Israel Medical Association Journal最新文献_第10页

Difficult-to-Treat Rheumatoid Arthritis: Challenges in Diagnosis and Treatment. 难以治疗的类风湿关节炎：诊断和治疗的挑战。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-09-01

Aniela Shouval, Shiri Keret, Itzhak Rosner, Gleb Slobodin

引用次数: 0

La Bella Simonetta: Atypical Iris Coloboma Portrayed by Sandro Botticelli. La Bella Simonetta：桑德罗-波提切利描绘的非典型虹膜褐斑。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-08-01

Moisey Moldavsky

引用次数: 0

Neuraxial Anesthesia Following Thrombocyte Transfusion in Women with Severe Thrombocytopenia Prior to a Cesarean Delivery: A Retrospective Study and Literature Review. 剖宫产前严重血小板减少妇女输注血小板后的神经麻醉：回顾性研究和文献综述。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-08-01

Jacob Weinstein, Daniel Shatalin, Sorina Grisaru-Granovsky, Yaacov Gozal, Alexander Ioscovich

{"title":"Neuraxial Anesthesia Following Thrombocyte Transfusion in Women with Severe Thrombocytopenia Prior to a Cesarean Delivery: A Retrospective Study and Literature Review.","authors":"Jacob Weinstein, Daniel Shatalin, Sorina Grisaru-Granovsky, Yaacov Gozal, Alexander Ioscovich","doi":"","DOIUrl":"","url":null,"abstract":"Background: Cesarean delivery (CD) is one of the most common surgeries performed worldwide, with increasing yearly rates. Although neuraxial techniques remain the preferred anesthesia method for CD, maternal thrombocytopenia remains a prominent contraindication. Formation of spinalepidural hematomas are extremely rare, however the minimal thrombocyte count required for safe neuraxial anesthesia is still under debate. Although transfusion of thrombocytes for the purpose of neuraxial anesthesia is still not recommended, patients with severe thrombocytopenia (less than 50 × 103/uL) are given thrombocyte transfusion for surgical hemostasis.Objectives: To evaluate the anesthetic approach to caesarean deliveries in parturients with severe thrombocytopenia who received thrombocyte transfusion aimed for improved surgical hemostasis.Methods: We conducted a single center, retrospective cohort study. Results: A total of five cases were found, four of which were given spinal anesthesia immediately following thrombocyte transfusion. One patient was denied spinal anesthesia because her thrombocyte count following transfusion failed to reach safe levels. None of our cases had anesthesia-related complications recorded.Conclusions: We examined the anesthetic management parturients with severe thrombocytopenia who needed cesarean delivery and were transfused with thrombocytes for surgical hemostasis. In such cases, spinal anesthesia may be considered due to the serious risks associated with general anesthesia.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"26 7","pages":"410-414"},"PeriodicalIF":1.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856959","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

Idiopathic Eosinophilic Vasculitis: A Case Series. 特发性嗜酸性粒细胞性血管炎：病例系列。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-08-01

Shir Ben Asher Kestin, David Levy, Adi Broyde, Shani Peretz Bardan, Keren Netzer, Yona Kitai-Cohen, Ori Elkayam, Nancy Agmon-Levin, Hagith Yonath, Shaye Kivity

引用次数: 0

Long-term Sperm Preservation: Exploring the Clinical, Economic, and Ethical Dimensions. 长期保存精子：探索临床、经济和伦理层面。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-08-01

Roy Bitan, Tal Suissa, Itai Gat

引用次数: 0

Caring for children released from captivity: no pediatrician can be ready for such a scenario. 照顾被囚禁的获释儿童：没有儿科医生能应对这种情况。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-08-01

Dror Mandel, Ronit Lubetzky, David Greenberg, Itai Pessach, Efrat Baron Harlev, Gilat Livny

引用次数: 0

Characterization of Risk Factors Affecting the Recurrence of Perianal Abscesses and Complications. 影响肛周脓肿复发和并发症的风险因素特征。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-08-01

