Harefuah最新文献

[SHOULD MEDICINE TREAT AGING AS A DISEASE?] 医学应该把衰老当作一种疾病来对待吗？］

Harefuah Pub Date : 2025-07-01

Yuval Heled, Ayelet Shachar

{"title":"[SHOULD MEDICINE TREAT AGING AS A DISEASE?]","authors":"Yuval Heled, Ayelet Shachar","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Aging is a biological process that occurs in every living organism and affects all bodily systems. Many chronic diseases, such as cardiovascular diseases, diabetes, and neurodegenerative diseases of the central nervous system, are perceived as an integral part of the aging process and are even referred to as \"aging-related diseases.\" These diseases develop over long periods of time and are typically treated only after they have already manifested or been diagnosed, primarily with medications, and they cannot be completely cured. In recent decades, a growing perspective views the mechanisms of aging themselves as a pathological process that facilitates the development of diseases. Consequently, intervening in these mechanisms may, if not prevent, at least significantly delay their progression. This raises the question: 'Should medicine regard the aging process itself as a disease and even define aging as a disease?' The answer to this question is complex, particularly given the necessity of a clearly defined and agreed-upon medical indication for any medical treatment. This article explores this issue by reviewing well-known biological mechanisms of aging, the relationship between aging and chronic diseases, the existing potential to treat aging directly, and the challenges associated with considering aging as a disease.","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"164 7","pages":"447-451"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700893","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

[RIGHT AORTIC ARCH]. [右主动脉弓]。

Harefuah Pub Date : 2025-07-01

Emil Sameyah, Gil Bachar

引用次数: 0

[THE EFFECTS OF PHYSICAL ACTIVITY ON FIBROMYALGIA]. [运动对纤维肌痛的影响]。

Harefuah Pub Date : 2025-07-01

Daphna Israeli, Yehuda Shoenfeld

{"title":"[THE EFFECTS OF PHYSICAL ACTIVITY ON FIBROMYALGIA].","authors":"Daphna Israeli, Yehuda Shoenfeld","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Fibromyalgia syndrome is defined as chronic widespread pain associated with sleep disorders, chronic fatigue, cognitive dysfunction, and other somatic and psychological symptoms. Psychological symptoms can include mood disorders, anxiety and depression. Physical activity can be considered a safe non-pharmacological tool to alleviate fibromyalgia's physical and psychological symptoms. Physical activity that includes aerobic exercises such as swimming, walking, and dancing, combined with strength training, flexibility training and other mind-body exercises, have been proven to alleviate pain, and improve quality of sleep, cognitive functions, mood and health-related quality of life. As a general guideline, all physical activity protocols for fibromyalgia patients should be gradual and incremental, starting with low intensity and duration, and increased gradually to avoid injuries, fatigue and drop-outs. Additionally, physical activity should be personalized according to each patient's fitness level, pain levels, physical limitations, personal preferences, goals and socio-economical barriers. It is recommended that a physical activity protocol should lapse 8-12 weeks, in order to see improvement and to instill healthy lifestyle habits. It is recommended to exercise 2-3 times per week, for 40-50 minutes in each session. A physical activity protocol should combine aerobic exercises, strength training, flexibility and mind-body exercises, such as Yoga, Pilates and Tai-chi, that involve balance, flexibility and breathing techniques.","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"164 7","pages":"436-440"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700895","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

[Steroid IV administration in coeliac attack: a case report]. [腹腔发作时静脉注射类固醇1例]。

Harefuah Pub Date : 2025-07-01

Chaim Chaimoff, Boris Sapojnikov, Eduard Reiss, Rotem Chaimoff

引用次数: 0

[ROBOTIC ORTHOPEDIC SURGERY - WHERE ARE WE STANDING TODAY?] 机器人整形外科——我们今天的进展如何？］

Harefuah Pub Date : 2025-07-01

Yaniv Steinfeld, Yaniv Yonai, Yaron Berkovich

{"title":"[ROBOTIC ORTHOPEDIC SURGERY - WHERE ARE WE STANDING TODAY?]","authors":"Yaniv Steinfeld, Yaniv Yonai, Yaron Berkovich","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: The use of robotic and semi-robotic systems in surgery was introduced back in the 1980s, and in orthopedic surgery in the 1990s, but many years passed before it became a significant part of orthopedic surgery. In recent years, robotic surgery, robotic-assisted surgery and advanced technologies have gained popularity and have been integrated as a fundamental part of orthopedic surgery. Adult limb reconstruction, Total Knee Replacement in particular, is probably the highest volume surgery performed in a robotic assisted manner in orthopedic surgery. However, advanced technologies are not limited to knee replacement surgeries. Spine surgery is the second sub-specialty in orthopedics using robotic assistance and navigation in surgery. In recent years we have seen the introduction of advanced technologies into many fields of orthopedic surgery, including foot and ankle surgery, trauma surgery and other subspecialties. In most cases the use of robotic systems is safe, but there are no prospective, long-term high quality studies that indicate a significant advantage for one of the options. There is an abundance of researchers currently investigating this topic. In this article we review the latest uses and developments of robotics and advanced technologies in orthopedic surgery.","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"164 7","pages":"452-455"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700892","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

