Israel Medical Association Journal最新文献_第7页

Factors Associated with Exclusive Breastfeeding at Hospital Discharge among Native-Born, Immigrant, and Refugee Women. 本地出生、移民和难民妇女出院时纯母乳喂养的相关因素。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-08-01

Alona Pohol, Ilana Azulay Chertok, Rachel Golan, Anat Oron, Rada Artzi-Medvedik

{"title":"Factors Associated with Exclusive Breastfeeding at Hospital Discharge among Native-Born, Immigrant, and Refugee Women.","authors":"Alona Pohol, Ilana Azulay Chertok, Rachel Golan, Anat Oron, Rada Artzi-Medvedik","doi":"","DOIUrl":"","url":null,"abstract":"Background: Exclusive breastfeeding is recommended through six months as it supports infant growth and development. Yet, many mothers do not exclusively breastfeed in early postpartum.Objectives: To examine factors associated with exclusive breastfeeding at hospital discharge among culturally diverse women.Methods: This cross-sectional study used data of women who gave birth at a major medical center in Israel in 2015-2017. Descriptive statistics and regression analysis were conducted to examine maternal characteristics and associated breastfeeding outcomes by hospital discharge.Results: Among 10,978 women, 17.8% (n=1958) exclusively breastfed, 57.9% (n=6357) partially breastfed, and 24.3% (n=2663) did not breastfeed. Among Israeli-born and former Soviet Union-born Jewish women, breastfeeding intention (odds ratio [OR] 19.59, 95% confidence interval [95%CI] 10.27-37.35 and OR 15.92, 95%CI 5.79-43.80, respectively) and early breastfeeding (OR 2.415, 95%CI 1.91-3.05 and OR 2.04, 95%CI 1.57-2.64, respectively) were associated with exclusive breastfeeding. The only significant factor associated with exclusive breastfeeding among refugees and Israeli-born Muslim women was early breastfeeding (OR 1.61, 95%CI 1.20-2.16). For Ethiopian-born Jewish women, not married (OR 0.330, 95%CI 0.114-0.955) and cesarean delivery (OR 0.481, 95%CI 0.232-0.998) were negatively associated with exclusive breastfeeding.Conclusions: Despite having access to the same hospital-based breastfeeding support, there were differences among ethno-culturally diverse women in Israel. In this study, we identified maternal characteristics associated with early breastfeeding among women of diverse ethno-cultural backgrounds. Study findings highlight the importance of ethno-cultural considerations in breastfeeding practices and inform health professionals of factors associated with exclusive breastfeeding in early postpartum.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"26 7","pages":"421-427"},"PeriodicalIF":1.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856950","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

How certain are we when considering the occurrence of genital ulcers among Israeli Arab female patients with Behçet's disease? 在考虑以色列阿拉伯女性贝赫切特病患者生殖器溃疡的发生率时，我们有多大把握？

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-08-01

Fadi Hassan, Nizar Hijazi, Mohammad E Naffaa

引用次数: 0

Hypothermia is an Important Clue for Hypothyroidism in Children and Adolescents. 低体温是儿童和青少年甲状腺功能减退症的重要线索。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-08-01

Aaron Hanukoglu, Shirli Abiri

引用次数: 0

Neuraxial Morphine Anesthesia Given During Cesarean Delivery and Risk of Urinary Retention: A Retrospective Study. 剖宫产手术中的神经阻滞吗啡麻醉与尿潴留风险：一项回顾性研究

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-08-01

Nadav Cohen, Andrii Li, Rooya Nejem, Ofer Lavie, Ariel Zilberlicht, Amit Reuveni, Zeev Goldik, Reuven Keidar, Vered Dvir

