{"title":"[MEDICAL EDUCATION IN THE 21ST CENTURY - \"BACK TO THE FUTURE\"].","authors":"Arnon Afek","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The change in the world of medicine and in the future generation of doctors, also requires the world of medical education and training to change, so that we do not find ourselves extinct like the dinosaurs. As Charles Darwin famously once said, \"It is not the strongest of the species that survive, nor the most intelligent, but the one most adaptable to change\".</p>","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"163 6","pages":"393-396"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332846","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}
Amir Mari, Rita Brun, Fahmi Shibli, Ron Yishai, Ram Dickman
{"title":"[ADVANCES ON ESOPHAGEAL MEASUREMENTS: HIGH RESOLUTION MANOMETRY, TIMED BARIUM SWALLOW, ENDOFLIP AND PH MONITORING].","authors":"Amir Mari, Rita Brun, Fahmi Shibli, Ron Yishai, Ram Dickman","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Upper gastrointestinal (UGI) symptoms are very common in the general adult population. Dysphagia, heartburn, regurgitation and non-cardiac chest pain are the most common signs. The clinical approach in managing these symptoms starts with upper GI endoscopy in order to exclude inflammatory, neoplastic and fibrotic disorders that involve the esophagus. Upper GI endoscopy is mandatory especially when alarm signs exist. In patients with no structural abnormalities, physiological testing might aid to better understand the origin of the symptoms and to improve management.</p>","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"163 6","pages":"387-392"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332877","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}
Roy Bitan, Alon Kedem, Sarit Avraham, Gil Yerushalmi, Michal Youngster, Ariel Hourvitz, Itai Gat
{"title":"[THE EFFECT OF ETHNICITY ON THE AGE OF SINGLE PATIENTS APPLYING FOR SPERM DONATION].","authors":"Roy Bitan, Alon Kedem, Sarit Avraham, Gil Yerushalmi, Michal Youngster, Ariel Hourvitz, Itai Gat","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Sperm banks have shifted from assisting heterosexual couples with male infertility to primarily serving single women and female couples through medical services, reflecting advances in fertility treatments and societal changes.</p><p><strong>Aims: </strong>Evaluate demographic changes among single women who have applied for sperm donation during 30 years in the State of Israel.</p><p><strong>Methods: </strong>This retrospective cohort study includes 4265 single women who received sperm donation between January 1992 and December 2021, at a tertiary medical center. We divided the follow-up period into 6 groups of 5 years each. A comparison was made of the demographic characteristics of single women applying for sperm donation in different periods according to: 1) age at the beginning of the treatment; 2) ethnic origin - 7 ethnic groups.</p><p><strong>Results: </strong>The average age of single women who received sperm donation was 38.2±4.4 years. The average age of patients decreased from 39.58 years in 1997-1992 to 38.08 years in 2017-2021 (p-value<0.05). Ashkenazic Jews (38.4%) and Sephardic Jews (37.7%) were the most common ethnic origins among single women, with Arab women comprising only 0.2%. Single Jewish women of Ashkenazi descent seek sperm donation treatment almost a year earlier than their Sephardic counterparts (Arab countries and North Africa).</p><p><strong>Conclusions: </strong>Single Israeli women opting for early sperm donation carries significant clinical, social, and economic implications. Women from conservative social backgrounds appear to be less inclined to seek sperm donation as single individuals or tend to delay this option until a later age, in contrast to women from liberal backgrounds.</p>","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"163 6","pages":"372-375"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332849","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}
{"title":"[THE EFFECTS OF GENDER ON THE MANIFESTATIONS AND CONSEQUENCES OF WEIGHT STIGMA].","authors":"Lena Sagi-Dain","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Weight stigma, or weight bias, refers to biased beliefs and negative opinions towards people with excess weight. This phenomenon manifests in prejudice and negative attitudes towards people with obesity, including disrespectful treatment, bullying, discrimination and even abuse, and leading to long-term negative consequences on physical and mental health. The purpose of the current review was to examine the relationship between gender and manifestations of weight stigma. Studies listed in this review show that the phenomenon of weight stigma is more common and severe among women, in numerous life areas, which include education, employment, the healthcare system, social media, sports industry, and interpersonal relationships. Possible reasons for such differences include the existing discrimination against women in various areas of life, and the emphasis on external appearance and the ideal of thinness, which relates mainly to women. In light of the serious consequences of weight stigma on public health and individual well-being, efforts must be made to prevent weight stigma, including the education of the general population, changing policies of healthcare, education and media systems, and legislation to prevent weight-based discrimination.</p>","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"163 6","pages":"382-386"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332850","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}
