Harefuah最新文献_第3页

[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

[LATE RELAPSE OF VASCULITIS: A CASE REPORT]. 【血管炎晚期复发1例报告】。

Harefuah Pub Date : 2025-07-01

Shiri Keret, Doron Rimar, Gleb Slobodin

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

[CARBETOCIN FOR THE PREVENTION OF POSTPARTUM HEMORRHAGE IN CESAREAN DELIVERIES: A SINGLE CENTER EXPERIENCE AND COST-EFFECTIVE ANALYSIS]. 卡贝菌素预防剖宫产产后出血：单中心经验和成本效益分析。

Harefuah Pub Date : 2025-07-01

Chen Ben David, Naphtali Justman, Ido Solt, Philippe Abecassis, Dana Vitner, Nizar Khatib, Zeev Weiner, Yaniv Zipori

{"title":"[CARBETOCIN FOR THE PREVENTION OF POSTPARTUM HEMORRHAGE IN CESAREAN DELIVERIES: A SINGLE CENTER EXPERIENCE AND COST-EFFECTIVE ANALYSIS].","authors":"Chen Ben David, Naphtali Justman, Ido Solt, Philippe Abecassis, Dana Vitner, Nizar Khatib, Zeev Weiner, Yaniv Zipori","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: In recent years, a long-acting Oxytocin analogue, Carbetocin, has been shown to offer clinical advantage over the commonly used Oxytocin.Aims: To evaluate Carbetocin's clinical and financial benefits compared to Oxytocin in preventing postpartum hemorrhage (PPH) during cesarean delivery.Methods: We analyzed perinatal outcomes comparing two periods, before (Group 1, Oxytocin era) and after (Group 2, Carbetocin era), when Carbetocin was implemented as a preventive method for PPH during cesarean delivery.Results: Rates of PPH were significantly lower in Group 2 as compared with Group 1, as evidenced by lower requirements for blood transfusions (1% vs. 4.1%, p=0.003) and post-operative hemoglobin drop of ≥ 3g/dL (5.2% vs. 10.3%, p=0.008). The number of administered packed red blood cells (4 vs. 27 units, p=0.002), delta in hemoglobin level at discharge (1.3 ± 0.9 vs. 1.6 ± 1.2, p=0.002), and duration of hospitalization and re-admission rate were all significantly in favor of Carbetocin use. Financial benefit significantly favored using Carbetocin (ILS 112,237 vs. ILS 125,106.5, respectively, cost-difference of ILS 12,869.5).Conclusions: Carbetocin has been shown to reduce rates of PPH and provide cost-effective benefits compared to the commonly used uterotonic Oxytocin.Discussion: Carbetocin showed several advantages compared to Oxytocin in PPH prevention during cesarean section. The clinical and economic research evidence supports the routine implementation of Carbetocin administration to prevent PPH during cesarean delivery.","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"164 7","pages":"424-429"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700887","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

[EVALUATION OF SCREENING FOR PTSD USING CONSORT AI RECOMMENDATIONS WITH A LARGE LANGUAGE MODEL]. [使用大型语言模型的配偶ai推荐评估PTSD筛查]。

Harefuah Pub Date : 2025-06-01

Arni Gershman, Rotem Sisso-Avron, Itay Zahavi

引用次数: 0

[IMPRESSIONS OF SABBATICAL TIME AT THE MEDICAL EDUCATION DEPARTMENT AT THE HOSPITAL FOR SICK CHILDREN, TORONTO, CANADA]. [在加拿大多伦多病童医院医学教育部门休假的印象]。

