maternity leave to the issuance of childcare subsidies, we can see the efforts made by the state to reduce the burden of parenting, and look forward to more supporting measures.

　　What is the incentive effect of childcare subsidy?

　　To what extent can the child-rearing subsidy, which is the icing on the cake for families with many children, enhance the willingness to have children? The reporter interviewed several families of childbearing age randomly, and some said that "although the subsidy is good, it will not decide to have children." A white-collar worker admits that parenting is not just an economic account.

　　"The original intention of the childcare subsidy policy is to increase the fertility rate by reducing the direct cost of childbirth, which will stimulate the areas with low per capita income to a certain extent." Wang Tianyu, an associate professor in the Department of Social Security, School of Labor and Personnel, Renmin University of China, analyzed that the reproductive decision-making of individual families is very complicated, and the reproductive cost is only one of the influencing factors. According to the survey, the decision from zero child to one child has little to do with the cost of childbirth, and whether to have two children is mainly determined by the preference of childbirth.

　　Li Yue, an associate researcher at China Population and Development Research Center, said that the policy of child-care subsidy may improve the short-term fertility rate, not the lifelong fertility level. "Those one-child families who plan to have two children may be encouraged by the policy to advance their childbearing behavior, but they will not decide to have three children. Parenting subsidies have undoubtedly improved family welfare, but the separate efforts of this policy have limited effect on boosting fertility. "

　　The affordability of local finance should also be taken into account. Wang Tianyu calculated that the population born in 2021 was 10.62 million, including 4.6 million children. If only two-child families are subsidized, the annual investment will be as high as 80 billion yuan, based on last year’s birth scale, assuming that each child will be given a monthly subsidy of 500 yuan to the age of three.

　　In Wang Tianyu’s view, the greatest significance of the policy is not to stimulate fertility in the short term, but to build a culture of socialization of fertility costs and caring for families with many children. The role of culture in fertility decision-making will take some time to show.

　　Reducing the burden of childbirth requires more efforts.

　　"There is a need for a perfect infant care service system behind the childcare subsidy system, and a fertility-friendly society calls for policy synergy." Li Yue said.

　　Li Yue introduced that at present, the measures to encourage fertility in various countries can be divided into three categories. First, economic support, including various subsidies and tax relief policies; Second, service support, including the development of nursery services, home help, after-school care, etc. The third is time support, including maternity leave, parental leave, paternity leave and other holiday systems.

　　For the further implementation of the child-care subsidy system, Wang Tianyu suggested not to "flood irrigation": "Not long ago, the State Council issued the Notice on Setting up a Special Additional Deduction for Personal Income Tax for Infant Care under 3 years old. From the perspective of maintaining social equity and saving financial funds, child-care subsidies may also pay attention to those families and individuals whose income is below the tax threshold."

　　Housing tilt policy is also a powerful measure of economic support. It is reported that Beijing, Jiangsu, Anhui and other places have proposed that when renting public rental housing, families who meet the local housing security conditions and have minor children can be given appropriate care in terms of apartment selection according to the number of minor children.

　　According to the data released by National Health Commission, more than one-third of families have the demand for nursery services, but the enrollment rate of infants in various nursery institutions in China is only about 5.5%.

　　"Inclusive care institutions are important fertility support forces, but they are developing slowly at present." Li Yue said.

　　According to the current policy, for each new nursery, inclusive nursery institutions can enjoy a subsidy of 10,000 yuan. Once it becomes an inclusive nursery institution, it is necessary to enroll students according to the guidance price of the local government.

　　Li Yue said that in the case of high operating costs, the income and expenditure of nursery institutions are unbalanced and lack the motivation to apply. One of the future directions is to provide monthly operating subsidies according to the number of students enrolled, and appropriately reduce the rent and taxes, so as to really lower the price of nursery services.

　　In the revision of family planning regulations in various places, extending maternity leave and adding parental leave are a highlight. Li Yue believes that while adjusting the holiday system, it is also necessary to clarify how to share the costs, explore the cost-sharing mechanism of the state, enterprises and families, reduce employment discrimination, and relieve the worries of women of childbearing age.