{"title":"Neuraxial Morphine Anesthesia Given During Cesarean Delivery and Risk of Urinary Retention: A Retrospective Study.","authors":"Nadav Cohen, Andrii Li, Rooya Nejem, Ofer Lavie, Ariel Zilberlicht, Amit Reuveni, Zeev Goldik, Reuven Keidar, Vered Dvir","doi":"","DOIUrl":"","url":null,"abstract":"Background: Cesarean deliveries (CD) are commonly performed using neuraxial anesthesia. The use of neuraxial morphine has proven beneficial in terms of postoperative pain management; however, its effect on postoperative urine retention remains unclear.Objectives: To determine whether morphine injection into the neuraxis during CD influences postoperative urinary retention rate.Methods: We conducted a retrospective case-control observational study of patients undergoing CD. We compared patients using morphine injected into the intrathecal or epidural spaces (November 2020 to October 2021) to a historical cohort of patients undergoing CD without morphine (November 2019 to October 2020). The primary outcome was the rate of postoperative overt urinary retention necessitating bladder catheterization.Results: The study group comprised 283 patients, and 313 patients in the control group were eligible for analysis. No differences were found with respect to the baseline demographic and indication for CD. The number of postpartum urinary bladder catheterizations due to urine retention was higher in the study group (5% vs. 1%, P-value = 0.003). No cases of 30-day readmission were recorded. Moreover, patients treated with neuraxial morphine required fewer repeat doses of postoperative anesthesia (oral analgesia 7.4 vs. 10.1, intravenous analgesia 0.29 vs. 0.31, oral opioids 0.06 vs. 3.70, intravenous opioids 0.01 vs. 0.45, P-value < 0.001 for all).Conclusions: While neuraxial morphine used during CD appears to be safe and effective, the risk of postoperative urinary retention seems to be increased due to its use. Cases of overt urinary retention treated by bladder catheterization does not lead to short-term complications.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"26 7","pages":"415-420"},"PeriodicalIF":1.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856960","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

Applicability of the New Myelin Oligodendrocyte Glycoprotein Antibody-associated Disease Diagnostic Criteria in an Israeli Cohort. 新的髓鞘寡突胶质细胞蛋白抗体相关疾病诊断标准在以色列队列中的适用性。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-08-01

Aviv Fineberg, Itay Lotan, Omer Bialer, Alon Tiosano, Shira Rozenblatt, Adi Wilf-Yarkoni, Mark A Hellmann, Hadas Stiebel-Kalish

{"title":"Applicability of the New Myelin Oligodendrocyte Glycoprotein Antibody-associated Disease Diagnostic Criteria in an Israeli Cohort.","authors":"Aviv Fineberg, Itay Lotan, Omer Bialer, Alon Tiosano, Shira Rozenblatt, Adi Wilf-Yarkoni, Mark A Hellmann, Hadas Stiebel-Kalish","doi":"","DOIUrl":"","url":null,"abstract":"Background: Myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) is a rare autoimmune demyelinating disorder of the central nervous system. Optic neuritis (ON) is the most common clinical manifestation of MOGAD in adults. In 2023, new MOGAD diagnostic criteria were proposed, highlighting the importance of supplemental criteria when MOG-immunoglobulin G (IgG) titers are unavailable.Objectives: To investigate the applicability of the 2023 MOGAD criteria in patients diagnosed with MOGAD and treated before the availability of MOG-IgG titers.Methods: We conducted a retrospective chart review of patients classified as MOGAD between 2010 and 2023 at Rabin Medical Center. Patient demographics as well as clinical and imaging data were collected, including visual acuity, expanded disability status score, core demyelinating events, antibody status, and brain and optic nerve magnetic resonance imaging data. Patients fulfilling the 2023 MOGAD criteria were reported as definite MOGAD.Results: Fifteen patients met the 2023 MOGAD diagnostic criteria despite lack of MOG-IgG titer. The most common supplemental criterion meeting the 2023 MOGAD criteria was optic disc edema (n=12, 80%), followed by longitudinal optic nerve involvement (53%), bilateral ON (40%), and perineural optic sheath enhancement (33%).Conclusions: All patients with a clinical diagnosis of MOG-ON in our cohort fulfilled the 2023 MOGAD criteria despite the lack of antibody titers. The 2023 MOGAD criteria can be reliably applied to Israeli cohorts, prior to availability of MOGAD IgG titers, with particular attention to additional supplemental criteria. Since the 2023 MOGAD criteria were published, MOGAD IgG titers have been added to routine testing at our facility.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"26 7","pages":"434-440"},"PeriodicalIF":1.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856947","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

