[Analysis of a group of HIV positive women who gave birth in the Czech Republic]. / Analýza souboru HIV pozitivních rodicek v Ceské republice.

OBJECTIVE: An analysis of HIV positive women who gave birth between 1st January 1985 to 31st December 2006 in the Czech Republic. SUBJECT: A retrospective descriptive analysis. SETTING: Teaching Hospital Bulovka, 1st Faculty of Medicine, Charles University, Prague. SUBJECT AND METHODS: The study included HIV positive women that gave birth between 1st January 1985 to 31st December 2006 at Bulovka hospital. The group of 62 HIV positive women (including 7 secundiparae) gave birth to 71 new-borns (twice twins). The deliveries were performed by C-section. We interrupted breast-feeding by all these women. RESULTS: All new-borns were born alive, no one had Apgar score less than 7 at five minutes. No congenital disorders were found. Three new-borns were transfered to Intensive care unit for new-born babies, two due to dysmaturity and one due to abstinence syndrome. 3 new-borns out of total 71 new-borns were HIV positive (4.2%). CONCLUSION: Routine prenatal screening for HIV and high-quality cooperation between obstetricians and infection control doctors are the basic condition of low rate of vertical trasmission HIV infection in the Czech Republic.

[Electrocoagulation--a curative method in the treatment of rectal carcinoma]. / Elektrokoagulace--kurativní metoda lécení karcinomu rekta.

The authors analyze a group of 27 patients with carcinoma of the rectum who were treated in the authors' department in 1975-1990 by electrocoagulation. The authors emphasize the view of local treatment of rectal carcinoma in conjunction with modern findings on biological properties of this tumour and with regard to clinical results published in the world literature. The prerequisite of success of the method is high standard technical equipment of the department. The achieved results in the group of treated patients (66% five-year survival, 50% ten-year survival) despite the possible error of small numbers justify the authors' conviction that under conditions of strict selection and perfect technical equipment this method holds it place in the treatment of carcinoma of the rectum.