Original pediatric doctor Yan, pediatric doctor Yan

When I meet a baby with cough and wheezing, the first thing I think of is bronchiolitis (also called bronchiolitis), especially in winter and spring clinics.

Although bronchiolitis is not strictly pneumonia, it is difficult to manage, which is mainly related to its special lesion location and pathogenic pathogens.

01

bronchiolitis

The bronchioles are located at the end of the bronchi (below ⑤, close to the alveolar ducts), and then down are the alveolar ducts and alveoli.

The respiratory tract of young children (especially infants under one year old) is relatively narrow, and local inflammation and exudation of bronchioles can easily cause lumen blockage, hinder air from entering and leaving alveoli, and even lead to hypoxia and dyspnea in severe cases.

The symptoms of children with bronchiolitis have their own characteristics, so that clinical diagnosis can be made through symptoms and signs.

Early symptoms are mild, such as runny nose, stuffy nose, cough, and some have low fever, just like the common cold.

Different from the common cold, children with bronchiolitis have frequent cough and asthma in about 2-3 days, some have shortness of breath and inspiratory depression, and some have severe dyspnea.

Then there is a long recovery period.

Although most children can recover by themselves (the course of disease is self-limited), some need hospitalization management and even use ventilator because of severe respiratory distress.

Bronchiolitis is mostly caused by virus infection, and there is usually no targeted antiviral drug, so it can only be treated symptomatically, and then the child can carry it by himself.

The main management measures include cleaning nasal secretions, ensuring liquid intake, high-flow oxygen inhalation and auxiliary ventilation when necessary.

Aerosol inhalation of bronchodilators (salbutamol, bricanyl) and corticosteroids (budesonide) has no obvious effect on bronchiolitis, and it is usually not routinely used continuously. Unless it is observed that the symptoms of cough and asthma in children are obviously relieved after atomization inhalation, they can continue, otherwise it is recommended to stop.

It is precisely because the drug treatment of bronchiolitis is limited, so the focus of management is not how to give drugs to children, but to guide parents.

For example, guide parents to care at home, observe the progress of the disease, identify severe cases, and let parents know that the next course of disease may be longer, so they must be psychologically prepared. Otherwise, children will face excessive intervention.

02

Significance of pathogen detection

Respiratory syncytial virus (RSV) is the most common pathogen causing bronchiolitis. In addition, rhinovirus, human metapneumovirus, parainfluenza virus, adenovirus and mycoplasma pneumoniae infection can all cause bronchiolitis.

If the child has typical bronchiolitis symptoms, it is unnecessary to check the pathogen. Because even if the pathogen is known, there is usually no antiviral method. But many times, I will choose to check.

Why check? Mainly to facilitate communication with parents.

For example, cough and asthma in children with bronchiolitis lasts for a long time, which may be several weeks, and has no obvious expected effect on many treatment methods including atomized inhalation. In this case, parents are inevitably anxious.

Parents are anxious and will try their best to control their children’s symptoms. They may take their children to see a doctor repeatedly, and the children will face more medication. In addition, repeated exposure to medical institutions will increase the risk of nosocomial infection.

And a clear result of pathogenic examination (such as detecting a virus) can alleviate parents’ anxiety to a certain extent and facilitate communication between doctors and patients.

Therefore, in the clinic, when a child is suspected of bronchiolitis, I usually suggest a rapid antigen test for nasopharyngeal swab RSV first (RSV is chosen because it is the most likely and the rapid antigen test is very convenient).

If it is positive, inform the parents of the main points of home management, the possibility of facing a longer course of disease, and avoiding the abuse of antibiotics during this period, so that parents can be mentally prepared.

You see, proper auxiliary examination is actually to protect children.

However, RSV is only the most common virus that causes bronchiolitis. At work, children with typical bronchiolitis symptoms will also be encountered, but RSV is negative. How to manage it?

03

A case

Next, share a case. Before sharing, as usual, I would like to thank my parents for their permission.

