Israel Medical Association Journal最新文献_第2页

Necrotizing External Otitis in a Neonate Due to Pseudomonas aeruginosa. 铜绿假单胞菌所致新生儿坏死性外耳炎1例。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2025-05-01

Jay Wohlgelernter, Mor Kdoshim-Netanel, Danit Sade Peri-Paz, Daniela Carvalho, Nechama Sharon, Aryeh Simmonds

引用次数: 0

Buffalo Hump and Agnus Dei: Madelung's Disease in Francisco de Zurbarán's The Adoration of the Shepherds. 水牛驼峰与神病：弗朗西斯科·德Zurbarán《牧羊人的崇拜》中的马德隆病。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2025-05-01

Moisey Moldavsky

引用次数: 0

The Effects of Fasting on Human Health and Well-being in Autoimmunity. 禁食对自身免疫的人体健康和福祉的影响

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2025-05-01

Mohammad Adawi, Suhail Aamar

引用次数: 0

Prevalence and Outcome of Severe Mental Illness among Hepatitis C Patients Hospitalized in a General Hospital: A Unique, Overlooked Population at Risk. 在综合医院住院的丙型肝炎患者中严重精神疾病的患病率和预后：一个独特的、被忽视的高危人群。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2025-05-01

Yekaterina Edneral, Dikla Dror-Zur, Michal Carmiel-Haggai

{"title":"Prevalence and Outcome of Severe Mental Illness among Hepatitis C Patients Hospitalized in a General Hospital: A Unique, Overlooked Population at Risk.","authors":"Yekaterina Edneral, Dikla Dror-Zur, Michal Carmiel-Haggai","doi":"","DOIUrl":"","url":null,"abstract":"Background: High prevalence of hepatitis C (HCV) among people with severe mental illness (SMI) is attributed mostly to current or past intravenous (IV) drug use. However, such history may disappear from patient files over time, especially in chronic SMI with prolonged psychiatric admissions.Objectives: To explore HCV and SMI cross-morbidity (HCV/SMI) in a hospitalized population.Methods: In this observational, retrospective, historical computerized study we examined prevalence, characteristics, and outcomes of patients with HCV/SMI compared to HCV alone in patients admitted to an Israeli hospital 1 January 2005 to 31 December 2020.Results: Of 1638 eligible HCV patients, 219 (13.4%) were HCV/SMI. Significantly more native Israelis showed HCV/SMI than HCV alone (36.1% vs. 18.1%, P = 0.013) and history of IV drug use (60.3% vs. 32.4%, P < 0.001). Among Israeli natives, more Jews were SMI/HCV compared to HCV only (67.1% vs. 45%, P < 0.01). Among non-native Israelis, immigration age was lower in SMI/HCV compared to HCV only (27.97 vs. 37.23 years, P < 0.001). No differences were found in mortality or cirrhosis, although HCV/SMI patients experienced earlier mortality compared to HCV alone (61.42 ± 14.3 vs. 72.8 ± 14.6 years, P < 0.001). Cirrhosis among HCV/SMI patients was a risk factor for early mortality (hazard ratio 5.528, 95% confidence interval 3.721-8.213).Conclusions: HCV/SMI is related to early mortality, particularly with cirrhosis. There is significantly high SMI prevalence in hospitalized HCV patients, representing a unique at-risk population. Identification during hospitalization and medical recommendations at discharge may fill the gaps.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"27 5","pages":"290-296"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025321","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

Walking the Pathogenic Tightrope: Is Mycobacterium simiae a Benign Colonizer or a Potential Threat in Crohn's Disease? 走在致病的钢丝上：分枝杆菌是克罗恩病的良性定植菌还是潜在威胁？

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2025-04-01

Einat Savin, Kassem Sharif, Sharon Amit, Shomron Ben Horin

引用次数: 0

Clinical Aspects of Postmortem Sperm Procurement: What Do We Actually Know? 死后精子获取的临床方面：我们实际上知道什么？

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2025-04-01

Shevach Friedler, Bozhena Saar-Ryss, Myriam Safrai

引用次数: 0

Mortality and Readmissions of Solid-Organs Transplant Recipients Hospitalized Due to COVID-19 Infection with the Omicron Variant: A Matched Cohort Study. 因COVID-19感染组粒变异而住院的实体器官移植受者的死亡率和再入院率：一项匹配队列研究

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2025-04-01

Daniella Vronsky, Genady Drozdinsky, Irit Ayalon-Dangur, Ya'ara Leibovici Weissman, Noa Eliakim-Raz

