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Journal Isr. Med. Assoc. J.

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Immunologist's Little Dirty Secret Finger: A Case Report of Polyautoimmunity Following an Accidental Self-injection of Complete Freund's Adjuvant.

Abdulla Watad, Nicola L Bragazzi, Yehuda Shoenfeld,

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(6):393-394]

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Abdominal Surgery in Patients with a Ventricular Assist Device: A Single Center Experience in Israel.

Veacheslav Zilbermints, Oren Israeli, Binyamin Ben Abraham, Tuvia Ben-Gal, Victor Rubchevsky, Dan Aravot, Hanoch Kashtan, Nikolai Menasherov, David Aranovich,

BACKGROUND:Left ventricular assist devices (LVADs) are used more commonly in patients with advanced-stage heart failure. Some of these patients may require elective or urgent abdominal surgical procedures. OBJECTIVES:To determine the outcomes of the management of LVAD-supported patients who underwent elective and urgent abdominal surgical procedures in our institution. METHODS:A retrospective ... Read more >>

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(6):369-373]

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Treatment with Gonadotropin Releasing Hormone Agonists in Systemic Lupus Erythematosus Patients Receiving Cyclophosphamide: A Long-term Follow-up Study.

Valeria Orefice, Fulvia Ceccarelli, Giuseppina Perrone, Carlo Perricone, Paola Galoppi, Viviana Antonella Pacucci, Francesca Romana Spinelli, Cristiano Alessandri, Roberto Brunelli, Fabrizio Conti,

BACKGROUND:Cyclophosphamide treatment has been associated with ovarian function impairment. Co-treatment with gonadotropin-releasing hormone-analogue (GnRH-a) seems to be able to prevent this complication. However, even though data are available on neoplastic patients, limited data have been published on systemic lupus erythematosus (SLE) women cohorts. OBJECTIVES:To evaluate GnRH-a efficacy on ovarian function ... Read more >>

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(6):343-347]

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Rapid Response Team Activations in an Israeli Tertiary Care Pediatric Hospital: Analysis of 614 Events.

Lisa D Amir,

BACKGROUND:Rapid response teams (RRT) reduce in-hospital mortality and cardiac arrests. There are only a few articles describing RRT activations outside of North America and Australia. OBJECTIVES:To describe demographic and clinical variables of RRT activations using 13 years of data. METHODS:Schneider Children's Medical Center of Israel is a pediatric hospital with ... Read more >>

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(6):384-389]

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Feasibility, Safety, and Effectiveness of a Mobile Application in Cardiac Rehabilitation.

Irene Nabutovsky, Saar Ashri, Amira Nachshon, Riki Tesler, Yair Shapiro, Evan Wright, Brian Vadasz, Amir Offer, Liza Grosman-Rimon, Robert Klempfner,

BACKGROUND:Cardiac rehabilitation (CR) is underutilized globally despite evidence of clinical benefit. Major obstacles for wider adoption include distance from the rehabilitation center, travel time, and interference with daily routine. Tele-cardiac rehabilitation (tele-CR) can potentially address some of these limitations, enabling patients to exercise in their home environment or community. OBJECTIVES:To ... Read more >>

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(6):357-363]

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Bilateral Infiltrates: Not Only COVID-19.

Oren Biham, Aviya Kedmi, Mohamad Abo Sbet, Lior Zeller,

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(6):340-341]

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Why the Real-Life Diagnosis of Non-Radiographic Axial Spondyloarthritis Is So Difficult.

Gleb Slobodin,

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(6):390-392]

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Surgical Approach to Abdominal Tumors Involving the Inferior Vena Cava.

Lior Orbach, Ido Nachmany, Yaacov Goykhman, Guy Lahat, Ofer Yossepowitch, Avi Beri, Yanai Ben-Gal, Joseph M Klausner, Nir Lubezky,

BACKGROUND:Abdominal tumors invading the inferior vena cava (IVC) present significant challenges to surgeons and oncologists. OBJECTIVES:To describe a surgical approach and patient outcomes. METHODS:The authors conducted a retrospective analysis of surgically resected tumors with IVC involvement by direct tumor encasement or intravascular tumor growth. Patients were classified according to level ... Read more >>

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(6):364-368]

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Eliminating the Sterility of a Patient-Doctor Relationship During the Corona Era.