Low-Dose Naltrexone as First Option for Fibromyalgia Patients: A Case Series. 将小剂量纳曲酮作为纤维肌痛患者的第一选择：病例系列。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-08-01

Jozélio Freire de Carvalho

引用次数: 0

Gout of the Axial Skeleton. 轴性骨骼痛风

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-08-01

Shiri Keret, Gleb Slobodin

引用次数: 0

Mucin Gene 5AC Expression in the Gastric Mucosa of Helicobacter pylori Positive Gastritis: A Systematic Review and Meta-analysis. 幽门螺杆菌阳性胃炎患者胃黏膜中黏蛋白基因 5AC 的表达：系统回顾与元分析》。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-08-01

Alexander N Kol-Yakov, Yaron Niv

引用次数: 0

Reduction in Time from Admission to Operation of Women with Suspected Adnexal Torsion During the COVID-19 Pandemic. 在 COVID-19 大流行期间，疑似附件扭转的妇女从入院到手术时间的缩短。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-08-01

Nir Meller, Gabriel Levin, Adiel Cohen, Aya Mohr-Sasson, Hadar Lahav, Shlomo B Cohen, Roy Mashiach, Raanan Meyer

{"title":"Reduction in Time from Admission to Operation of Women with Suspected Adnexal Torsion During the COVID-19 Pandemic.","authors":"Nir Meller, Gabriel Levin, Adiel Cohen, Aya Mohr-Sasson, Hadar Lahav, Shlomo B Cohen, Roy Mashiach, Raanan Meyer","doi":"","DOIUrl":"","url":null,"abstract":"Background: Data regarding the management of adnexal torsion (AT) during the coronavirus disease 2019 (COVID-19) pandemic are scarce.Objectives: To study the effects of actions to limit the spread of COVID-19 on AT management.Methods: We conducted a retrospective cohort study of all women who underwent laparoscopy for suspected AT between March 2011 and February 2021. We compared the COVID-19 pandemic period, (15 March 2020-2 August 2021, group A) to a parallel period (2019-2020, group B), and a 9-year period preceding the pandemic (March 2011-February 2020, group C).Results: We performed 97 laparoscopies in group A, 82 in group B, and 635 in group C. The proportion of women presenting following in vitro fertilization treatment was lower (odds ratio [OR] 0.22, 95% confidence interval ]95%CI] (0.06-0.86), P < 0.023). Time from admission to decision to operate was shorter (2.7 vs. 3.9 hours, P = 0.028) in group A than group B. Time from admission to surgery was shorter (9.1 vs. 12.5 hours, P = 0.005) and the rate of surgically confirmed AT was lower (59 [60.8%] vs. 455 [71.7%], P = 0.030, OR 0.61, 95%CI 0.39-0.95) in group A than group C. Among surgically confirmed AT cases only, mean time from admission to decision was shorter in group A than group B (2.6 vs. 4.6 hours, P = 0.014).Conclusions: We identified differences in time from admission to clinical decision and from admission to surgery among women with suspected AT during the COVID-19 pandemic.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"26 7","pages":"405-409"},"PeriodicalIF":1.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856961","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

Successful Management of a Dreaded Complication: Ventricular Septal Defect Following Late Arrival STEMI. 成功处理可怕的并发症：晚期 STEMI 后的室间隔缺损。

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-06-01

Yuval Avidan, Amir Aker, Vsevolod Tabachnikov

引用次数: 0