Sedation Provided for Consultations in the Pediatric Emergency Department: Another Perspective.
CONCLUSIONS: Sedation is very important for patients and although consultants understand its importance, the emergency department staff must be vigilant in both being available and not allowing procedures to "escape" the use of sedation. PMID: 31927797 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - January 14, 2020 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Survival Benefit in Patients with Heart Failure Treated in Specialized Heart Failure Center within the Community.
CONCLUSIONS: Joint management of heart failure by primary clinics and a specialized community heart failure center reduced mortality. There was no decrease in healthcare utilizations among heart failure center patients, despite the reduction in mortality. PMID: 31927798 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - January 14, 2020 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Transvaginal Natural Orifice Transluminal Endoscopic (vNOTES) Hysterectomy Learning Curve: Feasibility in the Hands of Skilled Gynecologists.
CONCLUSIONS: vNOTES hysterectomy is feasible by an experienced gynecologist, with an exponential improvement in surgical performance in a short period as expressed by the improvement in hysterectomy time, low complication rates, negligible blood loss, minimal post-surgical pain, fast recovery, and short hospitalization. vNOTES allows easier and safer access to adnexal removal compared to conventional vaginal surgery. PMID: 31927799 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - January 14, 2020 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Morbidity and Mortality Following Endovascular Repair of Abdominal Aortic Aneurysms in the Elderly.
CONCLUSIONS: EVAR in the elderly can be performed with a high rate of success; however, it is associated with a substantial rate of morbidity and mortality, particularly when patients present with multiple co-morbidities. When performing EVAR in this population group, the risk of rupture must be considered opposed to the life expectancy of these patients and the risk of perioperative morbidity and mortality. PMID: 31927800 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - January 14, 2020 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Stereotactic Radiosurgery for Brain Metastases in Small Cell Lung Cancer: The Davidoff Cancer Center Experience.
CONCLUSIONS: MRI surveillance with multiple rounds of SRS may serve a reasonable alternative to PCI or therapeutic WBRT in SCLC. PMID: 31927801 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - January 14, 2020 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Assessment of the Association Between Congenital Heart Defects and Brain Injury in Fetuses through Magnetic Resonance Imaging.
CONCLUSIONS: Fetuses with CHD demonstrate findings in brain MRI that suggest an in utero pathogenesis of the neurological and cognitive anomalies found during child development. PMID: 31927802 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - January 14, 2020 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Geographic Heterogeneity for Mismatch Repair Proteins Is Associated with Defects in DNA Repair.
CONCLUSIONS: Geographic heterogeneity may raise a suspicion for a MMR-deficient case, which should be further analyzed using additional methodologies such as MSI analysis. PMID: 31927803 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - January 14, 2020 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Smartphone Based Timed Up and Go Test Can Identify Postural Instability in Parkinson's Disease.
Authors: Yahalom G, Yekutieli Z, Israeli-Korn S, Elincx-Benizri S, Livneh V, Fay-Karmon T, Tchelet K, Rubel Y, Hassin-Baer S Abstract BACKGROUND: There is a need for standardized and objective methods to measure postural instability (PI) and gait dysfunction in Parkinson's disease (PD) patients. Recent technological advances in wearable devices, including standard smartphones, may provide such measurements. OBJECTIVES: To test the feasibility of smartphones to detect PI during the Timed Up and Go (TUG) test. METHODS: Ambulatory PD patients, divided by item 30 (postural stability) of the motor Unified Parkin...
Source: The Israel Medical Association Journal - January 14, 2020 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Bogota Bag Temporary Abdominal Closure Surgical Technique in Children: A 15-Year Single Center Experience.
CONCLUSIONS: This report represents the largest series of children treated with BB. The technique is simple to perform, inexpensive, and has very few complications. PMID: 31927805 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - January 14, 2020 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

A Novel Tool for Nasal Polyp Investigation: An Ex vivo Organ Culture System.
CONCLUSIONS: The ex vivo nasal polyp organ culture reproduces the physiological, metabolic, and cellular features of nasal polyps. Furthermore, it shows a preserved capacity for viral infection and response to drugs. This system is a useful tool for the investigation nasal-polyps and for the development of novel therapies. PMID: 31927806 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - January 14, 2020 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Rare Primary Retroperitoneal Neoplasms.
CONCLUSIONS: Familiarity with radiologic characteristics of PRN is important for appropriate management. Counter to STS, other PRN are mostly benign and have an indolent course. Radical surgery is not required, as complete TR confers good prognosis. Expectant management is reserved for small, asymptomatic, benign neoplasms. PMID: 31927807 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - January 14, 2020 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