Nisim Asayag, Anat Skliar, Lior Rozental, Rotem Moshe, Yona Kitay-Cohen,

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(6):342]

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Prospective Audit of Empirical Antibiotic Therapy for Septic Patients.

Yonit Wiener-Well, Mustafa Hadeedi, Yuval Schwartz, Amos M Yinnon, Gabriel Munter,

BACKGROUND:Antibiotic stewardship programs are necessary to test the appropriateness of local guidelines for empirical antibiotic treatment by audits. OBJECTIVES:To assess whether compliance to local guidelines achieved a higher rate of appropriate antibiotic treatment and reduced morbidity and mortality, and whether infectious disease counseling improved the rate of appropriate treatment. METHODS:Our ... Read more >>

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(6):378-383]

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Long-Term Outcomes in ST Elevation Myocardial Infarction Patients Undergoing Coronary Artery Bypass Graft Versus Primary Percutaneous Coronary Intervention.

Ilan Merdler, Mustafa Gabarin, Itamar Loewenstein, Sivan Letourneau, David Zahler, Aviram Hochstadt, Yishay Szekely, Shmuel Banai, Yacov Shacham,

BACKGROUND:Coronary artery bypass grafting (CABG) for primary reperfusion in patients with ST elevation myocardial infarction (STEMI) has largely been superseded byf primary percutaneous coronary intervention (PCI) and is estimated to be performed in ≤ 5% of STEMI cases. OBJECTIVES:To compare early CABG (within 30 days following admission) and primary PCI ... Read more >>

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(6):352-356]

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Rationale for Evaluating PDE4 Inhibition for Mitigating against Severe Inflammation in COVID-19 Pneumonia and Beyond.

Charlie Bridgewood, Giovanni Damiani, Kassem Sharif, Abdulla Watad, Nicola L Bragazzi, Luca Quartuccio, Sinisa Savic, Dennis McGonagle,

BACKGROUND:In the absence of definitive anti-viral therapy, there is considerable interest in mitigating against severe inflammatory reactions in coronavirus disease-2019 (COVID-19) pneumonia to improve survival. These reactions are sometimes termed cytokine storm. PDE4 inhibitors (PDE4i) have anti-inflammatory properties with approved indications in inflammatory skin and joint diseases as well as ... Read more >>

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(6):335-339]

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Post-Polio Syndrome Causing Late Onset Respiratory Failure.

Sharon Enghelberg, Itamar Y Love, Micha Rapoport,

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(6):395-396]

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Does Abdominoplasty Intensify the Metabolic Effect of Bariatric Surgery?

Lior Leibou, Tomer Perlok, Rivi Haiat Factor, Eyal Leibovitz, Jacob Frand, Stav Leibou, Dror Sadan, Mordechai Shimonov,

BACKGROUND:The effect of weight reduction following bariatric surgery is already well known. OBJECTIVES:To investigate the effects of abdominoplasty on metabolic markers indicative of weight loss. METHODS:The authors prospectively enrolled consecutive obese patients after laparoscopic sleeve gastrectomy. They were candidates for post-bariatric surgery abdominoplasty. The authors measured metabolic markers one day ... Read more >>

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(6):374-377]

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Vascular Reactivity of Adult-Onset Systemic Lupus Erythematosus Patients.

Mohammad Adawi, Tair Abu-Gabel, Firas Sabbah, Itamar Yehuda, Snait Tamir, Arnon Blum,

BACKGROUND:Cardiovascular disease (CVD) is more frequent in patients with systemic lupus erythematosus (SLE) compared with age- and sex-matched healthy subjects. SLE is an autoimmune disease that is more prevalent in women (9:1). Women tend to develop CVD in post-menopausal years; however, women with SLE may develop endothelial dysfunction and CVD ... Read more >>

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(6):348-351]

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Pericardial Effusion in a Young Man: A Rare Presentation of Thymoma.

Gassan Moady, Elias Daud, Ronen Galilee, Edmond Sabo, Salam Mazareb, Shaul Atar,

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(5):328-329]

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Sex and Ethnic Disparities in Health-Related Outcomes Following Acute Myocardial Infarction in Israel.

