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[60 years later: posttraumatic stress disorders, salutogenetic factors and medical expert assessment in Holocaust survivors in the long-term course].

OBJECTIVES: The long-term course of posttraumatic stress disorders was studied in Holocaust survivors. The effect of possible salutogenetic … as well as depressive and anxiety disorders. The salutogenetic factors found concerned the state of Israel, the differentiated communication within the marriage of two survivors, the birth of children and various specific holocaust-related issues. DISCUSSION: The correlations between posttraumatic stress disorder symptoms and long-term course on the one …

A syndrome characterized by contractures and pterygia of upper body associated with umbilical hernia, short stature, and distinctive face in an Arabic family.

A large Moslem Arabic family from the North of Israel is presented in which nine individuals are affected with short stature (5th centile and below), variable pterygium of neck or short neck with limited range of motion, pterygium of elbows, short palms, and brachydactyly. Other abnormalities of the fingers include syndactyly, camptodactyly, and/or hypermobility of the small joints. The face typically appeared long and myopathic. Ptosis was present with downslanting palpebral fissures, facial movements were reduced and the midface was flat. Umbilical hernia was present together with hypoplasia…

[Gyrate atrophy of choroid and retina, and hyperornithinemia].

Gyrate atrophy of the choroid and retina is a rare degenerative disease, characterized biochemically by a marked increase in blood ornithine … ited demarcated circular areas of chorioretinal degeneration. So far the only patients described in Israel have been of Iraqui origin. Our fourth patient originated from Istanbul, and he may represent a hitherto undescribed variant with a much delayed expression of the disease.

Seasickness as a self-fulfilling prophecy: raising self-efficacy to boost performance at sea.

Applying the self-fulfilling prophecy (SFP) approach to combating seasickness, the authors experimentally augmented the self-efficacy of naval cadets by telling them that they were unlikely to experience seasickness and that, if they did, it was unlikely to affect their performance at sea. Naval cadets (N = 25) in the Israel Defense Forces were randomly assigned to experimental and control conditions. At the end of a 5-day training cruise, experimental cadets reported less seasickness and were rated as better performers by naive training officers than were the control cadets. There was a nonsi…

Surgical treatment of palmar hyperhidrosis before thoracoscopy: experience with 475 patients.

Between the years 1968-1992, 475 patients underwent simultaneous bilateral upper dorsal sympathectomy by the supraclavicular approach for severe palmar hyperhidrosis. For the purpose of comparing outcomes of the open surgical method with the increasingly used thoracoscopic procedure, we reviewed the clinical data of our patients. The incidence of severe palmar hyperhidrosis in the young population in Israel is 1-2/1,000. Surgical excision of the T2 and T3 ganglia was effective in drying the hands of all patients, who had frozen section confirmation of removal of a ganglion. At follow-up, hyper…

Epidermal growth factor receptor in odontogenic cysts and tumors.

The expression of epidermal growth factor receptor (EGFR) was investigated in 67 cases of odontogenic cysts and 35 cases of odontogenic tumors using monoclonal antibody to EGFR (Biomarker, Israel) to determine the presence and significance of this transmembrane growth factor receptor. The cystic epithelial cells of odontogenic cystic lesions (keratocyst 60%; primordial cyst 75%; radicular cyst 35%; and follicular cyst 47.4%) were positive to EGFR staining. Cytochemical characterization of EGFR in those cystic epithelium was cell membrane positive type as in the normal epithelium. No expression…

[In vitro diagnosis of malignant hyperpyrexia syndrome].

Malignant hyperthermia syndrome (MHS) is rare, inherited, and triggered by volatile anesthetics and depolarizing muscle relaxants. While pot … Until our malignant hyperthermia diagnostic center was opened, such tests could not be performed in Israel. Since then we encountered a 22-year-old man who developed the partial picture of malignant hyperthermia syndrome during anesthesia for inguinal herniorrhaphy. He received dantrolene and recovered. 4 months later in vitro contracture tests with caff …

Competency for military arrest as a psychiatric problem.

