2,821 results match your criteria: "Carmel Medical Center.[Affiliation]"

Letters to Editor: The risk for clinically significant copy number variants in pregnancies with two soft markers, Geriatriophobia - a new concept in the medical world in Israel.

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[Does the Term "Myocardial Infarction" Represent its Meaning Properly?].

Harefuah

December 2024

Rappaport Faculty of Medicine, Technion, Haifa, Israel, Department of Cardiovascular Medicine, Carmel Medical Center, Haifa, Israel.

Does the Term "Myocardial Infarction" Represent its Meaning Properly?

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: Patients with locally advanced rectal cancer (LARC) treated by neoadjuvant chemoradiotherapy (nCRT) may experience pathological complete response (pCR). Tools that can identify pCR are required to define candidates suitable for the watch and wait (WW) strategy. Automated image analysis is used for predicting clinical aspects of diseases.

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Article Synopsis
  • The study aimed to evaluate how a personalized integrative medicine (IM) intervention affects healthcare providers (HCPs) with war-related emotional/spiritual and physical concerns.
  • HCPs from five hospital departments in northern Israel received IM treatments, with improvements measured using a specific questionnaire before and after the intervention, and post-treatment narratives were analyzed for emotional/spiritual keywords.
  • Results showed that HCPs who expressed emotional/spiritual keywords experienced significantly greater improvements in their quality of life concerns compared to those who did not, highlighting the need for further research on integrating IM with mental health support during crises.
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Harnessing machine learning in diagnosing complex hoarseness cases.

Am J Otolaryngol

December 2024

Carmel Medical Center, Department of Otolaryngology - Head and Neck Surgery, Haifa, Israel; The Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.

Purpose: Traditional vocal fold pathology recognition typically requires expertise of laryngologists and advanced instruments, primarily through direct visualization. This study aims to augment this conventional paradigm by introducing a parallel diagnostic procedure. Our objective is to harness a machine-learning algorithm designed to discern intricate patterns within patients' voice recordings to distinguish not only between healthy and hoarse voices but also among various specific disorders.

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In the face of confounders: Atrial fibrillation detection - Practitioners vs. ChatGPT.

J Electrocardiol

January 2025

Department of Cardiology, Lady Davis Carmel Medical Center, Haifa, Israel; The Ruth and Bruce Rappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa, Israel.

Introduction: Atrial fibrillation (AF) is the most common arrhythmia in clinical practice, yet interpretation concerns among healthcare providers persist. Confounding factors contribute to false-positive and false-negative AF diagnoses, leading to potential omissions. Artificial intelligence advancements show promise in electrocardiogram (ECG) interpretation.

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Identifying factors associated with disparities in accessing an Integrative Oncology program.

J Pain Symptom Manage

December 2024

Integrative Oncology Program (O.G.R., E.B.A.), The Oncology Service, Lin, Zebulun, and Carmel Medical Centers, Clalit Health Services, Haifa, Israel; Rappaport Faculty of Medicine (O.G.R., E.B.A.), Technion-Israel Institute of Technology, Haifa, Israel.

Introduction: Integrative oncology (IO) programs provide patients with evidence-based complementary medicine therapies within a supportive and palliative cancer care setting. This study retrospectively examined characteristics of patients with lung cancer predicting utilization of a freely-provided IO consultation at two medical centers in Israel.

Methods: Electronic medical files of 832 patients with lung cancer attending/not attending the IO consultation were searched for socio-demographic (age, gender, country of birth, place of residence, primary language spoken) and personal health (Body Mass Index; smoking; disability) characteristics; cancer-related parameters (primary tumor site, localized vs.

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Treatment effects of elexacaftor/tezacaftor/ivacaftor on people with cystic fibrosis heterozygous for 3849+10kbC->T and a class I variant.

J Cyst Fibros

December 2024

Pulmonology Institute and Adult CF Center, Rabin Medical Center, Petach Tikva, Israel; School of Medicine, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.

Background: The splice variant 3849+10kbC->T (c.3717+12191C>T) (3849 variant) is a residual function CFTR variant, characterized by insertion of an in-frame stop codon into most CFTR transcripts. Both ivacaftor (Iva) and tezacaftor/ivacaftor (Tez/Iva) have been approved for people with CF (pwCF) carrying the 3849 variant.

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Nontuberculous Mycobacterial Infection and Pulmonary Disease in Northern Israel: A Focus on Mycobacterium simiae.

Chest

December 2024

The B. Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa; Pulmonology Institute, Carmel Medical Center, Haifa, Israel; Cystic Fibrosis Center, Carmel Medical Center, Haifa, Israel. Electronic address:

Background: The prevalence of nontuberculous mycobacteria (NTM) pulmonary disease is rising globally. Previously, we described a high prevalence of Mycobacterium simiae isolation in Israel.

