Management of Onsite and Remote Communication in Oncology Hospitals: Data Protection in an Era of Rapid Technological Advances.

Modern communication and information technologies are rapidly being deployed at health care institutions around the world. Although these technologies offer many benefits, ensuring data protection is a major concern, and implementation of robust data protection measures is essential. In this context, health care providers and medical care facilities must frequently make difficult decisions and compromises between the need to provide effective medical care and the need to ensure data security and patient privacy.

Foreign bodies in the rectum: 2 Case reports.

Encountering a foreign object in the rectum is rare; however, the incidence has greatly increased in recent years. Treatment of these patients requires a multidisciplinary approach because this condition may have serious complications. Presently described is management of 2 cases of rectal foreign body treated in the clinic.

Crystallized phenol application and modified Limberg flap procedure in treatment of pilonidal sinus disease: A comparative retrospective study.

Background/objective: Pilonidal sinus treatment includes various surgical and minimally invasive procedures, but there is still no standard treatment. Flap reconstructions and minimally invasive treatment options such as crystallized phenol application have recently been in the center of interest. The aim of this study is to compare crystallized phenol application as a minimally invasive treatment with modified Limberg flap reconstruction from many aspects.

A solution to the negative effects of splenectomy during colorectal trauma and surgery: an experimental study on splenic autotransplantation to the groin area.

Background: Splenectomy after combined colosplenic trauma or iatrogenic splenic injury during colorectal surgery associates with worse short- and long-term outcomes, including reduced survival in patients with colorectal cancer. Splenic autotransplantation may improve the outcomes of such patients. Omental splenic transplantation is the standard procedure but may be difficult when performing laparoscopic colorectal surgery or when total or subtotal omentectomy is required.

Should appendectomy be performed laparoscopically? Clinical prospective randomized trial.

Objective: Laparoscopic appendectomy (LA) has been described in 1983, and its superiority over open appendectomy (OA) is still being debated. Currently, there is no agreement on the advantages of LA. Postoperative pain is reported to be lower along with a faster return to normal activities in LA.

Massive inguinoscrotal bladder hernia causing hydronephrosis: Two cases.

• Complete bladder herniation are very rare compared to incomplete bladder herniation. • Massive scrotal cystocele is usually defined with voiding symptoms. • CT, ultrasonography and retrograde cystogram should be performed to determine the involvement of the bladder in cases of massive inguinoscrotal hernias.

Emergency thyroidectomy: Due to acute respiratory failure.

Introduction: Giant cervical and mediastinal goiter may lead to acute respiratory failure caused by laryngotracheal compression and airway obstruction. Here, we present a case admitted to the emergency service with a giant goiter along with respiratory failure and poor general health status, which required urgent surgical intervention.

Presentation Of Case: A 71-year-old female admitted to the emergency room with shortness of breath and poor general health status resulting from a giant cervical swelling progressively increased during the last 7 years and constituted severe respiratory failure which has become severe in the last one month.

Spontaneous splenic artery aneurysm rupture: mimicking acute myocardial infarct.

Spontaneous splenic artery aneurysm (SAA) is a rare but a life-threatening condition. Thus, early diagnoses may increase the chance of survival. A 52-year-old female patient was admitted to the emergency department with a pain that starts from the chest and epigastric region and radiates to back and left arm.

TIPS creation in patients with persistent left superior vena cava.

Transjugular intrahepatic portosystemic shunt is a minimally invasive endovascular procedure that has played an important role in the treatment of acute or repeated variceal bleeding or refractory ascites. The standard venous access route for this procedure is the right jugular vein. Sometimes it is better to use the left jugular vein because of lower probability of life threatening complication or technical failure.

Bland-White-Garland syndrome in adults: sudden cardiac death as a first symptom and long-term follow-up after successful resuscitation and surgery.

Two cases (a 23-year-old man and a 33 year-old-woman) with Bland-White-Garland (BWG) syndrome (an anomalous origin of the left coronary artery from the pulmonary artery) are presented. Their first symptom was survived sudden cardiac death. Both patients underwent surgical repair.

The value of preoperative diagnostic tests in acute appendicitis, retrospective analysis of 196 patients.

Background: In this study our aim was to evaluate the diagnostic value of preoperative laboratory and radiological studies for appendicitis.

Methods: The clinical data of 196 patients who have undergone conventional appendectomy between March 2007 and April 2008 were collected retrospectively. Patients were examined for age, sex, white blood cell count, ultrasonography results, histopathological diagnosis and hospital stay.

The influence of fluid and diuretic administration on the index of atrial contribution in sequentially paced patients.

Aims: To examine whether acute changes in patient hydration can change atrial contribution (AC) to circulatory function.

Methods And Results: Atrial contribution was quantified by beat-to-beat changes in the amplitude of pulse oximetry signal in 24 paced outpatients. Changes in body weight were used for assessment of changes in total body water.

Characteristics and short-term survival of individuals with out-of-hospital cardiac arrests in the East Bohemian region.