Daniel Yechiali, Liel Katbi, Gilad Halpert, Howard Amital
{"title":"[THE MUSCULAR COMPONENT OF FIBROMYALGIA PATHOPHYSIOLOGY].","authors":"Daniel Yechiali, Liel Katbi, Gilad Halpert, Howard Amital","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Fibromyalgia syndrome (FMS) is a chronic pain syndrome, prevalent in women more than men. The main symptoms are widespread musculoskeletal pain, fatigue, and weakness. To date, the pathophysiological mechanisms are unclear, and there are several pathogenic theories elucidating this condition. In this review, we summarized articles published in the past few years, regarding the effect of musculoskeletal dysfunction on FMS. We focused on the musculoskeletal system and central nervous system (CNS) disarrays.</p>","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"163 6","pages":"376-381"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332851","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}
{"title":"[ISOLATED FOURTH EXTENSOR COMPARTMENT TENOSYNOVITIS DUE TO EPIDEMIC RELATED CHANGES IN THE WORKPLACE].","authors":"Yael Wollstein, Emily Lucas, Aviv Kramer, Margaret Li, Shai Luria, Ronit Wollstein","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>We report on cases of isolated fourth extensor compartment tenosynovitis without evidence of systemic inflammation that occurred in the context of alteration in the work environment due to the COVID-19 epidemic. Early identification of the deleterious effects of virtual/technologically-dependent work from home can aid in treatment and prevention of these conditions. We describe the phenomenon and suggest a treatment approach.</p>","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"163 6","pages":"369-371"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332882","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}
{"title":"[FUNCTIONAL INDEPENDENCE MEASURE SCALE SCORES IN SEVERELY DEPENDENT OLDER ADULTS UPON REHABILITATION COMPLETION FOLLOWING STROKE].","authors":"Danielle Ann Peleg, Dan Justo","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>: Functional Independence Measure (FIM) is a scale used to evaluate functional status during rehabilitation. The associations between FIM scale scores upon stroke rehabilitation completion and functional status of older adults according to the Israeli Ministry of Health (MOH) guidelines has never been studied until now.</p><p><strong>Aims: </strong>To study the association between FIM scale scores upon stroke rehabilitation completion and functional status of older adults according to the Israeli MOH guidelines.</p><p><strong>Methods: </strong>A retrospective cross-sectional study was conducted at the Geriatric Rehabilitation department in Sheba Medical Center. Medical charts of older adults (age ≥65 years) admitted for rehabilitation during 2018-2020 following stroke were studied. Age, gender, total FIM score upon rehabilitation completion, functional status upon rehabilitation completion according to the Israeli MOH guidelines and moving to a nursing-home were documented.</p><p><strong>Results: </strong>The cohort included 119 older adults: 63 (52.9%) males; mean age was 80.5±7.6 years. Most older adults were severely dependent upon rehabilitation completion (n=97/119, 81.5%) and 16 (16.5%) of whom moved to a nursing-home. Median total FIM scores upon rehabilitation completion was 109 (IQR: 106-116) in mildly dependent older adults, 69 (IQR: 48-84) in severely dependent community-dwelling older adults, and 34 (IQR: 25-45) in severely dependent nursing-home residents (p<0.001). Total FIM score of 100 (or less) had the highest sensitivity (93.8%) and specificity (95.5%) in differentiating between mildly dependent and severely dependent older adults. Binary logistic regression showed a significant association between being severely dependent and total FIM scores upon stroke rehabilitation completion - adjusted for age and gender (OR 0.53, 95% CI 0.30-0.92, p=0.025).</p><p><strong>Conclusions: </strong>These findings may assist Israeli geriatricians who use the FIM scale to define the functional status of older adults upon stroke rehabilitation completion.</p>","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"163 6","pages":"359-364"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332880","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}
{"title":"[IMATINIB INDUCED EDEMA].","authors":"Dmitriy Olshanskiy, Hen Ben Varon, Meir Mouallem","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Imatinib is a tyrosine kinase inhibitor and is used for the treatment of chronic myeloid leukemia (CML) since 2002. We present a patient who suffered from fluid retention and periorbital edema secondary to this drug.</p>","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"163 6","pages":"397"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332881","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}