Harefuah最新文献

[LACERTUS SYNDROME].

Harefuah Pub Date : 2025-02-01

Ruth Fann Marko, Gershon Zinger, Ayman Khoury

引用次数: 0

[A 72 YEARS OLD WOMAN WITH A BEADED NECKLACE ON HER NECK]. [一位 72 岁的老妇人，脖子上戴着一条串珠项链]。

Harefuah Pub Date : 2025-02-01

Gil Bachar

引用次数: 0

[COMBINED TREATMENT OF RAPIDLY INCREASING MYOPIA: A CASE SERIES].

Harefuah Pub Date : 2025-02-01

Nir Erdinest, Maya Atar Vardi, Yair Morad

{"title":"[COMBINED TREATMENT OF RAPIDLY INCREASING MYOPIA: A CASE SERIES].","authors":"Nir Erdinest, Maya Atar Vardi, Yair Morad","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: This case series demonstrates the combination of topical 0.05% atropine, wearing a peripheral defocus (MF60) contact lens, and increased outdoor activity during daylight hours to treat myopia's rapid progression in three children. It includes two boys and one girl with an average age of 12.5±0.5 years with spherical equivalent (SE) of -4.06±0.35 diopters (D) and an average axial length (AL) of 25.11±0.49 mm at the beginning of treatment. All children exhibited myopia progression the year before treatment, averaging 1.29±0.13- D SE. The children had not previously undergone myopia management treatment. Due to this rapid progression, a combination of daily instillation of 0.05% atropine and wearing a daily disposable soft contact lens of a unique design was initiated. Cycloplegic refraction was checked, and a slit-lamp examination was conducted every six months. The children's 8-item Contact Lens Dry Eye Questionnaire (CLDEQ-8) score was 19.33±2.52. Over a year, the average myopia progression decreased to -0.34±0.12 diopters, and the average AL growth was 0.16±0.10 mm. This case series reports successful combined treatment for the rapid progression of myopia and a mini-review of the medical literature on the subject.","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"164 2","pages":"90-95"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[DISCOVERIES FROM THE WORLD OF CHINESE MEDICINE: TRADITIONAL SOLUTIONS FOR ROSACEA].

Harefuah Pub Date : 2025-02-01

Ofir Kotek, David Perla, Aviv Barzilai, Sharon Baum

{"title":"[DISCOVERIES FROM THE WORLD OF CHINESE MEDICINE: TRADITIONAL SOLUTIONS FOR ROSACEA].","authors":"Ofir Kotek, David Perla, Aviv Barzilai, Sharon Baum","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Rosacea is a chronic inflammatory skin disease that affects mostly the facial skin. Possible symptoms include redness, papules, pustules, and changes in the nose and eyes. The cause is unknown, but may be related to diet, alcoholic drinks, demodicosis and more. Some patients seek alternatives to conventional treatments and turn to traditional Chinese medicine, which provides a holistic and alternative approach that includes treatment with medicinal herbs, acupuncture, and more.Objectives: This article presents a 50-year-old patient suffering from severe rosacea for the past three years, without improvement using conventional treatments. The patient was then treated with Chinese medicine, resulting in significant improvement.Conclusions: Integrating Chinese medicine into modern medical treatment can help improve the condition of rosacea patients. Further research is needed to establish evidence and prove efficacy, to allow the integration of these tools into guidelines and daily treatment.Discussion: Rosacea patients turn to complementary therapies due to dissatisfaction and lack of progress with conventional treatments. These patients have explored various treatment paths, including complementary medicine, particularly Traditional Chinese Medicine. Insights from recent studies indicate an improvement in the condition and quality of life of rosacea patients in response to these treatments, compared to both placebo and, in some cases, even modern treatments. The trend of using these complementary therapies requires a broader understanding and evidence-based guidelines, as these treatments are considered relatively safe with minimal side effects and good tolerability.","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"164 2","pages":"82-86"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[STARVING OUR HOSTAGES IN HAMAS CAPTIVITY].

Harefuah Pub Date : 2025-02-01

Gad Keren

引用次数: 0

[CONGENITAL TOXOPLASMOSIS: AWARENESS ENABLES PREVENTION, EARLY TREATMENT, AND IMPROVED OUTCOME].

Harefuah Pub Date : 2025-02-01

Lia Schoenfeld, Liat Gindes, Tally Lerman-Sagie

{"title":"[CONGENITAL TOXOPLASMOSIS: AWARENESS ENABLES PREVENTION, EARLY TREATMENT, AND IMPROVED OUTCOME].","authors":"Lia Schoenfeld, Liat Gindes, Tally Lerman-Sagie","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Infection with the intracellular parasite Toxoplasma gondii is a common worldwide infection and is often asymptomatic. A unique risk group that requires identification of such infection is fetuses, and the earlier the infection, the more severe the damage. As pregnancy progresses, the risk of fetal infection increases. The parasite causes inflammatory processes in the placenta, fetal brain, eyes, and heart. The range of damage includes miscarriages, neurological and psychiatric disorders, hearing impairment, visual impairment, and cardiovascular disorders. In order to reduce the incidence of toxoplasmosis in children, awareness and preventive measures are required. Primary prevention is carried out by hand hygiene and avoiding certain foods. Secondary prevention is carried out by early detection through serological screening tests, and tertiary prevention is carried out by early treatment of mothers who have been infected with the parasite, or by testing newborns, who may be asymptomatic at birth but can still develop serious illness. It has been found that in Israel, the relative rate of severe clinical manifestations in children is higher than in European countries. The combination of risk groups, the lack of screening tests for pregnant women, and the lack of appropriate treatment can explain this observation. The aim of this review is to raise awareness of congenital toxoplasmosis and the possibilities of prevention and reduction of harm to fetuses and children. It also provides up-to-date information and recommendations for policy change.","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"164 2","pages":"114-118"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[PREGNANCY AND OBESITY - PREVENTION OF OBESITY IN THE NEXT GENERATION]. [怀孕与肥胖--预防下一代肥胖]。

