The Israel Medical Association journal : IMAJ最新文献_第5页

A Dramatic Twist of Events Starting with Flank Pain. 从侧面疼痛开始的戏剧性转折。

The Israel Medical Association journal : IMAJ Pub Date : 2026-07-01

Milena Tocut, Noordeen Shreem, Itay Silbershatz, Gisele Zandman-Goddard

引用次数: 0

Postoperative Atrial Fibrillation Following Non-Cardiac Surgery: The Impact of Medical History and Surgical Type. 非心脏手术后心房颤动：病史和手术类型的影响。

The Israel Medical Association journal : IMAJ Pub Date : 2026-07-01

May-Tal Rofe-Shmuel, Hadar Goldshtein, Royi Barnea, Vered Baset, Avishag Laish-Farkash

{"title":"Postoperative Atrial Fibrillation Following Non-Cardiac Surgery: The Impact of Medical History and Surgical Type.","authors":"May-Tal Rofe-Shmuel, Hadar Goldshtein, Royi Barnea, Vered Baset, Avishag Laish-Farkash","doi":"","DOIUrl":"","url":null,"abstract":"Background: Postoperative atrial fibrillation (POAF) is well recognized after cardiac surgery; however, its incidence and clinical course following non-cardiac surgery (NCS) remain unclear.Objectives: To evaluate the association between POAF after NCS, patient co-morbidities, and type of surgery.Methods: In this retrospective cohort study, patients who underwent NCS at a private hospital network between 2016 and 2023 were included. Patients with a history of atrial fibrillation (AF) were excluded. Patients who developed POAF within 24-48 hours were compared with those who did not. To address baseline differences, propensity score matching (1:10) and inverse probability weighting combined with Firth's penalized logistic regression were applied. Odds ratios with 95% confidence intervals were calculated.Results: POAF developed in 174 patients within 24-48 hours postoperatively, compared with 391,329 controls. Older age, ischemic heart disease, diabetes, and prior stroke were associated with increased odds of POAF, although significance diminished after multivariable adjustment. Weighted regression confirmed these findings with narrower confidence intervals. Higher POAF risk was observed after laparoscopic pancreatectomy, hepatectomy, rectopexy, synovectomy, and gastrectomy. Total knee replacement was the most common procedure among POAF cases, representing 22% of cases and a fourfold increased risk.Conclusions: Advanced age and cardiovascular co-morbidities were associated with increased POAF risk after NCS, although attenuated after adjustment. Consistent findings across statistical models support the robustness of the results. Targeted monitoring in high-risk patients may improve postoperative outcomes.","PeriodicalId":524150,"journal":{"name":"The Israel Medical Association journal : IMAJ","volume":"28 7","pages":"438-443"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148682064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hospital Preparedness and Emergency Response during the First 72 Hours of Missile Attacks: Operational Lessons from Wartime Experience. 导弹袭击前72小时的医院准备和应急反应：战时经验的操作教训。

The Israel Medical Association journal : IMAJ Pub Date : 2026-07-01

Orit Mazza, Yuval Dadon, Amir Nutman, Uri Feinstein, Linoy Gabay, Anat Engel

引用次数: 0

An Irregular Ventricular Tachycardia Induced Reversible Cardiomyopathy. 不规则室性心动过速诱导可逆性心肌病。

The Israel Medical Association journal : IMAJ Pub Date : 2026-07-01

Ibrahim Marai, Bernard Belhassen

引用次数: 0

Patient Safety and Risk Management in Medicine: From Theory to Practice. 医学中的患者安全和风险管理：从理论到实践。

The Israel Medical Association journal : IMAJ Pub Date : 2026-07-01

Yaniv Sherer, Nachman Ash

引用次数: 0

Ethnic Disparity in Cervical Cancer Stage at Diagnosis at a Tertiary Medical Center in Northern Israel: A Retrospective Study. 以色列北部三级医疗中心宫颈癌诊断阶段的种族差异：一项回顾性研究。