This 11-month-old baby was the last patient on the afternoon of December 1st. Before coming to my clinic, the course of cough was nearly ten days, and I have been treated twice in other hospitals. In the clinic, the child coughed violently and vomited several times, with obvious asthma, shortness of breath and inspiratory depression, and fever.

Hormones and bronchodilators have been atomized and inhaled at home, and the symptoms are not obviously relieved.

I did a rapid RSV antigen test first, and the result was negative.

Although the child has shortness of breath and inspiratory depression, the degree is not serious and the oxygen saturation is still in the normal range.

Although coughing leads to vomiting and affects eating, there is no dehydration;

Although low fever, but the overall state is not bad, willing to interact with others, no symptoms of infection and poisoning;

Most importantly, my mother has a certain ability to observe the changes of diseases. Although she is anxious, she is not particularly anxious.

I evaluate that the child has not reached the indication of hospitalization at present, and there is no clear manifestation of bacterial infection. The high probability is still viral infection. After taking a throat swab sample and doing targeted sequencing, he didn’t prescribe medicine, so he was told to go home for observation and follow up online. I also repeatedly reminded that if the symptoms get worse, I need to be hospitalized.

To tell the truth, when the patient’s family was ready to leave the clinic after the visit, I was really sorry when my mother asked the children to wave goodbye to me. Coming from other places, the total cost of consultation and laboratory test is more than 1,500 yuan. I didn’t prescribe any medicine, and I didn’t know the pathogen. I went home empty-handed, and the future course of my illness is still unclear, which is really worrying.

On the second day, I contacted my parents by phone. The parents reported that they still coughed and vomited, but the frequency was less, my temperature was normal, I could eat something, and my urine volume was normal.

On the afternoon of the third day, targeted sequencing showed that the sample contained high concentration of human metapneumovirus, and cytomegalovirus was detected.

Combined with the symptoms of the child, I think the child is bronchiolitis caused by human metapneumovirus infection. As for the detected cytomegalovirus, it is considered to be carried in the pharynx (previous infection).

Because my home is out of town, I didn’t ask my parents to take her back to the clinic for follow-up, and I kept in touch by phone all the time.

Fortunately, the symptoms behind this child gradually eased, and it was not until mid-December that there was basically no cough, but there was phlegm in the throat from time to time. The total course of disease is more than 3 weeks, which accords with the characteristics of classic bronchiolitis.

04

Human metapneumovirus

Everyone should be unfamiliar with human metapneumovirus, and the doctor’s knowledge is likely to stay at the textbook level, because this pathogen is not checked at ordinary times and there is a lack of perceptual knowledge.

With the targeted sequencing in our outpatient department, many children were found to be infected with this virus. I thought it was a little strange at first, but if you look up the relevant information, you will find that you are rare and strange. I didn’t know it before, but I just didn’t have the ability to test it.

In 2001, Dutch virologist Bernadette G. van den Hoogen and his colleagues isolated a new virus from the respiratory secretions of 28 young children, named human metapneumovirus, hMPV).

HMPV belongs to pneumoviridae. Pneumoviridae is named because its viruses are related to respiratory diseases of people or other animals, and the most famous one is RSV.

HMPV is distributed all over the world, and is often prevalent in winter/spring in temperate regions, overlapping with RSV and flu seasons.

Serological studies show that hMPV has spread for at least 60 years. By the age of five, almost all children in the world have been infected, which is considered to be the common cause of lower respiratory tract infection in children (second only to RSV in some areas).

Although infection is common in early life, reinfection is also common in older children and adults. Reinfection is mostly mild infection, such as common cold symptoms, but the risk of serious diseases will increase when reinfection occurs in immunocompromised people or the elderly.

HMPV may be transmitted by contact with virus-containing secretions, droplets, large aerosol particles or pollutants.

05

Symptom

The symptom characteristics and severity of hMPV are similar to RSV, so I often mistake hMPV infection in children for RSV infection.

Like RSV, the common symptoms of children infected with hMPV are fever, cough, runny nose and stuffy nose, and nearly half of young children may have asthma. A few patients may have acute laryngitis.