Military law does not invest doctors with the authority to determine whether a soldier is competent to enter military arrest. This determina … re military psychiatrists, several case reports are presented of soldiers, who were examined in the Israel Defence Forces central psychiatric clinic for the determination of competency for military arrest.

Preoperative magnetic resonance imaging in Marfan syndrome.

We report one of the first cases in Israel of composite-graft repair of an aortic aneurysm in Marfan syndrome, in which preoperative evaluation was done noninvasively using magnetic resonance imaging (MRI). Because of the relatively favorable outcome of surgical compared with medical treatment of aortic aneurysm in patients with Marfan syndrome, surgery is now more frequently considered, even in asymptomatic patients. MRI is an excellent diagnostic tool for evaluating the thoracic aorta and has been suggested as a replacement for preoperative cardiac catheterization. In the case presented here…

Endoscopic retrograde cholangiopancreatography and sphincterotomy.

Endoscopic retrograde cholangiopancreatography (ERCP) is an important diagnostic technique to evaluate patients with biliary and pancreatic disease. Since 1970, over 1000 ERCPs in the Surgical Endoscopy Unit of Beth Israel Medical Center have been performed; this report summarizes the most recent 300 cases. This paper will document the indications and methodology as well as the improved morbidity and mortality rates associated with this procedure. In contrast to earlier reports, the incidence of hyperamylasemia is now 8.3% and clinical pancreatitis, 2.3%. Cholangitis occurred in less than 1% o…

[Status of the taxonomy of Leishmania from the Mediterranean basin].

Isoenzyme analysis, carried out on some hundreds of Leishmania isolates from the Mediterranean basin by specialized identification Centres, … asis, is widespread throughout North Africa and Middle East. In some countries, such as Tunisia and Israel, leishmaniases are caused by all the three complexes.

Extending geriatric care beyond traditional settings: lessons from a mobile assessment program.

BACKGROUND: As populations age, changing living conditions and declining self-advocacy often create barriers to essential care. Mobile Geriatric Teams (MGTs) offer a potential solution by providing assessments within a patient's regular environment, potentially reaching underdiagnosed and undertreated individuals who struggle to access routine healthcare. The aim of this study was to evaluate the clinical impact and reach of MGTs in the Northern District of Israel. Specifically, we aimed to assess the extent of MGT-initiated Comprehensive Geriatric Assessments and compare therapeutic and diagn…

Daily supervised toothbrushing in kindergartens: second and third years of 'Smiles' oral health promotion program among preschool children.

OBJECTIVES: To describe the second and third years of 'Smiles,' with the objective of demonstrating feasible, practical, and realistic aspects of enhancement of daily toothbrushing skills and integration of a supportive environment of daily supervised toothbrushing in kindergartens. METHOD AND MATERIALS: In total, 36 out of 180 kindergartens (20%) across Israel that participated in the first year of the program, took part in the second and third years of the program. Eighteen kindergartens served as the study group with a supervised toothbrushing routine, and 18 kindergartens served as contro…

Isolation and genetic characterization of a novel 2.2.1.2a H5N1 virus from a vaccinated meat-turkeys flock in Egypt.

BACKGROUND: Vaccination of poultry to control highly pathogenic avian influenza virus (HPAIV) H5N1 is used in several countries. HPAIV H5N1 … the virus belonged to clade 2.2.1.2 but clustered with recent H5N1 viruses from 2015 in poultry in Israel, Gaza and Egypt in a novel subclade designated here 2.2.1.2a which is distinct from 2014/2015 2.2.1.2 viruses. These viruses possess 2.2.1.2 clade-specific genetic signatures and also mutations in the HA similar to those in clade 2.2.1.1 that enable …

Моделирование распределения вектора < < Пипиены > > западного Нила и Рифт-Вэлли в засушливых и полузасушливых районах Ближнего Востока и Северной Африки.

