Harefuah最新文献_第2页

[MATERNAL MORTALITY IN ISRAEL - ACHIEVEMENTS AND ONGOING CHALLENGES]. [以色列的产妇死亡率——成就和持续的挑战]。

Harefuah Pub Date : 2025-06-01

Asher Bashiri, Omri Zamstein

{"title":"[MATERNAL MORTALITY IN ISRAEL - ACHIEVEMENTS AND ONGOING CHALLENGES].","authors":"Asher Bashiri, Omri Zamstein","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Israel has one of the lowest maternal mortality rates globally, at 2.6 per 100,000 births. Most deaths occur between the late second trimester and the postpartum period, primarily due to obstetric complications such as postpartum hemorrhage, sepsis, and amniotic fluid embolism. Unlike the U.S.A., where leading causes include violence and substance abuse, maternal deaths in Israel are predominantly obstetric. A major challenge is distinguishing between preventable and non-preventable deaths. Research suggests that more than 60% of maternal deaths could be avoided with better diagnosis, timely intervention, and improved emergency response. Severe maternal morbidity often serves as a precursor to mortality, emphasizing the need for early detection and intervention. Postpartum hemorrhage, a leading cause of preventable maternal deaths, demonstrates how structured protocols, rapid response systems, and better coordination among medical teams can significantly reduce mortality. In contrast, amniotic fluid embolism remains largely unpredictable and untreatable, highlighting the current limits of medical intervention and the urgent need to intensify research into its underlying mechanisms and potential therapies. Despite Israel's achievements, further reductions in maternal mortality may still be possible. Strengthening medical training, improving emergency responses, and fostering interdisciplinary collaboration could save lives. Every preventable death underscores the need for continuous improvement in maternal care.","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"164 6","pages":"368-371"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328361","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

[OCULOPLASTICS AND ORBITAL SURGERY SECTION: EYELID PTOSIS]. [眼部整形及眶部外科：眼睑下垂]。

Harefuah Pub Date : 2025-06-01

Daphna Landau

引用次数: 0

[SYNDACTYLY OF THE FINGERS: DIAGNOSIS, EVALUATION AND TREATMENT]. [手指并指：诊断、评价及治疗]。

Harefuah Pub Date : 2025-06-01

Raphael Israeli, Gil Ganot, Helit Guy-Chen, Amir Oron

引用次数: 0

[IMAGING OVER-DIAGNOSIS OF LOW BACK PAIN IN PRIMARY CARE]. [初级保健中腰痛的影像过度诊断]。

Harefuah Pub Date : 2025-06-01

Reem Samir Abboud, Gill E Sviri

{"title":"[IMAGING OVER-DIAGNOSIS OF LOW BACK PAIN IN PRIMARY CARE].","authors":"Reem Samir Abboud, Gill E Sviri","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Lower back pain (LBP) is a common symptom among the general population. Most LBPs are classified as non-specific back pain, which is a common reason for seeking medical treatment. However, only a minority will experience a serious etiology whereas most will often present additional risk factors or symptoms.Aims: Analyzing the current literature and common guidelines to understand the various aspects of overdiagnosing LBP in primary care.Methods: A current literature review was conducted to investigate the connections between the data and qualitative-quantitative analysis of the data to create a structured summary. Qualitative and quantitative articles discussing, directly or indirectly, the various aspects of overdiagnosis of LBP among primary care providers were included.Results: Most international clinical guidelines have prioritized non-medical approaches for patients with LBP. Many healthcare providers are not designed to support this approach when guideline-compliant clinical implementation requires system-wide changes.Conclusions: LBP treatment and diagnosis should pay more attention to primary care physicians as better education and regulation should be implemented to reduce overdiagnosis.Discussion: Overdiagnosis of LBP in primary care burdens the system and harms patients for many and varied reasons. The existing guidelines must be organized and assimilated among primary care physicians, along with the establishment of a sufficient and uniform comprehensive system that supports the current approach.","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"164 6","pages":"376-382"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328357","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

[ACUTE MESENTERIC ISCHEMIA]. 急性肠系膜缺血。

Harefuah Pub Date : 2025-06-01

Avi Duchno, Gil Bachar

引用次数: 0

[DIAGNOSIS AND TREATMENT OF PREGNANT PATIENTS WITH SPLENIC ARTERY ANEURYSM (SAA) IN THE STATE OF ISRAEL: TWO DECADES OF EXPERIENCE AND STILL IT IS A MYSTERY]. [以色列孕妇脾动脉瘤（saa）的诊断和治疗：二十年的经验，但仍是一个谜]。

Harefuah Pub Date : 2025-05-01

Marina Pekar Zlotin, Yifat Wiener, Hen Yitzhak Sela, Ilia Kleiner, Noa Zafran, Inna Bleicher, Sabina Yogev Sponer, Ron Maymon