Research Question: What is the prevalence of NTM pulmonary disease and M simiae pulmonary disease in Northern Israel? Which factors are associated with mortality among people with NTM?

Study Design And Methods: We retrospectively recorded all samples from Clalit Health Services-Haifa District reference mycobacteria laboratory for growth of NTM between January 2010 and March 2021.

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Hypersensitivity pneumonitis radiologic features in interstitial lung diseases.

Respir Med

January 2025

Center of Excellence for Interstitial Lung Diseases, Tel Aviv Medical Center, Tel Aviv University, Israel; Institute of Pulmonary Medicine, Tel Aviv Medical Center, Tel Aviv University, Israel. Electronic address:

Background: The radiologic criteria of hypersensitivity pneumonitis (HP) guidelines focus on four HP compatible features (HPCF) in high-resolution computed tomography (HRCT): ground glass opacities, mosaic attenuation, air-trapping, and centrilobular nodules. However, evidence to support these criteria are limited.

Methods: Consecutive interstitial lung disease (ILD) patients who underwent HRCT between 2016 and 2021 in three medical centers were included.

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Purpose: The purpose of this study was to predict high-risk patients who experience significant increases in hospital charges and length of stay (LOS) following specific postoperative complications.

Methods: This study analyzed over two million patients from the Nationwide Inpatient Sample database undergoing elective total knee arthroplasty (TKA) for primary osteoarthritis. Baseline demographics, clinical characteristics and incidence of postoperative complications were examined.

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Anterior Glottic Web After Anterior Commissure Lesions Treatment: Does TruBlue Laser Lower the Risk?

J Voice

November 2024

Department of Otolaryngology - Head and Neck Surgery, Carmel Medical Center, Haifa, Israel; Technion - Israel Institute of Technology, The Ruth and Bruce Rappaport Faculty of Medicine, Haifa, Israel.

Objective: Laser treatment of the anterior commissure (AC) poses a potential risk of anterior glottic web (AGW) formation. Effectively addressing and mitigating this potential complication is vital for procedure safety and efficacy. This study evaluates the incidence of AGW following TruBlue laser treatment in patients undergoing AC laryngeal surgery.

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Article Synopsis
  • Primary generalized glucocorticoid resistance syndrome (GGRS) is a rare condition linked to a mutation in the NR3C1 gene, specifically a missense variant affecting the Glucocorticoid Receptor's DNA Binding Domain.
  • A case study detailed a 59-year-old man with high cortisol levels and a misdiagnosis of Cushing disease, ultimately leading to a correct diagnosis of GGRS at age 68.
  • Functional tests on the identified gene variant indicated it had significantly reduced transcriptional activity, emphasizing the need for increased awareness of GGRS to prevent misdiagnosis and harmful treatments.
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Evaluation of postpartum dysglycemia by serum glycosylated hemoglobin in patients with gestational diabetes mellitus: a national data analysis.

Arch Gynecol Obstet

December 2024

Department of Obstetrics and Gynecology, Rappaport Faculty of Medicine, Lady Davis Carmel Medical Center, Technion University, 7 Michal Street, 34361, Haifa, Israel.

Purpose: To assess the postpartum sensitivity and accuracy of serum HbA1c levels, compared to the gold standard of 75-g Oral Glucose Tolerance Test (OGTT), for diagnosis of dysglycemia in patients with a history of gestational diabetes mellitus (GDM).

Methods: A nationwide retrospective analysis of individuals with a history of GDM and with records of both postpartum 2 h-OGTT and serum HbA1c measured anytime between delivery until 12 months post-delivery. Results were stratified into 3 different intervals: 0-3 months, 3-12 months, and > 12 months after delivery, according to the timing of both OGTT and HbA1c performance.

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Utilization of Neurology and Allied Health Services by People With Parkinson's Disease in Israel: A Retrospective Observational Study.

J Neurol Phys Ther

November 2024

Department of Occupational Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa, Israel (B.N.-A., G.Y.-S.); Department of Physical Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa, Israel (Mi.K.); Sackler School of Medicine, Tel-Aviv University, Tel Aviv, Israel (Me.K.); Neurology Department, Meir Medical Center, Kfar Saba, Israel (Me.K.); Cheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel (E.S.); Independent researcher, Tel Aviv, Israel (I.M.); Clalit Health Services, Sharon Shomron District, Netanya, Israel (S.G.); and Quality and Safety Department, Carmel Medical Center, Haifa, Israel (S.K.).

Background: Sustainable utilization of neurology and allied health professions' services is pivotal for effective management of Parkinson disease (PD) and is correlated with positive health-related outcomes.

Objectives: (1) To describe the utilization of neurology and allied health services by people with PD (PwP); (2) to explore the associations between demographic and structural variables and utilization; and (3) to test associations between utilization and unplanned hospitalizations.

