929 results match your criteria: "Barzilai Medical Center[Affiliation]"

Introduction: Contemporary data regarding the impact of war on cardiovascular disease is scarce. The Israel-Gaza war that erupted on October 7th, 2023, provided a tragic opportunity to explore the effect of war on the epidemiology, characteristics, and management of patients with acute coronary syndrome (ACS) living in areas of active armed conflict.

Methods: All patients admitted with ACS to our medical center, between October 7th, 2023, and January 6th, 2024, were retrospectively included.

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Aortic pressures within a giant right coronary artery aneurysm.

J Cardiothorac Surg

December 2024

Department of Cardiology, Barzilai Medical Center, The Ben-Gurion University of the Negev, Hahistadrout 2, 7830604, Ashkelon, Israel.

Background: Giant coronary artery aneurysms are rare conditions with potentially devastating consequences. We report a case of the largest documented giant right coronary artery (RCA) aneurysm to date.

Case Presentation: A 57-year-old male patient visited our outpatient clinic for abdominal pain and exertional dyspnea.

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Background: Saphenous vein graft percutaneous coronary intervention (SVG-PCI) is a relatively common procedure in patients after coronary artery bypass grafting (CABG). Although internal mammary artery is considered optimal, SVG is still used in the majority of patients.

Aims: Investigating the potential role of gender differences in the incidence and outcomes of SVG-PCI.

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Gender differences in the incidence of saphenous vein graft intervention.

J Cardiothorac Surg

December 2024

Department of Cardiology, Barzilai Medical Center, The Ben-Gurion University of the Negev, Hahistadrout 2, 7830604, Ashkelon, Israel.

Article Synopsis
  • The study investigated gender differences in outcomes of saphenous vein graft percutaneous coronary intervention (SVG PCI) after coronary artery bypass grafting (CABG) among patients treated for acute coronary syndrome (ACS).
  • Researchers analyzed data from 72 patients at Barzilai Medical Center between 2010 and 2023, finding that men had higher SVG PCI rates, while women experienced earlier graft failures.
  • The findings suggest that gender-specific strategies in post-CABG care could enhance patient outcomes and emphasize the importance of tailoring follow-up interventions based on patient gender.
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Background: Giant cell tumor of bone (GCTB) is a locally aggressive tumor that may affect the bones of the hand and rarely causes pulmonary metastasis. It exhibits a variable recurrence rate after surgical interventions, which presents challenges in its management. This systematic review aims to delineate recurrence rates and identify risk factors for GCTB in the hand.

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Background And Purpose: Classic Kaposi sarcoma (CKS) is a rare vascular disease mainly found in populations of Mediterranean origin. The pathogenesis involves Human Herpes Virus 8 (HHV8) and genetic mutations such as SNP309 in the MDM2 gene. The recently discovered BPTF mutation in cells of CKS patients demonstrated higher latency-associated nuclear antigen (LANA) staining and altered vital transcriptomics, implicating a potential role in tumorigenesis.

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Glatiramer Acetate for the Treatment of Multiple Sclerosis: From First-Generation Therapy to Elucidation of Immunomodulation and Repair.

Pharmacol Rev

October 2024

Department of Immunology and Regenerative Biology, Weizmann Institute of Science, Rehovot, Israel (Ri.A., Ru.A.); and Department of Neurology, Barzilai Medical Center, Ashkelon, Israel, and Faculty of Health Sciences, Ben-Gurion University of the Negev, Be'er-Sheva, Israel (R.M.)

Multiple sclerosis (MS) is a chronic inflammatory demyelinating and neurodegenerative disease of the central nervous system (CNS), with a putative autoimmune origin and complex pathogenesis. Modification of the natural history of MS by reducing relapses and slowing disability accumulation was first attained in the 1990 s with the development of the first-generation disease-modifying therapies. Glatiramer acetate (GA), a copolymer of L-alanine, L-lysine, L-glutamic acid, and L-tyrosine, was discovered due to its ability to suppress the animal model of MS, experimental autoimmune encephalomyelitis.

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Correlation between staging classification of aortic stenosis based on the extent of cardiac damage and platelet indices.

BMC Cardiovasc Disord

October 2024

Jesselson Integrated Heart Center, Shaare Zedek Medical Center Jerusalem and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.

