Israel Medical Association Journal最新文献

Shoah Syndrome: Diabetes and Malignancy in the Ghettos during World War II, Contrasting with the Increased Prevalence during the Later Life of Survivors. 大屠杀综合症：第二次世界大战期间贫民窟的糖尿病和恶性肿瘤，与幸存者晚年患病率的增加形成对比。

IF 1.3 4区医学

Israel Medical Association Journal Pub Date : 2026-04-01

George M Weisz, Andrew Gal

引用次数: 0

Annual Editorial Board Meeting in the Shadow of the Security Situation: A Testament to National Resilience. 安全形势阴影下的年度编委会会议：国家恢复力的证明。

IF 1.3 4区医学

Israel Medical Association Journal Pub Date : 2026-04-01

Gad Keren

引用次数: 0

Patient-centered Care: Insights into Satisfaction Drivers. 以病人为中心的护理：对满意度驱动因素的洞察。

IF 1.3 4区医学

Israel Medical Association Journal Pub Date : 2026-04-01

Erez Magiel, Melanie Shanie Roitman, Barak Pflantzer, Ofir Kotek, Daniela Noa Zohar, Arnon Afek, Nicola Maggio, Roni Loebenstein

{"title":"Patient-centered Care: Insights into Satisfaction Drivers.","authors":"Erez Magiel, Melanie Shanie Roitman, Barak Pflantzer, Ofir Kotek, Daniela Noa Zohar, Arnon Afek, Nicola Maggio, Roni Loebenstein","doi":"","DOIUrl":"","url":null,"abstract":"Background: Patient satisfaction is a key indicator of healthcare quality, influencing treatment adherence, clinical outcomes, and hospital reputation. The relationship between length of hospital stay (LOS) and patient satisfaction in neurological inpatients remains understudied, particularly regarding sex differences and neurological diagnosis types.Objectives: To understand how LOS influences satisfaction and patient experience. To evaluate care strategies and improve communication in neurological settings.Methods: We conducted a retrospective observational study of 181 patients admitted to the neurology department at Sheba Medical Center between January 2023 and January 2025. Patient satisfaction was assessed using a standardized survey covering overall experience, communication with medical staff, and the discharge process. We used partial correlation analyses and multivariate ANOVA to explore associations of LOS, sex, diagnosis, and satisfaction.Results: A significant negative correlation was found between LOS and patient satisfaction (r = -0.19, P = 0.012), as well as with perceptions of competency (r = -0.22, P = 0.004), physician communication, and involvement in treatment decisions. Females reported lower satisfaction than males, particularly regarding hospitalization conditions, the discharge process, and staff communication. Diagnosis-specific differences also emerged, with females diagnosed with headache consistently reporting the lowest satisfaction ratings.Conclusions: Longer hospital stays were associated with lower patient satisfaction. Female sex and diagnosis of headaches influenced patient satisfaction the most. These findings highlight the need for improved communication and enhanced discharge planning to optimize patient satisfaction in neurological settings. Addressing these factors may contribute to more patient-centered care and better overall experiences for hospitalized neurological patients.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"28 4","pages":"253-257"},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147663515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medical Resistance and Universal Ethics in the Shadow of the Holocaust: A Tale of Two Heroic Clinical Encounters. 大屠杀阴影下的医学抵抗和普遍伦理：两个英勇的临床遭遇的故事。

IF 1.3 4区医学

Israel Medical Association Journal Pub Date : 2026-04-01

Ben Klinghoffer

引用次数: 0

The Immediate Impact of Hemodialysis on Gait Metrics. 血液透析对步态指标的直接影响。

IF 1.3 4区医学

Israel Medical Association Journal Pub Date : 2026-04-01

Relu Cernes, Oded Hershkovich, Tatyana Tsehovsky, Neora Israeli, Mohr Wenger Michelson, Yael Yankelevsky, Omer Achrack, Amit Gur, Paola Ruiloba, Inbal Amedi, Leonid Feldman, Raphael Lotan