Methods: A retrospective observational cohort study of 1761 PwP in the years 2014-2019 was conducted.

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Periprosthetic fractures following total hip arthroplasty are serious complications occurring in up to 2.4% of primary cases, contributing to significant morbidity, extended hospital stays, and elevated healthcare costs. Predicting these fractures remains a challenge despite advances in surgical techniques and prosthetic materials.

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Respiratory Diseases in Women.

Arch Bronconeumol

November 2024

Respiratory Department, Virgen del Rocío Hospital and Instituto de Biomedicina, Sevilla, Spain; CIBERES, Carlos III Health Institute, Madrid, Spain.

Article Synopsis
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Background:  Coronary artery bypass grafting (CABG) is one of the revascularization modalities available in patients with left ventricular dysfunction (LVD). Multiple arterial grafting (MAG) is associated with improved long-term outcomes. Data on the benefits of MAG in patients with LVD are limited.

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Pregestational population screening of healthy females for copy number variants in DMD gene has raised numerous challenges regarding the interpretation and disclosure of these findings. Our objective was to analyze data from a local dystrophinopathy patient database, in comparison to population screening results. Utilizing the "Little steps" association registry for children with dystrophinopathy, we classified genetic findings (out-of-frame, in-frame, or difficult-to-predict) in 231 DMD and 90 BMD male patients.

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Article Synopsis
  • The study aimed to assess the effectiveness of subconjunctival tranexamic acid (TXA) in reducing bleeding, shortening surgery time, and enhancing recovery in pterygium surgery through a double-blind, randomized controlled trial involving 50 patients.
  • Results showed no significant differences between the TXA group and the saline control group in terms of surgery duration, intraoperative bleeding, or postoperative visual acuity, with both groups faring similarly in all main outcome measures.
  • Although the use of TXA was deemed safe with no adverse effects, the findings suggest that it does not provide substantial benefits in improving surgical outcomes for pterygium surgery, indicating a need for further research on alternative treatments or surgical techniques.
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The genetic landscape of Lynch syndrome in the Israeli population.

Fam Cancer

November 2024

Recanati Genetics Institute, Faculty of Medicine, Rabin Medical Center - Beilinson Hospital, Tel Aviv University, Petach Tikva, Tel Aviv, Israel.

Deciphering the spectrum and founder disease-causing variants (DCVs) in specific populations can shape and facilitate the diagnostic process of Lynch Syndrome (LS). The aim of this report was to comprehensively update on the genetic landscape of LS in the ethnically diverse Israeli-Jewish population. The cohort included 1080 carriers from 588 families; some from underrepresented, understudied Israeli ethnic groups recruited from 8 genetic institutes and high-risk clinics throughout the country.

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Article Synopsis
  • The clock drawing test (CDT) is used to assess executive and visuospatial functions but lacks normative data for Generation Z individuals born after 1997, who are accustomed to digital displays that may affect their performance.
  • A study involving 300 Generation Z adults at an Israeli neurology clinic showed a mean CDT score of 8.1 out of 10, with younger participants scoring lower, while 100% of patients successfully drew a digital clock.
  • Findings suggest that Generation Z scores lower on the CDT compared to older generations, indicating a need for the test to be adapted or for a new digital screening tool to be developed for younger individuals.
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  • Dostarlimab-gxly is a monoclonal antibody targeting the PD-1 receptor, and the RUBY study aimed to analyze its pharmacokinetics and efficacy in patients with advanced endometrial cancer.
  • The study combined data from the RUBY and GARNET trials, examining the safety and efficacy of dostarlimab through regression analyses.
  • Results indicated that combining dostarlimab with standard care had a minimal impact on its pharmacokinetics, with no significant adverse effects or relationships affecting patient outcomes.
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  • Lung cancer is a serious disease with unique challenges, especially in patients diagnosed with resectable non-small cell lung cancer (NSCLC).
  • A study from January 2022 to August 2023 involved 56 patients (mostly smokers and male) who received neoadjuvant chemo-immunotherapy before surgery, with 80% in stage III.
  • Results showed 86% of patients had a positive response to treatment, and 61% had significant pathological improvements, highlighting the effectiveness of immune checkpoint inhibitors in treating NSCLC before surgery.
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  • The study aimed to determine if using a continuous non-invasive pCO monitor in extremely low birth weight (ELBW) infants during their first week of life could reduce rates of severe brain injuries (IVH or PVL) and related mortality.
  • A total of 132 ELBW infants were observed, divided into a study group monitored by the TCpCO and a smaller control group due to monitor availability, showing no significant difference in rates of IVH/PVL or combined outcomes between the two groups.
  • The research highlighted difficulties in conducting controlled trials in fast-evolving medical practices, as changes in standard care complicated the study's findings and limited the ability to make strong conclusions.
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