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Israel journal of medical sciences最新文献

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The Israeli Diagnostic Center for Malignant Hyperthermia: 7-years' accumulated experience. 以色列恶性热疗诊断中心:7年经验积累。
Israel journal of medical sciences Pub Date : 1997-10-01
V Glauber, R Ben Abraham, A Zweig, A Perel
{"title":"The Israeli Diagnostic Center for Malignant Hyperthermia: 7-years' accumulated experience.","authors":"V Glauber,&nbsp;R Ben Abraham,&nbsp;A Zweig,&nbsp;A Perel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Malignant hyperthermia (MH), a rare pharmacogenetic trait, can be lethal when susceptible individuals are exposed to triggering agents during general anesthesia. We present our experience with the caffeine-halothane in vitro contracture test (IVCT) for the diagnosis of malignant hyperthermia susceptibility. Out of 75 patients that were referred for consultation to the MH diagnostic center over a period of 7 years, we performed muscle biopsies and IVCT in 21 patients. A total of 6 patients were found to be MH-positive. Appropriate recommendations for future anesthetic management, and additionally, for testing the immediate family were made following a positive diagnosis. Improved familiarity with the syndrome of MH, and performance of IVCT when family or clinical history suggest malignant hyperthermia susceptibility, are imperative measures to prevent the potential fatality associated with this syndrome.</p>","PeriodicalId":14590,"journal":{"name":"Israel journal of medical sciences","volume":"33 10","pages":"643-7"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20328038","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
Littoral cell angioma: a vascular tumor mimicking a solid tumor on a Tc-99m-red blood cell spleen scan. 滨海细胞血管瘤:tc -99m红细胞脾脏扫描显示的一种类似实体瘤的血管肿瘤。
Israel journal of medical sciences Pub Date : 1997-10-01
I Barshack, M Perelman, A Many, E Goshen, S T Zwas, J Kopolovic
{"title":"Littoral cell angioma: a vascular tumor mimicking a solid tumor on a Tc-99m-red blood cell spleen scan.","authors":"I Barshack,&nbsp;M Perelman,&nbsp;A Many,&nbsp;E Goshen,&nbsp;S T Zwas,&nbsp;J Kopolovic","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A splenic space occupying lesion, in a 45-year-old woman, was negative in a Tc-99m-RBC spleen scan. A diagnostic splenectomy was performed and the lesion was found to be a vascular tumor, lately identified as littoral cell angioma. The histological and immunohistochemical findings are discussed in correlation with the imaging results.</p>","PeriodicalId":14590,"journal":{"name":"Israel journal of medical sciences","volume":"33 10","pages":"677-80"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20325684","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
Gastrointestinal events related to the use of non-steroidal anti-inflammatory drugs: some clinical and economic aspects. 与使用非甾体抗炎药有关的胃肠道事件:一些临床和经济方面。
Israel journal of medical sciences Pub Date : 1997-10-01
R Eliakim, D Rachmilewitz
{"title":"Gastrointestinal events related to the use of non-steroidal anti-inflammatory drugs: some clinical and economic aspects.","authors":"R Eliakim,&nbsp;D Rachmilewitz","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14590,"journal":{"name":"Israel journal of medical sciences","volume":"33 10","pages":"696-9"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20325621","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
Polio eradication effort marches on despite wars. 尽管战争不断，根除小儿麻痹症的努力仍在继续。
Israel journal of medical sciences Pub Date : 1997-10-01
{"title":"Polio eradication effort marches on despite wars.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14590,"journal":{"name":"Israel journal of medical sciences","volume":"33 10","pages":"707-8"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20325622","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
Flow parameters of the normal arterial duct in the fetus. 胎儿正常动脉导管的血流参数。
Israel journal of medical sciences Pub Date : 1997-10-01
A J Rein, E Beeri
{"title":"Flow parameters of the normal arterial duct in the fetus.","authors":"A J Rein,&nbsp;E Beeri","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The increasing interest in arterial duct flow patterns in the fetus warrants the establishment of an accurate range of normal flow parameters throughout gestation. We therefore undertook a prospective echocardiographic study of 181 normal fetuses from the 16th to the 40th week of gestation. Adequate Doppler interrogation of the duct was obtained in 71% of the fetuses examined. Peak gradient, mean gradient and flow velocity integral in systole and diastole were digitized. The peak systolic gradient throughout pregnancy measured 2.7 +/- 1.4 mmHg with a slight tendency to increase with gestational age (r = 0.58). The peak ratio, defined as peak systolic gradient divided by peak diastolic gradient (28.1 +/- 14.9), did not vary significantly with gestational age. This time-independent index complements peak systolic flow in the assessment of normal and abnormal ductal flow. The definition of the normal range for ductal flow parameters, based on this relatively large fetal population, should facilitate the accurate diagnosis of fetal duct constriction.</p>","PeriodicalId":14590,"journal":{"name":"Israel journal of medical sciences","volume":"33 10","pages":"649-53"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20328039","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
Squamous cell carcinoma of the cervix with psoas abscess-like metastasis in an HIV-negative patient. hiv阴性患者宫颈鳞状细胞癌伴腰肌脓肿样转移。
Israel journal of medical sciences Pub Date : 1997-10-01
Y Bar-Dayan, A Fishman, Z Levi, R Rachmani
{"title":"Squamous cell carcinoma of the cervix with psoas abscess-like metastasis in an HIV-negative patient.","authors":"Y Bar-Dayan,&nbsp;A Fishman,&nbsp;Z Levi,&nbsp;R Rachmani","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A psoas abscess-like metastasis of squamous cell carcinoma of uterine cervix was diagnosed in a 50-year-old, HIV-negative woman. While there was complete regression of the primary tumor, the psoas cystic lesion grew in size during chemotherapy, with iliac bone destruction and invasion to the gluteus muscle. A computed tomography-guided bone biopsy was done and histopathologic examination revealed squamous cell carcinoma consistent with the primary lesion. Intratumoral injection of cisplatin and radiotherapy resulted in partial relief of symptoms. This form of aggressive, bone destruction metastasis was hitherto reported only in association with AIDS.</p>","PeriodicalId":14590,"journal":{"name":"Israel journal of medical sciences","volume":"33 10","pages":"674-6"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20325683","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
