Parotidectomy under sedation and locoregional anesthesia with monitoring of brain activity.

Background: Parotidectomy is usually performed while the patient is under general anesthesia, however, sedation with locoregional anesthesia could be an alternative.

Methods: Fifteen adult patients with parotid tumors of the superficial lobe were included in this study. Anesthetic procedure consisted of sedation associated with cervical plexus and auriculotemporal nerve block.

Improving communication and documentation concerning preliminary and final radiology reports.

The communication and documentation of radiology preliminary and final interpretations for the identification of discrepancies failed to evolve with radiology's transition away from film. Processes should facilitate documentation and distribution of preliminary findings to multiple practitioners in real time and should provide timely communication and documentation of additional findings. The evolution of the electronic medical record and digital radiology images provided an opportunity to establish effective, safe, and efficient methods of communication and documentation.

[Women "healthcare" and obstetrics - "thoughts of farewell"].

Medicine, and so within also gynecology and obstetrics is shaped in the process of the last decade by changes of interaction between female-patient and physician in "Arbeitszeitgesetz" (law upon daily working time), the introduction of payment-system an case by case based lump-sums and intrusion (interference) of the political administration into autonomy of medical faculties. The contribution concerns with these prevailing economical required changes, interacting and beyond inter-disciplinarity. The progress in medicine by research is causing potential capacity and secondary costs explosion.

[Contraception in young adolescents].

The continuing increase in teenage pregnancies and abortions calls for more effective sex education on the one hand, including a detailed explication of the (perfectly normal) changes an adolescent body is undergoing, but we also need to understand the way teenagers actually do use contraceptives. Modern contraception for teenagers should not cause any side effects and its efficacy must not be linked to compliance. Gynaecologists must acquaint themselves with the laws covering the prescription of contraceptives to adolescents.