[Relevant interprofessional knowledge of the (general/abdominal) surgeon-Information security and data protection in everyday clinical practice]. / Relevantes interprofessionelles Wissen des (Allgemein­/Viszeral­)Chirurgen ­ Informationssicherheit und Datenschutz im chirurgischen Klinikalltag.

AIM AND METHOD: Short narrative overview based on regulations by law, individual experiences from daily practice and selected references from current literature. RESULTS (SELECTIVE CORNER POINTS): Information security and data protection are mandatory and indispensable elements by law of general, professional and social actions, which can be also considered substantial parts of quality management. Therefore, (general/abdominal) surgeon underlies it too. INFORMATION SECURITY: It comprises the protection of information of each type and origin - it serves the warranty of the basic aims such as confidentiality, integrity, availability and authenticity of information, which supports both aims of a clinician, patient safety and treatment effectiveness. DATA PROTECTION: It is considered a basic right to protect personal data against abusive processing - however, data security is not the primary aim, but rather the right for informational self-determination. IT EMERGENCY MANAGEMENT: It implies that in case of an IT emergency (released by a persisting system failure or cyberattack), logistic operations are transferred into previously defined emergency procedures well organized and possibly with no interruption - digital logistic operations become suddenly complete analogous processes, with exclusive responsibility of the single institutes and departments. CONCLUSION: Both sides benefit equally from a regular bilateral exchange between the surgeon and the information security and data protection officer and are able to ensure the common goals of patient safety and treatment effectiveness through a proportionate integration of information security and data protection into everyday clinical practice.

Effects of concentrate proportion in the diet with or without Fusarium toxin-contaminated triticale on ruminal fermentation and the structural diversity of rumen microbial communities in vitro.

The objective of this study was to investigate the effects of the concentrate proportion and Fusarium toxin-contaminated triticale (FCT) in the diet on nutrient degradation, microbial protein synthesis and structure of the microbial community, utilising a rumen simulation technique and single-strand conformation polymorphism (SSCP) profiles based on PCR-amplified small subunit ribosomal RNA genes. Four diets containing 60% or 30% concentrates on a dry matter basis with or without FCT were incubated. The fermentation of nutrients and microbial protein synthesis was measured. On the last day of incubation, microbial mass was obtained from the vessel liquid, DNA was extracted and PCR-primers targeting archaea, fibrobacter, clostridia, bifidobacteria, bacillii, fungi, and bacteria were applied to separately study the individual taxonomic groups with SSCP. The concentrate proportion affected the fermentation and the microbial community, but not the efficiency of microbial protein synthesis. Neither the fermentation of organic matter nor the synthesis and composition of microbial protein was affected by FCT. The fermentation of detergent fibre fractions was lower in diets containing FCT compared to diets with uncontaminated triticale. Except for the clostridia group, none of the microbial groups were affected by presence of FCT. In conclusion, our results give no indication that the supplementation of FCT up to a deoxynivalenol concentration in the diet of 5 mg per kg dry matter affects the fermentation of organic matter and microbial protein synthesis. These findings are independent of the concentrate level in the diets. A change in the microbial community composition of the genus Clostridia may be the reason for a reduction in the cellulolytic activity.