[THERAPY IN PATIENTS AFFECTED BY BREAST AND PROSTATE CANCER]. [乳腺癌和前列腺癌患者的治疗方法]。

Harefuah Pub Date : 2025-07-01

Adi David, Sharon Eilon, Shaked Lev-Ari, Moshe Frenkel

{"title":"[THERAPY IN PATIENTS AFFECTED BY BREAST AND PROSTATE CANCER].","authors":"Adi David, Sharon Eilon, Shaked Lev-Ari, Moshe Frenkel","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: This study aims to identify and evaluate the treatment gaps in patients undergoing endocrine therapy for breast and prostate tumors, and to propose integrative solutions for unmet needs.Methods: The article provides a narrative review of three significant side effects of endocrine therapy among breast and prostate cancer patients: vasomotor effects, joint pain and stiffness, and sexual disorders. It also offers treatment options for these effects from the field of complementary and integrative medicine.Results: The adverse consequences of endocrine treatments in breast and prostate cancer patients reduce treatment compliance and significantly impair the patients' quality of life. Evidence-based complementary and integrative medicine modalities, including nutritional counseling, dietary supplements, homeopathic remedies, touch therapies, acupuncture, and mind-body treatments, may improve the patients' quality of life and alleviate the burden of side effects.Conclusions: There is a need to improve the management of side effects unique to endocrine therapy. Integrating supportive care with complementary and integrative medicine offers a viable option to enhance the quality of life for these patients.","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"164 7","pages":"441-446"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700896","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

[ASSESSMENT OF THE EFFECT OF THE CORONA PANDEMIC LOCKDOWNS IN 2020 ON THE AMOUNT AND NATURE OF REFERRALS FOR URGENT PSYCHIATRIC HELP IN THE EMERGENCY DEPARTMENT AT THE ZIV MEDICAL CENTER]. [评估2020年冠状病毒大流行封锁对ziv医疗中心急诊科紧急精神病帮助转诊数量和性质的影响]。

Harefuah Pub Date : 2025-07-01

Viktoriya Gershman, Vladimir Zlidennyy, Lidia Izackson, Salman Zarka

{"title":"[ASSESSMENT OF THE EFFECT OF THE CORONA PANDEMIC LOCKDOWNS IN 2020 ON THE AMOUNT AND NATURE OF REFERRALS FOR URGENT PSYCHIATRIC HELP IN THE EMERGENCY DEPARTMENT AT THE ZIV MEDICAL CENTER].","authors":"Viktoriya Gershman, Vladimir Zlidennyy, Lidia Izackson, Salman Zarka","doi":"","DOIUrl":"","url":null,"abstract":"Background: On January 30, 2020, the World Health Organization declared a public health emergency of international concern and on March 11, 2020, it declared the Corona epidemic (COVID-19). Governments around the world have adopted a series of procedures to reduce the spread of the pandemic (eg, lockdowns, social distancing and isolation) affecting over half of the world's population. The population of the mentally challenged may be among the most vulnerable populations affected by the COVID-19 pandemic.Methods: The study is a retrospective study. The information was extracted from existing medical files of patients in the \"Ziv\" Medical Center Emergency Department, who applied for psychiatric help in 2016 and in 2020. The data from the source documents was collected and processed through SPSS software.Results: Data was received for about 958 patients who applied to the psychiatric emergency room in 2016 and for 1565 patients who applied in 2020.Conclusions: The results of the study strengthen the hypothesis that the Corona epidemic (COVID-19) had a cumulative negative effect on mental health and caused dramatic consequences for the mental health of the population. An increase was observed in the number of patient applications to the psychiatric emergency room, including repeated referrals, referrals in more unusual situations such as accompanied by violence or suicidality, as well as an increase in the number of forced hospitalizations.","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"164 7","pages":"430-435"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700886","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

[DIAGNOSING AUTISM SPECTRUM DISORDER (ASD) IN MEDICAL SETTINGS: THE PEER GROUP OBSERVATION TECHNIQUE- THREE CASE STUDIES]. [在医疗环境中诊断自闭症谱系障碍（asd）：同伴群体观察技术-三个案例研究]。