The Aspirin Primary Prevention Conundrum.
Authors: Schamroth Pravda M, Schamroth Pravda N, Beigel Y, Matetzky S, Beigel R Abstract BACKGROUND: In this review, the authors re-examine the role of aspirin in the primary prevention of cardiovascular disease. They discuss the history of the use of aspirin in primary prevention, the current guidelines, and the recent evidence surrounding aspirin use as primary prevention in special populations such as those with moderate cardiovascular risk, diabetes mellitus, and the elderly. PMID: 31927808 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - January 14, 2020 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Parapet Along the Roof: Injury Prevention in the Context of an Ancient, But Still Relevant, Commandment.
Authors: Cohen O, Freud E Abstract BACKGROUND: Falling from a height accounts for 14.1% of all hospital admissions for traumatic injury. In 5% of cases, the injury is severe or critical, and in 1.5%, it is fatal. The dangers of falling have been recognized since time immemorial. Indeed, the Bible instructs us to build a parapet around the roof of our home so that, "…you may not bring the guilt of bloodshed on your house if someone falls from it" (Deuteronomy 22:8). This commandment highlights the relatively simple and practical means by which we can prevent falls. It is also one of a series of ethi...
Source: The Israel Medical Association Journal - January 14, 2020 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Inter-observer Reliability and Concurrent Validity of Reactive Balance Strategies after Stroke.
CONCLUSIONS: A trained examiner can reliably classify reactive balance responses to surface perturbations. The high frequency of falls observed in PwS highlights the importance of assessing reactive balance responses to different directions and intensities of surface translations. PMID: 31814338 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - December 11, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Isolated Traumatic Brain Injury in the Very Old.
CONCLUSIONS: There is a lack of reliable means to evaluate the outcome in patients with poor functional status at baseline. The negative prognostic impact of severe TBI is profound, regardless of treatment choices. PMID: 31814339 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - December 11, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Prevalence of Asthma among Young Men Residing in Urban Areas with Different Sources of Air Pollution.
CONCLUSIONS: Both industrial- and traffic-related air pollution have a negative effect on asthma risk in young males. Studies evaluating the association between asthma risk and specific air pollutants (e.g., sulfur dioxide, particulate matter, and nitrogen dioxide) are needed to ascertain the effects of individual air pollutants on asthma occurrence. PMID: 31814340 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - December 11, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

The Utility of Prophylactic Pacemaker Implantation in Right Bundle Branch Block Patients Pre-Transcatheter Aortic Valve Implantation.
CONCLUSIONS: In patients with baseline pre-TAVI RBBB, no outcome differences were found with prophylactic PPI. On multivariate analysis, predictors of the need for pacing included baseline long PR interval, and the use of newer generation valves. PMID: 31814341 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - December 11, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Developing a Comprehensive Geriatric Genogram Assessment Tool.
CONCLUSIONS: We showed the benefits and obstacles related to the adaptation of this new tool and provide recommendations for further development. PMID: 31814342 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - December 11, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

