Improving privacy in health care with an ontology-based provenance management system

Provenanc refers to the origin of information. Therefore, provenance is the metadata that record the history of data. As provenance is the derivation history of an object starting from its original source, the provenance information is used to analyse processes that are performed on an object and to track by whom these processes are performed. Thus, provenance shows the trustworthiness and quality of data. In a provenance management system in order to verify the trustworthy of provenance information, security needs must be also fulfilled. In this work, an ontology-based privacy-aware provenance management model is proposed. The proposed model is based on the Open Provenance Model, which is a common model for provenance. The proposed model aims to detect privacy violations, to reduce privacy risks by using permissions and prohibitions, and also to query the provenance data. The proposed model is implemented with Semantic Web technologies and demonstrated for the health care domain in order to preserve patients' privacy. Also, an infectious disease ontology and a vaccination ontology are integrated to the system in order to track the patients' vaccination history, to improve the quality of medical processes, the reliability of medical data, and the decision making in the health care domain.     

Risks of transplanting kidneys from hepatitis B surface antigen-negative, hepatitis B core antibody-positive donors

OBJECTIVES: An indirect inguinal hernia is a common cause of inguinoscrotal swelling in young boys. We describe 3 cases of an extremely unusual entity that has a similar clinical presentation to more commonly diagnosed intrascrotal processes. METHODS: Two patients presented with acute hemiscrotal enlargement and pain, and a third patient presented with scrotal enlargement only. All patients underwent a scrotal ultrasound evaluation and subsequent inguinoscrotal exploration. RESULTS: All patients had a multiseptated peritesticular fluid-filled mass on ultrasound evaluation. Subsequent inguinoscrotal exploration revealed a torsion of the indirect hernia sac in each case. A high ligation and excision of the sac was curative. CONCLUSIONS: Torsion of a hernia sac is an extremely rare entity, and current sonographic imaging fails to clearly diagnose this unusual phenomenon. Because pediatric urologists are commonly called to evaluate a child with an acutely swollen scrotum, awareness of this diagnosis is important.