Harefuah Pub Date : 2025-07-01

Hagit Nagar Shimoni, Shahar Gindi, Efrat Zilbershot Fink, Miri Ben Shabbat Seri, Elad Levy, Dorit Hutter-Beeri, Michal Hadaya Cohen, Yael Leitner

引用次数: 0

[TREATMENT WITH CONVALESCENT PLASMA IN PATIENTS WITH HUMORAL IMMUNE SYSTEM IMPAIRMENT AND PERSISTENT PULMONARY COVID-19 - CASE SERIES]. [恢复期血浆治疗体液免疫系统损伤伴肺部持续性COVID-19 -病例系列]。

Harefuah Pub Date : 2025-07-01

Reem Mahameed, Razi Even Dar, Jasmin Khateeb, Stav Rakedzon, Anat Stern, Yaniv Dotan

{"title":"[TREATMENT WITH CONVALESCENT PLASMA IN PATIENTS WITH HUMORAL IMMUNE SYSTEM IMPAIRMENT AND PERSISTENT PULMONARY COVID-19 - CASE SERIES].","authors":"Reem Mahameed, Razi Even Dar, Jasmin Khateeb, Stav Rakedzon, Anat Stern, Yaniv Dotan","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Patients with immunosuppression due to severe B cell depletion, such as those with hypogammaglobulinemia or those treated with B-cell suppressive medications, may experience prolonged replication and shedding of SARS-CoV-2. Their inability to mount a sufficient antibody response to clear the virus places them at risk for developing persistent pulmonary COVID-19 (PPC). PPC has mainly been described in case reports and case series. An awareness gap exists among physicians as to the risk factors, clinical manifestations and means of diagnosis and treatment of the disease. This article presents five cases of immunocompromised patients who received at least two doses of COVID-19 vaccination and developed PPC, which is defined by the presence of respiratory and systemic symptoms for ≥14 days, typical imaging findings, and a positive COVID-19 PCR test from a nasal swab or bronchoalveolar lavage (BAL). The patients received convalescent plasma during hospitalization, and no adverse effects related to the plasma were documented. Three out of five patients experienced clinical improvement within a few days post-infusion, one showed gradual improvement, and the last patient required multiple doses of plasma in order to achieve a cure. In all cases, there was resolution of pulmonary opacities on imaging, along with a decrease in inflammatory markers. This case series strengthens the importance of awareness and knowledge of the syndrome, and further establishes the efficacy of treatment with convalescent plasma. Additionally, the article discusses indications for convalescent plasma in the treatment of persistent COVID-19 infection in immunosuppressed patients.","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"164 7","pages":"418-423"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700897","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

[INTEGRATION OF AN ADVANCED GRADUATE MEDICAL EDUCATION PROGRAM FOR A NEW SPECIALIZATION IN ISRAEL: THE NATIONAL ISRAELI COURSE IN EMERGENCY MEDICINE (NICEM)]. [将高等研究生医学教育方案纳入以色列新的专业：以色列国家急诊医学课程]。

Harefuah Pub Date : 2025-07-01

Debra Gershov-West, Evan Avraham Alpert, Shani Kesari, Ari M Lipsky

{"title":"[INTEGRATION OF AN ADVANCED GRADUATE MEDICAL EDUCATION PROGRAM FOR A NEW SPECIALIZATION IN ISRAEL: THE NATIONAL ISRAELI COURSE IN EMERGENCY MEDICINE (NICEM)].","authors":"Debra Gershov-West, Evan Avraham Alpert, Shani Kesari, Ari M Lipsky","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: There are currently 29 emergency departments (EDs) in Israel seeing more than 3 million patients per year. Many of these departments are still staffed by residents in internal medicine, surgery, orthopedics, and gynecology with emergency medicine (EM) being one of the youngest specialties in Israel. Training started as a 2.5-year fellowship after a primary residency and then a 4.5-year track was added. To \"standardize care and raise the standard of care\" a unique course - the National Israeli Course in Emergency Medicine (N.I.C.E.M.) was initiated in 2014. This is a national one-year course meeting with over 20 daily sessions, which is a requirement for all residents in the 4.5-year EM track. It is also unique in its emphasis on advanced pedagogic skills which include the flipped classroom, simulations, crisis resource management, case-based learning, and skill stations. The sessions cover the entire range of EM including resuscitation, critical care, trauma, orthopedics, and pediatrics. Point-of-care ultrasound is learned throughout the course. The integration of a mandatory nationwide Graduate Medical Education Course into the new specialty of Emergency Medicine in Israel has been challenging. New content and teaching methods are continually being introduced. The feedback from the participants has been overwhelmingly positive, and the course has likely made a significant impact on ED patient care throughout the country.","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"164 7","pages":"456-462"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700889","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