Israel Medical Association Journal最新文献_第9页

Whole Blood. 全血

IF 1.8 4区医学

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

Itai Shavit

引用次数: 0

Can We Facilitate Early Diagnosis of Behçet's Disease among Arab Israeli Patients Who Do Not Fulfill Diagnostic or Classification Criteria? 我们能否帮助那些不符合诊断或分类标准的阿拉伯裔以色列患者及早确诊白塞氏病？

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-05-01

Fadi Hassan, Mohammad E Naffaa

引用次数: 0

Normal Term Deliveries in a Patient with Phosphoglucomutase 1 Deficiency. 磷酸葡萄糖突变酶 1 缺乏症患者的正常足月分娩

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-05-01

Elena Korytnikova, Maayan Elnir Katz, Itzhak Gabizon, Tamar Eshkoli

引用次数: 0

Surgical Management of Cardiac Echinococcus Cyst: A Case Study. 心脏棘球蚴囊肿的手术治疗：病例研究

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-05-01

David Koren, Leonid Sternik, Liza Grosman-Rimon, Amihay Shinfeld

引用次数: 0

Facial Asymmetry Caused by Mandibular Condylar Hyperplasia: A Two Center Study. 下颌髁状突增生导致的面部不对称：一项双中心研究。

IF 1.6 4区医学

Israel Medical Association Journal Pub Date : 2024-05-01

Waseem Abboud, Dror Shamir, Rania Elkhatib, Heli Rushinek, Yoli Bitterman, Mati Cohen Sela, Adir Cohen

{"title":"Facial Asymmetry Caused by Mandibular Condylar Hyperplasia: A Two Center Study.","authors":"Waseem Abboud, Dror Shamir, Rania Elkhatib, Heli Rushinek, Yoli Bitterman, Mati Cohen Sela, Adir Cohen","doi":"","DOIUrl":"","url":null,"abstract":"Background: Condylar hyperplasia is a non-neoplastic overgrowth of the mandibular condyle. The disorder is progressive and causes gradual jaw deviation, facial asymmetry, and dental malocclusion. The only treatment capable of stopping hyperplastic growth is surgical condylectomy to remove the upper portion of the condyle containing the deranged growth center. When this procedure is conducted in proportion to the length of the healthy side it may also correct the jaw deviation and facial asymmetry.Objectives: To assess the degree to which condylectomy corrects the asymmetry and to determine the proportion of patients after condylectomy who were satisfied with the esthetic result and did not desire further corrective surgery.Methods: We conducted a retrospective analysis of medical records of patients who underwent condylectomy that was not followed by corrective orthognathic surgery for at least 1 year to determine the degree of correction of chin deviation and lip cant. Patient satisfaction from treatment or desire and undergo further corrective surgery was reported.Results: Chin deviation decreased after condylectomy from a mean of 4.8⁰ to a mean of 1.8⁰ (P < 0.001). Lip cant decreased after condylectomy from a mean of 3.5⁰ to a mean of 1.5⁰ (P < 0.001). Most patients (72%) were satisfied with the results and did not consider further corrective orthognathic surgery.Conclusions: Proportional condylectomy could be a viable treatment to both arrest the condylar overgrowth and achieve some correction of the facial asymmetry.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"26 5","pages":"289-293"},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913048","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 Comparison of Hidradenitis Suppurativa Characteristics Among Israeli Arabs and Jews: Analysis of Two Cohorts. 以色列阿拉伯人和犹太人化脓性扁桃体炎特征的比较：两个群体的分析

IF 1.8 4区医学

Israel Medical Association Journal Pub Date : 2024-05-01

Jen Barak Levitt, Shira Barmatz, Shira Fisch-Gilad, Yossef H Taieb, Adam Dalal, Khashayar Afshari, Nazgol Haddadi, Dana Tzur Bitan, Arnon Dov Cohen, Daniel Mimouni, Emmilia Hodak, Shany Sherman

{"title":"A Comparison of Hidradenitis Suppurativa Characteristics Among Israeli Arabs and Jews: Analysis of Two Cohorts.","authors":"Jen Barak Levitt, Shira Barmatz, Shira Fisch-Gilad, Yossef H Taieb, Adam Dalal, Khashayar Afshari, Nazgol Haddadi, Dana Tzur Bitan, Arnon Dov Cohen, Daniel Mimouni, Emmilia Hodak, Shany Sherman","doi":"","DOIUrl":"","url":null,"abstract":"Background: Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease involving apocrine gland-bearing regions. There is an under-representation of non-Caucasians in epidemiologic studies of HS. The characteristics of HS in Israeli Arabs have not yet been studied.Objectives: To investigate the demographic and clinical profile of HS in the Israeli Arab population.Methods: A retrospective analysis was conducted in two cohorts of patients with HS in Israel. The patients were derived from the database of a large health management organization (n=4191, 639 Arabs; population-based) and a major tertiary medical center (n=372, 49 Arabs). Demographic and clinical data were compared between ethnic groups.Results: The prevalence of HS in Israeli Arabs was found to be 0.5%, fivefold higher than in Jews. Arab patients were younger (35.3 vs. 40.5 years, P < 0.001) and mostly male (52% vs. 35.7%, P < 0.001), with lower rates of co-morbidities, including smoking (40.8% vs. 55.7%, P < 0.001), hyperlipidemia, and depression as well as a higher rate of dissecting cellulitis (10.2% vs. 1.9%, P = 0.008). HS was more severe in Arabs, but of shorter duration, with mainly axillary involvement (79.6% vs. 57.9%, P = 0.004). Treatment with hormones was more common in Jews, and with biologic agents in Arabs.Conclusions: The findings suggest a different phenotype of HS in Arabs, warranting further study.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"26 5","pages":"283-288"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913104","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

