Arrhythmic Events in Brugada Syndrome: A Nationwide Israeli Survey of the Clinical Characteristics, Treatment; and Long-Term Follow-up (ISRABRU-VF).
Authors: Leshem E, Rahkovich M, Mazo A, Suleiman M, Blich M, Laish-Farkash A, Konstantino Y, Fogelman R, Strasberg B, Geist M, Chetboun I, Swissa M, Ilan M, Glick A, Michowitz Y, Rosso R, Glikson M, Belhassen B Abstract BACKGROUND: Limited information exists about detailed clinical characteristics and management of the small subset of Brugada syndrome (BrS) patients who had an arrhythmic event (AE). OBJECTIVES: To conduct the first nationwide survey focused on BrS patients with documented AE. METHODS: Israeli electrophysiology units participated if they had treated BrS patients who had cardiac arrest (CA) (...
Source: The Israel Medical Association Journal - May 19, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Risk Factors for Complications of Total/Subtotal Gastrectomy for Gastric Cancer: Prospectively Collected, Based on the Clavien-Dindo Classification System.
Authors: Nevo Y, Goldes Y, Barda L, Nadler R, Gutman M, Nevler A Abstract BACKGROUND: Recent studies have analyzed risk factors associated with complications after gastric cancer surgery using the Clavien-Dindo classification (CD). However, they have been based on Asian population cohorts (Chinese, Japanese, Korean). OBJECTIVES: To prospectively analyze all post-gastrectomy complications according to severity using CD classification and identify postoperative risk factors and complications. METHODS: We analyzed all gastrectomies for gastric cancer performed 2009-2014. Recorded parameters included demographi...
Source: The Israel Medical Association Journal - May 19, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Emergency Department Administration of Oxycodone by Nurses Treating Musculoskeletal Pain: An Observational Prospective.
Authors: Khoury M, Caspi S, Stalnikowics R, Peless E, Raiizman E, Salameh S Abstract BACKGROUND: Acute musculoskeletal pain is one of the most commonly reported symptoms among patients visiting the emergency department (ED). Treatment with over-the-counter pain medications, given by nurses, results in improved pain management and reduces the waiting time to drug administration without significant side effects. Opioid analgesics are extensively used for acute pain in the ED. Compared to morphine, oxycodone has a much more specific pharmacological activity, higher analgesic potential, and more tolerable side effects....
Source: The Israel Medical Association Journal - May 19, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Neonatal Risk Factors for Colonization with Extended-Spectrum Beta-Lactamase-Producing Bacteria in the Neonatal Intensive Care Unit.
Authors: Leikin-Zach V, Shany E, Yitshak-Sade M, Eshel R, Shafat T, Borer A, Melamed R Abstract BACKGROUND: Extended-spectrum beta-lactamase (ESBL) production is the most common antimicrobial resistance mechanism in the neonatal intensive care unit (NICU), with colonization and blood stream infections being a major threat to this population. Since 2013, all NICU admissions at our facility were screened twice weekly for ESBL colonization. OBJECTIVES: To determine independent risk factors for colonization of infants with ESBL-producing bacteria in the NICU. METHODS: A retrospective case study of ESBL-colonize...
Source: The Israel Medical Association Journal - May 19, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Screening Arab Israeli Pregnant Women for Group B Streptococcus by the AmpliVue GBS Assay: Are the Rates Higher than the National Average?
CONCLUSIONS: The carrier rate in Arab pregnant women in northern Israel is higher than the national average, at least partially due to the more sensitive method of GBS detection used in the present study. PMID: 29761674 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - May 19, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Telomere Length, Aggregates, and Capture in Cirrhosis.
CONCLUSIONS: While shortened telomeres in peripheral lymphocytes are a general marker of liver cirrhosis, telomere aggregates may signify a more sensitive genetic instability parameter for the diverse, etiology-based malignant potential of cirrhosis. This finding is in agreement with the well-known higher tendency toward developing hepatocellular carcinoma with cirrhosis caused by chronic hepatitis relative to steatohepatitis. PMID: 29761675 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - May 19, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Planned Re-Laparotomy in a Non-Trauma Setting: A Single Center Experience.
CONCLUSIONS: PRL in abdominal emergencies carries a high mortality rate. Primary anastomosis may be considered in non-trauma-related PRL. PMID: 29761676 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - May 19, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Pleural Fluid B-Type Natriuretic Peptide Level as an Additional Indicator for the Fluid's Etiology.
Authors: Zalts R, Twizer T, Leiba R, Karban A Abstract BACKGROUND: The identification of the etiology of a pleural effusion can be difficult. Measurement of serum B-type natriuretic peptide (BNP) levels is helpful in the diagnosis of congestive heart failure (CHF) as a cause of respiratory failure, but pleural fluid BNP measurement is still not part of the workup for pleural effusion. OBJECTIVES: To identify the correlation between pleural fluid BNP levels and clinical diagnosis. METHODS: In this cross-sectional study, data from 107 patients admitted to the department of internal medicine between November 2...
Source: The Israel Medical Association Journal - May 19, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Ultrasound of Jugular Veins for Assessment of Acute Dyspnea in Emergency Departments and for the Assessment of Acute Heart Failure.
CONCLUSIONS: Ultrasound of the IJV may be a useful tool for the diagnosis of ADHF because it is easy to measure and requires little skill. It is also not affected by patient body habitus. PMID: 29761678 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - May 19, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Gender-Related Differences in Outcomes of Patients with Cardiac Resynchronization Therapy.
Authors: Nevzorov R, Porter A, Mostov S, Kazum S, Eisen A, Goldenberg G, Iakobishvili Z, Kusniec J, Golovchiner G, Strasberg B, Haim M Abstract BACKGROUND: Gender-related differences (GRD) exist in the outcome of patients with cardiac resynchronization therapy (CRT). OBJECTIVES: To assess GRD in patients who underwent CRT. METHODS: A retrospective cohort of 178 patients who were implanted with a CRT in a tertiary center 2005-2009 was analyzed. Primary outcome was 1 year mortality. Secondary endpoints were readmission and complication rates. RESULTS: No statistically significant difference was found in 1...
Source: The Israel Medical Association Journal - May 19, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