Or Barkai, Roi Abramov, Asaf Harbi, Hayim Gilshtein

{"title":"Characterization of Risk Factors Affecting the Recurrence of Perianal Abscesses and Complications.","authors":"Or Barkai, Roi Abramov, Asaf Harbi, Hayim Gilshtein","doi":"","DOIUrl":"","url":null,"abstract":"Background: Perianal abscess is a common condition among adults. The treatment of choice includes early and efficient drainage. The data regarding risk factors for abscess recurrence, fistula formation, and complications are limited as recent publications mainly focus on patients with inflammatory bowel disease.Objectives: To determine risk factors for abscess recurrence and fistula formation with regard to patient and surgical characteristics.Methods: A retrospective analysis was performed on patients who presented to the emergency department and were diagnosed with perianal abscess between 2011-2020.Results: We included 983 consecutive patients; 741 men, average age 43 years. Recurrence was documented in 434 cases. Crohn's disease was reported in 70, of which 50 had recurrent episodes (P < 0.0001); 121 of the 234 patients who smoked had recurrence (P = 0.0078); 8% had short symptomatic period (< 24 hours), which was a predisposing factor for recurrence, P < 0.0001. Patients in the non-recurrent group waited 2.53 hours less for surgical intervention (P < 0.0005(. The average time for recurrent episode was 18.95 ± 33.7 months. Fistula was diagnosed in 16.9% of all cases, while 11.6% were within the recurrent group. Surgical expertise of the physician did not significantly change the recurrence rate.Conclusions: Crohn's disease and smoking were the only significant risk factors for recurrence of perianal abscess. Timely intervention and drainage of sepsis should not be delayed. Involvement of more experienced surgeons did not seem to alter the natural history of the disease.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"26 7","pages":"428-433"},"PeriodicalIF":1.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856949","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

Factors Associated with Exclusive Breastfeeding at Hospital Discharge among Native-Born, Immigrant, and Refugee Women. 本地出生、移民和难民妇女出院时纯母乳喂养的相关因素。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-08-01

Alona Pohol, Ilana Azulay Chertok, Rachel Golan, Anat Oron, Rada Artzi-Medvedik

{"title":"Factors Associated with Exclusive Breastfeeding at Hospital Discharge among Native-Born, Immigrant, and Refugee Women.","authors":"Alona Pohol, Ilana Azulay Chertok, Rachel Golan, Anat Oron, Rada Artzi-Medvedik","doi":"","DOIUrl":"","url":null,"abstract":"Background: Exclusive breastfeeding is recommended through six months as it supports infant growth and development. Yet, many mothers do not exclusively breastfeed in early postpartum.Objectives: To examine factors associated with exclusive breastfeeding at hospital discharge among culturally diverse women.Methods: This cross-sectional study used data of women who gave birth at a major medical center in Israel in 2015-2017. Descriptive statistics and regression analysis were conducted to examine maternal characteristics and associated breastfeeding outcomes by hospital discharge.Results: Among 10,978 women, 17.8% (n=1958) exclusively breastfed, 57.9% (n=6357) partially breastfed, and 24.3% (n=2663) did not breastfeed. Among Israeli-born and former Soviet Union-born Jewish women, breastfeeding intention (odds ratio [OR] 19.59, 95% confidence interval [95%CI] 10.27-37.35 and OR 15.92, 95%CI 5.79-43.80, respectively) and early breastfeeding (OR 2.415, 95%CI 1.91-3.05 and OR 2.04, 95%CI 1.57-2.64, respectively) were associated with exclusive breastfeeding. The only significant factor associated with exclusive breastfeeding among refugees and Israeli-born Muslim women was early breastfeeding (OR 1.61, 95%CI 1.20-2.16). For Ethiopian-born Jewish women, not married (OR 0.330, 95%CI 0.114-0.955) and cesarean delivery (OR 0.481, 95%CI 0.232-0.998) were negatively associated with exclusive breastfeeding.Conclusions: Despite having access to the same hospital-based breastfeeding support, there were differences among ethno-culturally diverse women in Israel. In this study, we identified maternal characteristics associated with early breastfeeding among women of diverse ethno-cultural backgrounds. Study findings highlight the importance of ethno-cultural considerations in breastfeeding practices and inform health professionals of factors associated with exclusive breastfeeding in early postpartum.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"26 7","pages":"421-427"},"PeriodicalIF":1.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856950","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

How certain are we when considering the occurrence of genital ulcers among Israeli Arab female patients with Behçet's disease? 在考虑以色列阿拉伯女性贝赫切特病患者生殖器溃疡的发生率时，我们有多大把握？

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-08-01

Fadi Hassan, Nizar Hijazi, Mohammad E Naffaa

引用次数: 0

Hypothermia is an Important Clue for Hypothyroidism in Children and Adolescents. 低体温是儿童和青少年甲状腺功能减退症的重要线索。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-08-01

Aaron Hanukoglu, Shirli Abiri

引用次数: 0