Harefuah Pub Date : 2025-06-01

Yosef Uziel

{"title":"[IMPRESSIONS OF SABBATICAL TIME AT THE MEDICAL EDUCATION DEPARTMENT AT THE HOSPITAL FOR SICK CHILDREN, TORONTO, CANADA].","authors":"Yosef Uziel","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: The vision of the Department of Pediatrics at the University of Toronto and The Hospital for Sick Children in Toronto, Canada, defines medical education as highly important and the strategic plans and policies of the hospital management for training residents in pediatrics have been adjusted accordingly. A section of Medical Education has been established, which is headed by a physician who is appointed as a Vice-Chair of the department. In this department there are several staff members including physicians and trained administrative staff who are all devoted to the medical education affairs. In each clinical division, there is a program director position dedicated to medical education. Furthermore, every resident is guided by a (faculty) senior mentor throughout the entire residency. In addition, a specific residency program committee plans the curriculum and all residents are routinely assessed, and provided with feedback on a regular basis. All staff physician teachers are provided with faculty development training in education and receive feedback regularly and excellence in teaching is considered a major factor in academic promotion. Ethical issues, equity, diversity and inclusion, as well as professionalism in interactions with residents are receiving special attention. The pediatric residency consists of 13 rounds of 4 weeks each in the second year of residency, which includes all subspecialties in pediatrics. The optimal way of considering the residency or fellowship is \"working while learning\". This contrasts with \"learning while working\" in other places which lack the resources to support such an impressive medical education program.","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"164 6","pages":"392-394"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328358","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

[MEDICAL REHABILITATION DURING WAR: THE HISTORICAL PERSPECTIVE]. [战争期间的医疗康复：历史视角]。

Harefuah Pub Date : 2025-06-01

Avi Ohry

引用次数: 0

[MATERNAL MORTALITY CASES IN ISRAEL AND IN COMPARISON WITH DEVELOPED COUNTRIES]. [以色列的产妇死亡率以及与发达国家的比较]。

Harefuah Pub Date : 2025-06-01

Marina Pekar Zlotin, Anat Alufi Naim, Yifat Wiener, Moshe Betser, Yaakov Melcer, Ron Maymon

{"title":"[MATERNAL MORTALITY CASES IN ISRAEL AND IN COMPARISON WITH DEVELOPED COUNTRIES].","authors":"Marina Pekar Zlotin, Anat Alufi Naim, Yifat Wiener, Moshe Betser, Yaakov Melcer, Ron Maymon","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Maternal mortality during pregnancy and childbirth is a key indicator of the quality of healthcare and is crucial for setting healthcare goals. In recent years, there has been a reported trend of decreasing maternal mortality rates worldwide.Aims: The current study aims to examine obstetrical and non-obstetrical causes associated with maternal mortality in Israel.Methods: This retrospective cohort study examines maternal mortality cases in Israel from 2015 to 2022, using records obtained from Ministry of Health data and Society of Maternal-Fetal Medicine publications. We compared these findings to data from developed countries as reported by the WHO.Results: Between the years 2015 and 2022, a maternal mortality rate of 2.6 per 100,000 births was reported in Israel, with 27 women dying during pregnancy, labor and puerperium. The average age at the time of death was 33 years. Most deaths (88.2%) occurred <24 weeks of gestation, 66.7% around labor. Overall, 92% of deaths were among healthy women with no prior known risk factors.Conclusions: Our analysis found that most maternal deaths in Israel occurred in women without underlying medical conditions, making it difficult to link medical history to the cause of death.Discussion: Increasing awareness, regularly conducting extreme scenario drills, and discussing cases nationally may help reduce maternal mortality. The majority of cases of maternal death in our study occurred among healthy women, and most deaths occurred in the second trimester and through labor. No predictive factors were identified, highlighting the need to increase awareness and enhance healthcare team training to reduce mortality rates.","PeriodicalId":101459,"journal":{"name":"Harefuah","volume":"164 6","pages":"363-367"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328360","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 IMPORTANCE OF IMAGING IN THE ACCURATE DIAGNOSIS OF ARTHRITIS- CASE PRESENTATION]. [影像学在关节炎准确诊断中的重要性-病例介绍]。

Harefuah Pub Date : 2025-06-01

Shiri Keret, Gleb Slobodin

引用次数: 0