Aim: We describe survival after admission to hospital from out-of-hospital cardiac arrest (OHCA) in the East Bohemian region, according to the Utstein Style guidelines and have identified the main diagnosis including in those who died and had an autopsy.

Patient Group: Over a period of 29 months we used a questionnaire supplied to 24 rescue stations, to identify 718 individuals (511 men and 207 women, aged 16-97 years) with confirmed cardiac arrest who were considered for resuscitation.

Results: Out of 560 patients in whom cardiopulmonary resuscitation for OHCA of confirmed cardiac aetiology was attempted, 350 patients (62.

[Sudden cardiac death (part 2)].

In addition to acute treatment of sudden cardiac death the authors focus attention in particular on an analysis of long-term diagnostic and therapeutic provisions to cope with this serious clinical condition. The basic therapeutic procedures include influencing of the arrythmogenic substrate and modulating factors associated with the development of tachyarrhythmias by revascularization of the myocardium and radiofrequency ablation; as to drugs in particular by administration of angiotensin converting enzyme inhibitors and in rare instances by the application of other surgical methods. Haemodynamically important ventricular arrhythmias are treated by antiarrhythmics (beta-blockers, amiodarone, sotalol) and an implantable cardioverter-defibrillator.

Diffuse idiopathic skeletal hyperostosis: a case of dysphagia.

Objective: To present and discuss the clinical manifestations, radiographic features, and treatment of a patient with diffuse idiopathic skeletal hyperostosis complicated by dysphagia. This case serves as an educational tool by bringing attention to an uncommon complication of a common disorder. An emphasis is placed on diagnostic imaging.

Posttraumatic osteolysis of the distal clavicle: analysis of 7 cases and a review of the literature.

Objective: To discuss the clinical manifestation, radiographic features, and treatment of 7 cases of posttraumatic osteolysis of the distal clavicle. Also, to furnish evidence indicating that the current terminology for this disorder is ambiguous and to propose a new classification system.

Clinical Features: Three cases resulted from acute trauma, and 4 cases were caused by sports-related repetitive microtrauma.

Fractured heterotopic bone in myositis ossificans traumatica.

Objective: To discuss the case of a patient with an acute fracture occurring through preexisting, quiescent, posttraumatic heterotopic bone formation of the gastrocnemius muscle. The lesion demonstrated a previously unreported pattern of healing. This case serves to demonstrate an infrequent event with a rare and heretofore unreported sequella.

Chiropractic care and ochronotic arthropathy.

Objective: To discuss the case of a patient with ochronotic arthropathy whose symptoms were treated with chiropractic care. An emphasis is placed on this condition's radiographic features.

Clinical Features: A 59-year-old woman with pain in her low back, right knee, and left ankle sought chiropractic evaluation.

Posterior fossa ischemia and bilateral vertebral artery hypoplasia.

Objective: To discuss cerebellar infarct in a patient with bilateral hypoplasia of the vertebral arteries.

Clinical Features: A 67-year-old woman suffered neck pain and headaches immediately after a minor motor vehicle accident. Fracture and dislocation were radiographically ruled out.

A new method of estimation of the optimal AV delay by using pulse oximetry in DDD paced patients.

The paper gives a detailed description of a new method for estimating the optimal AV delay in dual chamber paced patients, which is non-invasive, not dependent on the examinator, not time consuming and inexpensive. In principle, the pulse oximetry signal obtained by common finger probe was used to measure the change in its time course after changes in pacemaker stimulation. The Eagle 4000 monitor, manufactured by Marquette USA, was used for measurements and digitizing the data and then this data was analyzed using a portable personal computer with original programs developed in Famulus v.

Lymphedema as a cause of unilateral leg swelling: a case report with 6-yr follow-up.

Objective: To discuss a case of unilateral lower extremity swelling caused by an uncommon condition, lymphedema praecox. An emphasis is placed on diagnostic imaging.

Clinical Features: A 48-yr-old man suffered from low back and left leg pain.

[The role of the atrium and optimal values of AV intervals in sequentially paced patients].

In 1995, 2249 dual chamber pacemakers were implanted in the Czech Republic. These pacemakers make it possible to set an optimal AV delay between the atrial and ventricular impulse. Although the optimization of the AV interval has its well defined physiologic advantages, it does not seem to be necessary in otherwise healthy individuals with a good atrial and ventricular function.

The effects of transforaminal ligaments on the sizes of T11 to L5 human intervertebral foramina.

Objective: This study was designed to determine the effects of the presence of transforaminal ligaments (TFL) on the superior-to-inferior dimension (SI) and anterior-to-posterior dimension (AP) of the compartment containing the ventral ramus of the spinal nerve (VR) in the intervertebral foramen (IVF).

Design: Four lumbar spines, including T12 and in one case T11, were obtained from embalmed cadavers and carefully dissected to expose the contents of the IVF. All ligamentous structures in the vicinity of the IVF were preserved.