摘要
Objective@#To comprehensively analyze the characteristics of posts released on WeChat official accounts of tertiary hospitals in Wuhan, and compare the two types of communication platforms varying in penetration power in terms of posts features and text contents. The aim is to identify post service strategies for enhancing influence of their WeChat accounts and to provide applied support for their operations regarding posts.@*Methods@#A total of 2 668 full-text messages were collected from the WeChat accounts of 22 tertiary hospitals in Wuhan in 2017. The 22 hospitals were categorized into a high WCI group and an ordinary group via Pareto′s principle. Then content analysis and data statistical analysis among others were used to analyze and compare the contents of the two groups in such five dimensions as push time, push content, title feature, media type and originality based on the WCI index.@*Results@#The push timing of WeChat articles focuses on the two time periods from 10: 00 to 12: 00 and from 16: 00 to 18: 00. These articles mostly aim at disseminating health knowledge (accounting for 37% of total articles) and describing hospital information (accounting for 29% of total articles). There were significant difference between the WeChat accounts of the two groups of hospitals in terms of title characteristics, media forms, and originality (P<0.01).@*Conclusions@#Hospitals can enhance their WeChat accounts′ penetration power and hospital influence by means of optimized push time, featured titles, enriched media forms, and customized articles.
摘要
Uno de los trastornos hematológicos más graves del período neonatal es la deficiencia congénita de proteína C, de presentación muy rara, y causa de enfermedad tromboembólica severa y púrpura fulminante en recién nacidos. Se puede sintetizar como una entidad clínico-patológica, de aparición aguda, con trombosis de la vasculatura de la dermis, lo cual conduce a necrosis hemorrágica y progresiva de la piel, asociada a coagulación intravascular diseminada y hemorragia perivascular, que ocurre en el período neonatal. El paciente presentado exhibe los elementos clínico-patológicos que caracterizan la púrpura fulminante, cuyo origen se debe a una deficiencia hereditaria de proteína C, lo cual condujo a la aparición de complicaciones trombóticas severas(AU)
One of the most serious hematological disorders of the neonatal period is congenital C protein deficiency of very rare occurrence and the main cause of severe thromboembolic disease and purpura fulminans in newborns. It may be summarized as a clinical and pathological entity of acute occurrence, with dermis vasculature thrombosis that leads to progressive hemorrhagic necrosis of the skin, associated to disseminate intravascular coagulation and perivascular hemorrhage in the neonatal period. The patient of this report showed the clinical and pathological elements characterizing purpura fulminans the origin of which is due to hereditary C protein deficiency that led to onset of severe thrombotic complications in this patient(AU)
Subject(s)
Humans , Female , Infant, Newborn , Disseminated Intravascular Coagulation/complications , Purpura Fulminans/etiology , Protein C Deficiency/complications , Protein C Deficiency/congenital摘要
Objective To study the disseminated Staphylococcus aureus infection (DSAI) in children. Method Clinical features, treatment and prognosis data of 14 children with DSAI admitted to Yuying Children’s Hospital Afifliated to Wenzhou Medical University from January 2006 to December 2013 was retrospectively reviewed. Results 14 children with DSAI occurred in community, median age:15m (range 6d–13y);50%male (7 cases). All patients presented with fever. Addition to fever, the ifrst symptom was skin and soft tissue infections (SSTIs,6 cases) as well as limb and/or joint pain (5 cases). Among children with DSAI, white blood cell count and C-reactive protein values increased signiifcantly. Pyogenic infection site were skin and soft tissue in 12 cases (85.7%), pulmonary (12 cases), bone (4 cases), joint (3 cases), central nervous system (3 case), and pericardium (1 case). SSTIs concurrent with pulmonary infection was found in 10 cases (71.4%). Incision and drainage of skin and soft tissue abscesses were performed in 9 cases, joint debridement and vacuum sealing drainage (VSD) in 3 cases, osteomyelitis debridement and VSD in 3 cases, and closed chest drainage in 3 cases. All cases received vancomycin and/or linezolid treatment, 5 cases supplemented by rifampicin, and intravenous immune globulin therapy was administered in 11 cases. Clinical manifestations were cured or improved in 12 cases (85.7%). Conclusions Clinical diagnosis of DSAI in children needs to be vigilant. SSTIs, bone and joint infections were major precipitating factors. Intravenous immune globulin therapy was supplemented to the application of antibiotics, which might get better clinical outcomes in children.
摘要
La coagulación intravascular diseminada es un síndrome clinicopatológico que complica a varias enfermedades graves; la sepsis es la causa más común en los pacientes pediátricos. Resulta de una anormal activación del sistema de coagulación, que conduce a la formación de trombos en la microcirculación, y al consumo de plaquetas y factores de la coagulación. Los hallazgos clínicos son variables; las hemorragias son la presentación más frecuente, seguidas de la púrpura y la gangrena de las extremidades (púrpura fulminante). Se presenta el caso de un paciente con coagulación intravascular diseminada asociada a sepsis, con trombosis venosa profunda concomitante. Los estudios permitieron diagnosticar una trombofilia hereditaria asociada a déficit hereditario de proteína C.
