Israel Medical Association Journal最新文献_第4页

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 0.8 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":0.8,"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 0.8 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":0.8,"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

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

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

IF 0.8 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":0.8,"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

Typical Pancreatic Serous Cystadenomas: Should We Recommend Surgical Consultation for Asymptomatic Patients with Large Lesions? 典型胰腺浆液性囊腺瘤：对于无症状的大病变患者，我们是否应该推荐外科会诊？

IF 0.8 4区医学

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

Yuval Katz, Dana Ben-Ami Shor, Roie Tzadok, Hila Yashar, Sapir Lazar, Arthur Chernomorets, Zur Ronen-Amsalem, Rivka Kessner

{"title":"Typical Pancreatic Serous Cystadenomas: Should We Recommend Surgical Consultation for Asymptomatic Patients with Large Lesions?","authors":"Yuval Katz, Dana Ben-Ami Shor, Roie Tzadok, Hila Yashar, Sapir Lazar, Arthur Chernomorets, Zur Ronen-Amsalem, Rivka Kessner","doi":"","DOIUrl":"","url":null,"abstract":"Background: Gastroenterological guidelines consider pancreatic serous cystadenomas (SCAs) to have minimal malignant potential and generally do not recommend intervention or surveillance. In contrast, the American College of Radiology recommends surgical consultation for large SCAs (> 4 cm).Objectives: To evaluate the association between initial SCA size and lesion growth during follow-up.Methods: The final reports of all patients who underwent magnetic resonance imaging/magnetic resonance cholangiopancreatography (MRI/MRCP) at our institution between the years 2011 and 2021 were reviewed for the diagnosis of serous cystadenoma. Patients with typical microcystic serous cystadenomas who had at least two MRCP examinations were included. We collected clinical data from the patients during the follow-up period, including history, symptoms, and laboratory results. The primary and maximal cyst size diameters and additional radiological characteristics were collected.Results: Our cohort included 35 patients (21 females, 14 males) with a median age of 68 years. The median follow-up period was 32 months. None of our patients developed malignant transformation. Nineteen lesions grew during follow-up. We found no connection between the lesion size at presentation and the enlargement during follow-up. In total, 21 patients had smaller lesions < 4 cm and 14 had larger lesions > 4 cm. There were no significant clinical or radiological differences between the smaller and larger lesions.Conclusions: We investigated whether the current radiological recommendations for serous cystadenomas should be revised. Surgical consultation may not be needed for typical asymptomatic SCAs, regardless of the size.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"28 4","pages":"248-252"},"PeriodicalIF":0.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147663539","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

Simulation Under Fire: Rapid Implementation of a Full-Scale Mass Casualty Incident Simulation During Armed Conflict. 火力下的模拟：武装冲突中全面大规模伤亡事件模拟的快速实施。

IF 1.3 4区医学

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

Hadas Katz-Dana, Eran Netzer, Ehud Rosenbloom

引用次数: 0

Phlycten Syndrome: Traumatic Necrosis of the Lower Limbs in Nazi Concentration Camps. 下肢创伤性坏死：纳粹集中营中的下肢创伤性坏死。

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

Does Artificial Thought Have a Ceiling? Lessons from Fetal Weight Prediction. 人工思维有上限吗？胎儿体重预测的教训。