{"title":"The Immediate Impact of Hemodialysis on Gait Metrics.","authors":"Relu Cernes, Oded Hershkovich, Tatyana Tsehovsky, Neora Israeli, Mohr Wenger Michelson, Yael Yankelevsky, Omer Achrack, Amit Gur, Paola Ruiloba, Inbal Amedi, Leonid Feldman, Raphael Lotan","doi":"","DOIUrl":"","url":null,"abstract":"Background: Gait disturbances are common in patients undergoing hemodialysis and are associated with increased fall risk, mobility decline, and adverse health outcomes. Prior research suggests that hemodialysis may impact gait parameters such as speed, stride length, and variability; however, findings are inconsistent.Objectives: To evaluate acute changes in gait metrics before and after hemodialysis using an artificial intelligence (AI) based video gait analysis system.Methods: We initially enrolled 38 hemodialysis patients, two were excluded due to clothing interference with video analysis (27.8% female, 72.2% male). AI-driven gait analysis was performed immediately before and after dialysis. The system extracted spatiotemporal gait and joint range of motion. Statistical analyses included the Shapiro-Wilk test for normality, Wilcoxon signed-rank tests for non-normally distributed data, and paired t-tests for normally distributed data (P < 0.05).Results: Gait speed (0.59 m/sec pre-dialysis) remained unchanged post-dialysis (P = 0.876), as did cycle length and time. However, step length significantly decreased post-dialysis (P = 0.001), suggesting a more conservative gait pattern. Knee flexion and extension increased slightly but did not reach statistical significance.Conclusions: Dialysis does not acutely affect overall gait speed but significantly reduces stride length. Post-dialysis fatigue or hemodynamic shifts may alter walking patterns, highlighting the need for fall prevention strategies and physical rehabilitation interventions in dialysis care. AI-based gait analysis may provide a practical tool for monitoring mobility changes in hemodialysis patients.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"28 4","pages":"243-247"},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147663556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recurrent Pregnancy Loss: Causes, Controversies and Treatment, Fourth Edition. 复发性妊娠丢失：原因，争议和治疗，第四版。

IF 1.3 4区医学

Israel Medical Association Journal Pub Date : 2026-04-01

Yehuda Shoenfeld

引用次数: 0

The Physician of the Future. 未来的医生。

IF 1.3 4区医学

Israel Medical Association Journal Pub Date : 2026-04-01

Ofira Zloto, Arnon Afek

引用次数: 0

Neonatal Mortality, Trends, and Risk Factors in a Tertiary Israeli Neonatal Intensive Care Unit: A 13-Year Retrospective Analysis. 以色列三级新生儿重症监护病房的新生儿死亡率、趋势和危险因素：13年回顾性分析

IF 1.3 4区医学

Israel Medical Association Journal Pub Date : 2026-04-01

Sivahn Goldstein, Samir Abu-Rabia, Yael Simpson Lavy, Sagee Nissimov, Calanit Hershkovich-Shporen

{"title":"Neonatal Mortality, Trends, and Risk Factors in a Tertiary Israeli Neonatal Intensive Care Unit: A 13-Year Retrospective Analysis.","authors":"Sivahn Goldstein, Samir Abu-Rabia, Yael Simpson Lavy, Sagee Nissimov, Calanit Hershkovich-Shporen","doi":"","DOIUrl":"","url":null,"abstract":"Background: This study provides valuable insight on the importance of antenatal follow-up, despite advances in medical capabilities.Objectives: To provide current information on mortality rates and causes including demographic parameters.Methods: A total of 3362 infants were admitted to the neonatal intensive care unit at Kaplan Medical Center between 2009 and 2021. Retrospective data were extracted from a computerized prospective database and further divided to two groups: 2009-2014 and 2015-2021. For sequential variables, we calculated the mean, standard deviation, and median. For categorical variables we calculated the prevalence and performed a chi-square test. The sequential variables did not show a normal distribution according to the Shapiro-Wilk test. Therefore, the A-parameter Mann-Whitney test was used. Results were considered significant when the P-value < 0.05.Results: A decrease in the death rate was found, but when evaluating the infants who died, a decrease in full antenatal follow-up from 55.2% to 31.5% was seen (P-value = 0.06).Conclusions: Despite advancements in medical knowledge and capabilities, an association was found between increased mortality and reduced antenatal follow-up.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"28 4","pages":"226-231"},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147663576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparative Analysis of Clinical Features and Autoantibody Profiles in Systemic Sclerosis Patients Among Jewish and Arab Populations in Israel. 以色列犹太人和阿拉伯人系统性硬化症患者临床特征和自身抗体谱的比较分析

