Israel Medical Association Journal最新文献_第4页

Polyp detection rate changed between shifts. 息肉检出率随班次变化。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2025-07-01

Yaron Niv, Rawi Hazzan

引用次数: 0

Spontaneous Abortion During Wartime: A Retrospective Comparative Study. 战时自然流产：回顾性比较研究。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2025-07-01

Keren Zloto, Gad Segal, Lital Shaham, Shlomit Blumenfeld, Noa Brenner, Shani Steinberg, Roy Mashiah, Dahlia Admon, Eyal Sivan, Alina Weissmann-Brenner

{"title":"Spontaneous Abortion During Wartime: A Retrospective Comparative Study.","authors":"Keren Zloto, Gad Segal, Lital Shaham, Shlomit Blumenfeld, Noa Brenner, Shani Steinberg, Roy Mashiah, Dahlia Admon, Eyal Sivan, Alina Weissmann-Brenner","doi":"","DOIUrl":"","url":null,"abstract":"Background: In times of war, healthcare systems face the dual challenge of attending to the medical needs of injured soldiers and civilians as well as struggling to meet the everyday healthcare demands of civilians.Objectives: To assess the correlation between exposure to war and the likelihood of spontaneous abortion (SAB) and to compare it to a similar period in previous years.Methods: We conducted a retrospective study comparing the rate of SAB during war to the previous years.Results: During the Iron Swords war, 381 patients out of 3245 (11.74%) were diagnosed with SAB, compared to 530 of 4080 (13%) in 2022, 536 of 3387 (13.8%) in 2021, and 516 of 3798 (13.6%) in 2020. The median gestational age at diagnosis was similar between the groups, with most cases identified during the first trimester. The study group exhibited a significantly higher prevalence of smoking (18.47% vs. 7.75% vs. 6.3% vs. 9.3%, P = 0.03), with no differences in the prevalence of chronic diseases and in the method of pregnancy termination.Conclusions: Exposure to stress due to war during early pregnancy appears to have no significant impact on the rate of SAB.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"27 7","pages":"419-423"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692280","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

Continuous Glycemic Monitoring Metrics of Children and Adolescents with Type 1 Diabetes During the Iron Swords War. 铁剑战争期间儿童和青少年1型糖尿病患者血糖持续监测指标

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2025-07-01

Yossi Steier, Eyal Cohen-Sela, Shay Averbauch, Asaf Oren, Ori Eyal, Yael Lebenthal, Avivit Brener

{"title":"Continuous Glycemic Monitoring Metrics of Children and Adolescents with Type 1 Diabetes During the Iron Swords War.","authors":"Yossi Steier, Eyal Cohen-Sela, Shay Averbauch, Asaf Oren, Ori Eyal, Yael Lebenthal, Avivit Brener","doi":"","DOIUrl":"","url":null,"abstract":"Background: The Iron Swords war created stressful circumstances that could negatively impact glycemic control in individuals with type 1 diabetes (T1D).Objectives: To evaluate changes in continuous glucose monitoring (CGM) metrics in pediatric T1D patients during the war.Methods: This retrospective study included T1D patients monitored by CGM. Metrics from three selected 2-week periods were compared (before the war, after the war outbreak, and 4 months later). Study variables included time-in-range (70-180 mg/dl; 3.9-10 mmol/L), time-in-tight-range (70-140 mg/dl; 3.9-7.8 mmol/L), time-in-marked-hypoglycemia (< 54 mg/dl; < 3 mmol/liter), and time-in-severe-hyperglycemia (> 250 mg/dl; >13.3 mmol/liter). Patients were treated with either a multiple daily insulin (MDI) regimen or insulin pump, with or without an open-source automated insulin delivery (OS-AID) system.Results: Data of 99 patients were analyzed (mean age 12.2 ± 4.0 years, mean diabetes duration 4.6 ± 3.9 years, 52.5% males). No significant changes in CGM metrics were observed across the entire cohort at any time point. Patients with higher socioeconomic position (SEP; cluster > 7) had better CGM metrics, with an increase in time-in-tight-range in the lower SEP group and in time-in-severe-hyperglycemia in the higher SEP group (P = 0.003). OS-AID users (n=20) had superior pre-war CGM metrics and maintained stable glycemia during the war, MDI users showed increased time-in-severe-hyperglycemia post-outbreak (P = 0.05).Conclusions: Throughout the war, children and adolescents with T1D treated with insulin pumps maintained relatively stable glycemic control. Susceptibility to change following the onset of war was influenced by SEP and mode of insulin therapy.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"27 7","pages":"411-416"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692274","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

Acne Vulgaris: Advances in Pathogenesis and Innovations in Therapeutic Strategies. 寻常痤疮：发病机制的进展和治疗策略的创新。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2025-07-01

Ron Yaniv, Baruch Kaplan

引用次数: 0

Autoantibodies Against Autonomic Nervous System Receptors in Women with Silicone Breast Implants: Association with Dry Eyes and Dry Mouth. 使用硅胶隆胸植入物的女性抗自主神经系统受体的自身抗体：与眼干和口干有关。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2025-07-01

Lia Mazur, Avishai M Tsur, Harald Heidecke, Kai Schulze-Forster, Abdulla Watad, Howard Amital, Yehuda Shoenfeld, Gilad Halpert