The Israel Medical Association journal : IMAJ Pub Date : 2026-07-01

Nadine Rahal Adawi, Inbar Ben Shachar

{"title":"Ethnic Disparity in Cervical Cancer Stage at Diagnosis at a Tertiary Medical Center in Northern Israel: A Retrospective Study.","authors":"Nadine Rahal Adawi, Inbar Ben Shachar","doi":"","DOIUrl":"","url":null,"abstract":"Background: Differences in socioeconomic status and ethnicity are linked to disparities in health outcomes, which can affect how consistently patients treat abnormal screening results and cause minority groups to be diagnosed at more advanced stages of disease.Objectives: To compare epidemiological and clinical parameters between Jewish and Arab women who were diagnosed with cervical cancer at Ziv Medical Center during a 10-year period.Methods: We conducted a retrospective study of consecutive women diagnosed with cervical cancer at a single institution between 2014 and 2024.Results: Overall, 83 women diagnosed with cervical cancer in the last 10 years at Ziv Medical Center were included in the study: 53 Jewish (64.6%), 30 Arab (36.2%). The groups were similar in mean age at diagnosis, body mass index, smoking status, Pap history performance prior to the diagnosis, menopause status at diagnosis, stage at diagnosis, and treatment. Arab women had higher parity (< 0.001). According to the results of our study, the percentage of cervical cancer patients undergoing Pap screening, prior to diagnosis from the Arab and Jewish sectors, were 16.7% and 17%, respectively, compared to the national screening rate of 54%. Most of the women were diagnosed at an advanced stage (≥ IIB): 83.3% and 69.8%, respectively, compared to 25% in developed countries.Conclusions: Jewish and Arab women diagnosed with cervical cancer in northern Israel do not differ in epidemiological and clinical parameters, including age at diagnosis and stage. These findings may be attributed to the low performance rate of Pap screening tests in both groups.","PeriodicalId":524150,"journal":{"name":"The Israel Medical Association journal : IMAJ","volume":"28 7","pages":"433-437"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148681951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Healthcare-Seeking Behavior in Times of Crisis: Emergency Department Patterns due to Low Back Pain following the 7 October 2023 Israel-Hamas War and COVID-19 Lockdown. 危机时期的求医行为：2023年10月7日以色列-哈马斯战争和COVID-19封锁后腰痛导致的急诊部门模式

The Israel Medical Association journal : IMAJ Pub Date : 2026-07-01

Adi Lichtenstein, Ben Efrima, Yair Green-Halimi, Amit Benady, Guy Ben Arie, Nissim Khaimov, Assaf Albagli

{"title":"Healthcare-Seeking Behavior in Times of Crisis: Emergency Department Patterns due to Low Back Pain following the 7 October 2023 Israel-Hamas War and COVID-19 Lockdown.","authors":"Adi Lichtenstein, Ben Efrima, Yair Green-Halimi, Amit Benady, Guy Ben Arie, Nissim Khaimov, Assaf Albagli","doi":"","DOIUrl":"","url":null,"abstract":"Background: National crises can significantly impact healthcare utilization patterns yet analyses of different types of crises are limited. While the effects of the coronavirus disease 2019 (COVID-19) pandemic on emergency department (ED) utilization have been well-documented, the healthcare impact of the Israel-Hamas war, which began 7 October 2023, remains unexplored.Objectives: To compare ED utilization patterns for non-traumatic low back pain (LBP) during two distinct national crises.Methods: We conducted a retrospective observational study analyzing ED visits for non-traumatic LBP at our medical center. We compared ED utilization patterns, visual analog scale (VAS) pain scores, and surgical rates during 60 days before and after two distinct dates: 7 October 2023 and 19 March 2020 (the start of the COVID-19 lockdown). Statistical analysis included independent t-tests for continuous variables and chi-square tests for categorical variables.Results: Following 7 October, ED visits decreased by 28.6% (504 to 360). Mean VAS scores and surgery rates showed a non-significant increase from 5.5 ± 2.6 to 5.8 ± 2.4, and from 3.0% to 4.2%, respectively. During the COVID-19 lockdown, ED visits declined by 44.2%, with non-significant changes in pain scores (6.0 ± 3.0 to 5.5 ± 2.9) and surgical rates (3.5% to 2.5%).Conclusions: Both events led to significant reductions in ED utilization for non-traumatic LBP, despite the heightened risk factors. Surgical rates remained stable, yet many symptomatic patients may have foregone adequate care. These findings underscore the need for resilient, crisis-specific emergency preparedness strategies to ensure continued access to care.","PeriodicalId":524150,"journal":{"name":"The Israel Medical Association journal : IMAJ","volume":"28 7","pages":"416-420"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148681948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Impact of Achieving Sustained Viral Response with Direct Antiviral Agents in in HCV/HIV Co-infected Patients. 直接抗病毒药物对HCV/HIV合并感染患者实现持续病毒应答的影响

