ABSTRACT
Internet, Dr. Google, las redes sociales y la web social marcan un nuevo paisaje para el entorno sanitario. Un entorno marcado por los hospitales «líquidos» (H2.0) con profesionales sólidos. Los hospitales, los centros de salud y cualquier organismo sanitario se deben al paciente, al usuario, al ciudadano. Tenemos que ser excelentes y transparentes, tenemos que romper las paredes de nuestros edificios y debemos facilitar la formación y la información. Y todo lo anterior se consigue mejorando el camino de la comunicación. Porque la comunicación es compatible con el rigor y la ética científica, y los hospitales del siglo XXI y sus servicios médicos deben dar el salto a la web social, sin miedo y sin pudor, con sus «5C» (ciencia, conciencia, calidad, color y calor) y sus «4H» (hacerlo bien, hacerlo mejor, hacerlo juntos, hacerlo) y con los recursos de la web 2.0 (comunicación, difusión, colaboración y multimedia). Comentamos la experiencia con la web del Servicio de Pediatría del Hospital General Universitario de Alicante, una vez definidos nuestro porqué y para qué, nuestros objetivos, el fondo y la forma. La web nos ha hecho visibles, presentes y útiles a los profesionales sanitarios, al ciudadano (al usuario, al paciente) y a la sociedad más allá de su estructura física, y ha resultado útil como herramienta de información, formación y gestión. Y cuando nos hacemos visibles, siempre mejoramos: es una ley inexorable (AU)
Internet, Dr. Google, social media and social web draw a new environment for the healthcare industry. An environment marked by the «2.0» hospitals with solid professionals. The hospitals, health centers and any health organization is owing to the patient, the user, the citizen. We have to be excellent and transparent professionals, we have to break the walls and we must provide proper training and information. We can achieve all of that by improving the communication. Because communication is compatible with scientific rigor and ethics, XXI century hospitals and medical services should jump to the next level of social web without fear nor shame, but with science, awareness, quality, color and heat. Just do it, and do it the right way and together taking the advantages of the provided resources by the web 2.0, which mainly are communication, dissemination, collaboration and multimedia. In the article, we discuss the experience launching the website of the Department of Pediatrics of the Hospital General Universitario of Alicante, once defined our objectives, our «reason why», content and form. With this web site we became visible to the public and professionals, and useful not only to practitioners health but also to the citizens in general (the user, the patient) and to the society beyond its physical structure, and it has proved to be useful as a tool for providing information, training and management. And by becoming visible, we always improve: it is an inexorable law (AU)
Subject(s)
Humans , Internet , Social Media , Pediatrics/education , Information Management/instrumentation , Hospitals, Pediatric/organization & administration , Hospital Communication Systems/organization & administration , Computer Communication Networks/organization & administration , Social NetworkingABSTRACT
The rupture of cerebral arterial aneurysm is an extremely rare cause of intracranial hemorrhage in infants. Brain magnetic resonance imaging is an excellent technique commonly used to suggest the diagnosis. In this article, we propose color flow Doppler ultrasound as a useful, simple, inexpensive, noninvasive, and accessible option for confirming the lesion.We report one case of cerebral aneurysm in a neonate admitted to our unit. Furthermore, we performed a thorough review of the literature on cerebral aneurysm that led us to the observation that the vast majority of untreated patients suffered a second bleeding that caused death. Thus, we insist on the benefits of a timely treatment.
Subject(s)
Aneurysm, Ruptured/diagnostic imaging , Intracranial Aneurysm/diagnostic imaging , Intracranial Hemorrhages/diagnostic imaging , Aneurysm, Ruptured/diagnosis , Brain/pathology , Echoencephalography , Female , Humans , Infant, Newborn , Intracranial Aneurysm/complications , Intracranial Aneurysm/diagnosis , Intracranial Hemorrhages/diagnosis , Intracranial Hemorrhages/etiology , Magnetic Resonance Imaging , Male , Rupture/diagnostic imaging , Tomography, X-Ray Computed , Ultrasonography, Doppler, Transcranial/methodsABSTRACT
AIM: To study the relationship between the delay of herniotomy in the extremely premature infant and the rate of complications in comparison with full-term children. METHODS: A follow-up study of three groups of neonates operated on for inguinal hernia was performed. The groups were defined as: a) the short-waiting group (SWG): prematures (mean gestational age: 32.56 +/- 0.62; n = 9) operated on within 2 wk of diagnosis (median: 5 d); b) the long-waiting group (LWG): prematures (mean gestational age: 28.38 +/- 1; n = 21) operated on after more than 2 wk (median: 39 d); and c) control group of full-term children (FTG); (mean gestational age: 38.18 +/- 0.29; median of timing: 3 d; n = 11). Several variables (gestational age, weight at birth and at surgery, side of the inguinal herrnia, timing, duration of surgery, type of anaesthesia, length of hospitalization), as well as the occurrence of apnoea, incarceration and testicular atrophy were compared between groups. RESULTS: Timing was the only variable that was different between the LWG and the other two groups (p < 0.001, ANOVA). Seven preoperative episodes of incarceration occurred: one in the SWG, two in the LWG and four in the FTG (p = 0.138, chi2). In the follow-up study two testicular atrophies, related to previous episodes of incarceration, were found: one in the FTG and the other in the SWG (p = 0.221, chi2). CONCLUSION: The deferral of herniotomy in the extremely premature infant, until the child is ready to be discharged from the neonatal unit, does not seem to increase the risk of incarceration episodes or testicular atrophy.