{"title":"Autoantibodies Against Autonomic Nervous System Receptors in Women with Silicone Breast Implants: Association with Dry Eyes and Dry Mouth.","authors":"Lia Mazur, Avishai M Tsur, Harald Heidecke, Kai Schulze-Forster, Abdulla Watad, Howard Amital, Yehuda Shoenfeld, Gilad Halpert","doi":"","DOIUrl":"","url":null,"abstract":"Background: Silicone breast implants (SBIs) are associated with subjective and autoimmune related manifestations, ranging from reported symptoms such as depression and fatigue to diseases such as Sjögren's syndrome and systemic sclerosis.Objectives: To examine whether autoantibodies directed against autonomic nervous system receptors are associated with reported symptoms of dry mouth and eyes in patients with SBIs.Methods: ELISA assays were used to evaluate a panel of 11 autoantibodies in the sera of patients with SBIs and age-matched healthy controls.Results: Four autoantibodies (anti-angiotensin II type 1 receptor, anti-β1 adrenergic receptor, anti-muscarinic receptors M2, and anti-muscarinic receptors MR) had significantly lower median titers in SBI recipients who reported dry mouth compared to the control group (9.9 vs. 15.7, P < 0.001; 8.8 vs. 23.3, P < 0.001; 3.2 vs. 4.7, P < 0.001; and 6 vs. 8.8, P = 0.0011, respectively). Anti-muscarinic receptor M4 had significantly lower median titers in patients with SBIs who reported dry eyes compared to the control group (5.9 vs. 8.8, P = 0.0039).Conclusions: A dysregulation of the autonomic nervous system in SBI recipients was correlated with the presence of dry mouth and dry eyes. Our results emphasize the need to further investigate the proposed involvement of the autonomic nervous system in subjective symptoms reported by SBI recipients.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"27 7","pages":"432-436"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692271","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 Use of Lung Ultrasound in Pediatrics: A Review. 肺部超声在儿科中的应用综述。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2025-07-01

Vered Nir, Vered Schichter-Konfino, Adi Klein

引用次数: 0

The Association of Vasculitis Incidence and Seasonality: A Retrospective National Study. 血管炎发病率与季节性的关系：一项回顾性的国家研究。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2025-07-01

Ran Ben David, Lior Zeller, Lena Novack, Ran Abuhasira, Mahmoud Abu-Shakra, Ziv Ribak, Iftach Sagy

引用次数: 0

IVIG Treatment in Scleromyxedema: Do Histologic Variants Influence Outcomes? 硬黏液性水肿的IVIG治疗：组织学变异会影响结果吗？

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2025-07-01

Marwan Dawood, Itay Cohen, Salih Mishlab, Emily Avitan-Hersh

引用次数: 0

The Characteristics of a Northern Israeli Cohort of Patients with Behçet's Syndrome. 以色列北部behet综合征患者队列的特征

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2025-07-01

Fadi Hassan, Firas Sabbah, Rula Daood, Helana Jeries, Tamar Hareuveni, Mohammad E Naffaa

{"title":"The Characteristics of a Northern Israeli Cohort of Patients with Behçet's Syndrome.","authors":"Fadi Hassan, Firas Sabbah, Rula Daood, Helana Jeries, Tamar Hareuveni, Mohammad E Naffaa","doi":"","DOIUrl":"","url":null,"abstract":"Background: Behcet's syndrome (BS) is a multisystem syndrome that typically manifests as recurrent oral and genital ulcers, as well as other systemic manifestations. Few studies describing the characteristics of BS among Israeli patients have been published.Objectives: To describe the characteristics of BS patients and to compare Jewish and Arab subpopulations.Methods: We retrospectively reviewed electronic medical records and extracted demographic, clinical, laboratory, and medication data for each patient. We compared the Jewish and Arabic BS patients.Results: The cohort included 98 patients. Males constituted 49 (50%); mean age at the time of diagnosis was 29.9 years; 71 (72.4%) were Arab and 27 (27.6%) were Jewish. Oral ulcers were evident in 93 patients (94.9%) and genital ulcers in 54 (55.1%). Involvement of the skin, joints, eyes, gastrointestinal tract, and neurologic and vascular systems were demonstrated among 42 (42.9%), 57 (58.2%), 47 (48.0%), 8 (8.2%), 10 (10.2%), and 15 (15.3%), respectively. HLA B51 was positive in 24 of 37 (64.9%). Pathergy was positive in 8 of 12 (66.7%). Colchicine was used in 82 (83.7%), azathioprine 47 (48%), methotrexate 16 (16.3%), apremilast 10 (10.2%), cyclosporine-A 8 (8.2%), adalimumab 26 (26.5%), infliximab 12 (12.2%), cyclophosphamide 1 (1.0%), tocilizumab 2 (2.0%), and anti-coagulation 6 (6.1%). The Arab and Jewish subpopulations were significantly different regarding male proportion, 40 (56.3%) vs. 9 (33.3%), P = 0.042.Conclusions: BS is more common among Arabs in northern Israel, but no significant clinical or demographic differences were found except for a higher proportion of male patients among Arabs.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"27 7","pages":"437-441"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692282","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

Rectal Adenocarcinoma in Juvenile Polyposis Syndrome: Insights from Two Case Reports. 少年息肉病综合征的直肠腺癌：两例报告的见解。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2025-07-01

Basel Darawsha, Rozan Marjiyeh, Ayat Agbaria, Miriam Obeid, Hayim Gilshtein

引用次数: 0