Israel Medical Association Journal最新文献_第5页

Visceral Block in Bariatric Surgery: A Pilot Double Blind Randomized Clinical Study. 减肥手术中的内脏阻滞：双盲随机临床试点研究

IF 1.8 4区医学

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

Moaad Farraj, Igor Waksman, Tatyana Arzumanov, Anna Vakarev, Hisham Hussein, Zakhar Bramnick, Ron Dar

{"title":"Visceral Block in Bariatric Surgery: A Pilot Double Blind Randomized Clinical Study.","authors":"Moaad Farraj, Igor Waksman, Tatyana Arzumanov, Anna Vakarev, Hisham Hussein, Zakhar Bramnick, Ron Dar","doi":"","DOIUrl":"","url":null,"abstract":"Background: Local anesthetics are used in various sites and mechanisms to maximize perioperative analgesia and reduce opioid use and side effects. Pain management in the bariatric setting is challenging and the efficacy of local anesthetics intraoperatively is under current evaluation.Objectives: To determine the safety and efficacy of a new intra-abdominal anesthetic technique performed during laparoscopic bariatric operations: visceral block.Methods: During this prospective randomized double-blinded pilot study, 16 patients undergoing bariatric surgery were treated with the injection of ropivacaine to the anterior esophagogastric junction fat, and 15 were injected with saline as control.Results: The procedure was shown to be safe, and no adverse events nor side effects were encountered. A non-statistically significant trend toward the use of a non-opioid analgesia was documented during the first postoperative hours.Conclusions: Visceral block is a safe and feasible intraoperative procedure. A trend toward its efficacy warrants future larger scale studies.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"26 8","pages":"483-485"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299967","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

When Needles Break: An Uncommon Complication of Spinal Anesthesia for Cesarean Delivery. 当针头断裂时：剖腹产脊髓麻醉的罕见并发症。

IF 1.8 4区医学

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

Yair Binyamin, Amit Frenkel, Alexander Geftler, Israel Melamed, Salim Alobra, Alexander Zlotnik, Gali Pariente

引用次数: 0

Ascites: Not Always the Usual Suspects. 腹水：腹水：并不总是常见的疑点。

IF 1.8 4区医学

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

Mohamad Arow, Yonatan Shneor Patt, Zehavit Kirshenboim, Roy Mashiach, Howard Amital

引用次数: 0

A Rare and Severe Case of Hepatitis E. 一个罕见的严重戊型肝炎病例

IF 1.8 4区医学

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

Sharon Slomovich, Visala Natarajan, Gal Rubinstein, Pavel Gozenput, Benhoor Shamian

引用次数: 0

The Perinatal Outcomes Following the October 7th Hamas-led Attack on Israel. 10 月 7 日哈马斯领导的对以色列的袭击后的围产期结果。

IF 1.8 4区医学

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

Matan Mor, Nadav Kugler, Moshe Betser, Miki Moskovich, Yifat Wiener, Ron Maymon

{"title":"The Perinatal Outcomes Following the October 7th Hamas-led Attack on Israel.","authors":"Matan Mor, Nadav Kugler, Moshe Betser, Miki Moskovich, Yifat Wiener, Ron Maymon","doi":"","DOIUrl":"","url":null,"abstract":"Background: On 7 October 2023, Hamas lunched a massive terror attack against Israel. The first weeks after were characterized with great uncertainty, insecurity, and fear.Objectives: To evaluate the effect of the first 2 months of the Iron Swords war on obstetrical emergency attendance and the corresponding perinatal outcomes.Methods: We conducted a single center retrospective cohort study of all singleton births between 7 October and 7 December 2023. Prenatal emergency labor ward admission numbers and obstetric outcomes during the first 2 months of the war were compared to the combined corresponding periods for the years 2018-2022.Results: During the initial 2 months of the conflict 1379 births were documented. The control group consisted of 7304 deliveries between 2018 and 2022. There was a decrease in daily emergency admissions to the labor ward during the first 5 weeks of the conflict compared to the corresponding periods in the preceding years (51.8 ± 15.0 vs. 57.0 ± 13.0, P = 0.0458). A notable increase in stillbirth rates was observed in the study group compared to the control group (5/1379 [0.36%] vs. 7/7304 [0.1%]; P = 0.014). Both groups exhibited similar gestational ages at birth, rates of preterm and post-term delivery, neonatal birthweights, mode of delivery, and induction of labor rates.Conclusions: In the initial weeks following Hamas's attack on Israel, there was a notable decrease in admissions to the prenatal emergency labor ward. This decline coincided with an increase in the rate of stillbirths among a population not directly involved in the conflict.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"26 8","pages":"475-479"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299965","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

