Publications by authors named "Alexis Heller"

Mammary-like anogenital glands are considered a normal constituent of the anogenital area. These glands can have epithelial components with eccrine or apocrine features. They often undergo transformation into mammary-like lesions, including lactational changes that occur during pregnancy and the breastfeeding period.

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Aims: Cardiac rehabilitation is an essential component of secondary prevention consistently unexploited by most eligible patients. Accordingly, the remote cardiac rehabilitation program (RCRP) was developed to create optimal conditions for remote instruction and supervision for patients to enable successful completion of the program.

Methods: This study comprised 306 patients with established coronary heart disease who underwent a 6-month RCRP.

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Purpose: Asynchronous home-based cardiac rehabilitation (HBCR) is a viable alternative to center-based cardiac rehabilitation (CBCR). However, to achieve significant functional improvement, a high level of adherence and activity must be achieved. The effectiveness of HBCR among patients who actively avoid CBCR has not been effectively investigated.

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Background: Remote cardiac rehabilitation (RCR) after myocardial infarction is an innovative Israeli national program in the field of telecardiology. RCR is included in the Israeli health coverage for all citizens. It is generally accepted that telemedicine programs better apply to younger patients because it is thought that they are more technologically literate than are older patients.

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Article Synopsis
  • Many patients with coronary artery disease struggle to reach recommended LDL cholesterol levels, but cardiac rehabilitation (CR) programs can help improve adherence to treatments.
  • A study tracked 1,015 patients at different stages of their medical care and found that LDL levels improved from 57% to 63% below 70 mg/dL after 3 months in the CR program, despite high doses of statins being widely prescribed.
  • The findings highlight a treatment gap where many patients still do not meet lipid goals, suggesting a need for stronger lipid-lowering therapies and better adherence to treatment regimens.
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Introduction: Metastatic neoplasms to the vulva are rare and can pose a diagnostic dilemma. As identification of the primary site can influence patient treatment and prognosis, correct diagnosis is important.

Methods: PubMed was searched for applicable publications using the terms vulva, vulvar neoplasms, metastasis, and vulvar metastasis.

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Background: Specimens of endometrial biopsies can sometimes present with an artifact within blood, composed of optically clear vacuoles mimicking adipose tissue, pseudolipomatosis. This artifact can be mistaken for adipose tissue and lead to an overdiagnosis of uterine perforation.

Case: We describe the case of pseudolipomatosis seen within the evacuated products of conception from a missed abortion.

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Background: Although rare, pregnant women can present with fibroepithelial polyps of the vagina. Most likely hormonally related, these polyps have been described in various locations of the lower female genital tract. They can be mistaken for malignant lesions due to hypercellularity and cytologic atypia.

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