The History of the Low Transverse Cesarean Section: The Pivotal Role of Munro Kerr.
Authors: Peleg D, Burke YZ, Solt I, Fisher M Abstract BACKGROUND: Cesarean section has undergone a transformation that has radically changed the prognosis of both the pregnant woman and her unborn child. The attributed mortality rate of Cesarean section during the 19th century was over 50% worldwide. Today, mortality from Cesarean delivery is rare. However, the technique of transversely incising the uterus in its lower uterine segment, although less than a century old, is passed on from instructor to apprentice, often without either of them being aware of its noble history. In this brief review, we discuss the repo...
Source: The Israel Medical Association Journal - May 19, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Milestones in the Development of Fetal Cardiac Interventions.
Authors: Abinader EG Abstract BACKGROUND: Cardiac patients of all ages were managed in the past by internists who specialized in cardiology. During the past 50 years, the medical field has witnessed great strides in the management of congenital heart disease, and thus pediatric cardiology has become a subspecialty in many countries. This review article focuses on the advances in fetal cardiac interventions (FCI) since its inception by our group in 1975. Three major modes of FCI have evolved during the past 42 years: pharmacologic, closed FCI, and open FCI. All treatments require a careful approach by the heart team...
Source: The Israel Medical Association Journal - May 19, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Plasmapheresis in a Patient with Sarcoidosis Who Developed Multiple Myeloma and Massive Free Kappa Light Chains Nephropathy.
Authors: Markel A, Habashe N, Aviv A, Monich O, Elmalah I, Marei N, Tovbin D PMID: 29761682 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - May 19, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Epipericardial Fat Necrosis.
Authors: Friedman YE, Gayer G, Livne Margolin M, Kneller A, Mouallem M PMID: 29761683 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - May 19, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Single Coronary Artery Presenting as Acute Coronary Syndrome with Sudden Cardiac Death.
Authors: Kalmanovich E, Blatt A, Elbaz-Greener GA PMID: 29761684 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - May 19, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