A Multidisciplinary Approach for Treating Women with Pelvic Organ Prolapse in Pregnancy: A Series of Eight Women. 治疗妊娠期盆腔器官脱垂妇女的多学科方法：八名妇女的系列研究。

IF 1.8 4区医学

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

Raneen Abu Shqara, Maya Frank Wolf, Jawad Karram, Inshirah Sgayer, Ala Aiob, Lior Lowenstein, Susana Mustafa Mikhae

{"title":"A Multidisciplinary Approach for Treating Women with Pelvic Organ Prolapse in Pregnancy: A Series of Eight Women.","authors":"Raneen Abu Shqara, Maya Frank Wolf, Jawad Karram, Inshirah Sgayer, Ala Aiob, Lior Lowenstein, Susana Mustafa Mikhae","doi":"","DOIUrl":"","url":null,"abstract":"Background: Pelvic organ prolapse in pregnancy is rare. Consequent complications include cervical infection, spontaneous abortion, and premature birth. Conservative management by means of a pessary have been described as improving maternal symptomatology and minimizing gestational risk. The delivery mode is controversial.Objectives: To describe the clinical courses of patients diagnosed with pelvic organ prolapse during pregnancy, and to present our multidisciplinary approach.Methods: In this retrospective case series, we summarized the obstetrical outcomes of women diagnosed with pelvic organ prolapse during pregnancy in a single university-affiliated hospital.Results: We identified eight women with advanced uterine prolapse at a mean age of 30.3 years. Seven were diagnosed with advanced uterine prolapse (Pelvic Organ Prolapse Quantification [POPQ] stage ≥ 3). All were treated by pessary placement, which was tolerable and provided symptomatic relief. The pessary type was chosen according to the prolapse stage. In women with cervical prolapse POPQ stage > 2 and cervical edema, a support pessary was less beneficial. However, the prolapse was well-controlled with a space-filling Gellhorn pessary. Low complication rates were associated with vaginal deliveries. The few complications that were reported included minor cervical laceration, postpartum hemorrhage, and retained placenta.Conclusions: Treatment of pelvic organ prolapse during pregnancy must be individualized and requires a multidisciplinary approach of urogynecologists, obstetricians, dietitians, pelvic floor physiotherapists, and social workers. Conservative management, consisting of insertion of a vaginal pessary when prolapse symptoms appeared, provided adequate support for the pelvic floor, improved symptomatology, and minimized pregnancy complications. Vaginal delivery was feasible for most of the women.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"26 8","pages":"493-499"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299953","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 White Blood Cell Count in Laboring Women at Term Is Associated with Neonatal Macrosomia. 临产妇女的白细胞计数与新生儿畸形有关。

IF 1.8 4区医学

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

Naama Srebnik, Jennia Michaeli, Rosa Ruchlemer, Rivka Farkash, Keren Rotshenker-Olshinka, Sorina Grisaru-Granovsk