Outcomes of Transvenous Lead Extraction in a Referral Center in Northern Israel. 以色列北部一家转诊中心的经静脉抽取铅结果。

IF 1.6 4区医学

Israel Medical Association Journal Pub Date : 2024-05-01

Rabea Haddad, Edo Birati, Hiba Zayyad, Nizar Andria, Eyal Nachum, Erez Kachel, Ibrahim Marai

{"title":"Outcomes of Transvenous Lead Extraction in a Referral Center in Northern Israel.","authors":"Rabea Haddad, Edo Birati, Hiba Zayyad, Nizar Andria, Eyal Nachum, Erez Kachel, Ibrahim Marai","doi":"","DOIUrl":"","url":null,"abstract":"Background: Cardiac implantable electronic devices (CIEDs) are increasingly being used; thus, there is an increasing need for transvenous lead extraction (TLE).Objectives: To summarize our experience with TLE at single referral center in northern Israel.Methods: The study included all patients who underwent TLE at our center between 2019 and 2022, regardless of the indication.Results: The cohort included 50 patients. The mean age was 69 ± 10.36 years; 78% were males. A total of 99 electrodes were targeted. The mean number of electrodes was 1.96 (range 1-4) per patient. The time between lead implantation and extraction ranged between 1.1 and 34 years with an average of 8.14 ± 5.71 years (median of 7.5 years). Complete lead removal was achieved in 98% of patients and in 98.99% of leads. The complete procedural success rate as well as the clinical procedural success rate was 96%. The procedural failure rate was 4% (1 patient died 2 days after the index procedure and 1 patient remained with large portion of lead). The indication for TLE was infection in 78% of the cohort group. Powered mechanical sheaths were used in 36 patients (72%), laser sheaths in 27 (54%), and a combination of laser and mechanical sheaths in 16 (32%).Conclusions: The clinical and procedural success rates of TLE, primarily for CEID-related infection, were high. A combination of laser and mechanical sheaths was needed in one-third of patients.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"26 5","pages":"273-277"},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913222","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

Concomitant Cardiac Surgical Procedures in Patients Undergoing HeartMate 3 Left Ventricular Assist Device Implantation. 接受 HeartMate 3 左心室辅助装置植入术的患者同时接受的心脏外科手术。

IF 1.6 4区医学

Israel Medical Association Journal Pub Date : 2024-05-01

Jonathan Eisenberger, Shmuel Somer, Eyal Nachum, Eilon Ram, Jacob Lavee, Leonid Sternik, Jeffrey Morgan

{"title":"Concomitant Cardiac Surgical Procedures in Patients Undergoing HeartMate 3 Left Ventricular Assist Device Implantation.","authors":"Jonathan Eisenberger, Shmuel Somer, Eyal Nachum, Eilon Ram, Jacob Lavee, Leonid Sternik, Jeffrey Morgan","doi":"","DOIUrl":"","url":null,"abstract":"Background: Long-term support with a HeartMate 3 (HM3) left ventricular assist device (LVAD) has improved outcomes of patients with end-stage heart failure. However, there is a paucity of data on the outcomes of patients who underwent concomitant cardiac surgical procedure (CCSP) during HM3-LVAD implantation.Objectives: To assess our single-center experience with patients who underwent CCSP during the implantation of an HM3-LVAD.Methods: From December 2016 until April 2022, 131 adult patients underwent HM3-LVAD implantation. A total of 23 patients underwent CCSP during the HM3-LVAD implantation+CCSP, and 108 underwent only HM3-LVAD implantation (HM3-only).Results: The median age was 59 ± 11 years (range 54-67), 82% (n=108) were male, and 76% (n=100) were implanted as a bridge-to-transplant. The concomitant procedures performed during the implantation included 8 aortic valve repairs/replacements, 14 tricuspid valve repairs, 4 patent foramen ovales or atrial septal defect closures, and 3 other cardiac procedures. The mean cardiopulmonary bypass time was 113 ± 58 minutes for the HM3-only group and 155 ± 47 minutes for the HM3+CCSP group (P = 0.007). The mortality rates at 30 days, 6 months, and 12 months post-implantation were 2 (9%), 5 (22%), and 6 (26%) respectively for the HM3+CCSP group, and 7 (6%), 18 (17%), and 30 (28%) for the HM3-only group (P = 0.658, 0.554, and 1.000).Conclusions: Our experience demonstrated no significant difference in the 30-day, 6-month, and 12-month mortality rates for patients who underwent a CCSP during HM3-LVAD implantation compared to patients who did not undergo CCSP during HM3-LVAD implantation.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"26 5","pages":"278-282"},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913046","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