Disseminate intravascular coagulation (DIC) is a clinical pathological syndrome associated to several diseases. Sepsis is the most common cause in infants and children. DIC results from the anomalous activation of blood coagulation, widespread formation of thrombi in the microcirculation, and consumption of clotting factors and platelets. Clinical findings are variable; the most common is bleeding, followed by purpura and acral gangrene (purpura fulminans). We report a patient with sepsis associated-DIC and concurrent deep venous thrombosis. The diagnostic evaluation allowed to discover inherited thrombophilia associated to protein C deficiency.
Subject(s)
Humans , Infant , Male , Disseminated Intravascular Coagulation/complications , Protein C Deficiency/complications , Sepsis/complications , Venous Thrombosis/complications摘要
The study was conducted on the prostate gland of Gaddi goat from one day old to more than five years of age divided into three groups viz; prepubertal (1 day old to < 18 months of age), pubertal (18 months to < 5 yrs of age) and postpubertal (> 5 yrs of age). The prostate comprised of corpus prostatae, a band like structure close to the junction of vesicular gland with the urethra, and the pars disseminate which extended in urethra well from its origin to the point of duct of bulbourethral gland. Microscopically, the corpus prostatae comprised of two compact glandular masses lying one over the other, dorsally over the origin of pelvic urethra covered by a thick fibro-reticular capsule. The gland composed of end pieces (luminated and non-luminated acini) and ducts arranged in lobulated fashion. The thickness of inter and intralobular connective tissue decreased with increased age at the expense of the growth of paraenchyma. With age the luminated secretory end pieces increased, while the non-luminatedend pieces decreased in the lobules of the gland. Glandular parenchyma were rich in mucous components by 6 month age serous and mucous components became almost equal and at 12 month age majority of the secretory end pieces turned in to serous type. The excretory ducts which were lined by stratified cuboidal epithelium in one day old kids changed to transitional epithelium in late prepubertal and pubertal animals. The glandular elements were PAS and Best's carmine reactive while interstitial connective tissue was non reactive. Mild alkaline phosphatase reaction was evident in the interstitial connective tissue cells. A strong acid phosphatase reaction was evident in the endothelium. BPB reaction for protein was moderate to intense. Ducts and acini were PAS and Alcian Blue reactive. The reaction for glycogen and AMPS contents in the gland increased with age. It was very intense in the pubertal animals. Moderate DNA activity, mild to moderate alkaline and acid...
Se realizó un estudio de la glándula próstatica de la cabra Gaddi, desde el día uno de nacimiento hasta después de los cinco años de edad, divididos grupos prepuberal (1 día a 18 meses de edad), puberal (18 meses a <5 años de edad) y post-púberes (más de 5 años de edad). La próstata estaba constituida por un cuerpo prostático, estructura como una banda cercana a la unión de la glándula vesicular con la uretra, y una pars diseminada la cual se extendía en las paredes de la uretra desde su origen hasta el punto de los conductos de la glándula bulbouretral. Microscópicamente, el cuerpo prostático está compuesto por dos masas compactas glandulares situadas una sobre la otra, dorsalmente sobre el origen de la uretra pélvica cubierta por una gruesa cápsula fibro-reticular. La glándula compuesta por piezas terminales (acinos luminal y no luminal) y conductos dispuestos en forma lobulada. El espesor del tejido conectivo inter e intralobulillar disminuyó con el aumento de la edad a expensas del crecimiento del parénquima. Con la edad aumentaron las piezas terminales secretoras luminales, mientras que en las piezas terminales no luminales, disminuyeron en los lóbulos de la glándula. El parénquima glandular era abundante en componentes mucosos a la edad de 6 meses, mientras que los componentes serosos y mucosas se equilibraron a los 12 meses de edad; la mayoría de las piezas finales secretoras se transformaron a tipo serosa. Los conductos excretores que estaban revestidos por epitelio cúbico estratificado en el día uno de las crías, cambió a epitelio de transición en los animales prepúberes y púberes. Los elementos glandulares fueron reactivos al PAS y al carmín de Best, mientras que el tejido conectivo intersticial no fue reactivo. Una reacción leve a la fosfatasa alcalina fue evidente en las células del tejido conectivo intersticial, mientras que una reacción fuerte se evidenció en el endotelio. La reacción de BPB para proteína fue de moderada a intensa. Los conductos...
Subject(s)
Animals , Goats/anatomy & histology , Goats/physiology , Prostate/anatomy & histology , Prostate/metabolism摘要
Leiomyomatosis peritonealis disseminata (LPD) is rare, typically benign condition characterized by multiple smooth muscle, myofibroblasticand fibroblastic nodules arising in the pelvic and abdominal cavities in women. LPD is observed in reproductive age group especially and often mimics carcinomatosis grossly but has benign histologic feature and good prognosis. We report a case of leiomyomatosis peritonealis disseminata arising after laparoscopic myomectomy with review of literature.