{"title":"[DIAGNOSIS AND TREATMENT OF PREGNANT PATIENTS WITH SPLENIC ARTERY ANEURYSM (SAA) IN THE STATE OF ISRAEL: TWO DECADES OF EXPERIENCE AND STILL IT IS A MYSTERY].","authors":"Marina Pekar Zlotin, Yifat Wiener, Hen Yitzhak Sela, Ilia Kleiner, Noa Zafran, Inna Bleicher, Sabina Yogev Sponer, Ron Maymon","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Rupture of splenic artery aneurysm (SAA) during pregnancy or the puerperium is an obstetric emergency endangering the lives of both the pregnant patient and the fetus.Aims: The aim of the current study is to characterize early signs of rupture SAA and recommend optimal management to prevent maternal and fetal mortality.Methods: We conducted a retrospective follow-up study of cases reported in Israel among women diagnosed with SAA during pregnancy and postpartum. Demographics and obstetrical data of maternal and fetal/newborn were collected.Results: We identified 13 cases of SAA in Israel between 2010 and 2023. The timing of the diagnosis ranged from the second to the third trimester (no cases were reported in the first trimester), with 2 cases diagnosed in the post-partum period. Three women (23%) died, and three fetuses did not survive (23%).Conclusions: Rupture of SAA during the pregnancy or in the puerperium is a rare event, however, it is associated with maternal and neonatal mortality. Raising awareness among all healthcare providers to the possible diagnosis of rupture of SAA in pregnant or peri-partum women with nonspecific symptoms, including abdominal pain and hemodynamic deterioration, is crucial for decision making and management of those cases and possibly saving their lives and the lives of their fetuses.Discussion: In cases presented with undefined symptoms, including abdominal pain and hemodynamic deterioration, the clinician should suspect SAA. Awareness to the possible clinical presentation of SAA rupture during pregnancy is crucial and may prevent mortality for both the pregnant patient and her fetus.","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"164 5","pages":"285-288"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145330","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

[TYPE 1 DIABETES MELLITUS AND MONOGENIC DIABETES - CAN THE TWO WALK TOGETHER?] 1型糖尿病和单基因糖尿病——两者能共存吗？]

Harefuah Pub Date : 2025-05-01

Nirit Aviran Barak

引用次数: 0

[GROUP COGNITIVE PROCESSING THERAPY - CPT - A CASE STUDY]. [群体认知加工疗法- CPT -一个案例研究]。

Harefuah Pub Date : 2025-05-01

Hadar Marom Harel, Shahaf Hampel, Orit Yaron Raviv, Tal Weizman

{"title":"[GROUP COGNITIVE PROCESSING THERAPY - CPT - A CASE STUDY].","authors":"Hadar Marom Harel, Shahaf Hampel, Orit Yaron Raviv, Tal Weizman","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Cognitive Processing Therapy (CPT) is one of only a few evidence based therapies that was developed and proven effective for the treatment of Post-Traumatic Stress Disorder (PTSD). Therapy can be administered in an individual or group format. Group CPT was offered in our clinic prior to the onset of the Iron Swords war. Among the participants was G., who was diagnosed with PTSD following an injury that occurred during his military service.Aims: The aim of this report is to present group CPT through the experience of one participant who was diagnosed with PTSD due to a military injury and to discuss the potential utility of such a group to treat PTSD secondary to the Iron Swords war.Background: G was referred to treatment due to decreased functioning and active symptoms of PTSD that persisted several years after his injury. Despite his reservations, he participated in most meetings of group therapy that was based on the CPT protocol.Discussion: In this time of war where trauma is abundant, a group model based on a protocol that was developed specifically to treat PTSD may be useful. In the case presented, group based CPT partially improved PTSD symptoms in a participant with a military based injury. Since then our clinic continues to offer group based CPT therapy which was also provided to a population of survivors of the massacre that took place at the onset of the Iron Swords war.","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"164 5","pages":"295-298"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145332","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

[PLASTICS AND REFRACTION - EXPO - ISRAEL, MAY 28, 2024]. [塑料与折射-以色列博览会，2024年5月28日]。

Harefuah Pub Date : 2025-05-01

Nir Erdinest, Hadas Kfir-Ruzal

引用次数: 0

[ARTIFICIAL INTELLIGENCE TOOLS AND THEIR USE IN MEDICINE CHATGPT - NOT THE ONLY PLAYER IN THE ARENA]. （人工智能工具及其在医学领域的应用——并不是这个领域唯一的参与者）。

Harefuah Pub Date : 2025-05-01

Zvi Weizman, Or Degany, Yehuda Shoenfeld

引用次数: 0