{"title":"Mortality and Readmissions of Solid-Organs Transplant Recipients Hospitalized Due to COVID-19 Infection with the Omicron Variant: A Matched Cohort Study.","authors":"Daniella Vronsky, Genady Drozdinsky, Irit Ayalon-Dangur, Ya'ara Leibovici Weissman, Noa Eliakim-Raz","doi":"","DOIUrl":"","url":null,"abstract":"Background: Solid organ transplant (SOT) recipients represent a particularly vulnerable group due to their reliance on immunosuppressive therapies. Previous studies indicated a mortality rate of 20%-30% among SOT recipients with coronavirus disease 2019 (COVID-19). With the advent of the Omicron variant in November 2021, characterized by milder symptoms and lower mortality rates in the general population, safety measures relaxed, potentially impacting vulnerable populations like SOT recipients.Objectives: To investigate mortality and morbidity among hospitalized SOT recipients with COVID-19 infection during the Omicron wave.Methods: A retrospective, propensity-matched cohort study conducted at the Rabin Medical Center, Israel, spanned from November 2021 to June 2023. Adult SOT recipients hospitalized with COVID-19 were compared to matched controls.Results: Among 139 hospitalized SOT recipients and 209 controls, SOT recipients hospitalized with COVID-19 displayed higher in-hospital mortality (19% vs. 11%) and 90-day all-cause mortality (30% vs. 17%). In addition, the 90-day readmission rate was significantly higher among SOT recipients (43% vs. 31%). Multivariable analysis confirmed these trends, with SOT recipients exhibiting increased risk for mortality, readmission, invasive ventilation, and intensive care unit admission.Conclusions: The heightened vulnerability of hospitalized SOT recipients during the Omicron wave was characterized by higher mortality and readmission rates compared to matched controls. Despite the perceived milder nature of the Omicron variant, SOT recipients remain disproportionately affected. Continued vigilance and targeted interventions are necessary for this population including vaccinations and adherence to preventive measures. Investigating this population's outcomes through the changing COVID-19 variants is still warranted.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"27 4","pages":"216-220"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797104","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

Neutrophil-to-Lymphocyte Ratio, C-Reactive Protein, and Mean Platelet Volume in Differentiation of Ascites Causes. 中性粒细胞与淋巴细胞比值、c反应蛋白和平均血小板体积在腹水病因鉴别中的作用。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2025-04-01

Raymond Farah, Tammy Jacoby, Rola Khamisy-Farah

{"title":"Neutrophil-to-Lymphocyte Ratio, C-Reactive Protein, and Mean Platelet Volume in Differentiation of Ascites Causes.","authors":"Raymond Farah, Tammy Jacoby, Rola Khamisy-Farah","doi":"","DOIUrl":"","url":null,"abstract":"Background: Ascites is a product of fluid accumulation within the peritoneal cavity. Underlying etiologies include cirrhosis, congestive heart failure (CHF), nephrotic syndrome, and malignancies. Patients with cirrhotic ascites are at increased risk for infections, especially spontaneous bacterial peritonitis (SBP), which is associated with high rates of morbidity and mortality. Ascites is diagnosed both clinically and sonographically. SBP is diagnosed via abdominal paracentesis, a relatively safe and effective procedure. However, abdominal paracentesis carries risks such as bleeding, bowel perforation, and infection.Objectives: To identify new inflammatory markers as alternative or replacement methods for accurately evaluating patients before and after abdominal paracentesis and how these new inflammatory markers can be evaluated from a simple, inexpensive, and routinely performed blood sample.Methods: A total of 106 patients admitted with ascites were classified into three groups based on the underlying etiology of their condition: malignant ascites (30 patients), ascites secondary to CHF (30 patients), and ascites secondary to cirrhosis (46 patients). Levels of neutrophil-lymphocyte ratio (NLR), mean platelet volume, and C-reactive protein among the study groups were examined through blood samples and subsequently compared.Results: NLR values within malignant ascites and CHF ascites were significantly higher than cirrhotic ascites (P = 0.002). In addition, among risk factors for developing ascites, significant correlations were found among the three groups in hypertension (P < 0.001), diabetes mellitus (P = 0.003), hyperlipidemia (P = 0.002), CHF (P < 0.001), and ischemic heart disease (P < 0.001) variables.Conclusions: NLR may be a prognostic tool in patient evaluation of ascites.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"27 4","pages":"211-215"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797106","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