IF 1.3 4区医学

Israel Medical Association Journal Pub Date : 2026-04-01

Hitam Hagog Natour, Abedalla Asaly, Izabella Elgardt, Amed Natour, Yair Levy

{"title":"Comparative Analysis of Clinical Features and Autoantibody Profiles in Systemic Sclerosis Patients Among Jewish and Arab Populations in Israel.","authors":"Hitam Hagog Natour, Abedalla Asaly, Izabella Elgardt, Amed Natour, Yair Levy","doi":"","DOIUrl":"","url":null,"abstract":"Background: Systemic sclerosis (SSc) is a chronic autoimmune disease characterized by fibrosis of the skin and internal organs. Its expression can vary across ethnic groups.Objectives: To compare clinical and serological manifestations of SSc between Jewish and Arab patients in Israel.Methods: We conducted a retrospective single-center study included 100 patients with SSc selected from our rheumatology clinic at Meir Medical Center, comprising 50 Jewish and 50 Arab patients with available complete clinical and laboratory data. Demographic characteristics, disease features, autoantibody profiles, organ involvement, and treatment patterns were collected.Results: Most clinical, laboratory, and treatment variables did not differ significantly between Jewish and Arab patients. Significant difference was the higher prevalence of skin telangiectasia in Jewish patients (86%) compared to Arab patients (38%) (P < 0.001) as well as Raynaud phenomenon and pulmonary hypertension. Other manifestations, including organ involvement and autoantibody prevalence, were similar across the groups.Conclusions: This study reveals significant similarities in the clinical and serological expression of SSc between Jewish and Arab patients in Israel. The higher prevalence of telangiectasia in Jewish patients suggests a possible ethnic or environmental influence on vascular manifestations. Further research is needed to explore the potential genetic or environmental factors contributing to this difference and to assess if this impacts disease progression or treatment outcomes.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"28 4","pages":"237-242"},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147663585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ChatGPT in Ophthalmology: Past, Present, and Future. 眼科学中的ChatGPT：过去，现在和未来。

IF 1.3 4区医学

Israel Medical Association Journal Pub Date : 2026-04-01

Amit Toledano, Ehud Raz Gatt, Asaf Laks, Biana Dubinsky-Pertzov, Adi Einan-Lifshitz, Eran Pras, Asaf Shemer

{"title":"ChatGPT in Ophthalmology: Past, Present, and Future.","authors":"Amit Toledano, Ehud Raz Gatt, Asaf Laks, Biana Dubinsky-Pertzov, Adi Einan-Lifshitz, Eran Pras, Asaf Shemer","doi":"","DOIUrl":"","url":null,"abstract":"Background: The rapid evolution of large language models warrants updated benchmarking in ophthalmology to determine whether newer versions offer clinically meaningful improvements over earlier models and human comparators.Objectives: To evaluate the diagnostic accuracy of ChatGPT-4o and ChatGPT-5 in ophthalmic cases and to compare it with previously reported results of ChatGPT-3.5, residents, and specialists.Methods: This retrospective cohort study was conducted in one academic tertiary medical center. We reviewed data of patients admitted to the ophthalmology department from June 2022 to January 2023. We then created two clinical cases for each patient. The first was according to medical history alone (Hx). The second added the clinical examination (Hx and Ex). For each case, we asked for the three most likely diagnoses from ChatGPT-4o and ChatGPT-5. We then compared the accuracy rates (at least one correct diagnosis) with previous results of ChatGPT-3.5, residents, and specialists.Results: A total of 63 cases were analyzed, first using history alone and then with examination findings. Based on history alone, GPT-5 and GPT-4o correctly identified 73% and 70% of cases, respectively, outperforming GPT-3.5 (54%, P < 0.05) and approaching the accuracy of residents (75%) and attending physicians (71%, P < 0.05). When physical examination was included, diagnostic accuracy rose to 94% for GPT-5 and 89% for GPT-4o, surpassing GPT-3.5 (68%, P < 0.05) and closely matching or exceeding human performance (residents 94%, attendings 87%).Conclusions: ChatGPT-4o and ChatGPT-5 significantly outperformed GPT-3.5 and achieved diagnostic accuracy similar or even higher to clinicians in diagnosing ophthalmology cases.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"28 4","pages":"232-236"},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147663579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0