The Accuracy of Sonographic Assessment for Fetal Weight: Technicians versus Ultrasound-Certified Physicians.
Authors: Rottenstreich A, Yanai N, Yagel S, Porat S Abstract BACKGROUND: Sonographic estimation of birth weight may differ among evaluators due to its operator-dependent nature. OBJECTIVES: To compare the accuracy of estimation of fetal birth weight by sonography between ultrasound-certified physicians and registered diagnostic medical technicians. METHODS: The authors reviewed ultrasound examinations that had been performed by either technicians or ultrasound-certified obstetricians between 2010 and 2017, and within 2 days of delivery. Inclusion criteria were: singleton viable pregnancy, details of four ul...
Source: The Israel Medical Association Journal - December 11, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Deep Neck Infections Are Life Threatening Infections of Dental Origin: a Presentation and Management of Selected Cases.
CONCLUSIONS: DNI treatment on an emergency basis requires proper diagnosis and effective management. To confirm diagnosis and prevent serious complications, it is essential for physicians to recognize the spaces of the head and neck that are likely to be affected by DNI. PMID: 31814344 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - December 11, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Repeated Intravenous Amantadine Infusions in Advanced Parkinsonism: Experience of a Large Movement Disorder Center.
CONCLUSIONS: Our data suggest that repeated IVAM infusions could be an effective treatment against various motor symptoms and for improvement of mobility in patients with advanced Parkinsonism. Further randomized clinical trials with a larger sample size using objective measures are warranted to validate our results. PMID: 31814345 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - December 11, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Long-term Outcomes of Contemporary Coronary Revascularization by Percutaneous Coronary Intervention or Coronary Artery Bypass Grafting in Young Adults.
Authors: Leviner DB, Witberg G, Sharon A, Boulos Y, Barsheshet A, Sharoni E, Spiegelstein D, Vaknin-Assa H, Aravot D, Kornowski R, Assali A Abstract BACKGROUND: Current guidelines for choosing between revascularization modalities may not be appropriate for young patients. OBJECTIVES: To compare outcomes and guide treatment options for patients
Source: The Israel Medical Association Journal - December 11, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Weight Regain Following Roux-en-Y Gastric Bypass: Etiology and Surgical Treatment.
Authors: Dayan D, Kuriansky J, Abu-Abeid S Abstract BACKGROUND: The Roux-en-Y gastric bypass (RYGB) surgery helps patients achieve excellent excess weight loss, with subsequent improvement or resolution of co-morbidities. However, up to 20% of all RYGB patients, and 40% of the super morbidly obese, experience significant weight regain. The etiology of weight regain is multifactorial; hence, multidisciplinary management is mandatory. Revision options for failed conservative and medical management include resizing the restrictive component of the bypass or intensifying malabsorption. While improvement of restriction ...
Source: The Israel Medical Association Journal - December 11, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Right Bundle Branch Block in Patients Undergoing Transcatheter Aortic Valve Implantation: Are There Clinical Implications?
Authors: Laish-Farkash A PMID: 31814348 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - December 11, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Accuracy of Sonographic Estimated Fetal Weight: Is there Still Room for Improvement?
Authors: Bardin R, Gabbay-Benziv R PMID: 31814349 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - December 11, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Total Femur Replacement Using a Humeral Reconstruction Component in a 36-month-Old Ewing Sarcoma Patient.
Authors: Segal O, Kollander Y, Gosheger G PMID: 31814350 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - December 11, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Hand Deformities in the Paintings of Giacomo Ceruti (1698-1767), Nicknamed 'il Pitocchetto' for his Depictions of the Poor.
Authors: Weisz GM, Albury WR Abstract BACKGROUND: Giacomo Ceruti was a renowned painter in northern Italy during the middle third of the 18th century, although he is not well-known today. He produced pictures in several different genres but his reputation after his death was based primarily on his portrayal of beggars and poor working people; hence, his posthumous nickname, il Pitocchetto, the little beggar. Of medico-artistic interest is the realism with which he depicted the hands of his impoverished subjects, a quality that enables them to be examined for signs of pathology or trauma. The present article display...
Source: The Israel Medical Association Journal - November 16, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Validation of Clinical Vignettes to Explore Medical Cannabis Practices.
CONCLUSIONS: While controversies related to medical cannabis are expected to remain rampant, the validated vignettes may facilitate assessment of clinical practices, which is essential for a successful implementation of medical cannabis policies. These vignettes may additionally be used in medical training for appropriate patient selection for medical cannabis authorization. PMID: 31713356 [PubMed - indexed for MEDLINE] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - November 16, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Correlation Between the Sleep-Position Habits and the Affected Posterior Semicircular Canal in Patients with Benign Paroxysmal Positional Vertigo.
