Publications by authors named "Omri Shental"

Objectives: This study aims to evaluate and compare health outcomes and costs between home hospitalisation and traditional hospitalisation for three common diagnoses-cellulitis, urinary tract infection (UTI) and pneumonia.

Design: A retrospective cohort study.

Setting: Primary care, nationwide.

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Background: Military and prehospital medical organizations invest significant resources to advance the treatment of trauma patients aiming to reduce preventable deaths. Focus is on hemorrhage control and volume resuscitation with blood products, with adoption of Remote Damage Control Resuscitation (RDCR) guidelines. The Israel Defense Forces Medical Corps (IDF-MC) has been using tranexamic acid and freeze-dried plasma (FDP) as part of its RDCR protocol for more than a decade.

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Article Synopsis
  • COVID-19 caused two nationwide lockdowns in Israel, significantly impacting medical services within the Israel Defense Force (IDF) by reducing both patient visits and the number of services available.
  • An analysis revealed a consistent 27-30% drop in primary care encounters, with emergency department referrals declining by 50-54% during lockdowns, while specialist services and elective surgeries decreased and then rebounded during the second lockdown.
  • The study recommends maintaining telehealth initiatives for future lockdowns and implementing a flexible sick leave policy to decrease unnecessary hospital visits and reduce infection risks.
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Background: Hospital at home (HaH) replicates elements of hospital-based care in the community, to facilitate the safe management of a broad spectrum of acute illness in the patient's usual environment. The extent to which this model of care has been adopted in the United Kingdom is unknown.

Methods: The Society for Acute Medicine Benchmarking Audit is a day of care survey undertaken annually within the United Kingdom.

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Background: Telemedicine has become an integral part of health care delivery in recent years. One of the leading applications for this use is WhatsApp - a free smartphone application that allows instant messaging with pictures and videos. This study analyzed the emerging role of WhatsApp on reducing the need for referrals to medical specialists and to compare the views of physicians regarding WhatsApp consultations.

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Unlabelled: Background Data regarding sexually transmissible infections (STI) often originate from STI clinics, screening programs or laboratory-based studies, thus are biased for specific risk groups or lack clinical details. This real-life observational study presents sample data of most young adult Israeli population by exploiting the centralised diagnostic and documentation platforms resulting from a mandatory military service at the age of 18 years for both genders.

Methods: All STI diagnoses of Israeli Defence Forces soldiers during a 6-month period were reviewed.

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Background: The recent Ebola virus disease outbreak emphasized the potential misuse of personal protective equipment (PPE) by health care workers (HCWs) during such an event. We aimed to compare self-perceived proficiency of PPE use and objective performance, and identify predictors of low compliance and PPE misuse.

Methods: An observational study combined with subjective questionnaires were carried out during a bioterror simulation drill.

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Orange Flame is an Israeli preparedness build-up project, conducted by the Ministry of Health, that is aimed at improving national readiness and preparedness for unusual biological events. The project is intended for both medical and nonmedical organizations, and, since 2011, the exercise has also included operational units outside the medical corps. This has provided valuable insights into the consequences of bioterror or naturally occurring outbreaks for operative functionality and for the unique medical, logistical, and administrative efforts required from the armed forces in such an event.

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Background: Serum lactate dehydrogenase (LDH) is elevated in various diseases.

Objectives: To analyze serum LDH as a distinguishing clinical biomarker and as a predictor of in-hospital outcome in admitted medical patients.

Methods: We analyzed a cohort of all 158 patients with very high isolated LDH (LDH > or = 800 IU/ml without concomitant elevations of alanine aminotransferase and aspartate aminotransferase) admitted to our internal medicine department during a 3 year period.

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Background: Rates of postoperative complications are particularly high among patients with Crohn's disease.

Objective: The aim of this study was to assess whether positive inflammatory histological margins, among other factors, pose a risk for intra-abdominal septic complications in patients with Crohn's disease undergoing ileocolic resection.

Design: A retrospective study of patient records, during 2000-2010, was conducted.

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Objective: To assess seasonal patterns and monthly variations in the incidence of preeclampsia in the Jewish and Bedouin population in Israel, assuming that ethnicity and environmental factors may have a role in the causal mechanism.

Methods: A retrospective population-based study comparing all singleton pregnancies of patients with and without preeclampsia was performed. The study included all deliveries between and including 1988 and 2007.

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