Israel Medical Association Journal最新文献_第6页

Current Perspectives on Maintaining Medical Education and Medical Communication Skills during War Times. 战争时期保持医学教育和医学交流技能的当前视角。

IF 1.8 4区医学

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

Moshe Salai, Yoram Sandhaus, Eitan Lunenfeld, Naomi Levine-Rahimi, Shai Ashkenazi, Avinoam Tzabari, Ahuva Golik, Zachi Grossman, Talma Kushnir

引用次数: 0

Prevalence and Predictors of Tunneled Dialysis Catheter Dysfunction. 隧道式透析导管功能障碍的发生率和预测因素。

IF 1.8 4区医学

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

Ilan Rozenberg, Sydney Benchetrit, Tali Zitman-Gal, Moanis Ajaj, Maysam Shehab, Naomi Nacasch, Keren Cohen-Hagai

{"title":"Prevalence and Predictors of Tunneled Dialysis Catheter Dysfunction.","authors":"Ilan Rozenberg, Sydney Benchetrit, Tali Zitman-Gal, Moanis Ajaj, Maysam Shehab, Naomi Nacasch, Keren Cohen-Hagai","doi":"","DOIUrl":"","url":null,"abstract":"Background: Hemodialysis requires reliable, recurrent access to the circulatory system. Central venous tunneled dialysis catheters (TDC) are frequently used for patients receiving hemodialysis as a bridge to permanent vascular access or as a final option. TDC are prone to complications such as infection and dysfunction.Objectives: To assess the prevalence and predictors of TDC dysfunction in a cohort of chronic hemodialysis patients.Methods: This single-center, retrospective study was based on data from an electronic database of chronic hemodialysis patients during 5 years of follow-up.Results: A total of 625 TDC were inserted in 361 patients, of which 234 (37.4%) were replaced due to dysfunction. The main insertion site was the right internal jugular vein. Diabetes mellitus was an important predictor of TDC dysfunction and was significantly correlated with TDC extraction. Chronic anticoagulation and antiplatelet treatment did not affect the rate of TDC dysfunction or replacement.Conclusions: TDC use for chronic dialysis patients is increasing and dysfunction is a major problem. In our study, we highlighted the high prevalence of TDC dysfunction and the need for further research to improve hemodialysis access as well as TDC patency and function.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"26 8","pages":"508-513"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299963","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

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

The Impact of a Heart Failure Clinic on Clinical Outcomes: Our Experience. 心衰诊所对临床结果的影响：我们的经验

IF 1.8 4区医学

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

Gassan Moady, Michal De Picciotto, Naila Aslan, Shaul Atar

{"title":"The Impact of a Heart Failure Clinic on Clinical Outcomes: Our Experience.","authors":"Gassan Moady, Michal De Picciotto, Naila Aslan, Shaul Atar","doi":"","DOIUrl":"","url":null,"abstract":"Background: Heart failure (HF) is an emerging pandemic associated with increased mortality, recurrent hospitalizations, and reduced quality of life. Guideline-directed medical therapy has been shown to improve outcomes, particularly in patients with HF with reduced ejection fraction (HFrEF). The main goal of HF clinics is optimizing medical therapy.Objectives: To assess the impact of our HF clinic on medical therapy and clinical outcomes.Methods: We obtained demographic, echocardiographic, and clinical data of patients listed in our HF clinic during a 4-year period. Medical therapy was evaluated based on patient reports and documented data. Recurrent admissions for HF were documented.Results: A total of 317 patients (74.1% male, median age 66 years, IQR 55-74) were listed in the clinic with a total of 1140 visits. Of these patients, 62.5% had HFrEF, 20.5% presented with mildly reduced ejection fraction, and 17% showed preserved ejection fraction at the time of the first visit. The use of sodium glucose co-transporter 2 inhibitors and mineralocorticoid receptor antagonists was optimized in 92% and 91% of the patients, respectively. In the subgroup of patients with HFrEF, the use of angiotensin-receptor antagonist/neprilysin inhibitor increased from 22.6% to 87.9% (P < 0.001) and SGLT2 inhibitor use increased from 49.2% to 92% (P < 0.001). During the follow-up period (2.2 years, IQR 1.1-3.1), 203 patients (64%) were readmitted to the hospital for HF at least once. The rate of readmissions decreased over time.Conclusions: An HF clinic plays an important role in optimizing medical therapy and reducing readmissions.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"26 8","pages":"504-507"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299964","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

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