The Added Value of the Lateral Chest Radiograph for Diagnosing Community Acquired Pneumonia in the Pediatric Emergency Department.
CONCLUSIONS: The lateral chest radiograph improves the diagnosis of pediatric community acquired pneumonia to a certain degree and may prevent overtreatment with antibiotics. PMID: 29658199 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - April 17, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Detection of Ureaplasma Species by a Semi-Quantitative PCR Test in Urine Samples: Can It Predict Clinical Significance?
CONCLUSIONS: The significant difference between the symptomatic and asymptomatic group in the highest positivity group for U. parvum using the Anyplex™ STI-7 detection kit in urine may indicate a high probability of infection rather than colonization, especially in women and young patients. PMID: 29658200 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - April 17, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Enhancement of Standard ECGs by a New Method for Multi-Cycle Superimposition and Summation.
Authors: Frimerman A, Meisel S, Shotan A, Blondheim DS Abstract BACKGROUND: Since the introduction of the electrocardiogram (ECG) in 1902, the fundamentals of ECG data acquisition, display, and interpretation in the clinical arena have not changed much. OBJECTIVES: To present a new method to enhance and improve acquisition, analysis, and display of the standard ECG. METHODS: We performed ECG enhancement by superimposition and summation of multiple standard ECG cycles of each lead, by temporal alignment to peak R wave and voltage alignment to an improved baseline, at the T-P segment. RESULTS: We enhanced...
Source: The Israel Medical Association Journal - April 17, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Physical Training in a Medical Fitness Room for Patients with Chronic Diseases: Functional and Metabolic Outcomes.
Authors: Tayer-Shifman OE, Bar-On Y, Pereg D, Hershko AY Abstract BACKGROUND: Physical inactivity is a pivotal factor in the development and progression of various chronic diseases. However, most fitness facilities exclude unhealthy individuals. Therefore, an exercise program that admits such patients is imperative. OBJECTIVES: To evaluate the effectiveness of a fitness facility that admits adult subjects with multiple chronic diseases. METHODS: We conducted a retrospective screening of patient records from the Medical Fitness Facility at Meir Medical Center, Israel. Intake of subjects was done by a multidi...
Source: The Israel Medical Association Journal - April 17, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Crohn's Disease Behavior and Location is Altered when Associated with Primary Sclerosing Cholangitis.
Authors: Iny O, Yanai H, Matalon S, Santo E, Shibolet O, Dotan I, Maharshak N Abstract BACKGROUND: Up to 3.4% of Crohn's disease (CD) patients will be diagnosed with concomitant primary sclerosing cholangitis (PSC). Despite the worldwide increase incidence of CD, data on the clinical characteristics of PSC-CD patients are scarce. OBJECTIVES: To clinically characterize CD in patients who have concomitant PSC. METHODS: A retrospective case-control analysis was conducted with 18 CD patients with concomitant PSC who attended the Inflammatory Bowel Disease Center at the Tel Aviv Sourasky Medical Center between 2...
Source: The Israel Medical Association Journal - April 17, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

The Impact of Surgeons: Pathologists Dialog on Lymph Node Evaluation of Colorectal Cancer Patients.
CONCLUSIONS: A durable improvement in LN evaluation was realized through a multi-pronged change initiative aimed at both surgeons and pathologists. PMID: 29658204 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - April 17, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Reduced Suprathreshold Odor Identification in Patients with Pseudotumor Cerebri: A Non-Randomized Prospective Study.
CONCLUSIONS: Many PTC patients have reduced suprathreshold olfactory dysfunction that can be discovered by UPSIT, a rapidly administered smell test, which is suitable for clinical office use. PMID: 29658205 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - April 17, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Awareness and Functional Outcome of Hip Fracture-Related Falls among Patients with a History of Recurrent Falling.
CONCLUSIONS: Awareness of the syndrome of recurrent falling is extremely low. Recurrent falls before a hip fracture-related fall is associated with substantial loss of functional independence. Being a recurrent faller adversely affects rehabilitation outcome of hip fracture patients. PMID: 29658206 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - April 17, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Ablation-Induced Change in the Course of Fascicular Tachycardia.
CONCLUSIONS: The change in FT morphology during ablation may be associated with a change in clinical course when shifting from one route to another and may aggravate symptoms. Targeting of the proximal conduction system (such as bifurcation, LPF, left anterior fascicle, high septal/auxiliary pathway) may serve to solve this problem. PMID: 29658207 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - April 17, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Exercise in the Management of Chronic Diseases: An Underfilled Prescription.
Authors: Sharif K, Amital H PMID: 29658208 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - April 17, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Upper Extremity Deep Vein Thrombosis: Symptoms, Diagnosis, and Treatment.
Authors: Mustafa J, Asher I, Sthoeger Z Abstract BACKGROUND: Upper extremity deep vein thrombosis (UEDVT) is defined as thrombosis of the deep venous system (subclavian, axillary, brachial, ulnar, and radial veins), which drains the upper extremities. It can be caused by thoracic outlet anatomic obstruction, such as Paget-Schroetter syndrome, (primary) or by central intravenous catheters (secondary). UEDVT may be asymptomatic or present with acute severe pain and arm swelling. Clinical suspicion should be confirmed by diagnostic imaging procedures such as duplex ultrasound, computed tomography scan, or magnetic res...
Source: The Israel Medical Association Journal - April 17, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Septic Sacroiliitis: A Diagnostic Challenge for the Clinician.
Authors: Shemer A, Eshed I, Levinkopf M PMID: 29658210 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - April 17, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