If hMPV only affects the upper respiratory tract, the symptoms are like common cold, such as mild fever, runny nose, stuffy nose, sore throat, cough and headache, which usually disappear in about a week.

However, hMPV is not very friendly to children and the elderly, and may spread to the lower respiratory tract. Infants infected with hMPV are prone to bronchiolitis, and the symptoms described in the first part of this paper, "Bronchiolitis", appear.

Some children with hMPV infection need hospitalization because of severe respiratory distress or inability to eat effectively with dehydration.

06

Severe risk

The risk of severe illness and hospitalization is significantly increased in the following groups:

Premature infants (gestational age ≤36 weeks)

Low birth weight infants (birth weight less than 2500g)

Infants under 1 year old

Chronic lung diseases (especially bronchopulmonary dysplasia)

Abnormal anatomical structure of airway

Congenital heart disease (with significant hemodynamic abnormalities)

Immune hypofunction

Nervous system diseases

Children with these high-risk factors need special attention, because their risk of adverse outcomes is significantly increased.

07

Treatment

Symptomatic treatment.

Use antipyretics to relieve discomfort caused by fever.

Clean nasal secretions to make children more comfortable and easy to eat and sleep.

Ensure liquid and energy intake and avoid dehydration.

Respiratory support: oxygen, assisted breathing.

Antiviral treatment.

Ribavirin and other antiviral drugs have been shown to be active against hMPV in vitro. However, there is no clinical data about the effect of ribavirin or other antiviral drugs on hMPV infection.

Therefore, antiviral drugs are not recommended for people infected with hMPV.

08

Epidemic vaccine

At present, there is no approved hMPV vaccine.

Moderna, an American pharmaceutical company, has developed a candidate vaccine against hMPV and conducted clinical trials.

As of October 2019, the candidate vaccine has passed the first phase of clinical trials. It is reported that the vaccine is well tolerated at all dosage levels within two months, and it stimulates immune response and produces neutralizing antibodies.

09

Total knot

Whether it is RSV, hMPV, or bronchiolitis caused by Boca virus, rhinovirus and parainfluenza virus, there is no difference in our management principles.

If you have the conditions to check, you can check the cause and find out hMPV, so don’t worry too much; If there is no condition to check, it can be diagnosed by symptoms and managed according to bronchiolitis.

The focus of management is still home care and observing the progress of the disease.

Original title: "Cough, asthma and fever, thought it was RSV infection, the result was human metapneumovirus, what should I do?" 》

Read the original text

It’s a medium and large car. I don’t know how much you know about it. Let’s look down with Xiaobian.

Let’s take a look at the appearance of the BMW i5. The front face design of the BMW i5 is relatively simple and looks sporty. Combined with personalized headlights, it is in line with the "taste" of young consumers. The car is equipped with LED daytime running lights, automatic opening and closing, adaptive far and near light, delayed closing and so on. Coming to the side of the car body, the size of the car body is 5175 mm * 1900 mm * 1520 mm. The car uses cool lines, and the side of the car looks very angular. With large-sized thick-walled tires, it looks full of movement. At the rear of the car, the lines at the rear of BMW i5 are cool, and the taillights are very fashionable and dynamic, very clean and refreshing.

In terms of interior, the interior design has taken the atmospheric route, and the overall visual effect is very distinctive. The steering wheel of the car is eye-catching, made of genuine leather, and its shape is very fighting. Take a look at the central control. The car is equipped with a touch-sensitive LCD central control screen, which makes the interior style impressive and gives people a sense of simplicity. Let’s take a look at the dashboard and seats again. The car is equipped with a concise dashboard, which is very eye-catching. The car uses leather seats, which are wide and thick and comfortable.

BMW i5 matched gearbox, 210KW, 410N.m, with good power performance.

Equipped with car networking, driving mode selection, remote control key, UWB digital key, interior atmosphere light, traction control (ASR/TCS, etc.) and other configurations, the configuration has reached the mainstream level of the same level.

Do you have the urge to buy a car after reading the whole article? Let me make a summary. This class of cars can often give consideration to both cost performance and practicality, and is often considered by most consumers as the first choice when buying a car.