{"title":"The White Blood Cell Count in Laboring Women at Term Is Associated with Neonatal Macrosomia.","authors":"Naama Srebnik, Jennia Michaeli, Rosa Ruchlemer, Rivka Farkash, Keren Rotshenker-Olshinka, Sorina Grisaru-Granovsk","doi":"","DOIUrl":"","url":null,"abstract":"Background: Fetal weight estimation at term is a challenging clinical task.Objectives: To evaluate the association between peripheral white blood cell (WBC) count of the laboring women and neonatal birth weight (BW) for term uncomplicated pregnancies.Methods: We conducted a single-center, retrospective cohort study (2006-2021) of women admitted in the first stage of labor or planned cesarean delivery. Complete blood counts were collected at admission. BW groups were categorized by weight (grams): < 2500 (group A), 2500-3499 (group B), 3500-4000 (group C), and > 4000 (group D). Two study periods were used to evaluate the association between WBC count and neonatal BW.Results: There were a total of 98,632 deliveries. The dataset analyses showed a lower WBC count that was significantly and linearly associated with a higher BW; P for trend < 0.001 for women in labor. The most significant association was noted for the > 4000-gram newborns; adjusted odds ratio 0.97, 95% confidence interval 0.96-0.98; P < 0.001; adjusted for hemoglobin level, gestational age, and fetal sex. The 2018-2021 dataset analyses revealed WBC as an independent predictor of macrosomia with a significant incremental predictive value (P < 0.0001). The negative predictive value of the WBC count for macrosomia was significantly high, 93.85% for a threshold of WBC < 10.25 × 103/µl.Conclusions: WBC count should be considered to support the in-labor fetal weight estimation, especially valuable for the macrosomic fetus.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"26 8","pages":"486-492"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299966","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

Future Hybrid Hospital and Telehealth as a Significant Part of a General Medical Center. 未来的混合医院和远程医疗是综合医疗中心的重要组成部分。

IF 1.8 4区医学

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

Yaron Niv, Juliet Dreyer, Dora Niv

引用次数: 0

Preeclampsia and Severe Metabolic Alkalosis as Co-morbid Factors in Reversible Cerebral Vasoconstriction Syndrome: A Case Report. 子痫前期和严重代谢性碱中毒是可逆性脑血管收缩综合征的并发症：病例报告。

IF 1.8 4区医学

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

Ohad Gabay, Alexander Zhuravlov, Yakov Perlov, Chun Ho Szeto, Yoav Bichovsky, Dana Braiman, Leonid Koyfman, Asaf Honig, Mohamed Eldada, Evgeni Brotfain

引用次数: 0

Can Blood Inflammatory Markers Identify Pregnant Women with Preeclampsia? Still a Controversial Issue. 血液炎症标志物能否识别子痫前期孕妇？仍是一个有争议的问题。

IF 1.8 4区医学

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

Andrei Braester, Artyom Bilyk, Celia Suriu, Luiza Akria, Najib Dally, Masad Barhoum

{"title":"Can Blood Inflammatory Markers Identify Pregnant Women with Preeclampsia? Still a Controversial Issue.","authors":"Andrei Braester, Artyom Bilyk, Celia Suriu, Luiza Akria, Najib Dally, Masad Barhoum","doi":"","DOIUrl":"","url":null,"abstract":"Background: Preeclampsia is a unique vascular disease during pregnancy that generally appears after 20 of weeks gestation or until 6 weeks after delivery. Left undiagnosed, preeclampsia can lead rapidly to death of both mother and fetus.Objectives: To verify the efficacy of peripheral blood inflammatory markers (BIMs)in diagnosing preeclampsia and compare them with results from other studies.Methods: Our retrospective case-control study comprised two patient groups. Pregnant women with preeclampsia and pregnant women without preeclampsia were compared for BIMs: neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), and mean platelet volume (MPV). The primary endpoint of our research was to assess the predictive power of BIMs for preeclampsia diagnosis.Results: The sample size was calculated based on expected differences of BIMs between the control and study groups. Comparison of quantitative variables was conducted with independent sample t-test or alternatively by Wilcoxon rank sum test. The MPV values were slightly higher in the preeclampsia group, but not statistically significant. NLR and PLR did differentiate between study and control groups.Conclusions: The diagnostic accuracy of BIMs is unsatisfactory for preeclampsia diagnosis. Discrepancies concerning these values need to be clarified. Further large prospective studies are necessary to validate the potential factor accuracy in preeclampsia diagnosis.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"26 8","pages":"500-503"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299956","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