Harefuah Pub Date : 2025-02-01

Sofia Soltsman, Izhar Ben Shlomo

引用次数: 0

[PLANTAR FASCIOPATHY - DIAGNOSIS AND TREATMENT].

Harefuah Pub Date : 2025-02-01

Dana Avraham, Ruslan Sokolov, Izhar Arieli, Oded Stav, Amir Herman, Maria Oulianski

引用次数: 0

[MANAGEMENT OF LABOR ANESTHESIA IN A PATIENT WITH EHLERS-DANLOS SYNDROME WHY DOES CHATGPT ERR IN SOURCE REFERENCING?]

Harefuah Pub Date : 2025-02-01

Daphna Idan, Rotem Sisso-Avron, Or Degany

{"title":"[MANAGEMENT OF LABOR ANESTHESIA IN A PATIENT WITH EHLERS-DANLOS SYNDROME WHY DOES CHATGPT ERR IN SOURCE REFERENCING?]","authors":"Daphna Idan, Rotem Sisso-Avron, Or Degany","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Ehlers-Danlos Syndrome (EDS) encompasses a spectrum of inherited disorders, characterized by joint hypermobility, skin hyperextensibility, and other features. In some patients, EDS involves the vascular walls, posing a significant clinical challenge due to the resultant propensity for rupture with hemorrhagic complications. Such complications, among others that often occur with EDS, may carry particular importance in the context of pregnancy and labor. This paper presents a patient diagnosed with Ehlers-Danlos Syndrome during her first pregnancy. The patient was planned for elective Cesarean delivery and expressed an interest in regional anesthesia. A literature review was conducted to identify similar cases in which the anesthesia techniques and their potential complications were described, as well as additional risks for EDS patients associated with various anesthesia methods. The review identified only low-quality data, which suggested a higher pain threshold in patients with EDS and an increased risk of bleeding. This case was used to assess the ability of ChatGPT to present a literature review based on reliable sources when the evidence is sparse. The model generated a well-worded response using correct medical terminology, but the report was superficial and provided no data to support clinical decision-making. The model also suggested a different anesthetic approach than the human-generated literature review and supported its findings with links to cited sources. These sources were examined, and concerns regarding their reliability were raised. Lack of reliability remains a major challenge for developers and users of large language models. Fine-tuning (i.e. training the model with examples relevant to specific tasks) which may enhance model output accuracy is discussed in this context.","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"164 2","pages":"74-76"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[THE EFFECT OF THE ISRAELI AUTHORITY PLAN TO DIVERT PRIVATE TO PUBLIC FUNDING ON THE RESULTS OF IN VITRO FERTILIZATION TREATMENT OUTCOME]. [以色列当局将私人资金转为公共资金的计划对体外受精治疗结果的影响]。

Harefuah Pub Date : 2025-02-01

Raoul Orvieto, Oshrit Shtossel, Tamar Shtral, Yael Raichenberg, Ravit Nahum

{"title":"[THE EFFECT OF THE ISRAELI AUTHORITY PLAN TO DIVERT PRIVATE TO PUBLIC FUNDING ON THE RESULTS OF IN VITRO FERTILIZATION TREATMENT OUTCOME].","authors":"Raoul Orvieto, Oshrit Shtossel, Tamar Shtral, Yael Raichenberg, Ravit Nahum","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Israel's public funding policy for in vitro fertilization (IVF) is unique globally, with only minor restrictions. In late 2017, a program was launched to shift IVF treatments from private to public funding in an attempt to reduce waiting times, allowing IVF treatment in both public and private centers within the health basket.Objectives: The study aimed to analyze the impact of this program on IVF treatment outcomes using data from the Clalit-Dan district.Methods: Data from the Clalit-Dan District Health Insurance Fund (2014-2021) were analyzed, comparing IVF outcomes cumulative live birth rates (using Kaplan-Meier curves) in public and private centers.Results: Between the years 2014 and 2021, 14,509 IVF treatment cycles were performed within the health basket in the Dan District. After implementing the 2017 aforementioned programe, IVF cycles in private centers increased, with no change in public centers. Live birth rates were slightly higher in public centers compared to private centers (10.02% vs. 9.04%), but without statistical significance (p=0.13). A noticeable decline in live birth rates was observed after 2018, especially in fresh cycles. No significant differences were found between public and private centers for women aged 20-39 years, but for those aged 40-45 years, public centers had significantly higher live birth rates, particularly in fresh cycles.Conclusions: The 2017 program to shift IVF activity from private to public funding increased the burden on private centers and led to a decline in live birth rates, particularly for women over 40 years of age. The Ministry of Health, being entrusted, among other things, with the supervision and control of the IVF units in Israel, must examine and provide an adequate response to the issues raised above.","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"164 2","pages":"77-81"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0