Comparison in Therapeutic Outcome of Ultrasound-guided Botulinum Injections for Limb Spasticity Versus Dystonia. 超声引导下肉毒杆菌注射治疗肢体痉挛与肌张力障碍的疗效比较。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2025-04-01

Gilad Yahalom, Mikhal E Cohen, Ilana Israel, Roni Eichel, Yosef Shechter

{"title":"Comparison in Therapeutic Outcome of Ultrasound-guided Botulinum Injections for Limb Spasticity Versus Dystonia.","authors":"Gilad Yahalom, Mikhal E Cohen, Ilana Israel, Roni Eichel, Yosef Shechter","doi":"","DOIUrl":"","url":null,"abstract":"Background: Botulinum toxin (BT) can alleviate limb dystonia, but limited insurance coverage hinders its utilization.Objectives: To compare the therapeutic efficacy of BT injections for spasticity and dystonia of the limbs.Methods: BT injections of hypertonic limbs were administered under ultrasound guidance between 2019 and 2024 for either limb dystonia or limb spasticity.Results: Of 74 patients included, 57 were diagnosed with spasticity and 17 with dystonia. In total, 276 therapeutic cycles were administered. The dropout rates were 45.6% in the spasticity group and 41.2% in the dystonia group (P = 0.48). There was no significant difference in subjective motor improvement between dystonia and spasticity (P = 0.16). Dystonia patients reported significantly better pain relief (98.5 ± 4.9% vs. 72.4 ± 35.6% respectively, P < 0.001). Notably, 74.3% of dystonia treatments reported moderate or marked improvement, whereas only 54.0% of spasticity treatments did (P > 0.05), based on patient the global impression of change (PGI-C) scale. Side effects were infrequent.Conclusions: BT injections for limb spasticity and dystonia are partially effective. Nonetheless, the dropout rate is high. While BT injections are more effective in relieving pain for dystonia compared to spasticity, disease severity gradually improves over time in treated patients with spasticity but not with dystonia.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"27 4","pages":"238-243"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797047","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

Analysis of 498 Pedestrian Injuries Involving Bicycles, E-bicycles, and E-scooters: Characteristics and Factors Influencing Injury Severity. 498例涉及自行车、电动自行车和电动滑板车的行人伤害分析：特征及影响伤害严重程度的因素

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2025-04-01

Ron Gurel, Rashad Seh, Mohamed Abadi, Shai Factor, Adnan Abdellatif, Addy S Brandstetter, Yair Neuman, Amal Khoury

{"title":"Analysis of 498 Pedestrian Injuries Involving Bicycles, E-bicycles, and E-scooters: Characteristics and Factors Influencing Injury Severity.","authors":"Ron Gurel, Rashad Seh, Mohamed Abadi, Shai Factor, Adnan Abdellatif, Addy S Brandstetter, Yair Neuman, Amal Khoury","doi":"","DOIUrl":"","url":null,"abstract":"Background: The increasing use of micromobility solutions (MMS), including electric scooters, electric, and non-motorized bicycles, has revolutionized urban transportation. We addressed the rising incidence of injuries related to pedestrian-MMS accidents, with a specific focus on pedestrian injuries.Objectives: To improve clinician comprehension of patient characteristics and injuries associated with pedestrian-MMS accidents and to provide insights for injury prevention, policy making, and urban planning.Methods: We conducted a retrospective analysis, June 2017 to January 2023, of pedestrians who were admitted to the emergency department post-MMS accidents. Data included patient characteristics, type of MMS, time of the accident, and outcome variables including type of injury, hospitalization, and surgical treatment.Results: The study cohort included 498 pedestrians (57.7% women), with a mean age of 42.3 ± 21.8 years. Nighttime accidents were 53.2% of cases. Fractures were the dominant type of injury (18.3% of the total cohort). Age, particularly those ≥ 60 years, significantly (P < 0.05) influenced fracture, hospitalization, and surgery rates (30.6%, 22.4%, and 12.6%, respectively). The odds ratio of having a fracture for pedestrians ≥ 60 years was 5.35 (P = 0.008). Interestingly, the type of MMS did not significantly affect outcomes.Conclusions: Age emerged as a critical factor in injury severity, emphasizing the need for age-specific safety measures in urban environments. The type of MMS did not show a significant influence on outcomes, emphasizing the importance of a comprehensive regulation of all MMS types. The high rate of accidents during nighttime calls for focused interventions during this period to prevent accidents.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"27 4","pages":"244-248"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797040","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