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[OCULAR SYPHILIS]. (眼梅毒)。
Harefuah Pub Date : 2022-10-01
Fidaa El Zhalka, Raz Gepstein
{"title":"[OCULAR SYPHILIS].","authors":"Fidaa El Zhalka,&nbsp;Raz Gepstein","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Syphilis is also known as 'the great imitator' for its ability to mimic many diseases due to its extensive range of clinical manifestations. This review aims to provide an update on the clinical presentation, diagnosis and treatment of ocular syphilis. It manifests in a spectrum of ways that can occur at any stage of the disease, and may be the only presenting feature of systemic syphilis, with the most common finding being panuveitis. The diagnosis is usually aided by serology testing: nonspecific treponemal antibodies (for screening and follow-up) and specific treponemal antibodies for confirmation of the diagnosis. The treatment for ocular syphilis is similar to neurosyphilis and includes intravenous aqueous crystalline penicillin.</p>","PeriodicalId":12965,"journal":{"name":"Harefuah","volume":"161 10","pages":"652-658"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40436577","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
[OPTIC NEURITIS - CLASSIFICATION, MANAGEMENT AND TREATMENT]. 视神经炎的分类、管理和治疗。
Harefuah Pub Date : 2022-10-01
Zina Almer
{"title":"[OPTIC NEURITIS - CLASSIFICATION, MANAGEMENT AND TREATMENT].","authors":"Zina Almer","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Optic neuritis is an inflammatory condition of the optic nerve, frequently the first manifestation of a central nervous system disease. While typical optic neuritis is strongly associated with multiple sclerosis, the etiology of atypical optic neuritis varies. The visual and the systemic prognosis, as well as the management depend on the suspected etiology. The understanding and the classification of atypical optic neuritis evolved significantly since the discovery of the anti-aquaporin4 (AQP4) and the anti-myelin oligodendrocyte glycoprotein (MOG) antibodies as biomarkers and pathologic causes of neuromyelitis optica spectrum disorder (NMOSD) and MOG-associated disorder (MOGAD) respectively. Additional causes of optic neuritis include multiple autoimmune and infectious diseases. About one third of optic neuritis cases are idiopathic. Correct and timely diagnosis of the optic neuritis etiology is crucial for proper treatment initiation and for reducing long term visual and systemic disability.</p>","PeriodicalId":12965,"journal":{"name":"Harefuah","volume":"161 10","pages":"645-651"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40446782","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 VISION LOSS ASSOCIATED WITH HYPEREOSINOPHILIC SYNDROME]. [与嗜酸性粒细胞增多综合征相关的急性视力丧失]。
Harefuah Pub Date : 2022-10-01
Inbal Man Peles, Nitza Goldenberg-Cohen
{"title":"[ACUTE VISION LOSS ASSOCIATED WITH HYPEREOSINOPHILIC SYNDROME].","authors":"Inbal Man Peles,&nbsp;Nitza Goldenberg-Cohen","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Hypereosinophilic syndrome (HES) is a rare disorder, in which eosinophilic toxins damage capillary and coronary endothelium and neuronal axons, at different target organs; 12% of patients experience stroke as a result of endothelial dysfunction, cardiomyopathy with secondary embolism, hyperviscosity and hypercoagulability. The treatment target is to lower the eosinophil count and shorten its tissue survival time. Supportive care and anticoagulants are given as required. We report a case of myocarditis, respiratory failure and cortical blindness due to rapidly deteriorating HES. The case demonstrates how early recognition and appropriate treatment can reduce tissue toxicity and functional loss due to hypereosinophilic syndrome.</p>","PeriodicalId":12965,"journal":{"name":"Harefuah","volume":"161 10","pages":"603-605"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40446781","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
[OCULAR SARCOIDOSIS]. (眼结节病)。
Harefuah Pub Date : 2022-10-01
Ayat Qassoom, Eshchar Raviv Sasportas, Asaf Bar