A Case of a Retrocardiac Mass.
Authors: Pavlov A, Barnes S PMID: 29658211 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - April 17, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Tick-Borne Relapsing Fever with Severe Jarisch-Herxheimer Reaction.
Authors: Koton Y, Bisharat N PMID: 29658212 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - April 17, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Successful Use of a Reduced Dose Regimen of Rituximab in a Case of Rheumatoid Arthritis with Raynaud's Syndrome.
Authors: Ivanova R, Goremykina M, Glushkova N, Vento S PMID: 29658213 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - April 17, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

My Medicine, My body: The Serious Physician becomes a Serious Patient.
Authors: Clarfield AM PMID: 29658214 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - April 17, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Born in Auschwitz and Survived: A Triumph Over Murderers.
Authors: Weisz GM, Kwiet K Abstract BACKGROUND: The discovery of Jewish babies who were born in Nazi concentration camps and survived seems miraculous, but this phenomenon did occur toward the end of World War II. The lives of a small group of mothers and surviving children are of both historical and medical interests. Their survival shows additional support for the hypothesis that maternal nutrition can induce metabolic syndrome and bone demineralization in their offspring. Information obtained through direct contact with some of the surviving children is the basis for this article. PMID: 29629724 [PubMed - in...
Source: The Israel Medical Association Journal - April 10, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Aging of Holocaust Survivors: Discrepancies Between Subjective and General Health in the greater Tel Aviv Area.
Authors: Ohana I, Golander H, Barak Y Abstract BACKGROUND: Aging has been associated with perceived lowering of health, especially in post-traumatic individuals. The effects may be more complex or even different for Holocaust survivors as they age due to their inherited resilience and life perspective. A cross-sectional study was conducted of Holocaust survivors and a matched comparison group recruited from the general Israeli population. All participants underwent a personal interview and completed the Cumulative Illness Rating Scale and a survey of subjective Likert-scale questions about perceived health. The stu...
Source: The Israel Medical Association Journal - April 10, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

The Significance of Routine Computer Tomography in Evaluation of Asymptomatic Postoperative War Trauma Patients Transferred from Syria for Further Treatment.
Authors: Kakiashvili E, Mansour M, Weiss M, Barhoum M, Khatib K, Bickel A PMID: 29629726 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - April 10, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

The Association of an Elevated Thrombocyte Count with Clinicopathological Prognostic Factors and Survival in Patients with Uterine Carcinosarcoma.
CONCLUSIONS: No association between an elevated thrombocyte count and prognosis was found. Larger studies are needed to clarify this issue. PMID: 29629727 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - April 10, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

The Impact of Drug Metabolism Gene Polymorphisms on Therapeutic Response and Survival in Diffuse Large B-Cell Lymphoma Patients.
CONCLUSIONS: Our results could not confirm that genetic polymorphism in metabolic pathways has any predictive role in DLBCL. PMID: 29629728 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - April 10, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Depression Among Older Adults with Diabetes in Israel: Pattern of Symptoms and Risk Factors.
Authors: Bashkin O PMID: 29629729 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - April 10, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Icatibant Outcome Survey in Patients with Hereditary Angioedema: Experience in Israel Compared with Other Countries.
CONCLUSIONS: Recognition of C1-INH-HAE and timeliness of icatibant treatment appear more favorable, and attack duration shorter, in Israel compared with other countries. PMID: 29629730 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - April 10, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

