The 27 year old Ms. Mao groin director of a small package is not obvious, because the location is more private, has been embarrassed to see a doctor. Half a year later, she felt that the longer she grew, the bigger she became. After medical treatment, it turned out to be a slow-growing low-grade malignant skin tumor – dermatofibrosarcoma.
Ms. Mao recalled that as early as half a year ago, when she took a bath, she found that her left lower abdomen groin was covered with a piece the size of a nail plate, slightly protruding. Because it doesn’t feel painful and itchy, I didn’t care about it at the beginning. I thought it would disappear after a period of time. Later, it was found that the longer the lump, the bigger it became, and it became a little red. Slowly, the bulge disappeared. The surface of the skin seemed flat, but it seemed to develop under the skin, and there was a slight depression. Due to the location of the parcel is relatively secret, Ms. Mao has been avoiding medical treatment.
On February 24, Ms. Mao felt that the lump was getting bigger and bigger, and finally decided to go to Wuhan Central Hospital for treatment. Wu Bingwei, a doctor in the plastic surgery department of our hospital, made a careful examination. According to the examination report, it is more likely to be dermatofibrosarcoma. Then, the expert team of the Department operated on Ms. Mao in the daytime operation Department, implemented the left lower abdominal tumor and resection margin operation, and removed the subcutaneous tumor. The quick examination results showed that Ms. Mao’s tumor was indeed protuberant fibrosarcoma. In order to reduce the recurrence rate, the doctor expanded the resection along the boundary of the tumor, and carefully repaired the defect.
According to Bai Xinping, director of the plastic surgery department of Wuhan Central Hospital, fibrosarcoma protuberans is a slow-growing low-grade malignant skin tumor, which can occur in any part of the body. It is more common in the trunk skin. At the beginning, it is often just a painless protuberant plaque. It feels a little hard and will appear dark red. Due to its adhesion with subcutaneous fat, muscle and soft tissue, fibrosarcoma protuberans can be seen in the skin, Sometimes skin fibroma will also sag, dimple sign orange peel like change, early generally do not appear very strong physical discomfort, so it is often ignored. Dermatofibrosarcoma protuberans usually infiltrates into deep tissues and may metastasize to other organs or lymph nodes in the late stage. Bai Xinping reminded that when there are different lumps or black nevi in the skin tissue of the body, we must not let them go. We must pay attention to observe the color, size and development of the lumps, not to mention random rubbing and squeezing. If the lumps or black nevi have not been eliminated or changed for a long time, we should see a doctor as soon as possible to find out the causes and treat them symptomatically.

Viral hepatitis can be divided for armor b c ding wu 5 kinds, armor, vale hepatitis is via fecal mouth transmission, other is via blood transmission, sex transmission, close life contact transmission.

Common have armour second viral hepatitis, a hepatitis course shows self – limited, without chronic change, lifelong immunity can be obtained after infection.

Hepatitis B can be manifested as acute hepatitis, chronic hepatitis, severe hepatitis, cholestasis hepatitis, hepatitis B virus chronic carrier.
Chronic hepatitis can behave for complexion dark, spider mole, liver or liver spleen is big.
The clinical expression of heavy hepatitis has jaundice deepens rapidly, liver has sex to shrink, liver smelliness, haemorrhagic tendency, the ascites that appears rapidly, toxic bulge bowel.
Symptoms of hepatic encephalopathy, hepatorenal syndrome.

Second liver active immunity can be vaccinated second liver vaccine, passive immunity can be used for high efficiency value second liver immunoglobulin preparation.

Lounge is main measures of acute hepatitis treatment principle should stay in bed for a month after onset, after improved further, please casually, can gradually increase activity, to the patient does not feel tired to liver function is normal, until the liver function is normal after three months can resume normal activities and work, but still want to avoid excessive labor and heavy manual labor.

Patients with severe hepatitis limit their protein intake to low fat, low salt, high sugar, high vitamins, easy digestion, fluid or semicfluidic.