Authors: Yousovich R, Duvdevani SI, Lipschitz N, Wolf M, Migirov L, Yakirevitch A Abstract BACKGROUND: Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo. It is assumed that sleep is involved in the pathogenesis of BPPV, and that habitual head-lying side during sleep correlates with the affected side in the posterior semicircular canal BPPV. OBJECTIVES: To investigate the relationship between the preferred sleeping position and the affected semicircular canal in patients with BPPV. METHODS: We performed a retrospective data review of patients seeking help for vertigo/dizziness w...
Source: The Israel Medical Association Journal - November 16, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Statins and Selective Serotonin Reuptake Inhibitors are Associated with Longer Survival in Nursing Home Residents.
Authors: Schlesinger A, Weiss A, Nenaydenko O, Koren-Morag N, Adunsky A, Beloosesky Y Abstract BACKGROUND: Statins and selective serotonin reuptake inhibitors (SSRIs) have beneficial effects on health outcomes in the general population. Their effect on survival in debilitated nursing home residents is unknown. OBJECTIVES: To assess the relationships between statins, SSRIs, and survival of nursing home residents. METHODS: Baseline patient characteristics, including chronic medications, were recorded. The association of 5-year survival with different variables was analyzed. A sub-group analysis of survival wa...
Source: The Israel Medical Association Journal - November 16, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Short-Term Neonatal Outcome among Term Infants after In-Utero Exposure to Beta Blockers.
Authors: Mazkereth R, Maayan-Metzger A, Leibovitch L, Schushan-Eisen I, Morag I, Straus T Abstract BACKGROUND: The need for postnatal monitoring of infants exposed to intrauterine beta blockers (BBs) has not been clearly defined. OBJECTIVES: To evaluate infants exposed to intrauterine BBs in order to estimate the need for postnatal monitoring. METHODS: This retrospective case-control study comprised 153 term infants born to mothers who had been treated with BBs during pregnancy. Treatment indications included hypertension 76 mothers (49.7%), cardiac arrhythmias 48 (31.4%), rheumatic heart disease 14 (9.1%),...
Source: The Israel Medical Association Journal - November 16, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Value of Routine Colonic Evaluation Prior To Ileostomy Closure.
CONCLUSIONS: Abnormal findings in preoperative colonic evaluation prior to ileostomy closure were not associated with worse postoperative outcome. PMID: 31713360 [PubMed - indexed for MEDLINE] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - November 16, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Incidence and Risk Factors for Anastomotic Leakage in Colorectal Surgery: A Historical Cohort Study.
CONCLUSIONS: The incidence of AL in the present study is similar to that found in comparable series. Respiratory co-morbidity and male sex were found to be the most significant risk factors. PMID: 31713361 [PubMed - indexed for MEDLINE] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - November 16, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Per-Esophageal Needle Aspiration of Parenchymal Lung Lesions and Mediastinal Lymph Nodes Using an Endobronchial Ultrasound Bronchoscope.
CONCLUSIONS: Pulmonologist-performed EUS-B-FNA is safe and accurate for evaluating mediastinal and parenchymal lung lesions and lymphadenopathy. Diagnostic accuracy is high. EUS-B-FNA may allow access to sites not amenable to other forms of bronchoscopic sampling, or may increase diagnostic accuracy in patients where anatomic position predicts a low diagnostic yield. PMID: 31713362 [PubMed - indexed for MEDLINE] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - November 16, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Safety of Premedication with Oral Midazolam before Rhinoplasty as Indicated by Intraoperative Levels of Blood Oxygen Saturation.
CONCLUSIONS: Our study confirmed the safety of oral midazolam premedication to reduce perioperative anxiety when performing rhinoplasty under local anesthesia. PMID: 31713363 [PubMed - indexed for MEDLINE] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - November 16, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Prognostic and Diagnostic Significance of Serum High-Sensitivity C-Reactive Protein Level in Patients with Acute Idiopathic Pericarditis.
CONCLUSIONS: Hs-CRP levels rise rapidly among patients with AIP. Maximal hs-CRP levels are associated with MCC. A normal hs-CRP level is rare among patients tested> 24 hours of symptom onset. PMID: 31713364 [PubMed - indexed for MEDLINE] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - November 16, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Scoliosis in Non-Ambulatory Cerebral Palsy: Challenges and Management.
Authors: Weigl DM Abstract BACKGROUND: In non-ambulatory patients with cerebral palsy, the presence of scoliosis has a major impact on health and quality of life. The aim of this review is to raise awareness of caregivers from various professions to the extent of the problem, to explain the natural history of neuromuscular scoliosis and its pathophysiology, and to describe up-to-date optional conservative and surgical treatments. PMID: 31713365 [PubMed - indexed for MEDLINE] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - November 16, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Cannabis for Inflammatory Bowel Diseases: Should We Follow the Wisdom of the Crowd?
Authors: Naftali T PMID: 31713366 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - November 16, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