РЕГИОНА Ближнего Востока Северной Африки (МЕНА) находится под постоянной угрозой повторного появления вируса Западного Нила (ВНН) и вируса лихорадки Рифт-Вэлли (РВФ), двух патогенов, передаваемых переносчиком Culex pipiens. Для прогнозирования районов, подверженных высокому риску передачи болезней, требуется точная модель распределения векторов, однако большинство моделей распределения Cx. pipiens были ограничены умеренными, лесистыми местообитаниями. Для моделирования распределения видов по разнородной ландшафтной структуре требуется гибкий метод моделирования, позволяющий зафиксировать вариа

Совпадение в аннотации оригинала
BACKGROUND: The Middle East North Africa (MENA) region is under continuous threat of the re-emergence of West Nile virus (WNV) and Rift Vall … n distribution of Cx. pipiens across a portion of the MENA that also encompasses Jordan, Syria, and Israel. Models were created with a set of environmental predictors including bioclimatic data, human population density, hydrological data, and vegetation indices, and built using maximum entropy (Maxent) and boosted regression tree (BRT) methods. Models w …

Management of Dehisced Wounds With Exposed Spongiosa With Modern Dressings: A Case Report.

In this case report, we present the management of a complex wound with an exposed spongiotic sacral bone following surgical dehiscence after bilateral sacroiliac fixation in a 27-year-old patient. Surgical reconstruction was not an option due to the patient's comorbidities. The wound was successfully treated with a combination of MedCu (MedCu Technologies, Herzliya, Israel) and Vacutex (Protex Healthcare, Roeselare, Belgium). A rapid formation of granulation tissue was observed within 10 days, which covered the bone within a few days and led to complete wound closure after a total of four mont…

Case Report: Extensive Facial Cutaneous Leishmaniasis in a Neonate.

Cutaneous leishmaniasis (CL) is a skin infection caused by various species of the Leishmania parasite and is spread by the bite of an infected female sandfly. In southern Israel, CL caused by Leishmania major is endemic. Cutaneous leishmaniasis is considered a self-limiting disease, characterized by progressive, long-lasting nodulo-ulcerative skin lesions, which usually resolve in several months to years, and leads to scarring, cosmetic disfigurement, and future stigmatization. Although CL is a common disease among children, reports of CL in children younger than 1 year are rare. We present a …

Characterization of a new Leishmania major strain for use in a controlled human infection model.

Leishmaniasis is widely regarded as a vaccine-preventable disease, but the costs required to reach pivotal Phase 3 studies and uncertainty a … nd GMP manufacture of a new clinical strain of Leishmania major. Two fresh strains of L. major from Israel were initially compared by genome sequencing, in vivo infectivity and drug sensitivity in mice, and development and transmission competence in sand flies, allowing one to be selected for GMP production. This study addresses a major roadblock in the …

Nematode eggs observed in cytology of cerebrospinal fluid diagnostic for intramedullary Spirocerca lupi spinal cord migration.

Spinal spirocercosis due to aberrant Spirocerca lupi nematode migration is an emerging etiology for acute myelitis in dogs in Israel, causing severe, mostly nonsymmetrical hind limb paresis or paralysis, and sometimes tetraparesis or tetraparalysis. So far, incidental identification of parasites during spinal surgery or at necropsy provides the only definite diagnosis, while antemortem diagnosis of this condition has been uncertain. Specifically, antemortem diagnosis is based on the typical clinical presentation of acute, progressive, asymmetrical hind limb paresis or paralysis, with moderate …

Professionals' Awareness of Sexual Abuse in Late Life: An Exploratory Survey.

BACKGROUND: The sexual abuse phenomenon is considered taboo. It has been discussed, to date, mainly in relation to children and young women, with insufficient attention to sexual abuse in a late-life context. OBJECTIVES: The aim of this survey was to explore professionals' awareness of elder sexual abuse (ESA). DESIGN: The survey was conducted among 161 Jewish and Arab professionals from health care and social services, who worked with older adults in Israel. RESULTS: Of the entire sample, 70 professionals (only 43%) reported encountering at least one to three cases of ESA. A total of 98% o…