Ygal Plakht, Harel Gilutz, Jonathan Eli Arbelle, Dan Greenberg, Arthur Shiyovich,

BACKGROUND:Survivors of acute myocardial infarction (AMI) are at increased risk for recurrent cardiac events and tend to use excessive healthcare services, thus resulting in increased costs. OBJECTIVES:To evaluate the disparities in healthcare resource utilization and costs throughout a decade following a non-fatal AMI according to sex and ethnicity groups in ... Read more >>

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(5):303-309]

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Risk Factors and Outcome of Polymicrobial Bacteremia: A Retrospective Cohort Study.

Shira Goldman, Oranit Itshaki, Tzippy Shochat, Anat Gafter-Gvili, Dafna Yahav, Bina Rubinovitch, Daniel Shepshelovich,

BACKGROUND:Recent data regarding polymicrobial bacteremia (PMB) are lacking. OBJECTIVES:To characterize risk factors as well as clinical, microbiological, and prognostic patterns of patients with PMB in a modern hospital setting. METHODS:A single center retrospective study including all patients diagnosed with PMB during 2013 was conducted. PMB was defined as two or ... Read more >>

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(5):279-284]

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Sarcoidosis Following Treatment with Medical Cannabis.

George Habib, Asaf Yaacobi,

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(5):326-327]

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The Role of Pre-Operative Neutrophil-to-Lymphocyte Ratio in Predicting Post Bariatric Surgery Related Complications.

Amir Mari, Mahmud Mahamid, Helal Said Ahmad, Ahmad Lubany, Sami Abu El Hija, Nadeem Shorbaji, Anas Kadah, George Daud, Fadi Abu Baker, Wisam Sbeit, Tawfik Khoury,

BACKGROUND:Bariatric surgery has become the most common and effective therapeutic option for obesity. However, it is associated with morbidity and complications. Identification of predictors for surgical complications is an unmet need. OBJECTIVES:To determine a simple non-invasive parameter that predicts early postoperative complications following bariatric surgery. METHODS:In this retrospective study of ... Read more >>

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(5):294-298]

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Clinical Insights and Management Recommendations for COVID-19 Patients Hospitalized in Internal Medicine Departments: Recommendations by the Corona Department Heads in Israel.

Gad Segal, Dror Mevorach, Avishay Elis, Dror Dicker,

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(5):275-277]

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Histomorphometric Findings May Help Predicting Response in Patients with Chronic Liver Disease.

Mayson Abu Raya, Amir Klein, Edmond Sabo, Afif Yaccob, Yaacov Baruch, Johad Khoury, Tarek Saadi,

BACKGROUND:Hepatitis C virus (HCV) is a leading cause of cirrhosis and hepatocellular carcinoma worldwide. Several viral and host factors related to viral response have been reported in the era of treatment with pegylated (PEG)-interferon and ribavirin. OBJECTIVES:To quantify histological findings from patients with chronic HCV using computerized morphometry and to ... Read more >>

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(5):320-325]

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Prevention and Treatment of Pseudomonas Aeruginosa-Based Biofilm with Ethanol.

Michal Natan, Gila Jacobi, Ehud Banin, Shai Ashkenazi,

BACKGROUND:Although indwelling catheters are increasingly used in modern medicine, they can be a source of microbial contamination and hard-to-treat biofilms, which jeopardize patient lives. At times 70% ethanol is used as a catheter-lock solution due to its bactericidal properties. However, high concentrations of ethanol can result in adverse effects and ... Read more >>

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(5):299-302]

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Inhaled Nebulized Sodium Pyruvate Use in COVID-19 Patients.

Máté Hidvégi,

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(5):278]

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Early Buried Bumper Syndrome Treated by Bedside Replacement

Anas Kadah, Tawfik Khoury, Wisam Sbeit,

BACKGROUND:Buried bumper syndrome (BBS) mostly occurs as a late complication after percutaneous endoscopic gastrostomy (PEG) insertion; however, early BBS has been rarely reported, and the treatment of this condition is still unclear. OBJECTIVES:To evaluate the Seldinger technique for treatment of early BBS after PEG insertion. METHODS:We report two cases of ... Read more >>

Isr. Med. Assoc. J. (The Israel Medical Association journal : IMAJ)
[2020, 22(5):315-319]

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