We have introduced to you before the limitations of children with autism spectrum disorder in cognitive understanding ability, such as their way of understanding is single, always focus on a certain aspect of things, unable to look at the things around from a comprehensive view, more unable to summarize the rules of the development of things.

Tigers two days ago and father went to the zoo, they saw tigers, pandas, and giraffes, in watching the tiger, father specially said to the tiger: “tiger, you see, in front of that is the tiger, and the tiger the same name!”
Because his name also has a “tiger” word, tiger to see the tiger is very interested in, also therefore know the tiger this animal, went to the zoo, on the way back, tiger saw the tiger is also excited pointing at the tiger said: “tiger, tiger!”

Mother took the tiger to go to the supermarket, after a clothing store, inside a little cat “meow, meow, meow” called, the tiger turned to see the little cat, also pointed to the little cat said: “big tiger.”
Mother said to the tiger: “that is a small cat, not a tiger.”
But the little tiger still believed that it was the big tiger.

While ordinary children may think about the difference between a cat and a tiger after hearing a parent’s explanation, children with autism spectrum disorders have a hard time understanding the difference between the two animals in the short term.

So how can we improve the cognitive understanding of children with autism?

Interest Guidance:

All achievements interest beginning, when children are particularly interested in something, do not need parents too much exhortations, they will be immersed in, enjoy the fun of learning.

If the child likes drawing, then we can start from drawing and teach the girl to know all kinds of colors.
At the same time, you can learn many other things while painting different works.

If a child wants to draw a puppy, mom and dad can first give the child a look at the puppy photos and cartoon pictures, and then guide the child to draw a cute puppy, in the process of explaining the characteristics of the dog to the child, coloring, the child will also realize that the dog is also a lot of colors.
There are white dogs, and there are brown dogs.

When drawing, you can also train your child’s cognition of characters.
Even if the child’s drawing is abstract, we can give names to the people in the child’s drawing: Daddy, Mommy, Baby, Grandpa, Grandma, or listen carefully to the child’s thoughts as he draws.

If your child loves music and singing, we can use the lyrics of songs to help your child deepen their understanding of the things around them.

Matching game

Games can also exercise and improve children’s cognitive skills, and the emphasis is on how parents can design games to participate with their children.

We can match the game through the training card and the real thing. In a fixed time, parents and children compete together to see who can match more and more accurately!
For example, matching of the same color, matching of the same shape, or matching of the same kind of things like apples, bananas, pears, grapes, watermelons, pitaya, kiwi are all fruits;
Dogs, cats, lions, tigers, foxes, elephants, monkeys, doves, roosters and ducklings are all animals.
Sofa, bed, bookcase, table, chair and so on belong to furniture class;
Books, pens, paper, ink, rulers are stationery and so on.

Of course, in the process of the game, we should stimulate the child’s interest in the game, many times also need to use the reinforcement strategy, appropriate to let the child win a few times, is also a very good reinforcement for the child.

Ask divergent questions

Sometimes, when we communicate with children, in order to reduce the difficulty of communication, we usually ask questions in a closed way.

Closed questions can help simplify the way children communicate, but it is not conducive to children’s divergent thinking.
So parents should also reasonably adopt some ways to promote children’s divergent thinking.

For example, you and your child see a kitten and ask, “Is this a kitten?”
The child can answer yes or no, this is a closed question.
Children don’t have a chance to think outside the box.

If the child has known the cat this animal, mom and dad can ask: “what is this small animal ah?”
The child replied, “It’s a kitten.”
Mom and dad asked: “What color is the cat?”
The child replied, “Yellow.”
Mom and Dad can continue to ask, “What is the yellow cat doing?”
The child would observe and reply, “The yellow cat is chasing its tail around in circles.”

Open-ended questions can bring a series of divergent thinking to children, which can promote the improvement of children’s cognitive and understanding ability.
Parents and friends can try more.

The contest father said:

The training of children’s cognitive understanding ability should also start from interest, constantly improve children’s cognition in games, and guide children to diverge their thinking.

I hope that through the persistence of parents and continuous scientific intervention training, children’s cognitive and understanding ability can be improved!