{"title":"[OCULAR SARCOIDOSIS].","authors":"Ayat Qassoom,&nbsp;Eshchar Raviv Sasportas,&nbsp;Asaf Bar","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>A 68-year-old healthy female, with no past systemic or ocular history, presented with decreased vision in both eyes. On initial examination, there were extensive vitreal opacities in both eyes. On the following visit, bilateral panuveitis was newly observed, without otherwise systemic clinical manifestations. The patient responded well to treatment with systemic and topical steroids. Initial workup excluded tuberculosis and syphilis. Angiotensin-converting enzyme (ACE) was within normal range. In order to make a definitive diagnosis and to exclude lymphoma, we decided to perform a vitreous biopsy after 2-weeks of steroids withdrawal. After cessation of steroids, new lesions appeared beneath the right eye and over the nasal bridge. Moreover, iris nodules over the stroma, pupil's margin and anterior chamber angle were noticed in both eyes. Biopsy from a skin lesion demonstrated non-caseating granulomas, supporting diagnosis of sarcoidosis. A chest computed tomography (CT) scan demonstrated compatible radiologic findings of bilateral hilar and mediastinal lymphadenopathy. Sarcoidosis is a chronic multisystem, autoimmune, granulomatous disease. Ocular involvement is common among patients with sarcoidosis, with the most common ocular manifestation being uveitis. We report a case that presented with bilateral panuveitis due to sarcoidosis with no systemic manifestations or elevated serum biomarkers. Definitive diagnosis was verified in histopathological findings from a skin biopsy and radiological findings in chest CT.</p>","PeriodicalId":12965,"journal":{"name":"Harefuah","volume":"161 10","pages":"628-632"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40446787","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 FUTURE OF HOSPITALS IN ISRAEL - PLANNING CONSIDERATIONS AND THE STANDPOINTS OF MANAGERS]. [以色列医院的未来——规划考虑和管理人员的立场]。
Harefuah Pub Date : 2022-09-01
Orna Tal, Royi Barnea, Dan Oppenheim
{"title":"[THE FUTURE OF HOSPITALS IN ISRAEL - PLANNING CONSIDERATIONS AND THE STANDPOINTS OF MANAGERS].","authors":"Orna Tal,&nbsp;Royi Barnea,&nbsp;Dan Oppenheim","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Planning the future national hospitalization system requires consideration of demographic trends, innovative treatments and policy approaches. The existing situation alone does not allow proper planning in extremely dynamic systems that operate within the framework of scarce resources.</p><p><strong>Objectives: </strong>To identify managers' attitudes regarding hospital planning, deployment and managerial mechanisms in comparison with evidence in the literature.</p><p><strong>Methods: </strong>A survey among hospital managers following a focused conference.</p><p><strong>Results: </strong>Of the 50 respondents, half of the group thought that a general hospital should include 900-2000 beds. The majority prefer an autonomous management style, or a cluster of only a few hospitals. In a scenario of overload and shortage of beds, the majority prefer adding beds to the existing hospital, while about a quarter of the respondents suggest establishing another hospital in the area, or merging nearby hospitals. About half supported home care, or transferring patients to a nearby hospital, including in the private sector, or the transfer of appropriate patients to chronic care institutions. About a third of the respondents supported telemedicine. In terms of national deployment, the preference was that the hospital should be located in high population areas and able to provide sufficient geographical accessibility. Yet, 60% of participants emphasized the importance of social determinants to low socio-economic populations.</p><p><strong>Conclusions: </strong>The survey revealed original standpoints and ideas towards willingness to promote targeted solutions. Healthcare leaders should consider and adapt local ideas to achieve effective planning following the insights of those working in the field.</p><p><strong>Discussion: </strong>Targeted conferences aimed at discussing health policy are an effective platform for presenting complex issues and for sharing ideas with colleagues for the benefit of meaningful long-term processes.</p>","PeriodicalId":12965,"journal":{"name":"Harefuah","volume":"161 9","pages":"540-545"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40378149","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
[PERI- AND POST-MORTEM CESAREAN SECTION]. [死前和死后剖宫产]。
Harefuah Pub Date : 2022-09-01
David Rabinerson, Anat From, Adi Borovich
{"title":"[PERI- AND POST-MORTEM CESAREAN SECTION].","authors":"David Rabinerson,&nbsp;Anat From,&nbsp;Adi Borovich","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Cesarean section has been practiced since the 2nd millennium BC. It received its name due to the manner of the birth of Julius Caesar, who allegedly yet incorrectly, was born in this way. The main indications for Cesarean section were \"king's law\" for the implementation of inheritance rights and later because of the doctrine of the Catholic Church that mandated separate burial of the fetus for the purpose of his soul to reach heaven after being baptized. As of the late 19th Century, Cesarean section became safer, hence it gained popularity and nowadays it is quite prevalent as a mode of delivery worldwide. Furthermore, the massive rise in law suit claims against obstetricians also plays its role in the popularity of cesarean section as a mode of delivery. In this review article, the issue of special and rare types of Cesareans, i.e. peri- and post-mortem Cesarean sections is discussed.</p>","PeriodicalId":12965,"journal":{"name":"Harefuah","volume":"161 9","pages":"562-566"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40379135","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