Article Synopsis
  • Platelets have a significant impact on aortic stenosis (AS) and patients undergoing transcatheter aortic valve implantation (TAVI), prompting an analysis of their indices in relation to AS stages.
  • In a study involving 220 TAVI patients, they were categorized into 5 AS stages based on cardiac damage, revealing a correlation between higher mean platelet volume (MPV) and advanced AS staging, as well as lower hemoglobin levels.
  • The findings indicate that while MPV and immature platelet fraction (IPF) show variations across stages, only MPV and body mass index (BMI) were significant predictors of higher AS staging in the logistic regression analysis.
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Factors predicting slow visual recovery following microkeratome-assisted myopic LASIK.

Acta Ophthalmol

September 2024

Department of Ophthalmology, Rambam Health Care Campus, Haifa, Israel.

Purpose: To identify factors predicting slow visual recovery following myopic microkeratome assisted in situ keratomileusis (LASIK).

Design: Retrospective study.

Methods: This study included consecutive patients who underwent microkeratome-assisted myopic LASIK between January 2005 and December 2019 at Care Vision Laser Center, Tel Aviv, Israel.

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Purpose: To identify factors predicting slow visual recovery following photorefractive keratectomy (PRK).

Methods: This retrospective study included consecutive patients who underwent PRK between January 2005 and December 2019 at Care Vision Laser Center, Tel Aviv, Israel. Myopic patients were divided into 2 groups according to whether they experienced normal recovery of visual acuity (within 60 days) or slow visual recovery (>60 days).

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Article Synopsis
  • The study aimed to compare LASIK surgery outcomes among patients with varying corneal curvatures (flat, normal, and steep).
  • A total of 300 eyes from each curvature group were analyzed after matching for baseline characteristics, with primary outcomes including visual acuity and astigmatism.
  • Results showed no significant differences in postoperative effectiveness or safety between the groups, indicating that LASIK is equally safe and effective regardless of corneal curvature.
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Israeli neonatal herpes simplex infection: Unique epidemiology and clinical profile.

J Med Virol

September 2024

Pediatric Infectious diseases Unit, Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel.

Article Synopsis
  • A study conducted on Israeli neonatal herpes simplex virus (NHSV) infection collected data from 2015 to 2022, comparing clinical characteristics of NHSV patients with those suffering from neonatal enteroviral meningitis (NEM).
  • The results showed an NHSV incidence of 5.9 per 100,000 live births, with notable demographics suggesting that horizontal transmission was linked to practices like ritual circumcision.
  • NHSV patients presented unique symptoms such as a lower incidence of fever and irritability but showed a tendency for rashes and seizures, marking a distinct clinical profile compared to NEM, which can help guide treatment approaches for infected newborns.
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Background: Prompt diagnosis of bacteremia in the emergency department (ED) is of utmost importance. Nevertheless, the average time to first clinical laboratory finding range from 1 to 3 days. Alongside a myriad of scoring systems for occult bacteremia prediction, efforts for applying artificial intelligence (AI) in this realm are still preliminary.

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Association between peak troponin level and prognosis among patients admitted to intensive cardiovascular care unit.

Int J Cardiol

December 2024

Jesselson Integrated Heart Center, The Eisenberg R&D Authority, Shaare Zedek Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Israel.

Article Synopsis
  • - The study investigates the relationship between peak high-sensitivity cardiac troponin (hs-cTn) levels and one-year mortality in patients admitted to intensive cardiovascular care units (ICCU) from 2019 to 2023.
  • - A total of 4149 patients were analyzed, revealing that those with hs-cTnI levels ≥100,000 ng/L had a significantly higher risk of mortality compared to lower levels, particularly in non-ST elevation myocardial infarction (NSTEMI) cases.
  • - The findings suggest that while high hs-cTnI levels indicate poor prognosis, the impact on mortality rates varies notably between patients with ST elevation myocardial infarction (STEMI) and NSTEMI, indicating a need
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Article Synopsis
  • * All children affected showed severe symptoms including significant central nervous system or visceral issues, leading to high morbidity and mortality rates.
  • * The authors emphasize the need for screening congenital CMV in infants experiencing unexplained persistent pulmonary hypertension and recommend intensive treatment combined with antiviral medication for these cases.
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Article Synopsis
  • The study focuses on the management of orthogeriatric patients with femur fractures, highlighting the benefits of hospitalization in the geriatric department with orthopedic follow-up for better health outcomes.
  • A comparison of two patient groups revealed that those in the geriatric department had longer hospital stays and higher mortality rates but were more likely to return home for rehabilitation after discharge.
  • The results suggest that despite challenges, managing elderly patients with hip fractures in the geriatric department could improve recovery and guide future treatment strategies.
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Background: Incorporating an occupation-based assessment along with or in place of an assessment of body functions and structures is not performed routinely in hand therapy practice.