Under the threat of flooding, how can we avoid infectious diseases?

The Hunan Provincial Chest Hospital reminds us that it is summer with high humidity and high temperature. It may be the peak of infectious disease outbreak about a week after the flood recedes. It is necessary to guard against cholera, bacterial dysentery, viral hepatitis A, typhoid fever, and paratyphoid fever. Such as intestinal infectious diseases; leptospirosis, epidemic hemorrhagic fever and other natural epidemic diseases; epidemic vector encephalitis, malaria and other vector-borne infectious diseases; red eye disease, dermatitis and other four types of contact diseases. Also pay attention to prevent food poisoning, pesticide poisoning and so on.

To avoid the occurrence of infectious diseases, it is recommended to do the following precautions.

1. Pay attention to drinking water hygiene

Strengthen water source management to ensure water quality and drinking water hygiene. Waterworks must strictly manage the disinfection of drinking water, appropriately adjust the amount of chlorine added during floods, and ensure the sanitation of residents’ drinking water. Residents should not drink raw water, only boiled water or bottled water or bottled water that meets hygienic standards; tanks, buckets, pots, and basins filled with water must be kept clean and emptied and cleaned frequently; for well water, spring water, etc., Residents are best not to use it as drinking water. If they must be used, they must be disinfected with bleaching powder or bleaching tablets. For water sources or reservoirs that are flooded or contaminated by floods, they should be cleaned and repaired immediately, and re-stored and thoroughly disinfected before drinking.

Second, do a good job of vector control

Household garbage should be packed and sealed; add medicaments to kill maggots in the manure tank and pit; use indoor flies to kill the flies, and the food should be covered with a fly cover. Residents should use anti-mosquito products or mosquito nets to prevent mosquito bites. At the same time, a variety of measures such as mouse clips and sticky mouse boards can be used to eliminate rodents. Do not use highly toxic rat poisons. Due to the high water content at this time, highly toxic rat poisons are more likely to cause serious pollution.

3. Personal hygiene

People in disaster-stricken areas should do a good job of personal hygiene and cleaning without rubbing their eyes with their hands, especially dirty hands. At the same time, change clothes frequently, wash with clean water after exposure to the flood, or use detergent to clean, wash and disinfect the clothes soaked in the flood thoroughly.

4. Pay attention to food hygiene

Strictly implement the “ten nos” and put an end to “sickness”. That is, do not eat drowned or unexplained poultry and livestock meat; do not eat spoiled and spoiled food; do not use sewage to wash fruits and tableware; do not drink raw water; do not share towels and toothbrushes. In addition to paying attention to diet, it is best to eat vinegar and garlic at every meal, which not only increases the acidity in the stomach, but also enhances the defense capacity of the gastrointestinal tract.

The health and food supervision departments should strengthen the supervision of food hygiene, and all food stalls must strictly implement the Food Safety Law, and the sale of unhygienic food is strictly prohibited. Residents should not eat damp, mildewed, contaminated food, and drowned or unexplained poultry; all kinds of melons and fruits must be washed and peeled before eating; shrimp, crab and other aquatic products taste good, but do not Eat raw and cooked.

5. In the endemic area of ​​schistosomiasis, do not touch the water

The best way to prevent schistosomiasis is to avoid exposure to plague water. Before contacting the plague water, apply protective drugs, such as anti-hoe cream and leather to avoid enemies, and wear protective equipment, such as rubber boots, rubber gloves, rubber pants, etc., where it may come into contact with the plague water. If you come into contact with the epidemic water, you should take the initiative to go to the schistosomiasis control department and find that the infection should be treated early to prevent the disease.

Six, seek medical treatment early

If you experience diarrhea, vomiting and other uncomfortable symptoms, you should go to the hospital as soon as possible; if you have a group (more than 3 people) of food poisoning or unexplained disease, you should immediately report it to the local disease prevention and control center. Medical personnel in flood-stricken areas strengthened epidemic monitoring and medical observation, insisted on early detection, early reporting, early isolation, and early treatment to control the epidemic in the bud.