An 81-Year-Old Male with Advanced Dementia and Recurrent Cerebrovascular Events: Is There a Place for Cannabidiol Therapy?
Authors: Hermush V, Ore L PMID: 31713367 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - November 16, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Chilblains in a Patient with Systemic Lupus Erythematosus: Another Manifestation of the Great Masquerader.
Authors: Manor U, Dankovich N, Boleslavsky D, Kivity S, Stienlauf S PMID: 31713368 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - November 16, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

An Uncommon Complication of a Common Disease: Pneumatosis Intestinalis in an Infant with Kawasaki Disease.
Authors: Ferstenfeld I, Shemer A, Razon Y, Yeshayahu Y PMID: 31713369 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - November 16, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

An Unusual Case of Metabolic Acidosis: Clinical Case Education.
Authors: Abu-Amer N, Dinour D, Mini S, Beckerman P PMID: 31713370 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - November 16, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

The Never-Ending Legacy of Mahatma Gandhi in the Field of Medicine 150 Years After His Birth.
Authors: Bragazzi NL, Martini M PMID: 31599502 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - October 12, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Analyzing Operating Room Utilization in a Private Medical Center in Israel.
CONCLUSIONS: Increasing operating room utilization would result in an improvement of operating room availability and an increased number of procedures. Our analysis shows that operating room utilization in the private healthcare system is efficient compared to the public healthcare system in Israel. Therefore the private healthcare system should be treated as a contributing factor to help lower surgery waiting times and release bottlenecks, rather than being perceived as contributing to inequality. PMID: 31599503 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - October 12, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

The Safety and Hemodynamic Effects of Pneumatic Sleeves in Patients with Severe Left Ventricular Dysfunction.
This study comprised 14 patients classified as New York Heart Association (NYHA) II-III with severely reduced LVEF (
Source: The Israel Medical Association Journal - October 12, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Is a Complete Hydatidiform Mole and a Co-existing Normal Fetus an Iatrogenic Effect?
CONCLUSIONS: No association between assisted conception and the risk for CHMCF was established at our hospital, although approximately one-quarter of all reported CHMCF pregnancies are attributed to assisted conception technology. However, these data are not always reported, making it difficult to draw definitive conclusions. PMID: 31599505 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - October 12, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

The Prognostic Value of Inflammatory Markers in Clostridium difficile-associated Diarrhea.
Authors: Nseir W, Khamisy-Farah R, Amara A, Farah R Abstract BACKGROUND: The incidence of Clostridium difficile-associated diarrhea (CDAD) is increasing and is associated with significant morbidity and mortality. Therefore, there is a need to find new tools to determine the severity of the disease. OBJECTIVES: To investigate the prognostic values of inflammatory markers such as mean platelet volume (MPV), neutrophil-lymphocyte ratio (NLR), and C-reactive protein (CRP) in patients with CDAD. METHODS: The study comprised of 100 patients diagnosed with CDAD. The study included an additional control group of 69...
Source: The Israel Medical Association Journal - October 12, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Ethnic Variations in Inflammatory Bowel Diseases Among Israel's Populations.
Authors: Mahamid M, Bar-Gil Shitrit A, Amara H, Koslowsky B, Ghantous R, Safadi R Abstract BACKGROUND: Crohn's disease and ulcerative colitis are the two major classic presentations of inflammatory bowel diseases (IBD). Studies have shown a wide variation in the incidence and prevalence attributed to different geographic and ethnic populations. OBJECTIVES: To assess the clinical characteristics of IBD among Arabs in Israel and to compare them to characteristics of IBD among Ashkenazi Jews. METHODS: This retrospective, comparative study compared the clinical characteristics of IBD among 150 Arabs from the Ho...
Source: The Israel Medical Association Journal - October 12, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

Trends in Imaging Workup of the Male Breast: Experience from a Single Center.
CONCLUSIONS: Mammography and ultrasound remain the leading modalities in breast imaging among males for diagnostic workup of palpable mass, with gynecomastia being the predominant diagnosis. However, presentation with palpable mass was also associated with malignancy. Despite a notable MBC rate in our cohort, the likelihood of cancer is low in young patients and in cases of gynecomastia. PMID: 31599508 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - October 12, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research

The American Society of Thoracic Surgery Score versus EuroSCORE I and EuroSCORE II in Israeli Patients Undergoing Cardiac Surgery.
CONCLUSIONS: All scores overestimated mortality. In Israeli patients, the STS, PROM, and ESII risk-scores were more reliable metrics than LESI, particularly in higher risk patients. PMID: 31599509 [PubMed - in process] (Source: The Israel Medical Association Journal)
Source: The Israel Medical Association Journal - October 12, 2019 Category: General Medicine Tags: Isr Med Assoc J Source Type: research