Purpose: (a) Explore correlations between body functions, activities and participation (A&P), and quality of life (QOL); (b) assess the extent to which personal factors and body functions contribute to variations in A&P and QOL; (c) compare the QOL of individuals with and without hand impairment (HI).

Study Design: Cross-sectional.

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Reply.

Cornea

December 2024

Department of Ophthalmology, Barzilai Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheba, Israel.

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Lumbar puncture opening pressure (LPOP) exceeding 250mmHO is key in diagnosing idiopathic intracranial hypertension (IIH), per revised Friedman's criteria. Some patients do not meet LPOP criteria (with or without papilledema), despite having IIH-related symptoms and neuroimaging findings. This study aimed to investigate the radiological findings and clinical symptoms in patients suspected of having IIH without meeting the LPOP criteria.

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In Reply.

Int J Oral Maxillofac Surg

January 2025

Division of Maxillofacial Surgery, Department of Surgery, AZ Sint-Jan Brugge-Oostende AV, Bruges, Belgium.

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An unannounced balance loss during walking, i.e., balance perturbation, is a stressful event, which changes the activity of the sympathetic nervous system (SNS).

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Article Synopsis
  • Current estimates of genetic variants linked to Parkinson's disease (PD) show limitations and biases across different populations, complicating patient recruitment for clinical trials focused on genetic therapies.
  • The Rostock Parkinson's disease (ROPAD) study analyzes data from 12,580 PD patients across 16 countries, revealing that 14.8% had a genetic test positive for PD-related variants, particularly in specific genes like GBA1 and LRRK2.
  • Findings indicate higher positivity rates in patients with earlier onset (age ≤ 50) or a positive family history, emphasizing the need for more extensive genetic investigation to improve patient stratification for future clinical trials.
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: Fibromyalgia syndrome (FMS) is defined as a chronic pain syndrome that is characterized by widespread pain, tenderness, and diffuse stiffness. In addition, neuropsychological symptoms such as fatigue, sleep disorders, poor mood, cognitive impairment, and headaches are often reported. Many reports have addressed the coexistence of affective disorders and anxiety with FMS, yet few have focused on its association with obsessive compulsive disorder (OCD).

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Article Synopsis
  • - The study aimed to compare responses from GPT-4 with a consensus statement on diagnosing and managing anterior shoulder instability (ASI) to evaluate the AI's reliability in this context.
  • - Responses from GPT-4 were rated for similarity to expert opinions, showing high concordance (25.8% high similarity) but also notable discrepancies (41.9% disagreement). GPT-4 rated its own responses more favorably than the surgeons did.
  • - The findings suggest that while GPT-4 can provide relevant information, its responses do not closely align with expert recommendations, highlighting the need for caution in using AI for medical guidance.
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Molecular epidemiology of hepatitis B, hepatitis C, and HIV-1 co-infections in Ethiopia: Implications for disease burden and intervention strategies.

Acta Trop

September 2024

School of Medicine & Drug Development and Value Creation Research Center, Kaohsiung Medical University, Kaohsiung, Taiwan; Hepatobiliary Division, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic address:

Article Synopsis
  • - Ethiopia faces significant public health challenges due to the high prevalence of Hepatitis B virus (HBV) and its co-infections with hepatitis C virus (HCV) and HIV-1, particularly affecting vulnerable populations.
  • - A study analyzing 7,789 blood samples found that 815 were HBV positive, with a notable 67.30% showcasing mixed HBV genotypes A/E/F, alongside co-infection rates of 13.02% for HBV/HIV, 3.31% for HBV/HCV, and 2.07% for triple infections.
  • - The findings emphasize the need for targeted health interventions and improved patient care strategies to address the complexities of viral co-infections and curb ongoing
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