Antibiotic Treatment for Pyogenic Flexor Tenosynovitis Following Animal Bites. 动物咬伤后化脓性屈指腱鞘炎的抗生素治疗。

IF 1.6 4区医学

Israel Medical Association Journal Pub Date : 2024-05-01

Tal Frenkel Rutenberg, Alon Ben Uri, Omer Slevin, Yona Kosashvili, Franck Atlan, Sorin Daniel Iordache

{"title":"Antibiotic Treatment for Pyogenic Flexor Tenosynovitis Following Animal Bites.","authors":"Tal Frenkel Rutenberg, Alon Ben Uri, Omer Slevin, Yona Kosashvili, Franck Atlan, Sorin Daniel Iordache","doi":"","DOIUrl":"","url":null,"abstract":"Background: Pyogenic flexor tenosynovitis (PFT) is a common and severe hand infection. Patients who present early can be treated with intravenous antibiotics.Objectives: To determine whether PFT caused by animal bites and treated with antibiotics leads to a different outcome than other disease etiologies due to the extensive soft tissue insult and different bacterial flora.Methods: We conducted a retrospective cohort study of 43 consecutive patients who presented with PFT between 2013 and 2020. The 10 patients who presented with PFT following an animal bite were compared to those who presented with PFT caused by any other etiology.Results: Patients who were bitten pursued medical attention sooner: 1.9 ± 1.4 days compared with 5.3 ± 4.7 days (P = 0.001). Despite the quicker presentation, patients from the study group received similar antibiotic types and duration as controls. All patients were initially treated with intravenous antibiotics under surveillance of a hand surgeon. One patient (10%) from the study group and four controls (12%) were treated surgically (P = 1). Average follow-up was 17 ± 16 days. At the end of follow-up, one (10%) patient from the study group and three (9%) controls sustained mild range of motion limitation and one (3%) patient from the control group had moderate limitations (P = 0.855).Conclusions: Intravenous antibiotic treatment, combined with an intensive hand surgeon follow-up, is a viable option for the treatment of PFT caused by animal bites.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"26 5","pages":"304-308"},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913112","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

Machine Learning for Clinical Decision Support of Acute Streptococcal Pharyngitis: A Pilot Study. 用于急性链球菌性咽炎临床决策支持的机器学习：一项试点研究

IF 1.6 4区医学

Israel Medical Association Journal Pub Date : 2024-05-01

Oshrit Hoffer, Moriya Cohen, Maya Gerstein, Vered Shkalim Zemer, Yael Richenberg, Shay Nathanson, Herman Avner Cohen

{"title":"Machine Learning for Clinical Decision Support of Acute Streptococcal Pharyngitis: A Pilot Study.","authors":"Oshrit Hoffer, Moriya Cohen, Maya Gerstein, Vered Shkalim Zemer, Yael Richenberg, Shay Nathanson, Herman Avner Cohen","doi":"","DOIUrl":"","url":null,"abstract":"Background: Group A Streptococcus (GAS) is the predominant bacterial pathogen of pharyngitis in children. However, distinguishing GAS from viral pharyngitis is sometimes difficult. Unnecessary antibiotic use contributes to unwanted side effects, such as allergic reactions and diarrhea. It also may increase antibiotic resistance.Objectives: To evaluate the effect of a machine learning algorithm on the clinical evaluation of bacterial pharyngitis in children.Methods: We assessed 54 children aged 2-17 years who presented to a primary healthcare clinic with a sore throat and fever over 38°C from 1 November 2021 to 30 April 2022. All children were tested with a streptococcal rapid antigen detection test (RADT). If negative, a throat culture was performed. Children with a positive RADT or throat culture were considered GAS-positive and treated antibiotically for 10 days, as per guidelines. Children with negative RADT tests throat cultures were considered positive for viral pharyngitis. The children were allocated into two groups: Group A streptococcal pharyngitis (GAS-P) (n=36) and viral pharyngitis (n=18). All patients underwent a McIsaac score evaluation. A linear support vector machine algorithm was used for classification.Results: The machine learning algorithm resulted in a positive predictive value of 80.6 % (27 of 36) for GAS-P infection. The false discovery rates for GAS-P infection were 19.4 % (7 of 36).Conclusions: Applying the machine-learning strategy resulted in a high positive predictive value for the detection of streptococcal pharyngitis and can contribute as a medical decision aid in the diagnosis and treatment of GAS-P.","PeriodicalId":50268,"journal":{"name":"Israel Medical Association Journal","volume":"26 5","pages":"299-303"},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913185","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