[FINDINGS FOR DISCUSSION IN A MEDICAL EXAMINATION]. [医学检查中讨论的结果]。
Harefuah Pub Date : 2022-09-01
Sari David
{"title":"[FINDINGS FOR DISCUSSION IN A MEDICAL EXAMINATION].","authors":"Sari David","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":12965,"journal":{"name":"Harefuah","volume":"161 9","pages":"581-582"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40379139","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
[CASE REPORT: LEGAL, PSYCHOLOGICAL AND ETHICAL ASPECTS OF THE DYING PATIENT ACT]. [案例报告:临终病人行为的法律、心理和伦理方面]。
Harefuah Pub Date : 2022-09-01
Adir Shaulov, Daniel Azoulay, Mayer Brezis, Ofra Golan, Elisheva Levine, Shoshana Zevin
{"title":"[CASE REPORT: LEGAL, PSYCHOLOGICAL AND ETHICAL ASPECTS OF THE DYING PATIENT ACT].","authors":"Adir Shaulov,&nbsp;Daniel Azoulay,&nbsp;Mayer Brezis,&nbsp;Ofra Golan,&nbsp;Elisheva Levine,&nbsp;Shoshana Zevin","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>We present a patient with amyotrophic lateral sclerosis (ALS), dependent on noninvasive ventilation, whose advance directives precluded life-prolonging measures. The patient was found in cardiac arrest and in accordance with the directives of her surrogate decision maker, underwent intubation and mechanical ventilation. Later, an additional surrogate decision maker disapproved of ventilation and when the ventilator was disconnected for bronchial suctioning, she asked the nurse not to reconnect the patient to the ventilator. We discuss the legal, psychological and ethical aspects of implementation of Israeli law in this complex patient.</p>","PeriodicalId":12965,"journal":{"name":"Harefuah","volume":"161 9","pages":"548-551"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40379132","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
[CORNEAL NEUROTIZATION FOR NEUROTROPHIC KERATOPATHY]. 神经营养性角膜病变的角膜神经化治疗。
Harefuah Pub Date : 2022-09-01
Tal Yahalomi, Uri Elbaz
{"title":"[CORNEAL NEUROTIZATION FOR NEUROTROPHIC KERATOPATHY].","authors":"Tal Yahalomi,&nbsp;Uri Elbaz","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":12965,"journal":{"name":"Harefuah","volume":"161 9","pages":"546-547"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40379140","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 TREATMENT OF TRAUMATIC SHOULDER INSTABILITY - THE OPEN APPROACH VS. ARTHROSCOPIC APPROACH]. [外伤性肩关节不稳的治疗-开放入路与关节镜入路]。
Harefuah Pub Date : 2022-09-01
Motti Zucker, Michael Drexler, Tal Kalimian, Yuval Glick, Moti Kramer, Yariv Goldstein
{"title":"[THE TREATMENT OF TRAUMATIC SHOULDER INSTABILITY - THE OPEN APPROACH VS. ARTHROSCOPIC APPROACH].","authors":"Motti Zucker,&nbsp;Michael Drexler,&nbsp;Tal Kalimian,&nbsp;Yuval Glick,&nbsp;Moti Kramer,&nbsp;Yariv Goldstein","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Shoulder dislocation occurs when the head of the humerus disengages from the glenoid bone. About 95% of shoulder dislocations are traumatic, while the other 5% are not trauma-related in a patient with predisposing factors such as generalized ligamentous laxity. Ninety percent of shoulders dislocate anteriorly from direct force on the arm in the \"ABER\" position (Abduction- External Rotation). Usually, dislocations are accompanied by injuries to the shoulder that may lead to recurrent anterior shoulder instability and in the long-run, osteoarthritis of the shoulder joint. In the case of traumatic shoulder dislocation in the younger population or competitive sport players, accompanied with bone injury on X-ray's (Bony Bankart or Hill-Sachs), surgical treatment is recommended as soon as possible to avoid recurring dislocation and further joint damage. There are several options to treat recurrent shoulder instability, including soft tissue procedures, bone procedures, and a combination of these procedures. Surgery can be performed by an open or arthroscopic approach.</p>","PeriodicalId":12965,"journal":{"name":"Harefuah","volume":"161 9","pages":"572-576"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40379137","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
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