The Israel Medical Association journal : IMAJ Pub Date : 2026-07-01

Grace Haj, Nemer Sayed Ahmad, Roni Nasser, Fadi Abu Baker, Rawi Hazzan, Mifleh Tatour, Afif Yaacob, Tarek Saadi

{"title":"The Impact of Achieving Sustained Viral Response with Direct Antiviral Agents in in HCV/HIV Co-infected Patients.","authors":"Grace Haj, Nemer Sayed Ahmad, Roni Nasser, Fadi Abu Baker, Rawi Hazzan, Mifleh Tatour, Afif Yaacob, Tarek Saadi","doi":"","DOIUrl":"","url":null,"abstract":"Background: Co-infection with human immunodeficiency virus (HIV) and hepatitis C virus (HCV) affects approximately 2.2 million people globally and is associated with accelerated liver disease progression, increased morbidity, and reduced quality of life (QoL). While direct-acting antivirals (DAAs) have revolutionized HCV treatment with high cure rates, evidence of their long-term impact on liver-related QoL and associated metabolic or immunologic shifts in HIV/HCV co-infected populations remains limited.Objectives: To evaluate the effect of achieving sustained virologic response (SVR) with DAAs on long-term QoL in HIV/HCV co-infected patients and to examine associated changes in CD4 count, kidney function, and glucose levels.Methods: This retrospective observational study was conducted at the Rambam Health Care Campus, between 2015 and 2019. We collected demographic, clinical, and laboratory data from all patients with HIV/HCV co-infection. QoL was evaluated for at least 6 months after the end of treatment. Metabolic variables were collected before and after treatment to test the effects of treatment.Results: All 70 patients in the cohort achieved SVR. Successful treatment with DAAs resulted in a significant decrease in liver enzymes and globulin levels, and a substantial increase in CD4. A significant improvement in QoL after treatment was noticed in both sexes, regardless of liver fibrosis stage. FIB-4 calculations 6 months and 1 year after the end of therapy showed improved fibrosis levels after SVR.Conclusions: The use of DAAs in HCV/HIV co-infected patients has improved the long-term QoL, metabolic factors, and fibrosis stage.","PeriodicalId":524150,"journal":{"name":"The Israel Medical Association journal : IMAJ","volume":"28 7","pages":"444-449"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148682006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Balloon Aortic Valvuloplasty as a bridge to Transcatheter Aortic Valve Implantation in a High-risk Patient with Severe Aortic Stenosis. 球囊主动脉瓣成形术作为经导管主动脉瓣植入术的桥梁在高危重度主动脉瓣狭窄患者中的应用。

The Israel Medical Association journal : IMAJ Pub Date : 2026-07-01

Dante Antonelli, Yoav Turgeman, Rafael Wolff, Avi Sebanciev, Meir Tabi

引用次数: 0

Embedded Freshwater Snail in the Hand Following Rafting Trauma: A Rare Case Report. 漂流后手部内嵌淡水蜗牛一例罕见病例报告。

The Israel Medical Association journal : IMAJ Pub Date : 2026-07-01

Raphael Israeli, Haim Izchak, Gil Gannot, Amir Oron

引用次数: 0