Excretion of epidermal growth factor in human adult polycystic kidney disease. 成人多囊肾病中表皮生长因子的分泌。
Israel journal of medical sciences Pub Date : 1997-10-01
T Weinstein, D Hwang, A Lev-Ran, Y Ori, A Korzets, J Levi
{"title":"Excretion of epidermal growth factor in human adult polycystic kidney disease.","authors":"T Weinstein,&nbsp;D Hwang,&nbsp;A Lev-Ran,&nbsp;Y Ori,&nbsp;A Korzets,&nbsp;J Levi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In chronic renal failure, epidermal growth factor (EGF) excretion is decreased. In this study, asymptomatic adult polycystic kidney disease (APKD) patients with a relatively preserved glomerular filtration rate were examined. Excretion of EGF was studied in 6 patients with APKD (median age 42 years; serum creatinine [median] 95 [range-80-133] mumol/l) and compared with that of 28 healthy controls. EGF was determined in a spot morning urine by using a specific radioimmunoassay, and expressed in relation to creatinine excretion. Excretion of EGF in APKD was (median) 157 (range-13-359) and in the controls (median) 546 (range-238-1199) pmol/mmol creatinine (p < 0.001). Low excretion of EGF in APKD patients with preserved kidney function suggests a distal abnormality at an early stage of the disease, prior to the development of renal failure.</p>","PeriodicalId":14590,"journal":{"name":"Israel journal of medical sciences","volume":"33 10","pages":"641-2"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20328037","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
Artificial neural networks in medicine. 医学中的人工神经网络。
Israel journal of medical sciences Pub Date : 1997-10-01
A Hirshberg, R Adar
{"title":"Artificial neural networks in medicine.","authors":"A Hirshberg,&nbsp;R Adar","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":14590,"journal":{"name":"Israel journal of medical sciences","volume":"33 10","pages":"700-2"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20352450","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
Pediatric cholesterol screening: missed opportunities. 儿童胆固醇筛查:错失良机。
Israel journal of medical sciences Pub Date : 1997-10-01
C A Liacouras, R Shamir
{"title":"Pediatric cholesterol screening: missed opportunities.","authors":"C A Liacouras,&nbsp;R Shamir","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The current recommendations for childhood cholesterol screening include screening children in whom 1) a parent/grandparent has premature heart or vascular disease or died suddenly; 2) a parent has an abnormal lipid profile; 3) the family history is unobtainable. Over a 3-year period, 256 children referred for hypercholesterolemia were evaluated for heritable hyperlipidemia. We reviewed their family histories and obtained lipoprotein profiles of all of their immediate family members. Of these families, 89 parents had unsuspected hypercholesterolemia of whom 38, whose average age was 36 years, died of a myocardial infarction. In addition, 83 children with no family history of premature coronary artery disease or hypercholesterolemia, were diagnosed with inherited hyperlipidemia (25 with hetrozygous familial hypercholesterolemia, and 58 with familial combined hyperlipidemia). Thus, many adults have no awareness of hyperlipidemia prior to a fatal heart attack, nor of their children as having hyperlipidemia, and a large percentage of children with inherited hyperlipidemia would not have been diagnosed if all of their immediate family members (parents and siblings) had not been screened for a complete lipid profile. These results suggest that in addition to screening, all family members of hypercholesterolemic children, pediatricians and family practitioners should urge parents who may be unaware of their cholesterol levels or have no knowledge of their family history to undergo cholesterol screening in order to comply with NCEP guidelines calling for serum cholesterol measurements in all adults above the age of twenty.</p>","PeriodicalId":14590,"journal":{"name":"Israel journal of medical sciences","volume":"33 10","pages":"659-62"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20325680","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
Speech disorders in Israeli Arab children. 以色列阿拉伯儿童的语言障碍。
Israel journal of medical sciences Pub Date : 1997-10-01
L Jaber, A Nahmani, M Shohat
{"title":"Speech disorders in Israeli Arab children.","authors":"L Jaber,&nbsp;A Nahmani,&nbsp;M Shohat","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of this work was to study the frequency of speech disorders in Israeli Arab children and its association with parental consanguinity. A questionnaire was sent to the parents of 1,495 Arab children attending kindergarten and the first two grades of the seven primary schools in the town of Taibe. Eight-six percent (1,282 parents) responded. The answers to the questionnaire revealed that 25% of the children reportedly had a speech and language disorder. Of the children identified by their parents as having a speech disorder, 44 were selected randomly for examination by a speech specialist. The disorders noted in this subgroup included errors in articulation (48.0%), poor language (18%), poor voice quality (15.9%); stuttering (13.6%), and other problems (4.5%). Rates of affected children of consanguineous and non-consanguineous marriages were 31% and 22.4%, respectively (p < 0.01). We conclude that speech disorders are an important problem among Israeli Arab schoolchildren. More comprehensive programs are needed to facilitate diagnosis and treatment.</p>","PeriodicalId":14590,"journal":{"name":"Israel journal of medical sciences","volume":"33 10","pages":"663-5"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20325681","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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