The Effect of Mineralocorticoid Receptor Antagonists on Recruitment and Function of Endothelial Progenitor Cells in Patients with Congestive Heart Failure.
CONCLUSIONS: These preliminary results suggest that mineralocorticoid receptor blockade may enhance endothelial progenitor cells recruitment in patients with compensated heart failure. PMID: 29629731 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - April 10, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Effect of Tocilizumab on Fatigue and Bone Mineral Density in Patients with Rheumatoid Arthritis.
Authors: Abu-Shakra M, Zisman D, Balbir-Gurman A, Amital H, Levy Y, Langevitz P, Tishler M, Molad Y, Aamar S, Roser I, Avshovich N, Paran D, Reitblat T, Mader R, Savin H, Friedman J, Lieberman N, Ehrlich S Abstract BACKGROUND: Chronic fatigue is common among patients with rheumatoid arthritis (RA), affecting quality of life. Osteoporosis is a prevalent co-morbidity in RA patients. OBJECTIVES: To assess the effect of long-term treatment with tocilizumab on fatigue and bone mineral density (BMD) in RA patients with inadequate response to synthetic or biologic disease-modifying anti-rheumatic drugs. METHODS: I...
Source: The Israel Medical Association Journal - April 10, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Exercise Hemodynamics for the Diagnosis of Diastolic Dysfunction in Dyspneic Patients with Systemic Sclerosis.
CONCLUSIONS: In symptomatic SSc patients, exercise hemodynamics provides important information on diastolic dysfunction that is not available with non-invasive testing. Findings on exercise RHC can explain patient symptoms in up to 50% of cases. Earlier and more accurate diagnosis of patient symptoms can aid in tailoring the correct therapy for each. PMID: 29629733 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - April 10, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Changes of Sperm Parameters Along Time Among Groups of Different Qualities.
CONCLUSIONS: Our results suggest that, although there were changes in sperm quality over time in the groups assessed, the clinical significance is negligible and does not necessarily justify a change in the therapeutic approach to infertility or sperm cryopreservation. PMID: 29629734 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - April 10, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

The Task Force for the Promotion of the Status of Women in Medicine in Israel.
Authors: Borow M, Levi B, Carmi R Abstract BACKGROUND: In this article, we offer a brief summary of the report from the Task Force for the Promotion of the Status of Women in Medicine in Israel. The task force, formed by the Israel Medical Association in 2013, published a comprehensive report in May 2015 dedicated to the promotion of equal opportunities for female doctors in the Israeli healthcare system and in the academic world. The aim of this paper is to present the work of the task force and to highlight its main principles and recommendations against the backdrop of the gender revolution in the Israeli health...
Source: The Israel Medical Association Journal - April 10, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Degenerative Osteoarthritis with Multiple Joint Arthroplasties Due to Alkaptonuria, a Rare Inborn Error of Tyrosine Metabolism.
Authors: Hakim R, Rozen N, Zatkova A, Krausz J, Elmalah I, Spiegel R PMID: 29629736 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - April 10, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Self-limited Rheumatoid Meningitis as a Presenting Symptom of Rheumatoid Arthritis.
Authors: Finkelshtein V, Lampl Y, Lorberboym M, Kanner A, Ben-Ami Raichman D, Dabby R, Tanay A PMID: 29629737 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - April 10, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

The Heart in Rheumatic, Autoimmune and Inflammatory Diseases: Pathophysiology, Clinical Aspects and Therapeutic Approaches, 1st edition.
Authors: Nussinovitch U PMID: 29575828 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - March 28, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Corticosteroid Therapy in Combination with Antibiotics for Erysipelas.
CONCLUSIONS: Combining prednisone with antibiotics for the treatment of erysipelas should be considered, especially in severe cases. In addition, a prospective double-blind study should be conducted to verify these conclusions. PMID: 29527848 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - March 14, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

How Prevalent is Hydronephrosis Secondary to Acute Appendicitis: A Cross-Sectional Study.
CONCLUSIONS: Our study shows that 3.5% of our cohort had right hydronephrosis secondary to acute appendicitis. Although this presentation is very rare, physicians should be aware of this phenomenon and the risk for delayed diagnosis and treatment of acute appendicitis. PMID: 29527849 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - March 14, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Use of Aromatase Inhibitors in IVF for Fertility Preservation of Non-Breast Cancer Patients: A Case Series.
CONCLUSIONS: COH with aromatase inhibitors is apparently effective in non-breast cancer patients and spares exposure to high E2 levels. PMID: 29527850 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - March 14, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Structured, Protocol-Based Pulse-Oximetry Measurement Improves the Evaluation of Hypoxemic Patients at Hospital Admission.
Authors: Carmel-Neiderman NN, Goren I, Wasserstrum Y, Frenkel Rutenberg T, Barbarova I, Rapoport A, Lotan D, Ramaty E, Peltz-Sinvani N, Brom A, Kogan M, Panina Y, Rosman M, Friedrich C, Gringauz I, Dagan A, Kliers I, Ziv-Baran T, Segal G Abstract BACKGROUND: Accurate pulse oximetry reading at hospital admission is of utmost importance, mainly for patients presenting with hypoxemia. Nevertheless, there is no accepted or evidence-based protocol for such structured measuring. OBJECTIVES: To devise and assess a structured protocol intended to increase the accuracy of pulse oximetry measurement at hospital admission...
Source: The Israel Medical Association Journal - March 14, 2018 Category: General Medicine Tags: Isr Med Assoc J Source Type: research